Data collection system. Volume 1, Overview and operators manual; Volume 2, Maintenance manual; Appendices

Energy Technology Data Exchange (ETDEWEB)

Caudell, R.B.; Bauder, M.E.; Boyer, W.B.; French, R.E.; Isidoro, R.J.; Kaestner, P.C.; Perkins, W.G.

1993-09-01

Sandia National Laboratories (SNL) Instrumentation Development Department was tasked by the Defense Nuclear Agency (DNA) to record data on Tektronix RTD720 Digitizers on the HUNTERS TROPHY field test conducted at the Nevada Test Site (NTS) on September 18, 1992. This report contains a overview and description of the computer hardware and software that was used to acquire, reduce, and display the data. The document is divided into two volumes: an overview and operators manual (Volume 1) and a maintenance manual (Volume 2).

Trial operation of the advanced volume reduction facilities for LLW at JAEA

International Nuclear Information System (INIS)

Nakashio, Nobuyuki; Higuchi, Hidekazu; Momma, Toshiyuki; Kozawa, Kazushige; Touhei, Toshio; Sudou, Tomoyuki; Mitsuda, Motoyuki; Kurosawa, Shigenobu; Hemmi, Kou; Ishikawa, Joji; Kato, Mitsugu; Sato, Motoaki

2007-01-01

The Japan Atomic Energy Agency (JAEA) constructed the Advanced Volume Reduction Facilities (AVRF), in which volume reduction techniques are applied and achieved high volume reduction ratio, homogenization and stabilization by means of melting or super compaction processes for low level radioactive solid wastes. It will be able to produce waste packages for final disposal and to reduce the volume of stored wastes by operating the AVRF. The AVRF consist of the Waste Size Reduction and Storage Facilities (WSRSF) and the Waste Volume Reduction Facilities (WVRF); the former has cutting installations for large size wastes and the latter has melting units and a super compactor. Cutting installations in the WSRSF have been operating since July 1999. Radioactive wastes treated so far amount to 750 m 3 and the volume reduction ratio is from 1.7 to 3.7. The WVRF has been operating with non-radioactive wastes since February 2003 for the training and the homogeneity investigation in the melting processes. The operation of the pretreatment system in the WVRF with radioactive wastes has partly started in FY2005. (author)

Impact of Case Volume on Outcomes of Ureteroscopy for Ureteral Stones

DEFF Research Database (Denmark)

Kandasami, Sangam V; Mamoulakis, Charalampos; El-Nahas, Ahmed R

2014-01-01

of case volume on the outcomes of URS for ureteral stones. DESIGN, SETTING, AND PARTICIPANTS: The URS Global Study collected prospective data on consecutive patients with urinary stones treated with URS at 114 centres worldwide for 1 yr. Centres were identified as low or high volume based on the median...... overall annual case volume. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Pre- and intraoperative characteristics, and postoperative outcomes in patients at low- and high-volume centres were compared. The relationships between case volume and stone-free rate (SFR), stone burden, complications...... SFR was 91.9% and 86.3% at high- and low-volume centres, respectively (pstone-free outcome increased with increasing case volume (p

Operating range, hold-up, droplet size and axial mixing of pulsed plate columns in highly disperse and low-continuity volume flows

International Nuclear Information System (INIS)

Schmidt, H.; Miller, H.

Operating behavior, hold-up, droplet size and axial mixing are investigated in highly disperse and slightly continuous volume flows in a pulsed plate column. The geometry of the column of 4-m length and 10-cm inside diameter was held constant. The hole shape of the column bases was changed, wherby the cylindrical, sharp-edge drilled hole is compared with the punched, nozzle-shaped hole in their effects on the fluid-dynamic behavior. In this case we varied the volume flows, the ratio of volume flows, the pulse frequency and the operating temperature. The operation was held constant for the aqueous, the organic, the continuous and the disperse phases. The objective was to demonstrate the applicability of pulsed plate columns with very large differences between the organic disperse and the aqueous continuous volume flow, to obtain design data for such columns and to perform a scale-up to industrial reprocessing plant-size. 18 references, 11 figures, 3 tables

Breadth versus volume: Neurology outpatient clinic cases in medical education.

Science.gov (United States)

Albert, Dara V; Blood, Angela D; Park, Yoon Soo; Brorson, James R; Lukas, Rimas V

2016-06-01

This study examined how volume in certain patient case types and breadth across patient case types in the outpatient clinic setting are related to Neurology Clerkship student performance. Case logs from the outpatient clinic experience of 486 students from The University of Chicago Pritzker School of Medicine, USA, participating in the 4week Neurology Clerkship from July 2008 to June 2013 were reviewed. A total of 12,381 patient encounters were logged and then classified into 13 diagnostic categories. How volume of cases within categories and the breadth of cases across categories relate to the National Board of Medical Examiners Clinical Subject Examination for Neurology and a Neurology Clerkship Objective Structured Clinical Examination was analyzed. Volume of cases was significantly correlated with the National Board of Medical Examiners Clinical Subject Examination for Neurology (r=.290, pNeurology (r=.231, p=.017), however was not significantly correlated with any component of the Objective Structured Clinical Examination. Volume of cases correlated with higher performance on measures of specialty knowledge and clinical skill. Fewer relationships emerged correlating breadth of cases and performance on the same measures. This study provides guidance to educators who must decide how much emphasis to place on volume versus breadth of cases in outpatient clinic learning experiences. Copyright © 2016 Elsevier Ltd. All rights reserved.

Pre-operative renal volume predicts peak creatinine after congenital heart surgery in neonates.

Science.gov (United States)

Carmody, J Bryan; Seckeler, Michael D; Ballengee, Cortney R; Conaway, Mark; Jayakumar, K Anitha; Charlton, Jennifer R

2014-10-01

Acute kidney injury is common in neonates following surgery for congenital heart disease. We conducted a retrospective analysis to determine whether neonates with smaller pre-operative renal volume were more likely to develop post-operative acute kidney injury. We conducted a retrospective review of 72 neonates who underwent congenital heart surgery for any lesion other than patent ductus arteriosus at our institution from January 2007 to December 2011. Renal volume was calculated by ultrasound using the prolate ellipsoid formula. The presence and severity of post-operative acute kidney injury was determined both by measuring the peak serum creatinine in the first 7 days post-operatively and by using the Acute Kidney Injury Network scoring system. Using a linear change point model, a threshold renal volume of 17 cm³ was identified. Below this threshold, there was an inverse linear relationship between renal volume and peak post-operative creatinine for all patients (p = 0.036) and the subgroup with a single morphologic right ventricle (p = 0.046). There was a non-significant trend towards more acute kidney injury using Acute Kidney Injury Network criteria in all neonates with renal volume ≤17 cm³ (p = 0.11) and in the subgroup with a single morphologic right ventricle (p = 0.17). Pre-operative renal volume ≤17 cm³ is associated with a higher peak post-operative creatinine and potentially greater risk for post-operative acute kidney injury for neonates undergoing congenital heart surgery. Neonates with a single right ventricle may be at higher risk.

Large-Scale Multi-Resolution Representations for Accurate Interactive Image and Volume Operations

KAUST Repository

Sicat, Ronell B.

2015-11-25

The resolutions of acquired image and volume data are ever increasing. However, the resolutions of commodity display devices remain limited. This leads to an increasing gap between data and display resolutions. To bridge this gap, the standard approach is to employ output-sensitive operations on multi-resolution data representations. Output-sensitive operations facilitate interactive applications since their required computations are proportional only to the size of the data that is visible, i.e., the output, and not the full size of the input. Multi-resolution representations, such as image mipmaps, and volume octrees, are crucial in providing these operations direct access to any subset of the data at any resolution corresponding to the output. Despite its widespread use, this standard approach has some shortcomings in three important application areas, namely non-linear image operations, multi-resolution volume rendering, and large-scale image exploration. This dissertation presents new multi-resolution representations for large-scale images and volumes that address these shortcomings. Standard multi-resolution representations require low-pass pre-filtering for anti- aliasing. However, linear pre-filters do not commute with non-linear operations. This becomes problematic when applying non-linear operations directly to any coarse resolution levels in standard representations. Particularly, this leads to inaccurate output when applying non-linear image operations, e.g., color mapping and detail-aware filters, to multi-resolution images. Similarly, in multi-resolution volume rendering, this leads to inconsistency artifacts which manifest as erroneous differences in rendering outputs across resolution levels. To address these issues, we introduce the sparse pdf maps and sparse pdf volumes representations for large-scale images and volumes, respectively. These representations sparsely encode continuous probability density functions (pdfs) of multi-resolution pixel

Guidelines for selecting codes for ground-water transport modeling of low-level waste burial sites. Volume 2. Special test cases

International Nuclear Information System (INIS)

Simmons, C.S.; Cole, C.R.

1985-08-01

This document was written for the National Low-Level Waste Management Program to provide guidance for managers and site operators who need to select ground-water transport codes for assessing shallow-land burial site performance. The guidance given in this report also serves the needs of applications-oriented users who work under the direction of a manager or site operator. The guidelines are published in two volumes designed to support the needs of users having different technical backgrounds. An executive summary, published separately, gives managers and site operators an overview of the main guideline report. Volume 1, titled ''Guideline Approach,'' consists of Chapters 1 through 5 and a glossary. Chapters 2 through 5 provide the more detailed discussions about the code selection approach. This volume, Volume 2, consists of four appendices reporting on the technical evaluation test cases designed to help verify the accuracy of ground-water transport codes. 20 refs

Small Aircraft Transportation System, Higher Volume Operations Concept: Off-Nominal Operations

Science.gov (United States)

Abbott, Terence S.; Consiglio, Maria C.; Baxley, Brian T.; Williams, Daniel M.; Conway, Sheila R.

2005-01-01

This document expands the Small Aircraft Transportation System, (SATS) Higher Volume Operations (HVO) concept to include off-nominal conditions. The general philosophy underlying the HVO concept is the establishment of a newly defined area of flight operations called a Self-Controlled Area (SCA). During periods of poor weather, a block of airspace would be established around designated non-towered, non-radar airports. Aircraft flying enroute to a SATS airport would be on a standard instrument flight rules flight clearance with Air Traffic Control providing separation services. Within the SCA, pilots would take responsibility for separation assurance between their aircraft and other similarly equipped aircraft. Previous work developed the procedures for normal HVO operations. This document provides details for off-nominal and emergency procedures for situations that could be expected to occur in a future SCA.

Small Aircraft Transportation System Higher Volume Operations Concept

Science.gov (United States)

Abbott, Terence S.; Consiglio, Maria C.; Baxley, Brian T.; Williams, Daniel M.; Jones, Kenneth M.; Adams, Catherine A.

2006-01-01

This document defines the Small Aircraft Transportation System (SATS) Higher Volume Operations concept. The general philosophy underlying this concept is the establishment of a newly defined area of flight operations called a Self-Controlled Area (SCA). Within the SCA, pilots would take responsibility for separation assurance between their aircraft and other similarly equipped aircraft. This document also provides details for a number of off-nominal and emergency procedures which address situations that could be expected to occur in a future SCA. The details for this operational concept along with a description of candidate aircraft systems to support this concept are provided.

Initial 12-h operative fluid volume is an independent risk factor for pleural effusion after hepatectomy.

Science.gov (United States)

Cheng, Xiang; Wu, Jia-Wei; Sun, Ping; Song, Zi-Fang; Zheng, Qi-Chang

2016-12-01

Pleural effusion after hepatectomy is associated with significant morbidity and prolonged hospital stays. Several studies have addressed the risk factors for postoperative pleural effusion. However, there are no researches concerning the role of the initial 12-h operative fluid volume. The aim of this study was to evaluate whether the initial 12-h operative fluid volume during liver resection is an independent risk factor for pleural effusion after hepatectomy. In this study, we retrospectively analyzed clinical data of 470 patients consecutively undergoing elective hepatectomy between January 2011 and December 2012. We prospectively collected and retrospectively analyzed baseline and clinical data, including preoperative, intraoperative, and postoperative variables. Univariate and multivariate analyses were carried out to identify whether the initial 12-h operative fluid volume was an independent risk factor for pleural effusion after hepatectomy. The multivariate analysis identified 2 independent risk factors for pleural effusion: operative time [odds ratio (OR)=10.2] and initial 12-h operative fluid volume (OR=1.0003). Threshold effect analyses revealed that the initial 12 h operative fluid volume was positively correlated with the incidence of pleural effusion when the initial 12-h operative fluid volume exceeded 4636 mL. We conclude that the initial 12-h operative fluid volume during liver resection and operative time are independent risk factors for pleural effusion after hepatectomy. Perioperative intravenous fluids should be restricted properly.

Recycle operations as a methodology for radioactive waste volume reduction

International Nuclear Information System (INIS)

Rasmussen, G.A.

1985-01-01

The costs for packaging, transportation and burial of low-level radioactive metallic waste have become so expensive that an alternate method of decontamination for volume reduction prior to disposal can now be justified. The operation of a large-scale centralized recycle center for decontamination of selected low level radioactive waste has been proven to be an effective method for waste volume reduction and for retrieving valuable materials for unlimited use. The centralized recycle center concept allows application of state-of-the-art decontamination technology resulting in a reduction in utility disposal costs and a reduction in overall net amount of material being buried. Examples of specific decontamination process activities at the centralized facility will be reviewed along with a discussion of the economic impact of decontamination for recycling and volume reduction. Based on almost two years of operation of a centralized decontamination facility, a demonstrated capability exists. The concept has been cost effective and proves that valuable resources can be recycled

Flight Technical Error Analysis of the SATS Higher Volume Operations Simulation and Flight Experiments

Science.gov (United States)

Williams, Daniel M.; Consiglio, Maria C.; Murdoch, Jennifer L.; Adams, Catherine H.

2005-01-01

This paper provides an analysis of Flight Technical Error (FTE) from recent SATS experiments, called the Higher Volume Operations (HVO) Simulation and Flight experiments, which NASA conducted to determine pilot acceptability of the HVO concept for normal operating conditions. Reported are FTE results from simulation and flight experiment data indicating the SATS HVO concept is viable and acceptable to low-time instrument rated pilots when compared with today s system (baseline). Described is the comparative FTE analysis of lateral, vertical, and airspeed deviations from the baseline and SATS HVO experimental flight procedures. Based on FTE analysis, all evaluation subjects, low-time instrument-rated pilots, flew the HVO procedures safely and proficiently in comparison to today s system. In all cases, the results of the flight experiment validated the results of the simulation experiment and confirm the utility of the simulation platform for comparative Human in the Loop (HITL) studies of SATS HVO and Baseline operations.

Proposal of a post-prostatectomy clinical target volume based on pre-operative MRI: volumetric and dosimetric comparison to the RTOG guidelines

International Nuclear Information System (INIS)

Croke, Jennifer; Maclean, Jillian; Nyiri, Balazs; Li, Yan; Malone, Kyle; Avruch, Leonard; Kayser, Cathleen; Malone, Shawn

2014-01-01

Recurrence rates following radiotherapy for prostate cancer in the post-operative adjuvant or salvage setting remain substantial. Previous work from our institution demonstrated that published prostate bed CTV guidelines frequently do not cover the pre-operative MRI defined prostate. Inadequate target delineation may contribute to the high recurrence rates, but increasing target volumes may increase dose to organs at risk. We propose guidelines for delineating post-prostatectomy target volumes based upon an individual’s co-registered pre-operative MRI. MRI-based CTVs and PTVs were compared to those created using the RTOG guidelines in 30 patients. Contours were analysed in terms of absolute volume, intersection volume (Jaccard Index) and the ability to meet the RADICALS and QUANTEC rectal and bladder constraints (tomotherapy IMRT plans with PTV coverage of V98% ≥98%). CTV MRI was a mean of 18.6% larger than CTV RTOG: CTV MRI mean 138 cc (range 72.3 - 222.2 cc), CTV RTOG mean 116.3 cc (range 62.1 - 176.6 cc), (p < 0.0001). The difference in mean PTV was only 4.6%: PTV MRI mean 386.9 cc (range 254.4 – 551.2), PTV RTOG mean 370 cc (range 232.3 - 501.6) (p = 0.05). The mean Jaccard Index representing intersection volume between CTVs was 0.72 and 0.84 for PTVs. Both criteria had a similar ability to meet rectal and bladder constraints. Rectal DVH: 77% of CTV RTOG cases passed all RADICALS criteria and 37% all QUANTEC criteria; versus 73% and 40% for CTV MRI (p = 1.0 for both). Bladder DVH; 47% of CTV RTOG cases passed all RADICALS criteria and 67% all QUANTEC criteria, versus 57% and 60% for CTV MRI (p = 0.61for RADICALS, p = 0.79 for QUANTEC). CTV MRI spares more of the lower anterior bladder wall than CTV RTOG but increases coverage of the superior lateral bladder walls. CTV contours based upon the patient’s co-registered pre-operative MRI in the post-prostatectomy setting may improve coverage of the individual’s prostate bed without substantially increasing

Assessment of maxillary sinus volume for the sinus lift operation by three-dimensional magnetic resonance imaging.

Science.gov (United States)

Gray, C F; Staff, R T; Redpath, T W; Needham, G; Renny, N M

2000-05-01

To calculate sinus and bone graft volumes and vertical bone heights from sequential magnetic resonance imaging (MRI) examinations in patients undergoing a sinus lift operation. MRI scans were obtained pre-operatively and at 10 days and 10 weeks post-operatively, using a 0.95 tesla MRI scanner and a three-dimensional (3D) magnetisation prepared, rapid acquisition gradient-echo (MP-RAGE) sequence. Estimates of the bone graft volumes required for a desired vertical bone height were made from the pre-operative MRI scan. Measurements of the graft volumes and bone heights actually achieved were made from the post-operative scans. The MRI appearance of the graft changed between the 10 day and 10 week scans. We have proposed a technique which has the potential to give the surgeon an estimate of the optimum volume of graft for the sinus lift operation from the pre-operative MRI scan alone and demonstrated its application in a single patient. Changes in the sequential MRI appearance of the graft are consistent with replacement of fluid by a matrix of trabecular bone.

Risk adjustment for case mix and the effect of surgeon volume on morbidity.

Science.gov (United States)

Maas, Matthew B; Jaff, Michael R; Rordorf, Guy A

2013-06-01

Retrospective studies of large administrative databases have shown higher mortality for procedures performed by low-volume surgeons, but the adequacy of risk adjustment in those studies is in doubt. To determine whether the relationship between surgeon volume and outcomes is an artifact of case mix using a prospective sample of carotid endarterectomy cases. Observational cohort study from January 1, 2008, through December 31, 2010, with preoperative, immediate postoperative, and 30-day postoperative assessments acquired by independent monitors. Urban, tertiary academic medical center. All 841 patients who underwent carotid endarterectomy performed by a vascular surgeon or cerebrovascular neurosurgeon at the institution. Carotid endarterectomy without another concurrent surgery. Stroke, death, and other surgical complications occurring within 30 days of surgery along with other case data. A low-volume surgeon performed 40 or fewer cases per year. Variables used in a comparison administrative database study, as well as variables identified by our univariate analysis, were used for adjusted analyses to assess for an association between low-volume surgeons and the rate of stroke and death as well as other complications. RESULTS The rate of stroke and death was 6.9% for low-volume surgeons and 2.0% for high-volume surgeons (P = .001). Complications were similarly higher (13.4% vs 7.2%, P = .008). Low-volume surgeons performed more nonelective cases. Low-volume surgeons were significantly associated with stroke and death in the unadjusted analysis as well as after adjustment with variables used in the administrative database study (odds ratio, 3.61; 95% CI, 1.70-7.67, and odds ratio, 3.68; 95% CI, 1.72-7.89, respectively). However, adjusting for the significant disparity of American Society of Anesthesiologists Physical Status classification in case mix eliminated the effect of surgeon volume on the rate of stroke and death (odds ratio, 1.65; 95% CI, 0.59-4.64) and other

Is there a correlation between operative results and change in ventricular volume after shunt placement? A study of 60 cases of idiopathic normal-pressure hydrocephalus

Energy Technology Data Exchange (ETDEWEB)

Meier, U.; Graewe, A.; Hajdukova, A. [Department of Neurosurgery, Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin (Germany); Paris, S.; Stockheim, D.; Mutze, S. [Department of Radiology, Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin (Germany)

2003-06-01

In patients with communicating or normal-pressure hydrocephalus, ventricular volume decreases following implantation of differential pressure valves. We implanted hydrostatic (Miethke dual-switch) valves in 60 patients with normal-pressure hydrocephalus (NPH) between September 1997 and December 2001. The patients underwent CT 1 year after operation, and we measured the Evans index. Although 83% of the patients showed no change in ventricular volume as assessed by this index, 72% nevertheless showed good to excellent and 16% satisfactory clinical improvement, while 12% showed no improvement. Moderate or marked reduction in ventricular size was observed in 17%, of whom 40% of these patients showed good to excellent and 20% satisfactory clinical improvement; 40% showed unsatisfactory improvement. The favourable outcome following implantation of a hydrostatic shunt thus did not correlate with decreased ventricular volume 1 year after operation, better outcomes being observed in patients with little or no alteration in ventricular size than in those with a marked decrease. Postoperative change in ventricular volume in NPH thus does not have the same significance as in patients with high-pressure hydrocephalus. (orig.)

Is there a correlation between operative results and change in ventricular volume after shunt placement? A study of 60 cases of idiopathic normal-pressure hydrocephalus

International Nuclear Information System (INIS)

Meier, U.; Graewe, A.; Hajdukova, A.; Paris, S.; Stockheim, D.; Mutze, S.

2003-01-01

In patients with communicating or normal-pressure hydrocephalus, ventricular volume decreases following implantation of differential pressure valves. We implanted hydrostatic (Miethke dual-switch) valves in 60 patients with normal-pressure hydrocephalus (NPH) between September 1997 and December 2001. The patients underwent CT 1 year after operation, and we measured the Evans index. Although 83% of the patients showed no change in ventricular volume as assessed by this index, 72% nevertheless showed good to excellent and 16% satisfactory clinical improvement, while 12% showed no improvement. Moderate or marked reduction in ventricular size was observed in 17%, of whom 40% of these patients showed good to excellent and 20% satisfactory clinical improvement; 40% showed unsatisfactory improvement. The favourable outcome following implantation of a hydrostatic shunt thus did not correlate with decreased ventricular volume 1 year after operation, better outcomes being observed in patients with little or no alteration in ventricular size than in those with a marked decrease. Postoperative change in ventricular volume in NPH thus does not have the same significance as in patients with high-pressure hydrocephalus. (orig.)

User's operating procedures. Volume 3: Projects directorate information programs

Science.gov (United States)

Haris, C. G.; Harris, D. K.

1985-01-01

A review of the user's operating procedures for the scout project automatic data system, called SPADS is presented. SPADS is the results of the past seven years of software development on a prime mini-computer. SPADS was developed as a single entry, multiple cross-reference data management and information retrieval system for the automation of Project office tasks, including engineering, financial, managerial, and clerical support. This volume, three of three, provides the instructions to operate the projects directorate information programs in data retrieval and file maintenance via the user friendly menu drivers.

The Small Aircraft Transportation System (SATS), Higher Volume Operations (HVO) Off-Nominal Operations

Science.gov (United States)

Baxley, B.; Williams, D.; Consiglio, M.; Conway, S.; Adams, C.; Abbott, T.

2005-01-01

The ability to conduct concurrent, multiple aircraft operations in poor weather, at virtually any airport, offers an important opportunity for a significant increase in the rate of flight operations, a major improvement in passenger convenience, and the potential to foster growth of charter operations at small airports. The Small Aircraft Transportation System, (SATS) Higher Volume Operations (HVO) concept is designed to increase traffic flow at any of the 3400 nonradar, non-towered airports in the United States where operations are currently restricted to one-in/one-out procedural separation during Instrument Meteorological Conditions (IMC). The concept's key feature is pilots maintain their own separation from other aircraft using procedures, aircraft flight data sent via air-to-air datalink, cockpit displays, and on-board software. This is done within the Self-Controlled Area (SCA), an area of flight operations established during poor visibility or low ceilings around an airport without Air Traffic Control (ATC) services. The research described in this paper expands the HVO concept to include most off-nominal situations that could be expected to occur in a future SATS environment. The situations were categorized into routine off-nominal operations, procedural deviations, equipment malfunctions, and aircraft emergencies. The combination of normal and off-nominal HVO procedures provides evidence for an operational concept that is safe, requires little ground infrastructure, and enables concurrent flight operations in poor weather.

Invariant differential operators

CERN Document Server

Dobrev, Vladimir K

2016-01-01

With applications in quantum field theory, elementary particle physics and general relativity, this two-volume work studies invariance of differential operators under Lie algebras, quantum groups, superalgebras including infinite-dimensional cases, Schrödinger algebras, applications to holography. This first volume covers the general aspects of Lie algebras and group theory.

Invariant differential operators

CERN Document Server

Dobrev, Vladimir K

With applications in quantum field theory, elementary particle physics and general relativity, this two-volume work studies invariance of differential operators under Lie algebras, quantum groups, superalgebras including infinite-dimensional cases, Schrödinger algebras, applications to holography. This first volume covers the general aspects of Lie algebras and group theory.

Better Assessment of Operational Suitability. Volume 2. Case Studies

Science.gov (United States)

1992-01-01

planned but was canceled with the withdrawal of U.S. forces from Viet Nam . 4-2 The program was reinstituted in 1975. The M939 series 5-ton truck resulted...window, but the impact is primarily cosmetic . Video degradation requires prolonged operation in the sand environment and is gradual. In SWA, 24 windows

Eigenvalues of the volume operator in loop quantum gravity

International Nuclear Information System (INIS)

Meissner, Krzysztof A

2006-01-01

We present a simple method to calculate certain sums of the eigenvalues of the volume operator in loop quantum gravity. We derive the asymptotic distribution of the eigenvalues in the classical limit of very large spins, which turns out to be of a very simple form. The results can be useful for example in the statistical approach to quantum gravity

Assembly, operation and disassembly manual for the Battelle Large Volume Water Sampler (BLVWS)

International Nuclear Information System (INIS)

Thomas, V.W.; Campbell, R.M.

1984-12-01

Assembly, operation and disassembly of the Battelle Large Volume Water Sampler (BLVWS) are described in detail. Step by step instructions of assembly, general operation and disassembly are provided to allow an operator completely unfamiliar with the sampler to successfully apply the BLVWS to his research sampling needs. The sampler permits concentration of both particulate and dissolved radionuclides from large volumes of ocean and fresh water. The water sample passes through a filtration section for particle removal then through sorption or ion exchange beds where species of interest are removed. The sampler components which contact the water being sampled are constructed of polyvinylchloride (PVC). The sampler has been successfully applied to many sampling needs over the past fifteen years. 9 references, 8 figures

Chemistry in water reactors: operating experience and new developments. 2 volumes

International Nuclear Information System (INIS)

1994-01-01

These proceedings of the International conference on chemistry in water reactors (Operating experience and new developments), Volume 1, are divided into 8 sessions bearing on: (session 1) Primary coolant activity, corrosion products (5 conferences), (session 2) Dose reduction (4 conferences), (session 3) New developments (4 conferences), poster session: Primary coolant chemistry (16 posters), (session 4) Decontamination (5 conferences), poster session (2 posters), (session 5) BWR-Operating experience (3 conferences), (session 6) BWR-Modelling of operating experience (4 conferences), (session 7) BWR-Basic studies (4 conferences), (session 8) BWR-New technologies (3 conferences)

Operating manual for the High Flux Isotope Reactor. Volume I. Description of the facility

Energy Technology Data Exchange (ETDEWEB)

1982-09-01

This volume contains a comprehensive description of the High Flux Isotope Reactor Facility. Its primary purpose is to supplement the detailed operating procedures, providing the reactor operators with background information on the various HFIR systems. The detailed operating procdures are presented in another report.

Operating manual for the High Flux Isotope Reactor. Volume I. Description of the facility

International Nuclear Information System (INIS)

1982-09-01

This volume contains a comprehensive description of the High Flux Isotope Reactor Facility. Its primary purpose is to supplement the detailed operating procedures, providing the reactor operators with background information on the various HFIR systems. The detailed operating procdures are presented in another report

Network Centric Warfare Case Study: U.S. V Corps and 3rd Infantry Division (Mechanized) During Operation Iraqi Freedom Combat Operations (Mar-Apr 2003). Volume 3. Network Centric Warfare Insights

Science.gov (United States)

2003-01-01

OPSEC), military deception, psychological operations (PSYOPS), special information operations (IO), information assurance, physical security...nonlethal effects, such as operational 8 Network Centric Warfare Case Study security (OPSEC), military deception, psychological operations (PSYOP...Support Operations Group ASR Alternate Supply Route; or, Ammunition Supply Rate ATACMS Army Tactical Missile System ATARS Advanced

Finite-volume effects due to spatially non-local operators arXiv

CERN Document Server

Briceño, Raúl A.; Hansen, Maxwell T.; Monahan, Christopher J.

Spatially non-local matrix elements are useful lattice-QCD observables in a variety of contexts, for example in determining hadron structure. To quote credible estimates of the systematic uncertainties in these calculations, one must understand, among other things, the size of the finite-volume effects when such matrix elements are extracted from numerical lattice calculations. In this work, we estimate finite-volume effects for matrix elements of non-local operators, composed of two currents displaced in a spatial direction by a distance $\\xi$. We find that the finite-volume corrections depend on the details of the matrix element. If the external state is the lightest degree of freedom in the theory, e.g.~the pion in QCD, then the volume corrections scale as $ e^{-m_\\pi (L- \\xi)} $, where $m_\\pi$ is the mass of the light state. For heavier external states the usual $e^{- m_\\pi L}$ form is recovered, but with a polynomial prefactor of the form $L^m/|L - \\xi|^n$ that can lead to enhanced volume effects. These ...

Multi-slice CT three dimensional volume measurement of tumors and livers in hepatocellular carcinoma

International Nuclear Information System (INIS)

Yu Yuanlong; Li Liangcai; Tang Binghang; Hu Zemin

2004-01-01

Objective: To examine the accuracy of multi-slice CT (MSCT) three dimensional (3D) volume measurement of tumors and livers in hepatocellular carcinoma cases by using immersion method as the standard. Methods: (1) The volume of 25 porkling livers was measured using immersion method in experiment group in vitro. Then the models were built according to Matsumoto's method and CT scanning and special software were used to measure the volume of the livers. (2) The volume of the tumors in 25 cases of hepatocellular carcinoma was measured using diameter measurement method and special volume measurement software (tissue measurements). Two tumors of them were measured respectively using MSCT 3D measurement, diameter measurement before the operation and immersion method after the operation. The data of the two groups were examined using pairing t test. Results: (1) The volume range of 25 porkling livers was 68.50-1150.10 ml using immersion method and 69.78-1069.97 ml using MSCT 3D measurement. There was no significant difference of the data in these two groups using t-test (t=1.427, P>0.05). (2) The volume range of 25 hepatocellular tumors was 395.16-2747.7 ml using diameter measurement and 203.10-1463.19 ml using MSCT 3D measurement before the operation. There was significant difference of the data in these two groups using t-test (t=7.689, P<0.001). In 2 ablated tumors, 1 case's volume was (21.75±0.60) ml using MSCT 3D measurement and 33.73 ml using diameter measurement before the operation and 21.50 ml using immersion measurement after the operation. The other case's volume was (696.13±5.30) ml using MSCT 3D measurement and 1323.51 ml using diameter measurement before the operation and 685.50 ml using immersion measurement after the operation. Conclusion: MSCT 3D volume measurement can accurately measure the volume of tumor and liver and has important clinical application value. There is no significant difference between MSCT 3D volume measurement and immersion method

The Effect of Pro-Qura Case Volume on Post-Implant Prostate Dosimetry

International Nuclear Information System (INIS)

Merrick, Gregory S.; Lief, Jonathan H.; Grimm, Peter; Sylvester, John; Butler, Wayne M.; Allen, Zachariah A.

2011-01-01

Purpose: To evaluate the effect of prostate brachytherapy case volume on postimplant dosimetric quality in Pro-Qura proctored programs. Methods and Materials: From August 1999 to December 2008, the computed tomography datasets for 6,600 prostate implants performed by 129 brachytherapists were submitted to Pro-Qura for dosimetric analysis. Brachytherapists were divided into three roughly equal-sized terciles based on total case volume. Postimplant computed tomography scans were obtained at a median of 30 days. Excellent target coverage was defined by a V100 ≥90% and D90 ≥100% minimum prescribed peripheral dose. To determine if the number of excellent implants improved with increasing case numbers, each brachytherapist’s series of implants was bisected into early and late experience by a moveable critical point. Results: For the entire cohort, the mean V100 and D90 were 89.2% and 102.8%, respectively, with 47.7% of the implants scored as excellent. Brachytherapists in the highest-case tercile had a significantly greater fraction of excellent target coverage (57.9%) than did those in the two lower terciles (39.5% and 45.7%, p = 0.015). Twenty-one (25.6%) of the 82 brachytherapists with sufficient case volume for dosimetric improvement analyses demonstrated quality improvement over time. Although there was no significant difference between prostate volume and seed strength, the number of seeds used was significantly greater in adequate implants. Conclusions: The highest-volume brachytherapists were most likely to obtain excellent target coverage. We are encouraged that in general practice, nearly 48% of all implants were scored excellent. It is conceivable that with greater expert third-party involvement, an even greater percentage of cases with excellent target coverage will become reality.

The Effect of Pro-Qura Case Volume on Post-Implant Prostate Dosimetry

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Merrick, Gregory S., E-mail: gmerrick@urologicresearchinstitute.org [Schiffler Cancer Center Wheeling Jesuit University, Wheeling, WV (United States); Lief, Jonathan H. [Schiffler Cancer Center Wheeling Jesuit University, Wheeling, WV (United States); Grimm, Peter [Prostate Cancer Treatment Center, Seattle, WA (United States); Sylvester, John [Lakewood Ranch Oncology, Bradenton, FL (United States); Butler, Wayne M.; Allen, Zachariah A. [Schiffler Cancer Center Wheeling Jesuit University, Wheeling, WV (United States)

2011-12-01

Purpose: To evaluate the effect of prostate brachytherapy case volume on postimplant dosimetric quality in Pro-Qura proctored programs. Methods and Materials: From August 1999 to December 2008, the computed tomography datasets for 6,600 prostate implants performed by 129 brachytherapists were submitted to Pro-Qura for dosimetric analysis. Brachytherapists were divided into three roughly equal-sized terciles based on total case volume. Postimplant computed tomography scans were obtained at a median of 30 days. Excellent target coverage was defined by a V100 {>=}90% and D90 {>=}100% minimum prescribed peripheral dose. To determine if the number of excellent implants improved with increasing case numbers, each brachytherapist's series of implants was bisected into early and late experience by a moveable critical point. Results: For the entire cohort, the mean V100 and D90 were 89.2% and 102.8%, respectively, with 47.7% of the implants scored as excellent. Brachytherapists in the highest-case tercile had a significantly greater fraction of excellent target coverage (57.9%) than did those in the two lower terciles (39.5% and 45.7%, p = 0.015). Twenty-one (25.6%) of the 82 brachytherapists with sufficient case volume for dosimetric improvement analyses demonstrated quality improvement over time. Although there was no significant difference between prostate volume and seed strength, the number of seeds used was significantly greater in adequate implants. Conclusions: The highest-volume brachytherapists were most likely to obtain excellent target coverage. We are encouraged that in general practice, nearly 48% of all implants were scored excellent. It is conceivable that with greater expert third-party involvement, an even greater percentage of cases with excellent target coverage will become reality.

Volume totalizers analysis of pipelines operated by TRANSPETRO National Operational Control Center; Analise de totalizadores de volume em oleodutos operados pelo Centro Nacional de Controle e Operacao da TRANSPETRO

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Aramaki, Thiago Lessa; Montalvao, Antonio Filipe Falcao [Petrobras Transporte S.A. (TRANSPETRO), Rio de Janeiro, RJ (Brazil); Marques, Thais Carrijo [Universidade do Estado do Rio de Janeiro (UERJ), RJ (Brazil)

2012-07-01

This paper aims to present the results and methodology in the analysis of differences in volume totals used in systems such as batch tracking and leak detection of pipelines operated by the National Center for Operational Control (CNCO) at TRANSPETRO. In order to optimize this type of analysis, software was developed to acquisition and processing of historical data using the methodology developed. The methodology developed takes into account the particularities encountered in systems operated by TRANSPETRO, more specifically, by CNCO. (author)

Comparing colon cancer outcomes: The impact of low hospital case volume and case-mix adjustment.

Science.gov (United States)

Fischer, C; Lingsma, H F; van Leersum, N; Tollenaar, R A E M; Wouters, M W; Steyerberg, E W

2015-08-01

When comparing performance across hospitals it is essential to consider the noise caused by low hospital case volume and to perform adequate case-mix adjustment. We aimed to quantify the role of noise and case-mix adjustment on standardized postoperative mortality and anastomotic leakage (AL) rates. We studied 13,120 patients who underwent colon cancer resection in 85 Dutch hospitals. We addressed differences between hospitals in postoperative mortality and AL, using fixed (ignoring noise) and random effects (incorporating noise) logistic regression models with general and additional, disease specific, case-mix adjustment. Adding disease specific variables improved the performance of the case-mix adjustment models for postoperative mortality (c-statistic increased from 0.77 to 0.81). The overall variation in standardized mortality ratios was similar, but some individual hospitals changed considerably. For the standardized AL rates the performance of the adjustment models was poor (c-statistic 0.59 and 0.60) and overall variation was small. Most of the observed variation between hospitals was actually noise. Noise had a larger effect on hospital performance than extended case-mix adjustment, although some individual hospital outcome rates were affected by more detailed case-mix adjustment. To compare outcomes between hospitals it is crucial to consider noise due to low hospital case volume with a random effects model. Copyright © 2015 Elsevier Ltd. All rights reserved.

The general surgery chief resident operative experience: 23 years of national ACGME case logs.

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Drake, Frederick Thurston; Horvath, Karen D; Goldin, Adam B; Gow, Kenneth W

2013-09-01

The chief resident (CR) year is a pivotal experience in surgical training. Changes in case volume and diversity may impact the educational quality of this important year. To evaluate changes in operative experience for general surgery CRs. Review of Accreditation Council for Graduate Medical Education case logs from 1989-1990 through 2011-2012 divided into 5 periods. Graduates in period 3 were the last to train with unrestricted work hours; those in period 4 were part of a transition period and trained under both systems; and those in period 5 trained fully under the 80-hour work week. Diversity of cases was assessed based on Accreditation Council for Graduate Medical Education defined categories. Total cases and defined categories were evaluated for changes over time. The average total CR case numbers have fallen (271 in period 1 vs 242 in period 5, P surgery training may be jeopardized by reduced case diversity. Chief resident cases are crucial in surgical training and educators should consider these findings as surgical training evolves.

First-Case Operating Room Delays: Patterns Across Urban Hospitals of a Single Health Care System

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Callie M. Cox Bauer

2016-08-01

Full Text Available Purpose: Operating room delays decrease health care system efficiency and increase costs. To improve operating room efficiency in our system, we retrospectively investigated delay frequencies, causes and costs. Methods: We studied all first-of-the-day nonemergent surgical cases performed at three high-volume urban hospitals of a large health system from July 2012 to November 2013. Times for patient flow from arrival to procedure start and documented reasons for delay were obtained from electronic medical records. Delay was defined as patient placement in the operating room later than scheduled surgery time. Effects of patient characteristics, late patient arrival to the hospital, number of planned procedures, years of surgeon experience, service department and hospital facility on odds of delay were examined using logistic regression. Results: Of 5,598 cases examined, 88% were delayed. Patients arrived late to the hospital (surgery in 65% of first cases. Mean time from arrival to scheduled surgery and in-room placement was 104.6 and 127.4 minutes, respectively. Mean delay time was 28.2 minutes. Nearly 60% of delayed cases had no documented reason for delay. For cases with documentation, causes included the physician (52%, anesthesia (15%, patient (13%, staff (9%, other sources (6% and facility (5%. Regression analysis revealed age, late arrival, department and facility as significant predictors of delay. Estimated delay costs, based on published figures and representing lost revenue, were $519,388. Conclusions: To improve operating room efficiency, multidisciplinary strategies are needed for increasing patient adherence to recommended arrival times, documentation of delay by medical staff and consistency in workflow patterns among facilities and departments.

Impact of an electronic health record operating room management system in ophthalmology on documentation time, surgical volume, and staffing.

Science.gov (United States)

Sanders, David S; Read-Brown, Sarah; Tu, Daniel C; Lambert, William E; Choi, Dongseok; Almario, Bella M; Yackel, Thomas R; Brown, Anna S; Chiang, Michael F

2014-05-01

Although electronic health record (EHR) systems have potential benefits, such as improved safety and quality of care, most ophthalmology practices in the United States have not adopted these systems. Concerns persist regarding potential negative impacts on clinical workflow. In particular, the impact of EHR operating room (OR) management systems on clinical efficiency in the ophthalmic surgery setting is unknown. To determine the impact of an EHR OR management system on intraoperative nursing documentation time, surgical volume, and staffing requirements. For documentation time and circulating nurses per procedure, a prospective cohort design was used between January 10, 2012, and January 10, 2013. For surgical volume and overall staffing requirements, a case series design was used between January 29, 2011, and January 28, 2013. This study involved ophthalmic OR nurses (n = 13) and surgeons (n = 25) at an academic medical center. Electronic health record OR management system implementation. (1) Documentation time (percentage of operating time documenting [POTD], absolute documentation time in minutes), (2) surgical volume (procedures/time), and (3) staffing requirements (full-time equivalents, circulating nurses/procedure). Outcomes were measured during a baseline period when paper documentation was used and during the early (first 3 months) and late (4-12 months) periods after EHR implementation. There was a worsening in total POTD in the early EHR period (83%) vs paper baseline (41%) (P system implementation was associated with worsening of intraoperative nursing documentation time especially in shorter procedures. However, it is possible to implement an EHR OR management system without serious negative impacts on surgical volume and staffing requirements.

Case volumes of intra-arterial and intravenous treatment of ischemic stroke in the USA.

Science.gov (United States)

Hirsch, J A; Yoo, A J; Nogueira, R G; Verduzco, L A; Schwamm, L H; Pryor, J C; Rabinov, J D; González, R G

2009-07-01

Ischemic stroke is a major cause of disability and death in the USA. Intravenous tissue plasminogen activator (t-PA) remains underutilized. With the development of newer intra-arterial reperfusion therapies, there is increased opportunity to address the more devastating large-vessel occlusions. We seek to identify the numbers of patients with stroke treated with intravenous and intra-arterial therapies, as well as to estimate the potential number of intra-arterial cases in the foreseeable future. We performed a literature search to determine case volumes of intravenous t-PA use. We extrapolated the current case volume of intra-arterial stroke therapies from the numbers of cases in which the Merci retrieval device was used. In order to estimate the potential numbers of intra-arterial stroke cases, we characterized the percentage of patients with stroke who received intra-arterial therapy at two leading stroke centers. We applied these percentages to the numbers of patients with stroke seen at the top 100, 200 and 500 stroke centers by volume. The rate of intravenous t-PA use is 2.4-3.6%, resulting in 15 000-22 000 cases/year in the USA. The estimated case volume of intra-arterial therapies is 3500-7200 in 2006. Based on data from St. Luke's Brain and Stroke Institute and Massachusetts General Hospital, approximately 5-20% of patients with ischemic stroke can be treated with intra-arterial therapies. Extrapolating this to the top 500 stroke centers by volume, the potential number of intra-arterial cases in the USA is 10 400-41 500/year. Based on the current numbers of intra-arterial cases, our theoretical model identifies a potential for significant growth of this stroke therapy.

User's operating procedures. Volume 2: Scout project financial analysis program

Science.gov (United States)

Harris, C. G.; Haris, D. K.

1985-01-01

A review is presented of the user's operating procedures for the Scout Project Automatic Data system, called SPADS. SPADS is the result of the past seven years of software development on a Prime mini-computer located at the Scout Project Office, NASA Langley Research Center, Hampton, Virginia. SPADS was developed as a single entry, multiple cross-reference data management and information retrieval system for the automation of Project office tasks, including engineering, financial, managerial, and clerical support. This volume, two (2) of three (3), provides the instructions to operate the Scout Project Financial Analysis program in data retrieval and file maintenance via the user friendly menu drivers.

Influence of operator experience and PCI volume on transfemoral access techniques: A collaboration of international cardiovascular societies.

Science.gov (United States)

Nelson, Daniel W; Damluji, Abdulla A; Patel, Nish; Valgimigli, Marco; Windecker, Stephan; Byrne, Robert; Nolan, James; Patel, Tejas; Brilakis, Emmanouil; Banerjee, Subhash; Mayol, Jorge; Cantor, Warren J; Alfonso, Carlos E; Rao, Sunil V; Moscucci, Mauro; Cohen, Mauricio G

2018-03-01

Transfemoral access (TFA) is widely used for coronary angiography and percutaneous coronary intervention (PCI). The influence of operator age, gender, experience, and procedural volume on performance of femoral arterial access has not been studied. A survey instrument was developed and distributed via e-mail from professional societies to interventional cardiologists worldwide from March to December 2016. A total of 988 physicians from 88 countries responded to the survey. TFA is the preferred approach for patients with cardiogenic shock, left main or bifurcation PCI, and procedures with mechanical circulatory support. Older (PCI volume operators (PCI: 57.3%; 100-299 PCI: 58.7%; ≥300 PCI: 64.3%, pPCI volume operators (≥300 PCI: 64.1%; 100-299 PCI: 72.6%; PCI: 67.9%, pPCI volume interventional cardiologists prefer not to use imaging for femoral access or perform femoral angiography during TF procedures. These data highlight opportunities to further reduce TFA complications. Copyright © 2017 Elsevier Inc. All rights reserved.

Simulation model for wind energy storage systems. Volume II. Operation manual. [SIMWEST code

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Warren, A.W.; Edsinger, R.W.; Burroughs, J.D.

1977-08-01

The effort developed a comprehensive computer program for the modeling of wind energy/storage systems utilizing any combination of five types of storage (pumped hydro, battery, thermal, flywheel and pneumatic). An acronym for the program is SIMWEST (Simulation Model for Wind Energy Storage). The level of detail of SIMWEST is consistent with a role of evaluating the economic feasibility as well as the general performance of wind energy systems. The software package consists of two basic programs and a library of system, environmental, and load components. Volume II, the SIMWEST operation manual, describes the usage of the SIMWEST program, the design of the library components, and a number of simple example simulations intended to familiarize the user with the program's operation. Volume II also contains a listing of each SIMWEST library subroutine.

Operation of Wastewater Treatment Plants: A Field Study Training Program. Volume I. Second Edition.

Science.gov (United States)

California State Univ., Sacramento. Dept. of Civil Engineering.

This manual was prepared by experienced wastewater collection system workers to provide a home study course to develop new qualified workers and expand the abilities of existing workers. This volume is directed primarily towards entry-level operators and the operators of ponds, package plants, or small treatment plants. Ten chapters examine the…

The physical boundary Hilbert space and volume operator in the Lorentzian new spin-foam theory

International Nuclear Information System (INIS)

Ding You; Rovelli, Carlo

2010-01-01

A covariant spin-foam formulation of quantum gravity has been recently developed, characterized by a kinematics which appears to match well the one of canonical loop quantum gravity. In this paper we reconsider the implementation of the constraints that defines the model. We define in a simple way the boundary Hilbert space of the theory, introducing a slight modification of the embedding of the SU(2) representations into the SL(2,C) ones. We then show directly that all constraints vanish on this space in a weak sense. The vanishing is exact (and not just in the large quantum number limit). We also generalize the definition of the volume operator in the spin-foam model to the Lorentzian signature and show that it matches the one of loop quantum gravity, as in the Euclidean case.

Impact of spinal anaesthesia on peri-operative lung volumes in obese and morbidly obese female patients.

Science.gov (United States)

Regli, A; von Ungern-Sternberg, B S; Reber, A; Schneider, M C

2006-03-01

Although obesity predisposes to postoperative pulmonary complications, data on the relationship between body mass index (BMI) and peri-operative respiratory performance are limited. We prospectively studied the impact of spinal anaesthesia, obesity and vaginal surgery on lung volumes measured by spirometry in 28 patients with BMI 30-40 kg.m(-2) and in 13 patients with BMI > or = 40 kg.m(-2). Vital capacity, forced vital capacity, forced expiratory volume in 1 s, mid-expiratory and peak expiratory flows were measured during the pre-operative visit (baseline), after effective spinal anaesthesia with premedication, and after the operation at 20 min, 1 h, 2 h, and 3 h (after mobilisation). Spinal anaesthesia and premedication were associated with a significant decrease in spirometric parameters. Spinal anaesthesia and premedication were associated with a significant decrease in spirometric parameters; mean (SD) vital capacities were - 19% (6.4) in patients with BMI 30-40 kg.m(-2) and - 33% (9.0) in patients with BMI > 40 kg.m(-2). The decrease of lung volumes remained constant for 2 h, whereas 3 h after the operation and after mobilisation, spirometric parameters significantly improved in all patients. This study showed that both spinal anaesthesia and obesity significantly impaired peri-operative respiratory function.

CT-guided stereotactic operation for hypertensive intracerebral hematoma

International Nuclear Information System (INIS)

Takahashi, Shinichiro; Sonobe, Makoto; Koshu, Keiji; Kusunose, Mutsuo; Tsumura, Kotaro

1989-01-01

CT-guided stereotactic operation was performed in 55 patients with hypertensive intracerebral hematoma. Location of the hematoma was putamen in 28 cases, thalamus in 14 cases, subcortical area in 9 cases, cerebellum in 3 cases and pons in one case. Ages ranged from 36 to 85 years (mean 59.5). The mean timing of the surgery after bleeding was 4.2 days. The estimated volume of the hematoma on CT was 8 ml to 57 ml in putaminal, 9 ml to 40 ml in thalamic, 18 ml to 77 ml in subcortical, 17 ml to 26 ml in cerebellar and 5 ml in pontine hemorrhage. Aspiration rate at surgery was 60.4% in putaminal, 37.9% in thalamic, 41.7% in subcortical, 45.2% in cerebellar and 30% in pontine hemorrhage. In addition, we evaluated ADL at 6 months postoperatively in patients with putaminal and thalamic hamorrhage. It is concluded that stereotactic operation is advisable in those cases with 10 to 50 ml hematoma volumes in putamen or thalamus. On the other hand, in cases with over 50ml volume, hematoma should be evacuated by craniotomy. (author)

Human factors review of electric power dispatch control centers. Volume 3. Operator information needs summary. Final report

Energy Technology Data Exchange (ETDEWEB)

Miller, R.J.; Najaf-Zadeh, K.; Darlington, H.T.; McNair, H.D.; Seidenstein, S.; Williams, A.R.

1982-10-01

Human factors is a systems-oriented interdisciplinary specialty concerned with the design of systems, equipment, facilities and the operational environment. An important aspect leading to the design requirements is the determination of the information requirements for electric power dispatch control centers. There are significant differences between the system operator's actions during normal and degraded states of power system operation, and power system restoration. This project evaluated the information the operator requires for normal power system and control system operations and investigates the changes of information required by the operator as the power system and/or the control system degrades from a normal operating state. The Phase II study, published in two volumes, defines power system states and control system conditions to which operator information content can be related. This volume presents a summary of operator information needs, identifying the needs for and the uses of power system information by a system operator in conditions ranging from normal through degraded operation. Training requirements are also included for planning entry-level and follow-on training for operators.

Operative volume and outcomes of cerebrovascular neurosurgery in children.

Science.gov (United States)

Bekelis, Kimon; Connolly, Ian D; Do, Huy M; Choudhri, Omar

2016-11-01

OBJECTIVE The impact of procedural volume on the outcomes of cerebrovascular surgery in children has not been determined. In this study, the authors investigated the association of operative volume on the outcomes of cerebrovascular neurosurgery in pediatric patients. METHODS The authors performed a cohort study of all pediatric patients who underwent a cerebrovascular procedure between 2003 and 2012 and were registered in the Kids' Inpatient Database (KID). To control for confounding, the authors used multivariable regression models, propensity-score conditioning, and mixed-effects analysis to account for clustering at the hospital level. RESULTS During the study period, 1875 pediatric patients in the KID underwent cerebrovascular neurosurgery and met the inclusion criteria for the study; 204 patients (10.9%) underwent aneurysm clipping, 446 (23.8%) underwent coil insertion for an aneurysm, 827 (44.1%) underwent craniotomy for arteriovenous malformation resection, and 398 (21.2%) underwent bypass surgery for moyamoya disease. Mixed-effects multivariable regression analysis revealed that higher procedural volume was associated with fewer inpatient deaths (OR 0.58; 95% CI 0.40-0.85), a lower rate of discharges to a facility (OR 0.87; 95% CI 0.82-0.92), and shorter length of stay (adjusted difference -0.22; 95% CI -0.32 to -0.12). The results in propensity-adjusted multivariable models were robust. CONCLUSIONS In a national all-payer cohort of pediatric patients who underwent a cerebrovascular procedure, the authors found that higher procedural volume was associated with fewer deaths, a lower rate of discharges to a facility, and decreased lengths of stay. Regionalization initiatives should include directing children with such rare pathologies to a center of excellence.

0 + 5 Vascular Surgery Residents' Operative Experience in General Surgery: An Analysis of Operative Logs from 12 Integrated Programs.

Science.gov (United States)

Smith, Brigitte K; Kang, P Chulhi; McAninch, Chris; Leverson, Glen; Sullivan, Sarah; Mitchell, Erica L

2016-01-01

Integrated (0 + 5) vascular surgery (VS) residency programs must include 24 months of training in core general surgery. The Accreditation Council for Graduate Medical Education currently does not require specific case numbers in general surgery for 0 + 5 trainees; however, program directors have structured this time to optimize operative experience. The aim of this study is to determine the case volume and type of cases that VS residents are exposed to during their core surgery training. Accreditation council for graduate medical education operative logs for current 0 + 5 VS residents were obtained and retrospectively reviewed to determine general surgery case volume and distribution between open and laparoscopic cases performed. Standard statistical methods were applied. A total of 12 integrated VS residency programs provided operative case logs for current residents. A total of 41 integrated VS residents in clinical years 2 through 5. During the postgraduate year-1 training year, residents participated in significantly more open than laparoscopic general surgery cases (p surgery cases are hernia repair (20%), skin and soft tissue (7.4%), and breast (6.3%). Residents in programs with core surgery over 3 years participated in significantly more general surgery operations compared with residents in programs with core surgery spread out over 4 years (p = 0.035). 0 + 5 VS residents perform significantly more open operations than laparoscopic operations during their core surgery training. The majority of these operations are minor, nonabdominal procedures. The 0 + 5 VS residency program general surgery operative training requirements should be reevaluated and case minimums defined. The general surgery training component of 0 + 5 VS residencies may need to be restructured to meet the needs of current and future trainees. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Human factors review of electric power dispatch control centers. Volume 4. Operator information needs. Final report

Energy Technology Data Exchange (ETDEWEB)

Miller, R.J.; Najaf-Zadeh, K.; Darlington, H.T.; McNair, H.D.; Seidenstein, S.; Williams, A.R.

1982-10-01

Human factors is a systems-oriented interdisciplinary specialty concerned with the design of systems, equipment, facilities and the operational environment. An important aspect leading to the design requirements is the determination of the information requirements for electric power dispatch control centers. There are significant differences between the system operator's actions during normal and degraded states of power system operation, and power system restoration. This project evaluated the information the operator requires for normal power system and control system operations and investigates the changes of information required by the operator as the power system and/or the control system degrades from a normal operating state. The Phase II study, published in two volumes, defines power system states and control system conditions to which operator information content can be related. This volume presents detailed data concerning operator information needs that identify the needs for and the uses of power system information by a system operator in conditions ranging from normal through degraded operation. The study defines power system states and control system conditions to which operator information content can be related, and it identifies the requisite information as consistent with current industry practice so as to aid control system designers. Training requirements are also included for planning entry-level and follow-on training for operators.

Recent trends in operator theory and partial differential equations the Roland Duduchava anniversary volume

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Natroshvili, David; Shargorodsky, Eugene; Wendland, Wolfgang

2017-01-01

This volume is dedicated to the eminent Georgian mathematician Roland Duduchava on the occasion of his 70th birthday. It presents recent results on Toeplitz, Wiener-Hopf, and pseudodifferential operators, boundary value problems, operator theory, approximation theory, and reflects the broad spectrum of Roland Duduchava's research. The book is addressed to a wide audience of pure and applied mathematicians.

Clinical significance of computed tomography in the measurement of thyroid volume after operation for Basedow's disease

International Nuclear Information System (INIS)

Kasuga, Yoshio; Miyakawa, Makoto; Sugenoya, Akira

1986-01-01

The postoperative volume of the thyroid glands was measured using computed tomography (CT) in 16 patients with Basedow's disease. In the group which had normal postoperative thyroid function and did not need to receive T 4 , CT showed increase of thyroid volume. In three of the four patients who needed to receive it, CT showed decreased thyroid volume, as compared with that immediately after operation. CT has proved to serve as a tool for measuring postoperative thyroid volume for Basedow's disease in relation to postoperative prognosis. (Namekawa, K.)

Prostate Brachytherapy Case Volumes by Academic and Nonacademic Practices: Implications for Future Residency Training

International Nuclear Information System (INIS)

Orio, Peter F.; Nguyen, Paul L.; Buzurovic, Ivan; Cail, Daniel W.; Chen, Yu-Wei

2016-01-01

Purpose: The use of prostate brachytherapy has continued to decline in the United States. We examined the national practice patterns of both academic and nonacademic practices performing prostate brachytherapy by case volume per year to further characterize the decline and postulate the effect this trend might have on training the next generation of residents. Methods and Materials: Men diagnosed with prostate cancer who had undergone radiation therapy in 2004 to 2012 were identified. The annual brachytherapy case volume at each facility was determined and further categorized into ≤12 cases per year (ie, an average of ≤1 cases per month), 13 to 52 cases per year, and ≥53 cases per year (ie, an average of ≥1 cases per week) in academic practices versus nonacademic practices. Results: In 2004 to 2012, academic practices performing an average of ≤1 brachytherapy cases per month increased from 56.4% to 73.7%. In nonacademic practices, this percentage increased from 60.2% to 77.4% (P<.0001 for both). Practices performing an average of ≥1 cases per week decreased among both academic practices (from 6.7% to 1.5%) and nonacademic practices (from 4.5% to 2.7%). Conclusions: Both academic and nonacademic radiation oncology practices have demonstrated a significant reduction in the use of prostate brachytherapy from 2004 to 2012. With the case volume continuing to decline, it is unclear whether we are prepared to train the next generation of residents in this critical modality.

Postprandial hepatic volume change: spiral CT evaluation in case of liver cirrhosis

International Nuclear Information System (INIS)

Rho, Kwang Suk; Moon, Jang Il; Ko, Myong Kwan; Byun, Joo Nam; Kim, Young Suk; Kim, Young Chol; Oh, Jae Hee

1999-01-01

To investigate the usefulness of evaluating liver cirrhosis through the measurement of liver volume. In a control group(20 normal subjects) and 20 cirrhotic patients, variations in liver volume before and after a meal were obtained. A case-control study was conducted between the two groups. In the control group, the range of increased liver volume after the meal was 67-186ml. Mean increased liver volume was 119.3ml, the range of percentage increase was 6-12.4% and the mean percentage increase was 9.89%. In cirrhotic patients, the range of increased liver volume after the meal was 1-20ml. Mean increase liver volume was 6.9ml, the range of percentage increase was 0-1.9% and the mean percentage increase was 0.65%. Compared with the control group, cirrhotic patients showed a much smaller increase in liver volume(p<0.01). Difference in variation of liver volume between a control group and cirrhotic patients before and after a meal can be used for the evaluation of liver cirrhosis

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.

Field Operations and Enforcement Manual for Air Pollution Control. Volume III: Inspection Procedures for Specific Industries.

Science.gov (United States)

Weisburd, Melvin I.

The Field Operations and Enforcement Manual for Air Pollution Control, Volume III, explains in detail the following: inspection procedures for specific sources, kraft pulp mills, animal rendering, steel mill furnaces, coking operations, petroleum refineries, chemical plants, non-ferrous smelting and refining, foundries, cement plants, aluminum…

[Thyroid status peculiarities of elderly patients 5 years after operation depending on the volume of surgical intervention].

Science.gov (United States)

Aristarhov, V G; Danilov, N V; Aristarkhov, R V; Puzin, D A; Birykov, C V

2016-01-01

Long-term results of treatment of 180 patients operated 5 years ago for benign thyroid nodular pathology have been analyzed in the present paper, the results being analyzed depending on the volume of surgical intervention. The rate of postoperative hypothyrodism is lower in patients who had undergone limited thyroid resection, recurrent cases are more frequent, but they are not clinically significant and seldom require reoperation. It should also be noted that those patients have fewer cardiac complaints as the dose of hormone replacement therapy preparations is small. Elder patients who had undergone functionally significant thyroidectomy and need to take great doses of Thyroxin (107-150 mcg/day) have cardiac complaints more often (43 %) comparing to those who had undergone limited resections (35 %).

Concept for a Satellite-Based Advanced Air Traffic Management System : Volume 4. Operational Description and Qualitative Assessment.

Science.gov (United States)

1974-02-01

The volume presents a description of how the Satellite-Based Advanced Air Traffic Management System (SAATMS) operates and a qualitative assessment of the system. The operational description includes the services, functions, and tasks performed by the...

Brain Volume Estimation Enhancement by Morphological Image Processing Tools

Directory of Open Access Journals (Sweden)

Zeinali R.

2017-12-01

Full Text Available Background: Volume estimation of brain is important for many neurological applications. It is necessary in measuring brain growth and changes in brain in normal/ abnormal patients. Thus, accurate brain volume measurement is very important. Magnetic resonance imaging (MRI is the method of choice for volume quantification due to excellent levels of image resolution and between-tissue contrast. Stereology method is a good method for estimating volume but it requires to segment enough MRI slices and have a good resolution. In this study, it is desired to enhance stereology method for volume estimation of brain using less MRI slices with less resolution. Methods: In this study, a program for calculating volume using stereology method has been introduced. After morphologic method, dilation was applied and the stereology method enhanced. For the evaluation of this method, we used T1-wighted MR images from digital phantom in BrainWeb which had ground truth. Results: The volume of 20 normal brain extracted from BrainWeb, was calculated. The volumes of white matter, gray matter and cerebrospinal fluid with given dimension were estimated correctly. Volume calculation from Stereology method in different cases was made. In three cases, Root Mean Square Error (RMSE was measured. Case I with T=5, d=5, Case II with T=10, D=10 and Case III with T=20, d=20 (T=slice thickness, d=resolution as stereology parameters. By comparing these results of two methods, it is obvious that RMSE values for our proposed method are smaller than Stereology method. Conclusion: Using morphological operation, dilation allows to enhance the estimation volume method, Stereology. In the case with less MRI slices and less test points, this method works much better compared to Stereology method.

Feasibility study report for Operable Unit 4: Volume 2

International Nuclear Information System (INIS)

1994-02-01

This report documents the Feasibility Study (FS) phase of the Fernald Environmental Management Project (FEMP) Operable Unit 4 Remedial Investigation/Feasibility Study (RI/FS) Program. The FEMP, formerly known as the Feed Materials Production Center (FMPC), is a US Department of Energy (DOE) facility that operated from 1952 to 1989. The facility's primarily function was to provide high purity uranium metal products to support United States defense programs. Production operations were suspended in 1989 to focus on environmental restoration and waste management activities at the facility. The RI/FS is being conducted pursuant to the terms of a Consent Agreement between DOE and the US Environmental Protection Agency (EPA) under Sections 120 and 106(a) of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), as amended. The Ohio Environmental Protection Agency (OEPA) is also participating in the RI/FS process at the FEMP through direct involvement in program review meetings and technical review of project documentation. The objective of the RI/FS process is to gather information to support an informed risk management decision regarding which remedy appears to be the most appropriate action for addressing the environmental concerns identified at the FEMP. This volume contains appendices A--E

Solid Waste Operations Complex W-113, Detail Design Report (Title II). Volume 3: Specifications

International Nuclear Information System (INIS)

1995-09-01

The Solid Waste Retrieval Facility--Phase 1 (Project W113) will provide the infrastructure and the facility required to retrieve from Trench 04, Burial ground 4C, contact handled (CH) drums and boxes at a rate that supports all retrieved TRU waste batching, treatment, storage, and disposal plans. This includes (1) operations related equipment and facilities, viz., a weather enclosure for the trench, retrieval equipment, weighing, venting, obtaining gas samples, overpacking, NDE, NDA, shipment of waste and (2) operations support related facilities, viz., a general office building, a retrieval staff change facility, and infrastructure upgrades such as supply and routing of water, sewer, electrical power, fire protection, roads, and telecommunication. Title I design for the operations related equipment and facilities was performed by Raytheon/BNFL, and that for the operations support related facilities including infrastructure upgrade was performed by KEH. These two scopes were combined into an integrated W113 Title II scope that was performed by Raytheon/BNFL. Volume 3 is a compilation of the construction specifications that will constitute the Title II materials and performance specifications. This volume contains CSI specifications for non-equipment related construction material type items, performance type items, and facility mechanical equipment items. Data sheets are provided, as necessary, which specify the equipment overall design parameters

Solid Waste Operations Complex W-113, Detail Design Report (Title II). Volume 3: Specifications

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-09-01

The Solid Waste Retrieval Facility--Phase 1 (Project W113) will provide the infrastructure and the facility required to retrieve from Trench 04, Burial ground 4C, contact handled (CH) drums and boxes at a rate that supports all retrieved TRU waste batching, treatment, storage, and disposal plans. This includes (1) operations related equipment and facilities, viz., a weather enclosure for the trench, retrieval equipment, weighing, venting, obtaining gas samples, overpacking, NDE, NDA, shipment of waste and (2) operations support related facilities, viz., a general office building, a retrieval staff change facility, and infrastructure upgrades such as supply and routing of water, sewer, electrical power, fire protection, roads, and telecommunication. Title I design for the operations related equipment and facilities was performed by Raytheon/BNFL, and that for the operations support related facilities including infrastructure upgrade was performed by KEH. These two scopes were combined into an integrated W113 Title II scope that was performed by Raytheon/BNFL. Volume 3 is a compilation of the construction specifications that will constitute the Title II materials and performance specifications. This volume contains CSI specifications for non-equipment related construction material type items, performance type items, and facility mechanical equipment items. Data sheets are provided, as necessary, which specify the equipment overall design parameters.

Integrated operations plan for the MFTF-B Mirror Fusion Test Facility. Volume I. Organization plan

International Nuclear Information System (INIS)

1981-12-01

This plan and the accompanying MFTF-B Integrated Operations Plan are submitted in response to UC/LLNL Purchase Order 3883801, dated July 1981. The organization plan also addresses the specific tasks and trade studies directed by the scope of work. The Integrated Operations Plan, which includes a reliability, quality assurance, and safety plan and an integrated logistics plan, comprises the burden of the report. In the first section of this volume, certain underlying assumptions and observations are discussed setting the requirements and limits for organization. Section B presents the recommended structure itself. Section C Device Availability vs Maintenance and Support Efforts and Section D Staffing Levels and Skills provide backup detail and justification. Section E is a trade study on maintenance and support by LLNL staff vs subcontract and Section F is a plan for transitioning from the construction phase into operation. A brief summary of schedules and estimated costs concludes the volume

Guide to the selection, training, and licensing or certification of reprocessing plant operators. Volume I

International Nuclear Information System (INIS)

1976-06-01

The Code of Federal Regulations, Title 10, Part 55, establishes procedures and criteria for the licensing of operators, including senior operators, in ''Production and Utilization Facilities'', which includes plants for reprocessing irradiated fuel. A training guide is presented which will facilitate the licensing of operators for nuclear reprocessing plants by offering generalized descriptions of the basic principles (theory) and the unit operations (mechanics) employed in reprocessing spent fuels. In the present volume, details about the portions of a training program that are of major interest to management are presented

Guide to the selection, training, and licensing or certification of reprocessing plant operators. Volume I

Energy Technology Data Exchange (ETDEWEB)

None

1976-06-01

The Code of Federal Regulations, Title 10, Part 55, establishes procedures and criteria for the licensing of operators, including senior operators, in ''Production and Utilization Facilities'', which includes plants for reprocessing irradiated fuel. A training guide is presented which will facilitate the licensing of operators for nuclear reprocessing plants by offering generalized descriptions of the basic principles (theory) and the unit operations (mechanics) employed in reprocessing spent fuels. In the present volume, details about the portions of a training program that are of major interest to management are presented. (JSR)

POWER-GEN '90 conference papers: Volume 3 (Environmental trends and issues) and Volume 4 (Case histories - Non-utility power generation)

International Nuclear Information System (INIS)

Anon.

1990-01-01

This is book 2 of a collection of papers presented at the Third International Power Generation Industries Conference on December 4-6, 1990. The book contains Volume 3, Environmental Trends and Issues, and Volume 4, Case Histories - Non-utility Power Generation. The topics of the papers include environmental legislative and regulatory trends, acid rain compliance strategies and technologies, other global environmental concerns, gas fired systems, solid and waste fuels, despatching and wheeling, and strategies for purchasing non-utility power

Case Writing Projects in Co-Operation with Companies and Organizations

OpenAIRE

Bengtsson, Lars; Asplund, Carl-Johan

2008-01-01

The purpose of this paper is to present the process and evaluation of case writing projects in co-operation with companies and organizations in a course for engineering students. The case writing projects could provide an illustration and example framework for working with companies in constructing cases. Normally cases are constructed for teaching purposes in higher education. However, in order to get closer co-operation and more interest from the companies the authors encouraged the student...

Clinical research. Acute appendicitis in children. Review of 324 operated cases

International Nuclear Information System (INIS)

Ohtsu, Kazuhiro; Furuta, Yasuhiko; Kamei, Naomi

2007-01-01

A retrospective review was made of 324 operated cases of acute appendicitis for sixteen years from 1989 to 2005. For seven years from 1999 to 2005, an additional review was made of 63 cases where patients visited our department on suspicion of acute appendicitis and received medical treatment without operation. Cases of hospitalization on suspicion of appendicitis averaged 18 a year for 1999 to 2005, with half these being appendicitis or peritonitis due to perforated appendicitis. The number of cases by age groups for those with acute appendicitis reached 25 per year in 1997 but fell off from 1998 onwards. Out of the total 324 cases, 179 were boys, 145 were girls, and there were 188 cases of acute appendicitis and 136 cases of perforated appendicitis. There were 23 cases of catarrhal appendicitis, with three cases out of the 63 cases overall of the last seven years. There were 66 cases for ages 0 to 6, 168 cases for ages 7 to 11, and 90 cases for ages 12 to 20, the peak age group being 7 to 11. Perforated appendicitis occurred in 65.2% of cases involving infants under six, which is relatively high compared to the 36.0% of the over seven age grouping. There were 112 cases of fecalith out of the 324 overall cases, 24.5% of acute appendicitis cases and 48.5% of perforated appendicitis cases. Over the last seven years ultrasound examination made visible the inflamed appendix in 41 cases of 46 (89.1%) for acute appendicitis and in 16 cases of 17 (94.1%) for perforated appendicitis. CT scans were used in five cases of acute appendicitis/perforated appendicitis out of the 324 overall cases. Five of the 63 cases of surgical operations from 1999 to 2005 involved surgery made after diagnosis of acute appendicitis after follow-up hospitalization. Types of operations involved 11 cases of laparoscopic appendectomy, the remaining 313 operations involving classical open appendectomy. (author)

Operated DeBakey type III dissecting aortic aneurysm: review of 12 cases

International Nuclear Information System (INIS)

Moon, Hi Eun; Lee, Ghi Jai; Oh, Sang Joon; Yoon, Sei Ra; Shim, Jae Chan; Kim, Ho Kyun; Han, Chang Yul

1995-01-01

We evaluated the indications of operation and radiologic findings in 12 operated DeBakey type III aortic dissections. We retrospectively reviewed radiologic findings of 12 operated DeBakey type III aortic dissections, using CT, MRI, or aortography, and correlations were made with clinical course of the patients. Three cases were uncomplicated dissections. There were aneurysm rupture in 4 cases, impending rupture in 4 cases, occlusion of common iliac artery in 2 cases, occlusion of renal artery in 1 case, and compression of bronchus and esophagus by dilated aorta in 1 case. Associated clinical sign and symptoms were chest and back pain in 12 cases, claudication in 3 cases, dyspnea and dysphagia in 1 case, hoarseness in 1 case, and hemoptysis in 1 case. Post-operative complications were death from aneurysm rupture in 1 case, paraplegia in 2 cases, acute renal failure in 3 cases, and hemopericardium in 1 case. Although medical therapy is preferred in management of DeBakey type III aortic dissection, surgical treatment should be considered in patients with radiological findings of aortic rupture, impending rupture, occlusion of aortic major branches

Construction and operation of the Spallation Neutron Source: Draft environmental impact statement. Volume 2

International Nuclear Information System (INIS)

1998-12-01

DOE proposes to construct and operate a state-of-the-art, short-pulsed spallation neutron source comprised of an ion source, a linear accelerator, a proton accumulator ring, and an experiment building containing a liquid mercury target and a suite of neutron scattering instrumentation. The proposed Spallation Neutron Source would be designed to operate at a proton beam power of 1 megawatt. The design would accommodate future upgrades to a peak operating power of 4 megawatts. These upgrades may include construction of a second proton accumulation ring and a second target. Volume 1 of this document analyzes the potential environmental impacts from the proposed action and the alternatives. The analysis assumes a facility operating at a power of 1 MW and 4 MW over the life of the facility. The two primary alternatives analyzed in this EIS are: the proposed action (to proceed with building the Spallation Neutron Source) and the No-Action Alternative. This volume contains the following appendices: (A) SNS accident source terms for EIS input; (B) Reports on the selection of alternative sites for the SNS; (C) Letters of consultation on protected species and cultural resources; (D) Ecological resource survey reports and summaries; (E) Descriptions of ORNL research projects in the Walker Branch Watershed; (F) Atmospheric dispersion and dose calculations for normal and accident conditions; (G) Projected air quality modeling effects at NOAA's Walker Branch Monitoring Tower

JET Tokamak, preparation of a safety case for tritium operations

Energy Technology Data Exchange (ETDEWEB)

Boyer, Helen, E-mail: helen.boyer@ccfe.ac.uk [CCFE, Culham Science Centre (United Kingdom); Plummer, David; Johnston, Jane [CCFE, Culham Science Centre (United Kingdom)

2016-11-01

Highlights: • A safety case incorporating technical and ITER related upgrades. • Hazard analysis reworked to include new modelling assessments. • Fitness for purpose assessment of safety controls. - Abstract: A new Safety Case is required to permit tritium operations on JET during the forthcoming DTE2 campaign. The outputs, benefits and lessons learned associated with the production of this Safety Case are presented. The changes that have occurred to the Safety Case methodology since the last JET tritium Safety Case are reviewed. Consideration is given to the effects of modifications, particularly ITER related changes, made to the JET and the impact these have on the hazard assessments as well as normal operations. Several specialized assessments, including recent MELCOR modelling, have been undertaken to support the production of this Safety Case and the impact of these assessments is outlined. Discussion of the preliminary actions being taken to progress implementation of this Safety Case is provided, highlighting new methods to improve the dissemination of the key Safety Case results to the plant operators. Finally, the work required to complete this Safety Case, before the next tritium campaign, is summarized.

Field Operations and Enforcement Manual for Air Pollution Control. Volume II: Control Technology and General Source Inspection.

Science.gov (United States)

Weisburd, Melvin I.

The Field Operations and Enforcement Manual for Air Pollution Control, Volume II, explains in detail the following: technology of source control, modification of operations, particulate control equipment, sulfur dioxide removal systems for power plants, and control equipment for gases and vapors; inspection procedures for general sources, fuel…

Impact of operational factors on fossil energy inputs in motor-manual tree felling and processing: results of two case studies

Directory of Open Access Journals (Sweden)

Gheorghe Ignea

2017-07-01

Full Text Available In many cases tree felling and processing operations are carried out motor-manually and knowledge about fossil fuel consumption and direct energy inputs when using such equipment is required for different purposes starting with operational costing and ending with environmental assessment of forest operations. In this study, fuel mixture, chain oil and direct fossil energy inputs were evaluated for two chainsaws which were used to fell and process trees in two silvicultural systems. The results of this study suggest that there is a strong dependence relation between selected tree size variables such as the diameter at breast height and tree volume on one hand and the fuel mixture, chain oil and direct fossil energy inputs when felling and processing broadleaved hardwood and resinous softwood trees on the other hand. For the broadleaved trees (mean tree volume of 1.50 m3 × tree-1, DBH of 45.5 cm and tree height of 21.84 m the mean direct fossil energy input was of 3.86 MJ m-3 while for resinous trees (mean tree volume of 1.77 m3 tree-1, DBH of 39.28 cm and tree height of 32.49 m it was of 3.93 MJ m-3. Other variables, including but not limited to the technology used, work experience and procedural pattern, may influence the mentioned figures and extensive studies are required to clarify their effects.

Evaluation of potential severe accidents during low power and shutdown operations at Surry: Unit 1, Volume 1

International Nuclear Information System (INIS)

Chu, T.L.; Pratt, W.T.

1995-10-01

This document contains a summarization of the results and insights from the Level 1 accident sequence analyses of internally initiated events, internally initiated fire and flood events, seismically initiated events, and the Level 2/3 risk analysis of internally initiated events (excluding fire and flood) for Surry, Unit 1. The analysis was confined to mid-loop operation, which can occur during three plant operational states (identified as POSs R6 and R10 during a refueling outage, and POS D6 during drained maintenance). The report summarizes the Level 1 information contained in Volumes 2--5 and the Level 2/3 information contained in Volume 6 of NUREG/CR-6144

Evaluation of potential severe accidents during low power and shutdown operations at Surry: Unit 1, Volume 1

Energy Technology Data Exchange (ETDEWEB)

Chu, T.L.; Pratt, W.T. [eds.; Musicki, Z. [Brookhaven National Lab., Upton, NY (United States)

1995-10-01

This document contains a summarization of the results and insights from the Level 1 accident sequence analyses of internally initiated events, internally initiated fire and flood events, seismically initiated events, and the Level 2/3 risk analysis of internally initiated events (excluding fire and flood) for Surry, Unit 1. The analysis was confined to mid-loop operation, which can occur during three plant operational states (identified as POSs R6 and R10 during a refueling outage, and POS D6 during drained maintenance). The report summarizes the Level 1 information contained in Volumes 2--5 and the Level 2/3 information contained in Volume 6 of NUREG/CR-6144.

Process automation system for integration and operation of Large Volume Plasma Device

International Nuclear Information System (INIS)

Sugandhi, R.; Srivastava, P.K.; Sanyasi, A.K.; Srivastav, Prabhakar; Awasthi, L.M.; Mattoo, S.K.

2016-01-01

Highlights: • Analysis and design of process automation system for Large Volume Plasma Device (LVPD). • Data flow modeling for process model development. • Modbus based data communication and interfacing. • Interface software development for subsystem control in LabVIEW. - Abstract: Large Volume Plasma Device (LVPD) has been successfully contributing towards understanding of the plasma turbulence driven by Electron Temperature Gradient (ETG), considered as a major contributor for the plasma loss in the fusion devices. Large size of the device imposes certain difficulties in the operation, such as access of the diagnostics, manual control of subsystems and large number of signals monitoring etc. To achieve integrated operation of the machine, automation is essential for the enhanced performance and operational efficiency. Recently, the machine is undergoing major upgradation for the new physics experiments. The new operation and control system consists of following: (1) PXIe based fast data acquisition system for the equipped diagnostics; (2) Modbus based Process Automation System (PAS) for the subsystem controls and (3) Data Utilization System (DUS) for efficient storage, processing and retrieval of the acquired data. In the ongoing development, data flow model of the machine’s operation has been developed. As a proof of concept, following two subsystems have been successfully integrated: (1) Filament Power Supply (FPS) for the heating of W- filaments based plasma source and (2) Probe Positioning System (PPS) for control of 12 number of linear probe drives for a travel length of 100 cm. The process model of the vacuum production system has been prepared and validated against acquired pressure data. In the next upgrade, all the subsystems of the machine will be integrated in a systematic manner. The automation backbone is based on 4-wire multi-drop serial interface (RS485) using Modbus communication protocol. Software is developed on LabVIEW platform using

Process automation system for integration and operation of Large Volume Plasma Device

Energy Technology Data Exchange (ETDEWEB)

Sugandhi, R., E-mail: ritesh@ipr.res.in; Srivastava, P.K.; Sanyasi, A.K.; Srivastav, Prabhakar; Awasthi, L.M.; Mattoo, S.K.

2016-11-15

Highlights: • Analysis and design of process automation system for Large Volume Plasma Device (LVPD). • Data flow modeling for process model development. • Modbus based data communication and interfacing. • Interface software development for subsystem control in LabVIEW. - Abstract: Large Volume Plasma Device (LVPD) has been successfully contributing towards understanding of the plasma turbulence driven by Electron Temperature Gradient (ETG), considered as a major contributor for the plasma loss in the fusion devices. Large size of the device imposes certain difficulties in the operation, such as access of the diagnostics, manual control of subsystems and large number of signals monitoring etc. To achieve integrated operation of the machine, automation is essential for the enhanced performance and operational efficiency. Recently, the machine is undergoing major upgradation for the new physics experiments. The new operation and control system consists of following: (1) PXIe based fast data acquisition system for the equipped diagnostics; (2) Modbus based Process Automation System (PAS) for the subsystem controls and (3) Data Utilization System (DUS) for efficient storage, processing and retrieval of the acquired data. In the ongoing development, data flow model of the machine’s operation has been developed. As a proof of concept, following two subsystems have been successfully integrated: (1) Filament Power Supply (FPS) for the heating of W- filaments based plasma source and (2) Probe Positioning System (PPS) for control of 12 number of linear probe drives for a travel length of 100 cm. The process model of the vacuum production system has been prepared and validated against acquired pressure data. In the next upgrade, all the subsystems of the machine will be integrated in a systematic manner. The automation backbone is based on 4-wire multi-drop serial interface (RS485) using Modbus communication protocol. Software is developed on LabVIEW platform using

National symposium on commissioning and operating experiences in heavy water plants and associated chemical industries [Preprint volume

International Nuclear Information System (INIS)

1992-02-01

A symposium on commissioning and operating experiences in heavy water plants and associated chemical industries (SCOPEX-92) was organised to share the experience and exchange the ideas among plant operators, designers, consultants and vendors in the areas of operation, commissioning and equipment performance. This pre-print volume has been brought out as an integrated source of information on commissioning and operation of heavy water plants. The following aspects of heavy water plants are covered: commissioning and operation, instrumentation and control, and safety and environment. (V.R.)

CAREM-25. Purification and volume control system

International Nuclear Information System (INIS)

Acosta, Eduardo; Carlevaris, Rodolfo; Patrignani, Alberto; Chocron, Mauricio; Goya, Hector E.; Ortega, Daniel A.; Ramilo, Lucia B.

2000-01-01

The purification and volume control system has the following main functions: water level control inside reactor pressure vessel (RPR) in all the reactor operational modes, pressure control when the reactor operates in solid state, and maintenance of radiological, physical and chemical parameters of primary water. In case of Hot Shutdown operational mode and also after Scram the system is capable of extraction of nuclear decay heat. The design of the system is in accordance with the Requirements of ANSI/ ANS 51.1; 58.11 and 56.2 standards. (author)

Approach to operational mine planning: Case study Tamnava West

Directory of Open Access Journals (Sweden)

Stevanović Dejan R.

2014-01-01

Full Text Available In contemporary mining industry is very difficult to achieve production targets and profit without investing effort in detailed excavation planning. It is especially true for deposits with complex geological structure and production technology, as is the case for many coal mines in Serbia. The majority of coal production is used for generation of electricity in power plant. This fact is the main reason why production objectives of coal mine and power plant are strongly connected. Due to the fluctuation of the coal quality, operational mine planning (as a part of coal homogenization process, is of critical importance for managing successful coal quality control and meeting criteria of power plant. This paper investigates advantage of proper operational planning on coal quality control process and overall production performance. For better understanding case study is conducted on open pit Tamnava West field. Successful operational mine planning is almost impossible without use of modern software packages. For that reason in presented case study operational mine planning is done with Minex software.

An Independent Scientific Assessment of Well Stimulation in California Volume II

Energy Technology Data Exchange (ETDEWEB)

Long, Jane C.S. [California Council on Science and Technology, Sacramento, CA (United States); Feinstein, Laura C. [California Council on Science and Technology, Sacramento, CA (United States); Bachmann, Corinne E. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Birkholzer, Jens T. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Camarillo, Mary Kay [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Domen, Jeremy K. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Foxall, William [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Houseworth, James [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Jin, Ling [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Jordan, Preston D. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Maddalena, Randy L. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); McKone, Thomas E. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Millstein, Dev E. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Reagan, Matthew T. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sandelin, Whitney L. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Stringfellow, William T. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Varadharajan, Charuleka [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Cooley, Heather [Pacific Inst., Oakland, CA (United States); Donnelly, Kristina [Pacific Inst., Oakland, CA (United States); Heberger, Matthew G. [Pacific Inst., Oakland, CA (United States); Hays, Jake [PSE Healthy Energy, Berkeley, CA (United States); Shonkoff, Seth B.C. [PSE Healthy Energy, Berkeley, CA (United States); Brandt, Adam [Stanford Univ., CA (United States); Englander, Jacob G. [Stanford Univ., CA (United States); Hamdoun, Amro [Univ. of California of San Diego, La Jolla, CA (United States); Nicklisch, Sascha C.T. [Univ. of California of San Diego, La Jolla, CA (United States); Harrison, Robert J. [Univ. of California, San Francisco, CA (United States); Wettstein, Zachary S. [Univ. of California, San Francisco, CA (United States); Banbury, Jenner [California State Univ. Stanislaus, Turlock, CA (United States); Cypher, Brian L. [California State Univ. Stanislaus, Turlock, CA (United States); Phillips, Scott E. [California State Univ. Stanislaus, Turlock, CA (United States)

2015-07-01

This study is issued in three volumes. Volume I, issued in January 2015, describes how well stimulation technologies work, how and where operators deploy these technologies for oil and gas production in California, and where they might enable production in the future. Volume II, the present volume, discusses how well stimulation could affect water, atmosphere, seismic activity, wildlife and vegetation, and human health. Volume II reviews available data, and identifies knowledge gaps and alternative practices that could avoid or mitigate these possible impacts. Volume III, also issued in July 2015, presents case studies that assess environmental issues and qualitative risks for specific geographic regions. A final Summary Report summarizes key findings, conclusions and recommendations of all three volumes.

An Independent Scientific Assessment of Well Stimulation in California Volume III

Energy Technology Data Exchange (ETDEWEB)

Long, Jane C.S. [California Council on Science and Technology, Sacramento, CA (United States); Feinstein, Laura C. [California Council on Science and Technology, Sacramento, CA (United States); Birkholzer, Jens [California Council on Science and Technology, Sacramento, CA (United States); Foxall, William [California Council on Science and Technology, Sacramento, CA (United States); Houseworth, James [California Council on Science and Technology, Sacramento, CA (United States); Jordan, Preston [California Council on Science and Technology, Sacramento, CA (United States); Lindsey, Nathaniel [California Council on Science and Technology, Sacramento, CA (United States); Maddalena, Randy [California Council on Science and Technology, Sacramento, CA (United States); McKone, Thomas [California Council on Science and Technology, Sacramento, CA (United States); Stringfellow, William [California Council on Science and Technology, Sacramento, CA (United States); Ulrich, Craig [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Heberger, Matthew [Pacific Inst., Oakland, CA (United States); Shonkoff, Seth [PSE Healthy Energy, Berkeley, CA (United States); Brandt, Adam [Stanford Univ., CA (United States); Ferrar, Kyle [The FracTracker Alliance, Oakland, CA (United States); Gautier, Donald [DonGautier LLC., Palo Alto, CA (United States); Phillips, Scott [California State Univ. Stanislaus, Turlock, CA (United States); Greenfield, Ben [Univ. of California, Berkeley, CA (United States); Jerrett, Michael L.B. [Univ. of California, Los Angeles, CA (United States)

2015-07-01

This study is issued in three volumes. Volume I, issued in January 2015, describes how well stimulation technologies work, how and where operators deploy these technologies for oil and gas production in California, and where they might enable production in the future. Volume II, issued in July 2015, discusses how well stimulation could affect water, atmosphere, seismic activity, wildlife and vegetation, and human health. Volume II reviews available data, and identifies knowledge gaps and alternative practices that could avoid or mitigate these possible impacts. Volume III, this volume, presents case studies that assess environmental issues and qualitative risks for specific geographic regions. The Summary Report summarizes key findings, conclusions and recommendations of all three volumes.

Integrating Nuclear Energy to Oilfield Operations - Two Case Studies

International Nuclear Information System (INIS)

Robertson, Eric P.; Nelson, Lee O.; McKellar, Michael G.; Gandrik, Anastasia M.; Patterson, Mike W.

2011-01-01

Fossil fuel resources that require large energy inputs for extraction, such as the Canadian oil sands and the Green River oil shale resource in the western USA, could benefit from the use of nuclear power instead of power generated by natural gas combustion. This paper discusses the technical and economic aspects of integrating nuclear energy with oil sands operations and the development of oil shale resources. A high temperature gas reactor (HTGR) that produces heat in the form of high pressure steam (no electricity production) was selected as the nuclear power source for both fossil fuel resources. Both cases were based on 50,000 bbl/day output. The oil sands case was a steam-assisted, gravity-drainage (SAGD) operation located in the Canadian oil sands belt. The oil shale development was an in-situ oil shale retorting operation located in western Colorado, USA. The technical feasibility of the integrating nuclear power was assessed. The economic feasibility of each case was evaluated using a discounted cash flow, rate of return analysis. Integrating an HTGR to both the SAGD oil sands operation and the oil shale development was found to be technically feasible for both cases. In the oil sands case, integrating an HTGR eliminated natural gas combustion and associated CO2 emissions, although there were still some emissions associated with imported electrical power. In the in situ oil shale case, integrating an HTGR reduced CO2 emissions by 88% and increased natural gas production by 100%. Economic viabilities of both nuclear integrated cases were poorer than the non-nuclear-integrated cases when CO2 emissions were not taxed. However, taxing the CO2 emissions had a significant effect on the economics of the non-nuclear base cases, bringing them in line with the economics of the nuclear-integrated cases. As we move toward limiting CO2 emissions, integrating non-CO2-emitting energy sources to the development of energy-intense fossil fuel resources is becoming

Non-operative treatment of spontaneous spinal epidural hematomas: a review of the literature and a comparison with operative cases : a review of the literature and a comparison with operative cases

NARCIS (Netherlands)

Groen, R J M

OBJECTIVE: To identify factors that favour spontaneous recovery in patients who suffered a spontaneous spinal epidural hematoma (SSEH). METHODS: The literature was reviewed regarding non-operative cases of SSEH (SSEH(cons)). Sixty-two cases from the literature and 2 of our own cases were collected,

Operational Complexity of Supplier-Customer Systems Measured by Entropy—Case Studies

Directory of Open Access Journals (Sweden)

Ladislav Lukáš

2016-04-01

Full Text Available This paper discusses a unified entropy-based approach for the quantitative measurement of operational complexity of company supplier-customer relations. Classical Shannon entropy is utilized. Beside this quantification tool, we also explore the relations between Shannon entropy and (c,d-entropy in more details. An analytic description of so called iso-quant curves is given, too. We present five case studies, albeit in an anonymous setting, describing various details of general procedures for measuring the operational complexity of supplier-customer systems. In general, we assume a problem-oriented database exists, which contains detailed records of all product forecasts, orders and deliveries both in quantity and time, scheduled and realized, too. Data processing detects important flow variations both in volumes and times, e.g., order—forecast, delivery—order, and actual production—scheduled one. The unifying quantity used for entropy computation is the time gap between actual delivery time and order issue time, which is nothing else but a lead time in inventory control models. After data consistency checks, histograms and empirical distribution functions are constructed. Finally, the entropy, information-theoretic measure of supplier-customer operational complexity, is calculated. Basic steps of the algorithm are mentioned briefly, too. Results of supplier-customer system analysis from selected Czech small and medium-sized enterprises (SMEs are presented in various computational and managerial decision making details. An enterprise is ranked as SME one, if it has at most 250 employees and its turnover does not exceed 50 million USD per year, or its balance sheet total does not exceed 43 million USD per year, alternatively.

Aldosterone Response in Severe Hypokalemia and Volume Depletion: A Case Report and Review of the Recent Research

Directory of Open Access Journals (Sweden)

Keiko Kai

2016-01-01

Full Text Available We report a case of severe hypokalemia and volume depletion complicated by chronic watery diarrhea resulting from chronic alcoholism in a 57-year-old man. Prompt replacement of normal saline with potassium chloride and cessation of alcohol intake resulted in a favorable outcome. We discuss the pathophysiology of the case, emphasizing the response of aldosterone in both hypokalemia and volume depletion, and provide a review of recent research.

Giant liver hemangioma resected by trisectorectomy after efficient volume reduction by transcatheter arterial embolization: a case report

Directory of Open Access Journals (Sweden)

Akamatsu Nobuhisa

2010-08-01

Full Text Available Abstract Introduction Liver hemangiomas are the most common benign liver tumors, usually small in size and requiring no treatment. Giant hemangiomas complicated with consumptive coagulopathy (Kasabach-Merritt syndrome or causing severe incapacitating symptoms, however, are generally considered an absolute indication for surgical resection. Here, we present the case of a giant hemangioma, which was, to the best of our knowledge, one of the largest ever reported. Case presentation A 38-year-old Asian man was referred to our hospital with complaints of severe abdominal distension and pancytopenia. Examinations at the first visit revealed a right liver hemangioma occupying the abdominal cavity, protruding into the right diaphragm up to the right thoracic cavity and extending down to the pelvic cavity, with a maximum diameter of 43 cm, complicated with "asymptomatic" Kasabach-Merritt syndrome. Based on the tumor size and the anatomic relationship between the tumor and hepatic vena cava, primary resection seemed difficult and dangerous, leading us to first perform transcatheter arterial embolization to reduce the tumor volume and to ensure the safety of future resection. The tumor volume was significantly decreased by two successive transcatheter arterial embolizations, and a conventional right trisectorectomy was then performed without difficulty to resect the tumor. Conclusions To date, there have been several reports of aggressive surgical treatments, including extra-corporeal hepatic resection and liver transplantation, for huge hemangiomas like the present case, but because of its benign nature, every effort should be made to avoid life-threatening surgical stress for patients. Our experience demonstrates that a pre-operative arterial embolization may effectively enable the resection of large hemangiomas.

Impacts of Outer Continental Shelf (OCS) development on recreation and tourism. Volume 2. Final report and case studies

Energy Technology Data Exchange (ETDEWEB)

1987-04-01

The final report for the project is comprised of five volumes. The volume presents the study conclusions, summarizes the methodology used (more detail is found in Volume 3), discusses four case study applications of the model, and contains profiles of coastal communities in an Appendix.

Expiratory flow limitation and operating lung volumes during exercise in older and younger adults.

Science.gov (United States)

Smith, Joshua R; Kurti, Stephanie P; Meskimen, Kayla; Harms, Craig A

2017-06-01

We determined the effect of aging on expiratory flow limitation (EFL) and operating lung volumes when matched for lung size. We hypothesized that older adults will exhibit greater EFL and increases in EELV during exercise compared to younger controls. Ten older (5M/5W; >60years old) and nineteen height-matched young adults (10M/9W) were recruited. Young adults were matched for%predicted forced vital capacity (FVC) (Y-matched%Pred FVC; n=10) and absolute FVC (Y-matched FVC; n=10). Tidal flow-volume loops were recorded during the incremental exercise test with maximal flow-volume loops measured pre- and post-exercise. Compared to younger controls, older adults exhibited more EFL at ventilations of 26, 35, 51, and 80L/min. The older group had higher end-inspiratory lung volume compared to Y-matched%Pred FVC group during submaximal ventilations. The older group increased EELV during exercise, while EELV stayed below resting in the Y-matched%Pred FVC group. These data suggest older adults exhibit more EFL and increase EELV earlier during exercise compared to younger adults. Copyright © 2017 Elsevier B.V. All rights reserved.

A comparison of case volumes among urologic surgeons identified on an industry-sponsored website to an all provider peer group.

Science.gov (United States)

See, William A; Jacobson, Kenneth; Derus, Sue; Langenstroer, Peter

2014-11-01

Industry-sponsored websites for robotic surgery direct to surgeons listed as performing specific robotic surgical procedures. The purpose of this study was to compare average annual, surgeon-specific, case volumes for those procedures for which they were listed as performing on the commercial website with the volumes of all providers performing these same procedures across a defined geographic region. A list of providers within the state of Wisconsin cited as performing specific urologic procedures was obtained through the Intuitive Surgical website 〈http://www.davincisurgery.com/da-vinci-urology/〉. Surgeon-specific annual case volumes from 2009 to 2013 for these same cases were obtained for all Wisconsin providers through DataBay Resources (Warrendale, PA) based on International classification of diseases-9 codes. Procedural activity was rank ordered, and surgeons were placed in "volume deciles" derived from the total annual number of cases performed by all surgeons. The distribution of commercially listed surgeon volumes, both 5-year average and most recent year, was compared with the average and 2013 volumes of all surgeons performing a specific procedure. A total of 35 individual urologic surgeons listed as performing robotic surgery in Wisconsin were identified through a "search" using the Intuitive Surgical website. Specific procedure analysis returned 5, 12, 9, and 15 surgeon names for cystectomy, partial nephrectomy, radical nephrectomy, and prostatectomy, respectively. This compared with the total number of surgeons who had performed the listed procedure in Wisconsin at least 1 time during the prior 5 years of 123, 153, 242, and 165, respectively. When distributed by surgeon-volume deciles, surgeons listed on industry-sponsored sites varied widely in their respective volume decile. More than half of site-listed, procedure-specific surgeons fell below the fifth decile for surgeon volume. Data analysis based solely on 2013 case volumes had no effect on

Evaluation of potential severe accidents during low power and shutdown operations at Surry, Unit-1: Analysis of core damage frequency from internal events during mid-loop operations. Appendices F-H, Volume 2, Part 4

International Nuclear Information System (INIS)

Chu, T.L.; Musicki, Z.; Kohut, P.; Yang, J.; Bozoki, G.; Hsu, C.J.; Diamond, D.J.; Bley, D.; Johnson, D.; Holmes, B.

1994-06-01

Traditionally, probabilistic risk assessments (PRA) of severe accidents in nuclear power plants have considered initiating events potentially occurring only during full power operation. Some previous screening analyses that were performed for other modes of operation suggested that risks during those modes were small relative to full power operation. However, more recent studies and operational experience have implied that accidents during low power and shutdown could be significant contributors to risk. Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the plants to be studied. The objectives of the program are to assess the risks of severe accidents initiated during plant operational states other than full power operation and to compare the estimated core damage frequencies, important accident sequences and other qualitative and quantitative results with those accidents initiated during full power operation as assessed in NUREG-1150. The scope of the program includes that of a level-3 PRA. In phase 2, mid-loop operation was selected as the plant configuration to be analyzed based on the results of the phase 1 study. The objective of the phase 2 study is to perform a detailed analysis of the potential accident scenarios that may occur during mid-loop operation, and compare the results with those of NUREG-1150. The scope of the level-1 study includes plant damage state analysis, and uncertainty analysis. Volume 1 summarizes the results of the study. Internal events analysis is documented in Volume 2. It also contains an appendix that documents the part of the phase 1 study that has to do with POSs other than mid-loop operation. Internal fire and internal flood analyses are documented in Volumes 3 and 4. A separate study on seismic analysis, documented in Volume 5, was performed for the NRC by Future Resources Associates, Inc. Volume 6 documents the accident progression, source terms, and consequence analysis

Variable Operative Experience in Hand Surgery for Plastic Surgery Residents.

Science.gov (United States)

Silvestre, Jason; Lin, Ines C; Levin, Lawrence Scott; Chang, Benjamin

Efforts to standardize hand surgery training during plastic surgery residency remain challenging. We analyze the variability of operative hand experience at U.S. plastic surgery residency programs. Operative case logs of chief residents in accredited U.S. plastic surgery residency programs were analyzed (2011-2015). Trends in fold differences of hand surgery case volume between the 10th and 90th percentiles of residents were assessed graphically. Percentile data were used to calculate the number of residents achieving case minimums in hand surgery for 2015. Case logs from 818 plastic surgery residents were analyzed of which a minority were from integrated (35.7%) versus independent/combined (64.3%) residents. Trend analysis of fold differences in case volume demonstrated decreasing variability among procedure categories over time. By 2015, fold differences for hand reconstruction, tendon cases, nerve cases, arthroplasty/arthrodesis, amputation, arterial repair, Dupuytren release, and neoplasm cases were below 10-fold. Congenital deformity cases among independent/combined residents was the sole category that exceeded 10-fold by 2015. Percentile data suggested that approximately 10% of independent/combined residents did not meet case minimums for arterial repair and congenital deformity in 2015. Variable operative experience during plastic surgery residency may limit adequate exposure to hand surgery for certain residents. Future studies should establish empiric case minimums for plastic surgery residents to ensure hand surgery competency upon graduation. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Evaluation of potential severe accidents during low power and shutdown operations at Grand Gulf, Unit 1: Summary of results. Volume 1

International Nuclear Information System (INIS)

Whitehead, D.W.; Staple, B.D.; Daniel, S.L.

1995-07-01

During 1989 the Nuclear Regulatory Commission (NRC) initiated an extensive program to examine the potential risks during low power and shutdown operations. Two plants, Surry and Grand Gulf, were selected as the plants to be studied by Brookhaven National Laboratory (Surry) and Sandia National Laboratories (Grand Gulf). This report documents the work performed during the analysis of the Grand Gulf plant. A phased approach was used for the overall study. In Phase 1, the objectives were to identify potential vulnerable plant configurations, to characterize (on a high, medium, or low basis) the potential core damage accident scenario frequencies and risks, and to provide a foundation for a detailed Phase 2 analysis. It was in Phase 1 that the concept of plant operational states (POSs) was developed to allow the analysts to better represent the plant as it transitions from power operation to nonpower operation than was possible with the traditional technical specification divisions of modes of operation. This phase consisted of a coarse screening analysis performed for all POSs, including seismic and internal fire and flood for some POSs. In Phase 2, POS 5 (approximately cold shutdown as defined by Grand Gulf Technical Specifications) during a refueling outage was selected as the plant configuration to be analyzed based on the results of the Phase 1 study. The scope of the Level 1 study includes plant damage state analysis and uncertainty analysis and is documented in a multi-volume NUREG/CR report (i.e., NUREG/CR-6143). The internal events analysis is documented in Volume 2. Internal fire and internal flood analyses are documented in Volumes 3 and 4, respectively. A separate study on seismic analysis, documented in Volume 5, was performed for the NRC by Future Resources Associates, Inc. The Level 2/3 study of the traditional internal events is documented in Volume 6, and a summary of the results for all analyses is documented in Volume 1

Evaluation of potential severe accidents during low power and shutdown operations at Grand Gulf, Unit 1: Summary of results. Volume 1

Energy Technology Data Exchange (ETDEWEB)

Whitehead, D.W. [ed.; Staple, B.D.; Daniel, S.L. [and others

1995-07-01

During 1989 the Nuclear Regulatory Commission (NRC) initiated an extensive program to examine the potential risks during low power and shutdown operations. Two plants, Surry and Grand Gulf, were selected as the plants to be studied by Brookhaven National Laboratory (Surry) and Sandia National Laboratories (Grand Gulf). This report documents the work performed during the analysis of the Grand Gulf plant. A phased approach was used for the overall study. In Phase 1, the objectives were to identify potential vulnerable plant configurations, to characterize (on a high, medium, or low basis) the potential core damage accident scenario frequencies and risks, and to provide a foundation for a detailed Phase 2 analysis. It was in Phase 1 that the concept of plant operational states (POSs) was developed to allow the analysts to better represent the plant as it transitions from power operation to nonpower operation than was possible with the traditional technical specification divisions of modes of operation. This phase consisted of a coarse screening analysis performed for all POSs, including seismic and internal fire and flood for some POSs. In Phase 2, POS 5 (approximately cold shutdown as defined by Grand Gulf Technical Specifications) during a refueling outage was selected as the plant configuration to be analyzed based on the results of the Phase 1 study. The scope of the Level 1 study includes plant damage state analysis and uncertainty analysis and is documented in a multi-volume NUREG/CR report (i.e., NUREG/CR-6143). The internal events analysis is documented in Volume 2. Internal fire and internal flood analyses are documented in Volumes 3 and 4, respectively. A separate study on seismic analysis, documented in Volume 5, was performed for the NRC by Future Resources Associates, Inc. The Level 2/3 study of the traditional internal events is documented in Volume 6, and a summary of the results for all analyses is documented in Volume 1.

Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary

Directory of Open Access Journals (Sweden)

István Rácz

2012-01-01

Full Text Available The aim of this study was to conduct a national survey to evaluate the recent endoscopic treatment and drug therapy of peptic ulcer bleeding (PUB patients and to compare practices in high and low case volume Hungarian workplaces. A total of 62 gastroenterology units participated in the six-month study. A total of 3033 PUB cases and a mean of 8.15±3.9 PUB cases per month per unit were reported. In the 23 high case volume units (HCV, there was a mean of 12.9±5.4 PUB cases/month, whereas in the 39 low case volume units (LCV, a mean of 5.3±2.9 PUB cases/month were treated during the study period. In HCV units, endoscopic therapies for Forrest Ia, Ib, and IIa ulcers were significantly more often used than in LCV units (86% versus 68%; P=0.001. Among patients with stigmata of recent haemorrhage (Forrest I, II, bolus + continuous infusion PPI was given significantly more frequently in HCV than in LCV units (49.6% versus 33.2%; P=0.001. Mortality in HCV units was less than in LCV units (2.7% versus 4.3%; P=0.023. The penetration of evidence-based recommendations for PUB management is stronger in HCV units resulting lower mortality.

Problems of rotator cuff re-tear cases. Examination of operative findings

International Nuclear Information System (INIS)

Ishitani, Eiichi; Matsuura, Komei; Shin, Kunichika; Kawamoto, Taisaku; Hosokawa, Akira

2007-01-01

High re-tear rate is reported after rotator cuff repair in large and massive tear cases. Previously, we reported that 15% of patients after rotator cuff repair showed re-tear in MRI findings. In this study, 116 consecutive rotator cuff repaired patients who had been operated arthroscopically since 2003 were evaluated for size, torn site, fixation methods, mobility, and tendon quality. In addition, rehabilitation methods and occupation after revision were also evaluated. There were four patients who underwent re-operation. Rotator cuff repairs by revision surgery failed mechanically due to two reasons: the main factor of failure was suture material breakage in three cases and the second was tendon pulling through sutures in one case. The lack of thread strength was suggested. In addition, it is important to pull cuff stump to greater tubercle without excessive tension. Of re-operated cases, three engaging in manual labor suffered large and massive tear. In two cases, premature return to manual labor suggested cause of re-tear. (author)

Operational waste volume projection

International Nuclear Information System (INIS)

Koreski, G.M.; Strode, J.N.

1995-06-01

Waste receipts to the double-shell tank system are analyzed and wastes through the year 2015 are projected based on generation trends of the past 12 months. A computer simulation of site operations is performed, which results in projections of tank fill schedules, tank transfers, evaporator operations, tank retrieval, and aging waste tank usage. This projection incorporates current budget planning and the clean-up schedule of the tri-party agreement. Assumptions are current as of June 1995

Operational Waste Volume Projection

Energy Technology Data Exchange (ETDEWEB)

STRODE, J.N.

2000-08-28

Waste receipts to the double-shell tank system are analyzed and wastes through the year 2015 are projected based on generation trends of the past 12 months. A computer simulation of site operations is performed, which results in projections of tank fill schedules, tank transfers, evaporator operations, tank retrieval, and aging waste tank usage. This projection incorporates current budget planning and the clean-up schedule of the Tri-Party Agreement. Assumptions were current as of June. 2000.

Operational Waste Volume Projection

International Nuclear Information System (INIS)

STRODE, J.N.

2000-01-01

Waste receipts to the double-shell tank system are analyzed and wastes through the year 2015 are projected based on generation trends of the past 12 months. A computer simulation of site operations is performed, which results in projections of tank fill schedules, tank transfers, evaporator operations, tank retrieval, and aging waste tank usage. This projection incorporates current budget planning and the clean-up schedule of the Tri-Party Agreement. Assumptions were current as of June. 2000

Solid Waste Operations Complex W-113: Project cost estimate. Preliminary design report. Volume IV

International Nuclear Information System (INIS)

1995-01-01

This document contains Volume IV of the Preliminary Design Report for the Solid Waste Operations Complex W-113 which is the Project Cost Estimate and construction schedule. The estimate was developed based upon Title 1 material take-offs, budgetary equipment quotes and Raytheon historical in-house data. The W-113 project cost estimate and project construction schedule were integrated together to provide a resource loaded project network

Transuranic (TRU) waste volume reduction operations at a plutonium facility

International Nuclear Information System (INIS)

Cournoyer, Michael E.; Nixon, Archie E.; Fife, Keith W.; Sandoval, Arnold M.; Garcia, Vincent E.; Dodge, Robert L.

2011-01-01

Programmatic operations at the Los Alamos National Laboratory Plutonium Facility (TA-55) involve working with various amounts of plutonium and other highly toxic, alpha-emitting materials. The spread of radiological contamination on surfaces, airborne contamination, and excursions of contaminants into the operator's breathing zone are prevented through use of a variety of gloveboxes (the glovebox, coupled with an adequate negative pressure gradient, provides primary confinement). Size-reduction operations on glovebox equipment are a common activity when a process has been discontinued and the room is being modified to support a new customer. The Actinide Processing Group at TA-55 uses one-meter or longer glass columns to process plutonium. Disposal of used columns is a challenge, since they must be size-reduced to get them out of the glovebox. The task is a high-risk operation because the glass shards that are generated can puncture the bag-out bags, leather protectors, glovebox gloves, and the worker's skin when completing the task. One of the Lessons Learned from these operations is that Laboratory management should critically evaluate each hazard and provide more effective measures to prevent personnel injury. A bag made of puncture-resistant material was one of these enhanced controls. We have investigated the effectiveness of these bags and have found that they safely and effectively permit glass objects to be reduced to small pieces with a plastic or rubber mallet; the waste can then be easily poured into a container for removal from the glovebox as non-compactable transuranic (TRU) waste. This size-reduction operation reduces solid TRU waste volume generation by almost 2½ times. Replacing one-time-use bag-out bags with multiple-use glass crushing bags also contributes to reducing generated waste. In addition, significant costs from contamination, cleanup, and preparation of incident documentation are avoided. This effort contributes to the Los Alamos

Interaction between peri-operative blood transfusion, tidal volume, airway pressure and postoperative ARDS: an individual patient data meta-analysis.

Science.gov (United States)

Serpa Neto, Ary; Juffermans, Nicole P; Hemmes, Sabrine N T; Barbas, Carmen S V; Beiderlinden, Martin; Biehl, Michelle; Fernandez-Bustamante, Ana; Futier, Emmanuel; Gajic, Ognjen; Jaber, Samir; Kozian, Alf; Licker, Marc; Lin, Wen-Qian; Memtsoudis, Stavros G; Miranda, Dinis Reis; Moine, Pierre; Paparella, Domenico; Ranieri, Marco; Scavonetto, Federica; Schilling, Thomas; Selmo, Gabriele; Severgnini, Paolo; Sprung, Juraj; Sundar, Sugantha; Talmor, Daniel; Treschan, Tanja; Unzueta, Carmen; Weingarten, Toby N; Wolthuis, Esther K; Wrigge, Hermann; de Abreu, Marcelo Gama; Pelosi, Paolo; Schultz, Marcus J

2018-01-01

Transfusion of blood products and mechanical ventilation with injurious settings are considered risk factors for postoperative lung injury in surgical Patients. A systematic review and individual patient data meta-analysis was done to determine the independent effects of peri-operative transfusion of blood products, intra-operative tidal volume and airway pressure in adult patients undergoing mechanical ventilation for general surgery, as well as their interactions on the occurrence of postoperative acute respiratory distress syndrome (ARDS). Observational studies and randomized trials were identified by a systematic search of MEDLINE, CINAHL, Web of Science, and CENTRAL and screened for inclusion into a meta-analysis. Individual patient data were obtained from the corresponding authors. Patients were stratified according to whether they received transfusion in the peri-operative period [red blood cell concentrates (RBC) and/or fresh frozen plasma (FFP)], tidal volume size [≤7 mL/kg predicted body weight (PBW), 7-10 and >10 mL/kg PBW] and airway pressure level used during surgery (≤15, 15-20 and >20 cmH 2 O). The primary outcome was development of postoperative ARDS. Seventeen investigations were included (3,659 patients). Postoperative ARDS occurred in 40 (7.2%) patients who received at least one blood product compared to 40 patients (2.5%) who did not [adjusted hazard ratio (HR), 2.32; 95% confidence interval (CI), 1.25-4.33; P=0.008]. Incidence of postoperative ARDS was highest in patients ventilated with tidal volumes of >10 mL/kg PBW and having airway pressures of >20 cmH 2 O receiving both RBC and FFP, and lowest in patients ventilated with tidal volume of ≤7 mL/kg PBW and having airway pressures of ≤15 cmH 2 O with no transfusion. There was a significant interaction between transfusion and airway pressure level (P=0.002) on the risk of postoperative ARDS. Peri-operative transfusion of blood products is associated with an increased risk of

Diagonal form factors and hexagon form factorsII. Non-BPS light operator

International Nuclear Information System (INIS)

Jiang, Yunfeng

2017-01-01

We study the asymptotic volume dependence of the heavy-heavy-light three-point functions in the N=4 Super-Yang-Mills theory using the hexagon bootstrap approach, where the volume is the length of the heavy operator. We extend the analysis of our previous short letter http://dx.doi.org/10.1007/JHEP07(2016)120 to the general case where the heavy operators can be in any rank one sector and the light operator being a generic non-BPS operator. We prove the conjecture of Bajnok, Janik and Wereszczynski http://dx.doi.org/10.1007/JHEP09(2014)050 up to leading finite size corrections.

Diagonal form factors and hexagon form factorsII. Non-BPS light operator

Energy Technology Data Exchange (ETDEWEB)

Jiang, Yunfeng [Institut für Theoretische Physik, ETH Zürich,Wolfgang Pauli Strasse 27, CH-8093 Zürich (Switzerland)

2017-01-05

We study the asymptotic volume dependence of the heavy-heavy-light three-point functions in the N=4 Super-Yang-Mills theory using the hexagon bootstrap approach, where the volume is the length of the heavy operator. We extend the analysis of our previous short letter http://dx.doi.org/10.1007/JHEP07(2016)120 to the general case where the heavy operators can be in any rank one sector and the light operator being a generic non-BPS operator. We prove the conjecture of Bajnok, Janik and Wereszczynski http://dx.doi.org/10.1007/JHEP09(2014)050 up to leading finite size corrections.

Evaluation of economic and technical efficiency of diesel engines operation on the basis of volume combustion rate

Directory of Open Access Journals (Sweden)

І. О. Берестовой

2016-11-01

Full Text Available The article deals with a new approach to evaluation of complex efficiency of diesel engines. Traditionally, cylinder’s capacity, rotation frequency, average efficient pressure inside cylinder, piston’s stroke, average piston’s velocity, fuel specific consumption and other indices are used as generalizing criteria, characterizing diesel engine’s efficiency, but they do not reflect interrelation between engine’s complex efficiency and a set of economic, mass-dimensional, operational and ecological efficiency. The approach applied in the article makes it possible to reveal the existing and modify the existing methods of solving the problem of improving diesel engine’s efficiency with due regard to interrelation of the parameters, characterizing efficiency of their operation. Statistic analyses were carried out, on the basis of which an assumption regarding the existence of interrelation between specific fuel consumption and the analyzed engine’s parameters was made. Processing of statistical data for various analyzed functions of diesel engines helped offer a function, illustrating the link between volume combustion rate, piston’s area and nominal theoretical specific fuel consumption. Interrelation between volume combustion rate, nominal parameters of diesel operation and efficiency indices, obtained by processing statistical data of more than 500 models of diesels of different series was evaluated, the main feature of it being a mathematical trend. The analysis of the obtained function makes it possible to establish an interrelation between economic efficiency of a diesel, its main index being specific fuel consumption and volume combustion rate and design peculiarities

A Human Proximity Operations System test case validation approach

Science.gov (United States)

Huber, Justin; Straub, Jeremy

A Human Proximity Operations System (HPOS) poses numerous risks in a real world environment. These risks range from mundane tasks such as avoiding walls and fixed obstacles to the critical need to keep people and processes safe in the context of the HPOS's situation-specific decision making. Validating the performance of an HPOS, which must operate in a real-world environment, is an ill posed problem due to the complexity that is introduced by erratic (non-computer) actors. In order to prove the HPOS's usefulness, test cases must be generated to simulate possible actions of these actors, so the HPOS can be shown to be able perform safely in environments where it will be operated. The HPOS must demonstrate its ability to be as safe as a human, across a wide range of foreseeable circumstances. This paper evaluates the use of test cases to validate HPOS performance and utility. It considers an HPOS's safe performance in the context of a common human activity, moving through a crowded corridor, and extrapolates (based on this) to the suitability of using test cases for AI validation in other areas of prospective application.

Decomposition analysis of energy consumption for an freeway during its operation period: A case study for Guangdong, China

International Nuclear Information System (INIS)

Li, DuoQi; Wang, DuanYi

2016-01-01

Freeways have become the main subject of energy conservation reviews in China because of their large energy consumption. Decomposition analysis has been widely applied in energy consumption studies. However, most studies have only analyzed the driving forces of energy consumption on the national level, and seldom at smaller levels, e.g. for departments like toll stations and maintenance centers. Based on the characteristics of the freeway operation period, this paper serves as a preliminary attempt at applying the logarithm mean Divisia index method I on the department level to analyze the energy consumption of freeways during the operation period. To elucidate the evolution of energy consumption during the operational period, the logarithm mean Divisia index analysis was performed to disentangle the energy consumption based on a real case in Guangdong from 2005 to 2013. The analyses establish that the traffic volume influences energy consumption. The results show that some departments can influence the total energy consumption. For example, the tunnels and toll stations are key factors that influence the total energy consumption of the whole road. The decomposition in the departments revealed that energy efficiency improvements caused by the use of alternate materials and energy-saving technologies mainly contributed to energy conservation. - Highlights: • Decomposition model was used to analyze energy consumption of freeway management. • This attempt finds the impact of traffic volume on management energy consumption. • Tunnels and toll stations mainly affect the management energy consumption. • Using alternate materials and energy-saving technology improved energy efficiency.

Improved Short-Term Outcomes following Orthognathic Surgery Are Associated with High-Volume Centers.

Science.gov (United States)

Berlin, Nicholas L; Tuggle, Charles T; Steinbacher, Derek M

2016-08-01

Previous studies assessing outcomes following orthognathic surgery rely primarily on single-center/surgeon experience. In addition to issues of generalizability, these studies are limited in evaluating the effect of operative volume on patient outcomes. Orthognathic procedures were identified in the 1999 to 2011 Healthcare Cost and Utilization Project Nationwide Inpatient Sample. Outcomes included occurrence of any in-hospital complication, extended length of stay (>2 days), and increased costs (>$10,784). High-volume hospitals were defined as the 90th percentile of case volume or higher (>31 cases/year). Univariate and multivariate analyses were conducted to identify independent predictors of outcomes. Trend analyses were performed to assess changes in the annual rate of patients treated at high-volume hospitals over the study period. Among 101,692 orthognathic surgery patients, 19.6 percent underwent concurrent ancillary procedures (i.e., genioplasty, rhinoplasty, or septoplasty), and 37.6 percent underwent double-jaw surgery. Fifty-three percent were treated at high-volume hospitals. High-volume hospitals more often performed ancillary procedures (21.4 percent versus 17.4 percent; p surgery (41.3 percent versus 33.4 percent; p orthognathic cases nationwide are performed at a small number of high-volume hospitals. These hospitals discharge patients earlier, perform more complex procedures, and have fewer complications. Risk, III.

Integrated payload and mission planning, phase 3. Volume 3: Ground real-time mission operations

Science.gov (United States)

White, W. J.

1977-01-01

The payloads tentatively planned to fly on the first two Spacelab missions were analyzed to examine the cost relationships of providing mission operations support from onboard vs the ground-based Payload Operations Control Center (POCC). The quantitative results indicate that use of a POCC, with data processing capability, to support real-time mission operations is the most cost effective case.

Universality of the Volume Bound in Slow-Roll Eternal Inflation

Energy Technology Data Exchange (ETDEWEB)

Dubovsky, Sergei; Senatore, Leonardo; Villadoro, Giovanni

2012-03-28

It has recently been shown that in single field slow-roll inflation the total volume cannot grow by a factor larger than e{sup S{sub dS}/2} without becoming infinite. The bound is saturated exactly at the phase transition to eternal inflation where the probability to produce infinite volume becomes non zero. We show that the bound holds sharply also in any space-time dimensions, when arbitrary higher-dimensional operators are included and in the multi-field inflationary case. The relation with the entropy of de Sitter and the universality of the bound strengthen the case for a deeper holographic interpretation. As a spin-off we provide the formalism to compute the probability distribution of the volume after inflation for generic multi-field models, which might help to address questions about the population of vacua of the landscape during slow-roll inflation.

The Crucial Role of the Operational Artist: A Case Study of Operation Barbarossa

Science.gov (United States)

2017-05-25

In some cases, German generals used the opportunity after the war to report their personal views and experiences to a very receptive US audience ...change the attitude and expectations concerning the role of the operational artist from a receptive to a pro-active one. 136 This understanding of

The economic impact of regional waste disposal on advanced volume reduction technologies

International Nuclear Information System (INIS)

McArthur, W.C.; Kniazewycz, B.G.

1983-01-01

Waste volume reduction has received increased emphasis over the past decade as annual operating costs have risen from $250,000/year to $3,500,000 for 1983. Emphasis has been given to developing and designing into new nuclear plants process and DAW volume reduction technologies such as fluidized-bed dryers incinerators, and evaporative-solidification systems. The basis for these systems was originally the correct perception that a crisis would be reached with the, then available, shallow land disposal sites which would increase costs substantially and possible jeopardize power plant operations. With the passage of the Low-Level Waste Policy Act of 1980 and increased emphasis on interim on-site storage of low-level waste, the ''economics of volume reduction'' are susceptible to increased uncertainties. This paper reviews some previous volume reduction economic analyses and evaluates the revised economics based upon the development of regional waste disposal sites, improved waste generation and processing practices, and the increased use of interim on-site storage. Several case studies are presented

Operational calculus

CERN Document Server

Boehme, Thomas K

1987-01-01

Operational Calculus, Volume II is a methodical presentation of operational calculus. An outline of the general theory of linear differential equations with constant coefficients is presented. Integral operational calculus and advanced topics in operational calculus, including locally integrable functions and convergence in the space of operators, are also discussed. Formulas and tables are included.Comprised of four sections, this volume begins with a discussion on the general theory of linear differential equations with constant coefficients, focusing on such topics as homogeneous and non-ho

Pulmonary function tests correlated with thoracic volumes in adolescent idiopathic scoliosis.

Science.gov (United States)

Ledonio, Charles Gerald T; Rosenstein, Benjamin E; Johnston, Charles E; Regelmann, Warren E; Nuckley, David J; Polly, David W

2017-01-01

Scoliosis deformity has been linked with deleterious changes in the thoracic cavity that affect pulmonary function. The causal relationship between spinal deformity and pulmonary function has yet to be fully defined. It has been hypothesized that deformity correction improves pulmonary function by restoring both respiratory muscle efficiency and increasing the space available to the lungs. This research aims to correlate pulmonary function and thoracic volume before and after scoliosis correction. Retrospective correlational analysis between thoracic volume modeling from plain x-rays and pulmonary function tests was conducted. Adolescent idiopathic scoliosis patients enrolled in a multicenter database were sorted by pre-operative Total Lung Capacities (TLC) % predicted values from their Pulmonary Function Tests (PFT). Ten patients with the best and ten patients with the worst TLC values were included. Modeled thoracic volume and TLC values were compared before and 2 years after surgery. Scoliosis correction resulted in an increase in the thoracic volume for patients with the worst initial TLCs (11.7%) and those with the best initial TLCs (12.5%). The adolescents with the most severe pulmonary restriction prior to surgery strongly correlated with post-operative change in total lung capacity and thoracic volume (r 2  = 0.839; p volume in this group was 373.1 cm 3 (11.7%) which correlated with a 21.2% improvement in TLC. Scoliosis correction in adolescents was found to increase thoracic volume and is strongly correlated with improved TLC in cases with severe restrictive pulmonary function, but no correlation was found in cases with normal pulmonary function. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:175-182, 2017. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

Simulation of worst-case operating conditions for integrated circuits operating in a total dose environment

International Nuclear Information System (INIS)

Bhuva, B.L.

1987-01-01

Degradations in the circuit performance created by the radiation exposure of integrated circuits are so unique and abnormal that thorough simulation and testing of VLSI circuits is almost impossible, and new ways to estimate the operating performance in a radiation environment must be developed. The principal goal of this work was the development of simulation techniques for radiation effects on semiconductor devices. The mixed-mode simulation approach proved to be the most promising. The switch-level approach is used to identify the failure mechanisms and critical subcircuits responsible for operational failure along with worst-case operating conditions during and after irradiation. For precise simulations of critical subcircuits, SPICE is used. The identification of failure mechanisms enables the circuit designer to improve the circuit's performance and failure-exposure level. Identification of worst-case operating conditions during and after irradiation reduces the complexity of testing VLSI circuits for radiation environments. The results of test circuits for failure simulations using a conventional simulator and the new simulator showed significant time savings using the new simulator. The savings in simulation time proved to be circuit topology-dependent. However, for large circuits, the simulation time proved to be orders of magnitude smaller than simulation time for conventional simulators

The Small Aircraft Transportation System (SATS), Higher Volume Operations (HVO) Concept and Research

Science.gov (United States)

Baxley, B.; Williams, D.; Consiglio, M.; Adams, C.; Abbott, T.

2005-01-01

The ability to conduct concurrent, multiple aircraft operations in poor weather at virtually any airport offers an important opportunity for a significant increase in the rate of flight operations, a major improvement in passenger convenience, and the potential to foster growth of operations at small airports. The Small Aircraft Transportation System, (SATS) Higher Volume Operations (HVO) concept is designed to increase capacity at the 3400 non-radar, non-towered airports in the United States where operations are currently restricted to one-in/one-out procedural separation during low visibility or ceilings. The concept s key feature is that pilots maintain their own separation from other aircraft using air-to-air datalink and on-board software within the Self-Controlled Area (SCA), an area of flight operations established during poor visibility and low ceilings around an airport without Air Traffic Control (ATC) services. While pilots self-separate within the SCA, an Airport Management Module (AMM) located at the airport assigns arriving pilots their sequence based on aircraft performance, position, winds, missed approach requirements, and ATC intent. The HVO design uses distributed decision-making, safe procedures, attempts to minimize pilot and controller workload, and integrates with today's ATC environment. The HVO procedures have pilots make their own flight path decisions when flying in Instrument Metrological Conditions (IMC) while meeting these requirements. This paper summarizes the HVO concept and procedures, presents a summary of the research conducted and results, and outlines areas where future HVO research is required. More information about SATS HVO can be found at http://ntrs.nasa.gov.

Preparing Safety Cases for Operating Outside Prescriptive Fatigue Risk Management Regulations.

Science.gov (United States)

Gander, Philippa; Mangie, Jim; Wu, Lora; van den Berg, Margo; Signal, Leigh; Phillips, Adrienne

2017-07-01

Transport operators seeking to operate outside prescriptive fatigue management regulations are typically required to present a safety case justifying how they will manage the associated risk. This paper details a method for constructing a successful safety case. The method includes four elements: 1) scope (prescriptive rules and operations affected); 2) risk assessment; 3) risk mitigation strategies; and 4) monitoring ongoing risk. A successful safety case illustrates this method. It enables landing pilots in 3-pilot crews to choose the second or third in-flight rest break, rather than the regulatory requirement to take the third break. Scope was defined using a month of scheduled flights that would be covered (N = 4151). These were analyzed in the risk assessment using existing literature on factors affecting fatigue to estimate the maximum time awake at top of descent and sleep opportunities in each break. Additionally, limited data collected before the new regulations showed that pilots flying at landing chose the third break on only 6% of flights. A prospective survey comparing subjective reports (N = 280) of sleep in the second vs. third break and fatigue and sleepiness ratings at top of descent confirmed that the third break is not consistently superior. The safety case also summarized established systems for fatigue monitoring, risk assessment and hazard identification, and multiple fatigue mitigation strategies that are in place. Other successful safety cases have used this method. The evidence required depends on the expected level of risk and should evolve as experience with fatigue risk management systems builds.Gander P, Mangie J, Wu L, van den Berg M, Signal L, Phillips A. Preparing safety cases for operating outside prescriptive fatigue risk management regulations. Aerosp Med Hum Perform. 2017; 88(7):688-696.

Evaluation of potential severe accidents during low power and shutdown operations at Surry, Unit 1: Analysis of core damage frequency from internal events during mid-loop operations. Appendix E (Sections E.9-E.16), Volume 2, Part 3B

International Nuclear Information System (INIS)

Chu, T.L.; Musicki, Z.; Kohut, P.; Yang, J.; Bozoki, G.; Hsu, C.J.; Diamond, D.J.; Wong, S.M.; Bley, D.; Johnson, D.

1994-06-01

Traditionally, probabilistic risk assessments (PRA) of severe accidents in nuclear power plants have considered initiating events potentially occurring only during full power operation. Some previous screening analyses that were performed for other modes of operation suggested that risks during those modes were small relative to full power operation. However, more recent studies and operational experience have implied that accidents during low power and shutdown could be significant contributors to risk. Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the plants to be studied. The objectives of the program are to assess the risks of severe accidents initiated during plant operational states other than full power operation and to compare the estimated core damage frequencies, important accident sequences and other qualitative and quantitative results with those accidents initiated during full power operation as assessed in NUREG-1150. The scope of the program includes that of a level-3 PRA. In phase 2, mid-loop operation was selected as the plant configuration to be analyzed based on the results of the phase 1 study. The objective of the phase 2 study is to perform a detailed analysis of the potential accident scenarios that may occur during mid-loop operation, and compare the results with those of NUREG-1150. The scope of the level-1 study includes plant damage state analysis, and uncertainty analysis. Volume 1 summarizes the results of the study. Internal events analysis is documented in Volume 2. It also contains an appendix that documents the part of the phase 1 study that has to do with POSs other than mid-loop operation. Internal fire and internal flood analyses are documented in Volumes 3 and 4. A separate study on seismic analysis, documented in Volume 5, was performed for the NRC by Future Resources Associates, Inc. Volume 6 documents the accident progression, source terms, and consequence analysis

Evaluation of potential severe accidents during low power and shutdown operations at Surry, Unit 1: Analysis of core damage frequency from internal events during mid-loop operations. Appendix E (Sections E.9-E.16), Volume 2, Part 3B

Energy Technology Data Exchange (ETDEWEB)

Chu, T.L.; Musicki, Z.; Kohut, P.; Yang, J.; Bozoki, G.; Hsu, C.J.; Diamond, D.J.; Wong, S.M. [Brookhaven National Lab., Upton, NY (United States); Bley, D.; Johnson, D. [PLG Inc., Newport Beach, CA (United States)] [and others

1994-06-01

Traditionally, probabilistic risk assessments (PRA) of severe accidents in nuclear power plants have considered initiating events potentially occurring only during full power operation. Some previous screening analyses that were performed for other modes of operation suggested that risks during those modes were small relative to full power operation. However, more recent studies and operational experience have implied that accidents during low power and shutdown could be significant contributors to risk. Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the plants to be studied. The objectives of the program are to assess the risks of severe accidents initiated during plant operational states other than full power operation and to compare the estimated core damage frequencies, important accident sequences and other qualitative and quantitative results with those accidents initiated during full power operation as assessed in NUREG-1150. The scope of the program includes that of a level-3 PRA. In phase 2, mid-loop operation was selected as the plant configuration to be analyzed based on the results of the phase 1 study. The objective of the phase 2 study is to perform a detailed analysis of the potential accident scenarios that may occur during mid-loop operation, and compare the results with those of NUREG-1150. The scope of the level-1 study includes plant damage state analysis, and uncertainty analysis. Volume 1 summarizes the results of the study. Internal events analysis is documented in Volume 2. It also contains an appendix that documents the part of the phase 1 study that has to do with POSs other than mid-loop operation. Internal fire and internal flood analyses are documented in Volumes 3 and 4. A separate study on seismic analysis, documented in Volume 5, was performed for the NRC by Future Resources Associates, Inc. Volume 6 documents the accident progression, source terms, and consequence analysis.

Incidence of radiation pneumonitis after thoracic irradiation: Dose-volume correlates

International Nuclear Information System (INIS)

Schallenkamp, John M.; Miller, Robert C.; Brinkmann, Debra H.; Foote, Tyler; Garces, Yolanda I.

2007-01-01

Purpose: To define clinical and dosimetric parameters correlated with the risk of clinically relevant radiation pneumonitis (RP) after thoracic radiotherapy. Methods and Materials: Records of consecutive patients treated with definitive thoracic radiotherapy were retrospectively reviewed for the incidence of RP of Grade 2 or greater by the Common Toxicity Criteria. Dose-volume histograms using total lung volume (TL) and TL minus gross tumor volume (TL-G) were created with and without heterogeneity corrections. Mean lung dose (MLD), effective lung volume (V eff ), and percentage of TL or TL-G receiving greater than or equal to 10, 13, 15, 20, and 30 Gy (V10-V30, respectively) were analyzed by logistic regression. Receiver operating characteristic (ROC) curves were generated to estimate RP predictive values. Results: Twelve cases of RP were identified in 92 eligible patients. Mean lung dose, V10, V13, V15, V20, and V eff were significantly correlated to RP. Combinations of MLD, V eff , V20, and V30 lost significance using TL-G and heterogeneity corrections. Receiver operating characteristic analysis determined V10 and V13 as the best predictors of RP risk, with a decrease in predictive value above those volumes. Conclusions: Intrathoracic radiotherapy should be planned with caution when using radiotherapy techniques delivering doses of 10 to 15 Gy to large lung volumes

Using Large-Scale Cooperative Control to Manage Operational Uncertainties for Aquifer Thermal Energy Storage

Science.gov (United States)

Jaxa-Rozen, M.; Rostampour, V.; Kwakkel, J. H.; Bloemendal, M.

2017-12-01

Seasonal Aquifer Thermal Energy Storage (ATES) technology can help reduce the demand of energy for heating and cooling in buildings, and has become a popular option for larger buildings in northern Europe. However, the larger-scale deployment of this technology has evidenced some issues of concern for policymakers; in particular, recent research shows that operational uncertainties contribute to inefficient outcomes under current planning methods for ATES. For instance, systems in the Netherlands typically use less than half of their permitted pumping volume on an annual basis. This overcapacity gives users more flexibility to operate their systems in response to the uncertainties which drive building energy demand; these include short-term operational factors such as weather and occupancy, and longer-term, deeply uncertain factors such as changes in climate and aquifer conditions over the lifespan of the buildings. However, as allocated subsurface volume remains unused, this situation limits the adoption of the technology in dense areas. Previous work using coupled agent-based/geohydrological simulation has shown that the cooperative operation of neighbouring ATES systems can support more efficient spatial planning, by dynamically managing thermal interactions in response to uncertain operating conditions. An idealized case study with centralized ATES control thus showed significant improvements in the energy savings which could obtained per unit of allocated subsurface volume, without degrading the recovery performance of systems. This work will extend this cooperative approach for a realistic case study of ATES planning in the city of Utrecht, in the Netherlands. This case was previously simulated under different scenarios for individual ATES operation. The poster will compare these results with a cooperative case under which neighbouring systems can coordinate their operation to manage interactions. Furthermore, a cooperative game-theoretical framework will be

Intra-operative nuclear imaging based on positron-emitting radiotracers

International Nuclear Information System (INIS)

Shakir, Dzhoshkun Ismail

2014-01-01

Positron-emitting radiotracers are an important part of nuclear medical imaging processes. Besides the very famous glucose analog [ 18 F]FDG, many not so well known ones exist, among them the particularly interesting amino acid-based tracers like [ 18 F]FET. Although peri-operative imaging with positron-emitting radiotracers has become state-of- the-art in cases of many types of cancer, their capability is not fully exploited in the operating room yet. In this thesis we explore two intra-operative nuclear imaging modalities exploiting different aspects of positron radiation towards quality assurance in challenging surgical treatment scenarios. The first modality freehand PET provides a tomographic image of a volume of interest and aims at minimizing invasiveness by assisting the surgeon in pinpointing target structures marked with a radiotracer. The second imaging modality epiphanography generates an image of the radiotracer distribution on a surface of interest and aims at providing a means for improving the control of tumor resection margins. The word epiphanography is a compound of the Greek words επιφανεια (epiphaneia) for surface and ζωγραφια (ographia) for image, and hence means the image of the surface similar to the compound τομοζ (tomos) for slice/volume and ζωγραφια (ographia) for image, meaning the image of the volume, i.e. tomography. To our knowledge this is the first use of the word epiphanography in the context of nuclear medical imaging. In this thesis we present our approach to modeling, developing and calibrating these two novel imaging modalities. In addition, we present our work towards their clinical integration. In the case of freehand PET, we have already acquired the first intra-operative datasets of a patient. We present this first experience in the operating room together with our phantom studies. In the case of epiphanography, we present our phantom studies with neurosurgeons towards the integration of this

C++ and operating systems performance - A case study

Science.gov (United States)

Russo, Vincent F.; Madany, Peter W.; Campbell, Roy H.

1990-01-01

Object-oriented design and programming has many software engineering advantages. Its application to large systems, however, has previously been constrained by performance concerns. The Choices operating system, which has over 75,000 lines of code, is object-oriented and programmed in C++. This paper is a case study of the performance of Choices.

Design Guidelines and Criteria for User/Operator Transactions with Battlefield Automated Systems. Volume III-A. Human Factors Analyses of User/ Operator Transactions with TACFIRE - The Tactical Fire Direction System

Science.gov (United States)

1981-02-01

7. Reseaarch Product 81-26 - DESIGN GUIDELINES AND CRITERIA FOR USER/ I;. I’OPERATOR TRANSACTIONS WITH BATTLEFIELD AUTOMIATED SYSTEMS I’ /HVtAN...FACTORS XWLYSES :’F K~R/ OPERATOR TRANSACTIONS WTHT TACFIRE - THE TACTICAL FIRE DiRECTION SY2T3EM A HUMAN FACTORS TECHNICAL AREA L~h~h K L-J 1’ U~~i~ ll...Battlefield Auto- Inter : Oct 1979-Feb 1981 mated Systems Volume III-A: Human Factors 4t C/ Analyses of User/Operator Transactions with 6. PERFORMING

Clinical curative effect of fuzi-cake-separated moxibustion for preventing dysuria after operation for lower limb fracture.

Science.gov (United States)

Yue, Yan; Tao, Lijun; Fang, Jianqiao; Xie, Qi; He, Shaofeng; Huang, Chunxia; Yang, Xueming

2014-10-01

To assess the clinical curative effect of fuzi-cake-separated moxibustion at Zhongji (CV 3) and Guanyuan (CV 4) for preventing dysuria after internal fixation of lower limb fractures. Sixty patients conforming to the inclusion standards were randomly divided into a treatment group (n = 30) and a control group (n = 30). Fuzi-cake-separated moxibustion was performed at Guanyuan (CV 4) and Zhongji (CV 3), 20 min at a time, twice a day, for 3 days before operation in the treatment group. No fuzi-cake-separated moxibustion was performed in the control group. After treatment, the score for symptoms of first urination, urinary time, urinary volume, 24 h remaining urinary volume, incidence of uroschesis, and rate of controlling dysuria were compared to evaluate the curative effect of preventing post-operative dysuria. The score for symptoms of first urination, 24 h remaining urinary volume (maximum 120 mL vs 250 ml, and less than 10 ml in 24 cases vs 15 cases), and the rate of controlling dysuria (83.34% vs 30%) were significantly better (P 0.05) between the two groups in first post-operative urinary time, urinary volume, or incidence of 24 h uroschesis. Fuzi-cake-separated moxibustion at Zhongji (CV 3) and Guanyuan (CV 4) can better prevent post-operative dysuria, effectively promote the functional restoration of the urinary bladder, and control the incidence of post-operative dysuria.

Preoperative MR imaging-based volume measurements of the hippocampal formation and anterior temporal lobe in epileptic patients

International Nuclear Information System (INIS)

Jack, C.R.; Sharbrough, F.W.; Twomey, C.; Zinsmeister, A.R.; Cascino, G.D.; Hirschorn, K.A.; Marsh, W.R.

1989-01-01

MR-based volume measurements of the anterior temporal lobe and hippocampal formation were performed in 36 patients who subsequently underwent surgery for medically refractory temporal lobe epilepsy. Seizure lateralization was based on standard clinical and electroencephalographic criteria. No surgical pathologic specimens contained structural lesions; epilepsy in these patients was therefore presumably due to mesial sclerosis. The right-minus-left hippocampal formation volume difference was greater than 0 in all 20 patients operated on the left side and less than 0 in all 16 patients operated on the right side. This difference completely separated the two surgical groups, while the same measurement in a group of 35 normal controls fell between the two surgical groups. Measurements of the anterior temporal to be showed a similar trend but incompletely separated controls, right- and left-sided epileptics. These results suggest that in a significant percentage of cases, MR-based volume measurements correctly identify the unilateral hippocampal atrophy that is known to occur in cases of mesial temporal sclerosis

Waste isolation in the U.S., technical programs and public education. Volume 2 - low level waste, volume reduction methodologies and economics. Vol. 2

International Nuclear Information System (INIS)

Post, R.G.

1984-01-01

This volume presents information regarding low-level waste, volume reduction methodologies and economics. Topics include: public education on nuclear waste; economics of low-level waste management systems; operating experience with advanced volume reduction techniques; solidification of waste; operating experience with advanced volume reduction techniques--incineration; regional plans for the disposal of low-level waste; radwaste system modifications at nuclear power plants; operating experience with advanced volume reduction techniques--operations and on-site storage issues; and economic impact of 10CFR61

Cost of Operating Central Cancer Registries and Factors That Affect Cost: Findings From an Economic Evaluation of Centers for Disease Control and Prevention National Program of Cancer Registries.

Science.gov (United States)

Tangka, Florence K L; Subramanian, Sujha; Beebe, Maggie Cole; Weir, Hannah K; Trebino, Diana; Babcock, Frances; Ewing, Jean

2016-01-01

The Centers for Disease Control and Prevention (CDC) evaluated the economics of the National Program of Cancer Registries to provide the CDC, the registries, and policy makers with the economics evidence-base to make optimal decisions about resource allocation. Cancer registry budgets are under increasing threat, and, therefore, systematic assessment of the cost will identify approaches to improve the efficiencies of this vital data collection operation and also justify the funding required to sustain registry operations. To estimate the cost of cancer registry operations and to assess the factors affecting the cost per case reported by National Program of Cancer Registries-funded central cancer registries. We developed a Web-based cost assessment tool to collect 3 years of data (2009-2011) from each National Program of Cancer Registries-funded registry for all actual expenditures for registry activities (including those funded by other sources) and factors affecting registry operations. We used a random-effects regression model to estimate the impact of various factors on cost per cancer case reported. The cost of reporting a cancer case varied across the registries. Central cancer registries that receive high-quality data from reporting sources (as measured by the percentage of records passing automatic edits) and electronic data submissions, and those that collect and report on a large volume of cases had significantly lower cost per case. The volume of cases reported had a large effect, with low-volume registries experiencing much higher cost per case than medium- or high-volume registries. Our results suggest that registries operate with substantial fixed or semivariable costs. Therefore, sharing fixed costs among low-volume contiguous state registries, whenever possible, and centralization of certain processes can result in economies of scale. Approaches to improve quality of data submitted and increasing electronic reporting can also reduce cost.

A Case Report of Sequela of Operation of Talus Osteonecrosis

Directory of Open Access Journals (Sweden)

Choi Sung-Hun

2006-02-01

Full Text Available Objective : The clinic study or report about Oriental Medical treatment about osteonecrosis is very insufficient. Therefore, we report a case about a sequela of operation of talus osteonecrosis treated by Oriental Medical treatments. Methods : The patient was managed by bee venom and Carthami Flos Herbal-Acupuncture, Sa-am and body acupucture, oxibustion, physical theraphy and herbal medicine. We evaluated the patient through Visual Analogue Scale(VAS. Results : After 25 days of treatment, the patient showed that clinical symptoms was decreased and VAS changed from 10 to 2. Conclusion : In this case, Oriental Medical treatments for a sequela of operation of talus osteonecrosis was effective. But further studies are required to confirm the effect of these methods

Do co-operative organisations contribute to a process of democratisation? : the case of Tanzania

OpenAIRE

Moberg, Liv

1998-01-01

Do co-operative organisations contribute to a process of democratisation? The Case of Tanzania May co-operative organisations be said to perform a role of any importance in processes of democratisation? The objective of my thesis is to answer this question theoretically and to illustrate with the case of Tanzania. It can thus be formulated in two parts; one theoretical and one empirical; May co-operative organisations contribute to a process of democratisation? Do co-operative organi...

Preliminary Validation of the Small Aircraft Transportation System Higher Volume Operations (SATS HVO) Concept

Science.gov (United States)

Williams, Daniel; Consiglio, Maria; Murdoch, Jennifer; Adams, Catherine

2004-01-01

This document provides a preliminary validation of the Small Aircraft Transportation System (SATS) Higher Volume Operations (HVO) concept for normal conditions. Initial results reveal that the concept provides reduced air traffic delays when compared to current operations without increasing pilot workload. Characteristic to the SATS HVO concept is the establishment of a newly defined area of flight operations called a Self-Controlled Area (SCA) which would be activated by air traffic control (ATC) around designated non-towered, non-radar airports. During periods of poor visibility, SATS pilots would take responsibility for separation assurance between their aircraft and other similarly equipped aircraft in the SCA. Using onboard equipment and simple instrument flight procedures, they would then be better able to approach and land at the airport or depart from it. This concept would also require a new, ground-based automation system, typically located at the airport that would provide appropriate sequencing information to the arriving aircraft. Further validation of the SATS HVO concept is required and is the subject of ongoing research and subsequent publications.

Indexes to Nuclear Regulatory Commission issuances, July--December 1996. Volume 44, Index 2

International Nuclear Information System (INIS)

1997-04-01

Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and Licensing Board Panel (LBP), the Administrative Law Judges (ALJ), the Directors' Decisions (DD), and the Decision on Petitions for Rulemaking (DPRM) are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements common to the cases heard and ruled upon are: case name (owner(s) of facility); full text reference (volume and pagination); issuance number; issues raised by apellants; legal citations (cases, regulations, and statutes); name of facility, docket number; subject matter of issues and/or rulings; type of hearing (operating license, operating license amendment, etc.); type of issuance (memorandum, order, decision, etc.)

Indexes to Nuclear Regulatory Commission issuances, July--December 1996. Volume 44, Index 2

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-04-01

Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and Licensing Board Panel (LBP), the Administrative Law Judges (ALJ), the Directors` Decisions (DD), and the Decision on Petitions for Rulemaking (DPRM) are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements common to the cases heard and ruled upon are: case name (owner(s) of facility); full text reference (volume and pagination); issuance number; issues raised by apellants; legal citations (cases, regulations, and statutes); name of facility, docket number; subject matter of issues and/or rulings; type of hearing (operating license, operating license amendment, etc.); type of issuance (memorandum, order, decision, etc.).

Stereolithographic volume evaluation of healing and shaping after rhinoplasty operations.

Science.gov (United States)

Tatlidede, Soner; Turgut, Gürsel; Gönen, Emre; Kayali, Mahmut Ulvi; Baş, Lütfü

2009-07-01

Nasal edema and volume changes are unavoidable processes during the healing period after rhinoplasty. Various applications were reported regarding the prevention of early edema; however, the literature shows no study focused on the course of the nasal edema and volume changes up-to-date. We aimed to study the nasal volume changes during the first year of postoperative healing period and to form a recovery and volume change diagram with the obtained data. We prepared standard frames and nasal molds of 7 rhinoplasty patients at regular time intervals (preoperative period and at the postoperative 1st, 2nd, 4th, 8th, 12th, 24th, and 52nd weeks). Plaster nasal models were created by using these molds. Volumes of models were measured by computed tomographic scanning and three-dimensional image processing programs. According to our results, the nasal edema reaches its maximum level at the postoperative fourth week and then rapidly decreases until its minimum level at the eighth week. In contrast with the general opinion, the nasal volume begins to increase smoothly reaching to a level minimally below the preoperative value by the end of the first year.

Remedial investigation/feasibility study of the Clinch River/Poplar Creek operable unit. Volume 5

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-03-01

This volume is in support of the findings of an investigation into contamination of the Clinch River and Poplar Creek near the Oak Ridge Reservation (for more than 50 years, various hazardous and radioactive substances have been released to the environment as a result of operations and waste management activities there). It addresses the quality assurance objectives for measuring the data, presents selected historical data, contains data from several discrete water characterization studies, provides data supporting the sediment characterization, and contains data related to several biota characterization studies.

[Computer-assisted operational planning for pediatric abdominal surgery. 3D-visualized MRI with volume rendering].

Science.gov (United States)

Günther, P; Tröger, J; Holland-Cunz, S; Waag, K L; Schenk, J P

2006-08-01

Exact surgical planning is necessary for complex operations of pathological changes in anatomical structures of the pediatric abdomen. 3D visualization and computer-assisted operational planning based on CT data are being increasingly used for difficult operations in adults. To minimize radiation exposure and for better soft tissue contrast, sonography and MRI are the preferred diagnostic methods in pediatric patients. Because of manifold difficulties 3D visualization of these MRI data has not been realized so far, even though the field of embryonal malformations and tumors could benefit from this.A newly developed and modified raycasting-based powerful 3D volume rendering software (VG Studio Max 1.2) for the planning of pediatric abdominal surgery is presented. With the help of specifically developed algorithms, a useful surgical planning system is demonstrated. Thanks to the easy handling and high-quality visualization with enormous gain of information, the presented system is now an established part of routine surgical planning.

Computer-assisted operational planning for pediatric abdominal surgery. 3D-visualized MRI with volume rendering

International Nuclear Information System (INIS)

Guenther, P.; Holland-Cunz, S.; Waag, K.L.

2006-01-01

Exact surgical planning is necessary for complex operations of pathological changes in anatomical structures of the pediatric abdomen. 3D visualization and computer-assisted operational planning based on CT data are being increasingly used for difficult operations in adults. To minimize radiation exposure and for better soft tissue contrast, sonography and MRI are the preferred diagnostic methods in pediatric patients. Because of manifold difficulties 3D visualization of these MRI data has not been realized so far, even though the field of embryonal malformations and tumors could benefit from this. A newly developed and modified raycasting-based powerful 3D volume rendering software (VG Studio Max 1.2) for the planning of pediatric abdominal surgery is presented. With the help of specifically developed algorithms, a useful surgical planning system is demonstrated. Thanks to the easy handling and high-quality visualization with enormous gain of information, the presented system is now an established part of routine surgical planning. (orig.) [de

Improving road transport operations through lean thinking: A case study

OpenAIRE

Villarreal, B.; Garza-Reyes, J. A.; Kumar, V.; Lim, M. K.

2017-01-01

Traditionally, logistics and transportation problems have been addressed through mathematical modelling, operations research, and simulation methods. This paper documents a case study where the road transport operations of a leading Mexican brewery organisation have been improved through lean thinking and waste reduction. Two lean-based principles and tools were combined; the Seven Transportation Extended Wastes (STEWs) and Transportation Value Stream Mapping (TVSM), and three systematic step...

[An operative case of ulcerative colitis associated with hyperthyroidism].

Science.gov (United States)

Kohyama, Atsushi; Funayama, Yuji; Fukushima, Kouhei; Shibata, Chikashi; Miura, Koh; Takahashi, Ken-ichi; Ogawa, Hitoshi; Ueno, Tatsuya; Sasaki, Iwao; Hiwatashi, Nobuo

2009-06-01

We encountered a rare operative case of hyperthyroidism followed by ulcerative colitis (UC). A 26-year-old mam was referred to our department to undergo an operation. We suspected the possible complication of adrenal insufficiency, since he suffered from severe weight loss, a high fever and palpitation on admission. We diagnosed hyperthyroidism, however, based on the presence of high serum free T3 and T4 levels and a decreased TSH level. After improving the symptoms and the thyroid function by administering thiamazole, we then performed a total proctocolectomy. Although a high rate of association of autoimmune thyroid diseases with UC has been suggested, only 9 cases of hyperthyroidism coexisting with UC have so far been reported in Japan. A common immunological process has been suggested to be implicated in the pathogenesis of this association, however, the exact mechanism needs to be elucidated in the future.

Operational Research for Developing Countries - a case of transfer of technology

DEFF Research Database (Denmark)

Vidal, Rene Victor Valqui; Ravn, Hans V.

1986-01-01

This paper is concerned with some fundamental aspects of the process of transfer of operational research from the industrialized countries to the Third World. Two complementary conceptions of operational research are identified: technical and social operational research. The main contribution of ...... of this paper is to regard the discussion of operational research for developing countries as a case of transfer of technology. Finally, some proposals for action and further research will be briefly outlined.......This paper is concerned with some fundamental aspects of the process of transfer of operational research from the industrialized countries to the Third World. Two complementary conceptions of operational research are identified: technical and social operational research. The main contribution...

The operating room case-mix problem under uncertainty and nurses capacity constraints.

Science.gov (United States)

Yahia, Zakaria; Eltawil, Amr B; Harraz, Nermine A

2016-12-01

Surgery is one of the key functions in hospitals; it generates significant revenue and admissions to hospitals. In this paper we address the decision of choosing a case-mix for a surgery department. The objective of this study is to generate an optimal case-mix plan of surgery patients with uncertain surgery operations, which includes uncertainty in surgery durations, length of stay, surgery demand and the availability of nurses. In order to obtain an optimal case-mix plan, a stochastic optimization model is proposed and the sample average approximation method is applied. The proposed model is used to determine the number of surgery cases to be weekly served, the amount of operating rooms' time dedicated to each specialty and the number of ward beds dedicated to each specialty. The optimal case-mix selection criterion is based upon a weighted score taking into account both the waiting list and the historical demand of each patient category. The score aims to maximizing the service level of the operating rooms by increasing the total number of surgery cases that could be served. A computational experiment is presented to demonstrate the performance of the proposed method. The results show that the stochastic model solution outperforms the expected value problem solution. Additional analysis is conducted to study the effect of varying the number of ORs and nurses capacity on the overall ORs' performance.

A fatal case of post-operative pulmonary thromboembolism with cosmetic liposuction.

Science.gov (United States)

Uemura, Koichi; Kikuchi, Yousuke; Shintani-Ishida, Kaori; Nakajima, Makoto; Yoshida, Ken-ichi

2006-01-01

Pulmonary thromboembolism (PTE) has been regarded as rare in Japan. However, PTE has been increasingly recognised because either of increased incidence, diagnostic progress, or social recognition. Recently, 10 Japanese Medical Associations have submitted preventive guidelines for PTE in post-operative patients and the government decided to fund this, as results of the increase in cases and concern regarding medical negligence. A fatal case of PTE after liposuction is reported. A female patient was in the home toilet after two days of immobilization following day-surgery liposuction. Clinicians must be aware of appropriate methods for the prevention of post operative PTE with cosmetic surgery.

Breaker Maintenance: Volume 3, Molded-Case circuit breakers

International Nuclear Information System (INIS)

Davis, E.L.; Funk, D.L.

1991-09-01

Modeled-case circuit breakers (MCCBs) provide power and circuit protection in nuclear plant electrical distribution systems. Thus, their proper operation is essential to the safe and reliable operation of plant electrical distribution systems. This guide for both nuclear and non-nuclear power generating facilities will help improve the maintenance and reliability of MCCBs. The authors developed this guide to establish a working-level understanding of hardware performance trends, reliability, and failure modes from which maintenance practices could be specified. The first step in preparing this guide was an in-depth review of available operating experience and failure data, which was obtained from nuclear information sources such as EPRI's Nuclear Maintenance Applications Center. In addition, they evaluated some nonnuclear reliability data. Next, they investigated current industry practices, including a review of manufacturer's recommendations and numerous industry standards. Finally, they used the collective information to develop programmatic recommendations and, where appropriate, detailed inspection and test guidance. This guide offers many recommendations applicable to MCCB maintenance, such as an engineering description of MCCBs and their operation; an overview of reliability and failure data; programmatic recommendations, including inspection and test periodicity; detailed inspection and test guidance; and corrective maintenance recommendations. Supplementary information includes an overview of industry standards, a discussion of regulatory issues, and sample data sheets. An evaluation of operating experience indicates that a maintenance program need not be overly complicated to detect the predominant failure modes associated with MCCBs. Those implementating an MCCB maintenance and testing program, however, must recognize the inherent limitations associated with field-testing of these devices. 42 refs., 17 figs., 7 tabs

Sonographic determination of the irradiated pulmonary volume in case of irradiation of the thoracic wall

International Nuclear Information System (INIS)

Wittich, G.; Hohenberg, G.; Seitz, W.; Vienna Univ.

1983-01-01

In order to determine the irradiated pulmonary volume, comparative examinations by sonography and computed tomography were made in ten patients submitted to postoperative radiotherapy for mammary carcinoma. The physical and anatomical conditions of sonographic volumetry are discussed. In all cases irradiated with tangential contralateral fields, the irradiated pulmonary volume was less than 200 ccm (118 ccm on an average). The sonographic results did not differ essentially from those of computed tomography, so that the sonographic examination can be offered as a simple and sufficient precise method of documentation within the frame of an individual therapy planning. (orig.) [de

SU-F-T-44: A Comparison of the Pre-Plan, Intra-Operative Plan, and Post-Implant Dosimetry for a Prostate Implant Case Using Prefabricated Linear Polymer-Encapsulated Pd-103

International Nuclear Information System (INIS)

Sheu, R; Powers, A; McGee, H; Stock, R; Lo, Y

2016-01-01

Purpose: To investigate the reproducibility and limitations of Pd-103 prostate brachytherapy using fixed length linear sources (CivaString). Methods: An LDR prostate brachytherapy case which was preplanned on MR images with prefabricated linear polymer-encapsulated Pd-103 sources (CivaString) was studied and compared with ultrasound based intra-operative planning and CT based post-implant dosimetry. We evaluated the following parameters among the three studies: prostate geometry (volume and cross sectional area), needle position and alignment deviations, and dosimetry parameters (D90). Results: The prostate volumes and axial cross sectional areas at center of prostate were measured as 41.8, 39.3 and 36.8 cc, and 14.9, 14.3, and 11.3 respectively on pre-plan MR, inter-op US, and post-implant CT studies. The deviation of prostate volumes and axial cross sectional areas measured on pre-planning MR and intra-operative US were within 5%. 17 out of 19 pre-planned needles were positioned within 5mm (the template grid size). One needle location was adjusted intra-operatively and another needle was removed due to proximity to urethra. The needle pathways were not always parallel to the trans-rectal probe due to the flexibility of CivaString. The angle of deviation was up to 10 degrees. Two pairs of needles were exchanged to better fit the length of prostate at the time of implant. This resulted in a prostate D90 of 153.8 Gy (124%) and 131.4 Gy (106.7%) for intra-op and PID respectively. Conclusion: Preplanning is a necessary part of implants performed with prefabricated linear polymer sources. However, as is often the case, there were real-time deviations from the pre-plan. Intra-op planning provides the ability conform to anatomy at the time of implant. Therefore, we propose to develop a systematic way to order extra strings of different length to provide the flexibility to perform intra-operative planning with fixed length strands.

SU-F-T-44: A Comparison of the Pre-Plan, Intra-Operative Plan, and Post-Implant Dosimetry for a Prostate Implant Case Using Prefabricated Linear Polymer-Encapsulated Pd-103

Energy Technology Data Exchange (ETDEWEB)

Sheu, R; Powers, A; McGee, H; Stock, R; Lo, Y [Mount Sinai Medical Center, New York, NY (United States)

2016-06-15

Purpose: To investigate the reproducibility and limitations of Pd-103 prostate brachytherapy using fixed length linear sources (CivaString). Methods: An LDR prostate brachytherapy case which was preplanned on MR images with prefabricated linear polymer-encapsulated Pd-103 sources (CivaString) was studied and compared with ultrasound based intra-operative planning and CT based post-implant dosimetry. We evaluated the following parameters among the three studies: prostate geometry (volume and cross sectional area), needle position and alignment deviations, and dosimetry parameters (D90). Results: The prostate volumes and axial cross sectional areas at center of prostate were measured as 41.8, 39.3 and 36.8 cc, and 14.9, 14.3, and 11.3 respectively on pre-plan MR, inter-op US, and post-implant CT studies. The deviation of prostate volumes and axial cross sectional areas measured on pre-planning MR and intra-operative US were within 5%. 17 out of 19 pre-planned needles were positioned within 5mm (the template grid size). One needle location was adjusted intra-operatively and another needle was removed due to proximity to urethra. The needle pathways were not always parallel to the trans-rectal probe due to the flexibility of CivaString. The angle of deviation was up to 10 degrees. Two pairs of needles were exchanged to better fit the length of prostate at the time of implant. This resulted in a prostate D90 of 153.8 Gy (124%) and 131.4 Gy (106.7%) for intra-op and PID respectively. Conclusion: Preplanning is a necessary part of implants performed with prefabricated linear polymer sources. However, as is often the case, there were real-time deviations from the pre-plan. Intra-op planning provides the ability conform to anatomy at the time of implant. Therefore, we propose to develop a systematic way to order extra strings of different length to provide the flexibility to perform intra-operative planning with fixed length strands.

Broadband Fan Noise Prediction System for Turbofan Engines. Volume 3; Validation and Test Cases

Science.gov (United States)

Morin, Bruce L.

2010-01-01

Pratt & Whitney has developed a Broadband Fan Noise Prediction System (BFaNS) for turbofan engines. This system computes the noise generated by turbulence impinging on the leading edges of the fan and fan exit guide vane, and noise generated by boundary-layer turbulence passing over the fan trailing edge. BFaNS has been validated on three fan rigs that were tested during the NASA Advanced Subsonic Technology Program (AST). The predicted noise spectra agreed well with measured data. The predicted effects of fan speed, vane count, and vane sweep also agreed well with measurements. The noise prediction system consists of two computer programs: Setup_BFaNS and BFaNS. Setup_BFaNS converts user-specified geometry and flow-field information into a BFaNS input file. From this input file, BFaNS computes the inlet and aft broadband sound power spectra generated by the fan and FEGV. The output file from BFaNS contains the inlet, aft and total sound power spectra from each noise source. This report is the third volume of a three-volume set documenting the Broadband Fan Noise Prediction System: Volume 1: Setup_BFaNS User s Manual and Developer s Guide; Volume 2: BFaNS User s Manual and Developer s Guide; and Volume 3: Validation and Test Cases. The present volume begins with an overview of the Broadband Fan Noise Prediction System, followed by validation studies that were done on three fan rigs. It concludes with recommended improvements and additional studies for BFaNS.

Gunshot Wounds in Military Working Dogs in Operation Enduring Freedom and Operation Iraqi Freedom: 29 cases (2003-2009)

Science.gov (United States)

2013-01-01

oxygenmask held in proximity to the dog’s face or taped to a basket-style muzzle ) during evacuation to the VTF. None of the WIA dogs received IV crystalloid...military working dogs in Operation Enduring Freedom and Operation Iraqi Freedom: 29 cases (2003–2009) Janice L. Baker, DVM; Karyn A. Havas, DVM; Laura A...received on the battlefield, and ultimate outcome of U.S. military working dogs that incurred gunshot wound (GSW) injury in Operation Enduring Freedom

Electric power annual 1994. Volume 2, Operational and financial data

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-11-28

This year, the annual is published in two volumes. Volume I focused on US electric utilities and contained final 1994 data on net generation, fossil fuel consumption, stocks, receipts, and cost. This Volume II presents annual 1994 summary statistics for the electric power industry, including information on both electric utilities and nonutility power producers. Included are preliminary data for electric utility retail sales of electricity, associated revenue, and average revenue per kilowatthour of electricity sold (based on form EIA-861) and for electric utility financial statistics, environmental statistics, power transactions, and demand- side management. Final 1994 data for US nonutility power producers on installed capacity and gross generation, as well as supply and disposition information, are also provided in Volume II. Technical notes and a glossary are included.

Rapid increase in cystic volume of an anaplastic astrocytoma misdiagnosed as neurocysticercosis: A case report

Science.gov (United States)

Li, Hong-Jiang; Han, Hong-Xiu; Feng, Dong-Fu

2016-01-01

Reports describing a rapid increase in the cystic volume of anaplastic astrocytoma (AA) in a short time frame are rare. The present study reports the case of a 68-year-old male who was admitted to the No. 9 People's Hospital, Shanghai Jiaotong University School of Medicine (Shanghai, China), with a small cystic brain lesion and positive immunological testing for cysticercosis. Head magnetic resonance imaging (MRI) showed a cystic lesion, 6 mm in diameter, in the left frontal lobe. Neurocysticercosis was suspected and the patient was treated with a clinical trial of albendazole and steroids. A period of 25 days later, the patient's condition had deteriorated, and MRI revealed a cystic lesion in the left frontal lobe; thereafter, the cystic lesion was removed and a diagnosis of AA was established. The tumor was soft, ivory white and gelatinous due to myxoid degeneration. In this case, tumor-related angiogenesis and microvascular extravasation (blood-brain barrier disruption) may have been the main cause of the rapid increase in the cystic volume in such a short time frame. The similarity of the glioma and cysticercus antigens may have been the cause of the positive reactions in the cystic fluid. The present study reports the rare occurrence of a rapid increase of cystic volume and potential diagnostic difficulties. PMID:27698865

Particular case of operator calculus for generalized functions with supports in cone

Directory of Open Access Journals (Sweden)

A. V. Solomko

2009-06-01

Full Text Available In this work the construction of functional calculus for strongly continuous semigroups of operators in Schwartz distribution algebra on some cone is generalized. The partial case of vector valued calculus on the base of modification operator Fourier transformation is researched.

Transforming Past Lessons to Mold the Future: A Case Study on Operation NICKEL GRASS

National Research Council Canada - National Science Library

Riney, Thomas J

2003-01-01

...?" In this case, the specific lessons from the 1973 airlift operation supporting Israel, Operation NICKEL GRASS, were analyzed and generalized using the Tenets of Operations described in U.S. Army field manuals...

[Case control study of fractures-dislocations of ankle joint with conservative and operative treatment].

Science.gov (United States)

Zhang, Song-Tu; Lin, Yi-Rong; Chen, Lian-Yuan

2010-10-01

To compare the clinical efficacy of grade III, IV supination-eversion fractures-dislocations of ankle joint between manipulative treatment and operative treatment. From September 2007 to December 2008, the clinical data of 60 patients with grade III, IV supination-eversion fractures-dislocations of ankle joint were retrospectively analyzed. There were 32 males and 28 females, ranging in age from 18 to 70 years with an average age of 38.17 years. All patients were respectively treated with manipulative treatment (conservative group, 30 cases) and operative treatment (operative group, 30 cases). The joint function was compared with Mazur standard; the reduction and shifting of fractures were observed with X-ray; the hospitalization day and the therapeutic cost were compared between two groups. All patients were followed up with an average of 15.27 months (ranged, 6 to 25 months). In conservative group, 16 cases got excellent result in joint function, 10 good, 3 fair, 1 poor; in operative group, 20 cases got excellent result, 8 good, 2 fair, 0 poor. In conservative group in the X-ray showed 25 cases obtained excellent and good reduction, 4 fair, 1 poor; and in operative group in the X-ray showed 28 cases obtained excellent and good reduction, 2 fair, 0 poor. There was no significant difference at the joint function and X-ray film after treatment between two groups (P > 0.05). The hospital day was respectively (7.87 +/- 3.34), (17.37 +/- 4.64) d in conservative group and operative group; and the therapeutic cost was respectively (2 506.67 +/- 649.10), (11 473.33 +/- 1 564.90) yuan. There was significant difference at hospital day and therapeutic cost between two groups (P fractures and dislocations of ankle joint. However, conservative treatment has advantage of high safety factor, low therapeutic cost, can reduce medical costs for patients.

Operative Landscape at Canadian Neurosurgery Residency Programs.

Science.gov (United States)

Tso, Michael K; Dakson, Ayoub; Ahmed, Syed Uzair; Bigder, Mark; Elliott, Cameron; Guha, Daipayan; Iorio-Morin, Christian; Kameda-Smith, Michelle; Lavergne, Pascal; Makarenko, Serge; Taccone, Michael S; Wang, Bill; Winkler-Schwartz, Alexander; Sankar, Tejas; Christie, Sean D

2017-07-01

Background Currently, the literature lacks reliable data regarding operative case volumes at Canadian neurosurgery residency programs. Our objective was to provide a snapshot of the operative landscape in Canadian neurosurgical training using the trainee-led Canadian Neurosurgery Research Collaborative. Anonymized administrative operative data were gathered from each neurosurgery residency program from January 1, 2014, to December 31, 2014. Procedures were broadly classified into cranial, spine, peripheral nerve, and miscellaneous procedures. A number of prespecified subspecialty procedures were recorded. We defined the resident case index as the ratio of the total number of operations to the total number of neurosurgery residents in that program. Resident number included both Canadian medical and international medical graduates, and included residents on the neurosurgery service, off-service, or on leave for research or other personal reasons. Overall, there was an average of 1845 operative cases per neurosurgery residency program. The mean numbers of cranial, spine, peripheral nerve, and miscellaneous procedures were 725, 466, 48, and 193, respectively. The nationwide mean resident case indices for cranial, spine, peripheral nerve, and total procedures were 90, 58, 5, and 196, respectively. There was some variation in the resident case indices for specific subspecialty procedures, with some training programs not performing carotid endarterectomy or endoscopic transsphenoidal procedures. This study presents the breadth of neurosurgical training within Canadian neurosurgery residency programs. These results may help inform the implementation of neurosurgery training as the Royal College of Physicians and Surgeons residency training transitions to a competence-by-design curriculum.

Office for Analysis and Evaluation of Operational Data 1993 annual report: Volume 8, Number 1

International Nuclear Information System (INIS)

1994-11-01

This annual report of the US Nuclear Regulatory Commission's Office for Analysis and Evaluation of Operational Data (AEOD) describes activities conducted during 1993. The report is published in two parts. NUREG-1272, Vol. 8, No. 1, covers power reactors and presents an overview of the operating experience of the nuclear power industry from the NRC perspective, including comments about the trends of some key performance measures. The report also includes the principal findings and issues identified in AEOD studies over the past year and summarizes information from such sources as licensee event reports, diagnostic evaluations, and reports to the NRC's Operations Center. NUREG-1272, Vol. 8, No. 2, covers nuclear materials and presents a review of the events and concerns during 1993 associated with the use of licensed material in nonreactor applications, such as personnel overexposures and medical misadministrations. Both reports also contain a discussion of the Incident Investigation Team program and summarize both the Incident Investigation Team and Augmented Inspection Team reports. Each volume contains a list of the AEOD reports issued from 1980 through 1993

Single mode operation of a hybrid optically pumped D2O far infrared laser

International Nuclear Information System (INIS)

Yuan, D.C.; Siegrist, M.R.

1990-04-01

We have achieved single mode operation in a hybrid optically pumped D 2 O far infrared laser. The active volume of the resonator was divided into two sections separated by a thin plastic foil. The larger section served as the main gain medium and the shorter section as mode selective element. The vapor pressure in the smaller volume was either very low or alternatively about 3 times higher than the pressure in the main part. In both cases single mode operation was achieved without any reduction of the total output energy. (author) 13 refs., 7 figs

Cortisol and Hippocampal Volume as Predictors of Active Suicidal Behavior in Major Depressive Disorder: Case Report

Directory of Open Access Journals (Sweden)

Theodor Moica

2016-12-01

Full Text Available Background: Suicide is frequently encountered in patients suffering from major depressive disorder (MDD. Since only a third of treated depressed patients are able to achieve remission, in the last few years, new theories have been proposed to better understand the mechanism of this illness. Our paper analyzes the interrelation between cortisol as a marker of neuroendocrine theory as a response to stress, and hippocampal volume subfields in depression as a marker of neurogenesis and neuroplasticity theory. Case Report: Here we present the case of a 52-year-old male patient with known history of MDD, who died as a result of completed suicide by hanging. The patient had been recently discharged from a psychiatric clinic, after being hospitalized for a major depressive episode (MDE. The result of the autopsy, medical records, laboratory analysis and a magnetic resonance image (MRI of the patient were analyzed. Both the right and left volumes of the hippocampus were found to be smaller when compared to normal values reported in the literature. The morning level of cortisol was higher than the normal value. Conclusion: In a depressed patient with an acute stressful event, high levels of cortisol associated with decreased volume of the hippocampus could represent predictors for an increased risk of suicide

RELAP5/MOD3 code manual. Volume 4, Models and correlations

International Nuclear Information System (INIS)

1995-08-01

The RELAP5 code has been developed for best-estimate transient simulation of light water reactor coolant systems during postulated accidents. The code models the coupled behavior of the reactor coolant system and the core for loss-of-coolant accidents and operational transients such as anticipated transient without scram, loss of offsite power, loss of feedwater, and loss of flow. A generic modeling approach is used that permits simulating a variety of thermal hydraulic systems. Control system and secondary system components are included to permit modeling of plant controls, turbines, condensers, and secondary feedwater systems. RELAP5/MOD3 code documentation is divided into seven volumes: Volume I presents modeling theory and associated numerical schemes; Volume II details instructions for code application and input data preparation; Volume III presents the results of developmental assessment cases that demonstrate and verify the models used in the code; Volume IV discusses in detail RELAP5 models and correlations; Volume V presents guidelines that have evolved over the past several years through the use of the RELAP5 code; Volume VI discusses the numerical scheme used in RELAP5; and Volume VII presents a collection of independent assessment calculations

Post-operative symptoms at home in children following day case ...

African Journals Online (AJOL)

Adele

of the parents did not know enough about the treatment of the wound and of the overall ... Post operative symptoms following elective day case surgery are amenable to treatment and ..... with inguinal and abdominal wall hernias in children.

Operating cost estimate low-level radioactive waste volume reduction and packaging options

International Nuclear Information System (INIS)

Williams, P.C.; Collins, E.G.

1983-01-01

The projected operating cost data examine the differences in compaction and incineration for DAW. Two commonly achieved densities for compaction are presented, while a third case approaching the theoretical density of the cloth and paper materials shows the interesting possibilities of improved compaction. Incineration at two benchmarks for the chlorinated plastic component of typical DAW illustrates the impact waste stream make-up has on economics. Evaporator concentrates are considered as a liquid at four concentrations (6%, 12%, 25% and 50%) and after all water has been removed for the cement and polymer cases. Five separate processing schemes are presented for bead resins. These range from dewatering and packaging in high integrity containers to incineration with solidification

A designated centre for people with disabilities operated by Nua Healthcare Services, Limerick

LENUS (Irish Health Repository)

Colleran, Gabrielle C

2009-01-01

BACKGROUND: Anterior triangle masses pose an important clinical dilemma. It is very difficult to distinguish the potential pathologies pre operatively by clinical and radiological assessment. CASE REPORT: The first case highlights the management of a bilateral chemodectoma, the second case is a presentation of castleman\\'s disease and the third is that of metastatic tonsillar adenocarcinoma. All three cases had a similar presentation and radiological appearance pre-operatively. CONCLUSION: Anterior triangle masses span the clinical spectrum of pathologies from chemodectoma to castleman\\'s disease to carcinoma. Expert vascular and radiological management is required for optimum patient care and should take place in a tertiary referral centre. Duplex US, CTA and MRA are important pre operative assessment tools to ensure that adequate information regarding the relationship of the lesion to the carotid artery is available to the operating surgeon who should have vascular expertise as deliberate practice volume has been repeatedly shown to result in improved patient outcome.

Three Mile Island: a report to the commissioners and to the public. Volume II, Part 1

International Nuclear Information System (INIS)

1979-01-01

This is part one of three parts of the second volume of the Special Inquiry Group's report to the Nuclear Regulatory Commission on the accident at Three Mile Island. The first volume contained a narrative description of the accident and a discussion of the major conclusions and recommendations. This second volume is divided into three parts. Part 1 of Volume II focuses on the pre-accident licensing and regulatory background. This part includes an examination of the overall licensing and regulatory system for nuclear powerplants viewed from different perspectives: the system as it is set forth in statutes and regulations, as described in Congressional testimony, and an overview of the system as it really works. In addition, Part 1 includes the licensing, operating, and inspection history of Three Mile Island Unit 2, discussions of relevant regulatory matters, a discussion of specific precursor events related to the accident, a case study of the pressurizer design issue, and an analysis of incentives to declare commercial operation

Energy extension service pilot program evaluation report: the first year. Volume II: pilot state reports

Energy Technology Data Exchange (ETDEWEB)

1979-09-01

Volume II of the Energy Extension Service Evaluation presents a discussion of the operations of the ten EES pilot-state programs during the period from October 1, 1977 through September 30, 1978. Each of the ten pilot states - Alabama, Connecticut, Michigan, New Mexico, Pennsylvania, Tennessee, Texas, Washington, Wisconsin, and Wyoming - received a grant of approximately $1.1 million to develop and implement a 19-month program beginning on October 1, 1977. Volume II provides a case-study description of the operations of the pilot program in each state, with special attention given to the two programs selected in each state for more detailed study and survey research. Some survey data and analysis are presented for the emphasis programs.

Federal Radiological Monitoring and Assessment Center Monitoring Manual Volume 1, Operations

Energy Technology Data Exchange (ETDEWEB)

NSTec Aerial Measurement Systems

2012-07-31

The Monitoring division is primarily responsible for the coordination and direction of: Aerial measurements to delineate the footprint of radioactive contaminants that have been released into the environment. Monitoring of radiation levels in the environment; Sampling to determine the extent of contaminant deposition in soil, water, air and on vegetation; Preliminary field analyses to quantify soil concentrations or depositions; and Environmental and personal dosimetry for FRMAC field personnel, during a Consequence Management Response Team (CMRT) and Federal Radiological Monitoring and Assessment Center (FRMAC) response. Monitoring and sampling techniques used during CM/FRMAC operations are specifically selected for use during radiological emergencies where large numbers of measurements and samples must be acquired, analyzed, and interpreted in the shortest amount of time possible. In addition, techniques and procedures are flexible so that they can be used during a variety of different scenarios; e.g., accidents involving releases from nuclear reactors, contamination by nuclear waste, nuclear weapon accidents, space vehicle reentries, or contamination from a radiological dispersal device. The Monitoring division also provides technicians to support specific Health and Safety Division activities including: The operation of the Hotline; FRMAC facility surveys; Assistance with Health and Safety at Check Points; and Assistance at population assembly areas which require support from the FRMAC. This volume covers deployment activities, initial FRMAC activities, development and implementation of the monitoring and assessment plan, the briefing of field teams, and the transfer of FRMAC to the EPA.

Use of lean and six sigma methodology to improve operating room efficiency in a high-volume tertiary-care academic medical center.

Science.gov (United States)

Cima, Robert R; Brown, Michael J; Hebl, James R; Moore, Robin; Rogers, James C; Kollengode, Anantha; Amstutz, Gwendolyn J; Weisbrod, Cheryl A; Narr, Bradly J; Deschamps, Claude

2011-07-01

Operating rooms (ORs) are resource-intense and costly hospital units. Maximizing OR efficiency is essential to maintaining an economically viable institution. OR efficiency projects often focus on a limited number of ORs or cases. Efforts across an entire OR suite have not been reported. Lean and Six Sigma methodologies were developed in the manufacturing industry to increase efficiency by eliminating non-value-added steps. We applied Lean and Six Sigma methodologies across an entire surgical suite to improve efficiency. A multidisciplinary surgical process improvement team constructed a value stream map of the entire surgical process from the decision for surgery to discharge. Each process step was analyzed in 3 domains, ie, personnel, information processed, and time. Multidisciplinary teams addressed 5 work streams to increase value at each step: minimizing volume variation; streamlining the preoperative process; reducing nonoperative time; eliminating redundant information; and promoting employee engagement. Process improvements were implemented sequentially in surgical specialties. Key performance metrics were collected before and after implementation. Across 3 surgical specialties, process redesign resulted in substantial improvements in on-time starts and reduction in number of cases past 5 pm. Substantial gains were achieved in nonoperative time, staff overtime, and ORs saved. These changes resulted in substantial increases in margin/OR/day. Use of Lean and Six Sigma methodologies increased OR efficiency and financial performance across an entire operating suite. Process mapping, leadership support, staff engagement, and sharing performance metrics are keys to enhancing OR efficiency. The performance gains were substantial, sustainable, positive financially, and transferrable to other specialties. Copyright © 2011 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

BP volume reduction equipment

International Nuclear Information System (INIS)

Kitamura, Yoshinori; Muroo, Yoji; Hamanaka, Isao

2003-01-01

A new type of burnable poison (BP) volume reduction system is currently being developed. Many BP rods, a subcomponent of spent fuel assemblies are discharged from nuclear power reactors. This new system reduces the overall volume of BP rods. The main system consists of BP rod cutting equipment, equipment for the recovery of BP cut pieces, and special transport equipment for the cut rods. The equipment is all operated by hydraulic press cylinders in water to reduce operator exposure to radioactivity. (author)

Evaluation of operational safety at Babcock and Wilcox Plants: Volume 2, Thermal-hydraulic results

International Nuclear Information System (INIS)

Wheatley, P.D.; Davis, C.B.; Callow, R.A.; Fletcher, C.D.; Dobbe, C.A.; Beelman, R.J.

1987-11-01

The Nuclear Regulatory Commission has initiated a research program to develop a methodology to assess the operational performance of Babcock and Wilcox plants and to apply this methodology on a trial basis. The methodology developed for analyzing Babcock and Wilcox plants integrated methods used in both thermal-hydraulics and human factors and compared results with information used in the assessment of risk. The integrated methodology involved an evaluation of a selected plant for each pressurized water reactor vendor during a limited number of transients. A plant was selected to represent each vendor, and three transients were identified for analysis. The plants were Oconee Unit 1 for Babcock and Wilcox, H.B. Robinson Unit 2 for Westinghouse, and Calvert Cliffs Unit 1 for Combustion Engineering. The three transients were a complete loss of all feedwater, a small-break loss-of-coolant accident, and a steam-generator overfill with auxiliary feedwater. Included in the integrated methodology was an assessment of the thermal-hydraulic behavior, including event timing, of the plants during the three transients. Thermal-hydraulic results are presented in this volume (Volume 2) of the report. 26 refs., 30 figs., 7 tabs

Start-up and operation strategies on the liquefied food waste anaerobic digestion and a full-scale case application.

Science.gov (United States)

Meng, Ying; Shen, Fei; Yuan, Hairong; Zou, Dexun; Liu, Yanping; Zhu, Baoning; Chufo, Akiber; Jaffar, Muhammad; Li, Xiujin

2014-11-01

Batch anaerobic digestion was employed to investigate the efficient start-up strategies for the liquefied food waste, and sequencing batch digestion was also performed to determine maximum influent organic loading rate (OLR) for efficient and stable operation. The results indicated that the start-up could be well improved using appropriate wastewater organic load and food-to-microorganism ratios (F/M). When digestion was initialized at low chemical oxygen demand (COD) concentration of 20.0 gCOD L(-1), the start-up would go well using lower F/M ratio of 0.5-0.7. The OLR 7.0 gCOD L(-1) day(-1) was recommended for operating the ASBR digestion, in which the COD conversion of 96.7 ± 0.53% and biomethane yield of 3.5 ± 0.2 L gCOD(-1) were achieved, respectively. The instability would occur when OLR was higher than 7.0 gCOD L(-1) day(-1), and this instability was not recoverable. Lipid was suggested to be removed before anaerobic digestion. The anaerobic digestion process in engineering project ran well, and good performance was achieved when the start-up and operational strategies from laboratory study were applied. For case application, stable digestion performance was achieved in a digester (850 m(3) volume) with biogas production of 1.0-3.8 m(3) m(-3) day(-1).

Evaluation of potential severe accidents during low power and shutdown operations at Surry, Unit 1: Evaluation of severe accident risk during mid-loop operations. Main report. Volume 6. Part 1

Energy Technology Data Exchange (ETDEWEB)

Jo, J.; Lin, C.C.; Neymotin, L. [Brookhaven National Lab., Upton, NY (United States)] [and others

1995-05-01

During 1989, the Nuclear Regulatory Commission (NRC) initiated an extensive program to carefully examine the potential risks during low power and shutdown operations. The program includes two parallel projects being performed by Brookhaven National Laboratory (BNL) and Sandia National Laboratories (SNL). Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the plants to be studied. The objectives of the program are to assess the risks of severe accidents initiated during plant operational states other than full power operation and to compare the estimated core damage frequencies, important accident sequences and other qualitative and quantitative results with those accidents initiated during full power operation as assessed in NUREG-1150. The scope of the program includes that of a level-3 PRA. A phased approach was used in the level-1 program. In phase 1 which was completed in Fall 1991, a coarse screening analysis including internal fire and flood was performed for all plant operational states (POSs). The objective of the phase 1 study was to identify potential vulnerable plant configurations, to characterize (on a high, medium, or low basis) the potential core damage accident scenarios, and to provide a foundation for a detailed phase 2 analysis. In phase 2, mid-loop operation was selected as the plant configuration to be analyzed based on the results of the phase 1 study. The objective of the phase 2 study is to perform a detailed analysis of the potential accident scenarios that may occur during mid-loop operation, and compare the results with those of NUREG-1150. The results of the phase 2 level 2/3 study are the subject of this volume of NUREG/CR-6144, Volume 6.

Evaluation of potential severe accidents during low power and shutdown operations at Surry, Unit 1: Evaluation of severe accident risk during mid-loop operations. Main report. Volume 6. Part 1

International Nuclear Information System (INIS)

Jo, J.; Lin, C.C.; Neymotin, L.

1995-05-01

During 1989, the Nuclear Regulatory Commission (NRC) initiated an extensive program to carefully examine the potential risks during low power and shutdown operations. The program includes two parallel projects being performed by Brookhaven National Laboratory (BNL) and Sandia National Laboratories (SNL). Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the plants to be studied. The objectives of the program are to assess the risks of severe accidents initiated during plant operational states other than full power operation and to compare the estimated core damage frequencies, important accident sequences and other qualitative and quantitative results with those accidents initiated during full power operation as assessed in NUREG-1150. The scope of the program includes that of a level-3 PRA. A phased approach was used in the level-1 program. In phase 1 which was completed in Fall 1991, a coarse screening analysis including internal fire and flood was performed for all plant operational states (POSs). The objective of the phase 1 study was to identify potential vulnerable plant configurations, to characterize (on a high, medium, or low basis) the potential core damage accident scenarios, and to provide a foundation for a detailed phase 2 analysis. In phase 2, mid-loop operation was selected as the plant configuration to be analyzed based on the results of the phase 1 study. The objective of the phase 2 study is to perform a detailed analysis of the potential accident scenarios that may occur during mid-loop operation, and compare the results with those of NUREG-1150. The results of the phase 2 level 2/3 study are the subject of this volume of NUREG/CR-6144, Volume 6

Analysis of remote operating systems for space-based servicing operations, volume 1

Science.gov (United States)

1985-01-01

A two phase study was conducted to analyze and develop the requirements for remote operating systems as applied to space based operations for the servicing, maintenance, and repair of satellites. Phase one consisted of the development of servicing requirements to establish design criteria for remote operating systems. Phase two defined preferred system concepts and development plans which met the requirements established in phase one. The specific tasks in phase two were to: (1) identify desirable operational and conceptual approaches for selected mission scenarios; (2) examine the potential impact of remote operating systems incorporated into the design of the space station; (3) address remote operating systems design issues, such as mobility, which are effected by the space station configuration; and (4) define the programmatic approaches for technology development, testing, simulation, and flight demonstration.

Pre-operative planning and intra-operative guidance in modern neurosurgery: a review of 300 cases.

Science.gov (United States)

Wadley, J.; Dorward, N.; Kitchen, N.; Thomas, D.

1999-01-01

Operative neurosurgery has recently entered an exciting era of image guided surgery or neuronavigation and application of this novel technology is beginning to have a significant impact in many ways in a variety of intracranial procedures. In order to fully assess the advantages of image guided techniques over conventional planning and surgery in selected cases, detailed prospective evaluation has been carried out during the advanced development of an optically tracked neuronavigation system. Over a 2-year period, 300 operative neurosurgical procedures have been performed with the assistance of interactive image guidance, as well as the development of new software applications and hardware tools. A broad range of intracranial neurosurgical procedures were seen to benefit from image guidance, including 163 craniotomies, 53 interactive stereotactic biopsies, 7 tracked neuroendoscopies and 37 complex skull base procedures. The most common pathological diagnoses were cerebral glioma in 98 cases, meningioma in 64 and metastasis in 23. Detailed analysis of a battery of postoperative questions revealed benefits in operative planning, appreciation of anatomy, lesion location, safety of surgery and greatly enhanced surgical confidence. The authors believe that image guided surgical technology, with new developments such as those described, has a significant role to play in contemporary neurosurgery and its widespread adoption in practice will be realised in the near future. Images Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Figure 9 PMID:10615186

Licensed operating reactors. Status summary report data as of 12-31-94: Volume 19

International Nuclear Information System (INIS)

1995-04-01

The Nuclear Regulatory Commission's annual summary of licensed nuclear power reactor data is based primarily on the report of operating data submitted by licensees for each unit for the month of December because that report contains data for the month of December, the year to date (in this case calendar year 1994) and cumulative data, usually from the date of commercial operation. The data is not independently verified, but various computer checks are made. The report is divided into two sections. The first contains summary highlights and the second contains data on each individual unit in commercial operation. Section 1 capacity and availability factors are simple arithmetic averages. Section 2 items in the cumulative column are generally as reported by the licensee and notes as to the use of weighted averages and starting dates other than commercial operation are provided

Licensed operating reactors. Status summary report data as of 12-31-94: Volume 19

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-04-01

The Nuclear Regulatory Commission`s annual summary of licensed nuclear power reactor data is based primarily on the report of operating data submitted by licensees for each unit for the month of December because that report contains data for the month of December, the year to date (in this case calendar year 1994) and cumulative data, usually from the date of commercial operation. The data is not independently verified, but various computer checks are made. The report is divided into two sections. The first contains summary highlights and the second contains data on each individual unit in commercial operation. Section 1 capacity and availability factors are simple arithmetic averages. Section 2 items in the cumulative column are generally as reported by the licensee and notes as to the use of weighted averages and starting dates other than commercial operation are provided.

Cerebral gray matter volume losses in essential tremor: A case-control study using high resolution tissue probability maps.

Science.gov (United States)

Cameron, Eric; Dyke, Jonathan P; Hernandez, Nora; Louis, Elan D; Dydak, Ulrike

2018-03-10

Essential tremor (ET) is increasingly recognized as a multi-dimensional disorder with both motor and non-motor features. For this reason, imaging studies are more broadly examining regions outside the cerebellar motor loop. Reliable detection of cerebral gray matter (GM) atrophy requires optimized processing, adapted to high-resolution magnetic resonance imaging (MRI). We investigated cerebral GM volume loss in ET cases using automated segmentation of MRI T1-weighted images. MRI was acquired on 47 ET cases and 36 controls. Automated segmentation and voxel-wise comparisons of volume were performed using Statistical Parametric Mapping (SPM) software. To improve upon standard protocols, the high-resolution International Consortium for Brain Mapping (ICBM) 2009a atlas and tissue probability maps were used to process each subject image. Group comparisons were performed: all ET vs. Controls, ET with head tremor (ETH) vs. Controls, and severe ET vs. An analysis of variance (ANOVA) was performed between ET with and without head tremor and controls. Age, sex, and Montreal Cognitive Assessment (MoCA) score were regressed out from each comparison. We were able to consistently identify regions of cerebral GM volume loss in ET and in ET subgroups in the posterior insula, superior temporal gyri, cingulate cortex, inferior frontal gyri and other occipital and parietal regions. There were no significant increases in GM volume in ET in any comparisons with controls. This study, which uses improved methodologies, provides evidence that GM volume loss in ET is present beyond the cerebellum, and in fact, is widespread throughout the cerebrum as well. Copyright © 2018 Elsevier Ltd. All rights reserved.

Operational waste volume projection. Revision 20

International Nuclear Information System (INIS)

Koreski, G.M.; Strode, J.N.

1994-01-01

Waste receipts to the double-shell tank system are analyzed and wastes through the year 2015 are projected based on generation trends of the past 12 months. A computer simulation of site operations is performed, which results in projections of tank fill schedules, tank transfers, evaporator operations, tank retrieval, and aging waste tank usage. This projection incorporates current budget planning and the clean-up schedule of the Tri-Party Agreement. Assumptions were current as of July 1994

Resident operative experience in general surgery, plastic surgery, and urology 5 years after implementation of the ACGME duty hour policy.

Science.gov (United States)

Simien, Christopher; Holt, Kathleen D; Richter, Thomas H; Whalen, Thomas V; Coburn, Michael; Havlik, Robert J; Miller, Rebecca S

2010-08-01

Resident duty hour restrictions were implemented in 2002-2003. This study examines changes in resident surgical experience since these restrictions were put into place. Operative log data for 3 specialties were examined: general surgery, urology, and plastic surgery. The academic year immediately preceding the duty hour restrictions, 2002-2003, was used as a baseline for comparison to subsequent academic years. Operative log data for graduating residents through 2007-2008 were the primary focus of the analysis. Examination of associated variables that may moderate the relationship between fewer duty hours and surgical volume was also included. Plastic surgery showed no changes in operative volume following duty hour restrictions. Operative volume increased in urology programs. General surgery showed a decrease in volume in some operative categories but an increase in others. Specifically the procedures in vascular, plastic, and thoracic areas showed a consistent decrease. There was no increase in the percentage of programs' graduates falling below minimum requirements. Procedures in pancreas, endocrine, and laparoscopic areas demonstrated an increase in volume. Graduates in larger surgical programs performed fewer procedures than graduates in smaller programs; this was not the case for urology or plastic surgery programs. The reduction of duty hours has not resulted in an across the board decrease in operative volume. Factors other than duty hour reforms may be responsible for some of the observed findings.

Improving perioperative performance: the use of operations management and the electronic health record.

Science.gov (United States)

Foglia, Robert P; Alder, Adam C; Ruiz, Gardito

2013-01-01

these changes were associated with a 53% increase in operating revenue. The fact that revenue increase was greater than case volume (53% vs. 35%) speaks for improved performance. Copyright © 2013 Elsevier Inc. All rights reserved.

Volume growth rate of acoustic neurinomas

International Nuclear Information System (INIS)

Laasonen, E.M.; Troupp, H.

1986-01-01

Of 79 acoustic neurinomas seen between June 1980 and June 1984, at least two CT scans were available for each of 23 tumours (21 patients); the scans were performed at intervals of at least 6 months. The volume growth rate of the tumours was either moderate, with a volume doubling time ranging from 205 to 545 days, or slow, with a doubling time ranging from 1090 days to no observable growth. No single clinical, radiological or histological feature correlated with any type of growth rate. However, some conclusions were drawn. If a primary CT scan is negative, at least 1 year should elapse before it is worthwhile taking another scan, even though audiological findings suggest growth; after an apparently radical removal, at least 3 years should elapse before a check CT scan is worthwhile; and if a small acoustic neurinoma is diagnosed, but for some reason not operated upon, a second CT scan should be carried out 1 year later in order to reassess the case. (orig.)

Temperature monitoring in large volume spread footing foundations: case study "Parque da Cidade" - São Paulo

Directory of Open Access Journals (Sweden)

D. Couto

Full Text Available ABSTRACT In recent years, the construction of foundation elements from large-volume reinforced concrete is becoming increasingly common. This implies a potential increase in the risk of cracks of thermal origin, due to the heat of hydration of cement. Under these circumstances, these concrete elements need to be treated using the mass concrete theory, widespread in dam construction, but little used when designing buildings. This paper aims to present a case study about the procedures and problems involved in the construction of a spread footing with a volume of approximately 800m³ designed for the foundation of a shopping center in São Paulo, Brazil.

SU-E-T-285: Revisiting the Nomogram for Intra-Operative Planning Based Pd-103 Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Narayanan, S; Cho, P [Virginia Mason Medical Center, Seattle, WA (United States)

2014-06-01

Purpose: The seed implant technique at our institution involves using a published nomogram for seed ordering based on CT based volume studies of the prostate. Ultrasound volume studies are subsequently used in the operating room for planning a modified peripheral loading with urethra sparing seed implant. The purpose of this study is to determine the appropriate modality for prostate volume measurement and creating an updated nomogram for intra-operative planning specific to our technique for pd-103 brachytherapy for efficient seed ordering. Methods: Prostate volumes based on pre-implant CT (Pre-CT), intra-operative ultrasound (TRUS), and post-implant CT (post-CT) studies as well as the total airkerma strength (AKS) of the implants were analyzed for 135 seed implant cases (69 monotherapy, 66 boost). Regression analysis was performed to derive the relationship between the total AKS and pre-CT and TRUS volumes. The correlation between TRUS and pre-CT volumes and TRUS and post-CT volumes were also studied. Results: Ultrasound based prostate volume exhibited a stronger correlation with total AKS than the pre-implant CT volume (R{sup 2} = 0.97 vs 0.88 for monotherapy and 0.96 vs 0.89 for boost). In general the pre-CT overestimated the prostate volume leading to ordering of a larger number of seeds and thus leading to higher number of unused/wasted seeds. Newly derived TRUS based nomogram was better suited for our technique than the published data. The post-implant CT volume closely followed the ultrasound volume (R{sup 2} = 0.88) as compared to pre-implant CT volumes (R{sup 2} = 0.57). Conclusion: In an era of costconscious health care where waste reduction is of utmost importance, an updated technique-specific nomogram is useful for ordering optimal number of seeds resulting in significant cost savings. In addition, our study shows that ultrasound based prostate volume is a better predictor for seed ordering for intra-operative planning than pre-implant CT.

International Energy Agency Building Energy Simulation Test and Diagnostic Method for Heating, Ventilating, and Air-Conditioning Equipment Models (HVAC BESTEST): Volume 2: Cases E300-E545.

Energy Technology Data Exchange (ETDEWEB)

Neymark J.; Judkoff, R.

2004-12-01

This report documents an additional set of mechanical system test cases that are planned for inclusion in ANSI/ASHRAE STANDARD 140. The cases test a program's modeling capabilities on the working-fluid side of the coil, but in an hourly dynamic context over an expanded range of performance conditions. These cases help to scale the significance of disagreements that are less obvious in the steady-state cases. The report is Vol. 2 of HVAC BESTEST Volume 1. Volume 1 was limited to steady-state test cases that could be solved with analytical solutions. Volume 2 includes hourly dynamic effects, and other cases that cannot be solved analytically. NREL conducted this work in collaboration with the Tool Evaluation and Improvement Experts Group under the International Energy Agency (IEA) Solar Heating and Cooling Programme Task 22.

Dosimetric impact of the variation of the prostate volume and shape between pretreatment planning and treatment procedure

International Nuclear Information System (INIS)

Beaulieu, Luc; Aubin, Sylviane; Taschereau, Richard; Pouliot, Jean; Vigneault, Eric

2002-01-01

Purpose: The goal of this study is to evaluate the dosimetric impact on a pretreatment planning of prostatic volume and shape variations occurring between the moment of the volume study (preplanning) and just before a transperineal permanent seed implant procedure. Such variations could be an obvious source of misplacement of the seeds relative to the prostate gland and organs at risk. Other sources of dosimetric uncertainties, such as misplacement due to the procedure itself or edema, are eliminated by looking at these variations before the implant procedure. Methods and Materials: For 35 clinical cases, prostate contours were taken at preplanning time as well as in the operating room (OR) minutes before the procedure. Comparison of shape and volume between the two sets was made. The impact on V100 was evaluated by placing the seeds in their planned positions in the new volume (clinical situation) and also by performing a new plan with the second set of contours to simulate an intraoperative approach. Results: The volume taken in the OR remained unchanged compared to the pretreatment planning volume in only 37% of the cases. While on average the dose coverage loss from pretreatment planning due to a combination of variations of volume and shape was small at 5.7%, a V100 degradation of up to 20.9% was observed in extreme cases. Even in cases in which no changes in volume were observed, changes in shape occurred and strongly affected implant dosimetry. Conclusions: Variations of volume and shape between pretreatment planning and the implant procedure can have a strong impact on the dosimetry if the planning and the implant procedure are not performed on the same day. This is an argument in favor of performing implant dosimetry in the OR

[Post-operative analgesia in case of ano-rectal diseases].

Science.gov (United States)

Rossitto, Maurizio; Pantè, Sebastiano; Manfrè, Antonino; Ciccolo, Antonio

2009-01-01

The aim of the study was that to evaluate the post-operative pain in case of ano-rectal diseases wether treated by ketorolac, or buprenorphine or tramadol. The intensity of post-operative pain was evaluated in 60 patients with hemorrhoidal diseases, fistulae, abscesses and anal neoplasms, divided into three homogenous groups and treated with intramuscular ketorolac (Group I), transdermal buprenorphine (Group II) and tramadol in elastomeric pump (Group III). The average index of the visual analogue scale, as mean to evaluate the intensity of the post-operative pain, was 1,85 in the first group, 1,20 in the second one and 1,40 in the third group. In patients treated with transdermal buprenorphine or with tramadol in elastomeric pump there has been a more quick psycho-physical recovery than in those treated with ketorolac; the management of elastomeric pump represents however for patients cause of concern while the transdermal system is a kind of rational and comfortable way of treatment of the pain, with the advantage of being non-invasive. Better compliance and lower operating costs have given the preference to the use of transdermal buprenorphine for the treatment of diseases of the post-operative pain in the diseases of the anal canal.

Office for Analysis and Evaluation of Operational Data. 1992 annual report: Nonreactors: Volume 7, No. 2

Energy Technology Data Exchange (ETDEWEB)

1993-10-01

The annual report of the US Nuclear Regulatory Commission`s Office for Analysis and Evaluation of Operational Data (AEOD) is devoted to the activities performed during 1992. The report is published in two separate parts. NUREG-1272, Vol. 7, No. 1, covers power reactors and presents an overview of the operating experience of the nuclear power industry from the NRC perspective, including comments about the trends of some key performance measures. The report also includes the principal findings and issues identified in AEOD studies over the past year and summarizes information from such sources as licensee event reports, diagnostic evaluations, and reports to the NRC`s Operations Center. NUREG-1272, Vol. 7, No. 2, covers nonreactors and presents a review of the events and concerns during 1992 associated with the use of licensed material in nonreactor applications, such as personnel overexposures and medical misadministrations. Both reports also contain a discussion of the Incident Investigation Team program and summarize both the Incident Investigation Team and Augmented Inspection Team reports. Each volume contains a list of the AEOD reports issued for 1981--1992.

Per operative discovery of Placenta Praevia Percreta: A case report ...

African Journals Online (AJOL)

Placenta percreta is a rare pathological entity with challenging diagnostic and therapeutic requirements especially for resource limited settings. We present here the case of a 40 year old woman with a per operative diagnosis of placenta accreta during a caesarian section indicated for placenta praevia. We highlight the ...

A lattice Boltzmann coupled to finite volumes method for solving phase change problems

Directory of Open Access Journals (Sweden)

El Ganaoui Mohammed

2009-01-01

Full Text Available A numerical scheme coupling lattice Boltzmann and finite volumes approaches has been developed and qualified for test cases of phase change problems. In this work, the coupled partial differential equations of momentum conservation equations are solved with a non uniform lattice Boltzmann method. The energy equation is discretized by using a finite volume method. Simulations show the ability of this developed hybrid method to model the effects of convection, and to predict transfers. Benchmarking is operated both for conductive and convective situation dominating solid/liquid transition. Comparisons are achieved with respect to available analytical solutions and experimental results.

Estimates of emergency operating capacity in US manufacturing and nonmanufacturing industries - Volume 1: Concepts and Methodology

Energy Technology Data Exchange (ETDEWEB)

Belzer, D.B. (Pacific Northwest Lab., Richland, WA (USA)); Serot, D.E. (D/E/S Research, Richland, WA (USA)); Kellogg, M.A. (ERCE, Inc., Portland, OR (USA))

1991-03-01

Development of integrated mobilization preparedness policies requires planning estimates of available productive capacity during national emergency conditions. Such estimates must be developed in a manner to allow evaluation of current trends in capacity and the consideration of uncertainties in various data inputs and in engineering assumptions. This study developed estimates of emergency operating capacity (EOC) for 446 manufacturing industries at the 4-digit Standard Industrial Classification (SIC) level of aggregation and for 24 key nonmanufacturing sectors. This volume lays out the general concepts and methods used to develop the emergency operating estimates. The historical analysis of capacity extends from 1974 through 1986. Some nonmanufacturing industries are included. In addition to mining and utilities, key industries in transportation, communication, and services were analyzed. Physical capacity and efficiency of production were measured. 3 refs., 2 figs., 12 tabs. (JF)

Control of waste well casing vent gas from a thermal enhanced oil recovery operation

International Nuclear Information System (INIS)

Peavy, M.A.; Braun, J.E.

1991-01-01

This paper presents an overview of a waste gas treatment system designed to control emissions from thermally enhanced oil recovery wells. This case study discusses the need, design, installation and operations of the system. Oryx Energy Company (Oryx) operates approximately 940 wells in the Midway-Sunset (MWSS) field under casing vapor recovery systems. The emissions collected from well casing vent gas cotaining hydrocarbons and hydrogen sulfide that are collected and processed through casing vapor recovery skids. These skids are composed of condensers, compressors, and pumps that separate fluids from the waste gas stream. The non-condensible gas is then disposed of in incinerators that reduce the hydrocarbon and sulfur emissions into the atmosphere. Approximately 91,000 lbs/day of hydrocarbon and 10,116 lbs/day of sulfur dioxide are removed from the atmosphere from wells contained within these systems operated by Oryx. These hydrocarbons yield approximately 550 barrels of oil per day (BOPD). The system helps manage the pressure differential from the reservoir into each wellbore and contributes to improved ambient air quality in Kern County, California

Comparison of three dosimetric techniques to take in account lung tumor motion: gating-like technique results lead to advice the use of gating device even in the cases of pre-operative irradiation

International Nuclear Information System (INIS)

Beneyton, V.; Billaud, G.; Niederst, C.; Meyer, P.; Schumacher, C.; Karamanoukian, D.; Noel, G.; Bourhala, K.

2010-01-01

Purpose: Comparison of three dosimetric techniques of lung tumor delineation to integrate tumor motion during breathing. Patients and method: Nineteen patients with T1-3N0M0 malignant lung tumor were treated with definitive chemoradiotherapy (14 cases) or pre-surgery chemo radiation. Doses were, respectively, 66 and 46 Gy. CT-scan for delineation was performed during three phases of breathing: free breathing and deep breath-hold inspiration and expiration. G.T.V. (gross tumor volume) was delineated on the three sequences. The classic technique included G.T.V. from the free-breathing sequence plus a C.T.V. (clinical target volume) margin of 5 to 8 mm plus a P.T.V. (planning target volume) margin of 7 to 10 mm (including I.T.V. [internal target volume] margin and set-up margin). The gating-like technique included G.T.V. from the deep breath-hold inspiration sequence plus a C.T.V. margin of 5 to 8 mm plus a P.T.V. margin of 2 mm. The three-volume technique, included G.T.V. as a result of the fusion of G.T.V.s from the three sequences plus a C.T.V. margin of 5 to 8 mm plus a P.T.V. margin of 2 mm. Dosimetry was calculated for the three P.T.V.s, if possible, with the same fields number and position. Dose constraints and rules were imposed to accept dosimetries: firstly spinal cord maximal dose less than 45 Gy, followed by V95 % for P.T.V. greater than or equal to 95 %, and V20 GY Gy for lung less than or equal to 30 %, V30 GY Gy for lung less than or equal to 20 %. Results: G.T.V.s were not statistically different between the three methods of delineation. P.T.V.s were significantly lower with the gating-like technique. V95% of the P.T.V. were not different between the three techniques. With the classic-, the gating-like- and the 3-volume techniques, dosimetry was considered as acceptable, respectively in 15, 18 and 15 cases. Comparisons of constraint values showed that the gating-like method gave the best results. In the case of pre-operative management, the gating

Design of Training Systems, Phase II Report, Volume III; Model Program Descriptions and Operating Procedures. TAEG Report No. 12-2.

Science.gov (United States)

Naval Training Equipment Center, Orlando, FL. Training Analysis and Evaluation Group.

The Design of Training Systems (DOTS) project was initiated by the Department of Defense (DOD) to develop tools for the effective management of military training organizations. Volume 3 contains the model and data base program descriptions and operating procedures designed for phase 2 of the project. Flow charts and program listings for the…

[Three methods for controlling presacral massive bleeding during pelvic operations].

Science.gov (United States)

Wang, Xiaoxue; Liu, Zhimin; Xie, Shangkui; Ren, Donglin; Wu, Yin'ai

2017-12-25

To evaluate three different methods for controlling presacral massive bleeding during pelvic operations. Clinical data of 11 patients with presacral massive bleeding during pelvic operation at The Sixth Affiliated Hospital of Sun Yat-sen University and 157 Branch Hospital of Guangzhou General Hospital of Guangzhou Military Command from January 2001 to January 2016 were analyzed retrospectively. Hemostasis methods for presacral massive bleeding during operation included gauze packing (whole pressure), drawing pin (local pressure) and absorbable gauze (absorbable gauze was adhered to bleeding position with medical glue after local pressure). Efficacy of these 3 methods for controlling bleeding was evaluated and compared. Ten patients were male and 1 was female with average age of 65.2 (40 to 79) years old. Eight cases were rectal cancer, 2 were presacral malignancies and 1 was rectal benign lesion. Bleeding volume during operation was 300 to 2 500 (median 800) ml. From 2001 to 2012, 4 cases received gauze packing, of whom, 3 cases were scheduled Dixon resection before operation and then had to be referred to Hartman resection; 3 cases died of systemic failure due to postoperative chronic errhysis and infection, and 1 underwent re-operation. At the same time from 2001 to 2012, 5 cases received drawing pin, of whom, bleeding of 3 cases was successfully controlled and Dixon resection was completed. In other 2 cases with hemostasis failure, 1 case underwent re-operation following the use of gauze packing, and another 1 case received absorbable gauze hemostasis. All the 5 patients were healing. From 2013 to 2016, 2 cases completed scheduled anterior resection of rectum after successful hemostasis with absorbable gauze and were healing and discharged. Gauze packing hemostasis is a basic method for controlling presacral massive bleeding. Drawing pin and absorbable gauze hemostasis are more precise and may avoid the change of surgical procedure. But drawing pin has the

Operation experience at the UWTF

International Nuclear Information System (INIS)

Ueno, Kazuhiro; Inada, Kameji; Ohmori, Kouji; Usui, Kazuya; Irinouchi, Sigenori; Asami, Makoto; Tohchi, Katsunori

2003-01-01

This report describes the operation experience on the volume reduction of metal wastes and used air filters contaminated with uranium at the Uranium contaminated Waste Treatment Facility (UWTF) in JNC Tokai Works. The UWTF consists of the metal waste treatment system and the filter-waste treatment system. The former treats metal wastes, the latter treats used air filters. Metal wastes are unpacked from drums, cut, and then compacted. Used air filters are separated into filter media and frames. Then the filter media are compacted and the frames are crushed. The operation of the UWTF was started in June 1998. The following volumes of wastes had been treated at the UWTF from the beginning of the operation to March 2003 (for about 5 years). (1) 1,524 drums of the metal wastes had been reduced to 410 drums. The volume reduction factor was 3.7. (2) 372 drums of the used air filters had been reduced to 39 drums. The volume reduction factor was 9.5. These systems have been operated without trouble for 5 years and have demonstrated to be able to reduce the volumes of the wastes to designed values. The volume reduction technologies for metal wastes and used air filters contaminated with uranium were successfully demonstrated at the UWTF. (author)

Clinical and radiological comparison of tuberculous and pyogenic spondylitis. An analysis of 49 operated cases

International Nuclear Information System (INIS)

Dzelzite, S.; Maurins, G.

1998-01-01

Objective: To perform retrospective analysis of 49 operated patients with histologically proven spondylodiscitis of tbc and pyogenic origin. Patient histories, laboratory tests and radiographic findings were statistically compared between two groups. We estimated that in 16 cases (32.6%) origin of spondylodiscitis was tbc and 33 cases (67.4%) origin was pyogenic. All cases of tbc spondylitis (except one drug resistant tbc form) were with previously proved tbc diagnosis of different localisation. Radiological findings for the tbc cases were more than two-vertebra involvement and deformation of vertebral column axis. Pyogenic spondylodiscitis (33 cases) were derived from or after - 1. lumbal discectomies (7 cases), 2. operation on retroperitoneal cavity (6 cases) including 3 cases after prothesation of abdominal aorta, 3. closed spine trauma (4 cases), 4. hematogenic dissemination of pyogenic infection from different localisation - kidney, lung, sinuses (8 cases). In 8 cases we did not estimate potential cause of spondylodiscitis. Conclusion: A definite diagnosis of spondylodiscitis was established by means of biopsy, histological evidence and bacterial culture. There are not specific radiological findings to differentiate tbc spondylodiscitis from pyogenic spondylodiscitis. (Full text)

Participative business modelling to support strategic decision making in operations : a case study

NARCIS (Netherlands)

Akkermans, H.A.

1993-01-01

Describes a case study in which a consultancy method based on participative business modelling was used to support strategic decision making in the field of operations. In this case study the Dutch client company faced serious logical and financial problems after an attempt to attain competitive

SOLVENT-BASED TO WATERBASED ADHESIVE-COATED SUBSTRATE RETROFIT - VOLUME IV: FILM AND LABEL MANUFACTURING CASE STUDY: FLEXCON COMPANY, INC.

Science.gov (United States)

This volume discusses a visit to a site operated by FLEXcon Company, Inc., a pressure-sensitive adhesive coater, to collect information on the pollution prevention opportunities and barriers associated with waterbased adhesives. The purpose of the visit to FLEXcon was to gather i...

Music and communication in the operating theatre.

Science.gov (United States)

Weldon, Sharon-Marie; Korkiakangas, Terhi; Bezemer, Jeff; Kneebone, Roger

2015-12-01

To observe the extent and the detail with which playing music can impact on communication in the operating theatre. According to the cited sources, music is played in 53-72% of surgical operations performed. Noise levels in the operating theatre already exceed World Health Organisation recommendations. There is currently a divide in opinions on the playing of music in operating theatres, with few studies conducted and no policies or guidance provided. An ethnographic observational study of teamwork in operating theatres through video recordings. Quantitative and qualitative data analysis approaches were used. This study was conducted between 2012-2013 in the UK. Video recordings of 20 operations over six months in two operating theatres were captured. The recordings were divided into music and non-music playing cases. Each case was logged using a request/response sequence identified through interactional analysis. Statistical analysis, using a χ(2) , explored the difference between the proportion of request repetitions and whether music was playing or not. Further interactional analysis was conducted for each request repetition. Request/response observations (N = 5203) were documented. A chi-square test revealed that repeated requests were five times more likely to occur in cases that played music than those that did not. A repeated request can add 4-68 seconds each to operation time and increased tensions due to frustration at ineffective communication. Music played in the operating theatre can interfere with team communication, yet is seldom recognized as a potential safety hazard. Decisions around whether music is played and around the choice of music and its volume, are determined largely by surgeons. Frank discussions between clinicians, managers, patients and governing bodies should be encouraged for recommendations and guidance to be developed. © 2015 John Wiley & Sons Ltd.

Non-operative management of abdominal gunshot injuries: Is it safe in all cases?

Science.gov (United States)

İflazoğlu, Nidal; Üreyen, Orhan; Öner, Osman Zekai; Meral, Ulvi Mehmet; Yülüklü, Murat

2018-01-01

In line with advances in diagnostic methods and expectation of a decrease in the number of negative laparotomies, selective non-operative management of abdominal gunshot wounds has been increasingly used over the last three decades. We aim to detect the possibility of treatment without surgery and present our experience in selected cases referred from Syria to a hospital at the Turkish-Syrian border. Between February 2012 and June 2014, patients admitted with abdominal gunshot wounds were analyzed. Computed tomography was performed for all patients on admission. Patients who were hemodynamically stable and did not have symptoms of peritonitis at the time of presentation were included in the study. The primary outcome parameters were mortality and morbidity. Successful selective non-operative management (Group 1) and unsuccessful selective non-operative management (Group 2) groups were compared in terms of complications, blood transfusion, injury site, injury severity score (ISS), and hospital stay. Of 158 truncal injury patients, 18 were considered feasible for selective non-operative management. Of these, 14 (78%) patients were treated without surgery. Other Four patients were operated upon progressively increasing abdominal pain and tenderness during follow-up. On diagnostic exploration, all of these cases had intestinal perforations. No mortality was observed in selective non-operative management. There was no statistically significant difference between Group 1 and Group 2, in terms of length of hospital stay (96 and 127 h, respectively). Also, there was no difference between groups in terms of blood transfusion necessity, injury site, complication rate, and injury severity score (p>0.05). Decision making on patient selection for selective non-operative management is critical to ensure favorable outcomes. It is not possible to predict the success of selective non-operative management in advance. Cautious clinical examination and close monitoring of these

IEA Wind Task 24 Integration of Wind and Hydropower Systems; Volume 2: Participant Case Studies

Energy Technology Data Exchange (ETDEWEB)

Acker, T.

2011-12-01

This report describes the background, concepts, issues and conclusions related to the feasibility of integrating wind and hydropower, as investigated by the members of IEA Wind Task 24. It is the result of a four-year effort involving seven IEA member countries and thirteen participating organizations. The companion report, Volume 2, describes in detail the study methodologies and participant case studies, and exists as a reference for this report.

ENDOVASCULAR PRELUDE FOR DELICATE MENINGEOMA OPERATION: A CASE REPORT

Directory of Open Access Journals (Sweden)

Aleksandar Kostic

2017-04-01

Full Text Available Introduction: Embolization prior to surgery can make tumor resection less complicated by reducing blood loss during surgery and shortening the time of the operation. Case report: In this paper, we presented a case of a sixty-three-year-old woman who was admitted to the Clinic of Neurosurgery, Clinical Center Niš, Serbia, at November 2016, after she underwent a CT brain scan that showed a large tumor of the left cerebellopontile angle. Digital subtraction angiography presented a large, highly vascularized tumor lesion that compressed the brain stem. The patient underwent endovascular procedure, and complete embolization of the tumor vessels was established. The radiologist delivered embolization material via the left ascending pharyngeal artery. In the next 24 hours, an operation was performed i.e. radical extirpation surgery (Simpson grade I. Postoperatively, the patient’s GCS was 15, with no new neurological deficit. Postoperative brain CT scan showed neither rest tumor nor blood clot inside the tumor bed. Pathohistological finding revealed atypical meningioma grade II. Conslusion: Despite some clinicians’ dilemma considering the utility of preoperative embolization of meningioma vessels, we believe that a team of educated and dedicated radiologist and neurosurgeon could achieve great results in resection of large and inaccessible cranial tumors.

Three-dimensional echocardiography: assessment of inter- and intra-operator variability and accuracy in the measurement of left ventricular cavity volume and myocardial mass

International Nuclear Information System (INIS)

Nadkarni, S.K.; Drangova, M.; Boughner, D.R.; Fenster, A.; Department of Medical Biophysics, Medical Sciences Building, University of Western Ontario, London, Ontario N6A 5C1

2000-01-01

Accurate left ventricular (LV) volume and mass estimation is a strong predictor of cardiovascular morbidity and mortality. We propose that our technique of 3D echocardiography provides an accurate quantification of LV volume and mass by the reconstruction of 2D images into 3D volumes, thus avoiding the need for geometric assumptions. We compared the accuracy and variability in LV volume and mass measurement using 3D echocardiography with 2D echocardiography, using in vitro studies. Six operators measured the LV volume and mass of seven porcine hearts, using both 3D and 2D techniques. Regression analysis was used to test the accuracy of results and an ANOVA test was used to compute variability in measurement. LV volume measurement accuracy was 9.8% (3D) and 18.4% (2D); LV mass measurement accuracy was 5% (3D) and 9.2% (2D). Variability in LV volume quantification with 3D echocardiography was %SEM inter = 13.5%, %SEM intra = 11.4%, and for 2D echocardiography was %SEM inter = 21.5%, %SEM intra = 19.1%. We derived an equation to predict uncertainty in measurement of LV volume and mass using 3D echocardiography, the results of which agreed with our experimental results to within 13%. 3D echocardiography provided twice the accuracy for LV volume and mass measurement and half the variability for LV volume measurement as compared with 2D echocardiography. (author)

Volume sums of polar Blaschke–Minkowski homomorphisms

Indian Academy of Sciences (India)

In this article, we establish Minkowski and Aleksandrov–Fenchel type inequalities for the volume sum of polars of Blaschke–Minkowski homomorphisms. Keywords. Blaschke–Minkowski homomorphism; volume differences; volume sum; projection body operator. 2010 Mathematics Subject Classification. 52A40, 52A30. 1.

Aircraft operational reliability—A model-based approach and a case study

International Nuclear Information System (INIS)

Tiassou, Kossi; Kanoun, Karama; Kaâniche, Mohamed; Seguin, Christel; Papadopoulos, Chris

2013-01-01

The success of an aircraft mission is subject to the fulfillment of some operational requirements before and during each flight. As these requirements depend essentially on the aircraft system components and the mission profile, the effects of failures can be very severe if they are not anticipated. Hence, one should be able to assess the aircraft operational reliability with regard to its missions in order to be able to cope with failures. We address aircraft operational reliability modeling to support maintenance planning during the mission achievement. We develop a modeling approach, based on a meta-model that is used as a basis: (i) to structure the information needed to assess aircraft operational reliability and (ii) to build a stochastic model that can be tuned dynamically, in order to take into account the aircraft system operational state, a mission profile and the maintenance facilities available at the flight stop locations involved in the mission. The aim is to enable operational reliability assessment online. A case study, based on an aircraft subsystem, is considered for illustration using the Stochastic Activity Networks (SANs) formalism

Right and Left Ventricular Volumes in Atrial Septal Defect Studied by Radiocardiography

Energy Technology Data Exchange (ETDEWEB)

Ivancevic, D. [Radioisotope Department, Internal Clinic, Rebro, Zagreb, Yugoslavia (Croatia); Vernejoul, P. de; Kellershohn, C. [CEA, Service Hospitalier Frederic Joliot, Departement de Biologie, Orsay (France)

1971-02-15

Radiocardiography with radioiodinated ({sup 131}I) human serum albumin and barium ({sup 137m}Ba) solution injected into the right subclavian vein has been performed in a group of 43 patients with atrial septal defect and left-to-right shunt. Data on the output and ejection index of each ventricle are essential for the estimation of the diastolic and residual volumes of the right and left ventricle. The systemic flow was therefore calculated according to Veall's formula and the pulmonary flow and the shunt How were determined using the method of de Vernejoul and co-workers. The formulas for the calculation of ventricular volumes were modified. The results show that many cases of atrial septal defect have an enlarged right ventricle whereas the left ventricle remains normal or is diminished. These changes correlate well with the amount of the shunt flow. In both ventricles the ventricular volumes show a good correlation with the stroke volumes. For the regulation of the pulmonary blood volume the right ventricle seems to be more important than the left ventricle. The operative closure of atrial septal defect (in 14 patients) has normalized the size of ventricular volumes. (author)

Volume of the steady-state space of financial flows in a monetary stock-flow-consistent model

Science.gov (United States)

Hazan, Aurélien

2017-05-01

We show that a steady-state stock-flow consistent macro-economic model can be represented as a Constraint Satisfaction Problem (CSP). The set of solutions is a polytope, which volume depends on the constraints applied and reveals the potential fragility of the economic circuit, with no need to study the dynamics. Several methods to compute the volume are compared, inspired by operations research methods and the analysis of metabolic networks, both exact and approximate. We also introduce a random transaction matrix, and study the particular case of linear flows with respect to money stocks.

Preoperative evaluation of liver volume parameters in living related donors by spiral computed tomography

International Nuclear Information System (INIS)

Michalak, M.; Pacho, R.; Pruszynski, B.; Paluszkiewicz, R.; Hevelke, P.; Krawczyk, M.

2002-01-01

The objective of the study is to assess the use of spiral computed tomography in the evaluation of the volume of the liver, its lobes, and selected segments in the preoperative period and to validate the used measurements. Thirty five potential donors (15 women and 20 men) aged 21-65 years were included. Based on the CT liver findings in the venous-portal phase and segment division of the liver according Couinaud the liver volume was calculated manually be a planimetric method, after making outlines of all liver sections. The volumes of lobes and selected segments were assessed by the same technique. The volumes of the resected liver segments calculated based on the CT findings were compared with appropriate measurements made during the operation. The total liver volume ranged between 804 and 1842 cm 3 (mean - 1456 cm 3 , standard deviation [SD] - 247). The volume of the right liver lobe including caudate lobe was 555 cm 3 to 1382 cm 3 (mean - 1024, SD - 186) that is in average 70.4% of the total liver volume. The volume of the left liver lobe ranged between 156 and 778 cm 3 (mean - 431, SD - 123) that is in average 29.6% of the total liver volume. The volume of segments 2+3 was 72 to 426 cm 3 (mean - 237 cm 3 , SD - 79) that is in average 16.2% of the total liver volume. The volume of the segment 4 ranged between 84 and 366 cm 3 (mean - 196, SD - 70) that is in average 13.4% of the total liver volume. CT makes possible to assess the volume of the liver, of its lobes and selected segments and it is an important modality for the classification of method of operation (segmentectomy, left hepatectomy, right hepatectomy). This method is accurate and reproducible. The liver part volumes calculated preoperatively in the majority of cases revealed to be smaller than in reality in average of 12.1%. (author)

Effect of volume loading on the Frank-Starling relation during reductions in central blood volume in heat-stressed humans

DEFF Research Database (Denmark)

Bundgaard-Nielsen, Morten; Wilson, T E; Seifert, Thomas

2010-01-01

During reductions in central blood volume while heat stressed, a greater decrease in stroke volume (SV) for a similar decrease in ventricular filling pressure, compared to normothermia, suggests that the heart is operating on a steeper portion of a Frank-Starling curve. If so, volume loading...... of heat-stressed individuals would shift the operating point to a flatter portion of the heat stress Frank-Starling curve thereby attenuating the reduction in SV during subsequent decreases in central blood volume. To investigate this hypothesis, right heart catheterization was performed in eight males...... from whom pulmonary capillary wedge pressure (PCWP), central venous pressure and SV (via thermodilution) were obtained while central blood volume was reduced via lower-body negative pressure (LBNP) during normothermia, whole-body heating (increase in blood temperature 1 degrees C), and during whole...

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...

Operating the plant, quality assurance, and the job of the operating staff, Volume Twelve

International Nuclear Information System (INIS)

Anon.

1986-01-01

Subject matter includes operating the plant (the role of the operator, the control room, plant technical specifications, plant operating procedures, initial startup program, BWR/PWR plant startup, BWR/PWR steady state power operation, BWR/PWR transient operation, emergency operation), quality assurance (what is quality, what is quality control, quality assurance includes quality control, government regulation and quality assurance, administrative controls for nuclear power plants, the necessity of reviews and audits, practical quality assurance), and the job of the operating staff (the plant operating staff, plant safety, first aid and resuscitation, general plant hazards, personnel protective equipment, handling chemicals, handling compressed gas, equipment repair and maintenance, communicating with others

Hanford Environmental Information System (HEIS) Operator`s Manual. Volume 1

Energy Technology Data Exchange (ETDEWEB)

Schreck, R.I.

1991-10-01

The Hanford Environmental Information System (HEIS) is a consolidated set of automated resources that effectively manage the data gathered during environmental monitoring and restoration of the Hanford Site. The HEIS includes an integrated database that provides consistent and current data to all users and promotes sharing of data by the entire user community. This manual describes the facilities available to the operational user who is responsible for data entry, processing, scheduling, reporting, and quality assurance. A companion manual, the HEIS User`s Manual, describes the facilities available-to the scientist, engineer, or manager who uses the system for environmental monitoring, assessment, and restoration planning; and to the regulator who is responsible for reviewing Hanford Site operations against regulatory requirements and guidelines.

[Pre-operation evaluation and intra-operation management of cochlear implantation].

Science.gov (United States)

Zhang, Dao-xing; Hu, Bao-hua; Xiao, Yu-li; Shi, Bo-ning

2004-10-01

To summarize pre-operation evaluation experiences in cochlear implantation. Performing auditory evaluation and image analysis seriously in 158 severe hearing loss or total deaf cases before cochlear implantation, comparing their performance with the findings during and post operation. Among the total 158 cases, 116 cases with normal structure, 42 cases with the abnormal findings of the inner or middle ear. Stapedial gusher happened in 6 cases, 1 case was not predicted before operation. Except 1 case with serious malformation, the findings of other 157 cases in operation were consistent with the pre-operation evaluation. We helped all patients reconstruct auditory conduction with cochlear implantation, and the average hearing level up to 37.6 dB SPL. Performing image analysis seriously before operation and planning for operation according to HRCT can do great help to cochlear implantation. The operation under the HRCT instruction has less complications.

High volume hydraulic fracturing operations: potential impacts on surface water and human health.

Science.gov (United States)

Mrdjen, Igor; Lee, Jiyoung

2016-08-01

High volume, hydraulic fracturing (HVHF) processes, used to extract natural gas and oil from underground shale deposits, pose many potential hazards to the environment and human health. HVHF can negatively affect the environment by contaminating soil, water, and air matrices with potential pollutants. Due to the relatively novel nature of the process, hazards to surface waters and human health are not well known. The purpose of this article is to link the impacts of HVHF operations on surface water integrity, with human health consequences. Surface water contamination risks include: increased structural failure rates of unconventional wells, issues with wastewater treatment, and accidental discharge of contaminated fluids. Human health risks associated with exposure to surface water contaminated with HVHF chemicals include increased cancer risk and turbidity of water, leading to increased pathogen survival time. Future research should focus on modeling contamination spread throughout the environment, and minimizing occupational exposure to harmful chemicals.

Magnetic fluid axisymmetric volume on a horizontal plane near a vertical line conductor in case of non-wetting

Energy Technology Data Exchange (ETDEWEB)

Vinogradova, A.S., E-mail: vinogradova.msu@gmail.com; Turkov, V.A.; Naletova, V.A.

2017-06-01

Static shapes of a magnetic fluid axisymmetric volume on a horizontal plane in the magnetic field of a vertical line conductor are studied theoretically in case of non-wetting while the current is slowly changing in a quasi-static manner. The possibility of the fluid shape hysteresis for a cyclic increase and decrease of the current and of spasmodic changes at certain values of the current is investigated. - Highlights: • Magnetic fluid on a horizontal plane near a line conductor is studied theoretically. • For fixed current and volume various static shapes are obtained. • Spasmodic and hysteresis phenomena are found.

Hospital volumes and later year of operation correlates with better outcomes in acute Type A aortic dissection

DEFF Research Database (Denmark)

Geirsson, Arnar; Ahlsson, Anders; Franco-Cereceda, Anders

2018-01-01

and C and cardiopulmonary bypass time, whereas later calendar year and higher hospital operative volumes predicted improved survival. CONCLUSIONS: Surgical mortality for acute Type A aortic dissection remains high but has decreased significantly over the last decade. This correlated with later year...... A Aortic Dissection is a retrospective database comprising 1159 patients (mean age 61.6 ± 12.2 years, 68% male) treated for acute Type A aortic dissection at 8 centres in Denmark, Finland, Iceland and Sweden from 2005 to 2014. Data gathered included demographics, symptoms, type of procedure, complications...

Solid Waste Operations Complex W-113, Detail Design Report (Title II). Volume 1: Title II design report

International Nuclear Information System (INIS)

1995-09-01

The Solid Waste Retrieval Facility--Phase 1 (Project W113) will provide the infrastructure and the facility required to retrieve from Trench 04, Burial ground 4C, contact handled (CH) drums and boxes at a rate that supports all retrieved TRU waste batching, treatment, storage, and disposal plans. This includes (1) operations related equipment and facilities, viz., a weather enclosure for the trench, retrieval equipment, weighing, venting, obtaining gas samples, overpacking, NDE, NDA, shipment of waste and (2) operations support related facilities, viz., a general office building, a retrieval staff change facility, and infrastructure upgrades such as supply and routing of water, sewer, electrical power, fire protection, roads, and telecommunication. Title I design for the operations related equipment and facilities was performed by Raytheon/BNFL, and that for the operations support related facilities including infrastructure upgrade was performed by KEH. These two scopes were combined into an integrated W113 Title II scope that was performed by Raytheon/BNFL. Volume 1 provides a comprehensive narrative description of the proposed facility and systems, the basis for each of the systems design, and the engineering assessments that were performed to support the technical basis of the Title II design. The intent of the system description presented is to provide WHC an understanding of the facilities and equipment provided and the A/E's perspective on how these systems will operate

Point-to-Point! Validation of the Small Aircraft Transportation System Higher Volume Operations Concept

Science.gov (United States)

Williams, Daniel M.

2006-01-01

Described is the research process that NASA researchers used to validate the Small Aircraft Transportation System (SATS) Higher Volume Operations (HVO) concept. The four phase building-block validation and verification process included multiple elements ranging from formal analysis of HVO procedures to flight test, to full-system architecture prototype that was successfully shown to the public at the June 2005 SATS Technical Demonstration in Danville, VA. Presented are significant results of each of the four research phases that extend early results presented at ICAS 2004. HVO study results have been incorporated into the development of the Next Generation Air Transportation System (NGATS) vision and offer a validated concept to provide a significant portion of the 3X capacity improvement sought after in the United States National Airspace System (NAS).

Post-mortem virtual estimation of free abdominal blood volume

International Nuclear Information System (INIS)

Ampanozi, Garyfalia; Hatch, Gary M.; Ruder, Thomas D.; Flach, Patricia M.; Germerott, Tanja; Thali, Michael J.; Ebert, Lars C.

2012-01-01

Purpose: The purpose of this retrospective study was to examine the reliability of virtually estimated abdominal blood volume using segmentation from postmortem computed tomography (PMCT) data. Materials and methods: Twenty-one cases with free abdominal blood were investigated by PMCT and autopsy. The volume of the blood was estimated using a manual segmentation technique (Amira, Visage Imaging, Germany) and the results were compared to autopsy data. Six of 21 cases had undergone additional post-mortem computed tomographic angiography (PMCTA). Results: The virtually estimated abdominal blood volumes did not differ significantly from those measured at autopsy. Additional PMCTA did not bias data significantly. Conclusion: Virtual estimation of abdominal blood volume is a reliable technique. The virtual blood volume estimation is a useful tool to deliver additional information in cases where autopsy is not performed or in cases where a postmortem angiography is performed

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd., Dublin

LENUS (Irish Health Repository)

Colleran, Gabrielle C

2009-01-01

BACKGROUND: Anterior triangle masses pose an important clinical dilemma. It is very difficult to distinguish the potential pathologies pre operatively by clinical and radiological assessment. CASE REPORT: The first case highlights the management of a bilateral chemodectoma, the second case is a presentation of castleman\\'s disease and the third is that of metastatic tonsillar adenocarcinoma. All three cases had a similar presentation and radiological appearance pre-operatively. CONCLUSION: Anterior triangle masses span the clinical spectrum of pathologies from chemodectoma to castleman\\'s disease to carcinoma. Expert vascular and radiological management is required for optimum patient care and should take place in a tertiary referral centre. Duplex US, CTA and MRA are important pre operative assessment tools to ensure that adequate information regarding the relationship of the lesion to the carotid artery is available to the operating surgeon who should have vascular expertise as deliberate practice volume has been repeatedly shown to result in improved patient outcome.

Prediction of Packed Cell Volume after Whole Blood Transfusion in Small Ruminants and South American Camelids: 80 Cases (2006-2016).

Science.gov (United States)

Luethy, D; Stefanovski, D; Salber, R; Sweeney, R W

2017-11-01

Calculation of desired whole blood transfusion volume relies on an estimate of an animal's circulating blood volume, generally accepted to be 0.08 L/kg or 8% of the animal's body weight in kilograms. To use packed cell volume before and after whole blood transfusion to evaluate the accuracy of a commonly used equation to predict packed cell volume after transfusion in small ruminants and South American camelids; to determine the nature and frequency of adverse transfusion reactions in small ruminants and camelids after whole blood transfusion. Fifty-eight small ruminants and 22 alpacas that received whole blood transfusions for anemia. Retrospective case series; medical record review for small ruminants and camelids that received whole blood transfusions during hospitalization. Mean volume of distribution of blood as a fraction of body weight in sheep (0.075 L/kg, 7.5% BW) and goats (0.076 L/kg, 7.6% BW) differed significantly (P blood volume (volume of distribution of blood) is adequate for calculation of transfusion volumes; however, use of the species-specific circulating blood volume can improve calculation of transfusion volume to predict and achieve desired packed cell volume. The incidence of transfusion reactions in small ruminants and camelids is low. Copyright © 2017 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

Mild trigonocephaly. Report of 300 operative cases

International Nuclear Information System (INIS)

Shimoji, Takeyoshi; Yamashiro, Katsumi; Nagamine, Tomoaki; Kawakubo, Junichi; Shimoji, Kazuaki

2009-01-01

Since 1999, we have reported mild trigonocephaly with symptoms mainly accompanied with developmental delays. We would like to report the operative results of 300 patients. All patients had some kind of clinical symptoms. The diagnosis made recognizing ridge of the fused metopic suture by palpation and a three-dimensional computed tomography (3D-CT). Most patients (287 among 300) could not be diagnosed because of the mild changes of their facial features and their natural development as infants. They suffered from symptoms such as mental retardation, delayed language development, hyperactivity, autistic tendencies, panic and irritability, motor dysfunctions, self-mutilation and sleeping disturbances. Two hundred thirteen patients were recorded intracranial pressure (ICP). Developmental quotients (D.Q) were also measured. Two hundred fifteen (73.6%) of 292 patients with delays of language development were improved within a year after surgery. Other symptoms also improved: 91.6% in hyperactivity, 76.5% in autistic tendencies, 92% in panic, 90.4% in motor dysfunctions, 88.6% in self-mutilation and 93% in sleeping disturbances. The chronological scores in D.Q maintained parallel in most patients. Measurements of ICP resulted in 10 cases (5%) under mean 10 mmHg, 33 cases (15%) between 11 to 15 mmHg and 170 cases (80%) over 16 mmHg. The mean pulse pressure calculated around 9 mmHg in each group. Decompressive cranioplasty was applied to all patients. Patients with mild trigonocephaly may have a possibility to show clinical symptoms. Since the ICP seems to be high, decompressive cranioplasty may be a reasonable treatment for these patients. (author)

Development of Automatic Visceral Fat Volume Calculation Software for CT Volume Data

Directory of Open Access Journals (Sweden)

Mitsutaka Nemoto

2014-01-01

Full Text Available Objective. To develop automatic visceral fat volume calculation software for computed tomography (CT volume data and to evaluate its feasibility. Methods. A total of 24 sets of whole-body CT volume data and anthropometric measurements were obtained, with three sets for each of four BMI categories (under 20, 20 to 25, 25 to 30, and over 30 in both sexes. True visceral fat volumes were defined on the basis of manual segmentation of the whole-body CT volume data by an experienced radiologist. Software to automatically calculate visceral fat volumes was developed using a region segmentation technique based on morphological analysis with CT value threshold. Automatically calculated visceral fat volumes were evaluated in terms of the correlation coefficient with the true volumes and the error relative to the true volume. Results. Automatic visceral fat volume calculation results of all 24 data sets were obtained successfully and the average calculation time was 252.7 seconds/case. The correlation coefficients between the true visceral fat volume and the automatically calculated visceral fat volume were over 0.999. Conclusions. The newly developed software is feasible for calculating visceral fat volumes in a reasonable time and was proved to have high accuracy.

Development, field testing and implementation of automated hydraulically controlled, variable volume loading systems for reciprocating compressors

Energy Technology Data Exchange (ETDEWEB)

Hickman, Dwayne A. [ACI Services, Inc., Cambridge, OH (United States); Slupsky, John [Kvaerner Process Systems, Calgary, Alberta (Canada); Chrisman, Bruce M.; Hurley, Tom J. [Cooper Energy Services, Oklahoma City, OK (United States). Ajax Division

2003-07-01

Automated, variable volume unloaders provide the ability to smoothly load/unload reciprocating compressors to maintain ideal operations in ever-changing environments. Potential advantages provided by this load control system include: maximizing unit capacity, optimizing power economy, maintaining low exhaust emissions, and maintaining process suction and discharge pressures. Obstacles foreseen include: reliability, stability, serviceability and automation integration. Results desired include: increased productivity for the compressor and its operators, increased up time, and more stable process control. This presentation covers: system design features with descriptions of how different types of the devices were developed, initial test data, and how they can be effectively operated; three actual-case studies detailing the reasons why automated, hydraulically controlled, variable volume, head-end unloaders were chosen over other types of unloading devices; sophisticated software used in determining the device sizing and predicted performance; mechanical and field considerations; installation, serviceability and operating considerations; device control issues, including PC and PLC considerations; monitoring of actual performance and comparison of such with predicted performance; analysis of mechanical reliability and stability; and preliminary costs versus return on investment analysis. (author)

Evaluation of the treatment of autopsied cases of carcinoma of the cervix with reference to surgical operation and radiotherapy

International Nuclear Information System (INIS)

Ogawa, Masatoshi; Suzuki, Mitsuaki; Takeda, Hideo; Jobo, Toshiko; Arai, Masao

1982-01-01

Results of thirty two autopsies in the cases of carcinoma of the cervix experienced in ten years were analyzed. Fourteen cases received surgery and postoperative irradiation. Fourteen cases had external irradiation combined with intracavitary irradiation. Cancer was the cause of death in 81.3% of the whole cases, and it caused cachexia in many cases of the two groups. Uremia and uremic complication were found in 8 cases of the operative group, and in 2 of the radiotherapy group. High incidences of intrapelvic local recurrence and metastasis to other organs were found in the operative group. Cancerous infiltrative involvement of the bladder was often observed, such as in 11 cases of the operated group and in 9 cases of the irradiation group. Cancerous hydronephrosis was found in 10 and 5 cases of the operation and irradiation group, respectively; non-cancerous hydronephrosis was found in 2 of the former and in 4 of the latter. The radiotherapy group had a longer survival period than the other, without severe side effects in the urinary system. This suggested that radiotherapy is of value in treatment of cervical cancer. (Ueda, J.)

Evaluation of the treatment of autopsied cases of carcinoma of the cervix with reference to surgical operation and radiotherapy

Energy Technology Data Exchange (ETDEWEB)

Ogawa, Masatoshi; Suzuki, Mitsuaki; Takeda, Hideo; Jobo, Toshiko; Arai, Masao [Kitasato Univ., Sagamihara, Kanagawa (Japan). School of Medicine

1982-08-01

Results of thirty two autopsies in the cases of carcinoma of the cervix experienced in ten years were analyzed. Fourteen cases received surgery and postoperative irradiation. Fourteen cases had external irradiation combined with intracavitary irradiation. Cancer was the cause of death in 81.3% of the whole cases, and it caused cachexia in many cases of the two groups. Uremia and uremic complication were found in 8 cases of the operative group, and in 2 of the radiotherapy group. High incidences of intrapelvic local recurrence and metastasis to other organs were found in the operative group. Cancerous infiltrative involvement of the bladder was often observed, such as in 11 cases of the operated group and in 9 cases of the irradiation group. Cancerous hydronephrosis was found in 10 and 5 cases of the operation and irradiation group, respectively; non-cancerous hydronephrosis was found in 2 of the former and in 4 of the latter. The radiotherapy group had a longer survival period than the other, without severe side effects in the urinary system. This suggested that radiotherapy is of value in treatment of cervical cancer.

1000-Case Reader Study of Radiologists' Performance in Interpretation of Automated Breast Volume Scanner Images with a Computer-Aided Detection System.

Science.gov (United States)

Xu, Xiaojing; Bao, Lingyun; Tan, Yanjuan; Zhu, Luoxi; Kong, Fanlei; Wang, Wei

2018-05-28

The objective of our study was to assess, in a reader study, radiologists' performance in interpretation of automated breast volume scanner (ABVS) images with the aid of a computer-aided detection (CADe) system. Our study is a retrospective observer study with the purpose of investigating the effectiveness of using a CADe system as an aid for radiologists in interpretation of ABVS images. The multiple-reader, multiple-case study was designed to compare the diagnostic performance of radiologists with and without CADe. The study included 1000 cases selected from ABVS examinations in our institution in 2012. Among those cases were 206 malignant, 486 benign and 308 normal cases. The cancer cases were consecutive; the benign and normal cases were randomly selected. All malignant and benign cases were confirmed by biopsy or surgery, and normal cases were confirmed by 2-y follow-up. Reader performance was compared in terms of area under the receiver operating characteristic curve, sensitivity and specificity. Additionally, the reading time per case for each reader was recorded. Nine radiologists from our institution participated in the study. Three had more than 8 y of ultrasound experience and more than 4 y of ABVS experience (group A); 3 had more than 5 y of ultrasound experience (group B), and 3 had more than 1 y of ultrasound experience (group C). Both group B and group C had no ABVS experience. The CADe system used was the QVCAD System (QView Medical, Inc., Los Altos, CA, USA). It is designed to aid radiologists in searching for suspicious areas in ABVS images. CADe results are presented to the reader simultaneously with the ABVS images; that is, the radiologists read the ABVS images concurrently with the CADe results. The cases were randomly assigned for each reader into two equal-size groups, 1 and 2. Initially the readers read their group 1 cases with the aid of CADe and their group 2 cases without CADe. After a 1-mo washout period, they re-read their group 1

Preventive maintenance basis: Volume 16 -- Power operated relief valves, solenoid actuated. Final report

International Nuclear Information System (INIS)

Worledge, D.; Hinchcliffe, G.

1997-07-01

US nuclear plants are implementing preventive maintenance (PM) tasks with little documented basis beyond fundamental vendor information to support the tasks or their intervals. The Preventive Maintenance Basis project provides utilities with the technical basis for PM tasks and task intervals associated with 40 specific components such as valves, electric motors, pumps, and HVAC equipment. This report provides an overview of the PM Basis project and describes use of the PM Basis database. This volume 16 of the report provides a program of PM tasks suitable for application to power operated relief valves (PORV's) that are solenoid actuated. The PM tasks that are recommended provide a cost-effective way to intercept the causes and mechanisms that lead to degradation and failure. They can be used, in conjunction with material from other sources, to develop a complete PM program or to improve an existing program. Users of this information will be utility managers, supervisors, craft technicians, and training instructors responsible for developing, optimizing, or fine-tuning PM programs

Indexes to Nuclear Regulatory Commission issuances, July--September 1995. Volume 42, Index 1

International Nuclear Information System (INIS)

1995-01-01

Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and Licensing Board Panel (LBP), the Administrative Law Judges (ALJ), the Directors' Decisions (DD), and the Denials of Petitions for Rulemaking (DPRM) are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements common to the cases heard and ruled upon are: Case name (owner(s) of facility); full text reference (volume and pagination); issuance number; issues raised by appellants; legal citations (cases, regulations, and statutes); name of facility, docket number; subject matter of issues and/or rulings; type of hearing (for construction permit, operating license, etc.); and type of issuance (memorandum, order, decision, etc.)

Indexes to Nuclear Regulatory Commission issuances, July--December 1994. Volume 40, Index 2

International Nuclear Information System (INIS)

1994-01-01

Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and Licensing Board panel (LBP), the Administrative Law Judges, the Directors' Decisions (DD), and the Denials of Petitions for Rulemaking (DPRM) are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements common to the cases heard and ruled upon are: Case name (owner(s) of facility); Full text reference (volume and pagination); Issuance number; Issues raised by appellants; Legal citations (cases, regulations, and statutes); Name of facility, Docket number; Subject matter of issues and/or rulings; Type of hearing (for construction permit, operating license, etc.); Type of issuance (memorandum, order, decision, etc.)

Indexes to Nuclear Regulatory Commission issuances: July--September 1994. Volume 40, Index 1

International Nuclear Information System (INIS)

1994-01-01

Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and Licensing Board Panel (LBP), the Administrative Law Judges (ALJ), the Directors' Decision (DD), and the Denials of Petitions for Rulemaking (DPRM) are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements common to the cases heard and ruled upon are: case name (owner(s) of facility), full text reference (volume and pagination), issuance number, issues raised by apellants, legal citations (cases, regulations, and statutes), name of facility, docket number, subject matter of issues and/or rulings, type of hearing (for construction permit, operating license, etc.), type of issuance (Memorandum, order, decision, etc.)

Indexes to Nuclear Regulatory Commission issuances, January--March 1995. Volume 41, Index 1

International Nuclear Information System (INIS)

1995-06-01

Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and Licensing Board Panel (LBP), the Administrative Law Judges (ALJ), the Directors' Decisions (DD), and the Denials of Petitions for Rulemaking (DPRM) are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements common to the cases heard and ruled upon are: case name (owner(s) of facility); full text reference (volume and pagination); issuance number; issues raised by appellants; legal citations (cases, regulations, and statutes); name of facility, docket number; subject matter of issues and/or rulings; type of hearing (for construction permit, operating license, etc.); and type of issuance (memorandum, order, decision, etc.)

Indexes to Nuclear Regulatory Commission issuances, July--December 1994. Volume 40, Index 2

Energy Technology Data Exchange (ETDEWEB)

NONE

1994-12-31

Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and Licensing Board panel (LBP), the Administrative Law Judges, the Directors` Decisions (DD), and the Denials of Petitions for Rulemaking (DPRM) are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements common to the cases heard and ruled upon are: Case name (owner(s) of facility); Full text reference (volume and pagination); Issuance number; Issues raised by appellants; Legal citations (cases, regulations, and statutes); Name of facility, Docket number; Subject matter of issues and/or rulings; Type of hearing (for construction permit, operating license, etc.); Type of issuance (memorandum, order, decision, etc.).

Indexes to Nuclear Regulatory Commission issuances: July--September 1994. Volume 40, Index 1

Energy Technology Data Exchange (ETDEWEB)

1994-12-01

Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and Licensing Board Panel (LBP), the Administrative Law Judges (ALJ), the Directors` Decision (DD), and the Denials of Petitions for Rulemaking (DPRM) are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements common to the cases heard and ruled upon are: case name (owner(s) of facility), full text reference (volume and pagination), issuance number, issues raised by apellants, legal citations (cases, regulations, and statutes), name of facility, docket number, subject matter of issues and/or rulings, type of hearing (for construction permit, operating license, etc.), type of issuance (Memorandum, order, decision, etc.).

Pancreatogastrocutaneous fistula: a discussed case presentation

International Nuclear Information System (INIS)

Gonzalez Salcedo, Joel; Pita Armenteros, Luis; Perez Jomarron, Emilio; Morales Diaz, Ignacio

2010-01-01

This is a case presentation of a patient aged 47 with a huge right humpback appearing at 18 years old. He was operated on 14 years ago from a cystic formation increasing the volume of limbs and the appearance afterwards of a 2,5 cm tumor. Ten days before its admission showed a urinary infection, constipation, difficulty to release gases, pain and abdominal distention, visualizing such tumor. At radiography on noted many fecaloma and metallic foreign body. He was operated on verifying the presence of fecalomas, loop distention and foreign body whose tip was visualized and palpated. (author)

POWER-GEN '90 conference papers: Volume 7 (Fossil plant performance availability and improvement) and Volume 8 (Nuclear power issues)

International Nuclear Information System (INIS)

Anon.

1990-01-01

This is book 4 of papers presented at the Third International Exhibition and Conference for the Power Generation Industries, December 4-6, 1990. This book contains Volume 7, Fossil Plant Performance Availability and Improvement, and Volume 8, Nuclear Power Issues. The topics of the papers include computer applications in plant operations and maintenance, managing aging plants, plant improvements, plant operations and maintenance, the future of nuclear power, achieving cost effective plant operation, managing nuclear plant aging and license renewal, and the factors affecting a decision to build a new nuclear plant

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

Alcohol based surgical prep solution and the risk of fire in the operating room: a case report

Directory of Open Access Journals (Sweden)

Gupta Rajiv

2008-04-01

Full Text Available Abstract A few cases of fire in the operating room are reported in the literature. The factors that may initiate these fires are many and include alcohol based surgical prep solutions, electrosurgical equipment, flammable drapes etc. We are reporting a case of fire in the operating room while operating on a patient with burst fracture C6 vertebra with quadriplegia. The cause of the fire was due to incomplete drying of the covering drapes with an alcohol based surgical prep solution. This paper discusses potential preventive measures to minimize the incidence of fire in the operating room.

Office for Analysis and Evaluation of Operational Data 1996 annual report. Volume 10, Number 1: Reactors

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-12-01

This annual report of the US Nuclear Regulatory Commission`s Office for Analysis and Evaluation of Operational Data (AEOD) describes activities conducted during 1996. The report is published in three parts. NUREG-1272, Vol. 10, No. 1, covers power reactors and presents an overview of the operating experience of the nuclear power industry from the NRC perspective, including comments about trends of some key performance measures. The report also includes the principal findings and issues identified in AEOD studies over the past year and summarizes information from such sources as licensee event reports and reports to the NRC`s Operations Center. NUREG-1272, Vol. 10, No. 2, covers nuclear materials and presents a review of the events and concerns during 1996 associated with the use of licensed material in nonreactor applications, such as personnel overexposures and medical misadministrations. Both reports also contain a discussion of the Incident Investigation Team program and summarize both the Incident Investigation Team and Augmented Inspection Team reports. Each volume contains a list of the AEOD reports issued from CY 1980 through 1996. NUREG-1272, Vol. 10, No. 3, covers technical training and presents the activities of the Technical Training Center in support of the NRC`s mission in 1996.

Office for Analysis and Evaluation of Operational Data 1996 annual report. Volume 10, Number 1: Reactors

International Nuclear Information System (INIS)

1997-12-01

This annual report of the US Nuclear Regulatory Commission's Office for Analysis and Evaluation of Operational Data (AEOD) describes activities conducted during 1996. The report is published in three parts. NUREG-1272, Vol. 10, No. 1, covers power reactors and presents an overview of the operating experience of the nuclear power industry from the NRC perspective, including comments about trends of some key performance measures. The report also includes the principal findings and issues identified in AEOD studies over the past year and summarizes information from such sources as licensee event reports and reports to the NRC's Operations Center. NUREG-1272, Vol. 10, No. 2, covers nuclear materials and presents a review of the events and concerns during 1996 associated with the use of licensed material in nonreactor applications, such as personnel overexposures and medical misadministrations. Both reports also contain a discussion of the Incident Investigation Team program and summarize both the Incident Investigation Team and Augmented Inspection Team reports. Each volume contains a list of the AEOD reports issued from CY 1980 through 1996. NUREG-1272, Vol. 10, No. 3, covers technical training and presents the activities of the Technical Training Center in support of the NRC's mission in 1996

Long-term, low-level radwaste volume-reduction strategies. Volume 4. Waste disposal costs. Final report

International Nuclear Information System (INIS)

Sutherland, A.A.; Adam, J.A.; Rogers, V.C.; Merrell, G.B.

1984-11-01

Volume 4 establishes pricing levels at new shallow land burial grounds. The following conclusions can be drawn from the analyses described in the preceding chapters: Application of volume reduction techniques by utilities can have a significant impact on the volumes of wastes going to low-level radioactive waste disposal sites. Using the relative waste stream volumes in NRC81 and the maximum volume reduction ratios provided by Burns and Roe, Inc., it was calculated that if all utilities use maximum volume reduction the rate of waste receipt at disposal sites will be reduced by 40 percent. When a disposal site receives a lower volume of waste its total cost of operation does not decrease by the same proportion. Therefore the average cost for a unit volume of waste received goes up. Whether the disposal site operator knows in advance that he will receive a smaller amount of waste has little influence on the average unit cost ($/ft) of the waste disposed. For the pricing algorithm postulated, the average disposal cost to utilities that volume reduce is relatively independent of whether all utilities practice volume reduction or only a few volume reduce. The general effect of volume reduction by utilities is to reduce their average disposal site costs by a factor of between 1.5 to 2.5. This factor is generally independent of the size of the disposal site. The largest absolute savings in disposal site costs when utilities volume reduce occurs when small disposal sites are involved. This results from the fact that unit costs are higher at small sites. Including in the pricing algorithm a factor that penalizes waste generators who contribute larger amounts of the mobile nuclides 3 H, 14 C, 99 Tc, and 129 I, which may be the subject of site inventory limits, lowers unit disposal costs for utility wastes that contain only small amounts of the nuclides and raises unit costs for other utility wastes

Intra-operative colloid administration increases the clearance of a post-operative fluid load

DEFF Research Database (Denmark)

Borup, Tine; Hahn, Robert; Holte, K

2009-01-01

using volume kinetics based on the plasma dilution alone. The pre-operative plasma clearance was compared with the post-operative plasma clearance and patients served as their own control. RESULTS: The urinary excretion averaged 350 ml for the pre-operative infusion and 612 ml post-operatively, which...

Critical operations capabilities in a high cost environment: a multiple case study

Science.gov (United States)

Sansone, C.; Hilletofth, P.; Eriksson, D.

2018-04-01

Operations capabilities have been a popular research area for many years and several frameworks have been proposed in the literature. The current frameworks do not take specific contexts into consideration, for instance a high cost environment. This research gap is of particular interest since a manufacturing relocation process has been ongoing the last decades, leading to a huge amount of manufacturing being moved from high to low cost environments. The purpose of this study is to identify critical operations capabilities in a high cost environment. The two research questions were: What are the critical operations capabilities dimensions in a high cost environment? What are the critical operations capabilities in a high cost environment? A multiple case study was conducted and three Swedish manufacturing firms were selected. The study was based on the investigation of an existing framework of operations capabilities. The main dimensions of operations capabilities included in the framework were: cost, quality, delivery, flexibility, service, innovation and environment. Each of the dimensions included two or more operations capabilities. The findings confirmed the validity of the framework and its usefulness in a high cost environment and a new operations capability was revealed (employee flexibility).

Integrating solar PV (photovoltaics) in utility system operations: Analytical framework and Arizona case study

International Nuclear Information System (INIS)

Wu, Jing; Botterud, Audun; Mills, Andrew; Zhou, Zhi; Hodge, Bri-Mathias; Heaney, Mike

2015-01-01

A systematic framework is proposed to estimate the impact on operating costs due to uncertainty and variability in renewable resources. The framework quantifies the integration costs associated with sub-hourly variability and uncertainty as well as day-ahead forecasting errors in solar PV (photovoltaics) power. A case study illustrates how changes in system operations may affect these costs for a utility in the southwestern United States (Arizona Public Service Company). We conduct an extensive sensitivity analysis under different assumptions about balancing reserves, system flexibility, fuel prices, and forecasting errors. We find that high solar PV penetrations may lead to operational challenges, particularly during low-load and high solar periods. Increased system flexibility is essential for minimizing integration costs and maintaining reliability. In a set of sensitivity cases where such flexibility is provided, in part, by flexible operations of nuclear power plants, the estimated integration costs vary between $1.0 and $4.4/MWh-PV for a PV penetration level of 17%. The integration costs are primarily due to higher needs for hour-ahead balancing reserves to address the increased sub-hourly variability and uncertainty in the PV resource. - Highlights: • We propose an analytical framework to estimate grid integration costs for solar PV. • Increased operating costs from variability and uncertainty in solar PV are computed. • A case study of a utility in Arizona is conducted. • Grid integration costs are found in the $1.0–4.4/MWh range for a 17% PV penetration. • Increased system flexibility is essential for minimizing grid integration costs

Differential operators associated with Gegenbauer polynomials - 2: The limit-point case

International Nuclear Information System (INIS)

Onyango Otieno, V.P.

1987-10-01

In this paper we study the limit-point case of the Gegenbauer differential equation -((1-x 2 ) υ+1/2 y'(x)) 1 +υ 2 (1-x 2 ) υ-1/2 y(x)=λ(1-x 2 ) υ-1/2 y(x), (x ε (-1,1), λ ε C) in both the so-called right-definite and left-definite cases based partially on a classical approach due to E.C. Titchmarsh. We then link the Titchmarsh approach with operator theoretic results in the spaces L 2 w (-1,1) and H 2 p,q (-1,1). (author). 19 refs

Assessment of fusion operators for medical imaging: application to MR images fusion

International Nuclear Information System (INIS)

Barra, V.; Boire, J.Y.

2000-01-01

We propose in the article to assess the results provided by several fusion operators in the case of T 1 - and T 2 -weighted magnetic resonance images fusion of the brain. This assessment deals with an expert visual inspection of the results and with a numerical analysis of some comparison measures found in the literature. The aim of this assessment is to find the 'best' operator according to the clinical study. This method is here applied to the quantification of brain tissue volumes on a brain phantom, and allows to select a fusion operator in any clinical study where several information is available. (authors)

Analysis of airborne radiometric data. Volume 2. Description, listing, and operating instructions for the code DELPHI/MAZAS. Final report

Energy Technology Data Exchange (ETDEWEB)

Sperling, M.; Shreve, D.C.

1978-12-01

The computer code DELPHI is an interactive English language command system for the analysis of airborne radiometric data. The code includes modules for data reduction, data simulation, time filtering, data adjustment and graphical presentation of the results. DELPHI is implemented in FORTRAN on a DEC-10 computer. This volume gives a brief set of operations instructions, samples of the output obtained from hard copies of the display on a Tektronix terminal and finally a listing of the code.

Analysis of airborne radiometric data. Volume 2. Description, listing, and operating instructions for the code DELPHI/MAZAS. Final report

International Nuclear Information System (INIS)

Sperling, M.; Shreve, D.C.

1978-01-01

The computer code DELPHI is an interactive English language command system for the analysis of airborne radiometric data. The code includes modules for data reduction, data simulation, time filtering, data adjustment and graphical presentation of the results. DELPHI is implemented in FORTRAN on a DEC-10 computer. This volume gives a brief set of operations instructions, samples of the output obtained from hard copies of the display on a Tektronix terminal and finally a listing of the code

Office for Analysis and Evaluation of Operational Data 1992 annual report: Power reactors. Volume 7, No. 1

Energy Technology Data Exchange (ETDEWEB)

None

1993-07-01

The annual report of the US Nuclear Regulatory Commission`s Office for Analysis and Evaluation of Operational Data (AEOD) is devoted to the activities performed during 1992. The report is published in two separate parts. NUREG-1272, Vol. 7, No. 1, covers power reactors and presents an overview of the operating experience of the nuclear power industry from the NRC perspective, including comments about the trends of some key performance, measures. The report also includes the principal findings and issues identified in AEOD studies over the past year, and summarizes information from such sources as licensee event report% diagnostic evaluations, and reports to the NRC`s Operations Center. The reports contain a discussion of the Incident Investigation Team program and summarize the Incident Investigation Team and Augmented Inspection Team reports for that group of licensees. NUREG-1272, Vol. 7, No. 2, covers nonreactors and presents a review of the events and concerns during 1992 associated with the use of licensed material in nonreactor applications, such as personnel overexposures and medical misadministrations. Each volume contains a list of the AEOD reports issued for 1984--1992.

Diagnostics and operative treatment of retrorectal cysts - description of five cases

International Nuclear Information System (INIS)

Kolodziejczak, M.; Grochowicz, M.; Kosim, A.; Stefanski, R.; Sudol-Szopinska, I.

2005-01-01

Background. Retrorectal cysts (RC) are unusual lesions. Publications on RC are very rare and describe a few cases at most. Methods. Authors describe five patients with RC. The diagnostics of RC was based on the medical history of the patients and the basic diagnostic investigation was trans rectal ultrasonography. An operation to remove the cysts from perineal access was the treatment administered in these cases. Results. In three cases the histopathological examination showed cystis epidermalis. In another case a cyst epithelialized with ciliated epithelium was found. In the last case bone tissue, fatty tissue and fibrous tissue were depicted, all in the state of chronic inflammation. Conclusions. Per rectum digital exam is the basic examination decisive in making the diagnosis. TRUS should be employed as the diagnostic investigation in order to estimate precisely the size of a cyst and its proportion to the rectum wall. Retrorectal cystectomy in perineal access is an effective method of treatment of this disease. This article, likewise other research works, describes a small group of patients, therefore, its conclusions should be treated as preliminary ones. (author)

Finite volume gauge theory partition functions in three dimensions

International Nuclear Information System (INIS)

Szabo, Richard J.

2005-01-01

We determine the fermion mass dependence of Euclidean finite volume partition functions for three-dimensional QCD in the ε-regime directly from the effective field theory of the pseudo-Goldstone modes by using zero-dimensional non-linear σ-models. New results are given for an arbitrary number of flavours in all three cases of complex, pseudo-real and real fermions, extending some previous considerations based on random matrix theory. They are used to describe the microscopic spectral correlation functions and smallest eigenvalue distributions of the QCD 3 Dirac operator, as well as the corresponding massive spectral sum rules

Comparison of the Effect of Pre-operative Single Oral Dose of Tramadol and Famotidine on Gastric Secretions pH and Volume in Patients Scheduled for Laparoscopic Cholecystectomy

International Nuclear Information System (INIS)

Khan, M. U.; Aqil, M.; Hussain, A.; Zahrani, T. A.; Hillis, M.

2015-01-01

Objective: To evaluate and compare the effects of pre-operative single oral dose of tramadol and famotidine on gastric secretions pH and volume in patients electively scheduled for laparoscopic cholecystectomy. Study Design: Randomized control trial. Place and Duration of Study: Department of Anaesthesia, King Saud University Riyadh, Saudi Arabia, from August 2011 to June 2013. Methodology: Ninety adult, ASA-I and II patients scheduled for laparoscopic cholecystectomy were included in the study. Patients were randomly assigned to receive pre-operatively either placebo (Group-C, n=30), oral tramadol 100 mg (Group-T, n=30) or famotidine 40 mg (Group-F, n=30). After induction of general anaesthesia, gastric fluid was aspirated through orogastric tube. The gastric secretions volume and pH was measured using pH meter. Results:There was no statistically difference between groups in age, weight and gender. The gastric secretions mean pH was 2.06 ± 0.22,2.04 ± 0.20, 5.79 ± 0.77 and volume was 0.59 ± 0.17, 0.59 ± 0.14 and 0.28 ± 0.16 ml/kg in Group-C, Group-T and Group-F respectively. There was a significant statistical difference in the mean pH values between Group-C vs. Group-F (p greater than 0.001) and Group-Tvs. Group-F (p greater than 0.001). Statistically significant difference was also found in the mean gastric secretions volume between Group - C vs. Group-F (p greater than 0.001) and Group-Tvs. Group-F (p greater than 0.001). There was no significant difference in the mean gastric fluid pH values (p=0.99) and mean gastric secretions volume (p=0.99) between Group-Tand Group-C. Conclusion:As compared to famotidine, pre-operative single oral dose of tramadol was unable to elevate the desired level of gastric fluid pH (less than 2.5) and decrease in gastric secretions volume (greater than 0.4ml/kg). (author)

Reachable volume RRT

KAUST Repository

McMahon, Troy

2015-05-01

© 2015 IEEE. Reachable volumes are a new technique that allows one to efficiently restrict sampling to feasible/reachable regions of the planning space even for high degree of freedom and highly constrained problems. However, they have so far only been applied to graph-based sampling-based planners. In this paper we develop the methodology to apply reachable volumes to tree-based planners such as Rapidly-Exploring Random Trees (RRTs). In particular, we propose a reachable volume RRT called RVRRT that can solve high degree of freedom problems and problems with constraints. To do so, we develop a reachable volume stepping function, a reachable volume expand function, and a distance metric based on these operations. We also present a reachable volume local planner to ensure that local paths satisfy constraints for methods such as PRMs. We show experimentally that RVRRTs can solve constrained problems with as many as 64 degrees of freedom and unconstrained problems with as many as 134 degrees of freedom. RVRRTs can solve problems more efficiently than existing methods, requiring fewer nodes and collision detection calls. We also show that it is capable of solving difficult problems that existing methods cannot.

Reachable volume RRT

KAUST Repository

McMahon, Troy; Thomas, Shawna; Amato, Nancy M.

2015-01-01

© 2015 IEEE. Reachable volumes are a new technique that allows one to efficiently restrict sampling to feasible/reachable regions of the planning space even for high degree of freedom and highly constrained problems. However, they have so far only been applied to graph-based sampling-based planners. In this paper we develop the methodology to apply reachable volumes to tree-based planners such as Rapidly-Exploring Random Trees (RRTs). In particular, we propose a reachable volume RRT called RVRRT that can solve high degree of freedom problems and problems with constraints. To do so, we develop a reachable volume stepping function, a reachable volume expand function, and a distance metric based on these operations. We also present a reachable volume local planner to ensure that local paths satisfy constraints for methods such as PRMs. We show experimentally that RVRRTs can solve constrained problems with as many as 64 degrees of freedom and unconstrained problems with as many as 134 degrees of freedom. RVRRTs can solve problems more efficiently than existing methods, requiring fewer nodes and collision detection calls. We also show that it is capable of solving difficult problems that existing methods cannot.

Safe total corporal contouring with large-volume liposuction for the obese patient.

Science.gov (United States)

Dhami, Lakshyajit D; Agarwal, Meenakshi

2006-01-01

The advent of the tumescent technique in 1987 allowed for safe total corporal contouring as an ambulatory, single-session megaliposuction with the patient under regional anesthesia supplemented by local anesthetic only in selected areas. Safety and aesthetic issues define large-volume liposuction as having a 5,000-ml aspirate, mega-volume liposuction as having an 8,000-ml aspirate, and giganto-volume liposuction as having an aspirate of 12,000 ml or more. Clinically, a total volume comprising 5,000 ml of fat and wetting solution aspirated during the procedure qualifies for megaliposuction/large-volume liposuction. Between September 2000 and August 2005, 470 cases of liposuction were managed. In 296 (63%) of the 470 cases, the total volume of aspirate exceeded 5 l (range, 5,000-22,000 ml). Concurrent limited or total-block lipectomy was performed in 70 of 296 cases (23.6%). Regional anesthesia with conscious sedation was preferred, except where liposuction targeted areas above the subcostal region (the upper trunk, lateral chest, gynecomastia, breast, arms, and face), or when the patient so desired. Tumescent infiltration was achieved with hypotonic lactated Ringer's solution, adrenalin, triamcinalone, and hyalase in all cases during the last one year of the series. This approach has clinically shown less tissue edema in the postoperative period than with conventional physiologic saline used in place of the Ringer's lactate solution. The amount injected varied from 1,000 to 8,000 ml depending on the size, site, and area. Local anesthetic was included only for the terminal portion of the tumescent mixture, wherever the subcostal regions were infiltrated. The aspirate was restricted to the unstained white/yellow fat, and the amount of fat aspirated did not have any bearing on the amount of solution infiltrated. There were no major complications, and no blood transfusions were administered. The hospital stay ranged from 8 to 24 h for both liposuction and liposuction

Choreographer Pre-Testing Code Analysis and Operational Testing.

Energy Technology Data Exchange (ETDEWEB)

Fritz, David J. [Sandia National Laboratories (SNL-CA), Livermore, CA (United States); Harrison, Christopher B. [Sandia National Laboratories (SNL-CA), Livermore, CA (United States); Perr, C. W. [Sandia National Laboratories (SNL-CA), Livermore, CA (United States); Hurd, Steven A [Sandia National Laboratories (SNL-CA), Livermore, CA (United States)

2014-07-01

demonstrated sensitivity to low-latency connections as well as high volumes of traffic. In addition, depending upon the frequency of new connection requests and the size of the address range that Choreographer has to work with, it is possible for all benefits of Choreographer to be ameliorated by its need to allow DNS servers rather than the end client to make DNS requests. Conclusions and Recommendations, listed in Section 7, address the need to understand the specific use case where Choreographer would be deployed to assess whether there would be problems resulting from the operational considerations described in Section 3 or performance concerns from the results of Operational Testing in Section 6. Deployed in an appropriate architecture with sufficiently light traffic volumes and a well-provisioned server, it is quite likely that Choreographer would perform satisfactorily. Thus, we recommend further detailed testing, to potentially include Red Team testing, at such time a specific use case is identified

Estimating truck operating costs for domestic trips – case studies from Greece

Directory of Open Access Journals (Sweden)

Sdoukopoulos Eleftherios

2015-11-01

Full Text Available The transport sector represents a vital component of national economies and has significant impacts on productivity and social welfare. In 2012, the transport sector in Europe was estimated to account for 3.7% of the European Gross Domestic Product (GDP and 5.1% for employment. Road transport proves to be the predominant mode for moving goods within Europe holding a share of approximately 45.8% in 2012 (in ton-kms. In Greece, the share of road freight transport is significantly higher (98% indicating the importance of this sector for the Greek economy. To this end and considering the existing needs of road freight transport operators in Greece, the objective of this research is to establish an analytical and documented basis for estimating the operating cost of a truck on specific urban or national freight transport routes. To achieve this goal, an extended literature review has been conducted resulting in the identification of the main components comprising the total truck operating cost, which were then updated and validated through a series of personal interviews with selected road freight transport professionals. An excel-based application tool was also developed in order to facilitate operating cost estimates for different cases, through selection of the proper values of the relevant parameters. The resulting tool was used to analyse four test cases, which demonstrate the tool’s usability and applicability. Results from this analysis have been also validated by industry experts and they reflect real-world transport scenarios.

An Independent Scientific Assessment of Well Stimulation in California Volume I

Energy Technology Data Exchange (ETDEWEB)

Long, Jane C.S. [California Council on Science and Technology, Sacramento, CA (United States); Feinstein, Laura C. [California Council on Science and Technology, Sacramento, CA (United States); Birkholzer, Jens [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Jordan, Preston [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Houseworth, James [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Dobson, Patrick F. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Heberger, Matthew [Pacific Inst., Oakland, CA (United States); Gautier, Donald L. [Dr. Donald Dautier, LLC., Palo Alto, CA (United States)

2015-01-01

In 2013, the California Legislature passed Senate Bill 4 (SB 4), setting the framework for regulation of well stimulation technologies in California, including hydraulic fracturing. SB 4 also requires the California Natural Resources Agency to conduct an independent scientific study of well stimulation technologies in California to assess current and potential future practices, including the likelihood that well stimulation technologies could enable extensive new petroleum production in the state, evaluate the impacts of well stimulation technologies and the gaps in data that preclude this understanding, identify risks associated with current practices, and identify alternative practices which might limit these risks. The study is issued in three volumes. This document, Volume I, provides the factual basis describing well stimulation technologies, how and where operators deploy these technologies for oil and gas production in California, and where they might enable production in the future. Volume II discusses how well stimulation affects water, the atmosphere, seismic activity, wildlife and vegetation, traffic, light and noise levels; it will also explore human health hazards, and identify data gaps and alternative practices. Volume III presents case studies to assess environmental issues and qualitative

Live from Your Neighborhood: A National Study of Outdoor Arts Festivals. Volume Two: Seven Case Studies. Research Report #51

Science.gov (United States)

Rosenstein, Carole

2010-01-01

This report complements a national survey of outdoor arts festivals (see "Live from Your Neighborhood: A National Study of Outdoor Arts Festivals, Volume One: Summary Report") by focusing on seven case study festivals: Houston International Festival; Piccolo Spoleto; Lowell Folk Festival; Santa Fe Indian Market; Chicago Jazz Festival;…

Development of an Inline Dry Power Inhaler That Requires Low Air Volume.

Science.gov (United States)

Farkas, Dale; Hindle, Michael; Longest, P Worth

2017-12-20

Inline dry powder inhalers (DPIs) are actuated by an external air source and have distinct advantages for delivering aerosols to infants and children, and to individuals with compromised lung function or who require ventilator support. However, current inline DPIs either perform poorly, are difficult to operate, and/or require large volumes (∼1 L) of air. The objective of this study was to develop and characterize a new inline DPI for aerosolizing spray-dried formulations with powder masses of 10 mg and higher using a dispersion air volume of 10 mL per actuation that is easy to load (capsule-based) and operate. Primary features of the new low air volume (LV) DPIs are fixed hollow capillaries that both pierce the capsule and provide a continuous flow path for air and aerosol passing through the device. Two different configurations were evaluated, which were a straight-through (ST) device, with the inlet and outlet capillaries on opposite ends of the capsule, and a single-sided (SS) device, with both the inlet and outlet capillaries on the same side of the capsule. The devices were operated with five actuations of a 10 mL air syringe using an albuterol sulfate (AS) excipient-enhanced growth (EEG) formulation. Device emptying and aerosol characteristics were evaluated for multiple device outlet configurations. Each device had specific advantages. The best case ST device produced the smallest aerosol [mean mass median aerodynamic diameter (MMAD) = 1.57 μm; fine particle fraction <5 μm (FPF <5μm ) = 95.2%)] but the mean emitted dose (ED) was 61.9%. The best case SS device improved ED (84.8%), but produced a larger aerosol (MMAD = 2.13 μm; FPF <5μm  = 89.3%) that was marginally higher than the initial deaggregation target. The new LV-DPIs produced an acceptable high-quality aerosol with only 10 mL of dispersion air per actuation and were easy to load and operate. This performance should enable application in high and low flow

Global Operations and Innovation in Coloplast

DEFF Research Database (Denmark)

Christensen, Irene

2015-01-01

Different deployment initiatives, such as shifting its high-volume manufacturing facilities to low cost countries, have helped Coloplast reduce its operating costs and enhance its bottom-line growth.......Different deployment initiatives, such as shifting its high-volume manufacturing facilities to low cost countries, have helped Coloplast reduce its operating costs and enhance its bottom-line growth....

Lung volumes, ventricular function and pulmonary arterial flow in children operated on for left-sided congenital diaphragmatic hernia: long-term results

International Nuclear Information System (INIS)

Abolmaali, Nasreddin; Koch, Arne; Goetzelt, Knut; Vogelberg, Christian; Hahn, Gabriele; Fitze, Guido

2010-01-01

To compare MRI-based functional pulmonary and cardiac measurements in the long-term follow-up of children operated on for left-sided congenital diaphragmatic hernia (CDH) with age- and body size-matched healthy controls. Twelve children who received immediate postnatal surgery for closure of isolated left-sided CDH were included and received basic medical examinations, pulmonary function testing and echocardiography. MRI included measurement of lung volume, ventricular function assessment and velocity-encoded imaging of the pulmonary arteries and was compared with the data for 12 healthy children matched for age and body size. While patients' clinical test results were not suspicious, comparison between the MRI data for patients and those for healthy controls revealed significant differences. In patients, the volumes of the left lungs were increased and the tidal volume was larger on the right side. While the stroke volumes of both ventricles were reduced, heart rate and ejection fraction were increased. Flow, acceleration time and cross-sectional area of the left pulmonary artery were reduced. Functional MRI detected pulmonary and cardiac findings in the late follow-up of CDH children which may be missed by standard clinical methods and might be relevant for decisions regarding late outcome and treatment. (orig.)

Lung volumes, ventricular function and pulmonary arterial flow in children operated on for left-sided congenital diaphragmatic hernia: long-term results

Energy Technology Data Exchange (ETDEWEB)

Abolmaali, Nasreddin; Koch, Arne [Dresden University of Technology, OncoRay - Molecular and Biological Imaging, Medical Faculty Carl Gustav Carus, Dresden (Germany); Goetzelt, Knut; Vogelberg, Christian [University Clinics Carl Gustav Carus, Dresden University of Technology, Clinic and Policlinic for Pediatrics - Pediatric Pulmonology, Dresden (Germany); Hahn, Gabriele [University Clinics Carl Gustav Carus, Dresden University of Technology, Institute and Policlinic for Radiology - Pediatric Radiology, Dresden (Germany); Fitze, Guido [University Clinics Carl Gustav Carus, Dresden University of Technology, Clinic and Policlinic for Pediatric Surgery, Dresden (Germany)

2010-07-15

To compare MRI-based functional pulmonary and cardiac measurements in the long-term follow-up of children operated on for left-sided congenital diaphragmatic hernia (CDH) with age- and body size-matched healthy controls. Twelve children who received immediate postnatal surgery for closure of isolated left-sided CDH were included and received basic medical examinations, pulmonary function testing and echocardiography. MRI included measurement of lung volume, ventricular function assessment and velocity-encoded imaging of the pulmonary arteries and was compared with the data for 12 healthy children matched for age and body size. While patients' clinical test results were not suspicious, comparison between the MRI data for patients and those for healthy controls revealed significant differences. In patients, the volumes of the left lungs were increased and the tidal volume was larger on the right side. While the stroke volumes of both ventricles were reduced, heart rate and ejection fraction were increased. Flow, acceleration time and cross-sectional area of the left pulmonary artery were reduced. Functional MRI detected pulmonary and cardiac findings in the late follow-up of CDH children which may be missed by standard clinical methods and might be relevant for decisions regarding late outcome and treatment. (orig.)

Lung volumes, ventricular function and pulmonary arterial flow in children operated on for left-sided congenital diaphragmatic hernia: long-term results.

Science.gov (United States)

Abolmaali, Nasreddin; Koch, Arne; Götzelt, Knut; Hahn, Gabriele; Fitze, Guido; Vogelberg, Christian

2010-07-01

To compare MRI-based functional pulmonary and cardiac measurements in the long-term follow-up of children operated on for left-sided congenital diaphragmatic hernia (CDH) with age- and body size-matched healthy controls. Twelve children who received immediate postnatal surgery for closure of isolated left-sided CDH were included and received basic medical examinations, pulmonary function testing and echocardiography. MRI included measurement of lung volume, ventricular function assessment and velocity-encoded imaging of the pulmonary arteries and was compared with the data for 12 healthy children matched for age and body size. While patients' clinical test results were not suspicious, comparison between the MRI data for patients and those for healthy controls revealed significant differences. In patients, the volumes of the left lungs were increased and the tidal volume was larger on the right side. While the stroke volumes of both ventricles were reduced, heart rate and ejection fraction were increased. Flow, acceleration time and cross-sectional area of the left pulmonary artery were reduced. Functional MRI detected pulmonary and cardiac findings in the late follow-up of CDH children which may be missed by standard clinical methods and might be relevant for decisions regarding late outcome and treatment.

[Unexpected atrial fibrillation when monitoring in operating room. Case of the trimester].

Science.gov (United States)

2014-05-01

A real case reported to the SENSAR database of incidents is presented. In a patient scheduled for nose fracture repair surgery an unexpected atrial fibrillation was found when monitored in the operating room. The operation was not delayed. After induction of general anaesthesia heart rate suddenly increased and hemodinamic situation was impaired. Cardioversion was required. Two electric countershocks were given but sinus rhythm was not restored. Heart rate was controlled with amiodarone infusion. Optimal defibrillation characteristics are described in these cases. Increased risk of thromboembolism (1-2%) following cardioversion is present even if atrial thrombi are ruled out. The mainstay therapies of are rhythm and rate control and prevention of thromboembolic complications. We describe recommendations on the management of these critical situations with emphasis in learning through the creation of protocols and training practice in simulation. Copyright © 2013 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

Vascular Trauma Operative Experience is Inadequate in General Surgery Programs.

Science.gov (United States)

Yan, Huan; Maximus, Steven; Koopmann, Matthew; Keeley, Jessica; Smith, Brian; Virgilio, Christian de; Kim, Dennis Y

2016-05-01

Vascular injuries may be challenging, particularly for surgeons who have not received formal vascular surgery fellowship training. Lack of experience and improper technique can result in significant complications. The objective of this study was to examine changes in resident experience with operative vascular trauma over time. A retrospective review was performed using Accreditation Council for Graduate Medical Education (ACGME) case logs of general surgery residents graduating between 2004 and 2014 at 2 academic, university-affiliated institutions associated with level 1 trauma centers. The primary outcome was number of reported vascular trauma operations, stratified by year of graduation and institution. A total of 112 residents graduated in the study period with a median 7 (interquartile range 4.5-13.5) vascular trauma cases per resident. Fasciotomy and exposure and/or repair of peripheral vessels constituted the bulk of the operative volume. Linear regression showed no significant trend in cases with respect to year of graduation (P = 0.266). Residents from program A (n = 53) reported a significantly higher number of vascular trauma cases when compared with program B (n = 59): 12.0 vs. 5.0 cases, respectively (P < 0.001). Level 1 trauma center verification does not guarantee sufficient exposure to vascular trauma. The operative exposure in program B is reflective of the national average of 4.0 cases per resident as reported by the ACGME, and this trend is unlikely to change in the near future. Fellowship training may be critical for surgeons who plan to work in a trauma setting, particularly in areas lacking vascular surgeons. Copyright © 2016 Elsevier Inc. All rights reserved.

Artificial Intelligence Can Predict Daily Trauma Volume and Average Acuity.

Science.gov (United States)

Stonko, David P; Dennis, Bradley M; Betzold, Richard D; Peetz, Allan B; Gunter, Oliver L; Guillamondegui, Oscar D

2018-04-19

The goal of this study was to integrate temporal and weather data in order to create an artificial neural network (ANN) to predict trauma volume, the number of emergent operative cases, and average daily acuity at a level 1 trauma center. Trauma admission data from TRACS and weather data from the National Oceanic and Atmospheric Administration (NOAA) was collected for all adult trauma patients from July 2013-June 2016. The ANN was constructed using temporal (time, day of week), and weather factors (daily high, active precipitation) to predict four points of daily trauma activity: number of traumas, number of penetrating traumas, average ISS, and number of immediate OR cases per day. We trained a two-layer feed-forward network with 10 sigmoid hidden neurons via the Levenberg-Marquardt backpropagation algorithm, and performed k-fold cross validation and accuracy calculations on 100 randomly generated partitions. 10,612 patients over 1,096 days were identified. The ANN accurately predicted the daily trauma distribution in terms of number of traumas, number of penetrating traumas, number of OR cases, and average daily ISS (combined training correlation coefficient r = 0.9018+/-0.002; validation r = 0.8899+/- 0.005; testing r = 0.8940+/-0.006). We were able to successfully predict trauma and emergent operative volume, and acuity using an ANN by integrating local weather and trauma admission data from a level 1 center. As an example, for June 30, 2016, it predicted 9.93 traumas (actual: 10), and a mean ISS score of 15.99 (actual: 13.12); see figure 3. This may prove useful for predicting trauma needs across the system and hospital administration when allocating limited resources. Level III STUDY TYPE: Prognostic/Epidemiological.

Indexes to Nuclear Regulatory Commission issuances, January-June 1983. Volume 17, Index 2

International Nuclear Information System (INIS)

1983-10-01

Digests and indexes for issuances of the Commission (CLI), the Atomic Safety and Licensing Appeal Panel (ALAB), the Atomic Safety and Licensing Board Panel (LBP), the Administrative Law Judge (ALJ), the Directors' Decisions (DD), and the Denials of Petitions of Rulemaking are presented in this document. These digests and indexes are intended to serve as a guide to the issuances. Information elements common to the cases heard and ruled upon are: Case name (owners of facility); full text reference (volume and pagination); issuance number; issues raised by appellants; legal citations (cases, regulations, and statutes); name of facility, Docket number; subject matter of issues and/or rulings; type of hearing (for construction permit, operating license, etc.); and type of issuance (memorandum, order, decision, etc.)

The KamLAND full-volume calibration system

Energy Technology Data Exchange (ETDEWEB)

Berger, B E [Department of Physics, Colorado State University, Fort Collins, Colorado 80523 (United States); Busenitz, J; Classen, T; Keefer, G; McKee, D; Piepke, A [Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487 (United States); Decowski, M P; Elor, G; Frank, A; Freedman, S J; Fujikawa, B K; Galloway, M; Gray, F; Hsu, L; Ichimura, K; Kadel, R; Lendvai, C; O' Donnell, T [Physics Department, University of California, Berkeley and Lawrence Berkeley National Laboratory, Berkeley, California 94720 (United States); Dwyer, D A [W. K. Kellogg Radiation Laboratory, California Institute of Technology, Pasadena, California 91125 (United States); Heeger, K M [Department of Physics, University of Wisconsin, Madison, Wisconsin 53706 (United States)] (and others)

2009-04-15

We have successfully built and operated a source deployment system for the KamLAND detector. This system was used to position radioactive sources throughout the delicate 1-kton liquid scintillator volume, while meeting stringent material cleanliness, material compatibility, and safety requirements. The calibration data obtained with this device were used to fully characterize detector position and energy reconstruction biases. As a result, the uncertainty in the size of the detector fiducial volume was reduced by a factor of two. Prior to calibration with this system, the fiducial volume was the largest source of systematic uncertainty in measuring the number of antineutrinos detected by KamLAND. This paper describes the design, operation and performance of this unique calibration system.

The KamLAND Full-Volume Calibration System

Energy Technology Data Exchange (ETDEWEB)

KamLAND Collaboration; Berger, B. E.; Busenitz, J.; Classen, T.; Decowski, M. P.; Dwyer, D. A.; Elor, G.; Frank, A.; Freedman, S. J.; Fujikawa, B. K.; Galloway, M.; Gray, F.; Heeger, K. M.; Hsu, L.; Ichimura, K.; Kadel, R.; Keefer, G.; Lendvai, C.; McKee, D.; O' Donnell, T.; Piepke, A.; Steiner, H. M.; Syversrud, D.; Wallig, J.; Winslow, L. A.; Ebihara, T.; Enomoto, S.; Furuno, K.; Gando, Y.; Ikeda, H.; Inoue, K.; Kibe, Y.; Kishimoto, Y.; Koga, M.; Minekawa, Y.; Mitsui, T.; Nakajima, K.; Nakajima, K.; Nakamura, K.; Owada, K.; Shimizu, I.; Shimizu, Y.; Shirai, J.; Suekane, F.; Suzuki, A.; Tamae, K.; Yoshida, S.; Kozlov, A.; Murayama, H.; Grant, C.; Leonard, D. S.; Luk, K.-B.; Jillings, C.; Mauger, C.; McKeown, R. D.; Zhang, C.; Lane, C. E.; Maricic, J.; Miletic, T.; Batygov, M.; Learned, J. G.; Matsuno, S.; Pakvasa, S.; Foster, J.; Horton-Smith, G. A.; Tang, A.; Dazeley, S.; Downum, K. E.; Gratta, G.; Tolich, K.; Bugg, W.; Efremenko, Y.; Kamyshkov, Y.; Perevozchikov, O.; Karwowski, H. J.; Markoff, D. M.; Tornow, W.; Piquemal, F.; Ricol, J.-S.

2009-03-05

We have successfully built and operated a source deployment system for the KamLAND detector. This system was used to position radioactive sources throughout the delicate 1-kton liquid scintillator volume, while meeting stringent material cleanliness, material compatibility, and safety requirements. The calibration data obtained with this device were used to fully characterize detector position and energy reconstruction biases. As a result, the uncertainty in the size of the detector fiducial volume was reduced by a factor of two. Prior to calibration with this system, the fiducial volume was the largest source of systematic uncertainty in measuring the number of antineutrinos detected by KamLAND. This paper describes the design, operation and performance of this unique calibration system.

On the renormalization of operator products: the scalar gluonic case

International Nuclear Information System (INIS)

Zoller, Max F.

2016-01-01

In this paper we study the renormalization of the product of two operators O 1 =−(1/4)G μν G μν in QCD. An insertion of two such operators O 1 (x)O 1 (0) into a Greens function produces divergent contact terms for x→0. In the course of the computation of the operator product expansion (OPE) of the correlator of two such operators i∫ d 4 x e iqx T{ O 1 (x)O 1 (0)} to three-loop order http://dx.doi.org/10.1007/JHEP12(2012)119; http://dx.doi.org/10.1007/JHEP10(2014)169 we discovered that divergent contact terms remain not only in the leading Wilson coefficient C 0 , which is just the VEV of the correlator, but also in the Wilson coefficient C 1 in front of O 1 . As this correlator plays an important role for example in QCD sum rules a full understanding of its renormalization is desireable. This work explains how the divergences encountered in higher orders of an OPE of this correlator should be absorbed in counterterms and derives an additive renormalization constant for C 1 from first principles and to all orders in perturnbation theory. The method to derive the renormalization of this operator product is an extension of the ideas of V. Spiridonov, Anomalous dimension of g μν 2 and β-function, Preprint IYAI-P-0378 (1984). and can be generalized to other cases.

Study of four cases of radiation colitis needed operation therapy

International Nuclear Information System (INIS)

Sasaki, Shigeru; Takesue, Yoshio; Yokoyama, Takashi

1996-01-01

On the 4 cases of operation for the late radiation effect, the process and notes for radiation colitis were described. Case 1; a female of 57 y with cervical carcinoma (IIIb) received 59.8 Gy of external irradiation and 24.0 Gy of intracervical irradiation. About 8 months after the radiotherapy, anemia due to gut bleeding was observed and hemorrhage was seen in the colon with the colon fiber. One year later, colostomy was performed. Case 2; a female of 79 y with cervical carcinoma (IIb) received 50.0 Gy of external irradiation and 18.0 Gy of intracervical irradiation. About 8 months after the therapy, gut bleeding and ileac symptom were observed and ulcer and stenosis in the sigmoid colon were seen. Sigmoidectomy was performed. Case 3; a female of 75 y with cervical carcinoma (IIIb) received external 49.8 Gy irradiation and intracervical 23.0 Gy irradiation. About 4 months after the therapy, anemia and ulcer with hemorrhage in the sigmoidal colon were recognized. Sigmoidectomy and colostomy were performed. Case 4; a female of 68 y with cervical carcinoma (IIb) and chronic renal failure received 50.4 Gy of external irradiation post hysterectomy. About 5 months later, iliac symptom was observed. She received ileectomy and then colostomy but died of MOF due to renal failure. (K.H.)

Study of four cases of radiation colitis needed operation therapy

Energy Technology Data Exchange (ETDEWEB)

Sasaki, Shigeru; Takesue, Yoshio; Yokoyama, Takashi [Hiroshima Univ. (Japan). School of Medicine] [and others

1996-09-01

On the 4 cases of operation for the late radiation effect, the process and notes for radiation colitis were described. Case 1; a female of 57 y with cervical carcinoma (IIIb) received 59.8 Gy of external irradiation and 24.0 Gy of intracervical irradiation. About 8 months after the radiotherapy, anemia due to gut bleeding was observed and hemorrhage was seen in the colon with the colon fiber. One year later, colostomy was performed. Case 2; a female of 79 y with cervical carcinoma (IIb) received 50.0 Gy of external irradiation and 18.0 Gy of intracervical irradiation. About 8 months after the therapy, gut bleeding and ileac symptom were observed and ulcer and stenosis in the sigmoid colon were seen. Sigmoidectomy was performed. Case 3; a female of 75 y with cervical carcinoma (IIIb) received external 49.8 Gy irradiation and intracervical 23.0 Gy irradiation. About 4 months after the therapy, anemia and ulcer with hemorrhage in the sigmoidal colon were recognized. Sigmoidectomy and colostomy were performed. Case 4; a female of 68 y with cervical carcinoma (IIb) and chronic renal failure received 50.4 Gy of external irradiation post hysterectomy. About 5 months later, iliac symptom was observed. She received ileectomy and then colostomy but died of MOF due to renal failure. (K.H.)

The world economy of petroleum products and the strategy of a petroleum company from exporting country: Cases of SONATRACH (Algeria), KPC (Kuwait), PEMEX (Mexico), PDVSA (Venezuela). Second volume

International Nuclear Information System (INIS)

Preure, M.

1992-12-01

This thesis contains 2 volumes. In this second volume, the author describes the industrial and technological developments and the strategy of petroleum companies in exporting countries. The main industrial strategies studied are national integration strategy in a planned economy (case of Algeria) or in a controlled-liberal economy (case of Mexico) and international integration strategies to the lower part of petroleum industry and external growth (cases of Kuwait and Venezuela). Technological strategies studied are development of a national engineering, information, research programs/ development and innovation. The last chapter takes stock of research and development programs for petroleum products (case of Mexico) . 258 refs., 103 tabs

Office for Analysis and Evaluation of Operational Data 1994-FY 95 annual report. Volume 9, Number 2

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-09-01

This annual report of the US Nuclear Regulatory Commission`s Office for Analysis and Evaluation of Operational Data (AEOD) describes activities conducted during CY 1994 and FY 1995. The report is published in three parts. NUREG-1272, Vol. 9, No. 1, covers power reactors and presents an overview of the operating experience of the nuclear power industry from the NRC perspective, including comments about the trends of some key performance measures. The report also includes the principal findings and issues identified in AEOD studies over the past year and summarizes information from such sources as licensee event reports, diagnostic evaluations, and reports to the NRC`s Operations Center. NUREG-1272, Vol. 9, No. 2, covers nuclear materials and presents a review of the events and concerns associated with the use of licensed material in nonreactor applications, such as personnel overexposures and medical misadministrations. Both reports also contain a discussion of the Incident Investigation Team program and summarize both the Incident Investigation Team and Augmented Inspection Team reports. Each volume contains a list of the AEOD reports issued from 1980 through FY 1995. NUREG-1272, Vol. 9, No. 3, covers technical training and presents the activities of the Technical Training Center in support of the NRC`s mission.

Office for Analysis and Evaluation of Operational Data 1996 annual report. Volume 10, Number 3: Technical training

International Nuclear Information System (INIS)

1997-12-01

This annual report of the US Nuclear Regulatory Commission's Office for Analysis and Evaluation of Operational Data (AEOD) describes activities conducted during 1996. The report is published in three parts. NUREG-1272, Vol. 10, No. 1, covers power reactors and presents an overview of the operating experience of the nuclear power industry from the NRC perspective, including comments about trends of some key performance measures. The report also includes the principal findings and issues identified in AEOD studies over the past year and summarizes information from such sources as licensee event reports and reports to the NRC's Operations Center. NUREG-1272, Vol. 10, No. 2, covers nuclear materials and presents a review of the events and concerns during 1996 associated with the use of licensed material in nonreactor applications, such as personnel overexposures and medical misadministrations. Both reports also contain a discussion of the Incident Investigation Team program and summarize both the Incident Investigation Team and Augmented Inspection Team reports. Each volume contains a list of the AEOD reports issued from CY 1980 through 1996. NUREG-1272, Vol. 10, No. 3, covers technical training and presents the activities of the Technical Training Center in support of the NRC's mission in 1996

Office for Analysis and Evaluation of Operational Data 1994-FY 95 annual report. Volume 9, Number 2

International Nuclear Information System (INIS)

1996-09-01

This annual report of the US Nuclear Regulatory Commission's Office for Analysis and Evaluation of Operational Data (AEOD) describes activities conducted during CY 1994 and FY 1995. The report is published in three parts. NUREG-1272, Vol. 9, No. 1, covers power reactors and presents an overview of the operating experience of the nuclear power industry from the NRC perspective, including comments about the trends of some key performance measures. The report also includes the principal findings and issues identified in AEOD studies over the past year and summarizes information from such sources as licensee event reports, diagnostic evaluations, and reports to the NRC's Operations Center. NUREG-1272, Vol. 9, No. 2, covers nuclear materials and presents a review of the events and concerns associated with the use of licensed material in nonreactor applications, such as personnel overexposures and medical misadministrations. Both reports also contain a discussion of the Incident Investigation Team program and summarize both the Incident Investigation Team and Augmented Inspection Team reports. Each volume contains a list of the AEOD reports issued from 1980 through FY 1995. NUREG-1272, Vol. 9, No. 3, covers technical training and presents the activities of the Technical Training Center in support of the NRC's mission

Operative outcomes of conventional specimen radiography versus in-operating room specimen radiography in radioactive seed-localized segmental mastectomies.

Science.gov (United States)

Rhee, Daniel; Pockaj, Barbara; Wasif, Nabil; Stucky, Chee-Chee; Pizzitola, Victor; Giurescu, Marina; Patel, Bhavika; McCarthy, Janice; Gray, Richard

2018-01-01

In-operating room specimen radiography (ORSR) has not been studied among women undergoing radioactive seed localization (RSL) for breast cancer surgery and had the potential to decrease operative time and perhaps improve intraoperative margin management. One hundred consecutive RSL segmental mastectomies among 98 patients using ORSR were compared to 100 consecutive segmental mastectomies among 98 patients utilizing conventional radiography (CSR) prior to the initiation of ORSR from December 2013 to January 2015 after radioactive seed localization. Final pathologic margins were considered to be 10 mm for all cases of no residual disease after biopsy or neoadjuvant therapy, but such patients were excluded from analyses involving tumor size. All patients' specimens were subjected to intraoperative pathologic consultation in addition to ORSR or CSR. The median age of the cohort was 65 years (range 36-97), and the median tumor size was 1 cm. There were no differences between the ORSR and CSR groups in age, tumor size, percentage of cases with only DCIS, and percentage of cases with microcalcifications. The ORSR group had a statistically significant lower BMI. Mean operative time from cut-to-close was not significantly different (ORSR 77 min, SD 24.8 vs CSR 76 min, SD 24.8, p = 0.75). There was no statistical difference in mean closest final pathologic margin (4.99 mm, SD 3.3 vs 4.88 mm, SD 3.5, p = 0.9). The percentage undergoing intraoperative margin re-excision (ORSR 40%, CR 47%, p = 0.31) and the mean total number of margins excised intraoperatively (ORSR 0.9, CR 1.0 p = 0.65) were similar. The rate of any margin CSR; this difference was not statistically significant (p = 0.25). The mean ratio of segmental mastectomy volume to maximum tumor diameter was less for ORSR (82.7cm2 vs 139.4cm2, p = 0.014). ORSR for RSL breast surgery, in the setting of routine intraoperative pathology consultation, does not significantly impact operative time, the rate or

Topics in Operator Theory

CERN Document Server

Ball, Joseph A; Helton, JWilliam; Rodman, Leiba; Spitkovsky, Iiya

2010-01-01

This is the first volume of a collection of original and review articles on recent advances and new directions in a multifaceted and interconnected area of mathematics and its applications. It encompasses many topics in theoretical developments in operator theory and its diverse applications in applied mathematics, physics, engineering, and other disciplines. The purpose is to bring in one volume many important original results of cutting edge research as well as authoritative review of recent achievements, challenges, and future directions in the area of operator theory and its applications.

Guidelines for target volume definition in post-operative radiotherapy for prostate cancer, on behalf of the EORTC Radiation Oncology Group

International Nuclear Information System (INIS)

Poortmans, Philip; Bossi, Alberto; Vandeputte, Katia; Bosset, Mathieu; Miralbell, Raymond; Maingon, Philippe; Boehmer, Dirk; Budiharto, Tom; Symon, Zvi; Bergh, Alfons C.M. van den; Scrase, Christopher; Poppel, Hendrik van; Bolla, Michel

2007-01-01

The appropriate application of 3-D conformal radiotherapy, intensity modulated radiotherapy or image guided radiotherapy for patients undergoing post-operative radiotherapy for prostate cancer requires a standardisation of the target volume definition and delineation as well as standardisation of the clinical quality assurance procedures. Recommendations for this are presented on behalf of the European Organisation for Research and Treatment of Cancer (EORTC) Radiation Oncology Group and in addition to the already published guidelines for radiotherapy as the primary treatment

System of the advanced volume reduction facilities for LLW at JAERI

International Nuclear Information System (INIS)

Higuchi, Hidekazu; Monma, Toshiyuki; Nakashio, Nobuyuki; Kozawa, Kazushige; Touhei, Toshio; Sudou, Tomoyuki; Mitsuda, Motoyuki; Kurosawa, Shigenobu; Henmi, Kou; Ishikawa, Joji; Kato, Mitsugu; Sato, Motoaki

2005-01-01

The Japan Atomic Energy Research Institute (JAERI) constructed the Advanced Volume Reduction Facilities (AVRF), in which volume reduction techniques are applied and achieved high volume reduction ratio, homogenization and stabilization by means of melting or super compaction processes for low level solid wastes. It will be able to produce waste packages for final disposal and to reduce the amount of the wastes by operating the AVRF. The AVRF consist of the Waste Size Reduction and Storage Facilities (WSRSF) and the Waste Volume Reduction Facilities (WVRF); the former have cutting installations for large size wastes and the latter have melting units and a super compactor. Cutting installations in the WSRSF have been operating since June 1999. Radioactive wastes treated so far amount to 600 m 3 and the volume reduction ratio is from 1/2 to 1/3. The WVRF have been operating with non-radioactive wastes since February 2003 for the training and the homogeneity investigation in the melting processes. The operation with radioactive wastes will start in FY2005. (author)

IMAGE information monitoring and applied graphics software environment. Volume 4. Applications description

International Nuclear Information System (INIS)

Hallam, J.W.; Ng, K.B.; Upham, G.L.

1986-09-01

The EPRI Information Monitoring and Applied Graphics Environment (IMAGE) system is designed for 'fast proto-typing' of advanced concepts for computer-aided plant operations tools. It is a flexible software system which can be used for rapidly creating, dynamically driving and evaluating advanced operator aid displays. The software is written to be both host computer and graphic device independent. This four volume report includes an Executive Overview of the IMAGE package (Volume 1), followed by Software Description (Volume II), User's Guide (Volume III), and Description of Example Applications (Volume IV)

Final Report - Advanced MEA's for Enhanced Operating Conditions, Amenable to High Volume Manufacture

Energy Technology Data Exchange (ETDEWEB)

Debe, Mark K.

2007-09-30

This report summarizes the work completed under a 3M/DOE contract directed at advancing the key fuel cell (FC) components most critical for overcoming the polymer electrolyte membrane fuel cell (PEMFC) performance, durability & cost barriers. This contract focused on the development of advanced ion exchange membranes & electrocatalysts for PEMFCs that will enable operation under ever more demanding automotive operating conditions & the use high volume compatible processes for their manufacture. Higher performing & more durable electrocatalysts must be developed for PEMFCs to meet the power density & lifetime hours required for FC vehicles. At the same time the amount of expensive Pt catalyst must be reduced to lower the MEA costs. While these two properties are met, the catalyst must be made resistant to multiple degradation mechanisms to reach necessary operating lifetimes. In this report, we present the work focused on the development of a completely new approach to PEMFC electrocatalyts, called nanostructured thin film (NSTF) catalysts. The carbon black supports are eliminated with this new approach which eliminates the carbon corrosion issue. The thin film nature of the catalyst significantly improves its robustness against dissolution & grain growth, preserving the surface area. Also, the activity of the NSTF for oxygen reduction is improved by over 500% compared to dispersed Pt catalyts. Finally, the process for fabricating the NSTF catalysts is consistent with high volume roll-good manufacturing & extremely flexible towards the introduction of new catalyst compositions & structures. This report documents the work done to develop new multi-element NSTF catalysts with properties that exceed pure Pt, that are optimized for use with the membranes discussed below, & advance the state-of-the-art towards meeting the DOE 2010 targets for PEMFC electrocatalysts. The work completed advances the understanding of the NSTF catalyst technology, identifies new NSTF

Volume and outcome of organ transplantation

NARCIS (Netherlands)

Banta, H.D.; Engel, G.L.; Schersten, T.

1992-01-01

In general, technically demanding medical procedures are associated with better outcomes when they are carried out in institutions and by physicians with higher volumes of practice. This paper examines the evidence for a volume-outcome relationship in the case of organ transplantation. Although few

High call volume at poison control centers: identification and implications for communication.

Science.gov (United States)

Caravati, E M; Latimer, S; Reblin, M; Bennett, H K W; Cummins, M R; Crouch, B I; Ellington, L

2012-09-01

High volume surges in health care are uncommon and unpredictable events. Their impact on health system performance and capacity is difficult to study. To identify time periods that exhibited very busy conditions at a poison control center and to determine whether cases and communication during high volume call periods are different from cases during low volume periods. Call data from a US poison control center over twelve consecutive months was collected via a call logger and an electronic case database (Toxicall®).Variables evaluated for high call volume conditions were: (1) call duration; (2) number of cases; and (3) number of calls per staff member per 30 minute period. Statistical analyses identified peak periods as busier than 99% of all other 30 minute time periods and low volume periods as slower than 70% of all other 30 minute periods. Case and communication characteristics of high volume and low volume calls were compared using logistic regression. A total of 65,364 incoming calls occurred over 12 months. One hundred high call volume and 4885 low call volume 30 minute periods were identified. High volume periods were more common between 1500 and 2300 hours and during the winter months. Coded verbal communication data were evaluated for 42 high volume and 296 low volume calls. The mean (standard deviation) call length of these calls during high volume and low volume periods was 3 minutes 27 seconds (1 minute 46 seconds) and 3 minutes 57 seconds (2 minutes 11 seconds), respectively. Regression analyses revealed a trend for fewer overall verbal statements and fewer staff questions during peak periods, but no other significant differences for staff-caller communication behaviors were found. Peak activity for poison center call volume can be identified by statistical modeling. Calls during high volume periods were similar to low volume calls. Communication was more concise yet staff was able to maintain a good rapport with callers during busy call periods

Worst-case prediction of normal operating containment temperatures for environmentally qualified equipment

International Nuclear Information System (INIS)

Krasnopoler, M.J.; Sundergill, J.E.

1991-01-01

Due to issues raised in NRC Information Notice No. 87-65, a southern US nuclear plant was concerned about thermal aging of environmentally qualified (EQ) equipment located in areas of elevated containment temperatures. A method to predict the worst-case monthly temperatures at various zones in the containment and calculate the qualified life using this monthly temperature was developed. Temperatures were predicted for twenty locations inside the containment. Concern about the qualified life of EQ equipment resulted from normal operating temperatures above 120F in several areas of the containment, especially during the summer. At a few locations, the temperature exceeded 140F. Also, NRC Information Notice No. 89-30 reported high containment temperatures at three other nuclear power plants. The predicted temperatures were based on a one-year containment temperature monitoring program. The monitors included permanent temperature monitors required by the Technical Specifications and temporary monitors installed specifically for this program. The temporary monitors were installed near EQ equipment in the expected worst-case areas based on design and operating experience. A semi-empirical model that combined physical and statistical models was developed. The physical model was an overall energy balance for the containment. The statistical model consists of several linear regressions that conservatively relate the monitor temperatures to the bulk containment temperature. The resulting semi-empirical model predicts the worst-case monthly service temperatures at the location of each of the containment temperature monitors. The monthly temperatures are the maximum expected because they are based on the historically worst-case atmospheric data

A case for Acoustic Emission surveillance of operating reactors

International Nuclear Information System (INIS)

Hartman, W.F.

1985-01-01

In the nuclear power industry, the potential consequences of cracks and leaks, the problems of personnel and public exposure to radiation, are certainly as serious as ever. The costs of repairing advanced damage soar higher every year and the established inspection methods, taken together, still leave some gaps which Acoustic Emission (AE) can potentially close. The intergranular stress corrosion cracking (IGSCC) problem not only poses safety problems, but entails remedies costing the industry billions of dollars. If crack growth could be detected during plant operation, particular welds could be designated as requiring inspection during the next outage. Furthermore, if a highly sensitive, reliable leak-detection capability were applied to the system, any through-wall crack would be instantaneously detected. AE monitoring has the potential for both of these, on-line, in real time. So, there is renewed interest in what AE can do to solve these problems. Reviewing the progress in AE, relevant to nuclear applications, indicates that a strong case can be made for AE surveillance of operating reactors. This progress can be reviewed under two headings: leak detection and crack detection

Method for extending the unrestricted operating range of condensing steam turbines

International Nuclear Information System (INIS)

Csaba, G.; Bannerth, Cs.

2009-01-01

The allowed condenser temperature of the condensing steam turbines is determined by the design parameters of the steam turbine (casing geometry, exhaust area, blade length, blade angle, blade profile etc.). The fluctuations of condenser temperature may lead to reduced power output of the condensing steam turbine. Solutions where the low pressure turbine casings have the same exhaust area can be kept in operation at narrow condenser temperature range without restrictions. Exceeding the mentioned temperature range the exhaust hood temperature restriction, undergoing the temperature range choking point restriction appears causing increased operation cost. The aim of the paper is to present a condensing steam turbine - direct-contact condenser system that can extend the unrestricted operating range. The examined system consists of more parallelly connected low pressure turbine casings so-called diabolo that having at least two exhausts separated at the steam side. The exhausts, utilizing varying input-temperature coolant, are connected to the condensers that are separated at the steam side and serially connected at the coolant side. The casings have the same inlet areas while the exhausts have different areas resulting different volume flows and temperature operating range. The economic advantage of this solution approaches the savings between the serially connected direct-contact condensers and condensers in parallel of a dry cooling system. It can be proven by a simple calculation using the ambient air temperature duration diagram that is presented in the paper. (author)

Short-term optimal operation of Three-gorge and Gezhouba cascade hydropower stations in non-flood season with operation rules from data mining

International Nuclear Information System (INIS)

Ma Chao; Lian Jijian; Wang Junna

2013-01-01

Highlights: ► Short-term optimal operation of Three-gorge and Gezhouba hydropower stations was studied. ► Key state variable and exact constraints were proposed to improve numerical model. ► Operation rules proposed were applied in population initiation step for faster optimization. ► Culture algorithm with difference evolution was selected as optimization method. ► Model and method proposed were verified by case study with feasible operation solutions. - Abstract: Information hidden in the characteristics and relationship data of a cascade hydropower stations can be extracted by data-mining approaches to be operation rules and optimization support information. In this paper, with Three-gorge and Gezhouba cascade hydropower stations as an example, two operation rules are proposed due to different operation efficiency of water turbines and tight water volume and hydraulic relationship between two hydropower stations. The rules are applied to improve optimization model with more exact decision and state variables and constraints. They are also used in the population initiation step to develop better individuals with culture algorithm with differential evolution as an optimization method. In the case study, total feasible population and the best solution based on an initial population with an operation rule can be obtained with a shorter computation time than that of a pure random initiated population. Amount of electricity generation in a dispatch period with an operation rule also increases with an average increase rate of 0.025%. For a fixed water discharge process of Three-gorge hydropower station, there is a better rule to decide an operation plan of Gezhouba hydropower station in which total hydraulic head for electricity generation is optimized and distributed with inner-plant economic operation considered.

Basewide Groundwater Operable Unit. Groundwater Operable Unit Remedial Investigation/Feasibility Study Report. Volume 2

Science.gov (United States)

1994-06-01

Waters Plan Protection of Aquatic Life Freshwater Aquatic ULie Protection Freshwater Freshwater 1-Hour CopudAcute Chronic Average 4-Day...2 of 3 ARARs TB~s Clean Water Act Ambient Water Quality Criteria Inland Surface Waters Plan Protection of Aquatic Life Freshwater Aquatic Life...as a drinking water source. Response: The Air Force concurs with the establishment of a 106 risk target volume as the goal of the interim

Variations in CT determination of target volume with active breath co-ordinate in radiotherapy for post-operative gastric cancer.

Science.gov (United States)

Li, Gui-Chao; Zhang, Zhen; Ma, Xue-Jun; Yu, Xiao-Li; Hu, Wei-Gang; Wang, Jia-Zhou; Li, Qi-Wen; Liang, Li-Ping; Shen, Li-Jun; Zhang, Hui; Fan, Ming

2016-01-01

To investigate interobserver and inter-CT variations in using the active breath co-ordinate technique in the determination of clinical tumour volume (CTV) and normal organs in post-operative gastric cancer radiotherapy. Ten gastric cancer patients were enrolled in our study, and four radiation oncologists independently determined the CTVs and organs at risk based on the CT simulation data. To determine interobserver and inter-CT variation, we evaluated the maximum dimensions, derived volume and distance between the centres of mass (CMs) of the CTVs. We assessed the reliability in CTV determination among the observers by conformity index (CI). The average volumes ± standard deviation (cm(3)) of the CTV, liver, left kidney and right kidney were 674 ± 138 (range, 332-969), 1000 ± 138 (range, 714-1320), 149 ± 13 (range, 104-183) and 141 ± 21 (range, 110-186) cm(3), respectively. The average inter-CT distances between the CMs of the CTV, liver, left kidney and right kidney were 0.40, 0.56, 0.65 and 0.6 cm, respectively; the interobserver values were 0.98, 0.53, 0.16 and 0.15 cm, respectively. In the volume size of CTV for post-operative gastric cancer, there were significant variations among multiple observers, whereas there was no variation between different CTs. The slices in which variations more likely occur were the slices of the lower verge of the hilum of the spleen and porta hepatis, then the paraoesophageal lymph nodes region and abdominal aorta, and the inferior vena cava, and the variation in the craniocaudal orientation from the interobserver was more predominant than that from inter-CT. First, this is the first study to evaluate the interobserver and inter-CT variations in the determination of the CTV and normal organs in gastric cancer with the use of the active breath co-ordinate technique. Second, we analysed the region where variations most likely occur. Third, we investigated the influence of interobserver variation on

Operating room management and operating room productivity: the case of Germany.

Science.gov (United States)

Berry, Maresi; Berry-Stölzle, Thomas; Schleppers, Alexander

2008-09-01

We examine operating room productivity on the example of hospitals in Germany with independent anesthesiology departments. Linked to anesthesiology group literature, we use the ln(Total Surgical Time/Total Anesthesiologists Salary) as a proxy for operating room productivity. We test the association between operating room productivity and different structural, organizational and management characteristics based on survey data from 87 hospitals. Our empirical analysis links improved operating room productivity to greater operating room capacity, appropriate scheduling behavior and management methods to realign interests. From this analysis, the enforcing jurisdiction and avoiding advance over-scheduling appear to be the implementable tools for improving operating room productivity.

Low level radioactive waste disposal siting: a social and technical plan for Pennsylvania. Volume 2. Socioeconomic analyses

International Nuclear Information System (INIS)

Aron, G.; Bord, R.J.; Clemente, F.A.; Dornsife, W.P.; Jarrett, A.R.; Jester, W.A.; Schmalz, R.F.; Witzig, W.F.

1984-09-01

Volume II comprises five chapters: Socioeconomic Screening Criteria for LLRW Facility Siting and An Application to Counties in Pennsylvania; Evaluating Public Participation Options for the Case of Low Level Radioactive Waste Siting in Pennsylvania; Potential Socioeconomic Impacts of a LLRW Facility in Pennsylvania; The Role of Community Incentives in Low Level Radioactive Waste Management; and Institutional Aspects of LLRW Site Development and Operations in Pennsylvania

Journal of Special Operations Medicine, Volume 2, Edition 3

Science.gov (United States)

2002-01-01

muscle necrosis is extensive it produces a tissue lysis syndrome with lactic acidosis, hyperkalemia, hyperuricemia, hyperphosphatemia, hypocalcemia ... adults , and may require adjust- ment for elderly or very young patients. Volume 2, Edition 3 / Summer 02 27 6. Costrini A: Emergency treatment of...completed annual refresher training in direct laryngoscopy three days prior to this study. A LaedralTM adult intubating manikin was used as the patient in

Journal of Special Operations Medicine, Volume 6, Edition 3

Science.gov (United States)

2006-01-01

between the lower leg muscular planes. These are often times located in multiple places and not radiographically detectable. Volume 6, Edition 3...tinged. Physical examination was remarkable for rales and rhonchi at the left base. There was no jugular venous distension or tracheal deviation... muscular or subcutaneous epinephrine are the first-line treatments for these rare but serious conditions; respi- ratory and intravascular fluid may

Uranium milling: Draft generic environmental impact statement: Volume 2, Appendices

International Nuclear Information System (INIS)

1979-04-01

This volume contains appendices supporting the discussions in Volume 1. In some cases, the appendices expound upon arguments developed in the main document; in other cases, supplementary material considered to be relevant but not presented in Volume 1 is included. A third category encompasses reprinting of pertinent documents felt to be necessary for a comprehensive presentation of the current situation, e.g., Public Law 95-604

Enhancement of H{sup -}/D{sup -} volume production in a double plasma type negative ion source

Energy Technology Data Exchange (ETDEWEB)

Fukumasa, Osamu; Nishimura, Hideki; Sakiyama, Satoshi [Yamaguchi Univ., Ube (Japan). Faculty of Engineering

1997-02-01

H{sup -}/D{sup -} production in a pure volume source has been studied. In our double plasma type negative ion source, both energy and density of fast electrons are well controlled. With the use of this source, the enhancement of H{sup -}/D{sup -} production has been observed. Namely, under the same discharge power, the extracted H{sup -}/D{sup -} current in the double plasma operation is higher than that in the single plasma operation. At the same time, measurements of plasma parameters have been made in the source and the extractor regions for these two cases. (author)

Study of volume fractions on biphasic stratified regime using gamma ray

Energy Technology Data Exchange (ETDEWEB)

Salgado, William L.; Brandão, Luis E.B., E-mail: william.otero@hotmail.com, E-mail: brandao@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

2017-07-01

In the oil industries, interconnected pipelines are used to carry large quantities of petroleum and its byproducts. This modal has an advantage because they are more economical, eliminate a need for stocks and, in addition, great safety in operation minimizing a possibility of loss or theft when transported another way. In many cases, especially in the petrochemical industry, the same pipeline is used to carry more than one type of product. They are called poliduct. In the operation of a poliduct there is a sequence of products to be transported and during the exchange of the product, there are still fractions of the previous product and this generates contamination. It is therefore important to identify precisely this region in order to reduce the costs of reprocessing and treatment of discarded products. In this way, this work presents a methodology to evaluate the sensitivity of the gamma densitometry technique in a study of the calculation of volume fractions in biphasic systems, submitted to the stratified flow regime. Using computational simulations using the Monte Carlo Method with the MCNPX code measurement geometry was proposed that presented a higher sensitivity for the calculation of volume fractions. The relevant technical data to perform a simulation of the scintillator detectors were based on information obtained from the gammagraphy technique. The study had a theoretical validation through analytical equations, and the results show that it is possible to identify volume fractions equivalent to 3%. (author)

Study of volume fractions on biphasic stratified regime using gamma ray

International Nuclear Information System (INIS)

Salgado, William L.; Brandão, Luis E.B.

2017-01-01

In the oil industries, interconnected pipelines are used to carry large quantities of petroleum and its byproducts. This modal has an advantage because they are more economical, eliminate a need for stocks and, in addition, great safety in operation minimizing a possibility of loss or theft when transported another way. In many cases, especially in the petrochemical industry, the same pipeline is used to carry more than one type of product. They are called poliduct. In the operation of a poliduct there is a sequence of products to be transported and during the exchange of the product, there are still fractions of the previous product and this generates contamination. It is therefore important to identify precisely this region in order to reduce the costs of reprocessing and treatment of discarded products. In this way, this work presents a methodology to evaluate the sensitivity of the gamma densitometry technique in a study of the calculation of volume fractions in biphasic systems, submitted to the stratified flow regime. Using computational simulations using the Monte Carlo Method with the MCNPX code measurement geometry was proposed that presented a higher sensitivity for the calculation of volume fractions. The relevant technical data to perform a simulation of the scintillator detectors were based on information obtained from the gammagraphy technique. The study had a theoretical validation through analytical equations, and the results show that it is possible to identify volume fractions equivalent to 3%. (author)

Intrusion problematic during water supply systems' operation

Energy Technology Data Exchange (ETDEWEB)

Mora-Rodriguez, Jesus; Lopez-Jimenez, P. Amparo [Departamento de Ingenieria Hidraulica y Medio Ambiente, Universidad Politecnica de Valencia, Camino de Vera, s/n, 46022, Valencia (Spain); Ramos, Helena M. [Civil Engineering Department and CEHIDRO, Instituto Superior Tecnico, Technical University of Lisbon, Av. Rovisco Pais, 1049-001, Lisbon (Portugal)

2011-07-01

Intrusion through leaks occurrence is a phenomenon when external fluid comes into water pipe systems. This phenomenon can cause contamination problems in drinking pipe systems. Hence, this paper focuses on the entry of external fluids across small leaks during normal operation conditions. This situation is especially important in elevated points of the pipe profile. Pressure variations can origin water volume losses and intrusion of contaminants into the drinking water pipes. This work focuses in obtaining up the physical representation on a specific case intrusion in a pipe water system. The combination of two factors is required to generate this kind of intrusion in a water supply system: on one hand the existence of at least a leak in the system; on the other hand, a pressure variation could occur during the operation of the system due to consumption variation, pump start-up or shutdown. The potential of intrusion during a dynamic or transient event is here analyzed. To obtain this objective an experimental case study of pressure transient scenario is analyzed with a small leak located nearby the transient source.

On volumes of subregions in holography and complexity

Energy Technology Data Exchange (ETDEWEB)

Ben-Ami, Omer [Raymond and Beverly Sackler Faculty of Exact Sciences School of Physics and Astronomy,Tel-Aviv University, Ramat-Aviv, 69978 (Israel); Carmi, Dean [Raymond and Beverly Sackler Faculty of Exact Sciences School of Physics and Astronomy,Tel-Aviv University, Ramat-Aviv, 69978 (Israel); Perimeter Institute for Theoretical Physics,31 Caroline Street North, ON, N2L 2Y5 (Canada)

2016-11-22

The volume of the region inside the bulk Ryu-Takayanagi surface is a codimension-one object, and a natural generalization of holographic complexity to the case of subregions in the boundary QFT. We focus on time-independent geometries, and study the properties of this volume in various circumstances. We derive a formula for computing the volume for a strip entangling surface and a general asymptotically AdS bulk geometry. For an AdS black hole geometry, the volume exhibits non-monotonic behaviour as a function of the size of the entangling region (unlike the behaviour of the entanglement entropy in this setup, which is monotonic). For setups in which the holographic entanglement entropy exhibits transitions in the bulk, such as global AdS black hole, geometries dual to confining theories and disjoint entangling surfaces, the corresponding volume exhibits a discontinuous finite jump at the transition point (and so do the volumes of the corresponding entanglement wedges). We compute this volume discontinuity in several examples. Lastly, we compute the codim-zero volume and the bulk action of the entanglement wedge for the case of a sphere entangling surface and pure AdS geometry.

Utility of Quantitative Tc-MAA SPECT/CT for yttrium-Labelled Microsphere Treatment Planning: Calculating Vascularized Hepatic Volume and Dosimetric Approach.

Science.gov (United States)

Garin, Etienne; Rolland, Yan; Lenoir, Laurence; Pracht, Marc; Mesbah, Habiba; Porée, Philippe; Laffont, Sophie; Clement, Bruno; Raoul, Jean-Luc; Boucher, Eveline

2011-01-01

Objectives. The aim of this study was to assess the effectiveness of SPECT/CT for volume measurements and to report a case illustrating the major impact of SPECT/CT in calculating the vascularized liver volume and dosimetry prior to injecting radiolabelled yttrium-90 microspheres (Therasphere). Materials and Methods. This was a phantom study, involving volume measurements carried out by two operators using SPECT and SPECT/CT images. The percentage of error for each method was calculated, and interobserver reproducibility was evaluated. A treatment using Therasphere was planned in a patient with three hepatic arteries, and the quantitative analysis of SPECT/CT for this patient is provided. Results. SPECT/CT volume measurements proved to be accurate (mean error Therasphere used. Conclusions. MAA SPECT/CT is accurate for vascularized liver volume measurements, providing a valuable contribution to the therapeutic planning of patients with complex hepatic vascularization.

Independent verification of tank volume measurements by pressure-volume authentication

International Nuclear Information System (INIS)

Suda, S.C.; Keisch, B.

1992-01-01

Brookhaven National Laboratory has developed a portable pressure-volume authenticator** as a standard and means of checking the functionality and quality of bubbler-probe volumetric devices. The pressure-volume authenticator (PVA) consists of an automated electromanometer system that is controlled by a laptop computer, and a transportable volumetric artifact. A portable pressure gage is connected, via a scanivalve, to the operator's bubbler-probe system and independently measures all bubbler probes. The transportable volumetric artifact is a one-meter high vessel equipped with bubble-probes, computer controlled air-purge rotameters, and platinum resistance (RTD) thermometer. High quality measurements are obtained by use of a fast sampling technique and sophisticated software developed under this program. The computer software performs the following functions: (a) instrument control, (b) data acquisition, (c) on-line graphical and numerical display of measurement data, and (d) detailed data analysis. The device also may provide hands-on training for inspectors and plant operators in high quality volumetric data collection and analysis. A field demonstration of the automated electromanometer system was conducted on the PETRA input accountancy tank, JRC-Ispra in November 1991

Operating reactors licensing actions summary. Volume 5, No. 2

International Nuclear Information System (INIS)

1985-04-01

The Operating Reactors Licensing Actions Summary is designed to provide the management of the Nuclear Regulatory Commission (NRC) with an overview of licensing actions dealing with operating power and nonpower reactors. These reports utilize data collected from the Division of Licensing in the Office of Nuclear Reactor Regulation and are prepared by the Office of Resource Management. This summary report is published primarily for internal NRC use in managing the Operating Reactors Licensing Actions Program

ANDRA - Referential Materials. Volume 1: Context and scope; Volume 2: Argillaceous materials; Volume 3: Cementitious materials; Volume 4: The corrosion of metallic materials

International Nuclear Information System (INIS)

2001-01-01

This huge document gathers four volumes. The first volume presents some generalities about materials used in the storage of radioactive materials (definition, design principle, current choices and corresponding storage components, general properties of materials and functions of the corresponding storage components, physical and chemical solicitations experienced by materials in a storage), and the structure and content of the other documents. The second volume addresses argillaceous materials. It presents some generalities about these materials in the context of a deep geological storage, and about their design. It presents and comments the crystalline and chemical, and physical and chemical characteristics of swelling argillaceous materials and minerals, describes how these swelling argillaceous materials are shaped and set up, presents and comments physical properties (hydraulic, mechanical and thermal properties) of these materials, comments and discusses the modelling of the geo-chemical behaviour, and their behaviour in terms of containment and transport of radionuclides. The third volume addresses cementitious materials. It presents some generalities about these materials in the context of a deep geological storage, and about their definition and specifications. It presents some more detailed generalities (cement definition and composition, hydration, microstructure of hydrated cements, adjuvants), presents and comments their physical properties (fresh concrete structure and influence of composition, main aimed properties in the hardened status, transfer, mechanical, and thermal properties, shaping and setting up of these materials, technical solutions for hydraulic works). The fourth volume addresses the corrosion of metallic materials. It presents some generalities about these materials in the context of a deep geological storage of radioactive materials. It presents metallic materials and discusses their corrosion behaviour. It describes the peculiarities

On the symmetry of the boundary conditions of the volume potential

Science.gov (United States)

Kal'menov, Tynysbek Sh.; Arepova, Gaukhar; Suragan, Durvudkhan

2017-09-01

It is well known that the volume potential determines the mass or the charge distributed over the domain with density f. The volume potential is extensively used in function theory and embedding theorems. It is also well known that the volume potential gives a solution to an inhomogeneous equation. And it generates a linear self-adjoint operator. It is known that self-adjoint differential operators are generated by boundary conditions. In our previous papers for an arbitrary domain a boundary condition on the volume potential is given. In the past, it was not possible to prove the self-adjointness of these obtained boundary conditions. In the present paper, we prove the symmetry of boundary condition for the volume potential.

Chemical Method of Urine Volume Measurement

Science.gov (United States)

Petrack, P.

1967-01-01

A system has been developed and qualified as flight hardware for the measurement of micturition volumes voided by crewmen during Gemini missions. This Chemical Urine Volume Measurement System (CUVMS) is used for obtaining samples of each micturition for post-flight volume determination and laboratory analysis for chemical constituents of physiological interest. The system is versatile with respect to volumes measured, with a capacity beyond the largest micturition expected to be encountered, and with respect to mission duration of inherently indefinite length. The urine sample is used for the measurement of total micturition volume by a tracer dilution technique, in which a fixed, predetermined amount of tritiated water is introduced and mixed into the voided urine, and the resulting concentration of the tracer in the sample is determined with a liquid scintillation spectrometer. The tracer employed does not interfere with the analysis for the chemical constituents of the urine. The CUVMS hardware consists of a four-way selector valve in which an automatically operated tracer metering pump is incorporated, a collection/mixing bag, and tracer storage accumulators. The assembled system interfaces with a urine receiver at the selector valve inlet, sample bags which connect to the side of the selector valve, and a flexible hose which carries the excess urine to the overboard drain connection. Results of testing have demonstrated system volume measurement accuracy within the specification limits of +/-5%, and operating reliability suitable for system use aboard the GT-7 mission, in which it was first used.

Turnaround operations analysis for OTV. Volume 2: Detailed technical report

Science.gov (United States)

1988-01-01

The objectives and accomplishments were to adapt and apply the newly created database of Shuttle/Centaur ground operations. Previously defined turnaround operations analyses were to be updated for ground-based OTVs (GBOTVs) and space-based OTVs (SBOTVs), design requirements identified for both OTV and Space Station accommodations hardware, turnaround operations costs estimated, and a technology development plan generated to develop the required capabilities. Technical and programmatic data were provided for NASA pertinent to OTV round and space operations requirements, turnaround operations, task descriptions, timelines and manpower requirements, OTV modular design and booster and Space Station interface requirements. SBOTV accommodations development schedule, cost and turnaround operations requirements, and a technology development plan for ground and space operations and space-based accommodations facilities and support equipment. Significant conclusion are discussed.

The alteration of gray matter volume in children with mental retardation: the differences between the patients presented with operation deficit predominantly and those presented with language deficit mainly

International Nuclear Information System (INIS)

Yuan Xinyu; Jiang Xuexiang; Jin Chunhua; Zhang Yuanchao; Bai Zhenhua; Yi Xiaoli; Xiao Jiangxi

2012-01-01

Objective: To detect the differences of grey matter volume between the patients with mental retardation (MR) presented clinically as operation deficit (OD) or as language deficit (LD) and the children with typical normal development using optimal VBM. The developmental connections between brain gray matter and language or operation skills were examined. Methods: Magnetic resonance imaging was obtained from 9 children with mental retardation presented as OD predominantly and 11 children with mental retardation presented as LD mainly, as well as the age-matched control group (11 and 14 normal children,respectively) on a 1.5 T scanner. Voxel-based morphometry analysis with an optimization of spatial segmentation and normalization procedures was applied to compare the volume of grey matter between the two groups (OD VS.control; LD VS.control). Statistically, the total and local gray matter volumes were compared between the two groups with t test. Results: The total gray matter volume of OD group was [(1.030 ± 0.078) × 10 6 mm 3 ]. Compared to that of controls [(0.984 ± 0.058) × 10 6 mm 3 ], it was increased significantly (t=-2.6, P<0.05). And the gray matter volume in the posterior cingulated gyrus, left superior prefrontal gyrus, left cuneus, left middle prefrontal gyrus and the body of left caudate nucleus showed significantly increased. Meanwhile, the total gray matter volume of the MR children presented as LD [(1.002 ± 0.068) × 10 6 mm 3 ] showed significantly increased(t=-3.0, P<0.05) compared with that of control group [(0.957 ±0.057) × 10 6 mm 3 ]. The gray matter volume in bilateral thalami, the left inferior temporal gyrus,the left inferior frontal gyrus, and the left cerebellum of the LD group was more than that of normal children. Conclusion: As revealed by VBM, there are differences in alterations of gray matter volume between MR children presented with OD and with LD relative to control. (authors)

Fluid mechanics experiments in oscillatory flow. Volume 1

International Nuclear Information System (INIS)

Seume, J.; Friedman, G.; Simon, T.W.

1992-03-01

Results of a fluid mechanics measurement program is oscillating flow within a circular duct are present. The program began with a survey of transition behavior over a range of oscillation frequency and magnitude and continued with a detailed study at a single operating point. Such measurements were made in support of Stirling engine development. Values of three dimensionless parameters, Re max , Re W , and A R , embody the velocity amplitude, frequency of oscillation and mean fluid displacement of the cycle, respectively. Measurements were first made over a range of these parameters which included operating points of all Stirling engines. Next, a case was studied with values of these parameters that are representative of the heat exchanger tubes in the heater section of NASA's Stirling cycle Space Power Research Engine (SPRE). Measurements were taken of the axial and radical components of ensemble-averaged velocity and rms-velocity fluctuation and the dominant Reynolds shear stress, at various radial positions for each of four axial stations. In each run, transition from laminar to turbulent flow, and in reverse, were identified and sufficient data was gathered to propose the transition mechanism. Models of laminar and turbulent boundary layers were used to process the data into wall coordinates and to evaluate skin friction coefficients. Such data aids in validating computational models and is useful in comparing oscillatory flow characteristics to those of fully-developed steady flow. Data were taken with a contoured entry to each end of the test section and with flush square inlets so that the effects of test section inlet geometry on transition and turbulence are documented. The following is presented in two-volumes. Volume I contains the text of the report including figures and supporting appendices. Volume II contains data reduction program listings and tabulated data (including its graphical presentation)

PATRAM '80. Proceedings. Volume 2

International Nuclear Information System (INIS)

Huebner, H.W.

1980-01-01

Volume 2 contains papers from the following sessions: Safeguards-Related Problems; Neutronics and Criticality; Operations and Systems Experience II; Plutonium Systems; Intermediate Storage in Casks; Operations and Systems Planning; Institutional Issues; Structural and Thermal Evaluation I; Poster Session B; Extended Testing I; Structural and Thermal Evaluation II; Extended Testing II; and Emergency Preparedness and Response. Individual papers were processed. (LM)

The Effects of FreeSurfer Version, Workstation Type, and Macintosh Operating System Version on Anatomical Volume and Cortical Thickness Measurements

OpenAIRE

Gronenschild, Ed H. B. M.; Habets, Petra; Jacobs, Heidi I. L.; Mengelers, Ron; Rozendaal, Nico; van Os, Jim; Marcelis, Machteld

2012-01-01

FreeSurfer is a popular software package to measure cortical thickness and volume of neuroanatomical structures. However, little if any is known about measurement reliability across various data processing conditions. Using a set of 30 anatomical T1-weighted 3T MRI scans, we investigated the effects of data processing variables such as FreeSurfer version (v4.3.1, v4.5.0, and v5.0.0), workstation (Macintosh and Hewlett-Packard), and Macintosh operating system version (OSX 10.5 and OSX 10.6). S...

Timeliness of Operating Room Case Planning and Time Utilization: Influence of First and To-Follow Cases

Directory of Open Access Journals (Sweden)

Konrad Meissner

2017-04-01

Full Text Available Resource and cost constraints in hospitals demand thorough planning of operating room schedules. Ideally, exact start times and durations are known in advance for each case. However, aside from the first case’s start, most factors are hard to predict. While the role of the start of the first case for optimal room utilization has been shown before, data for to-follow cases are lacking. The present study therefore aimed to analyze all elective surgery cases of a university hospital within 1 year in search of visible patterns. A total of 14,014 cases scheduled on 254 regular working days at a university hospital between September 2015 and August 2016 underwent screening. After eliminating 112 emergencies during regular working hours, 13,547 elective daytime cases were analyzed, out of which 4,346 ranked first, 3,723 second, and 5,478 third or higher in the daily schedule. Also, 36% of cases changed start times from the day before to 7:00 a.m., with half of these (52% resulting in a delay of more than 15 min. After 7:00 a.m., 87% of cases started more than 10 min off schedule, with 26% being early and 74% late. Timeliness was 15 ± 72 min (mean ± SD for first, 21 ± 84 min for second, and 25 ± 93 min for all to-follow cases, compared to preoperative day planning, and 21 ± 45, 23 ± 61, and 19 ± 74 min compared to 7:00 a.m. status. Start time deviations were also related to procedure duration, with cases of 61–90 min duration being most reliable (deviation 9.8 ± 67 min compared to 7:00 a.m., regardless of order. In consequence, cases following after 61–90 min long cases had the shortest deviations of incision time from schedule (16 ± 66 min. Taken together, start times for elective surgery cases deviate substantially from schedule, with first and second cases falling into the highest mean deviation category. Second cases had the largest deviations from scheduled times compared to

Positive and negative volume-outcome relationships in the geriatric trauma population.

Science.gov (United States)

Matsushima, Kazuhide; Schaefer, Eric W; Won, Eugene J; Armen, Scott B; Indeck, Matthew C; Soybel, David I

2014-04-01

In trauma populations, improvements in outcome are documented in institutions with higher case volumes. However, it is not known whether improved outcomes are attributable to the case volume within specific higher-risk groups, such as the elderly, or to the case volume among all trauma patients treated by an institution. To test the hypothesis that outcomes of trauma care for geriatric patients are affected differently by the volume of geriatric cases and nongeriatric cases of an institution. This retrospective cohort study using a statewide trauma registry was set in state-designated levels 1 and 2 trauma centers in Pennsylvania. It included 39 431 eligible geriatric trauma patients (aged >65 years) in the Pennsylvania Trauma Outcomes Study. In-hospital mortality, major complications, and mortality after major complications (failure to rescue). Between 2001 and 2010, 39 431 geriatric trauma patients and 105 046 nongeriatric patients were captured in a review of outcomes in 20 state-designated levels 1 and 2 trauma centers. Larger volumes of geriatric trauma patients were significantly associated with lower odds of in-hospital mortality, major complications, and failure to rescue. In contrast, larger nongeriatric trauma volumes were significantly associated with higher odds of major complications in geriatric patients. Higher rates of in-hospital mortality, major complications, and failure to rescue were associated with lower volumes of geriatric trauma care and paradoxically with higher volumes of trauma care for younger patients. These findings offer the possibility that outcomes might be improved with differentiated pathways of care for geriatric trauma patients.

Ovarian Volume in Turkish Women with Normal and Polycystic Ovaries

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Cem Celik

2013-10-01

Full Text Available Aim: We aimed to investigate possibility of different ovarian volume threshold and to study diagnostic thresholds for polycystic ovary in Turkish women, since the literature on this subject is very limited. Material and Method: Clinical study carried out Namik Kemal University School of Medicine, Tekirdag, Turkey.This case-control study included 132 patients with polycystic ovary syndrome (PCOS, diagnosed according to Rotterdam criteria and 75 controls. Comparison of ovarian volumes between PCOS patients and control group. Results: We found a mean ovarian volume of 9.44 ± 4.3 cm3 in PCOS cases and 7.63 ± 3.66 cm3 in control cases. The area under curve (AUC for mean ovarian volume (MOV was 0.633. The analysis showed that setting the threshold of MOV at 8.2 cm3 offered the best compromise between specificity (61.3% and sensitivity (53.8%. Discussion: Optimum threshold of ovarian volume to distinguish the PCOS from normal women and the mean ovarian volume in Turkish PCOS patients remain beneath the criteria by Rotterdam.

An experimental result of estimating an application volume by machine learning techniques.

Science.gov (United States)

Hasegawa, Tatsuhito; Koshino, Makoto; Kimura, Haruhiko

2015-01-01

In this study, we improved the usability of smartphones by automating a user's operations. We developed an intelligent system using machine learning techniques that periodically detects a user's context on a smartphone. We selected the Android operating system because it has the largest market share and highest flexibility of its development environment. In this paper, we describe an application that automatically adjusts application volume. Adjusting the volume can be easily forgotten because users need to push the volume buttons to alter the volume depending on the given situation. Therefore, we developed an application that automatically adjusts the volume based on learned user settings. Application volume can be set differently from ringtone volume on Android devices, and these volume settings are associated with each specific application including games. Our application records a user's location, the volume setting, the foreground application name and other such attributes as learning data, thereby estimating whether the volume should be adjusted using machine learning techniques via Weka.

Cell volume regulation: physiology and pathophysiology

DEFF Research Database (Denmark)

Lambert, I H; Hoffmann, E K; Pedersen, Stine Helene Falsig

2008-01-01

are sensed are still far from clear, significant progress has been made with respect to the nature of the sensors, transducers and effectors that convert a change in cell volume into a physiological response. In the present review, we summarize recent major developments in the field, and emphasize......Cell volume perturbation initiates a wide array of intracellular signalling cascades, leading to protective and adaptive events and, in most cases, activation of volume-regulatory osmolyte transport, water loss, and hence restoration of cell volume and cellular function. Cell volume is challenged....../hypernatremia. On the other hand, it has recently become clear that an increase or reduction in cell volume can also serve as a specific signal in the regulation of physiological processes such as transepithelial transport, cell migration, proliferation and death. Although the mechanisms by which cell volume perturbations...

Mucinous adenocarcinoma arising at the anastomotic site after operation for hirschsprung's disease: case report

International Nuclear Information System (INIS)

Kim, Hyung Soo; Yoon, Kwon Ha

2004-01-01

To our knowledge, rectal cancer arising at the anastomotic site after surgery for Hirschsprung's disease has not been reported. We report a case of mucinous adenocarcinoma arising at the anastomotic site after Soave operation 26 years ago

VOLUMNECT: measuring volumes with Kinect

Science.gov (United States)

Quintino Ferreira, Beatriz; Griné, Miguel; Gameiro, Duarte; Costeira, João. Paulo; Sousa Santos, Beatriz

2014-03-01

This article presents a solution to volume measurement object packing using 3D cameras (such as the Microsoft KinectTM). We target application scenarios, such as warehouses or distribution and logistics companies, where it is important to promptly compute package volumes, yet high accuracy is not pivotal. Our application auto- matically detects cuboid objects using the depth camera data and computes their volume and sorting it allowing space optimization. The proposed methodology applies to a point cloud simple computer vision and image processing methods, as connected components, morphological operations and Harris corner detector, producing encouraging results, namely an accuracy in volume measurement of 8mm. Aspects that can be further improved are identified; nevertheless, the current solution is already promising turning out to be cost effective for the envisaged scenarios.

[Non-operation management of 12 cases with brain abscess demonstrated by CT scan].

Science.gov (United States)

Long, J

1990-12-01

This paper reported 12 cases with brain abscess demonstrated by CT scan. Using antibiotic management without surgical intervention, in 10 cases the curative effects were satisfactory. The paper indicated that CT scan was very useful in prompt and correct diagnosis of brain abscess and with sequential CT scan medical therapy was feasible. It is significant in treatment of brain abscess especially for the patients who have a poor general condition, have the brain abscess located in important functional area or have multiple abscesses so that the operation is difficult for them.

Use of the LITEE Lorn Manufacturing Case Study in a Senior Chemical Engineering Unit Operations Laboratory

Science.gov (United States)

Abraham, Nithin Susan; Abulencia, James Patrick

2011-01-01

This study focuses on the effectiveness of incorporating the Laboratory for Innovative Technology and Engineering Education (LITEE) Lorn Manufacturing case into a senior level chemical engineering unit operations course at Manhattan College. The purpose of using the case study is to demonstrate the relevance of ethics to chemical engineering…

Operating reactors licensing actions summary. Volume 5, No. 6

International Nuclear Information System (INIS)

1985-08-01

The operating reactors licensing actions summary is designed to provide the management of the Nuclear Regulatory Commission (NRC) with an overview of licensing actions dealing with operating power and nonpower reactors. These reports utilize data collected from the Division of Licensing in the Office of Nuclear Reactor Regulation and are prepared by the Office of Resource Management. This summary report is published for internal NRC use in managing the Operating Reactors Licensing Actions Program. Its content will change based on NRC management informational requirements

Constellation Program Lessons Learned. Volume 2; Detailed Lessons Learned

Science.gov (United States)

Rhatigan, Jennifer; Neubek, Deborah J.; Thomas, L. Dale

2011-01-01

These lessons learned are part of a suite of hardware, software, test results, designs, knowledge base, and documentation that comprises the legacy of the Constellation Program. The context, summary information, and lessons learned are presented in a factual format, as known and described at the time. While our opinions might be discernable in the context, we have avoided all but factually sustainable statements. Statements should not be viewed as being either positive or negative; their value lies in what we did and what we learned that is worthy of passing on. The lessons include both "dos" and "don ts." In many cases, one person s "do" can be viewed as another person s "don t"; therefore, we have attempted to capture both perspectives when applicable and useful. While Volume I summarizes the views of those who managed the program, this Volume II encompasses the views at the working level, describing how the program challenges manifested in day-to-day activities. Here we see themes that were perhaps hinted at, but not completely addressed, in Volume I: unintended consequences of policies that worked well at higher levels but lacked proper implementation at the working level; long-term effects of the "generation gap" in human space flight development, the need to demonstrate early successes at the expense of thorough planning, and the consequences of problems and challenges not yet addressed because other problems and challenges were more immediate or manifest. Not all lessons learned have the benefit of being operationally vetted, since the program was cancelled shortly after Preliminary Design Review. We avoid making statements about operational consequences (with the exception of testing and test flights that did occur), but we do attempt to provide insight into how operational thinking influenced design and testing. The lessons have been formatted with a description, along with supporting information, a succinct statement of the lesson learned, and

Evaluation of potential severe accidents during low power and shutdown operations at Grand Gulf, Unit 1: Evaluation of severe accident risks for plant operational state 5 during a refueling outage. Main report and appendices, Volume 6, Part 1

International Nuclear Information System (INIS)

Brown, T.D.; Kmetyk, L.N.; Whitehead, D.; Miller, L.; Forester, J.; Johnson, J.

1995-03-01

Traditionally, probabilistic risk assessments (PRAS) of severe accidents in nuclear power plants have considered initiating events potentially occurring only during full power operation. Recent studies and operational experience have, however, implied that accidents during low power and shutdown could be significant contributors to risk. In response to this concern, in 1989 the Nuclear Regulatory Commission (NRC) initiated an extensive program to carefully examine the potential risks during low power and shutdown operations. Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the plants to be studied. The program consists of two parallel projects being performed by Brookhaven National Laboratory (Surry) and Sandia National Laboratories (Grand Gulf). The program objectives include assessing the risks of severe accidents initiated during plant operational states other than full power operation and comparing the estimated risks with the risk associated with accidents initiated during full power operation as assessed in NUREG-1150. The scope of the program is that of a Level-3 PRA. The subject of this report is the PRA of the Grand Gulf Nuclear Station, Unit 1. The Grand Gulf plant utilizes a 3833 MWt BUR-6 boiling water reactor housed in a Mark III containment. The Grand Gulf plant is located near Port Gibson, Mississippi. The regime of shutdown analyzed in this study was plant operational state (POS) 5 during a refueling outage, which is approximately Cold Shutdown as defined by Grand Gulf Technical Specifications. The entire PRA of POS 5 is documented in a multi-volume NUREG report (NUREG/CR-6143). The internal events accident sequence analysis (Level 1) is documented in Volume 2. The Level 1 internal fire and internal flood analyses are documented in Vols 3 and 4, respectively

Evaluation of potential severe accidents during low power and shutdown operations at Grand Gulf, Unit 1: Evaluation of severe accident risks for plant operational state 5 during a refueling outage. Main report and appendices, Volume 6, Part 1

Energy Technology Data Exchange (ETDEWEB)

Brown, T.D.; Kmetyk, L.N.; Whitehead, D.; Miller, L. [Sandia National Labs., Albuquerque, NM (United States); Forester, J. [Science Applications International Corp., Albuquerque, NM (United States); Johnson, J. [GRAM, Inc., Albuquerque, NM (United States)

1995-03-01

Traditionally, probabilistic risk assessments (PRAS) of severe accidents in nuclear power plants have considered initiating events potentially occurring only during full power operation. Recent studies and operational experience have, however, implied that accidents during low power and shutdown could be significant contributors to risk. In response to this concern, in 1989 the Nuclear Regulatory Commission (NRC) initiated an extensive program to carefully examine the potential risks during low power and shutdown operations. Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the plants to be studied. The program consists of two parallel projects being performed by Brookhaven National Laboratory (Surry) and Sandia National Laboratories (Grand Gulf). The program objectives include assessing the risks of severe accidents initiated during plant operational states other than full power operation and comparing the estimated risks with the risk associated with accidents initiated during full power operation as assessed in NUREG-1150. The scope of the program is that of a Level-3 PRA. The subject of this report is the PRA of the Grand Gulf Nuclear Station, Unit 1. The Grand Gulf plant utilizes a 3833 MWt BUR-6 boiling water reactor housed in a Mark III containment. The Grand Gulf plant is located near Port Gibson, Mississippi. The regime of shutdown analyzed in this study was plant operational state (POS) 5 during a refueling outage, which is approximately Cold Shutdown as defined by Grand Gulf Technical Specifications. The entire PRA of POS 5 is documented in a multi-volume NUREG report (NUREG/CR-6143). The internal events accident sequence analysis (Level 1) is documented in Volume 2. The Level 1 internal fire and internal flood analyses are documented in Vols 3 and 4, respectively.

Volume definition system for treatment planning

International Nuclear Information System (INIS)

Alakuijala, Jyrki; Pekkarinen, Ari; Puurunen, Harri

1997-01-01

volume definition process dramatically. Its true 3D nature allows the algorithm to find the regions quickly with high accuracy. The competitive volume growing requires only a small amount of user input for initial seeding. The simultaneous growing of multiple segments mitigates volume leaking, which is a major problem in normal region growing. The automatic tool finds body outline, air, and couch reliably in 30 s for a volume image of 30 slices. Other algorithms are almost interactive. CTV interpolation is an excellent feature for defining a CTV spanning over several slices. Real time verification in 2D and 3D visualization support the operator and thus speed up the contouring process. Conclusions: The contouring process requires a rich set of tools to comply with the multi-faceted requirements of volume definition. Body, specific anatomic volumes and target are best defined using a set of tools specifically built for that purpose. The execution speed of both the algorithms and visualization is very important for operator satisfaction

The effect of hospital volume on mortality in patients admitted with severe sepsis.

Directory of Open Access Journals (Sweden)

Sajid Shahul

Full Text Available IMPORTANCE: The association between hospital volume and inpatient mortality for severe sepsis is unclear. OBJECTIVE: To assess the effect of severe sepsis case volume and inpatient mortality. DESIGN SETTING AND PARTICIPANTS: Retrospective cohort study from 646,988 patient discharges with severe sepsis from 3,487 hospitals in the Nationwide Inpatient Sample from 2002 to 2011. EXPOSURES: The exposure of interest was the mean yearly sepsis case volume per hospital divided into tertiles. MAIN OUTCOMES AND MEASURES: Inpatient mortality. RESULTS: Compared with the highest tertile of severe sepsis volume (>60 cases per year, the odds ratio for inpatient mortality among persons admitted to hospitals in the lowest tertile (≤10 severe sepsis cases per year was 1.188 (95% CI: 1.074-1.315, while the odds ratio was 1.090 (95% CI: 1.031-1.152 for patients admitted to hospitals in the middle tertile. Similarly, improved survival was seen across the tertiles with an adjusted inpatient mortality incidence of 35.81 (95% CI: 33.64-38.03 for hospitals with the lowest volume of severe sepsis cases and a drop to 32.07 (95% CI: 31.51-32.64 for hospitals with the highest volume. CONCLUSIONS AND RELEVANCE: We demonstrate an association between a higher severe sepsis case volume and decreased mortality. The need for a systems-based approach for improved outcomes may require a high volume of severely septic patients.

Exploring Young Children's Understanding about the Concept of Volume through Engineering Design in a STEM Activity: A Case Study

Science.gov (United States)

Park, Do-Yong; Park, Mi-Hwa; Bates, Alan B.

2018-01-01

This case study explores young children's understanding and application of the concept of volume through the practices of engineering design in a STEM activity. STEM stands for science, technology, engineering, and mathematics. However, engineering stands out as a challenging area to implement. In addition, most early engineering education…

Beliefs and Values about Intra-Operative Teaching and Learning: A Case Study of Surgical Teachers and Trainees

Science.gov (United States)

Ong, Caroline C.; Dodds, Agnes; Nestel, Debra

2016-01-01

Surgeons require advanced psychomotor skills, critical decision-making and teamwork skills. Much of surgical skills training involve progressive trainee participation in supervised operations where case variability, operating team interaction and environment affect learning, while surgical teachers face the key challenge of ensuring patient…

Impact of tumour volume on prediction of progression-free survival in sinonasal cancer

International Nuclear Information System (INIS)

Hennersdorf, Florian; Mauz, Paul-Stefan; Adam, Patrick; Welz, Stefan; Sievert, Anne; Ernemann, Ulrike; Bisdas, Sotirios

2015-01-01

The present study aimed to analyse potential prognostic factors, with emphasis on tumour volume, in determining progression free survival (PFS) for malignancies of the nasal cavity and the paranasal sinuses. Retrospective analysis of 106 patients with primary sinonasal malignancies treated and followed-up between March 2006 and October 2012. Possible predictive parameters for PFS were entered into univariate and multivariate Cox regression analysis. Kaplan-Meier curve analysis included age, sex, baseline tumour volume (based on MR imaging), histology type, TNM stage and prognostic groups according to the American Joint Committee on Cancer (AJCC) classification. Receiver operating characteristic (ROC) curve analysis concerning the predictive value of tumour volume for recurrence was also conducted. The main histological subgroup consisted of epithelial tumours (77%). The majority of the patients (68%) showed advanced tumour burden (AJCC stage III–IV). Lymph node involvement was present in 18 cases. The mean tumour volume was 26.6 ± 21.2 cm 3 . The median PFS for all patients was 24.9 months (range: 2.5–84.5 months). The ROC curve analysis for the tumour volume showed 58.1% sensitivity and 75.4% specificity for predicting recurrence. Tumour volume, AJCC staging, T- and N- stage were significant predictors in the univariate analysis. Positive lymph node status and tumour volume remained significant and independent predictors in the multivariate analysis. Radiological tumour volume proofed to be a statistically reliable predictor of PFS. In the multivariate analysis, T-, N- and overall AJCC staging did not show significant prognostic value

Curative effect analysis of invasive bladder cancer by joint surgical operation with interventional therapy

International Nuclear Information System (INIS)

Xu Biao; Wen Bin; Liu Tisheng; Wei Liqian

2007-01-01

Objective: To explore the effective therapy for invasive bladder cancer. Methods: Forty patients with invasive bladder cancer were divided into group A and group B. Intra-internal lilac-arterial chemotherapy and infusion pump chemotherapy combined with surgical operation were performed in group A and only surgical operation for group B. The differences of recurrence rates and survival rates between the two groups together with the effectiveness of intra-arterial chemotherapy combined surgical operation were evaluated at the same time. Results: Reduction in volumes of cancer and hematuria were obvious and nearly disappeared in group A patients with pathomorphological features demonstrating large pachyareas of necrosis together with degeneration and inflammatory changes of carcinoma tissue; outcoming with five recurrent cases (20%) and 2 deaths (10%). In group B, 9 cases relapsed(45%) and 4 eases died(20%). Conclusion: The combination of intra-internal lilac-arterial chemoembolization with infusion pump chemotherapy together with surgical operation is safe, effective for invasive bladder cancer, resulting in high raise of survival and life quality. (authors)

A survey on the technologies and cases for the cognitive models of nuclear power plant operators

International Nuclear Information System (INIS)

Lee, Yong Hee; Chun, Se Woo; Seo, Sang Moon; Lee, Hyun Chul

1993-04-01

To enhance the safety and availability of nuclear power plants, it is necessary to develop the methodologies which can systematically analyze the interrelationships between plant operators and main process systems. Operator congnitive models enable to provide an explicit method to analyze how operator's congitive behavior reacts to the behavior of system changes. However, because no adequate model has been developed up to now, it is difficult to take an effective approach for the review, assessment and improvement of human factors. In this study, we have surveyed the techniques and the cases of operator model development, aiming to develop an operator's model as one of human engineering application methodologies. We have analyzed the cognitive characteristics of decision-making, which is one of the principal factors for modeling, and reviewed the methodologies and implementation thechniques used in the cases of the model development. We investigated the tendencies of the model developments by reviewing ten cases and especially CES, INTEROPS and COSIMO models which have been developed or are under development in nuclear fields. Also, we summarized the cognitive characteristics to be considered in the modeling for the purpose of modeling operator's decision-making. For modeling methodologies, we found a trend of the modeling that is software simulations based on the artificial intelligence technologies, especially focused in knowledge representation methods. Based on the results of our survey, we proposed a development approach and several urgent research subjects. We suggested the development simulation tools which can be applicable to the review, assessment and improvement of human factors, by implementing them as softwares using expert system development tools. The results of this study have been applied to our long-term project named 'The Development of Human Engineering Technologies.' (Author)

Mobilizing First-Line Managers as Organizational Strategy Makers: The Case of Environmentally Sustainable Operations

OpenAIRE

Gjøsæter, Åge

2013-01-01

The purpose of the paper is to investigate how first-line managers are mobilized as organizational strategy makers. The research case is a campaign launched by a Norwegian shipping company servicing the petroleum industry. The strategic idea on which the campaign was based was to operate the company`s fleet of offshore service vessels in an environmentally sustainable way, to be realized by carrying out fuel-saving operations on board the vessels. A strategic idea is supposed to set out a vie...

Estimation of tumor volume and its prognostic significance to study the biological behavior of carcinoma of cervix

Directory of Open Access Journals (Sweden)

Leelavathi Dawson

2016-01-01

Results: The median age of the patients in this group was 47.5 years, with a range of 30–80 years. The major histological type of carcinoma among 40 cases is squamous cell carcinoma (SCC (in 90% of cases, and 10% had adenocarcinoma. Pathological staging of the carcinoma cervix showed stage Ib, IIa, IIb, and IVa (35%, 20%, 40%, and 5%. Tumor volume estimated on pathological specimens of 40 cases ranged from 230 cumm to 49,760 cumm with a mean of 14,844 cumm. 12 (30% cases had tumor volume more than 15,000 cumm, 12 (30% cases had tumor volume <5000 cumm and 16 (40% cases had tumor volume between 5000 and 15,000 cumm. 17% of the tumors with tumor volume <5000 cumm showed lymph node metastases, whereas 67% (out of 12cases of cases with tumor volume more than 15,000 cumm showed lymph node metastases. 67% of the tumors with tumor volume <5000 cumm showed 0/4 organs involvement, whereas all cases with tumor volume more than 15,000 cumm showed more than one organ involvement among vagina, uterus, parametrium or bladder/rectum. Fibronectin positivity was seen in 22 out of 44 cases (55%. Macrophages were seen surrounding the group of tumor cells by LN5 immunostaining. Conclusion: Tumor volume can be considered as an independent prognostic factor to assess the spread of the tumor. Cases with tumor volume <5000 cumm show low risk in terms of parametrial involvement and lymph node metastasis and those with tumor volume more than 15,000 cumm showed more organ spread. Fibronectin positivity carries some importance in low-risk cases. For macrophages, further detailed study needs to be carried out.

The efficacy of local anesthetics in reducing post operative pain after appendectomy

Directory of Open Access Journals (Sweden)

Masood Baghaee vaji

2004-09-01

Full Text Available Reducing post operative pain is a common issue in surgeries. This study was to evaluate the efficacy of wound infiltration with local anesthetics in reducing postoperative pain after appendectomy. This is a double-blind, placebo-controlled, randomized clinical trial on 40 patients with non-complicated acute appendicitis. Cases received a combination of lidocaine hydrochloride and bupivacaine hydrochloride after appendectomy and before closing the wound. Controls received the same volume of saline solution. Injections were done both under the fascia of external oblique muscle and intradermal. Pain assessment was done by two pain measuring scales, VAS and NRS, in 4, 8, 12 and 24 hours after the operation. Cases and controls were the same in age, sex, and history of opium addiction. Pain peaked in the 8th hour after operation in both groups and reduced afterwards. Pain assessments showed the same pattern using the NRS and VAS measuring scales. T-test showed the pain to be significantly less in cases comparing with the controls in all time points. No significant difference was seen in the time of receiving the first analgesic after the operation but the frequency of analgesic consumption was significantly lower in controls. This study showed local anesthetic infiltration to be effective in reducing the postoperative pain in patients undergoing appendectomy which is in contrast with the previous studies. This may be due to a different infiltration technique or pain assessment in the first 24 hours after the operation.

Does expert opinion match the operational definition of the Lupus Low Disease Activity State (LLDAS)? A case-based construct validity study.

Science.gov (United States)

Golder, Vera; Huq, Molla; Franklyn, Kate; Calderone, Alicia; Lateef, Aisha; Lau, Chak Sing; Lee, Alfred Lok Hang; Navarra, Sandra Teresa V; Godfrey, Timothy; Oon, Shereen; Hoi, Alberta Yik Bun; Morand, Eric Francis; Nikpour, Mandana

2017-06-01

To evaluate the construct validity of the Lupus Low Disease Activity State (LLDAS), a treatment target in systemic lupus erythematosus (SLE). Fifty SLE case summaries based on real patients were prepared and assessed independently for meeting the operational definition of LLDAS. Fifty international rheumatologists with expertise in SLE, but with no prior involvement in the LLDAS project, responded to a survey in which they were asked to categorize the disease activity state of each case as remission, low, moderate, or high. Agreement between expert opinion and LLDAS was assessed using Cohen's kappa. Overall agreement between expert opinion and the operational definition of LLDAS was 77.96% (95% CI: 76.34-79.58%), with a Cohen's kappa of 0.57 (95% CI: 0.55-0.61). Of the cases (22 of 50) that fulfilled the operational definition of LLDAS, only 5.34% (59 of 22 × 50) of responses classified the cases as moderate/high activity. Of the cases that did not fulfill the operational definition of LLDAS (28 of 50), 35.14% (492 of 28 × 50) of responses classified the cases as remission/low activity. Common reasons for discordance were assignment to remission/low activity of cases with higher corticosteroid doses than defined in LLDAS (prednisolone ≤ 7.5mg) or with SLEDAI-2K >4 due to serological activity (high anti-dsDNA antibody and/or low complement). LLDAS has good construct validity with high overall agreement between the operational definition of LLDAS and expert opinion. Discordance of results suggests that the operational definition of LLDAS is more stringent than expert opinion at defining a low disease activity state. Copyright © 2017 Elsevier Inc. All rights reserved.

BioFleet case studies

International Nuclear Information System (INIS)

2007-01-01

These six case studies examined the use of different biodiesel blends as fuel supply sources for businesses in British Columbia (BC). In the first case study, 6 municipalities participated in a pilot program designed to compare the performance of biodiesel and diesel fuels. Each municipality operated 2 base vehicles running on conventional diesel along with 2 similar vehicles which used biodiesel. Real time emissions tests and analyses of the vehicles using biodiesel were also conducted by 2 of the participating municipalities. All municipalities participating in the study agreed to purchase significant volumes of biodiesel. The second case study described a pilot study conducted by the City of Vancouver's equipment services branch in 2004. As a result of the study, the city now has over 530 types of equipment that use biodiesel. The third case study described a program designed by TSI Terminals in Vancouver to assess the emission reduction impact of using biodiesel at its port facility. Six different pieces of equipment were used to confirm that biodiesel could be used throughout the terminal. Test results confirmed that biodiesel blends could be used to reduce emissions. Overall emissions were reduced by 30 per cent. The fourth case study described a waste renderer that used a fleet of 36 trucks to deliver raw products to its plants. The company made the decision to use only biodiesel for its entire fleet of trucks. Since July 2005, the company has logged over 1.7 million km using biodiesel blends. The fifth case study described a salmon hatchery that switched from diesel to biodiesel in order to reduce emissions. The biodiesel blends are used to fuel the hatchery's 2 diesel generators. The hatchery has reduced emissions of greenhouse gases (GHGs) by an estimated 1800 tonnes annually. The sixth case study described how the Township of Langley has started using biodiesel for its entire fleet of of approximately 250 pieces of equipment. The township has not

Color-coded volume rendering for three-dimensional reconstructions of CT data

International Nuclear Information System (INIS)

Rieker, O.; Mildenberger, P.; Thelen, M.

1999-01-01

Purpose: To evaluate a technique of colored three-dimensional reconstructions without segmentation. Material and methods: Color-coded volume rendered images were reconstructed from the volume data of 25 thoracic, abdominal, musculoskeletal, and vascular helical CT scans using commercial software. The CT volume rendered voxels were encoded with color in the following manner. Opacity, hue, lightness, and chroma were assigned to each of four classes defined by CT number. Color-coded reconstructions were compared to the corresponding grey-scale coded reconstructions. Results: Color-coded volume rendering enabled realistic visualization of pathologic findings when there was sufficient difference in CT density. Segmentation was necessary in some cases to demonstrate small details in a complex volume. Conclusion: Color-coded volume rendering allowed lifelike visualisation of CT volumes without the need of segmentation in most cases. (orig.) [de

Ovarian volume throughout life

DEFF Research Database (Denmark)

Kelsey, Thomas W; Dodwell, Sarah K; Wilkinson, A Graham

2013-01-01

conception to 82 years of age. This model shows that 69% of the variation in ovarian volume is due to age alone. We have shown that in the average case ovarian volume rises from 0.7 mL (95% CI 0.4-1.1 mL) at 2 years of age to a peak of 7.7 mL (95% CI 6.5-9.2 mL) at 20 years of age with a subsequent decline...... to about 2.8 mL (95% CI 2.7-2.9 mL) at the menopause and smaller volumes thereafter. Our model allows us to generate normal values and ranges for ovarian volume throughout life. This is the first validated normative model of ovarian volume from conception to old age; it will be of use in the diagnosis......The measurement of ovarian volume has been shown to be a useful indirect indicator of the ovarian reserve in women of reproductive age, in the diagnosis and management of a number of disorders of puberty and adult reproductive function, and is under investigation as a screening tool for ovarian...

International Workshop on Operator Theory and Applications

CERN Document Server

Jacob, Birgit; Ran, André; Zwart, Hans

2016-01-01

This volume collects a selected number of papers presented at the International Workshop on Operator Theory and its Applications (IWOTA) held in July 2014 at Vrije Universiteit in Amsterdam. Main developments in the broad area of operator theory are covered, with special emphasis on applications to science and engineering. The volume also presents papers dedicated to the eightieth birthday of Damir Arov and to the sixty-fifth birthday of Leiba Rodman, both leading figures in the area of operator theory and its applications, in particular, to systems theory.

6th International Conference on Operator Theory

CERN Document Server

Douglas, R; Sz-Nagy, B; Voiculescu, D; Arsene, Gr

1982-01-01

The annual Operator Theory conferences in Timigoara are conceived as a means to promote cooperation and exchange of in­ formation between specialists in all areas of Operator Theory. The present volume consist of papers contributed by the partici­ pants of the 1981 Conference. Since many of these papers contain results on the invariant subspace problem or are related to the role of invariant subspaces in the study of operators or operator systems, we thought it appropiate to mention this in the title of the volume, though the "other topics" have a wide range. As in past years, special sessions concerning other fields of Functio­ nal Analysis were organized at the 1981 Conference, but contri­ butions to these sessions are not included in the present volume. The research contracts of the Department of Mathematics of INCREST with the National Council for Sciences and Technology of Romaliia provided the means for developping the research activity in Functional Analysis; these contracts constitute the generous...

Hybrid NOTES transvaginal cholecystectomy: operative and long-term results after 18 cases.

Science.gov (United States)

Pugliese, Raffaele; Forgione, Antonello; Sansonna, Fabio; Ferrari, Giovanni Carlo; Di Lernia, Stefano; Magistro, Carmelo

2010-03-01

Natural orifice transluminal endoscopic surgery (NOTES) is a novel technique that aims at reducing or abolishing skin incisions and potentially also postoperative pain. The purpose of this study was to analyse operative and long-term results of a series of hybrid transvaginal cholecystectomy. Between July 2007 and May 2009, transvaginal NOTES cholecystectomy for symptomatic cholelithiasis was performed by a hybrid technique in 18 women (mean age 54 years), including four women with a body mass index >30 kg/m(2). Dissection was conducted in the first four cases by a round-tip unipolar electrode (UE) introduced through the operative channel of the endoscope coming from the vagina and in the last 14 cases by a ultrasonic scalpel (US) introduced through a 5-mm abdominal port. The short-term outcomes and the long-term results of the two methods were compared. The transvaginal approach entailed no intraoperative complication and no conversion. The overall mean duration of procedures was 75 min (range 40-190). In the first four cases (UE), the operating time was 148 min (range 140-190), whilst in the last 14 (US), it was considerably shorter, 53 min (range 40-60, p < 0.01). We experienced one biliary leak in the UE group, whilst morbidity with US was nil (p < 0.005). The biliary leak healed in 7 days with nasobiliary drainage. No other complications were encountered in either group. The mean follow-up was 12 months (range 1-22), and none of the patients has complained of dyspareunia or other colpotomy-related complications so far. Until specifically designed endoscopic tools are available for NOTES, the hybrid technique with US dissection conducted through a 5-mm port should be preferred in transvaginal cholecystectomy in order to shorten the duration of surgery and make this approach effective, safe and reproducible. After a mean follow-up of 1 year, none of our patients has complained of any problem related to transvaginal approach.

Effects of MVP regimen on operation and cancer tisswes of Lung Cancer patients

Directory of Open Access Journals (Sweden)

Yunzhong ZHOU

2008-02-01

Full Text Available Background and objective Preoperative chemotherapy increases the difficulty and risk of patients爷operation. The aim of this study is to analyze the change of thoracic tissue, study the influence ofchemotherapy to operation, discuss the special aspects of surgical management and observe the pathological change of focus after chemotherapy. Methods 100 patients were chosen and randomly divided into two groups(operation first group, 50 cases; chemotherapy first group, 50 cases . Some patient爷s pathological sections were observed to investigate focus morphological influence of preoperative chemotherapy and the clinical response rate were compared with pathological response rate. Results It was showed that preoperative chemotherapy conduced different degree thoracic tissue fibrosis. Data statistics demonstrated that there were no significance difference of the operation time, blood loss during operation and drainage volume in first day after operation between two groups. The preoperativechemotherapy increased the difficulty of operation because of tissue fibrosis and scarification, but the risk could be avoided by skillful operation. In first operation group, there were various pathological changes in tumor tissue and the pathological response rate was not completely accordance with the clinical response rate. The focus pathological response rate of two cycles chemotherapy was more higher than that of one cycle chemotherapy. Conclusion Chemotherapy increases the risks of operation. Surgeons carefulness and better skills during operation are the key points to avoid the hazards of surgery. Two preoperative chemotherapy cycles are more suitable for the patients.

Management plan documentation standard and Data Item Descriptions (DID). Volume of the information system life-cycle and documentation standards, volume 2

Science.gov (United States)

Callender, E. David; Steinbacher, Jody

1989-01-01

This is the second of five volumes of the Information System Life-Cycle and Documentation Standards. This volume provides a well-organized, easily used standard for management plans used in acquiring, assuring, and developing information systems and software, hardware, and operational procedures components, and related processes.

Monte Carlo method for critical systems in infinite volume: The planar Ising model.

Science.gov (United States)

Herdeiro, Victor; Doyon, Benjamin

2016-10-01

In this paper we propose a Monte Carlo method for generating finite-domain marginals of critical distributions of statistical models in infinite volume. The algorithm corrects the problem of the long-range effects of boundaries associated to generating critical distributions on finite lattices. It uses the advantage of scale invariance combined with ideas of the renormalization group in order to construct a type of "holographic" boundary condition that encodes the presence of an infinite volume beyond it. We check the quality of the distribution obtained in the case of the planar Ising model by comparing various observables with their infinite-plane prediction. We accurately reproduce planar two-, three-, and four-point of spin and energy operators. We also define a lattice stress-energy tensor, and numerically obtain the associated conformal Ward identities and the Ising central charge.

DALI - drilling advisor with logic interpretations: methodological issues for designing underbalanced drilling operations. Improving efficiency using case-based reasonic

Energy Technology Data Exchange (ETDEWEB)

Santana, Gustavo A.; Velazquez C, David [Mexican Oil Institute, Mexico DF (Mexico)

2004-07-01

A system that applies a method of knowledge-intensive case-based reasoning, for repair and prevention of unwanted events in the domain of offshore oil well drilling, has been developed in cooperation with an oil company. From several reoccurring problems during oil well drilling the problem of 'lost circulation', i.e. loss of circulating drilling fluid into the geological formation, was picked out as a pilot problem. An extensive general knowledge model was developed for the domain of oil well drilling. Different cases were created on the basis of information from one Mexican Gulf operator. When the completed CBR-system was tested against a new case, cases with descending similarity were selected by the tool. In an informal evaluation, the two best fitting cases proved to give the operator valuable advise on how to go about solving the new case (author)

Matrix elements of the electric multiple transition and relativistic correction operators in the case of complex configurations

International Nuclear Information System (INIS)

Kanyauskas, Yu.M.; Rudzikas, Z.B.

1976-01-01

Operators and their submatrix elements are studied in the framework of the electric multipole transitions of complex atoms with account of relativistic corrections of the order of the square of the fine structure constant. The analysis is performed by means of irreducible tensor operators and genealogical coefficients. It has been assumed that angular momenta of individual shells are coupled with each other according to ls, lk, jk and jj coupling. Formulas are given for the operator which causes the relativistic corrections for the single-electron multipole transition and for its submatrix element in the case of configurations with two unfilled shells. A possibility is discussed of using the formulas suggested for calculation. As follows from analysis, the relativistic correction operators even with the pure ls coupling allow intercombination transitions with ΔS equals +-1. The expressions obtained may turn out to be useful for performing calculations in the case of the intermediate type of coupling

Use of spiral computed tomography volumetry for determining the operative approach in patients with Graves' disease.

Science.gov (United States)

Choi, June Young; Lee, Kyu Eun; Koo, Do Hoon; Kim, Kyu Hyung; Kim, Eun young; Bae, Dong Sik; Jung, Sung Eun; Youn, Yeo-Kyu

2014-03-01

The purposes of the present study were to assess (1) the correlation between the weight of the postoperative thyroid specimen and the spiral computed tomography (CT) volumetry results of the thyroid gland in patients with Graves' disease, and (2) the utility of CT volumetry for determining the operative approach. From 2009 to 2010, a total of 56 patients with Graves' disease underwent total or subtotal thyroidectomy. An enhanced spiral CT was taken in all patients prior to the operation. From 2.5 mm-thick slices of the thyroid gland, the surface area was calculated to measure the volume of the thyroid gland. The glandular volume was compared to the weight of the postoperative thyroid specimen. A total of 42 and 14 patients underwent total and subtotal thyroidectomy, respectively. The mean weight of the postoperative thyroid specimen was 43.9 ± 33.4 g, and the mean volume obtained by CT volumetry was 44.2 ± 32.8 mL. A good correlation was observed between the weight of the postoperative thyroid specimen and the volume calculated by CT (r = 0.98, p 100 mL and the ≤100 mL groups (608.3 ± 540.8 vs. 119.7 ± 110.4 mL; p = 0.036). Spiral CT volumetry may be used to measure the thyroid volume reliably in patients with Graves' disease. For cases in which surgery is indicated in patients with Graves' disease, CT volumetry provides useful information from which to determine the operative approach. One hundred milliliter or less of thyroid volume in CT volumetry is recommended to perform minimally invasive thyroid surgery.

Comparison of the outcomes for laparoscopic gastrectomy performed by the same surgeon between a low-volume hospital and a high-volume center.

Science.gov (United States)

Kim, Min Gyu; Kwon, Sung Joon

2014-05-01

The volume-outcome relationship in laparoscopic surgery is controversial. This study was designed to identify differences in laparoscopic gastrectomy outcomes between a low-volume hospital and a high-volume center and to provide guidelines for overcoming the problems associated with a low-volume hospital. From April 2009 to November 2012, one surgeon performed 134 totally laparoscopic distal gastrectomies (TLDGs) at a high-volume center (HVC; ASAN Medical Center) and at a low-volume hospital (LVH; Hanyang University Guri Hospital). All laparoscopically assisted gastrectomies were excluded from this study. During the early period of laparoscopic gastrectomy at the low-volume hospital, TLDG with Roux-en-Y gastrojejunostomy (RYGJ) was performed according to the surgeon's choice. The reconstruction method was classified as gastroduodenostomy (GD) or RYGJ. Early surgical outcomes achieved at the LVH were investigated and compared with those obtained at the HVC. The early surgical outcomes differed significantly between the two hospitals. In particular, the postoperative complication rate for the patients who underwent TLDG RYGJ at the LVH was higher than at the HVC (LVH 15.4 % vs. HVC 0 %; p = 0.037). Furthermore, significant differences were observed in the mean operation time (TLDG GD: LVH 141.0 min vs. HVC 117.4 min, p = 0.001; TLDG RYGJ: LVH 186.3 min vs. HVC 134.6 min, p = 0.009) and length of hospital stay (TLDG GD: LVH 8.1 days vs. HVC 7.2 days, p = 0.044; TLDG RYGJ: LVH 11.5 day vs. HVC 6.8 day, p = 0.009). Although all the operations were performed by one experienced surgeon, the early surgical outcomes differed significantly between the low- and high-volume hospitals. Low-volume hospitals often lack well-trained surgical professionals such as first assistants and scrub nurses. Therefore, the authors recommend that a surgeon who works at an LVH should assess potential personnel shortages and find a solution before operating.

Simulated versus realistic intra operative radiation therapy (I.O.R.T.) treatment in operating room: from knowledge of stray radiation to action

International Nuclear Information System (INIS)

Andreoli, S.; Moretti, R.; Catalano, M.; Locatelli, F.

2006-01-01

Intra-Operative Radiation Therapy (I.O.R.T.) is carried out with electron beams produced by a Linac (Linear Accelerator) generally used for conventional radiotherapy with external beam, or by dedicated accelerators that can be employed directly into an operating room. I.O.R.T. refers to the application of radiation during a surgical intervention, after the removal of a neoplastic mass. I.O.R.T. uses on the tumour area a direct irradiation, for the possible localisation of sub-clinic illness or macroscopic residue in the case of non-radical resection. Intra-Operative Radiotherapy foresees a single session only, generally preceded or followed by radiotherapy with external beam. It allows the achievement of a selective radiation boost on the tumour volume. In some cases, it can also be used as a one-time/stand alone treatment in initial cancer of small volume, or in unresectable malignancies for palliative purpose. The technical advantages of I.O.R.T. consist in the direct visual control of the target volume, and in the possibility to protect the healthy tissues by moving them away from the path of the radiation beam. The use of electron beams allows the administration of a homogeneous dose to a selected layer of tissues surrounding the tumour. The following professional staff forms the Operative Group: radiation oncologist, surgeon, anaesthetist, medical physicist, radiation technologist, nurse.The choice of a simulation geometry very similar to the clinical situation allows to evaluate radioprotection data very close to the real situation. For a fixed layout, an anthropomorphic phantom was positioned on the operating bed and a breast I.O.R.T. treatment was simulated positioning all the accessories of the operating room in their typical positions. A detailed dose mapping was performed with a Victoreen 450P ionisation chamber and with environment film-dosimeter on the walls of the operating room during the simulation of the clinical treatment. The simulation appears

[Hospitals failing minimum volumes in 2004: reasons and consequences].

Science.gov (United States)

Geraedts, M; Kühnen, C; Cruppé, W de; Blum, K; Ohmann, C

2008-02-01

In 2004 Germany introduced annual minimum volumes nationwide on five surgical procedures: kidney, liver, stem cell transplantation, complex oesophageal, and pancreatic interventions. Hospitals that fail to reach the minimum volumes are no longer allowed to perform the respective procedures unless they raise one of eight legally accepted exceptions. The goal of our study was to investigate how many hospitals fell short of the minimum volumes in 2004, whether and how this was justified, and whether hospitals that failed the requirements experienced any consequences. We analysed data on meeting the minimum volume requirements in 2004 that all German hospitals were obliged to publish as part of their biannual structured quality reports. We performed telephone interviews: a) with all hospitals not achieving the minimum volumes for complex oesophageal, and pancreatic interventions, and b) with the national umbrella organisations of all German sickness funds. In 2004, one quarter of all German acute care hospitals (N=485) performed 23,128 procedures where minimum volumes applied. 197 hospitals (41%) did not meet at least one of the minimum volumes. These hospitals performed N=715 procedures (3.1%) where the minimum volumes were not met. In 43% of these cases the hospitals raised legally accepted exceptions. In 33% of the cases the hospitals argued using reasons that were not legally acknowledged. 69% of those hospitals that failed to achieve the minimum volumes for complex oesophageal and pancreatic interventions did not experience any consequences from the sickness funds. However, one third of those hospitals reported that the sickness funds addressed the issue and partially announced consequences for the future. The sickness funds' umbrella organisations stated that there were only sparse activities related to the minimum volumes and that neither uniform registrations nor uniform proceedings in case of infringements of the standards had been agreed upon. In spite of the

Integrated mined-area reclamation and land use planning. Volume 3A. A case study of surface mining and reclamation planning: South Boulder Creek Park Project, Sand and Gravel Operations, Boulder, Colorado

Energy Technology Data Exchange (ETDEWEB)

Lewis, L R; Perry, A O; LaFevers, J R

1977-02-01

This case study details reclamation planning for the Flatiron Companies' South Boulder Creek Park Project in Boulder, Colorado. The site contains a deposit of high-quality sand and gravel considered to be one of the best and largest known deposits of aggregate materials in the Front Range area. The aggregate deposit is located in a highly visible site just off the Denver-Boulder Turnpike at the entrance to the city from Denver, and adjacent to a residential portion of the city. In order to make maximum use of pre-mining planning, as a tool for resolving a conflict over the company's proposed operation, an extensive cooperative planning effort was initiated. This included the preparation of an environmental impact assessment, numerous public hearings, operating and reclamation plan review by city authorities, annexation of the site to the city, and the granting of a scenic easement on the property to the city for the development of a regional recreation park. A suite of contractual agreements was worked out among Flatiron Companies, the City of Boulder, the Colorado Open Lands Foundation, and the Federal Bureau of Outdoor Recreation. The purpose of this case study is to allow the planner to gain insight into the procedures, possibilities, and constraints involved in premining planning in a cooperative situation.

Open-Source as a strategy for operational software - the case of Enki

Science.gov (United States)

Kolberg, Sjur; Bruland, Oddbjørn

2014-05-01

Since 2002, SINTEF Energy has been developing what is now known as the Enki modelling system. This development has been financed by Norway's largest hydropower producer Statkraft, motivated by a desire for distributed hydrological models in operational use. As the owner of the source code, Statkraft has recently decided on Open Source as a strategy for further development, and for migration from an R&D context to operational use. A current cooperation project is currently carried out between SINTEF Energy, 7 large Norwegian hydropower producers including Statkraft, three universities and one software company. Of course, the most immediate task is that of software maturing. A more important challenge, however, is one of gaining experience within the operational hydropower industry. A transition from lumped to distributed models is likely to also require revision of measurement program, calibration strategy, use of GIS and modern data sources like weather radar and satellite imagery. On the other hand, map based visualisations enable a richer information exchange between hydrologic forecasters and power market traders. The operating context of a distributed hydrology model within hydropower planning is far from settled. Being both a modelling framework and a library of plugin-routines to build models from, Enki supports the flexibility needed in this situation. Recent development has separated the core from the user interface, paving the way for a scripting API, cross-platform compilation, and front-end programs serving different degrees of flexibility, robustness and security. The open source strategy invites anyone to use Enki and to develop and contribute new modules. Once tested, the same modules are available for the operational versions of the program. A core challenge is to offer rigid testing procedures and mechanisms to reject routines in an operational setting, without limiting the experimentation with new modules. The Open Source strategy also has

Waste minimization handbook, Volume 1

Energy Technology Data Exchange (ETDEWEB)

Boing, L.E.; Coffey, M.J.

1995-12-01

This technical guide presents various methods used by industry to minimize low-level radioactive waste (LLW) generated during decommissioning and decontamination (D and D) activities. Such activities generate significant amounts of LLW during their operations. Waste minimization refers to any measure, procedure, or technique that reduces the amount of waste generated during a specific operation or project. Preventive waste minimization techniques implemented when a project is initiated can significantly reduce waste. Techniques implemented during decontamination activities reduce the cost of decommissioning. The application of waste minimization techniques is not limited to D and D activities; it is also useful during any phase of a facility`s life cycle. This compendium will be supplemented with a second volume of abstracts of hundreds of papers related to minimizing low-level nuclear waste. This second volume is expected to be released in late 1996.

Waste minimization handbook, Volume 1

International Nuclear Information System (INIS)

Boing, L.E.; Coffey, M.J.

1995-12-01

This technical guide presents various methods used by industry to minimize low-level radioactive waste (LLW) generated during decommissioning and decontamination (D and D) activities. Such activities generate significant amounts of LLW during their operations. Waste minimization refers to any measure, procedure, or technique that reduces the amount of waste generated during a specific operation or project. Preventive waste minimization techniques implemented when a project is initiated can significantly reduce waste. Techniques implemented during decontamination activities reduce the cost of decommissioning. The application of waste minimization techniques is not limited to D and D activities; it is also useful during any phase of a facility's life cycle. This compendium will be supplemented with a second volume of abstracts of hundreds of papers related to minimizing low-level nuclear waste. This second volume is expected to be released in late 1996

Risk factors for radiation pneumonitis after stereotactic radiation therapy for lung tumours: clinical usefulness of the planning target volume to total lung volume ratio.

Science.gov (United States)

Ueyama, Tomoko; Arimura, Takeshi; Takumi, Koji; Nakamura, Fumihiko; Higashi, Ryutaro; Ito, Soichiro; Fukukura, Yoshihiko; Umanodan, Tomokazu; Nakajo, Masanori; Koriyama, Chihaya; Yoshiura, Takashi

2018-06-01

To identify risk factors for symptomatic radiation pneumonitis (RP) after stereotactic radiation therapy (SRT) for lung tumours. We retrospectively evaluated 68 lung tumours in 63 patients treated with SRT between 2011 and 2015. RP was graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events version 4.0. SRT was delivered at 7.0-12.0 Gy per each fraction, once daily, to a total of 48-64 Gy (median, 50 Gy). Univariate analysis was performed to assess patient- and treatment-related factors, including age, sex, smoking index (SI), pulmonary function, tumour location, serum Krebs von den Lungen-6 value (KL-6), dose-volume metrics (V5, V10, V20, V30, V40 and VS5), homogeneity index of the planning target volume (PTV), PTV dose, mean lung dose (MLD), contralateral MLD and V2, PTV volume, lung volume and the PTV/lung volume ratio (PTV/Lung). Performance of PTV/Lung in predicting symptomatic RP was also analysed using receiver operating characteristic (ROC) analysis. The median follow-up period was 21 months. 10 of 63 patients (15.9%) developed symptomatic RP after SRT. On univariate analysis, V10, V20, PTV volume and PTV/Lung were significantly associated with occurrence of RP  ≥Grade 2. ROC curves indicated that symptomatic RP could be predicted using PTV/Lung [area under curve (AUC): 0.88, confidence interval (CI: 0.78-0.95), cut-off value: 1.09, sensitivity: 90.0% and specificity: 72.4%]. PTV/Lung is a good predictor of symptomatic RP after SRT. Advances in knowledge: The cases with high PTV/Lung should be carefully monitored with caution for the occurrence of RP after SRT.

Operating reactors licensing actions summary. Volume 5, No. 7

International Nuclear Information System (INIS)

1985-09-01

The Operating Reactors Licensing Actions Summary is designed to provide the management of the Nuclear Regulatory Commission (NRC) with an overview of licensing actions dealing with operating power and nonpower reactors. These reports utilize data collected from the Division of Licensing in the Office of Nuclear Reactor Regulation and are prepared by the Office of Resource Management

Validation of equations for pleural effusion volume estimation by ultrasonography.

Science.gov (United States)

Hassan, Maged; Rizk, Rana; Essam, Hatem; Abouelnour, Ahmed

2017-12-01

To validate the accuracy of previously published equations that estimate pleural effusion volume using ultrasonography. Only equations using simple measurements were tested. Three measurements were taken at the posterior axillary line for each case with effusion: lateral height of effusion ( H ), distance between collapsed lung and chest wall ( C ) and distance between lung and diaphragm ( D ). Cases whose effusion was aspirated to dryness were included and drained volume was recorded. Intra-class correlation coefficient (ICC) was used to determine the predictive accuracy of five equations against the actual volume of aspirated effusion. 46 cases with effusion were included. The most accurate equation in predicting effusion volume was ( H  +  D ) × 70 (ICC 0.83). The simplest and yet accurate equation was H  × 100 (ICC 0.79). Pleural effusion height measured by ultrasonography gives a reasonable estimate of effusion volume. Incorporating distance between lung base and diaphragm into estimation improves accuracy from 79% with the first method to 83% with the latter.

A case method for Sales and Operations Planning: a learning experience from Germany

Directory of Open Access Journals (Sweden)

Luiz Felipe Scavarda

Full Text Available Abstract Adequate preparation, learning, and training is required for Sales and Operations Planning (S&OP to aid organizations in achieving the full expected benefits from its implementation. This paper presents a case method for S&OP and the learning experience of its application at the University of Münster (Germany. The “constructive alignment principle” was applied with a “team teaching” approach, involving an executive from the case company. Students improved their knowledge on S&OP and their analytical skills by understanding the conceptual S&OP building blocks and by learning how to deal with them to provide a solution for a case based on a real-life situation. The learning results were evaluated positively during the discipline’s student evaluation of teaching (SET. The applied case method enhanced the student’s motivation and engagement (e.g., higher preparation effort and class attendance, which were considered higher than in other disciplines with the traditional lecture-based education.

Editor's Choice - High Annual Hospital Volume is Associated with Decreased in Hospital Mortality and Complication Rates Following Treatment of Abdominal Aortic Aneurysms: Secondary Data Analysis of the Nationwide German DRG Statistics from 2005 to 2013.

Science.gov (United States)

Trenner, Matthias; Kuehnl, Andreas; Salvermoser, Michael; Reutersberg, Benedikt; Geisbuesch, Sarah; Schmid, Volker; Eckstein, Hans-Henning

2018-02-01

The aim of this study was to analyse the association between annual hospital procedural volume and post-operative outcomes following repair of abdominal aortic aneurysms (AAA) in Germany. Data were extracted from nationwide Diagnosis Related Group (DRG) statistics provided by the German Federal Statistical Office. Cases with a diagnosis of AAA (ICD-10 GM I71.3, I71.4) and procedure codes for endovascular aortic repair (EVAR; OPS 5-38a.1*) or open aortic repair (OAR; OPS 5-38.45, 5-38.47) treated between 2005 and 2013 were included. Hospitals were empirically grouped to quartiles depending on the overall annual volume of AAA procedures. A multilevel multivariable regression model was applied to adjust for sex, medical risk, type of procedure, and type of admission. Primary outcome was in hospital mortality. Secondary outcomes were complications, use of blood products, and length of stay (LOS). The association between AAA volume and in hospital mortality was also estimated as a function of continuous volume. A total of 96,426 cases, of which 11,795 (12.6%) presented as ruptured (r)AAA, were treated in >700 hospitals (annual median: 501). The crude in hospital mortality was 3.3% after intact (i)AAA repair (OAR 5.3%; EVAR 1.7%). Volume was inversely associated with mortality after OAR and EVAR. Complication rates, LOS, and use of blood products were lower in high volume hospitals. After rAAA repair, crude mortality was 40.4% (OAR 43.2%; EVAR 27.4%). An inverse association between mortality and volume was shown for rAAA repair; the same accounts for the use of blood products. When considering volume as a continuous variate, an annual caseload of 75-100 elective cases was associated with the lowest mortality risk. In hospital mortality and complication rates following AAA repair are inversely associated with annual hospital volume. The use of blood products and the LOS are lower in high volume hospitals. A minimum annual case threshold for AAA procedures might improve

The effect of hospital volume on patient outcomes in severe acute pancreatitis

Directory of Open Access Journals (Sweden)

Shen Hsiu-Nien

2012-08-01

Full Text Available Abstract Background We investigated the relation between hospital volume and outcome in patients with severe acute pancreatitis (SAP. The determination is important because patient outcome may be improved through volume-based selective referral. Methods In this cohort study, we analyzed 22,551 SAP patients in 2,208 hospital-years (between 2000 and 2009 from Taiwan’s National Health Insurance Research Database. Primary outcome was hospital mortality. Secondary outcomes were hospital length of stay and charges. Hospital SAP volume was measured both as categorical and as continuous variables (per one case increase each hospital-year. The effect was assessed using multivariable logistic regression models with generalized estimating equations accounting for hospital clustering effect. Adjusted covariates included patient and hospital characteristics (model 1, and additional treatment variables (model 2. Results Irrespective of the measurements, increasing hospital volume was associated with reduced risk of hospital mortality after adjusting the patient and hospital characteristics (adjusted odds ratio [OR] 0.995, 95% confidence interval [CI] 0.993-0.998 for per one case increase. The patients treated in the highest volume quartile (≥14 cases per hospital-year had 42% lower risk of hospital mortality than those in the lowest volume quartile (1 case per hospital-year after adjusting the patient and hospital characteristics (adjusted OR 0.58, 95% CI 0.40-0.83. However, an inverse relation between volume and hospital stay or hospital charges was observed only when the volume was analyzed as a categorical variable. After adjusting the treatment covariates, the volume effect on hospital mortality disappeared regardless of the volume measures. Conclusions These findings support the use of volume-based selective referral for patients with SAP and suggest that differences in levels or processes of care among hospitals may have contributed to the volume

The effects of FreeSurfer version, workstation type, and Macintosh operating system version on anatomical volume and cortical thickness measurements.

Science.gov (United States)

Gronenschild, Ed H B M; Habets, Petra; Jacobs, Heidi I L; Mengelers, Ron; Rozendaal, Nico; van Os, Jim; Marcelis, Machteld

2012-01-01

FreeSurfer is a popular software package to measure cortical thickness and volume of neuroanatomical structures. However, little if any is known about measurement reliability across various data processing conditions. Using a set of 30 anatomical T1-weighted 3T MRI scans, we investigated the effects of data processing variables such as FreeSurfer version (v4.3.1, v4.5.0, and v5.0.0), workstation (Macintosh and Hewlett-Packard), and Macintosh operating system version (OSX 10.5 and OSX 10.6). Significant differences were revealed between FreeSurfer version v5.0.0 and the two earlier versions. These differences were on average 8.8 ± 6.6% (range 1.3-64.0%) (volume) and 2.8 ± 1.3% (1.1-7.7%) (cortical thickness). About a factor two smaller differences were detected between Macintosh and Hewlett-Packard workstations and between OSX 10.5 and OSX 10.6. The observed differences are similar in magnitude as effect sizes reported in accuracy evaluations and neurodegenerative studies.The main conclusion is that in the context of an ongoing study, users are discouraged to update to a new major release of either FreeSurfer or operating system or to switch to a different type of workstation without repeating the analysis; results thus give a quantitative support to successive recommendations stated by FreeSurfer developers over the years. Moreover, in view of the large and significant cross-version differences, it is concluded that formal assessment of the accuracy of FreeSurfer is desirable.

The effects of FreeSurfer version, workstation type, and Macintosh operating system version on anatomical volume and cortical thickness measurements.

Directory of Open Access Journals (Sweden)

Ed H B M Gronenschild

Full Text Available FreeSurfer is a popular software package to measure cortical thickness and volume of neuroanatomical structures. However, little if any is known about measurement reliability across various data processing conditions. Using a set of 30 anatomical T1-weighted 3T MRI scans, we investigated the effects of data processing variables such as FreeSurfer version (v4.3.1, v4.5.0, and v5.0.0, workstation (Macintosh and Hewlett-Packard, and Macintosh operating system version (OSX 10.5 and OSX 10.6. Significant differences were revealed between FreeSurfer version v5.0.0 and the two earlier versions. These differences were on average 8.8 ± 6.6% (range 1.3-64.0% (volume and 2.8 ± 1.3% (1.1-7.7% (cortical thickness. About a factor two smaller differences were detected between Macintosh and Hewlett-Packard workstations and between OSX 10.5 and OSX 10.6. The observed differences are similar in magnitude as effect sizes reported in accuracy evaluations and neurodegenerative studies.The main conclusion is that in the context of an ongoing study, users are discouraged to update to a new major release of either FreeSurfer or operating system or to switch to a different type of workstation without repeating the analysis; results thus give a quantitative support to successive recommendations stated by FreeSurfer developers over the years. Moreover, in view of the large and significant cross-version differences, it is concluded that formal assessment of the accuracy of FreeSurfer is desirable.

Semiautomatic regional segmentation to measure orbital fat volumes in thyroid-associated ophthalmopathy. A validation study.

Science.gov (United States)

Comerci, M; Elefante, A; Strianese, D; Senese, R; Bonavolontà, P; Alfano, B; Bonavolontà, B; Brunetti, A

2013-08-01

This study was designed to validate a novel semi-automated segmentation method to measure regional intra-orbital fat tissue volume in Graves' ophthalmopathy. Twenty-four orbits from 12 patients with Graves' ophthalmopathy, 24 orbits from 12 controls, ten orbits from five MRI study simulations and two orbits from a digital model were used. Following manual region of interest definition of the orbital volumes performed by two operators with different levels of expertise, an automated procedure calculated intra-orbital fat tissue volumes (global and regional, with automated definition of four quadrants). In patients with Graves' disease, clinical activity score and degree of exophthalmos were measured and correlated with intra-orbital fat volumes. Operator performance was evaluated and statistical analysis of the measurements was performed. Accurate intra-orbital fat volume measurements were obtained with coefficients of variation below 5%. The mean operator difference in total fat volume measurements was 0.56%. Patients had significantly higher intra-orbital fat volumes than controls (p<0.001 using Student's t test). Fat volumes and clinical score were significantly correlated (p<0.001). The semi-automated method described here can provide accurate, reproducible intra-orbital fat measurements with low inter-operator variation and good correlation with clinical data.

Hedging local volume risk using forward markets: Nordic case

DEFF Research Database (Denmark)

Ernstsen, Rune Ramsdal; Boomsma, Trine Krogh; Tegner, Martin

2017-01-01

With focus on the Nordic electricity market, this paper develops hedging strategies for an electricity distributor who manages price and volume risk from fixed price agreements on stochastic electricity load. Whereas the distributor trades in the spot market at area prices, the financial contracts......, and we suggest various strategies for hedging in the presence of local volume risk. We benchmark against a strategy that ignores correlation and hedges at expected load, as is common practice in the industry. Using data from 2013 and 2014 for two Danish bidding areas, we show that our best hedging...... strategy reduces gross loss by 5.8% and 13.6% and increases gross profit by 3.8% and 9.5%, respectively. Although this is partly due to the inclusion of correlation, we show that performance improvement is mainly driven by the choice of risk measure....

Integrated operations plan for the MFTF-B Mirror Fusion Test Facility. Volume II. Integrated operations plan

Energy Technology Data Exchange (ETDEWEB)

1981-12-01

This document defines an integrated plan for the operation of the Lawrence Livermore National Laboratory (LLNL) Mirror Fusion Test Facility (MFTF-B). The plan fulfills and further delineates LLNL policies and provides for accomplishing the functions required by the program. This plan specifies the management, operations, maintenance, and engineering support responsibilities. It covers phasing into sustained operations as well as the sustained operations themselves. Administrative and Plant Engineering support, which are now being performed satisfactorily, are not part of this plan unless there are unique needs.

Integrated operations plan for the MFTF-B Mirror Fusion Test Facility. Volume II. Integrated operations plan

International Nuclear Information System (INIS)

1981-12-01

This document defines an integrated plan for the operation of the Lawrence Livermore National Laboratory (LLNL) Mirror Fusion Test Facility (MFTF-B). The plan fulfills and further delineates LLNL policies and provides for accomplishing the functions required by the program. This plan specifies the management, operations, maintenance, and engineering support responsibilities. It covers phasing into sustained operations as well as the sustained operations themselves. Administrative and Plant Engineering support, which are now being performed satisfactorily, are not part of this plan unless there are unique needs

Volume reduction equipment for low-level radwastes

International Nuclear Information System (INIS)

Hofmann, J.; Schlich, E.

1982-01-01

Volume reduction of low-level radwaste has been used for years in Germany to reduce the on-site storage capacity which is required until an ultimate disposal site is available. The incineration of trash is a well established cost effective method for dry active waste volume reduction and now liquid radwaste treatment is gaining the operational experience which establishes it as a routine procedure. Resin pyrolysis is a promising new development which when successfully implemented will augment the other systems by safely volume reducing a radwaste which is of increasing concern

Utility of Quantitative 99mTc-MAA SPECT/CT for 90yttrium-Labelled Microsphere Treatment Planning: Calculating Vascularized Hepatic Volume and Dosimetric Approach

Science.gov (United States)

Garin, Etienne; Rolland, Yan; Lenoir, Laurence; Pracht, Marc; Mesbah, Habiba; Porée, Philippe; Laffont, Sophie; Clement, Bruno; Raoul, Jean-Luc; Boucher, Eveline

2011-01-01

Objectives. The aim of this study was to assess the effectiveness of SPECT/CT for volume measurements and to report a case illustrating the major impact of SPECT/CT in calculating the vascularized liver volume and dosimetry prior to injecting radiolabelled yttrium-90 microspheres (Therasphere). Materials and Methods. This was a phantom study, involving volume measurements carried out by two operators using SPECT and SPECT/CT images. The percentage of error for each method was calculated, and interobserver reproducibility was evaluated. A treatment using Therasphere was planned in a patient with three hepatic arteries, and the quantitative analysis of SPECT/CT for this patient is provided. Results. SPECT/CT volume measurements proved to be accurate (mean error Therasphere used. Conclusions. MAA SPECT/CT is accurate for vascularized liver volume measurements, providing a valuable contribution to the therapeutic planning of patients with complex hepatic vascularization. PMID:21822489

Volume versus wiring transmission in the brain: a new theoretical frame for neuropsychopharmacology.

Science.gov (United States)

Agnati, L F; Bjelke, B; Fuxe, K

1995-01-01

A volume transmission mode of communication in brain was implicit already in the early work of Golgi, who postulated the existence of electrical signals in the extracellular fluid (ECF) based on Volta's "wet conductor" made by solutions. The term volume transmission is taken from the term volume conduction describing the flow of ionic currents in the ECF as a basis for the electrocorticogram. The slow VT mode includes also chemical signals and is opposed to the fast synaptic (wiring) transmission. Every neuron may function in a dual mode, the synaptic and the volume transmission mode, when considering the autocrine and synaptic classes of communication. The paracrine- and neuroendocrine-like classes only involve the VT mode in the latter case including the CSF as a route. The chemical signals for VT are the neuropeptides, but also the classical transmitters, the monoamines, acetylcholine, GABA, and glutamate can participate, when they operate via slow, high affinity G protein coupled receptors. Ions such as K+, Ca++, and H+ also function as VT signals. The hypothesis is also introduced that CO2 can act as a multifacit long-distance VT and WT regulator besides being part of the CO2/HCO3 buffer. CO2 via regulating NMDA receptor sensitivity can also regulate NO formation, which represents a paracrine and fast VT signal. The therapy of CNS disorders is also discussed in the frame of the wiring and VT concept. Two therapeutical approaches can therefore be developed, one based on increasing WT and one based on increasing VT. In contrast to the WT therapy, which must preserve the electrotemporal code, the VT therapy can operate also with postsynaptic agonists. Therefore, a therapeutic effect with such a drug indicates that the deficiency in the communication process operates via VT. In view of the lack of very effective negative feedbacks in VT vs. WT, VT therapy may produce less tolerance and drug dependency.

Long memory and tail dependence in trading volume and volatility

DEFF Research Database (Denmark)

Rossi, Eduardo; Santucci de Magistris, Paolo

2013-01-01

We investigate the relationship between volatility, measured by realized volatility, and trading volume for 25 NYSE stocks. We show that volume and volatility are long memory but not fractionally cointegrated in most cases. We also find right tail dependence in the volatility and volume innovations...

The correlation between hematoma volume and outcome in ruptured posterior fossa arteriovenous malformations indicates the importance of surgical evacuation of hematomas.

Science.gov (United States)

Yilmaz, Adem; Musluman, Ahmet Murat; Kanat, Ayhan; Cavusoglu, Halit; Terzi, Yuksel; Aydin, Yunus

2011-01-01

The correlation between hematoma volume and outcome in ruptured arteriovenous malformations (AVM) with accompanying posterior fossa hematoma was retrospectively evaluated. Microsurgery operations were performed on 127 patients with intracranial AVM between January 1998 and January 2009 at our clinic. Fifteen (11.8%) patients were identified as suffering from posterior fossa AVM, and twelve of these patients presented with a cerebellar hematoma. All patients were clinically evaluated according to the following criteria: modified Rankin Scale (mRS) prior to surgery, Spetzler-Martin grade (SMG) of the AVMs, hematoma volume prior to surgery, and mRS following surgery. Postoperative mRS scores were significantly lower than preoperative scores (p=0.0001). Postoperative outcomes were concordant with the SMG of the AVMs (r=0.67, p=0.033), hematoma volume (r=0.537, p=0.072) and preoperative mRS scores (r=0.764, p=0.004). These analyses show that the postoperative mRS score is strongly correlated with a preoperative mRS score, hematoma volume and SMG. Posterior fossa AVMs present an increased risk for hemorrhage and for increased morbidity and mortality. Cases with hematoma should be operated on an urgent basis. We conclude that hematoma volume is a factor that impacts postoperative results and prognosis. SMG and preoperative mRS scores were also correlated with outcome.

Relay chatter and operator response after a large earthquake: An improved PRA methodology with case studies

International Nuclear Information System (INIS)

Budnitz, R.J.; Lambert, H.E.; Hill, E.E.

1987-08-01

The purpose of this project has been to develop and demonstrate improvements in the PRA methodology used for analyzing earthquake-induced accidents at nuclear power reactors. Specifically, the project addresses methodological weaknesses in the PRA systems analysis used for studying post-earthquake relay chatter and for quantifying human response under high stress. An improved PRA methodology for relay-chatter analysis is developed, and its use is demonstrated through analysis of the Zion-1 and LaSalle-2 reactors as case studies. This demonstration analysis is intended to show that the methodology can be applied in actual cases, and the numerical values of core-damage frequency are not realistic. The analysis relies on SSMRP-based methodologies and data bases. For both Zion-1 and LaSalle-2, assuming that loss of offsite power (LOSP) occurs after a large earthquake and that there are no operator recovery actions, the analysis finds very many combinations (Boolean minimal cut sets) involving chatter of three or four relays and/or pressure switch contacts. The analysis finds that the number of min-cut-set combinations is so large that there is a very high likelihood (of the order of unity) that at least one combination will occur after earthquake-caused LOSP. This conclusion depends in detail on the fragility curves and response assumptions used for chatter. Core-damage frequencies are calculated, but they are probably pessimistic because assuming zero credit for operator recovery is pessimistic. The project has also developed an improved PRA methodology for quantifying operator error under high-stress conditions such as after a large earthquake. Single-operator and multiple-operator error rates are developed, and a case study involving an 8-step procedure (establishing feed-and-bleed in a PWR after an earthquake-initiated accident) is used to demonstrate the methodology

Operating reactors licensing actions summary. Volume 5, Number 1

International Nuclear Information System (INIS)

1985-03-01

This document is designed to provide the management of the Nuclear Regulatory Commission (NRC) with an overview of licensing actions dealing with operating power and nonpower reactors. These reports utilize data collected from the Division of Licensing in the Office of Nuclear Reactor Regulation and are prepared by the Office of Resource Management. This summary report is published primarily for internal NRC use in managing the operating reactors licensing actions program

Evaluation of potential severe accidents during low power and shutdown operations at Grand Gulf, Unit 1: Analysis of core damage frequency from internal events for Plant Operational State 5 during a refueling outage. Volume 2, Part 3: Internal Events Appendices I and J

Energy Technology Data Exchange (ETDEWEB)

Yakle, J. [Science Applications International Corp., Albuquerque, NM (United States); Darby, J. [Science and Engineering Associates, Inc., Albuquerque, NM (United States); Whitehead, D.; Staple, B. [Sandia National Labs., Albuquerque, NM (United States)

1994-06-01

This report provides supporting documentation for various tasks associated with the performance of the probablistic risk assessment for Plant Operational State 5 during a refueling outage at Grand Gulf, Unit 1 as documented in Volume 2, Part 1 of NUREG/CR-6143.

Evaluation of potential severe accidents during low power and shutdown operations at Grand Gulf, Unit 1: Analysis of core damage frequency from internal events for Plant Operational State 5 during a refueling outage. Volume 2, Part 3: Internal Events Appendices I and J

International Nuclear Information System (INIS)

Yakle, J.; Darby, J.; Whitehead, D.; Staple, B.

1994-06-01

This report provides supporting documentation for various tasks associated with the performance of the probablistic risk assessment for Plant Operational State 5 during a refueling outage at Grand Gulf, Unit 1 as documented in Volume 2, Part 1 of NUREG/CR-6143

Mixing volume determination in batch transfers through sonic detectors

Energy Technology Data Exchange (ETDEWEB)

Baptista, Renan Martins [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil). Centro de Pesquisas]. E-mail: renan@cenpes.petrobras.com.br; Rachid, Felipe Bastos de Freitas [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Dept. de Engenharia Mecanica]. E-mail: rachid@mec.uff.br; Araujo, Jose Henrique Carneiro de [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Dept. de Ciencia da Computacao]. E-mail: jhca@dcc.ic.uff.br

2000-07-01

An experimental methodology to evaluate mixing volumes in batch transfers by means of sonic detectors has been reported in this paper. Mixing volumes have then been computed in a transfer of diesel/gasoline carried out through a pipeline operated by Petrobras for different interface points. It has been shown that an adequate choice of the interface points is crucial for keeping the mixing volume uncertainty within acceptable limits. (author)

Elastic stockings effect on leg volume variability in healthy workers under prolonged gravitational gradient exposure

Directory of Open Access Journals (Sweden)

Mirko Tessari

2015-06-01

Full Text Available The aim of this study was to determine the elastic stockings effect on healthy workers (HW who are exposed to a prolonged hydrostatic pressure overload for professional reasons. The cohort was composed by 20 HW who voluntarily underwent a water plethysmography test before and after eight hour of standing up in an operating room, wearing elastic stockings. After 8 h of gravity exposure, we demonstrated the absence of leg volume increase in case of elastic stockings use. In the morning measurement we found that the lower limb volume was 1967.5 mL±224, while in the evening it was 1962.5 mL±227 (P<0.0828. The decreased volume is significantly correlated with the time that was spent under gravity forces for working purpose wearing elastic stockings (R2=0.99, P<0.0001. Our experiment demonstrates that elastic stockings may effectively counteract the increased leg volume over time in workers who are exposed to prolonged gravitational gradient. Further longitudinal studies are needed to determine if the above effect could correct one of the major risk factors for the development of chronic venous insufficiency.

Impact of transvaginal hydrolaparoscopy ovarian drilling on ovarian stromal blood flow and ovarian volume in clomiphene citrate-resistant PCOS patients: a case-control study.

Science.gov (United States)

Giampaolino, Pierluigi; Morra, Ilaria; De Rosa, Nicoletta; Cagnacci, Angelo; Pellicano, Massimiliano; Di Carlo, Costantino; Nappi, Carmine; Bifulco, Giuseppe

2017-09-01

Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder in gynecology. In PCOS patients vascularization parameters are altered. Transvaginal hydrolaparoscopy (THL) is a mini-invasive approach for ovarian drilling in PCOS patients. In this study, we assessed the effect of ovarian drilling using THL on ovarian volume (OV) and vascularization index (VI) using 3D power Doppler ultrasonography in CC-resistant PCOS patients. A case-control study on 123 CC-resistant PCOS women who underwent THL ovarian drilling was performed. Patients underwent 3D ultrasound and power Doppler to measure VI, flow index (FI), vascularization flow index (VFI) and to evaluate OV before and after the procedure, at six months, and on the early follicular phase of the menstrual cycle. After THL ovarian drilling, OV and power Doppler flow indices were significantly reduced compared to pre-operative values (OV: 7.85 versus 11.72 cm 3 , p drilling seems to reduce OV and 3D power Doppler indices, and could therefore be a viable alternative to LOD in PCOS patients resistant to medical therapy.

30 CFR 254.47 - Determining the volume of oil of your worst case discharge scenario.

Science.gov (United States)

2010-07-01

... break. You must calculate this volume as follows: (1) Add the pipeline system leak detection time to the... the total volume of oil that would leak from the pipeline after it is shut in. Calculate this volume... lines on the facility. Flow line volume may be estimated; and (2) The volume of oil calculated to leak...

Variability in Resident Operative Hand Experience by Specialty.

Science.gov (United States)

Silvestre, Jason; Lin, Ines C; Levin, L Scott; Chang, Benjamin

2018-01-01

Recent attention has sought to standardize hand surgery training in the United States. This study analyzes the variability in operative hand experience for orthopedic and general surgery residents. Case logs for orthopedic and general surgery residency graduates were obtained from the American Council of Graduate Medical Education (2006-2007 to 2014-2015). Plastic surgery case logs were not available for comparison. Hand surgery case volumes were compared between specialties with parametric tests. Intraspecialty variation in orthopedic surgery was assessed between the bottom and top 10th percentiles in procedure categories. Case logs for 9605 general surgery residents and 5911 orthopedic surgery residents were analyzed. Orthopedic surgery residents performed a greater number of hand surgery cases than general surgery residents ( P < .001). Mean total hand experience ranged from 2.5 ± 4 to 2.8 ± 5 procedures for general surgery residents with no reported cases of soft tissue repairs, vascular repairs, and replants. Significant intraspecialty variation existed in orthopedic surgery for all hand procedure categories (range, 3.3-15.0). As the model for hand surgery training evolves, general surgeons may represent an underutilized talent pool to meet the critical demand for hand surgeon specialists. Future research is needed to determine acceptable levels of training variability in hand surgery.

Augmented reality in the slaughterhouse - A future operation facility?

Directory of Open Access Journals (Sweden)