WorldWideScience

Sample records for partial remission spent

  1. Partial Remission Definition

    DEFF Research Database (Denmark)

    Andersen, Marie Louise Max; Hougaard, Philip; Pörksen, Sven

    2014-01-01

    OBJECTIVE: To validate the partial remission (PR) definition based on insulin dose-adjusted HbA1c (IDAA1c). SUBJECTS AND METHODS: The IDAA1c was developed using data in 251 children from the European Hvidoere cohort. For validation, 129 children from a Danish cohort were followed from the onset...

  2. Executive functioning during full and partial remission (positive and negative symptomatic remission) of schizophrenia.

    Science.gov (United States)

    Braw, Yoram; Benozio, Avi; Levkovitz, Yechiel

    2012-12-01

    Despite the upsurge of research regarding cognitive impairment in schizophrenia we still lack adequate understanding of the executive functioning of patients in symptomatic remission. Moreover, the cognitive functioning of patients in partial remission has not been studied previously although they comprise a significant proportion of schizophrenia patients. The current study therefore examined the executive functioning of patients in full symptomatic remission and for the first time assessed two sub-groups of patients in partial remission. Executive functioning of five groups was compared; symptomatic patients, patients in positive symptomatic remission, negative symptomatic remission, full symptomatic remission (SP, PSR, NSR, and FSR; N=101) and healthy controls (N=37). A graded cognitive profile was evident between the groups. SP patients exhibited widespread executive dysfunction while the performance of FSR patients was comparable to that of the healthy controls. Both PSR and NSR patients had working memory deficits, with PSR patients showing additional deficits in cognitive planning. The findings are encouraging, tentatively suggesting intact executive functioning among patients in full symptomatic remission. The graded cognitive profile of the patient groups strengthens earlier findings indicating the significant role of negative symptoms in determining executive dysfunction in schizophrenia. The findings point toward potential targets for therapeutic efforts and emphasize the need for further research of sub-groups of schizophrenia patients in partial remission. Copyright © 2012 Elsevier B.V. All rights reserved.

  3. Verbal memory functioning in recurrent depression during partial remission and remission-Brief report

    Directory of Open Access Journals (Sweden)

    Åsa eHammar

    2013-10-01

    Full Text Available The aim of the present study was to investigate verbal memory performance in a group of patients with remitted and partial remitted major depressive disorder. Thirty-one patients and 31 healthy matched controls were included in the study. Results from the California Verbal Learning Test show intact verbal memory performance in the patient group regarding learning, recall and recognition. However, patients had significantly poorer performance compared to healthy controls in immediate recall of the first trial in the verbal memory test. In conclusion, the patient group showed intact memory performance, when material is presented more than once. These findings indicate that memory performance in MDD patients with partial remission and remission benefit from repetition of material.

  4. New definition for the partial remission period in children and adolescents with type 1 diabetes

    DEFF Research Database (Denmark)

    Mortensen, Henrik B; Hougaard, Philip; Swift, Peter

    2009-01-01

    OBJECTIVE To find a simple definition of partial remission in type 1 diabetes that reflects both residual beta-cell function and efficacy of insulin treatment. RESEARCH DESIGN AND METHODS A total of 275 patients aged ..., stimulated C-peptide during a challenge was used as a measure of residual beta-cell function. RESULTS By multiple regression analysis, a negative association between stimulated C-peptide and A1C (regression coefficient -0.21, P ... the definition of an insulin dose-adjusted A1C (IDAA1C) as A1C (percent) + [4 x insulin dose (units per kilogram per 24 h)]. A calculated IDAA1C 300 pmol/l was used to define partial remission. The IDAA1C

  5. [Intensity of negative symptoms, working memory and executive functions disturbances in schizophrenic patients in partial remission period].

    Science.gov (United States)

    Hintze, Beata; Borkowska, Alina

    2011-01-01

    The aim of the study was to assess the correlation between the level of working memory and executive functions impairment in schizophrenic subjects in their partial remission period and the intensity of psychopathological symptoms measured by PANSS scale. 45 patients with schizophrenia were included in the study (28 male and 17 female), aged 18-46 (mean 27 +/- 7) years during partial remission of psychopathological symptoms (PANSS partial remission period, the significant dysfunctions of working memory and executive functions show association with negative (not positive) schizophrenic symptoms.

  6. Proinsulin, GLP-1, and glucagon are associated with partial remission in children and adolescents with newly diagnosed type 1 diabetes

    DEFF Research Database (Denmark)

    Kaas, A.; Andersen, M. L. M.; Fredheim, Siri

    2012-01-01

    .002) were significantly lower in remitters than in non-remitters at 6 and 12 months. Proinsulin associated positively with GLP-1 at 1 month (p = 0.004) and negatively at 6 (p = 0.002) and 12 months (p = 0.0002). Conclusions: In type 1 diabetes, patients in partial remission have higher levels of proinsulin......1C), glucagon-like peptide-1 (GLP-1), glucagon, and remission status the first year after diagnosis of type 1 diabetes. Methods: Juvenile patients (n = 275) were followed 1, 6, and 12 months after diagnosis. At each visit, partial remission was defined as IDAA1C = 9%. The patients had a liquid meal...

  7. Handling and transfer operations for partially-spent nuclear fuel

    Energy Technology Data Exchange (ETDEWEB)

    Ibrahim, J K [PUSPATI, Kuala Lumpur (Malaysia)

    1983-12-01

    This project involved the handling and transfer of partially-spent reactor fuel from the Oregon State University TRIGA Reactor in Corvallis, Oregon to Hanford Engineering Development Laboratory in Richland, Washington. The method of handling is dependent upon the burn-up history of the fuel elements. Legal constraints imposed by standing U.S. nuclear regulations determine the selection of transport containers, transportation procedures, physical security arrangements in transit and nuclear material accountability documentation. Results of in-house safety evaluations of the project determine the extent of involvement of pertinent nuclear regulatory authorities. The actual handling activities and actual radiation dose rates are also presented.

  8. Handling and transfer operations for partially-spent nuclear fuel

    International Nuclear Information System (INIS)

    Ibrahim, J.K.

    1983-01-01

    This project involved the handling and transfer of partially-spent reactor fuel from the Oregon State University TRIGA Reactor in Corvallis, Oregon to Hanford Engineering Development Laboratory in Richland, Washington. The method of handling is dependent upon the burn-up history of the fuel elements. Legal constraints imposed by standing U.S. nuclear regulations determine the selection of transport containers, transportation procedures, physical security arrangements in transit and nuclear material accountability documentation. Results of in-house safety evaluations of the project determine the extent of involvement of pertinent nuclear regulatory authorities. The actual handling activities and actual radiation dose rates are also presented (author)

  9. Data on correlations between T cell subset frequencies and length of partial remission in type 1 diabetes

    Directory of Open Access Journals (Sweden)

    Aditi Narsale

    2016-09-01

    Full Text Available Partial remission in patients newly diagnosed with type 1 diabetes is a period of good glucose control that can last from several weeks to over a year. The clinical significance of the remission period is that patients might be more responsive to immunotherapy if treated within this period. This article provides clinical data that indicates the level of glucose control and insulin-secreting β-cell function of each patient in the study at baseline (within 3 months of diagnosis, and at 3, 6, 9, 12, 18 and 24 months post-baseline. The relative frequency of immune cell subsets in the PBMC of each patient and the association between the frequency of immune cell subsets measured and length of remission is also shown. These data support the findings reported in the accompanying publication, “A pilot study showing associations between frequency of CD4+ memory cell subsets at diagnosis and duration of partial remission in type 1 diabetes” (Moya et al., 2016 [1], where a full interpretation, including biological relevance of the study can be found. Keywords: Type 1 diabetes, T cell subsets, Partial remission

  10. Association of interferon-gamma and interleukin 10 genotypes and serum levels with partial clinical remission in type 1 diabetes

    DEFF Research Database (Denmark)

    Alizadeh, B Z; Hanifi-Moghaddam, P; Eerligh, P

    2006-01-01

    We studied whether serum interferon (IFN)-gamma or interleukin (IL)-10 levels and their corresponding functional polymorphic genotypes are associated with partial remission of type 1 diabetes (T1D). A multi-centre study was undertaken in patients with newly diagnosed T1D and matched controls. T1D...

  11. Efficient regeneration of partially spent ammonia borane fuel

    International Nuclear Information System (INIS)

    Davis, Benjamin Lee; Gordon, John C.; Stephens, Frances; Dixon, David A.; Matus, Myrna H.

    2008-01-01

    A necessary target in realizing a hydrogen (H 2 ) economy, especially for the transportation sector, is its storage for controlled delivery, presumably to an energy producing fuel cell. In this vein, the U.S. Department of Energy's (DOE) Centers of Excellence (CoE) in Hydrogen Storage have pursued different methodologies, including metal hydrides, chemical hydrides, and sorbents, for the expressed purpose of supplanting gasoline's current > 300 mile driving range. Chemical hydrogen storage has been dominated by one appealing material, ammonia borane (H 3 B-NH 3 , AB), due to its high gravimetric capacity of hydrogen (19.6 wt %) and low molecular weight (30.7 g mol -1 ). In addition, AB has both hydridic and protic moieties, yielding a material from which H2 can be readily released. As such, a number of publications have described H 2 release from amine boranes, yielding various rates depending on the method applied. Even though the viability of any chemical hydrogen storage system is critically dependent on efficient recyclability, reports on the latter subject are sparse, invoke the use of high energy reducing agents, and suffer from low yields. For example, the DOE recently decided to no longer pursue the use of NaBH 4 as a H 2 storage material, in part because of inefficient regeneration. We thus endeavored to find an energy efficient regeneration process for the spent fuel from H 2 depleted AB with a minimum number of steps.

  12. Partial Defect Verification of Spent Fuel Assemblies by PDET: Principle and Field Testing in Interim Spent Fuel Storage Facility (CLAB) in Sweden

    Energy Technology Data Exchange (ETDEWEB)

    Ham, Y.S.; Kerr, P.; Sitaraman, S.; Swan, R. [Global Security Directorate, Lawrence Livermore National Laboratory, Livermore, CA 94550 (United States); Rossa, R. [SCK-CEN, Mol (Belgium); Liljenfeldt, H. [SKB in Oskarshamn (Sweden)

    2015-07-01

    The need for the development of a credible method and instrument for partial defect verification of spent fuel has been emphasized over a few decades in the safeguards communities as the diverted spent fuel pins can be the source of nuclear terrorism or devices. The need is increasingly more important and even urgent as many countries have started to transfer spent fuel to so called 'difficult-to-access' areas such as dry storage casks, reprocessing or geological repositories. Partial defect verification is required by IAEA before spent fuel is placed into 'difficult-to-access' areas. Earlier, Lawrence Livermore National Laboratory (LLNL) has reported the successful development of a new, credible partial defect verification method for pressurized water reactor (PWR) spent fuel assemblies without use of operator data, and further reported the validation experiments using commercial spent fuel assemblies with some missing fuel pins. The method was found to be robust as the method is relatively invariant to the characteristic variations of spent fuel assemblies such as initial fuel enrichment, cooling time, and burn-up. Since then, the PDET system has been designed and prototyped for 17x17 PWR spent fuel assemblies, complete with data acquisition software and acquisition electronics. In this paper, a summary description of the PDET development followed by results of the first successful field testing using the integrated PDET system and actual spent fuel assemblies performed in a commercial spent fuel storage site, known as Central Interim Spent fuel Storage Facility (CLAB) in Sweden will be presented. In addition to partial defect detection initial studies have determined that the tool can be used to verify the operator declared average burnup of the assembly as well as intra-assembly burnup levels. (authors)

  13. Residual symptoms in patients with partial versus complete remission of a major depressive disorder episode: patterns of painful physical symptoms in depression

    Directory of Open Access Journals (Sweden)

    Harada E

    2016-06-01

    Full Text Available Eiji Harada,1 Yoichi Satoi,2 Toshiaki Kikuchi,3 Koichiro Watanabe,3 Levent Alev,1 Masaru Mimura4 1Medical Science, Medicines Development Unit-Japan, 2Statistical Science, Medicines Development Unit-Japan, Eli Lilly Japan K.K., Kobe, Hyogo, 3Department of Neuropsychiatry, Kyorin University School of Medicine, 4Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan Objective: The patterns of residual painful physical symptoms (PPS and emotional symptoms among patients with partial remission (PR or complete remission (CR of a major depressive disorder (MDD episode were compared. Methods: This is a multicenter, cross-sectional, observational study. Patients who had originally been diagnosed with MDD, were treated with an antidepressant for 12 weeks for that episode, and achieved either PR or CR at study entry were enrolled in the study. Using the 17-item Hamilton Rating Scale for Depression (HAM-D17, PR was defined as a score of ≥8 and ≤18 and CR as a score of ≤7. Residual symptoms were assessed using the Brief Pain Inventory-Short Form (BPI-SF and the HAM-D17.Results: A total of 323 patients (CR =158, PR =165 were included in the study. Patients in the PR group had a higher mean (standard deviation score in the HAM-D17 than those in the CR group (11.8 [3.1] and 4.4 [2.0], respectively. BPI-SF results showed that “at least moderate PPS” (score ≥3 on BPI-SF question 5 was significantly more prevalent among patients with PR than those with CR (37.0% vs 16.5%, respectively; odds ratio =3.04; P<0.001. Presence of pain (any severity was also more prevalent among patients with PR than those with CR (54.5% vs 35.4%, respectively. The HAM-D17 results for individual items indicated that impaired work and activities, depressed mood, psychological and somatic anxiety, and general somatic symptoms were observed in at least 75% of patients with PR.Conclusion: PR was associated with a higher prevalence of at least moderate PPS

  14. Characteristics and Determinants of Partial Remission in Children with Type 1 Diabetes Using the Insulin-Dose-Adjusted A1C Definition

    Directory of Open Access Journals (Sweden)

    Aurore Pecheur

    2014-01-01

    Full Text Available To evaluate the characteristics and determinants of partial remission (PR in Belgian children with type 1 diabetes (T1D, we analyzed records of 242 children from our center. Clinical and biological features were collected at diagnosis and during follow-up. PR was defined using the insulin-dose-adjusted A1C definition. PR occurred in 56.2% of patients and lasted 9.2 months (0.5 to 56.6. 25.6% of patients entered T1D with DKA, which correlated with lower PR incidence (17.6% versus 82.3% when no DKA. In our population, lower A1C levels at diagnosis were associated with higher PR incidence and in young children (0–4 years initial A1C levels negatively correlated with longer PR. Early A1C levels were predictive of PR duration since 34% of patients had long PRs (>1 year when A1C levels were ≤6% after 3 months whereas incidence of long PR decreased with higher A1Cs. C-peptide levels were higher in patients entering PR and remained higher until 3 years after diagnosis. Initial antibody titers did not influence PR except for anti-IA2 titers that correlated with A1C levels after 2 years. Presence of 2 versus 1 anti-islet antibodies correlated with shorter PR. PR duration did not influence occurrence of severe hypoglycemia or diabetes-related complications but was associated with lower A1C levels after 18 months. We show that, at diagnosis of T1D, parameters associated with β-cell mass reserve (A1C, C-peptide, and DKA correlate with the occurrence of PR, which affects post-PR A1C levels. Further research is needed to determine the long-term significance of PR.

  15. Feasibility studies of computed tomography in partial defect detection of spent BWR fuel

    International Nuclear Information System (INIS)

    Levai, F.; Tikkinen, J.; Tarvainen, M.; Arlt, R.

    1990-10-01

    Feasibility studies were made for tomographic reconstruction of a cross-sectional activity distribution of a spent nuclear fuel assembly. The purpose was to determine the number of fuel rods (pins) and localize the positisons where pins are missing. The activity distribution map showing the locations of fuel rods in the assembly was reconstructed. The theoretical part of this work consists of simulation of image reconstruction based on theoretically calculated data from a reference assembly model. Evaluation of different image reconstruction techniques was made. Measurements were made in real facility conditions. Gamma radiation from an irradiated 8 x 8 - 1 BWR fuel assembly was measured through a narrow custom made collimator from different angles and positions. The measured data set was used as projections for reconstructing the activity profile of the assembly in cross-sectional plane

  16. Private Schools and Public Benefit: Fees, Fee Remissions, and Subsidies

    Science.gov (United States)

    Davies, Peter

    2011-01-01

    The level of fee remissions offered by private schools bears upon the scope for relying on private schools to provide public benefit. Analyses of education voucher systems have generally ignored the possibility that they will partially crowd out school-financed fee remissions. Moreover, variation in fee remissions between private schools may be…

  17. Experimental study of optimal self compacting concrete with spent foundry sand as partial replacement for M-sand using Taguchi approach

    Directory of Open Access Journals (Sweden)

    Nirmala D.B.

    2016-06-01

    Full Text Available This paper presents the application of Taguchi approach to obtain optimal mix proportion for Self Compacting Concrete (SCC containing spent foundry sand and M-sand. Spent foundry sand is used as a partial replacement for M-sand. The SCC mix has seven control factors namely, Coarse aggregate, M-sand with Spent Foundry sand, Cement, Fly ash, Water, Super plasticizer and Viscosity modifying agent. Modified Nan Su method is used to proportion the initial SCC mix. L18 (21×37 Orthogonal Arrays (OA with the seven control factors having 3 levels is used in Taguchi approach which resulted in 18 SCC mix proportions. All mixtures are extensively tested both in fresh and hardened states to verify whether they meet the practical and technical requirements of SCC. The quality characteristics considering “Nominal the better” situation is applied to the test results to arrive at the optimal SCC mix proportion. Test results indicate that the optimal mix satisfies the requirements of fresh and hardened properties of SCC. The study reveals the feasibility of using spent foundry sand as a partial replacement of M-sand in SCC and also that Taguchi method is a reliable tool to arrive at optimal mix proportion of SCC.

  18. Experimental study of optimal self compacting concrete with spent foundry sand as partial replacement for M-sand using Taguchi approach

    Science.gov (United States)

    Nirmala, D. B.; Raviraj, S.

    2016-06-01

    This paper presents the application of Taguchi approach to obtain optimal mix proportion for Self Compacting Concrete (SCC) containing spent foundry sand and M-sand. Spent foundry sand is used as a partial replacement for M-sand. The SCC mix has seven control factors namely, Coarse aggregate, M-sand with Spent Foundry sand, Cement, Fly ash, Water, Super plasticizer and Viscosity modifying agent. Modified Nan Su method is used to proportion the initial SCC mix. L18 (21×37) Orthogonal Arrays (OA) with the seven control factors having 3 levels is used in Taguchi approach which resulted in 18 SCC mix proportions. All mixtures are extensively tested both in fresh and hardened states to verify whether they meet the practical and technical requirements of SCC. The quality characteristics considering "Nominal the better" situation is applied to the test results to arrive at the optimal SCC mix proportion. Test results indicate that the optimal mix satisfies the requirements of fresh and hardened properties of SCC. The study reveals the feasibility of using spent foundry sand as a partial replacement of M-sand in SCC and also that Taguchi method is a reliable tool to arrive at optimal mix proportion of SCC.

  19. Deep remission: a new concept?

    Science.gov (United States)

    Colombel, Jean-Frédéric; Louis, Edouard; Peyrin-Biroulet, Laurent; Sandborn, William J; Panaccione, Remo

    2012-01-01

    Crohn's disease (CD) is a chronic inflammatory disorder characterized by periods of clinical remission alternating with periods of relapse defined by recurrent clinical symptoms. Persistent inflammation is believed to lead to progressive bowel damage over time, which manifests with the development of strictures, fistulae and abscesses. These disease complications frequently lead to a need for surgical resection, which in turn leads to disability. So CD can be characterized as a chronic, progressive, destructive and disabling disease. In rheumatoid arthritis, treatment paradigms have evolved beyond partial symptom control alone toward the induction and maintenance of sustained biological remission, also known as a 'treat to target' strategy, with the goal of improving long-term disease outcomes. In CD, there is currently no accepted, well-defined, comprehensive treatment goal that entails the treatment of both clinical symptoms and biologic inflammation. It is important that such a treatment concept begins to evolve for CD. A treatment strategy that delays or halts the progression of CD to increasing damage and disability is a priority. As a starting point, a working definition of sustained deep remission (that includes long-term biological remission and symptom control) with defined patient outcomes (including no disease progression) has been proposed. The concept of sustained deep remission represents a goal for CD management that may still evolve. It is not clear if the concept also applies to ulcerative colitis. Clinical trials are needed to evaluate whether treatment algorithms that tailor therapy to achieve deep remission in patients with CD can prevent disease progression and disability. Copyright © 2012 S. Karger AG, Basel.

  20. Remission of allergic rhinitis

    DEFF Research Database (Denmark)

    Bødtger, Uffe; Linneberg, Allan

    2004-01-01

    in only 22% of remitting subjects yet was seen significantly more often than in nonremitting subjects (7.4%). Remission of sensitization occurred in 6% (HDM) to 11% (pollen-furry animal) and was predicted on the basis of low s-IgE levels (class 2) at baseline. CONCLUSION: Remission of AR symptoms...... months and s-IgE levels of class 2 or greater against pollen (birch, grass, or mugwort). This was similar for AR to animals (cat or dog) or house dust mites (HDMs). Remission of AR was defined as AR at baseline but no rhinitis symptoms at follow-up and sensitization (s-IgE level class > or =2 at baseline...... and class HDM AR; overall, 17%) and was predicted by low s-IgE levels. Age, sex, asthma, atopic predisposition, age at AR onset, and AR duration had no predictive value. A decrease in s-IgE level was observed...

  1. Remission in IDDM

    DEFF Research Database (Denmark)

    Agner, T; Damm, P; Binder, C

    1987-01-01

    To elucidate beta-cell function, insulin requirement, and remission period in insulin-dependent diabetes mellitus (IDDM), a study was undertaken comprising 268 patients consecutively admitted to Steno Memorial Hospital with newly diagnosed IDDM. The patients were characterized by sex, age......, and seasonal variation at onset of diabetes mellitus. During the first 36 mo of the disease, an evaluation was performed for basal C-peptide, HbA1c, and insulin dose per kilogram. Total remission was interpreted as complete discontinuation of insulin therapy for at least 1 wk while still metabolically well...

  2. Off-Stream Watering Systems and Partial Barriers as a Strategy to Maximize Cattle Production and Minimize Time Spent in the Riparian Area

    Directory of Open Access Journals (Sweden)

    Ashley A. Rawluk

    2014-10-01

    Full Text Available A study was conducted in 2009 at two locations in Manitoba (Killarney and Souris, Canada to determine the impact of off-stream waterers (OSW with or without natural barriers on (i amount of time cattle spent in the 10 m buffer created within the riparian area, referred to as the riparian polygon (RP, (ii watering location (OSW or stream, and (iii animal performance measured as weight gain. This study was divided into three 28-day periods over the grazing season. At each location, the pasture—which ranged from 21.0 ha to 39.2 ha in size—was divided into three treatments: no OSW nor barriers (1CONT, OSW with barriers along the stream bank to deter cattle from watering at the stream (2BARR, and OSW without barriers (3NOBARR. Cattle in 2BARR spent less time in the RP in Periods 1 (p = 0.0002, 2 (p = 0.1116, and 3 (p < 0.0001 at the Killarney site compared to cattle in 3NOBARR at the same site. Cattle in 2BARR at the Souris site spent more time in the RP in Period 1 (p < 0.0001 and less time in Period 2 (p = 0.0002 compared to cattle in 3NOBARR. Cattle did use the OSW, but not exclusively, as watering at the stream was still observed. The observed inconsistency in the effectiveness of the natural barriers on deterring cattle from the riparian area between periods and locations may be partly attributable to the environmental conditions present during this field trial as well as difference in pasture size and the ability of the established barriers to deter cattle from using the stream as a water source. Treatment had no significant effect (p > 0.05 on cow and calf weights averaged over the summer period. These results indicate that the presence of an OSW does not create significant differences in animal performance when used in extensive pasture scenarios such as those studied within the present study. Whereas the barriers did not consistently discourage watering at the stream, the results provide some indication of the efficacy of the OSW as well

  3. Reprocessing facility for spent fuel from LWR type reactors and mixed-oxide fuel fabrication plant in the Taxoeldern Forest near Wackersdorf, Bavaria (WAA) - first partial licence

    International Nuclear Information System (INIS)

    1985-01-01

    Full text of the first partial licence for the WAA, allowing erection of the following buildings or structures: External fence; guardhouse 1, i.e. the building and the ground connection system with lightning protection system, the fire alarm system and mobile fire-fighting systems; the fuel receiving station, including building and operation systems; excavation work for the main reprocessing building. (HP) [de

  4. Off-Stream Watering Systems and Partial Barriers as a Strategy to Maximize Cattle Production and Minimize Time Spent in the Riparian Area.

    Science.gov (United States)

    Rawluk, Ashley A; Crow, Gary; Legesse, Getahun; Veira, Douglas M; Bullock, Paul R; González, Luciano A; Dubois, Melanie; Ominski, Kim H

    2014-10-29

    A study was conducted in 2009 at two locations in Manitoba (Killarney and Souris), Canada to determine the impact of off-stream waterers (OSW) with or without natural barriers on (i) amount of time cattle spent in the 10 m buffer created within the riparian area, referred to as the riparian polygon (RP), (ii) watering location (OSW or stream), and (iii) animal performance measured as weight gain. This study was divided into three 28-day periods over the grazing season. At each location, the pasture-which ranged from 21.0 ha to 39.2 ha in size-was divided into three treatments: no OSW nor barriers (1CONT), OSW with barriers along the stream bank to deter cattle from watering at the stream (2BARR), and OSW without barriers (3NOBARR). Cattle in 2BARR spent less time in the RP in Periods 1 (p = 0.0002), 2 (p = 0.1116), and 3 (p natural barriers on deterring cattle from the riparian area between periods and locations may be partly attributable to the environmental conditions present during this field trial as well as difference in pasture size and the ability of the established barriers to deter cattle from using the stream as a water source. Treatment had no significant effect (p > 0.05) on cow and calf weights averaged over the summer period. These results indicate that the presence of an OSW does not create significant differences in animal performance when used in extensive pasture scenarios such as those studied within the present study. Whereas the barriers did not consistently discourage watering at the stream, the results provide some indication of the efficacy of the OSW as well as the natural barriers on deterring cattle from the riparian area.

  5. What does remission tell us about women with eating disorders? Investigating applications of various remission definitions and their associations with quality of life.

    Science.gov (United States)

    Ackard, Diann M; Richter, Sara A; Egan, Amber M; Cronemeyer, Catherine L

    2014-01-01

    To compare remission rates, determine level of agreement and identify quality of life (QoL) distinctions across a broad spectrum of remission definitions among patients with eating disorders (ED). Women (N=195; 94 AN, 24 BN, and 77 EDNOS) from inpatient and partial hospital ED programs participated in a study of treatment outcomes. Remission rates were evaluated with percentages, kappa coefficients identified level of agreement and Mann-Whitney-Wilcoxon tests with Bonferroni corrections determined differences in quality of life between remitted and not remitted patients by remission definition. Depending on remission definition used, the percent of remitted patients varied from 13.2% to 40.5% for AN, 15.0% to 47.6% for BN and 24.2% to 53.1% for EDNOS. Several definitions demonstrated "very good" agreement across diagnoses. Remission was associated with higher quality of life in psychological, physical/cognitive, financial and work/school domains on a disease-specific measure, and in mental but not physical functioning on a generic measure. Remission rates vary widely depending on the definition used; several definitions show strong agreement. Remission is associated with quality of life, and often approximates scores for women who do not have an eating disorder. The ED field would benefit from adopting uniform criteria, which would allow for more accurate comparison of remission rates across therapeutic interventions, treatment modalities and facilities. We recommend using the Bardone-Cone criteria because it includes assessment of psychological functioning, was found to be applicable across diagnoses, demonstrated good agreement, and was able to distinguish quality of life differences between remitted and not remitted patients. © 2013.

  6. Remission of Maternal Depression: Relations to Family Functioning and Youth Internalizing and Externalizing Symptoms

    Science.gov (United States)

    Foster, Cynthia Ewell; Webster, Melissa C.; Weissman, Myrna M.; Pilowsky, Daniel J.; Wickramaratne, Priya J.; Talati, Ardesheer; Rush, A. John; Hughes, Carroll W.; Garber, Judy; Malloy, Erin; Cerda, Gabrielle; Kornstein, Susan G.; Alpert, Jonathan E.; Wisniewski, Stephen R.; Trivedi, Madhukar H.; Fava, Maurizio; King, Cheryl A.

    2009-01-01

    Family functioning and parenting were hypothesized to mediate the relation between remission of maternal depression and children's psychosocial adjustment. Participants were 114 mother-child dyads participating in the Sequenced Treatment Alternatives to Relieve Depression Child 3-month follow-up. All mothers had been diagnosed with major depressive disorder and were treated initially with citalopram; 33% of mothers experienced remission of depressive symptoms. Youth ranged in age from 7 to 17. Remission of maternal depression was associated with changes in children's reports of their mothers' warmth/acceptance, which in turn partially mediated the relation between maternal depression remission and youth internalizing symptoms, accounting for 22.9% of the variance. PMID:18991123

  7. Remission Time after Rituximab Treatment for Autoimmune Bullous Disease: A Proposed Update Definition.

    Science.gov (United States)

    Iranzo, Pilar; Pigem, Ramon; Giavedoni, Priscila; Alsina-Gibert, Mercè

    2015-01-01

    A therapeutic endpoint is a very important tool to evaluate response in clinical trials. In 2005, a consensus statement identified two late endpoints of disease activity in pemphigus: complete remission off therapy and complete remission on therapy, both definitions applying to patients without lesions for at least 2 months. The same period of time was considered for partial remission off/on therapy. These definitions were later applied to bullous pemphigoid and are considered in most studies on autoimmune bullous disease. These endpoints were established for different adjuvant agents, but at that moment, rituximab was not considered. Rituximab is known for the long duration of its effect, and in most studies relapses have been reported later than 6 months after treatment. In our opinion, time to remission after rituximab treatment should be redefined. © 2015 S. Karger AG, Basel.

  8. Vasovagal tonus index (VVTI) as an indirect assessment of remission status in canine multicentric lymphoma undergoing multi-drug chemotherapy.

    Science.gov (United States)

    Pecceu, Evi; Stebbing, Brittainy; Martinez Pereira, Yolanda; Handel, Ian; Culshaw, Geoff; Hodgkiss-Geere, Hannah; Lawrence, Jessica

    2017-12-01

    Vasovagal tonus index (VVTI) is an indirect measure of heart rate variability and may serve as a marker of disease severity. Higher heart rate variability has predicted lower tumour burden and improved survival in humans with various tumour types. The purpose of this pilot study was to evaluate VVTI as a biomarker of remission status in canine lymphoma. The primary hypothesis was that VVTI would be increased in dogs in remission compared to dogs out of remission. Twenty-seven dogs were prospectively enrolled if they had a diagnosis of intermediate to high-grade lymphoma and underwent multidrug chemotherapy. Serial electrocardiogram data were collected under standard conditions and relationships between VVTI, remission status and other clinical variables were evaluated. VVTI from dogs in remission (partial or complete) did not differ from dogs with fulminant lymphoma (naive or at time of relapse). Dogs in partial remission had higher VVTI than dogs in complete remission (p = 0.021). Higher baseline VVTI was associated with higher subsequent scores (p < 0.001). VVTI also correlated with anxiety level (p = 0.03). Based on this pilot study, VVTI did not hold any obvious promise as a useful clinical biomarker of remission status. Further investigation may better elucidate the clinical and prognostic utility of VVTI in dogs with lymphoma.

  9. Partial processing

    International Nuclear Information System (INIS)

    1978-11-01

    This discussion paper considers the possibility of applying to the recycle of plutonium in thermal reactors a particular method of partial processing based on the PUREX process but named CIVEX to emphasise the differences. The CIVEX process is based primarily on the retention of short-lived fission products. The paper suggests: (1) the recycle of fission products with uranium and plutonium in thermal reactor fuel would be technically feasible; (2) it would, however, take ten years or more to develop the CIVEX process to the point where it could be launched on a commercial scale; (3) since the majority of spent fuel to be reprocessed this century will have been in storage for ten years or more, the recycling of short-lived fission products with the U-Pu would not provide an effective means of making refabrication fuel ''inaccessible'' because the radioactivity associated with the fission products would have decayed. There would therefore be no advantage in partial processing

  10. A framework for remission in SLE

    DEFF Research Database (Denmark)

    van Vollenhoven, Ronald; Voskuyl, Alexandre; Bertsias, George

    2017-01-01

    , for example, clinical systemic lupus erythematosus disease activity index (SLEDAI)=0, British Isles lupus assessment group (BILAG) 2004 D/E only, clinical European consensus lupus outcome measure (ECLAM)=0; with routine laboratory assessments included, and supplemented with physician's global assessment.3....... Distinction is made between remission off and on therapy: remission off therapy requires the patient to be on no other treatment for SLE than maintenance antimalarials; and remission on therapy allows patients to be on stable maintenance antimalarials, low-dose corticosteroids (prednisone ≤5 mg...

  11. Spontaneous remission of chiasmatic/hypothalamic masses in neurofibromatosis type 1: report of two cases

    International Nuclear Information System (INIS)

    Gottschalk, S.; Tavakolian, R.; Lehmann, R.; Buske, A.; Tinschert, S.

    1999-01-01

    We report two children with neurofibromatosis type 1 showing enhancing masses on MRI suggesting neoplasms in the chiasm and hypothalamic region. In both patients no visual or endocrinal dysfunction was present. On serial MRI spontaneous partial remission was found, implying that a cautious approach to therapeutic management of similar cases should be taken. (orig.) (orig.)

  12. Spontaneous remission of acromegaly or gigantism due to subclinical apoplexy of pituitary growth hormone adenoma.

    Science.gov (United States)

    Wang, Xian-Ling; Dou, Jing-Tao; Lü, Zhao-Hui; Zhong, Wen-Wen; Ba, Jian-Ming; Jin, Du; Lu, Ju-Ming; Pan, Chang-Yu; Mu, Yi-Ming

    2011-11-01

    Subclinical apoplexy of pituitary functional adenoma can cause spontaneous remission of hormone hypersecretion. The typical presence of pituitary growth hormone (GH) adenoma is gigantism and/or acromegaly. We investigated the clinical characteristics of patients with spontaneous partial remission of acromegaly or gigantism due to subclinical apoplexy of GH adenoma. Six patients with spontaneous remission of acromegaly or gigantism were enrolled. The clinical characteristics, endocrinological evaluation and imageological characteristics were retrospectively analyzed. In these cases, the initial clinical presences were diabetes mellitus or hypogonadism. No abrupt headache, vomiting, visual function impairment, or conscious disturbance had ever been complained of. The base levels of GH and insulin growth factor-1 (IGF-1) were normal or higher, but nadir GH levels were all still > 1 µg/L in 75 g oral glucose tolerance test. Magnetic resonance imaging detected enlarged sella, partial empty sella and compressed pituitary. The transsphenoidal surgery was performed in 2 cases, and the other patients were conservatively managed. All the patients were in clinical remission. When the clinical presences, endocrine evaluation, biochemical examination and imageology indicate spontaneous remission of GH hypersecretion in patients with gigantism or acromegaly, the diagnosis of subclinical apoplexy of pituitary GH adenoma should be presumed. To these patients, conservative therapy may be appropriate.

  13. Relationship between somatization and remission with ECT.

    Science.gov (United States)

    Rasmussen, Keith G; Snyder, Karen A; Knapp, Rebecca G; Mueller, Martina; Yim, Eunsil; Husain, Mustafa M; Rummans, Teresa A; Sampson, Shirlene M; O'Connor, M Kevin; Bernstein, Hilary J; Kellner, Charles H

    2004-12-30

    Patients treated with electroconvulsive therapy (ECT) were divided into those with less severe depression and those with more severe depression. In the less severely depressed group, high somatic anxiety and hypochondriasis predicted a low likelihood of sustained remission with ECT. In the more severely depressed group, these traits were not predictive of ECT outcome.

  14. Remission of eating disorder during pregnancy

    DEFF Research Database (Denmark)

    Madsen, Ida Ringsborg; Hørder, Kirsten; Støving, René Klinkby

    2009-01-01

    Eating disorder during pregnancy is associated with a diversity of adverse outcomes and is of potential danger to both mother and child. There is, however, a tendency for remission of the eating disorder during pregnancy with improvement of symptoms such as restrictive dieting, binging and purgin...

  15. Complete remission of epileptic psychosis after temporal lobectomy: case report

    Directory of Open Access Journals (Sweden)

    Marchetti Renato Luiz

    2001-01-01

    Full Text Available We report a case of a female patient with refractory complex partial seizures since 15 years of age, recurrent postictal psychotic episodes since 35 which evolved to a chronic refractory interictal psychosis and MRI with right mesial temporal sclerosis (MTS. After a comprehensive investigation (video-EEG intensive monitoring, interictal and ictal SPECT, and a neuropsychological evaluation including WADA test she was submitted to a right temporal lobectomy. Since then, she has been seizure-free with remission of psychosis, although with some persistence of personality traits (hiperreligiosity, viscosity which had been present before surgery. This case supports the idea that temporal lobectomy can be a safe and effective therapeutic measure for patients with MTS, refractory epilepsy and recurrent postictal epileptic psychosis or interictal epileptic psychosis with postictal exacerbation.

  16. Predictors of Long-Term Remission and Relapse of Type 2 Diabetes Mellitus Following Gastric Bypass in Severely Obese Patients.

    Science.gov (United States)

    de Oliveira, Vanessa Lopes Preto; Martins, Gianluca P; Mottin, Cláudio C; Rizzolli, Jacqueline; Friedman, Rogério

    2018-01-01

    Diabetes remission is not observed in all obese patients with type 2 diabetes submitted to bariatric surgery. Relapses occur in patients in whom remission is achieved. We investigated the factors associated with long-term (≥3 years) remission and relapse of type 2 diabetes after Roux-en-Y gastric bypass (RYGB) in these patients. By a retrospective review, we analyzed data from 254 patients with type 2 diabetes who had undergone RYGB from May 2000 to November 2011 and had at least 3 years of follow-up. The criteria for remission and relapse of type 2 diabetes followed the current American Diabetes Association recommendations. Remission was achieved in almost 82% of participants (69.7% complete, and 12.2% partial remission). Of these, 12% relapsed within a mean follow-up of 5.1 ± 2.0 years after surgery. Predictors of complete remission were younger age, better preoperative glycemic control, and shorter diabetes duration. Preoperative insulin use was associated with a ninefold increase in the relapse hazard (HR = 9.1 (95% CI: 3.3-25.4)). Use of two or more oral anti-diabetic agents increased the relapse hazard sixfold (HR = 6.1 (95% CI: 1.8-20.6)). Eighteen point one percent of patients did not achieve any remission during follow-up. However, they exhibited significant improvements in glycemic control. These data indicate that RYGB should not be delayed when remission of type 2 diabetes is a therapeutic goal, and also suggest that the best possible metabolic control should be sought in obese patients who may eventually be candidates for RYGB.

  17. Miniaturized remission sensor for carbon dioxide detection

    International Nuclear Information System (INIS)

    Martan, T; Will, M

    2010-01-01

    Recently, optical sensors for detection of carbon dioxide (CO 2 ) have been explored for variety of applications in chemistry, industry, and medicine. This paper deals with the development of a planar optical remission sensor employing a dye immobilized in a polymer layer designed for gaseous CO 2 detection. The principle of CO 2 detection was based on colour changes of Tetraethylammonium Cresol red immobilized in a special composed polymer layer that was irradiated by LED diodes. Absorption properties of the dye were changed due to its chemical reaction with CO 2 and corresponding colour changes were detected by PIN diodes. These changes were analyzed by using a PC-controlled board connected by USB. The sensitivity, response time, and the detection limit of the remission sensor were characterized.

  18. Spent fuels program

    International Nuclear Information System (INIS)

    Shappert, L.B.

    1983-01-01

    The goal of this task is to support the Domestic Spent Fuel Storage Program through studies involving the transport of spent fuel. A catalog was developed to provide authoritative, timely, and accessible transportation information for persons involved in the transport of irradiated reactor fuel. The catalog, drafted and submitted to the Transportation Technology Center, Sandia National Laboratories, for their review and approval, covers such topics as federal, state, and local regulations, spent fuel characteristics, cask characteristics, transportation costs, and emergency response information

  19. Cluster headache attack remission with sphenopalatine ganglion stimulation

    DEFF Research Database (Denmark)

    Barloese, Mads C J; Jürgens, Tim P; May, Arne

    2016-01-01

    collected at regular clinic visits. The time point “after remission” was defined as the first visit after the end of the remission period. Results: Thirty percent (10/33) of enrolled patients experienced at least one period of complete attack remission. All remission periods followed the start of SPG...... stimulation, with the first period beginning 134 ± 86 (range 21-272) days after initiation of stimulation. On average, each patient’s longest remission period lasted 149 ± 97 (range 62-322) days. The ability to treat acute attacks before and after remission was similar (37 % ± 25 % before, 49 % ± 32 % after...

  20. Brief Report: Remission Rates With Tofacitinib Treatment in Rheumatoid Arthritis: A Comparison of Various Remission Criteria.

    Science.gov (United States)

    Smolen, Josef S; Aletaha, Daniel; Gruben, David; Zwillich, Samuel H; Krishnaswami, Sriram; Mebus, Charles

    2017-04-01

    Tofacitinib is an oral JAK inhibitor that is used for the treatment of rheumatoid arthritis (RA). In previous clinical trials of tofacitinib, a Disease Activity Score in 28 joints (DAS28)-based analysis was used to assess outcomes. In this study, remission rates according to various remission criteria were evaluated across 5 phase III randomized controlled studies. In all 5 studies, tofacitinib was administered at a dosage of 5 mg twice daily or 10 mg twice daily, either as monotherapy or with background methotrexate or other conventional synthetic disease-modifying antirheumatic drugs. One of the studies included adalimumab 40 mg once every 2 weeks. In addition to the 4-variable DAS28 using the erythrocyte sedimentation rate (DAS28-4[ESR]), a primary efficacy variable used in the phase III studies, disease activity was assessed post hoc by the 4-variable DAS28 using the C-reactive protein level (DAS28-4[CRP]), the Clinical Disease Activity Index (CDAI), the Simplified Disease Activity Index (SDAI), and Boolean-based assessment. A total of 3,306 patients were analyzed (1,213 of these patients received tofacitinib 5 mg twice daily, 1,212 received tofacitinib 10 mg twice daily, 679 received placebo, and 202 received adalimumab 40 mg every 2 weeks). Remission rates varied according to the criteria used, with higher rates in the active-treatment groups for the DAS28-4(CRP) than for other scores. At month 3, remission rates with tofacitinib 5 mg twice daily were 18-22% using the DAS28-4(CRP), 5-10% using the DAS28-4(ESR), 4-7% using the SDAI, 5-6% using the CDAI, and 2-7% using the Boolean-based method. In contrast, the remission rates with placebo varied from 0% to 7%, with small differences between the DAS28-4(ESR) and the DAS28-4(CRP). Although tofacitinib at dosages of 5 mg twice daily and 10 mg twice daily was effective compared with placebo in achieving disease remission, regardless of the disease activity measure, remission rates were substantially higher when

  1. Reuse of Hydrotreating Spent Catalyst

    International Nuclear Information System (INIS)

    Habib, A.M.; Menoufy, M.F.; Amhed, S.H.

    2004-01-01

    All hydro treating catalysts used in petroleum refining processes gradually lose activity through coking, poisoning by metal, sulfur or halides or lose surface area from sintering at high process temperatures. Waste hydrotreating catalyst, which have been used in re-refining of waste lube oil at Alexandria Petroleum Company (after 5 years lifetime) compared with the same fresh catalyst were used in the present work. Studies are conducted on partial extraction of the active metals of spent catalyst (Mo and Ni) using three leaching solvents,4% oxidized oxalic acid, 10% aqueous sodium hydroxide and 10% citric acid. The leaching experiments are conducting on the de coked extrude [un crushed] spent catalyst samples. These steps are carried out in order to rejuvenate the spent catalyst to be reused in other reactions. The results indicated that 4% oxidized oxalic acid leaching solution gave total metal removal 45.6 for de coked catalyst samples while NaOH gave 35% and citric acid gave 31.9 % The oxidized leaching agent was the most efficient leaching solvent to facilitate the metal removal, and the rejuvenated catalyst was characterized by the unchanged crystalline phase The rejuvenated catalyst was applied for hydrodesulfurization (HDS) of vacuum gas oil as a feedstock, under different hydrogen pressure 20-80 bar in order to compare its HDS activity

  2. Functional remission and employment among patients with schizophrenia in Malaysia.

    Science.gov (United States)

    Dahlan, Rahima; Midin, Marhani; Shah, Shamsul Azhar; Nik Jaafar, Nik Ruzyanei; Abdul Rahman, Fairuz Nazri; Baharudin, Azlin; Das, Srijit; Sidi, Hatta

    2014-01-01

    The study aimed to determine the rates of functional remission and employment as well as the factors associated with functional remission among patients with Schizophrenia, receiving community psychiatric service in an urban setting in Malaysia. From a total of 250 patients randomly selected, 155 fulfilled the study requirement and were assessed on their functional remission status using the Personal and Social Performance Scale. The relationships between functional remission and socio-demographic factors, clinical factors, social support, symptom remission and rates of hospitalization were examined. The results revealed that 74% (n=115) of the respondents had functional remission with only 20% (n=31) currently employed. Functional remission was found to be significantly associated with good social support (84.4% versus 36.4% psocial support, lower hospitalization rate and symptom remission, as significant predictors of functional remission. A majority of patients with Schizophrenia in this study achieved functional remission, however, only a small percentage of them were employed. Functional remission was influenced by severity of illness and levels of social support in these patients. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Variations in diabetes remission rates after bariatric surgery in Spanish adults according to the use of different diagnostic criteria for diabetes.

    Science.gov (United States)

    Alhambra-Expósito, María R; Molina-Puerta, María J; Prior-Sánchez, María I; Manzano-García, Gregorio; Calañas-Continente, Alfonso; Gálvez-Moreno, María A

    2017-08-15

    There are multiple criteria to define remission of type 2 diabetes (DM2) after bariatric surgery but there is not a specific one widely accepted. Our objectives were to compare diagnostic criteria for DM2 remission after bariatric surgery: Criteria from Spanish scientific associations (SEEN/SEEDO/SED) and from the American Diabetes Association (ADA). We also aim to analyse the degree of correlation between these sets of criteria. Retrospective observational study in 127 patients undergoing bariatric surgery in a single centre (Hospital Universitario Reina Sofía, Córdoba, Spain) between January 2001 and December 2009. We analysed DM2 remission following bariatric surgery comparing DM2 diagnostic criteria approved by Spanish scientific associations and ADA criteria. In total, 62.2% of patients were women; mean age was 47.1 years. Following surgery, 52% achieved complete remission according to ADA criteria, and 63.8% following the criteria approved by Spanish associations (p = 0.001);18.9 and 8.7%, respectively, showed partial remission (p = 0.007), and 29.1 and 27.6% no remission, according to the criteria approved by each association (p = 0.003). There was good correlation between both sets of criteria (Rho 0.781; p DM2 remission (ADA criteria) results in a lower rate of remission, although we found a a high degree of correlation between both sets of criteria.

  4. Spent nuclear fuel storage

    International Nuclear Information System (INIS)

    Romanato, Luiz Sergio

    2005-01-01

    When a country becomes self-sufficient in part of the nuclear cycle, as production of fuel that will be used in nuclear power plants for energy generation, it is necessary to pay attention for the best method of storing the spent fuel. Temporary storage of spent nuclear fuel is a necessary practice and is applied nowadays all over the world, so much in countries that have not been defined their plan for a definitive repository, as well for those that already put in practice such storage form. There are two main aspects that involve the spent fuels: one regarding the spent nuclear fuel storage intended to reprocessing and the other in which the spent fuel will be sent for final deposition when the definitive place is defined, correctly located, appropriately characterized as to several technical aspects, and licentiate. This last aspect can involve decades of studies because of the technical and normative definitions at a given country. In Brazil, the interest is linked with the storage of spent fuels that will not be reprocessed. This work analyses possible types of storage, the international panorama and a proposal for future construction of a spent nuclear fuel temporary storage place in the country. (author)

  5. Body composition in remission of childhood cancer

    International Nuclear Information System (INIS)

    Tseytlin, G Ja; Konovalova, M V; Vashura, A Yu; Anisimova, A V; Godina, E Z; Khomyakova, I A; Nikolaev, D V; Starunova, O A; Rudnev, S G

    2012-01-01

    Here, we describe the results of a cross-sectional bioimpedance study of body composition in 552 Russian children and adolescents aged 7-17 years in remission of various types of cancer (remission time 0-15 years, median 4 years). A sample of 1500 apparently healthy individuals of the same age interval was used for comparison. Our data show high frequency of malnutrition in total cancer patients group depending on type of cancer. 52.7% of patients were malnourished according to phase angle and percentage fat mass z-score with the range between 42.2% in children with solid tumors located outside CNS and 76.8% in children with CNS tumors. The body mass index failed to identify the proportion of patients with malnutrition and showed diagnostic sensitivity 50.6% for obesity on the basis of high percentage body fat and even much less so for undernutrition – 13.4% as judged by low phase angle. Our results suggest an advantage of using phase angle as the most sensitive bioimpedance indicator for the assessment of metabolic alterations, associated risks, and the effectiveness of rehabilitation strategies in childhood cancer patients.

  6. Body composition in remission of childhood cancer

    Science.gov (United States)

    Tseytlin, G. Ja; Anisimova, A. V.; Godina, E. Z.; Khomyakova, I. A.; Konovalova, M. V.; Nikolaev, D. V.; Rudnev, S. G.; Starunova, O. A.; Vashura, A. Yu

    2012-12-01

    Here, we describe the results of a cross-sectional bioimpedance study of body composition in 552 Russian children and adolescents aged 7-17 years in remission of various types of cancer (remission time 0-15 years, median 4 years). A sample of 1500 apparently healthy individuals of the same age interval was used for comparison. Our data show high frequency of malnutrition in total cancer patients group depending on type of cancer. 52.7% of patients were malnourished according to phase angle and percentage fat mass z-score with the range between 42.2% in children with solid tumors located outside CNS and 76.8% in children with CNS tumors. The body mass index failed to identify the proportion of patients with malnutrition and showed diagnostic sensitivity 50.6% for obesity on the basis of high percentage body fat and even much less so for undernutrition - 13.4% as judged by low phase angle. Our results suggest an advantage of using phase angle as the most sensitive bioimpedance indicator for the assessment of metabolic alterations, associated risks, and the effectiveness of rehabilitation strategies in childhood cancer patients.

  7. Facial botryomycosis-like pyoderma in an HIV-infected patient: remission after initiation of darunavir and raltegravir

    Directory of Open Access Journals (Sweden)

    Walter de Araujo Eyer-Silva

    Full Text Available Abstract Botryomycosis is an uncommon, chronic, suppurative, bacterial infection that primarily affects the skin and subcutaneous tissues. It has long been associated with defects of cellular immunity. We report a 28-year-old woman who presented with a chronic, ulcerated lesion with draining sinuses in the right malar region. Predisposing factors were HIV infection with poor immunological control, alcoholism, and a previous trauma to the right cheek. Several courses of antimicrobial therapy provided only partial and temporary remission. Complete clinical remission was only achieved 5 years later when a novel antiretroviral regimen composed of darunavir and raltegravir was initiated.

  8. Spent sulfite liquor developments

    Energy Technology Data Exchange (ETDEWEB)

    Black, H H

    1958-01-01

    A review of methods of utilizing spent sulfite liquor, including evaporation and burning, fermentation to produce yeast or alcohol, production of vanillin and lignosulfonates, and use as a roadbinder.

  9. Spent fuel workshop'2002

    International Nuclear Information System (INIS)

    Poinssot, Ch.

    2002-01-01

    This document gathers the transparencies of the presentations given at the 2002 spent fuel workshop: Session 1 - Research Projects: Overview on the IN CAN PROCESSES European project (M. Cowper), Overview on the SPENT FUEL STABILITY European project (C. Poinssot), Overview on the French R and D project on spent fuel long term evolution, PRECCI (C. Poinssot); Session 2 - Spent Fuel Oxidation: Oxidation of uranium dioxide single crystals (F. Garrido), Experimental results on SF oxidation and new modeling approach (L. Desgranges), LWR spent fuel oxidation - effects of burn-up and humidity (B. Hanson), An approach to modeling CANDU fuel oxidation under dry storage conditions (P. Taylor); Session 3 - Spent Fuel Dissolution Experiments: Overview on high burnup spent fuel dissolution studies at FZK/INE (A. Loida), Results on the influence of hydrogen on spent fuel leaching (K. Spahiu), Leaching of spent UO 2 fuel under inert and reducing conditions (Y. Albinsson), Fuel corrosion investigation by electrochemical techniques (D. Wegen), A reanalysis of LWR spent fuel flow through dissolution tests (B. Hanson), U-bearing secondary phases formed during fuel corrosion (R. Finch), The near-field chemical conditions and spent fuel leaching (D. Cui), The release of radionuclides from spent fuel in bentonite block (S.S. Kim), Trace actinide behavior in altered spent fuel (E. Buck, B. Hanson); Session 4 - Radiolysis Issues: The effect of radiolysis on UO 2 dissolution determined from electrochemical experiments with 238 Pu doped UO 2 M. Stroess-Gascoyne (F. King, J.S. Betteridge, F. Garisto), doped UO 2 studies (V. Rondinella), Preliminary results of static and dynamic dissolution tests with α doped UO 2 in Boom clay conditions (K. Lemmens), Studies of the behavior of UO 2 / water interfaces under He 2+ beam (C. Corbel), Alpha and gamma radiolysis effects on UO 2 alteration in water (C. Jegou), Behavior of Pu-doped pellets in brines (M. Kelm), On the potential catalytic behavior of

  10. Spent fuel management

    International Nuclear Information System (INIS)

    2005-01-01

    The production of nuclear electricity results in the generation of spent fuel that requires safe, secure and efficient management. Appropriate management of the resulting spent fuel is a key issue for the steady and sustainable growth of nuclear energy. Currently about 10,000 tonnes heavy metal (HM) of spent fuel are unloaded every year from nuclear power reactors worldwide, of which 8,500 t HM need to be stored (after accounting for reprocessed fuel). This is the largest continuous source of civil radioactive material generated, and needs to be managed appropriately. Member States have referred to storage periods of 100 years and even beyond, and as storage quantities and durations extend, new challenges arise in the institutional as well as in the technical area. The IAEA gives high priority to safe and effective spent fuel management. As an example of continuing efforts, the 2003 International Conference on Storage of Spent Fuel from Power Reactors gathered 125 participants from 35 member states to exchange information on this important subject. With its large number of Member States, the IAEA is well-positioned to gather and share information useful in addressing Member State priorities. IAEA activities on this topic include plans to produce technical documents as resources for a range of priority topics: spent fuel performance assessment and research, burnup credit applications, cask maintenance, cask loading optimization, long term storage requirements including records maintenance, economics, spent fuel treatment, remote technology, and influence of fuel design on spent fuel storage. In addition to broader topics, the IAEA supports coordinated research projects and technical cooperation projects focused on specific needs

  11. Hydroprocessing using regenerated spent heavy hydrocarbon catalyst

    International Nuclear Information System (INIS)

    Clark, F.T.; Hensley, A.L. Jr.

    1992-01-01

    This patent describes a process for hydroprocessing a hydrocarbon feedstock. It comprises: contacting the feedstock with hydrogen under hydroprocessing conditions with a hydroprocessing catalyst wherein the hydroprocessing catalyst contains a total contaminant metals build-up of greater than about 4 wt. % nickel plus vanadium, a hydrogenation component selected from the group consisting of Group VIB metals and Group VIII metals and is regenerated spent hydroprocessing catalyst regenerated by a process comprising the steps: partially decoking the spent catalyst in an initial coke-burning step; impregnating the partially decoked catalyst with a Group IIA metal-containing impregnation solution; and decoking the impregnated catalyst in a final coke-burning step wherein the impregnated catalyst is contacted with an oxygen-containing gas at a temperature of about 600 degrees F to about 1400 degrees F

  12. Remission of rheumatoid arthritis: should we care about definitions?

    Science.gov (United States)

    Aletaha, D; Smolen, J S

    2006-01-01

    A state of remission can be achieved in more and more rheumatoid arthritis (RA) patients. The combination of several RA disease activity measures seems to be important to provide an overall view of disease activity. Remission can be defined by two different approaches: one using a categorical model, requiring criteria for multiple variables to be fulfilled, each with its own threshold value (remission "criteria"); the other using a dimensional model, providing single measures of activity, which allow definition of remission by a single cut point (remission cut points for composite indices). The face validity of remission as defined by composite indices surpasses the one for the "criteria". Likewise, the ones that are not weighted seem to surpass the weighted ones, as can be seen by the significant proportion of patients that continues to have considerable swollen joint counts despite being in Disease Activity Score (DAS)-28 remission. All composite indices seem to perform similarly well as tests for remission using expert judgments as the gold standard.

  13. Spent fuel storage facility, Kalpakkam

    International Nuclear Information System (INIS)

    Shreekumar, B.; Anthony, S.

    2017-01-01

    Spent Fuel Storage Facility (SFSF), Kalpakkam is designed to store spent fuel arising from PHWRs. Spent fuel is transported in AERB qualified/authorized shipping cask by NPCIL to SFSF by road or rail route. The spent fuel storage facility at Kalpakkam was hot commissioned in December 2006. All systems, structures and components (SSCs) related to safety are designed to meet the operational requirements

  14. Spent fuel storage and isolation

    International Nuclear Information System (INIS)

    Bensky, M.S.; Kurzeka, W.J.; Bauer, A.A.; Carr, J.A.; Matthews, S.C.

    1979-02-01

    The principal spent fuel activities conducted within the commercial waste and spent fuel within the Commercial Waste and Spent Fuel Packaging Program are: simulated near-surface (drywell) storage demonstrations at Hanford and the Nevada Test Site; surface (sealed storage cask) and drywell demonstrations at the Nevada Test Site; and spent fuel receiving and packaging facility conceptual design. These investigations are described

  15. Effects of cognitive remediation on cognitive dysfunction in partially or fully remitted patients with bipolar disorder

    DEFF Research Database (Denmark)

    Demant, Kirsa M; Almer, Glennie Marie; Vinberg, Maj

    2013-01-01

    A large proportion of patients with bipolar disorder experience persistent cognitive dysfunction, such as memory, attention and planning difficulties, even during periods of full remission. The aim of this trial is to investigate whether cognitive remediation, a new psychological treatment......, improves cognitive function and, in turn, psychosocial function in patients with bipolar disorder in partial or full remission....

  16. Disposal of spent fuel

    International Nuclear Information System (INIS)

    Blomeke, J.O.; Ferguson, D.E.; Croff, A.G.

    1978-01-01

    Based on preliminary analyses, spent fuel assemblies are an acceptable form for waste disposal. The following studies appear necessary to bring our knowledge of spent fuel as a final disposal form to a level comparable with that of the solidified wastes from reprocessing: 1. A complete systems analysis is needed of spent fuel disposition from reactor discharge to final isolation in a repository. 2. Since it appears desirable to encase the spent fuel assembly in a metal canister, candidate materials for this container need to be studied. 3. It is highly likely that some ''filler'' material will be needed between the fuel elements and the can. 4. Leachability, stability, and waste-rock interaction studies should be carried out on the fuels. The major disadvantages of spent fuel as a disposal form are the lower maximum heat loading, 60 kW/acre versus 150 kW/acre for high-level waste from a reprocessing plant; the greater long-term potential hazard due to the larger quantities of plutonium and uranium introduced into a repository; and the possibility of criticality in case the repository is breached. The major advantages are the lower cost and increased near-term safety resulting from eliminating reprocessing and the treatment and handling of the wastes therefrom

  17. Cyclosporine induced biochemical remission in childhood autoimmune hepatitis.

    Science.gov (United States)

    Franulović, Orjena Zaja; Rajacić, Nada; Lesar, Tatjana; Kuna, Andrea Tesija; Morić, Bernardica Valent

    2012-09-01

    The conventional treatment of autoimmune hepatitis (AIH) in children, which includes prednisone alone or in combination with azathioprine, induces remission in most cases but is often associated with poorly tolerated side effects. To avoid the adverse effects, Alvarez et al. introduced an alternative treatment regimen, using cyclosporine A (CyA) as primary immunosuppression. We carried out a retrospective study to evaluate the efficacy and tolerance of CyA treatment in children and adolescents with AIH treated in our center. During 2000-2010 period, nine children (6 female) aged 5-17.5 years, were diagnosed with AIH according to established international criteria. Following the suggested protocol, CyA was administered orally and when the transaminases tended to normalise, dose was adjusted to lover serum levels. Conversion to low dose of prednisone and azathioprine was started after 6 months, with gradual tapering and discontinuation of CyA. All nine patient had elevated transaminases and gammaglobulin levels, with proven histological changes typical for AIH in 8 patients that underwent liver biopsy (in one patient biopsy was contraindicated due to the prolonged prothrombin time). Serum ANA/SMA autoantibodies were positive in all but one patient, who had positive anti-LKM1. Complete or near complete and persistent normalisation of transaminase activity was observed in 8/9 patients within first 6 to 12 months. In one patient with partial response, an overlap syndrome was established. After ursodeoxycholic acid was added complete remission was observed. All patients had excellent clinical course and histological improvement. During the long-term follow-up (1.5-9 yrs; median 4.5 yrs), biochemical relapse occured in one patient after discontinuation of maintenance corticosteroid dose. Despite registered improvement, none of the patients fulfilled the criteria for therapy discontinuation, so all of them are still receiving maintenance doses of prednisone or azathioprine

  18. PARALLEL SOLUTION METHODS OF PARTIAL DIFFERENTIAL EQUATIONS

    Directory of Open Access Journals (Sweden)

    Korhan KARABULUT

    1998-03-01

    Full Text Available Partial differential equations arise in almost all fields of science and engineering. Computer time spent in solving partial differential equations is much more than that of in any other problem class. For this reason, partial differential equations are suitable to be solved on parallel computers that offer great computation power. In this study, parallel solution to partial differential equations with Jacobi, Gauss-Siedel, SOR (Succesive OverRelaxation and SSOR (Symmetric SOR algorithms is studied.

  19. Guidebook on spent fuel storage

    International Nuclear Information System (INIS)

    1984-01-01

    The Guidebook summarizes the experience and information in various areas related to spent fuel storage: technological aspects, the transport of spent fuel, economical, regulatory and institutional aspects, international safeguards, evaluation criteria for the selection of a specific spent fuel storage concept, international cooperation on spent fuel storage. The last part of the Guidebook presents specific problems on the spent fuel storage in the United Kingdom, Sweden, USSR, USA, Federal Republic of Germany and Switzerland

  20. Spent fuel pyroprocessing demonstration

    International Nuclear Information System (INIS)

    McFarlane, L.F.; Lineberry, M.J.

    1995-01-01

    A major element of the shutdown of the US liquid metal reactor development program is managing the sodium-bonded spent metallic fuel from the Experimental Breeder Reactor-II to meet US environmental laws. Argonne National Laboratory has refurbished and equipped an existing hot cell facility for treating the spent fuel by a high-temperature electrochemical process commonly called pyroprocessing. Four products will be produced for storage and disposal. Two high-level waste forms will be produced and qualified for disposal of the fission and activation products. Uranium and transuranium alloys will be produced for storage pending a decision by the US Department of Energy on the fate of its plutonium and enriched uranium. Together these activities will demonstrate a unique electrochemical treatment technology for spent nuclear fuel. This technology potentially has significant economic and technical advantages over either conventional reprocessing or direct disposal as a high-level waste option

  1. Spent Fuel in Chile

    International Nuclear Information System (INIS)

    López Lizana, F.

    2015-01-01

    The government has made a complete and serious study of many different aspects and possible road maps for nuclear electric power with strong emphasis on safety and energy independence. In the study, the chapter of SFM has not been a relevant issue at this early stage due to the fact that it has been left for later implementation stage. This paper deals with the options Chile might consider in managing its Spent Fuel taking into account foreign experience and factors related to safety, economics, public acceptance and possible novel approaches in spent fuel treatment. The country’s distinctiveness and past experience in this area taking into account that Chile has two research reactors which will have an influence in the design of the Spent Fuel option. (author)

  2. Spent fuel reprocessing options

    International Nuclear Information System (INIS)

    2008-08-01

    The objective of this publication is to provide an update on the latest developments in nuclear reprocessing technologies in the light of new developments on the global nuclear scene. The background information on spent fuel reprocessing is provided in Section One. Substantial global growth of nuclear electricity generation is expected to occur during this century, in response to environmental issues and to assure the sustainability of the electrical energy supply in both industrial and less-developed countries. This growth carries with it an increasing responsibility to ensure that nuclear fuel cycle technologies are used only for peaceful purposes. In Section Two, an overview of the options for spent fuel reprocessing and their level of development are provided. A number of options exist for the treatment of spent fuel. Some, including those that avoid separation of a pure plutonium stream, are at an advanced level of technological maturity. These could be deployed in the next generation of industrial-scale reprocessing plants, while others (such as dry methods) are at a pilot scale, laboratory scale or conceptual stage of development. In Section Three, research and development in support of advanced reprocessing options is described. Next-generation spent fuel reprocessing plants are likely to be based on aqueous extraction processes that can be designed to a country specific set of spent fuel partitioning criteria for recycling of fissile materials to advanced light water reactors or fast spectrum reactors. The physical design of these plants must incorporate effective means for materials accountancy, safeguards and physical protection. Section four deals with issues and challenges related to spent fuel reprocessing. The spent fuel reprocessing options assessment of economics, proliferation resistance, and environmental impact are discussed. The importance of public acceptance for a reprocessing strategy is discussed. A review of modelling tools to support the

  3. Predictors of remission in DSM hypochondriasis.

    Science.gov (United States)

    Barsky, A J; Bailey, E D; Fama, J M; Ahern, D K

    2000-01-01

    Although hypochondriasis is generally believed to be a chronic and refractory disorder, relatively little is known about its natural history and course. Based on a cognitive/perceptual model of hypochondriasis, we hypothesized that the disorder would be more chronic in patients who both amplify benign bodily symptoms and tend to attribute them to disease. Thirty-eight patients with DSM hypochondriasis were assessed with a structured, diagnostic interview and self-report questionnaire. A logistic regression model containing sociodemographic characteristics and a 3-way interaction term composed of the tendency to amplify bodily sensations, the tendency to attribute common symptoms to disease, and somatization (all measured at inception) correctly classified the remission status of 81.6% of the patients at follow-up 4 years later. These results suggest that patients who somatize, who are amplifiers of bodily sensation, and those who tend to attribute ambiguous symptoms to disease have more chronic and more refractory hypochondriasis. It is the co-occurrence of these cognitive and perceptual characteristics, rather than their occurrence individually, which predicts the persistence of this disorder.

  4. Reprocessing of spent plasma

    International Nuclear Information System (INIS)

    Pierini, G.

    1981-01-01

    This invention relates to a process for removing helium and other impurities from a mixture containing deuterium and tritium, a deuterium/tritium mixture when purified in accordance with such a process and, more particularly, to a process for the reprocessing of spent plasma removed from a thermofusion reactor. (U.K.)

  5. Adalimumab in the induction of Crohn's disease remission: results of a Brazilian multicenter case series

    Directory of Open Access Journals (Sweden)

    Paulo Gustavo Kotze

    2011-09-01

    Full Text Available Introduction: Adalimumab (ADA is a subcutaneous fully-human anti-TNF antibody which has a significant role in the management of Crohn's disease (CD. Its efficacy has been demonstrated in several clinical trials. The main objective of this study was to evaluate the role of ADA in the induction of clinical remission in a Brazilian series of CD cases. Method: A retrospective analysis of CD patients treated with ADA was performed in three Brazilian inflammatory bowel diseases (IBD reference centers. The following characteristics were analyzed: gender, age, indication to ADA treatment, type of response, previous exposure to infliximab (IFX, concomitant use of immunomodulators and adverse events, among others. Results: 54 patients (29 females were included in this series, with mean age of 36.72 years (ranging from 15 to 62 years. After induction regimen, 26 patients (48.14% were in clinical remission, 26 (48.14% had partial response, and 2 (3.72% were primary non-responders. After a mean follow-up of 9.83 (2 to 28 months, 17 patients (31.48% presented adverse events. The most common event was pain on the injection site (7 patients - 12.96%. Conclusions: ADA was effective to induce CD remission in this Brazilian case series. The remission and response rates were similar to the literature, as well as the safety profile of this drug.Introdução: O adalimumabe (ADA é um anticorpo anti-fator de necrose tumoral alfa totalmente humano, de uso subcutâneo, com eficácia e perfil de segurança bem determinados na doença de Crohn (DC. O objetivo principal deste estudo foi determinar o papel do ADA na indução da remissão na DC, em uma série brasileira de casos. Método: Estudo retrospectivo, realizado em três centros de referência em doenças inflamatórias intestinais, com usuários do ADA para tratamento da DC. As variáveis analisadas foram: idade, sexo, indicação do tratamento, forma de apresentação da doença, tipo de resposta (total, parcial

  6. Remission of chronic headache: Rates, potential predictors and the role of medication, follow-up results of the German Headache Consortium (GHC) Study.

    Science.gov (United States)

    Henning, Verena; Katsarava, Zaza; Obermann, Mark; Moebus, Susanne; Schramm, Sara

    2018-03-01

    Objectives To estimate remission rates of chronic headache (CH), focusing on potential predictors of headache remission and medication. Methods We used data from the longitudinal population-based German Headache Consortium (GHC) Study (n = 9,944, 18-65 years). Validated questionnaires were used at baseline (t 0 , 2003-2007, response rate: 55.2%), first follow-up after 1.87 ± 0.39 years (t 1 , 37.2%) and second follow-up after 3.26 ± 0.60 years (t 2 , 38.8%) to assess headache type and frequency, use of analgesics and anti-migraine drugs, medication overuse, education, BMI, smoking and alcohol consumption. CH was defined as ≥ 15 headache days/month at t 0 over three months. Outcomes were: CH remission (<15 headache days/month at both follow-ups), CH persistence (≥ 15 headache days/month at both follow-ups); all others were considered as partially remitted. To estimate predictors of remission, univariate and multiple logistic regression were calculated. Results At baseline, 255 (2.6%) participants were identified with CH. Of these, 158 (62.0%) participants responded at both follow-ups. Remission was observed in 58.2% of participants, partial remission in 17.7% and persistence in 24.1%. Remission was associated with female sex (adjusted odds ratio: 3.10, 95% confidence interval: 1.06-9.08) and no medication overuse (4.16, 1.45-11.94) compared to participants with persistent CH; participants with higher headache frequency at t 0 were less likely to remit (0.90, 0.84-0.97). Medication, age, education, BMI, smoking and drinking showed no effects on remission. Similar results were observed for partial remission. Conclusion The majority of CH participants remitted from CH. Female sex, no overuse of pain medication and lower headache frequency were associated with remission.

  7. Interepisodic Functioning in Patients with Bipolar Disorder in Remission

    OpenAIRE

    Wesley, Mareena Susan; Manjula, M.; Thirthalli, Jagadisha

    2018-01-01

    Background and Objectives: Patients with bipolar disorder (BD), despite recovering symptomatically, suffer from several functional impairments even in remission. The actual causes of impaired functioning are less known. Materials and Methods: The study aimed to examine the clinical and psychosocial determinants of functioning in patients with BD in remission. A cross-sectional single-group design was adopted (n = 150). Participants meeting the study criteria were screened with Mini-Internatio...

  8. Encapsulating spent nuclear fuel

    International Nuclear Information System (INIS)

    Fleischer, L.R.; Gunasekaran, M.

    1979-01-01

    A system is described for encapsulating spent nuclear fuel discharged from nuclear reactors in the form of rods or multi-rod assemblies. The rods are completely and contiguously enclosed in concrete in which metallic fibres are incorporated to increase thermal conductivity and polymers to decrease fluid permeability. This technique provides the advantage of acceptable long-term stability for storage over the conventional underwater storage method. Examples are given of suitable concrete compositions. (UK)

  9. Spent fuel dissolution mechanisms

    International Nuclear Information System (INIS)

    Ollila, K.

    1993-11-01

    This study is a literature survey on the dissolution mechanisms of spent fuel under disposal conditions. First, the effects of radiolysis products on the oxidative dissolution mechanisms and rates of UO 2 are discussed. These effects have mainly been investigated by using electrochemical methods. Then the release mechanisms of soluble radionuclides and the dissolution of the UO 2 matrix including the actinides, are treated. Experimental methods have been developed for measuring the grain-boundary inventories of radionuclides. The behaviour of cesium, strontium and technetium in leaching tests shows different trends. Comparison of spent fuel leaching data strongly suggests that the release of 90 Sr into the leachant can be used as a measure of the oxidation/dissolution of the fuel matrix. Approaches to the modelling UO 2 , dissolution are briefly discussed in the next chapter. Lastly, the use of natural material, uraninite, in the evaluation of the long-term performance of spent fuel is discussed. (orig.). (81 ref., 37 figs., 8 tabs.)

  10. Airway function, inflammation and regulatory T cell function in subjects in asthma remission.

    Science.gov (United States)

    Boulet, Louis-Philippe; Turcott, Hélène; Plante, Sophie; Chakir, Jamila

    2012-01-01

    Factors associated with asthma remission need to be determined, particularly when remission occurs in adulthood. To evaluate airway responsiveness and inflammation in adult patients in asthma remission compared with adults with mild, persistent symptomatic asthma. Adenosine monophosphate and methacholine responsiveness were evaluated in 26 patients in complete remission of asthma, 16 patients in symptomatic remission of asthma, 29 mild asthmatic patients and 15 healthy controls. Blood sampling and induced sputum were also obtained to measure inflammatory parameters. Perception of breathlessness at 20% fall in forced expiratory volume in 1 s was similar among groups. In subjects with symptomatic remission of asthma, responsiveness to adenosine monophosphate and methacholine was intermediate between mild asthma and complete asthma remission, with the latter group similar to controls. Asthma remission was associated with a shorter duration of disease. Blood immunoglobulin E levels were significantly increased in the asthma group, and blood eosinophils were significantly elevated in the complete asthma remission, symptomatic remission and asthma groups compared with controls. The suppressive function of regulatory T cells was lower in asthma and remission groups compared with controls. A continuum of asthma remission was observed, with patients in complete asthma remission presenting features similar to controls, while patients in symptomatic asthma remission appeared to be in an intermediate state between complete asthma remission and symptomatic asthma. Remission was associated with a shorter disease duration. Despite remission of asthma, a decreased suppressor function of regulatory T cells was observed, which may predispose patients to future recurrence of the disease.

  11. Prognosis of Preschool Eczema and Factors of Importance for Remission.

    Science.gov (United States)

    Johansson, Emma Kristin; Bergström, Anna; Kull, Inger; Lind, Tomas; Söderhäll, Cilla; Melén, Erik; Asad, Samina; Bradley, Maria; Liedén, Agne; Ballardini, Natalia; Wahlgren, Carl-Fredrik

    2018-03-02

    Information on factors of importance for remission of eczema is scarce. This study explored factors related to the remission and course of preschool eczema (eczema at 1, 2 and/or 4 years of age) to 16 years of age (n = 889) in a Swedish cohort. Half of the children were in complete remission by school age. In multivariate prognostic models, persistent preschool eczema (eczema at 1, 2 and 4 years of age) (odds ratio 0.27 (95% confidence interval 0.18-0.41)), preschool eczema with sleep disturbance (due to itch at least once a week at 1, 2 and/or 4 years of age) (0.59 (0.43-0.81)), parental allergy (0.73 (0.55-0.96)), parental smoking at child's birth (0.70 (0.50-0.99)) and filaggrin mutation (R501X, R2447X, 2282del4) (0.47 (0.26-0.85)) were inversely associated with complete remission by school age. Male sex (1.37 (1.03-1.82)) and exclusive breastfeeding ≥4 months (1.44 (1.01-2.05)) were positively associated with complete remission by school age. In conclusion, half of the children with preschool eczema were in complete remission by school age. The most important prognostic factors were persistent preschool eczema and preschool eczema with sleep disturbance due to itch.

  12. Most patients who reach disease remission following anti-TNF therapy continue to report fatigue: results from the British Society for Rheumatology Biologics Register for Rheumatoid Arthritis.

    Science.gov (United States)

    Druce, Katie L; Bhattacharya, Yagnaseni; Jones, Gareth T; Macfarlane, Gary J; Basu, Neil

    2016-10-01

    RA-related fatigue is common and debilitating, but does not always respond to immunotherapy. In the context of anti-TNF therapy, we aimed to examine whether patients achieving disease remission experienced remission of fatigue. Data from the British Society for Rheumatology Biologics Register for RA were used. In participants with severe baseline fatigue [36-item Short Form Health Survey (SF-36) vitality score ⩽12.5], we identified those in disease remission [28-joint DAS (DAS28) 12.5) and complete remission (SF-36 vitality score >50) at follow-up. Demographic (e.g. sex, age), clinical (e.g. inflammation, joint erosion and co-morbidities) and psychosocial (e.g. SF-36 domains and HAQ) characteristics were compared between responder and non-responder groups. Severe baseline fatigue was reported by 2652 participants, of whom 271 (10%) achieved a DAS28 <2.6 by 6 months. In total, 225 participants (83%) reported partial remission and were distinguished from those who did not by better health status on all psychosocial domains. Far fewer [n = 101 (37.3%)] reported full fatigue remission. In addition to reporting clinically poorer health status, they were distinguished on the basis of a history of hypertension, depression and stroke as well as baseline treatment use of steroids and antidepressants. Despite achieving clinical remission, many RA patients do not achieve complete remission of their fatigue. Therefore, despite being important in overall disease control, reductions in disease activity are not always sufficient to ameliorate fatigue, so other symptom-specific management approaches must be considered for those for whom fatigue does not resolve. © The Author 2016. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  13. The course of asthma in young adults: a population-based nine-year follow-up on asthma remission and control.

    Directory of Open Access Journals (Sweden)

    Lucia Cazzoletti

    Full Text Available BACKGROUND: Only few longitudinal studies on the course of asthma among adults have been carried out. OBJECTIVE: The aim of the present prospective study, carried out between 2000 and 2009 in Italy, is to assess asthma remission and control in adults with asthma, as well as their determinants. METHODS: All the subjects with current asthma (21-47 years identified in 2000 in the Italian Study on Asthma in Young Adults in 6 Italian centres were followed up. Asthma remission was assessed at follow-up in 2008-2009 (n = 214, asthma control at baseline and follow-up. Asthma remission and control were related to potential determinants by a binomial logistic and a multinomial logistic model. Separate models for remission were used for men and women. RESULTS: The estimate of the proportion of subjects who were in remission was 29.7% (95%CI: 14.4%;44.9%. Men who were not under control at baseline had a very low probability of being in remission at follow-up (OR = 0.06; 95%CI:0.01;0.33 when compared to women (OR = 0.40; 95%CI:0.17;0.94. The estimates of the proportion of subjects who were under control, partial control or who were not under control in our sample were 26.3% (95%CI: 21.2;31.3%, 51.6% (95%CI: 44.6;58.7% and 22.1% (95%CI: 16.6;27.6%, respectively. Female gender, increasing age, the presence of chronic cough and phlegm and partial or absent asthma control at baseline increased the risk of uncontrolled asthma at follow-up. CONCLUSION: Asthma remission was achieved in nearly 1/3 of the subjects with active asthma in the Italian adult population, whereas the proportion of the subjects with controlled asthma among the remaining subjects was still low.

  14. Spent fuel storage requirements

    International Nuclear Information System (INIS)

    Fletcher, J.

    1982-06-01

    Spent fuel storage requirements, as projected through the year 2000 for U.S. LWRs, were calculated using information supplied by the utilities reflecting plant status as of December 31, 1981. Projections through the year 2000 combined fuel discharge projections of the utilities with the assumed discharges of typical reactors required to meet the nuclear capacity of 165 GWe projected by the Energy Information Administration (EIA) for the year 2000. Three cases were developed and are summarized. A reference case, or maximum at-reactor (AR) capacity case, assumes that all reactor storage pools are increased to their maximum capacities as estimated by the utilities for spent fuel storage utilizing currently licensed technologies. The reference case assumes no transshipments between pools except as currently licensed by the Nuclear Regulatory Commission (NRC). This case identifies an initial requirement for 13 MTU of additional storage in 1984, and a cumulative requirement for 14,490 MTU additional storage in the year 2000. The reference case is bounded by two alternative cases. One, a current capacity case, assumes that only those pool storage capacity increases currently planned by the operating utilities will occur. The second, or maximum capacity with transshipment case, assumes maximum development of pool storage capacity as described above and also assumes no constraints on transshipment of spent fuel among pools of reactors of like type (BWR, PWR) within a given utility. In all cases, a full core discharge capability (full core reserve or FCR) is assumed to be maintained for each reactor, except that only one FCR is maintained when two reactors share a common pool. For the current AR capacity case the indicated storage requirements in the year 2000 are indicated to be 18,190 MTU; for the maximum capacity with transshipment case they are 11,320 MTU

  15. Spent fuel transportation problems

    International Nuclear Information System (INIS)

    Kondrat'ev, A.N.; Kosarev, Yu.A.; Yulikov, E.A.

    1977-01-01

    In this paper, problems of transportation of nuclear spent fuel to reprocessing plants are discussed. The solutions proposed are directed toward the achievement of the transportation as economic and safe as possible. The increase of the nuclear power plants number in the USSR and the great distances between these plants and the reprocessing plants involve an intensification of the spent fuel transportation. Higher burnup and holdup time reduction cause the necessity of more bulky casks. In this connection, the economic problems become still more important. One of the ways of the problem solution is the development of rational and cheap cask designs. Also, the enforcement in the world of the environmental and personnel health protection requires to increase the transportation reliability and safety. The paper summarizes safe transportation rules with clarifying the following questions: the increase of the transport unit quantity of the spent fuel; rational shipment organization that minimizes vehicle turnover cycle duration; development of the reliable calculation methods to determine strength, thermal conditions and nuclear safety of transport packaging as applied to the vehicles of high capacity; maximum unification of vehicles, calculation methods and documents; and cask testing on models and in pilot scale on specific test rigs to assure that they meet the international safe fuel shipment rules. Besides, some considerations on the choice and use of structural materials for casks are given, and problems of manufacturing such casks from uranium and lead are considered, as well as problems of the development of fireproof shells, control instrumentation, vehicles decontamination, etc. All the problems are considered from the point of view of normal and accidental shipment conditions. Conclusions are presented [ru

  16. Spent fuel reprocessing method

    International Nuclear Information System (INIS)

    Shoji, Hirokazu; Mizuguchi, Koji; Kobayashi, Tsuguyuki.

    1996-01-01

    Spent oxide fuels containing oxides of uranium and transuranium elements are dismantled and sheared, then oxide fuels are reduced into metals of uranium and transuranium elements in a molten salt with or without mechanical removal of coatings. The reduced metals of uranium and transuranium elements and the molten salts are subjected to phase separation. From the metals of uranium and transuranium elements subjected to phase separation, uranium is separated to a solid cathode and transuranium elements are separated to a cadmium cathode by an electrolytic method. Molten salts deposited together with uranium to the solid cathode, and uranium and transuranium elements deposited to the cadmium cathode are distilled to remove deposited molten salts and cadmium. As a result, TRU oxides (solid) such as UO 2 , Pu 2 in spent fuels can be reduced to U and TRU by a high temperature metallurgical method not using an aqueous solution to separate them in the form of metal from other ingredients, and further, metal fuels can be obtained through an injection molding step depending on the purpose. (N.H.)

  17. Spent fuel interim storage

    International Nuclear Information System (INIS)

    Bilegan, Iosif C.

    2003-01-01

    The official inauguration of the spent fuel interim storage took place on Monday July 28, 2003 at Cernavoda NNP. The inaugural event was attended by local and central public authority representatives, a Canadian Government delegation as well as newsmen from local and central mass media and numerous specialists from Cernavoda NPP compound. Mr Andrei Grigorescu, State Secretary with the Economy and Commerce Ministry, underlined in his talk the importance of this objective for the continuous development of nuclear power in Romania as well as for Romania's complying with the EU practice in this field. Also the excellent collaboration between the Canadian contractor AECL and the Romanian partners Nuclear Montaj, CITON, UTI, General Concret in the accomplishment of this unit at the planned terms and costs. On behalf of Canadian delegation, spoke Minister Don Boudria. He underlined the importance which the Canadian Government affords to the cooperation with Romania aiming at specific objectives in the field of nuclear power such as the Cernavoda NPP Unit 2 and spent fuel interim storage. After traditional cutting of the inaugural ribbon by the two Ministers the festivities continued on the Cernavoda NPP Compound with undersigning the documents regarding the project completion and a press conference

  18. Spent fuel storage rack

    International Nuclear Information System (INIS)

    Kurokawa, Hideaki; Kumagaya, Naomi; Oda, Masashi; Matsuda, Masami; Maruyama, Hiromi; Yamanaka, Tsuneyasu.

    1997-01-01

    The structure of a spent fuel storage rack is determined by the material, thickness, size of square cylindrical tubes (the gap between spent fuel assemblies and the square cylindrical tubes) and pitch of the arrangement (the gap between each of the square cylindrical tubes). In the present invention, the thickness and the pitch of the arrangement of the square tubes are optimized while evaluating subcriticality. Namely, when the sum of the thickness of the water gap at the outer side (the pitch of arrangement of the cylindrical tubes) and the thickness of the cylindrical tubes is made constant, the storage rack is formed by determining the thickness of the cylindrical tubes which is smaller than the optimum value among the combination of the thickness of the water gap at the outer side and that of the cylindrical tube under the effective multiplication factor to be performed. Then, the weight of the rack can be reduced, and the burden of the load on the bottom of the pool can be reduced. Further, the amount of the constitutional materials of the rack itself can be reduced thereby capable of reducing the cost for the materials of the rack. (T.M.)

  19. Can mumps vaccine induce remission in recurrent respiratory papilloma?

    Science.gov (United States)

    Pashley, Nigel R T

    2002-07-01

    To describe our experience using laser excision and locally injected mumps vaccine to induce remission in patients with recurrent respiratory papilloma (RRP). Tertiary care regional medical center. Initially, 11 children with RRP treated in a pilot study with laser excision at regular intervals for at least a year without adjuvant therapy; later, a series of 18 children and 20 adults with RRP, some of whom had used various adjuvant therapy with interval laser excision. Both patient groups continued their same interval laser excision with the same or similar laser, same clinical setting, and same surgeon. Locally injected mumps vaccine was then administered into the excision site after each laser removal of papilloma. Larynx and trachea were microphotographed with each treatment. Two consecutive disease-free intervals and a follow-up of at least 1 year were required criteria for remission. In the pilot study, remission was induced in 9 (82%) of 11 patients by 1 to 10 injections, with follow-up of 5 to 19 years. In the subsequent series, remission was induced in 29 (76%) of 38 patients by 4 to 26 injections, and follow-up was 2 to 5 years. Combined with serial laser excision, mumps vaccine positively influences induction of remission in children with RRP. The mechanisms of this effect are unclear, but the treatment is readily available, inexpensive, and has a low risk of adverse effects.

  20. The spent fuel safety experiment

    International Nuclear Information System (INIS)

    Harmms, G.A.; Davis, F.J.; Ford, J.T.

    1995-01-01

    The Department of Energy is conducting an ongoing investigation of the consequences of taking fuel burnup into account in the design of spent fuel transportation packages. A series of experiments, collectively called the Spent Fuel Safety Experiment (SFSX), has been devised to provide integral benchmarks for testing computer-generated predictions of spent fuel behavior. A set of experiments is planned in which sections of unirradiated fuel rods are interchanged with similar sections of spent PWR fuel rods in a critical assembly. By determining the critical size of the arrays, one can obtain benchmark data for comparison with criticality safety calculations. The integral reactivity worth of the spent fuel can be assessed by comparing the measured delayed critical fuel loading with and without spent fuel. An analytical effort to model the experiments and anticipate the core loadings required to yield the delayed critical conditions runs in parallel with the experimental effort

  1. Sustained remission of Cushing's disease with mitotane and pituitary irradiation

    International Nuclear Information System (INIS)

    Schteingart, D.E.; Tsao, H.S.; Taylor, C.I.; McKenzie, A.; Victoria, R.; Therrien, B.A.

    1980-01-01

    Low doses of mitotane were given orally to 36 patients with Cushing's disease, concurrently with or after pituitary cobalt irradiation. Clinical and biochemical remission occurred in 29. The response to treatment occurred early in 17 patients and late in 12. The different pattern of response to mitotane was not related to the dose given or to its serum level. Early biochemical indicators of adrenal suppression with mitotane were a sharp decrease in adrenal response to the infusion of ACTH and in plasma levels of dehydroepiandrosterone sulfate. Although mitotane was given together with pituitary irradiation, initial remission was due mainly to the adrenal effect of mitotane. Plasma ACTH levels were still elevated when cortisol had returned to normal. In seventeen of the 29 patients who responded to treatment drug therapy has been discontinued, and they remain in remission of Cushing's syndrome. Side-effects have been dose dependent, with anorexia, nausea, decreased memory, and gynecomastia in men being the commonest

  2. Prolonged Remission in Neuromyelitis Optica Following Cessation of Rituximab Treatment.

    Science.gov (United States)

    Weinfurtner, Kelley; Graves, Jennifer; Ness, Jayne; Krupp, Lauren; Milazzo, Maria; Waubant, Emmanuelle

    2015-09-01

    Neuromyelitis optica is an autoimmune disease characterized by acute episodes of transverse myelitis and optic neuritis. Several small, open-label studies suggest rituximab, a monoclonal antibody against CD20, prevents relapses in neuromyelitis optica; however, there is little consensus on timing or duration of treatment. Here we report four patients with severe relapsing neuromyelitis optica who were stabilized on rituximab and, after discontinuing treatment, continued to experience prolonged remission of their disease. Remission ranged from 4.5 to 10.5 years total, including 3 to 9 years off all therapies. The patients had sustained clinical responses despite normal B-lymphocyte levels and, in at least 2 patients, continued seropositivity for aquaporin-4 antibodies. These cases suggest that rituximab may induce prolonged remission in certain neuromyelitis optica patients, and they highlight the need for further elucidation of rituximab's mechanism in neuromyelitis optica. © The Author(s) 2014.

  3. Spent fuel: prediction model development

    International Nuclear Information System (INIS)

    Almassy, M.Y.; Bosi, D.M.; Cantley, D.A.

    1979-07-01

    The need for spent fuel disposal performance modeling stems from a requirement to assess the risks involved with deep geologic disposal of spent fuel, and to support licensing and public acceptance of spent fuel repositories. Through the balanced program of analysis, diagnostic testing, and disposal demonstration tests, highlighted in this presentation, the goal of defining risks and of quantifying fuel performance during long-term disposal can be attained

  4. Factors associated with sustained remission in patients with rheumatoid arthritis.

    Science.gov (United States)

    Martire, María Victoria; Marino Claverie, Lucila; Duarte, Vanesa; Secco, Anastasia; Mammani, Marta

    2015-01-01

    To find out the factors that are associated with sustained remission measured by DAS28 and boolean ACR EULAR 2011 criteria at the time of diagnosis of rheumatoid arthritis. Medical records of patients with rheumatoid arthritis in sustained remission according to DAS28 were reviewed. They were compared with patients who did not achieved values of DAS28<2.6 in any visit during the first 3 years after diagnosis. We also evaluated if patients achieved the boolean ACR/EULAR criteria. Variables analyzed: sex, age, smoking, comorbidities, rheumatoid factor, anti-CCP, ESR, CRP, erosions, HAQ, DAS28, extra-articular manifestations, time to initiation of treatment, involvement of large joints, number of tender joints, number of swollen joints, pharmacological treatment. Forty five patients that achieved sustained remission were compared with 44 controls. The variables present at diagnosis that significantly were associated with remission by DAS28 were: lower values of DAS28, HAQ, ESR, NTJ, NSJ, negative CRP, absence of erosions, male sex and absence of involvement of large joints. Only 24.71% achieved the boolean criteria. The variables associated with sustained remission by these criteria were: lower values of DAS28, HAQ, ESR, number of tender joints and number of swollen joints, negative CRP and absence of erosions. The factors associated with sustained remission were the lower baseline disease activity, the low degree of functional disability and lower joint involvement. We consider it important to recognize these factors to optimize treatment. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  5. A remissão em esquizofrenia é possível? Is remission in schizophrenia possible?

    Directory of Open Access Journals (Sweden)

    Hélio Elkis

    2007-01-01

    Full Text Available CONTEXTO: O conceito de remissão já está bem definido em algumas patologias psiquiátricas, como é o caso do transtorno depressivo, porém só recentemente foi proposto um critério para esquizofrenia. OBJETIVO: Revisar o novo conceito de remissão em esquizofrenia. MÉTODO: Revisão da literatura usando o PubMed. RESULTADOS: Os conceitos de resposta, remissão, estabilidade e recuperação são amplamente discutidos neste artigo, bem como os itens das escalas utilizados para definição. CONCLUSÃO: O conceito de remissão caracteriza-se pela presença nos últimos 6 meses de sintomas que atingem um nível máximo de gravidade (nível 3 da Panss mas que permitem um certo funcionamento social. As dimensões do conceito e seus respectivos sintomas psicopatológicos são: Positiva: alucinações, delírios, conteúdo incomum do pensamento. Desorganização: desorganização conceitual, maneirismos e postura. Negativa: afeto embotado, afastamento social passivo/apático, falta de espontaneidade no fluxo da conversação.BACKGROUND: The concept of remission is well established in some psychiatric disorders such as depression, but only recently it has been proposed for schizophrenia. OBJECTIVE: The aim of the present paper is to review the new proposed criteria for remission in schizophrenia. METHOD: PubMed search. RESULTS: The concept of remission, response, stability and recover are extensively discussed in the present article, as well as items of the scales used in the definition. CONCLUSION: The concept of remission is characterized by the presence in the last 6 months of symptoms with a maximum threshold severity level (Panss level 3 but which allows a certain degree of social functioning. The dimensions of the concept and respective psychopathological symptoms are: Positive: delusions, hallucinations and unusual thought content. Disorganization: conceptual disorganization and mannerisms and posturing; Negative: blunted affect, passive

  6. Cognitive remission: a novel objective for the treatment of major depression?

    Science.gov (United States)

    Bortolato, Beatrice; Miskowiak, Kamilla W; Köhler, Cristiano A; Maes, Michael; Fernandes, Brisa S; Berk, Michael; Carvalho, André F

    2016-01-22

    Cognitive dysfunction in major depressive disorder (MDD) encompasses several domains, including but not limited to executive function, verbal memory, and attention. Furthermore, cognitive dysfunction is a frequent residual manifestation in depression and may persist during the remitted phase. Cognitive deficits may also impede functional recovery, including workforce performance, in patients with MDD. The overarching aims of this opinion article are to critically evaluate the effects of available antidepressants as well as novel therapeutic targets on neurocognitive dysfunction in MDD. Conventional antidepressant drugs mitigate cognitive dysfunction in some people with MDD. However, a significant proportion of MDD patients continue to experience significant cognitive impairment. Two multicenter randomized controlled trials (RCTs) reported that vortioxetine, a multimodal antidepressant, has significant precognitive effects in MDD unrelated to mood improvement. Lisdexamfetamine dimesylate was shown to alleviate executive dysfunction in an RCT of adults after full or partial remission of MDD. Preliminary evidence also indicates that erythropoietin may alleviate cognitive dysfunction in MDD. Several other novel agents may be repurposed as cognitive enhancers for MDD treatment, including minocycline, insulin, antidiabetic agents, angiotensin-converting enzyme inhibitors, S-adenosyl methionine, acetyl-L-carnitine, alpha lipoic acid, omega-3 fatty acids, melatonin, modafinil, galantamine, scopolamine, N-acetylcysteine, curcumin, statins, and coenzyme Q10. The management of cognitive dysfunction remains an unmet need in the treatment of MDD. However, it is hoped that the development of novel therapeutic targets will contribute to 'cognitive remission', which may aid functional recovery in MDD.

  7. Spent fuel management in Japan

    International Nuclear Information System (INIS)

    Mineo, H.; Nomura, Y.; Sakamoto, K.

    1998-01-01

    In Japan 52 commercial nuclear power units are now operated, and the total power generation capacity is about 45 GWe. The cumulative amount of spent fuel arising is about 13,500 tU as of March 1997. Spent fuel is reprocessed, and recovered nuclear materials are to be recycled in LWRs and FBRs. In February 1997 short-term policy measures were announced by the Atomic Energy Commission, which addressed promotion of reprocessing programme in Rokkasho, plutonium utilization in LWRs, spent fuel management, backend measures and FBR development. With regard to the spent fuel management, the policy measures included expansion of spent fuel storage capacity at reactor sites and a study on spent fuel storage away from reactor sites, considering the increasing amount of spent fuel arising. Research and development on spent fuel storage has been carried out, particularly on dry storage technology. Fundamental studies are also conducted to implement the burnup credit into the criticality safety design of storage and transportation casks. Rokkasho reprocessing plant is being constructed towards its commencement in 2003, and Pu utilization in LWRs will be started in 1999. Research and development of future recycling technology are also continued for the establishment of nuclear fuel cycle based on FBRs and LWRs. (author)

  8. Weight Suppression Predicts Time to Remission from Bulimia Nervosa

    Science.gov (United States)

    Lowe, Michael R.; Berner, Laura A.; Swanson, Sonja A.; Clark, Vicki L.; Eddy, Kamryn T.; Franko, Debra L.; Shaw, Jena A.; Ross, Stephanie; Herzog, David B.

    2011-01-01

    Objective: To investigate whether, at study entry, (a) weight suppression (WS), the difference between highest past adult weight and current weight, prospectively predicts time to first full remission from bulimia nervosa (BN) over a follow-up period of 8 years, and (b) weight change over time mediates the relationship between WS and time to first…

  9. Influence of disease remission on renal dimensions in childhood ...

    African Journals Online (AJOL)

    Background: The hallmark of Nephrotic syndrome is massive proteinuria, with associated enlarged kidneys. However the association between remission status and size of the kidneys in patients with nephrotic syndrome is not known. This study is aimed at determining the dimensions of the kidneys of children with nephrotic ...

  10. Validating Rheumatoid Arthritis Remission Using the Patients' Perspective

    DEFF Research Database (Denmark)

    Rasch, Linda A; Boers, Maarten; Hill, Catherine L

    2017-01-01

    OBJECTIVE: The Outcome Measures in Rheumatology (OMERACT) working group on the patients' perspective on remission in rheumatoid arthritis (RA) has been working on this topic since 2010. At OMERACT 2016, progress and preliminary data on validity of measurement instruments for pain, fatigue...

  11. Radiological, pathological and DNA remission in recurrent metastatic nasopharyngeal carcinoma

    Directory of Open Access Journals (Sweden)

    Chan Anthony TC

    2006-10-01

    Full Text Available Abstract Background Circulating plasma Epstein Barr Virus DNA (EBV-DNA is a sensitive and specific marker of nasopharyngeal carcinoma (NPC. The mainstay of treatment of metastatic NPC is systemic chemotherapy and resection for solitary metastasis. Despite high response rate to chemotherapy, complete remission is uncommonly seen. Case Presentation We report a case of recurrent metastatic NPC in a 43-year-old man, who achieved complete remission three times with chemotherapy and surgery. Serial plasma EBV-DNA levels were measured during the course of disease. The patient had three episodes of recurrences of NPC manifested as distant metastasis. Both time, rise in the plasma EBV-DNA level preceded detection of recurrences by imaging. Following systemic chemotherapy, he achieved complete remission each time, of which was confirmed by 18-flourodeoxyglucose positron emission tomography and hepatectomy pathology. The plasma EBV-DNA level dropped to zero copy/ml at the time of each remission. Conclusion This case highlights the high chemosensitivity of NPC by illustrating a rare occurrence of complete response of metastatic NPC to chemotherapy. This case also underscores the usefulness of EBV-DNA as a useful tool in monitoring NPC by its ability to detect early recurrence and excellent correlation with treatment response.

  12. 46 CFR Sec. 3 - Application for remission of duties.

    Science.gov (United States)

    2010-10-01

    ... Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION A-NATIONAL SHIPPING AUTHORITY GENERAL AGENT'S RESPONSIBILITY IN CONNECTION WITH FOREIGN REPAIR CUSTOM'S ENTRIES Sec. 3 Application for remission... District Director of Customs as defined in 19 CFR 1.1(d) if the following circumstances prevail: (a) When...

  13. Containing method for spent fuel and spent fuel containing vessel

    International Nuclear Information System (INIS)

    Maekawa, Hiromichi; Hanada, Yoshine.

    1996-01-01

    Upon containing spent fuels, a metal vessel main body and a support spacer having fuel containing holes are provided. The support spacer is disposed in the inside of the metal vessel main body, and spent fuel assemblies are loaded in the fuel containing holes. Then, a lid is welded at the opening of the metal vessel main body to provide a sealing state. In this state, heat released from the spent fuel assemblies is transferred to the wall of the metal vessel main body via the support spacer. Since the support spacer has a greater heat conductivity than gases, heat of the spent fuel assemblies tends to be released to the outside, thereby capable of removing heat of the spent fuel assemblies effectively. In addition, since the surfaces of the spent fuel assemblies are in contact with the inner surface of the fuel containing holes of the support spacer, impact-resistance and earthquake-resistance are ensured, and radiation from the spent fuel assemblies is decayed by passing through the layer of the support spacer. (T.M.)

  14. WWER spent fuel storage

    Energy Technology Data Exchange (ETDEWEB)

    Bower, C C; Lettington, C [GEC Alsthom Engineering Systems Ltd., Whetstone (United Kingdom)

    1994-12-31

    Selection criteria for PAKS NPP dry storage system are outlined. They include the following: fuel temperature in storage; sub-criticality assurance (avoidance of criticality for fuel in the unirradiated condition without having to take credit for burn-up); assurance of decay heat removal; dose uptake to the operators and public; protection of environment; volume of waste produced during operation and decommissioning; physical protection of stored irradiated fuel assemblies; IAEA safeguards assurance; storage system versus final disposal route; cost of construction and extent of technology transfer to Hungarian industry. Several available systems are evaluated against these criteria, and as a result the GEC ALSTHOM Modular Vault Dry Store (MVDS) system has been selected. The MVDS is a passively cooled dry storage facility. Its most important technical, safety, licensing and technology transfer characteristics are outlined. On the basis of the experience gained some key questions and considerations related to the East European perspective in the field of spent fuel storage are discussed. 8 figs.

  15. WWER spent fuel storage

    International Nuclear Information System (INIS)

    Bower, C.C.; Lettington, C.

    1994-01-01

    Selection criteria for PAKS NPP dry storage system are outlined. They include the following: fuel temperature in storage; sub-criticality assurance (avoidance of criticality for fuel in the unirradiated condition without having to take credit for burn-up); assurance of decay heat removal; dose uptake to the operators and public; protection of environment; volume of waste produced during operation and decommissioning; physical protection of stored irradiated fuel assemblies; IAEA safeguards assurance; storage system versus final disposal route; cost of construction and extent of technology transfer to Hungarian industry. Several available systems are evaluated against these criteria, and as a result the GEC ALSTHOM Modular Vault Dry Store (MVDS) system has been selected. The MVDS is a passively cooled dry storage facility. Its most important technical, safety, licensing and technology transfer characteristics are outlined. On the basis of the experience gained some key questions and considerations related to the East European perspective in the field of spent fuel storage are discussed. 8 figs

  16. Spent fuel management overview: a global perspective

    International Nuclear Information System (INIS)

    Bonne, A.; Crijns, M.J.; Dyck, P.H.; Fukuda, K.; Mourogov, V.M.

    1999-01-01

    The paper defines the main spent fuel management strategies and options, highlights the challenges for spent fuel storage and gives an overview of the regional balances of spent fuel storage capacity and spent fuel arising. The relevant IAEA activities in the area of spent fuel management are summarised. (author)

  17. Partial Cancellation

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. Partial Cancellation. Full Cancellation is desirable. But complexity requirements are enormous. 4000 tones, 100 Users billions of flops !!! Main Idea: Challenge: To determine which cross-talker to cancel on what “tone” for a given victim. Constraint: Total complexity is ...

  18. Linear IgA dermatosis associated with ulcerative colitis: complete and sustained remission after total colectomy.

    Science.gov (United States)

    Vargas, Thiago Jeunon de Sousa; Fialho, Mônica; Santos, Luiza Tavares dos; Rodrigues, Palmira Assis de Jesus Barreto; Vargas, Ana Luisa Bittencourt Sampaio Jeunon; Sousa, Maria Auxiliadora Jeunon

    2013-01-01

    Linear IgA dermatosis has been increasingly associated with inflammatory bowel diseases, particularly ulcerative colitis. A 13-year-old male patient with an 11-month history of ulcerative colitis developed vesicles, pustules and erosions on the skin of the face, trunk and buttocks and in the oral mucosa. The work-up revealed a neutrophil-rich sub-epidermal bullous disease and linear deposition of IgA along the dermoepidermal junction, establishing the diagnosis of linear IgA dermatosis. The patient experienced unsatisfactory partial control of skin and intestinal symptoms despite the use of adalimumab, mesalazine, prednisone and dapsone for some months. After total colectomy, he presented complete remission of skin lesions, with no need of medications during two years of follow-up. A review of previously reported cases of the association is provided here and the role of ulcerative colitis in triggering linear IgA dermatosis is discussed.

  19. Spent fuel treatment in Japan

    International Nuclear Information System (INIS)

    Takahashi, K.

    1999-01-01

    In Japan, 52 nuclear power reactors are operating with a total power generation capacity of 45 GWe. The cumulative amount of spent fuel arising, as of March 1998, is about 14,700 W. Spent fuel is reprocessed and recovered nuclear materials are to be recycled in LWRs and FBRs. Pu utilization in LWRs will commence in 1999. In January 1997, short-term policy measures were announced by the Atomic Energy Commission, which addressed promotion of the reprocessing programme in Rokkasho, plutonium utilization in LWRs, spent fuel management, back-end measures and FBR development. With regard to the spent fuel management, the policy measures included expansion of spent fuel storage capacity at reactor sites and a study on spent fuel storage away-from-reactor sites, considering the increasing amount of spent fuel arising. Valuable experience was been accumulated at the Tokai Reprocessing Plant (TRP), from the start of hot operation in 1977 up to now. The role of the TRP will be changed from an operation-oriented to a more R and D oriented facility, when PNC is reorganized into the new organization JNC. The Rokkasho reprocessing plant is under construction and is expected to commence operation in 2003. R and D of future recycling technologies is also continued for the establishment of a nuclear fuel cycle based on FBRs and LWRs. (author)

  20. Disposal of spent nuclear fuel

    International Nuclear Information System (INIS)

    1979-12-01

    This report addresses the topic of the mined geologic disposal of spent nuclear fuel from Pressurized Water Reactors (PWR) and Boiling Water Reactors (BWR). Although some fuel processing options are identified, most of the information in this report relates to the isolation of spent fuel in the form it is removed from the reactor. The characteristics of the waste management system and research which relate to spent fuel isolation are discussed. The differences between spent fuel and processed HLW which impact the waste isolation system are defined and evaluated for the nature and extent of that impact. What is known and what needs to be determined about spent fuel as a waste form to design a viable waste isolation system is presented. Other waste forms and programs such as geologic exploration, site characterization and licensing which are generic to all waste forms are also discussed. R and D is being carried out to establish the technical information to develop the methods used for disposal of spent fuel. All evidence to date indicates that there is no reason, based on safety considerations, that spent fuel should not be disposed of as a waste

  1. Dry spent fuel storage licensing

    International Nuclear Information System (INIS)

    Sturz, F.C.

    1995-01-01

    In the US, at-reactor-site dry spent fuel storage in independent spent fuel storage installations (ISFSI) has become the principal option for utilities needing storage capacity outside of the reactor spent fuel pools. Delays in the geologic repository operational date at or beyond 2010, and the increasing uncertainty of the US Department of Energy's (DOE) being able to site and license a Monitored Retrievable Storage (MRS) facility by 1998 make at-reactor-site dry storage of spent nuclear fuel increasingly desirable to utilities and DOE to meet the need for additional spent fuel storage capacity until disposal, in a repository, is available. The past year has been another busy year for dry spent fuel storage licensing. The licensing staff has been reviewing 7 applications and 12 amendment requests, as well as participating in inspection-related activities. The authors have licensed, on a site-specific basis, a variety of dry technologies (cask, module, and vault). By using certified designs, site-specific licensing is no longer required. Another new cask has been certified. They have received one new application for cask certification and two amendments to a certified cask design. As they stand on the brink of receiving multiple applications from DOE for the MPC, they are preparing to meet the needs of this national program. With the range of technical and licensing options available to utilities, the authors believe that utilities can meet their need for additional spent fuel storage capacity for essentially all reactor sites through the next decade

  2. Magnetic resonance imaging of the wrist in defining remission of rheumatoid arthritis

    International Nuclear Information System (INIS)

    Lee, J.; Lee, S.; Suh, J.; Yoon, M.; Song, J.; Lee, C.

    1998-01-01

    MRI is feasible for objectively defining remission and assessing the therapeutic effect of anti-rheumatic drugs ( methotrexate and hydroxy-chloroquine); utility of MRI measures in clinical remissions criteria remains to be verified. (N.C.)

  3. Comparison of outcomes parameters for induction of remission in new onset pediatric Crohn's disease

    DEFF Research Database (Denmark)

    Levine, Arie; Turner, Dan; Pfeffer Gik, Tamar

    2014-01-01

    BACKGROUND: Robust evaluation of induction therapies using both clinical and inflammatory outcomes in pediatric Crohn's disease (CD) are sparse. We attempted to evaluate clinical, inflammatory, and composite outcomes of induction of remission therapies (normal C reactive protein [CRP] remission) ...

  4. Remission in psoriatic arthritis: is it possible and how can it be predicted?

    LENUS (Irish Health Repository)

    Saber, Tajvur P

    2010-01-01

    Since remission is now possible in psoriatic arthritis (PsA) we wished to examine remission rates in PsA patients following anti tumour necrosis factor alpha (TNFalpha) therapy and to examine possible predictors of response.

  5. Assessment of spent fuel cooling

    International Nuclear Information System (INIS)

    Ibarra, J.G.; Jones, W.R.; Lanik, G.F.

    1997-01-01

    The paper presents the methodology, the findings, and the conclusions of a study that was done by the Nuclear Regulatory Commission's Office for Analysis and Evaluation of Operational Data (AEOD) on loss of spent fuel pool cooling. The study involved an examination of spent fuel pool designs, operating experience, operating practices, and procedures. AEOD's work was augmented in the area of statistics and probabilistic risk assessment by experts from the Idaho Nuclear Engineering Laboratory. Operating experience was integrated into a probabilistic risk assessment to gain insight on the risks from spent fuel pools

  6. Partial gigantism

    Directory of Open Access Journals (Sweden)

    М.М. Karimova

    2017-05-01

    Full Text Available A girl with partial gigantism (the increased I and II fingers of the left foot is being examined. This condition is a rare and unresolved problem, as the definite reason of its development is not determined. Wait-and-see strategy is recommended, as well as correcting operations after closing of growth zones, and forming of data pool for generalization and development of schemes of drug and radial therapeutic methods.

  7. 19 CFR 351.519 - Remission or drawback of import charges upon export.

    Science.gov (United States)

    2010-04-01

    ... export. 351.519 Section 351.519 Customs Duties INTERNATIONAL TRADE ADMINISTRATION, DEPARTMENT OF COMMERCE... Remission or drawback of import charges upon export. (a) Benefit—(1) In general. The term “remission or... import charges. In the case of the remission or drawback of import charges upon export, a benefit exists...

  8. Spent fuel element storage facility

    International Nuclear Information System (INIS)

    Ukaji, Hideo; Yamashita, Rikuo.

    1981-01-01

    Purpose: To always keep water level of a spent fuel cask pit equal with water level of spent fuel storage pool by means of syphon principle. Constitution: The pool water of a spent fuel storage pool is airtightly communicated through a pipe with the pool water of a spent fuel cask, and a gate is provided between the pool and the cask. Since cask is conveyed into the cask pit as the gate close while conveying, the pool water level is raised an amount corresponding to the volume of the cask, and water flow through scattering pipe and the communication pipe to the storage pool. When the fuel is conveyed out of the cask, the water level is lowered in the amount corresponding to the volume in the cask pit, and the water in the pool flow through the communication pipe to the cask pit. (Sekiya, K.)

  9. Spent fuel management in Spain

    International Nuclear Information System (INIS)

    Gonzalez, J.L.

    2002-01-01

    The spent fuel management strategy in Spain is presented. The strategy includes temporary solutions and plans for final disposal. The need for R and D including partitioning and transmutation, as well as the financial constraints are also addressed. (author)

  10. Spent fuel management in Canada

    International Nuclear Information System (INIS)

    Khan, A.; Pattantyus, P.

    1999-01-01

    The current status of the Canadian spent fuel storage is presented. This includes wet and dry interim storage. Extension of wet interim storage facilities is nor planned, as dry technologies have found wide acceptance. The Canadian nuclear program is sustained by commercial Ontario Hydro CANDU type reactors, since 1971, representing 13600 MW(e) of installed capacity, able to produce 9200 spent fuel bundles (1800 tU) every year, and Hydro Quebec and New Brunswick CANDU reactors each producing 685 MW(e) and about 100 tU of spent fuel annually. The implementation of various interim (wt and dry) storage technologies resulted in simple, dense and low cost systems. Economical factors determined that the open cycle option be adopted for the CANDU type reactors rather that recycling the spent fuel. Research and development activities for immobilization and final disposal of nuclear waste are being undertaken in the Canadian Nuclear Fuel Waste Management Program

  11. Intermodal transportation of spent fuel

    International Nuclear Information System (INIS)

    Elder, H.K.

    1983-09-01

    Concepts for transportation of spent fuel in rail casks from nuclear power plant sites with no rail service are under consideration by the US Department of Energy in the Commercial Spent Fuel Management program at the Pacific Northwest Laboratory. This report identifies and evaluates three alternative systems for intermodal transfer of spent fuel: heavy-haul truck to rail, barge to rail, and barge to heavy-haul truck. This report concludes that, with some modifications and provisions for new equipment, existing rail and marine systems can provide a transportation base for the intermodal transfer of spent fuel to federal interim storage facilities. Some needed land transportation support and loading and unloading equipment does not currently exist. There are insufficient shipping casks available at this time, but the industrial capability to meet projected needs appears adequate

  12. Transportation of spent MTR fuels

    International Nuclear Information System (INIS)

    Raisonnier, D.

    1997-01-01

    This paper gives an overview of the various aspects of MTR spent fuel transportation and provides in particular information about the on-going shipment of 4 spent fuel casks to the United States. Transnucleaire is a transport and Engineering Company created in 1963 at the request of the French Atomic Energy Commission. The company followed the growth of the world nuclear industry and has now six subsidiaries and affiliated companies established in countries with major nuclear programs

  13. Transportation of spent MTR fuels

    Energy Technology Data Exchange (ETDEWEB)

    Raisonnier, D.

    1997-08-01

    This paper gives an overview of the various aspects of MTR spent fuel transportation and provides in particular information about the on-going shipment of 4 spent fuel casks to the United States. Transnucleaire is a transport and Engineering Company created in 1963 at the request of the French Atomic Energy Commission. The company followed the growth of the world nuclear industry and has now six subsidiaries and affiliated companies established in countries with major nuclear programs.

  14. Spent-fuel-storage alternatives

    International Nuclear Information System (INIS)

    1980-01-01

    The Spent Fuel Storage Alternatives meeting was a technical forum in which 37 experts from 12 states discussed storage alternatives that are available or are under development. The subject matter was divided into the following five areas: techniques for increasing fuel storage density; dry storage of spent fuel; fuel characterization and conditioning; fuel storage operating experience; and storage and transport economics. Nineteen of the 21 papers which were presented at this meeting are included in this Proceedings. These have been abstracted and indexed

  15. Remission of migraine after clipping of saccular intracranial aneurysms

    DEFF Research Database (Denmark)

    Lebedeva, E R; Busygina, A V; Kolotvinov, V S

    2015-01-01

    interview. The remission rates of migraine and tension-type headache (TTH) in these patients were compared to 92 patients from a headache center. Diagnoses were made according to the ICHD-2. RESULTS: During 1 year preceding rupture 51 patients with SIA had migraine. During the year after clipping......BACKGROUND: Unruptured saccular intracranial aneurysm (SIA) is associated with an increased prevalence of migraine, but it is unclear whether this is altered by clipping of the aneurysm. The aim of our study was to determine whether remission rate of migraine and other recurrent headaches...... was greater in patients with SIA after clipping than in controls. METHODS: We prospectively studied 87 SIA patients with migraine or other recurrent headaches. They were interviewed about headaches in the preceding year before and 1 year after clipping using a validated semi-structured neurologist conducted...

  16. HFIR spent fuel management alternatives

    International Nuclear Information System (INIS)

    Begovich, J.M.; Green, V.M.; Shappert, L.B.; Lotts, A.L.

    1992-01-01

    The High Flux Isotope Reactor (HFIR) at Martin Marietta Energy Systems' Oak Ridge National Laboratory (ORNL) has been unable to ship its spent fuel to Savannah River Site (SRS) for reprocessing since 1985. The HFIR storage pools are expected to fill up in the February 1994 to February 1995 time frame. If a management altemative to existing HFIR pool storage is not identified and implemented before the HFIR pools are full, the HFIR will be forced to shut down. This study investigated several alternatives for managing the HFIR spent fuel, attempting to identify options that could be implemented before the HFIR pools are full. The options investigated were: installing a dedicated dry cask storage facility at ORNL, increasing HFIR pool storage capacity by clearing the HFIR pools of debris and either close-packing or stacking the spent fuel elements, storing the spent fuel at another ORNL pool, storing the spent fuel in one or more hot cells at ORNL, and shipping the spent fuel offsite for reprocessing or storage elsewhere

  17. Bariatric surgery and diabetes remission: Who would have thought it?

    Directory of Open Access Journals (Sweden)

    Awadhesh Kumar Singh

    2015-01-01

    Full Text Available Type 2 diabetes mellitus (T2DM and obesity are increasingly common and major global health problems. The Edmonton obesity staging system clearly pointed towards increased mortality proportionate to the severity of obesity. Obesity itself triggers insulin resistance and thereby poses the risk of T2DM. Both obesity and T2DM have been associated with higher morbidity and mortality and this calls for institution of effective therapies to deal with the rising trend of complications arising out of this dual menace. Although lifestyle changes form the cornerstone of therapy for both the ailments, sustained results from this modalities is far from satisfactory. While Look AHEAD (action for HEAalth in diabetes study showed significant weight loss, reduction in glycated hemoglobin and higher remission rate of T2DM at 1 st year following intensive lifestyle measures; recurrence and relapse rate bounced back in half of subjects at 4 years, thereby indicating that weight loss and glycemic control is difficult to maintain in the long term with lifestyle interventions. Same recurrence phenomenon was also observed with pharmacotherapy with rimonabant, sibutramine and orlistat. Bariatric surgery has been seen to associate with substantial and sustained weight loss in morbidly obese patients. Interestingly, bariatric surgeries also induce higher rates of short and long-term diabetes remission. Although the exact mechanism behinds this diabetes remission are not well understood; improved insulin action, beta-cell function and complex interplay of hormones in the entero-insular axis appears to play a major role. This article reviews the effectiveness of bariatric procedures on remission or improvement in diabetes and put a perspective on its implicated mechanisms.

  18. Factors associated with clinical remission in cats with diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Yu-Hsin Lien

    2012-01-01

    Full Text Available Type 2 diabetes mellitus is a common endocrine disease in cats. The aim of this study was to investigate factors that are associated with clinical remission in diabetic cats, and those that might influence survival time. Medical records of 29 cats with diabetes mellitus were evaluated retrospectively. Data collected from each record included breed, age, and sex, types of diet before and after admission, degree of weight loss, duration of clinical signs before admission, elevation of alanine aminotransferase activity and ketonuria at the time of admission, concurrent pancreatitis or renal failure, glipizide administration, insulin supplement, and survival time. The diet after establishing diagnosis (restriction to non-carbohydrate canned food was the only factor that was significantly associated with achieving clinical remission (P P = 0.004 with clinical remission status and the type of diet after admission (P = 0.04 and negatively associated with the presence of chronic renal failure (P = 0.04. This was the first report of feline diabetes mellitus from Taiwan.

  19. [Predictors of remission from major depressive disorder in secondary care].

    Science.gov (United States)

    Salvo, Lilian; Saldivia, Sandra; Parra, Carlos; Cifuentes, Manuel; Bustos, Claudio; Acevedo, Paola; Díaz, Marcela; Ormazabal, Mitza; Guerra, Ivonne; Navarrete, Nicol; Bravo, Verónica; Castro, Andrea

    2017-12-01

    Background The knowledge of predictive factors in depression should help to deal with the disease. Aim To assess potential predictors of remission of major depressive disorders (MDD) in secondary care and to propose a predictive model. Material and Methods A 12 month follow-up study was conducted in a sample of 112 outpatients at three psychiatric care centers of Chile, with baseline and quarterly assessments. Demographic, psychosocial, clinical and treatment factors as potential predictors, were assessed. A clinical interview with the checklist of DSM-IV diagnostic criteria, the Hamilton Depression Scale and the List of Threatening Experiences and Multidimensional Scale of Perceived Social Support were applied. Results The number of stressful events, perceived social support, baseline depression scores, melancholic features, time prior to beginning treatment at the secondary level and psychotherapeutic sessions were included in the model as predictors of remission. Sex, age, number of previous depressive episodes, psychiatric comorbidity and medical comorbidity were not significantly related with remission. Conclusions This model allows to predict depression score at six months with 70% of accuracy and the score at 12 months with 72% of accuracy.

  20. Active postoperative acromegaly: sustained remission after discontinuation of somatostatin analogues

    Directory of Open Access Journals (Sweden)

    Cristina Alvarez-Escola

    2016-11-01

    Full Text Available In patients with active acromegaly after pituitary surgery, somatostatin analogues are effective in controlling the disease and can even be curative in some cases. After treatment discontinuation, the likelihood of disease recurrence is high. However, a small subset of patients remains symptom-free after discontinuation, with normalized growth hormone (GH and insulin-like growth factor (IGF1 levels. The characteristics of patients most likely to achieve sustained remission after treatment discontinuation are not well understood, although limited evidence suggests that sustained remission is more likely in patients with lower GH and IGF1 levels before treatment withdrawal, in those who respond well to low-dose treatment, in those without evidence of adenoma on an MRI scan and/or in patients who receive long-term treatment. In this report, we describe the case of a 56-year-old female patient treated with lanreotide Autogel for 11 years. Treatment was successfully discontinued, and the patient is currently disease-free on all relevant parameters (clinical, biochemical and tumour status. The successful outcome in this case adds to the small body of literature suggesting that some well-selected patients who receive long-term treatment with somatostatin analogues may achieve sustained remission.

  1. Quality of life in panic disorder: looking beyond symptom remission.

    Science.gov (United States)

    Davidoff, Julia; Christensen, Scott; Khalili, David N; Nguyen, Jaidyn; IsHak, Waguih William

    2012-08-01

    Panic Disorder (PD) is a classic example of a disease where symptom remission may be achieved, yet patient quality of life (QOL) remains low, providing further support for the need to measure QOL as an additional outcome in patient care. The objectives of this review are to examine the substantial QOL impairments in PD and to determine whether modern treatments for PD, which have been proven to achieve symptom remission, have been shown to restore QOL. We identified studies on QOL in PD from 1980 to 2010 by searching MEDLINE, PsycINFO, and PubMed databases. The literature reveals substantial QOL impairments in PD, often resulting in poor sense of health, frequent utilization of medical services, occupational deficiency, financial dependency, and marital strife. Modern therapies have been demonstrated to achieve symptom remission and improve QOL in PD; however, post-treatment QOL is still significantly lower than community averages. QOL needs to be added as an essential outcome measure in patient care. Further research should be conducted to better understand the nature of comorbidities in PD as well as to determine whether additional interventions that have been studied in other psychiatric disorders, such as exercise, meditation, yoga, humor, massage, and nutritional supplements, can be utilized to improve QOL in PD to normal community levels.

  2. Spent nuclear fuel assembly storage vessel

    International Nuclear Information System (INIS)

    Yagishita, Takuya

    1998-01-01

    The vessel of the present invention promotes an effect of removing after heat of spent nuclear fuel assemblies so as not to give force to the storage vessel caused by expansion of heat removing partitioning plates. Namely, the vessel of the present invention comprises a cylinder body having closed upper and lower portions and a plurality of heat removing partitioning cylinders disposed each at a predetermined interval in the circumferential direction of the above-mentioned cylinder body. The heat removing partitioning cylinders comprises (1) first heat removing partitioning plates extended in the radial direction of the cylinder body and opposed at a predetermined gap in the circumferential direction of the cylinder body, and having the base ends on the side of the inner wall of the cylinder body being secured to the inner wall of the cylinder body and (2) a second heat removing plate for connecting the top ends of both opposed heat removing partitioning plates on the central side of the cylinder body with each other. Spent nuclear fuel assemblies are contained in a plurality of closed spaces surrounded by the first heat removing partitioning plates and the second heat removing partitioning plate. With such constitution, since after heat is partially transferred from the heat removing partitioning plates to the cylindrical body directly by heat conduction, the heat removing effect can be promoted compared with the prior art. (I.S.)

  3. Transportation of spent nuclear fuels

    International Nuclear Information System (INIS)

    Meguro, Toshiichi

    1976-01-01

    The spent nuclear fuel taken out of reactors is cooled in the cooling pool in each power station for a definite time, then transported to a reprocessing plant. At present, there is no reprocessing plant in Japan, therefore the spent nuclear fuel is shipped abroad. In this paper, the experiences and the present situation in Japan are described on the transport of the spent nuclear fuel from light water reactors, centering around the works in Tsuruga Power Station, Japan Atomic Power Co. The spent nuclear fuel in Tsuruga Power Station was first transported in Apr. 1973, and since then, about 36 tons were shipped to Britain by 5 times of transport. The reprocessing plant in Japan is expected to start operation in Apr. 1977, accordingly the spent nuclear fuel used for the trial will be transported in Japan in the latter half of this year. Among the permission and approval required for the transport of spent nuclear fuel, the acquisition of the certificate for transport casks and the approval of land and sea transports are main tasks. The relevant laws are the law concerning the regulations of nuclear raw material, nuclear fuel and reactors and the law concerning the safety of ships. The casks used in Tsuruga Power Station and EXL III type, and the charging of spent nuclear fuel, the decontamination of the casks, the leak test, land transport with a self-running vehicle, loading on board an exclusive carrier and sea transport are briefly explained. The casks and the ship for domestic transport are being prepared. (Kato, I.)

  4. [Project REMISSION(PLUS): clinical and radiological remission : new treatment goals in the management of rheumatoid arthritis].

    Science.gov (United States)

    Ostendorf, B; Scherer, A; Kellner, H; Backhaus, M

    2008-12-01

    In a large number of patients with rheumatoid arthritis (RA), chronic inflammatory processes cause joint changes and loss of function even in the early stages of disease. Early, targeted use of disease-modifying antirheumatic drugs [DMARDs and TNF-alpha blockers ("biologicals")] can significantly reduce the risk of aggressive progression and irreversible joint damage. Hence, early identification of disease-specific processes of joint inflammation and erosion - at the onset of disease or later - is of key importance for the patient's prognosis and therapeutic strategy. This can be achieved today with great precision and reliability through the use of modern imaging methods like arthrosonography and magnetic resonance imaging (MRI). The REMISSION(PLUS) initiative aspire to integrate modern imaging technologies as standard methods in the care and management of RA patients. The main areas on which this initiative will be focusing are the conceptualization and implementation of educational programs and training seminars on sonography and MRI, the development and establishment of case report forms for standardized documentation of findings, and the systematic monitoring of patients on treatment, with the aim of producing very precise documentation of structural change processes in RA and also, if possible, to document radiological remission or even progression. The REMISSION(PLUS) project also includes the setting up of specialized centers of excellence, which will network to support the implementation and access to the various imaging procedures at hospitals, rheumatology clinics and rheumatology practices nationwide.

  5. ACR/EULAR Definitions of Remission Are Associated with Lower Residual Inflammatory Activity Compared with DAS28 Remission on Hand MRI in Rheumatoid Arthritis.

    Science.gov (United States)

    Lisbona, Maria Pilar; Solano, Albert; Ares, Jesús; Almirall, Miriam; Salman-Monte, Tarek Carlos; Maymó, Joan

    2016-09-01

    To determine the level of residual inflammation [synovitis, bone marrow edema (BME), tenosynovitis, and total inflammation] quantified by hand magnetic resonance imaging (h-MRI) in patients with rheumatoid arthritis (RA) in remission according to 3 different definitions of clinical remission, and to compare these remission definitions. A cross-sectional study. To assess the level of residual MRI inflammation in remission, cutoff levels associated to remission and median scores of MRI residual inflammatory lesions were calculated. Data from an MRI register of patients with RA who have various levels of disease activity were used. These were used for the analyses: synovitis, BME according to the Rheumatoid Arthritis Magnetic Resonance Imaging Scoring system, tenosynovitis, total inflammation, and disease activity composite measures recorded at the time of MRI. Receiver-operating characteristic analysis was used to identify the best cutoffs associated with remission for each inflammatory lesion on h-MRI. Median values of each inflammatory lesion for each definition of remission were also calculated. A total of 388 h-MRI sets of patients with RA with different levels of disease activity, 130 in remission, were included. Cutoff values associated with remission according to the Simplified Disease Activity Index (SDAI) ≤ 3.3 and the Boolean American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) definitions for BME and tenosynovitis (1 and 3, respectively) were lower than BME and tenosynovitis (2 and 5, respectively) for the Disease Activity Score on 28 joints (DAS28) ≤ 2.6. Median scores for synovitis, BME, and total inflammation were also lower for the SDAI and Boolean ACR/EULAR remission criteria compared with DAS28. Patients with RA in remission according to the SDAI and Boolean ACR/EULAR definitions showed lower levels of MRI-detected residual inflammation compared with DAS28.

  6. Spent Nuclear Fuel project, project management plan

    International Nuclear Information System (INIS)

    Fuquay, B.J.

    1995-01-01

    The Hanford Spent Nuclear Fuel Project has been established to safely store spent nuclear fuel at the Hanford Site. This Project Management Plan sets forth the management basis for the Spent Nuclear Fuel Project. The plan applies to all fabrication and construction projects, operation of the Spent Nuclear Fuel Project facilities, and necessary engineering and management functions within the scope of the project

  7. Container for spent fuel assembly

    International Nuclear Information System (INIS)

    Sawai, Takeshi.

    1996-01-01

    The container of the present invention comprises a container main body having a body portion which can contain spent fuel assemblies and a lid, and heat pipes having an evaporation portion disposed along the outer surface of the spent fuel assemblies to be contained and a condensation portion exposed to the outside of the container main body. Further, the heat pipe is formed spirally at the evaporation portions so as to surround the outer circumference of the spent fuel assemblies, branched into a plurality of portions at the condensation portion, each of the branched portion of the condensation portion being exposed to the outside of the container main body, and is tightly in contact with the periphery of the slit portions disposed to the container main body. Then, since released after heat is transferred to the outside of the container main body from the evaporation portion of the heat pipe along the outer surface of the spent fuel assemblies by way of the condensation portion of the heat pipes exposed to the outside of the container main body, the efficiency of the heat transfer is extremely improved to enhance the effect of removing heat of spent fuel assemblies. Further, cooling effect is enhanced by the spiral form of the evaporation portion and the branched condensation portion. (N.H.)

  8. Intermodal transfer of spent fuel

    International Nuclear Information System (INIS)

    Neuhauser, K.S.; Weiner, R.F.

    1991-01-01

    As a result of the international standardization of containerized cargo handling in ports around the world, maritime shipment handling is particularly uniform. Thus, handier exposure parameters will be relatively constant for ship-truck and ship-rail transfers at ports throughout the world. Inspectors' doses are expected to vary because of jurisdictional considerations. The results of this study should be applicable to truck-to-rail transfers. A study of the movement of spent fuel casks through ports, including the loading and unloading of containers from cargo vessels, afforded an opportunity to estimate the radiation doses to those individuals handling the spent fuels with doses to the public along subsequent transportation routes of the fuel. A number of states require redundant inspections and for escorts over long distances on highways; thus handlers, inspectors, escort personnel, and others who are not normally classified as radiation workers may sustain doses high enough to warrant concern about occupational safety. This paper addresses the question of radiation safety for these workers. Data were obtained during, observation of the offloading of reactor spent fuel (research reactor spent fuel, in this instance) which included estimates of exposure times and distances for handlers, inspectors and other workers during offloading and overnight storage. Exposure times and distance were also for other workers, including crane operators, scale operators, security personnel and truck drivers. RADTRAN calculational models and parameter values then facilitated estimation of the dose to workers during incident-free ship-to-truck transfer of spent fuel

  9. A framework for remission in SLE : Consensus findings from a large international task force on definitions of remission in SLE (DORIS)

    NARCIS (Netherlands)

    van Vollenhoven, Ronald F.; Voskuyl, Alexandre E.; Bertsias, George K.; Aranow, Cynthia; Aringer, Martin; Arnaud, Laurent; Askanase, Anca; Balazova, Petra; Bonfa, Eloisa; Bootsma, Hendrika; Boumpas, Dimitrios T.; Bruce, Ian N.; Cervera, Ricard; Clarke, Ann; Coney, Cindy; Costedoat-Chalumeau, Nathalie; Czirjak, Laszlo; Derksen, Ronald; Doria, Andrea; Doerner, Thomas; Fischer-Betz, Rebecca; Fritsch-Stork, Ruth; Gordon, Caroline; Graninger, Winfried; Gyori, Noemi; Houssiau, Frederic A.; Isenberg, David A.; Jacobsen, Soren; Jayne, David; Kuhn, Annegret; Le Guern, Veronique; Lerstrom, Kirsten; Levy, Roger; Machado-Ribeiro, Francinne; Mariette, Xavier; Missaykeh, Jamil; Morand, Eric; Mosca, Marta; Inanc, Murat; Navarra, Sandra; Neumann, Irmgard; Olesinska, Marzena; Petri, Michelle; Rahman, Anisur; Rekvig, Ole Petter; Rovensky, Jozef; Shoenfeld, Yehuda; Smolen, Josef S.; Tincani, Angela; Urowitz, Murray; van Leeuw, Bernadette; Vasconcelos, Carlos; Voss, Anne; Werth, Victoria P.; Zakharova, Helena; Zoma, Asad; Schneider, Matthias; Ward, Michael

    Objectives Treat-to-target recommendations have identified `remission' as a target in systemic lupus erythematosus (SLE), but recognise that there is no universally accepted definition for this. Therefore, we initiated a process to achieve consensus on potential definitions for remission in SLE.

  10. Development of spent fuel remote handling technology

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Ji Sup; Park, B S; Park, Y S; Oh, S C; Kim, S H; Cho, M W; Hong, D H

    1997-12-01

    Since the nation`s policy on spent fuel management is not finalized, the technical items commonly required for safe management and recycling of spent fuel - remote technologies of transportation, inspection, maintenance, and disassembly of spent fuel - are selected and pursued. In this regards, the following R and D activities are carried out : collision free transportation of spent fuel assembly, mechanical disassembly of spent nuclear fuel and graphical simulation of fuel handling / disassembly process. (author). 36 refs., 16 tabs., 77 figs

  11. Development of spent fuel remote handling technology

    International Nuclear Information System (INIS)

    Yoon, Ji Sup; Park, B. S.; Park, Y. S.; Oh, S. C.; Kim, S. H.; Cho, M. W.; Hong, D. H.

    1997-12-01

    Since the nation's policy on spent fuel management is not finalized, the technical items commonly required for safe management and recycling of spent fuel - remote technologies of transportation, inspection, maintenance, and disassembly of spent fuel - are selected and pursued. In this regards, the following R and D activities are carried out : collision free transportation of spent fuel assembly, mechanical disassembly of spent nuclear fuel and graphical simulation of fuel handling / disassembly process. (author). 36 refs., 16 tabs., 77 figs

  12. Spent fuel management in Japan

    International Nuclear Information System (INIS)

    Shirahashi, K.; Maeda, M.; Nakai, T.

    1996-01-01

    Japan has scarce energy resources and depends on foreign resources for 84% of its energy needs. Therefore, Japan has made efforts to utilize nuclear power as a key energy source since mid-1950's. Today, the nuclear energy produced from 49 nuclear power plants is responsible for about 31% of Japan's total electricity supply. The cumulative amount of spent fuel generated as of March 1995 was about 11,600 Mg U. Japan's policy of spent fuel management is to reprocess spent nuclear fuel and recycle recovered plutonium and uranium as nuclear fuel. The Tokai reprocessing plant continues stable operation keeping the annual treatment capacity or around 90 Mg U. A commercial reprocessing plant is under construction at Rokkasho, northern part of Japan. Although FBR is the principal reactor to use plutonium, LWR will be a major power source for some time and recycling of the fuel in LWRs will be prompted. (author). 3 figs

  13. Spent Pot Lining Characterization Framework

    Science.gov (United States)

    Ospina, Gustavo; Hassan, Mohamed I.

    2017-09-01

    Spent pot lining (SPL) management represents a major concern for aluminum smelters. There are two key elements for spent pot lining management: recycling and safe storage. Spent pot lining waste can potentially have beneficial uses in co-firing in cement plants. Also, safe storage of SPL is of utmost importance. Gas generation of SPL reaction with water and ignition sensitivity must be studied. However, determining the feasibility of SPL co-firing and developing the required procedures for safe storage rely on determining experimentally all the necessary SPL properties along with the appropriate test methods, recognized by emissions standards and fire safety design codes. The applicable regulations and relevant SPL properties for this purpose are presented along with the corresponding test methods.

  14. Spent fuel storage requirements, 1988

    International Nuclear Information System (INIS)

    1988-10-01

    Historical inventories of spent fuel and Department of Energy (DOE) estimates of future discharges from US commercial nuclear reactors are presented for the next 20 years, through the year 2007. The eventual needs for additional spent fuel storage capacity are estimated. These estimates are based on the maximum capacities within current and planned at-reactor facilities and on any planned transshipments of fuel to other reactors or facilities. Historical data through December 1987 and projected discharges through the end of reactor life are used in this analysis. The source data was supplied by the utilities to DOE through the 1988 RW-859 data survey and by DOE estimates of future nuclear capacity, generation, and spent fuel discharges. 12 refs., 3 figs., 28 tabs

  15. Prognostic factors for remission of and survival in acquired hemophilia A (AHA): results from the GTH-AH 01/2010 study

    Science.gov (United States)

    Klamroth, Robert; Scharf, Rüdiger E.; Trappe, Ralf U.; Holstein, Katharina; Huth-Kühne, Angela; Gottstein, Saskia; Geisen, Ulrich; Schenk, Joachim; Scholz, Ute; Schilling, Kristina; Neumeister, Peter; Miesbach, Wolfgang; Manner, Daniela; Greil, Richard; von Auer, Charis; Krause, Manuela; Leimkühler, Klaus; Kalus, Ulrich; Blumtritt, Jan-Malte; Werwitzke, Sonja; Budde, Eva; Koch, Armin; Knöbl, Paul

    2015-01-01

    Acquired hemophilia A (AHA) is caused by autoantibodies against factor VIII (FVIII). Immunosuppressive treatment (IST) results in remission of disease in 60% to 80% of patients over a period of days to months. IST is associated with frequent adverse events, including infections as a leading cause of death. Predictors of time to remission could help guide IST intensity but have not been established. We analyzed prognostic factors in 102 prospectively enrolled patients treated with a uniform IST protocol. Partial remission (PR; defined as no active bleeding, FVIII restored >50 IU/dL, hemostatic treatment stopped >24 hours) was achieved by 83% of patients after a median of 31 days (range 7-362). Patients with baseline FVIII <1 IU/dL achieved PR less often and later (77%, 43 days) than patients with ≥1 IU/dL (89%, 24 days). After adjustment for other baseline characteristics, low FVIII remained associated with a lower rate of PR (hazard ratio 0.52, 95% confidence interval 0.33-0.81, P < .01). In contrast, PR achieved on steroids alone within ≤21 days was more common in patients with FVIII ≥1 IU/dL and inhibitor concentration <20 BU/mL (odds ratio 11.2, P < .0001). Low FVIII was also associated with a lower rate of complete remission and decreased survival. In conclusion, presenting FVIII and inhibitor concentration are potentially useful to tailor IST in AHA. PMID:25525118

  16. Curcumin for maintenance of remission in ulcerative colitis.

    Science.gov (United States)

    Kumar, Sushil; Ahuja, Vineet; Sankar, Mari Jeeva; Kumar, Atul; Moss, Alan C

    2012-10-17

    Ulcerative colitis (UC) is a chronic inflammatory condition of the colon characterized by episodes of disease activity and symptom-free remission.There is paucity of evidence regarding the efficacy and safety of complementary or alternative medicines for the management of UC. Curcumin, an anti-inflammatory agent, has been used in many chronic inflammatory conditions such as rheumatoid arthritis, esophagitis and post-surgical inflammation. The efficacy of this agent for maintenance of remission in patients with UC has not been systematically evaluated. The primary objective was to systematically review the efficacy and safety of curcumin for maintenance of remission in UC. A computer-assisted literature search of MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, and the Cochrane Inflammatory Bowel Disease Specialized Trial Register was performed on July 11, 2012 to identify relevant publications. Proceedings from major gastroenterology meetings and references from published articles were also searched to identify additional studies. Randomized placebo-controlled trials (RCT) of curcumin for maintenance of remission in UC were included. Studies included patients (of any age) who were in remission at the time of recruitment. Co-interventions were allowed. Two authors independently extracted data and assessed the methodological quality of the included studies using the Cochrane risk of bias tool. Data were analyzed using Review Manager (RevMan 5.1). We calculated the relative risk (RR) and 95% confidence interval (95% CI) for each dichotomous outcome. For continuous outcomes we calculated the mean difference (MD) and 95% CI. Only one trial (89 patients) fulfilled the inclusion criteria. This trial randomized 45 patients to curcumin and 44 patients to placebo. All patients received treatment with sulfasalazine or mesalamine. The study was rated as low risk of bias. Curcumin was administered orally in a dose of 2 g/day for six months. Fewer patients

  17. Spent fuel management in Spain

    International Nuclear Information System (INIS)

    Gago, J.A.; Gravalos, J.M.

    1996-01-01

    There are presently nine Light Water Reactors in operation, representing around a 34% of the overall electricity production. In the early years, a small amount of spent fuel was sent to be reprocessed, although this policy was cancelled in favor of the open cycle option. A state owned company, ENRESA, was created in 1984, which was given the mandate to manage all kinds of radioactive wastes generated in the country. Under the present scenario, a rough overall amount of 7000 tU of spent fuel will be produced during the lifetime of the plants, which will go into final disposal. (author)

  18. Spent-fuel-storage alternatives

    Energy Technology Data Exchange (ETDEWEB)

    1980-01-01

    The Spent Fuel Storage Alternatives meeting was a technical forum in which 37 experts from 12 states discussed storage alternatives that are available or are under development. The subject matter was divided into the following five areas: techniques for increasing fuel storage density; dry storage of spent fuel; fuel characterization and conditioning; fuel storage operating experience; and storage and transport economics. Nineteen of the 21 papers which were presented at this meeting are included in this Proceedings. These have been abstracted and indexed. (ATT)

  19. Transport device of spent fuel

    International Nuclear Information System (INIS)

    Watanabe, Takashi.

    1976-01-01

    Object: To provide a transport device of spent fuel particularly used in a fast breeder, which can enhance accessibility to travelling mechanism portions and exchangeability thereof to facilitate maintenance in the event of failure. Structure: On a travelling floor, which has a function to shield radioactive rays, extending in a direction of transporting spent fuel and being formed with a break passing through in a direction wall thickness, a travelling body is moved along the break. The travelling body has a support rod member mounted thereon, and the support rod member is moved within the break, the support rod member having a fuel support pocket suspended therefrom. (Furukawa, Y.)

  20. CCK response in bulimia nervosa and following remission.

    Science.gov (United States)

    Hannon-Engel, Sandra L; Filin, Evgeniy E; Wolfe, Barbara E

    2013-10-02

    The core defining features of bulimia nervosa (BN) are repeated binge eating episodes and inappropriate compensatory (e.g., purging) behavior. Previous studies suggest an abnormal post-prandial response in the satiety-signaling peptide cholecystokinin (CCK) in persons with BN. It is unknown whether this altered response persists following remission or if it may be a potential target for the development of clinical treatment strategies. To examine the nature of this altered response, this study assessed whether CCK normalizes following remission from BN (RBN). This study prospectively evaluated the plasma CCK response and corresponding eating behavior-related ratings (e.g., satiety, fullness, hunger, urge to binge and vomit) in individuals with BN-purging subtype (n=10), RBN-purging subtype (n=14), and healthy controls (CON, n=13) at baseline, +15, +30, and +60 min following the ingestion of a standardized liquid test meal. Subject groups did not significantly differ in CCK response to the test meal. A significant relationship between CCK response and satiety ratings was observed in the RBN group (r=.59, p<.05 two-tailed). A new and unanticipated finding in the BN group was a significant relationship between CCK response and ratings of "urge to vomit" (r=.86, p<.01, two-tailed). Unlike previous investigations, CCK response did not differ in BN and CON groups. Thus the role of symptom severity remains an area of further investigation. Additionally, findings suggest that in this sample, CCK functioning following remission from BN-purging subtype is not different from controls. It remains unknown whether or not CCK functioning may be a protective or liability factor in the stabilization and recovery process. Replication studies utilizing a larger sample size are needed to further elucidate the role of CCK in recovery from BN and its potential target of related novel treatment strategies. © 2013 Elsevier Inc. All rights reserved.

  1. Influence of Bariatric Surgery on Remission of Type 2 Diabetes

    Directory of Open Access Journals (Sweden)

    Paweł Nalepa

    2011-12-01

    Full Text Available The plague of obesity afflicts an increasing group of people. Moreover type 2 diabetes, which is the most serious illness accompanying excessive weight, is becoming more and more common. Traditional methods of obesity treatment, such as diet and physical exercise, fail. This applies especially to people with class III obesity. The only successful way of treating obesity in their case is bariatric surgery. There are three types of bariatric surgery: restrictive procedures (reducing stomach volume, malabsorptive procedures, and mixed procedures, which combine both methods. In spite of the risk connected with the surgery and complications after it, bariatric procedures are advised to patients with class III obesity and class II with an accompanying illness which increases the probability of death. It has been proved that bariatric surgery not only eliminates obesity but also very frequently (in 90�0of cases leads to the remission of type 2 diabetes. Moreover, the remission occurs very fast – it takes place a long time before the patients reduce their weight, even within a few days after surgery. Detailed studies have shown that the remission of diabetes is caused mostly by the change of the gastro-intestinal hormones’ profile, resulting from the surgery. These hormones include GLP-1, GIP, peptide YY, ghrelin and oxyntomodulin. Additionally, the change of the amount of adipose tissue after the surgery influences the level of adipokines, i.e. the hormones of the adipose tissue, among which the most important are leptin, adiponectin and resistin. Thus, bariatric surgery not only changes the shape of the gastrointestinal tract but it also modulates the hormonal activity. Bariatric surgery is considered as therapy not only for the obese but also for diabetic patients.

  2. Achieving symptomatic remission in out-patients with schizophrenia--a naturalistic study with quetiapine.

    Science.gov (United States)

    Wobrock, T; Köhler, J; Klein, P; Falkai, P

    2009-08-01

    Symptomatic remission was defined as a score of mild or less on each of eight key schizophrenia symptoms on the Positive and Negative Syndrome Scale (PANSS-8). To evaluate the symptomatic remission criterion in clinical practice and to determine predictors for achieving symptomatic remission, a 12-week non-interventional study (NIS) with quetiapine was conducted in Germany. For the comparison of patients with and without symptomatic remission, sociodemographic and clinical variables of 693 patients were analyzed by logistic regression for their predictive value to achieve remission. Four hundred and four patients (58.3%) achieved symptomatic remission after 12 weeks' treatment with quetiapine. Remission was significantly predicted by a low degree of PANSS-8 total score, PANSS single items blunted affect (N1), social withdrawal (N4), lack of spontaneity (N6), mannerism and posturing (G5), and low disease severity (CGI-S) at baseline. Predictors of non-remission were older age, diagnosis of schizophrenic residuum, multiple previous episodes, longer duration of current episode, presence of concomitant diseases, and alcohol abuse. This study demonstrated that the majority of schizophrenia out-patients achieved symptomatic remission after 12 weeks treatment and confirms the importance of managing negative symptoms in order to achieve disease remission.

  3. Spent fuel management in Canada

    International Nuclear Information System (INIS)

    Pattantyus, P.

    1998-01-01

    The current status of the Canadian Spent Fuel Management is described. This includes wet and dry interim storage, transportation issues and future plans regarding final disposal based on deep underground emplacement in stable granite rock. Extension of wet interim storage facilities is not planned, as dry storage technologies have found wide acceptance. (author)

  4. Characteristics of spent nuclear fuel

    International Nuclear Information System (INIS)

    Notz, K.J.

    1988-04-01

    The Office of Civilian Radioactive Waste Management (OCRWM) is responsible for the spent fuels and other wastes that will, or may, eventually be disposed of in a geological repository. The two major sources of these materials are commercial light-water reactor (LWR) spent fuel and immobilized high-level waste (HLW). Other wastes that may require long-term isolation include non-LWR spent fuels and miscellaneous sources such as activated metals. This report deals with spent fuels, but for completeness, the other sources are described briefly. Detailed characterizations are required for all of these potential repository wastes. These characteristics include physical, chemical, and radiological properties. The latter must take into account decay as a function of time. In addition, the present inventories and projected quantities of the various wastes are needed. This information has been assembled in a Characteristics Data Base which provides data in four formats: hard copy standard reports, menu-driven personal computer (PC) data bases, program-level PC data bases, and mainframe computer files. 5 refs., 3 figs., 4 tabs

  5. Spent nuclear fuel transport problems

    International Nuclear Information System (INIS)

    Kondrat'ev, A.N.; Kosarev, Yu.A.; Yulikov, E.I.

    1977-01-01

    The paper considers the problems of shipping spent fuel from nuclear power stations to reprocessing plants and also the principal ways of solving these problems with a view to achieving maximum economy and safety in transport. The increase in the number of nuclear power plants in the USSR will entail an intensification of spent-fuel shipments. Higher burnup and the need to reduce cooling time call for heavier and more complex shipping containers. The problem of shipping spent fuel should be tackled comprehensively, bearing in mind the requirements of safety and economy. One solution to these problems is to develop rational and cheap designs of such containers. In addition, the world-wide trend towards more thorough protection of the environment against pollution and of the health of the population requires the devotion of constant attention to improving the reliability and safety of shipments. The paper considers the prospects for nuclear power development in the USSR and in other member countries of the CMEA (1976-1980), the composition and design of some Soviet packaging assemblies, the appropriate cooling time for spent fuel from thermal reactor power stations, procedures for reducing fuel-shipping costs, some methodological problems of container calculation and design, and finally problems of testing and checking containers on test rigs. (author)

  6. Worldwide spent fuel transportation logistics

    International Nuclear Information System (INIS)

    Best, R.E.; Garrison, R.F.

    1978-01-01

    This paper presents an overview of the worldwide transportation requirements for spent fuel. Included are estimates of numbers and types of shipments by mode and cask type for 1985 and the year 2000. In addition, projected capital and transportation costs are presented. For the year 1977 and prior years inclusive, there is a cumulative worldwide requirement for approximately 300 MTU of spent fuel storage at away-from-reactor (AFR) facilities. The cumulative requirements for years through 1985 are projected to be nearly 10,000 MTU, and for the years through 2000 the requirements are conservatively expected to exceed 60,000 MTU. These AFR requirements may be related directly to spent fuel transportation requirements. In total nearly 77,000 total cask shipments of spent fuel will be required between 1977 and 2000. These shipments will include truck, rail, and intermodal moves with many ocean and coastal water shipments. A limited number of shipments by air may also occur. The US fraction of these is expected to include 39,000 truck shipments and 14,000 rail shipments. European shipments to regional facilities are expected to be primarily by rail or water mode and are projected to account for 16,000 moves. Pacific basin shipments will account for 4500 moves. The remaining are from other regions. Over 400 casks will be needed to meet the transportation demands. Capital investment is expected to reach $800,000,000 in 1977 dollars. Cumulative transport costs will be a staggering $4.4 billion dollars

  7. Platelet antibody in prolonged remission of childhood idiopathic thrombocytopenic purpura

    International Nuclear Information System (INIS)

    Ware, R.; Kinney, T.R.; Rosse, W.

    1985-01-01

    Evaluations were performed in 20 patients with childhood idiopathic thrombocytopenic purpura (ITP) who remained in remission longer than 12 months. The mean duration of follow-up from diagnosis was 39 months (range 17 to 87 months). Eleven patients (four girls) in group 1 had an acute course of ITP, defined as platelet count greater than 150 X 10(9)/L within 6 months of diagnosis. Nine patients (five girls) in group 2 had a chronic course, defined as platelet count less than 150 X 10(9)/L for greater than or equal to 1 year or requiring splenectomy in an attempt to control hemorrhagic symptoms. Platelet count and serum (indirect) platelet-associated IgG (PAIgG) levels were normal in all 20 patients at follow-up. Both direct and indirect PAIgG levels were measured using a 125 I-monoclonal anti-IgG antiglobulin assay. All had normal direct PAIgG levels, except for one patient in group 1 who had a borderline elevated value of 1209 molecules per platelet. These data suggest that the prevalence of elevated platelet antibodies is low during sustained remission without medication in patients with a history of childhood ITP. These data may be relevant for pregnant women with a history of childhood ITP, with regard to the risk of delivering an infant with thrombocytopenia secondary to transplacental passage of maternal platelet antibody

  8. National Estimates of Recovery-Remission From Serious Mental Illness.

    Science.gov (United States)

    Salzer, Mark S; Brusilovskiy, Eugene; Townley, Greg

    2018-05-01

    A broad range of estimates of recovery among previously institutionalized persons has been reported, but no current, community-based national estimate of recovery from serious mental illness exists. This study reports recovery rate results, based on a remission definition, and explores related demographic factors. A national, geographically stratified, and random cross-sectional survey conducted from September 2014 to December 2015 resulted in responses from more than 41,000 individuals. Lifetime prevalence of serious mental illness was assessed by asking about receipt of a diagnosis (major depression, bipolar disorder, manic depression, and schizophrenia or schizoaffective disorder) and hospitalization and impairment associated with the diagnosis. Recovery was determined by asking about impairments over the past 12 months. Almost 17% reported receiving one of the diagnoses in their lifetime, 6% had a lifetime rate of a serious mental illness, and nearly 4% continued to experience interference associated with serious mental illness. One-third of those with a lifetime serious mental illness reported having been in remission for at least the past 12 months. Recovery rates were low until age 32 and then progressively increased. Lifetime estimates of diagnosed illness and current prevalence of serious mental illness are consistent with previous research. Results indicate that recovery is possible and is associated with age. Further research is needed to understand factors that promote recovery, and sustained evaluation efforts using similar parsimonious approaches may be useful in conducting timely assessments of national and local mental health policies.

  9. Justice In Granting Remission For Corruption Prisoners A Review Of Indonesian Criminal Justice System

    Directory of Open Access Journals (Sweden)

    Mispansyah

    2015-08-01

    Full Text Available Abstract Prisoners are entitled to have a reduction in criminal past remission as stipulated in the Indonesian Criminal Justice System still being debated to this day. This research reviews the essence of the implementation of the substantive law in granting remission against inmate corruption cases from the perspective of public and individual interests. The type of research used in this paper is socio-legal research reviewing remission policy from the perspective of the criminal law system with philosophical and statute approach. The outcomes of the research indicate that the implementation of granting remission for corruption prisoners does not provide justice both procedural and substantive does not provide legal expediency and arising imbalance of justice for individuals communities and countries. The need to implement remissions with impartial justice for corruption prisoners in granting remission to be useful for individuals communities and countries.

  10. Advancing the Fork detector for quantitative spent nuclear fuel verification

    Science.gov (United States)

    Vaccaro, S.; Gauld, I. C.; Hu, J.; De Baere, P.; Peterson, J.; Schwalbach, P.; Smejkal, A.; Tomanin, A.; Sjöland, A.; Tobin, S.; Wiarda, D.

    2018-04-01

    The Fork detector is widely used by the safeguards inspectorate of the European Atomic Energy Community (EURATOM) and the International Atomic Energy Agency (IAEA) to verify spent nuclear fuel. Fork measurements are routinely performed for safeguards prior to dry storage cask loading. Additionally, spent fuel verification will be required at the facilities where encapsulation is performed for acceptance in the final repositories planned in Sweden and Finland. The use of the Fork detector as a quantitative instrument has not been prevalent due to the complexity of correlating the measured neutron and gamma ray signals with fuel inventories and operator declarations. A spent fuel data analysis module based on the ORIGEN burnup code was recently implemented to provide automated real-time analysis of Fork detector data. This module allows quantitative predictions of expected neutron count rates and gamma units as measured by the Fork detectors using safeguards declarations and available reactor operating data. This paper describes field testing of the Fork data analysis module using data acquired from 339 assemblies measured during routine dry cask loading inspection campaigns in Europe. Assemblies include both uranium oxide and mixed-oxide fuel assemblies. More recent measurements of 50 spent fuel assemblies at the Swedish Central Interim Storage Facility for Spent Nuclear Fuel are also analyzed. An evaluation of uncertainties in the Fork measurement data is performed to quantify the ability of the data analysis module to verify operator declarations and to develop quantitative go/no-go criteria for safeguards verification measurements during cask loading or encapsulation operations. The goal of this approach is to provide safeguards inspectors with reliable real-time data analysis tools to rapidly identify discrepancies in operator declarations and to detect potential partial defects in spent fuel assemblies with improved reliability and minimal false positive alarms

  11. Factors Associated with Remission of Eczema in Children: a Population-based Follow-up Study.

    OpenAIRE

    von Kobyletzki, Laura; Bornehag, Carl-Gustaf; Breeze, Elizabeth; Larsson, Malin; Boman Lindström, Cecilia; Svensson, Åke

    2014-01-01

    The aim of this study was to analyse factors associated with remission of atopic dermatitis (AD) in childhood. A population-based AD cohort of 894 children aged 1-3 years from a cross-sectional baseline study in 2000 was followed up in 2005. The association between remission, background, health, lifestyle, and environmental variables was estimated with crude and multivariable logistic regression. At follow-up, 52% of the children had remission. Independent factors at baseline predicting remis...

  12. A framework for remission in SLE: consensus findings from a large international task force on definitions of remission in SLE (DORIS).

    Science.gov (United States)

    van Vollenhoven, Ronald; Voskuyl, Alexandre; Bertsias, George; Aranow, Cynthia; Aringer, Martin; Arnaud, Laurent; Askanase, Anca; Balážová, Petra; Bonfa, Eloisa; Bootsma, Hendrika; Boumpas, Dimitrios; Bruce, Ian; Cervera, Ricard; Clarke, Ann; Coney, Cindy; Costedoat-Chalumeau, Nathalie; Czirják, László; Derksen, Ronald; Doria, Andrea; Dörner, Thomas; Fischer-Betz, Rebecca; Fritsch-Stork, Ruth; Gordon, Caroline; Graninger, Winfried; Györi, Noémi; Houssiau, Frédéric; Isenberg, David; Jacobsen, Soren; Jayne, David; Kuhn, Annegret; Le Guern, Veronique; Lerstrøm, Kirsten; Levy, Roger; Machado-Ribeiro, Francinne; Mariette, Xavier; Missaykeh, Jamil; Morand, Eric; Mosca, Marta; Inanc, Murat; Navarra, Sandra; Neumann, Irmgard; Olesinska, Marzena; Petri, Michelle; Rahman, Anisur; Rekvig, Ole Petter; Rovensky, Jozef; Shoenfeld, Yehuda; Smolen, Josef; Tincani, Angela; Urowitz, Murray; van Leeuw, Bernadette; Vasconcelos, Carlos; Voss, Anne; Werth, Victoria P; Zakharova, Helena; Zoma, Asad; Schneider, Matthias; Ward, Michael

    2017-03-01

    Treat-to-target recommendations have identified 'remission' as a target in systemic lupus erythematosus (SLE), but recognise that there is no universally accepted definition for this. Therefore, we initiated a process to achieve consensus on potential definitions for remission in SLE. An international task force of 60 specialists and patient representatives participated in preparatory exercises, a face-to-face meeting and follow-up electronic voting. The level for agreement was set at 90%. The task force agreed on eight key statements regarding remission in SLE and three principles to guide the further development of remission definitions:1. Definitions of remission will be worded as follows: remission in SLE is a durable state characterised by …………………. (reference to symptoms, signs, routine labs).2. For defining remission, a validated index must be used, for example, clinical systemic lupus erythematosus disease activity index (SLEDAI)=0, British Isles lupus assessment group (BILAG) 2004 D/E only, clinical European consensus lupus outcome measure (ECLAM)=0; with routine laboratory assessments included, and supplemented with physician's global assessment.3. Distinction is made between remission off and on therapy: remission off therapy requires the patient to be on no other treatment for SLE than maintenance antimalarials; and remission on therapy allows patients to be on stable maintenance antimalarials, low-dose corticosteroids (prednisone ≤5 mg/day), maintenance immunosuppressives and/or maintenance biologics.The task force also agreed that the most appropriate outcomes (dependent variables) for testing the prognostic value (construct validity) of potential remission definitions are: death, damage, flares and measures of health-related quality of life. The work of this international task force provides a framework for testing different definitions of remission against long-term outcomes. Published by the BMJ Publishing Group Limited. For

  13. Endoscopic transsphenoidal surgery for cushing disease: techniques, outcomes, and predictors of remission.

    Science.gov (United States)

    Starke, Robert M; Reames, Davis L; Chen, Ching-Jen; Laws, Edward R; Jane, John A

    2013-02-01

    The efficacy of endoscopic transsphenoidal surgery (ETS) for Cushing disease has not been clearly established. To assess efficacy of a pure endoscopic approach for treatment of Cushing disease and determine predictors of remission. A prospectively acquired database of 61 patients undergoing ETS was reviewed. Remission was defined as postoperative morning serum cortisol of Cushing [100%], macroadenomas [87%]). At 2- to 3-month evaluations, 45 of 49 patients (91.8%) were in remission. Fifty patients were followed for at least 12 months (mean, 28 months; range, 12-72). Forty-two (84%) achieved remission from a single ETS. In these patients, there was no significant difference in remission rates between microadenomas (93%), magnetic resonance imaging-negative (70%), and macroadenomas (77%). Patients with history of previous surgery (n = 14, 23%) were 9 times less likely to achieve follow-up remission (P = .021). In-house cortisol level of Cushing disease provides high rates of remission with low rates of complications regardless of size. Although patients with a history of previous surgery are less likely to achieve remission, the majority can still achieve remission following treatment.

  14. Natalizumab for induction of remission in Crohn's disease.

    Science.gov (United States)

    Macdonald, J K; McDonald, J W D

    2006-07-19

    The pathogenesis of Crohn's disease involves migration of leukocytes into gut tissue and subsequent inflammation. Natalizumab (Tysabri, Elan Pharmaceuticals and Biogen Idec) a recombinant humanized IgG4 monoclonal antibody that blocks adhesion and subsequent migration of leukocytes into the gut by binding the alpha4 integrin is a member of a new class of molecules known as selective adhesion molecule (SAM) inhibitors. The results of animal studies suggest that alpha4 integrin blockade could be a useful therapy for inflammatory bowel disease. The results of randomized controlled trials suggest that natalizumab may be an effective therapy for active Crohn's disease. This systematic review summarizes the current evidence on the use of natalizumab for the induction of remission in Crohn's disease. To determine the efficacy and safety of natalizumab for induction of remission in Crohn's disease. A computer assisted search of the Cochrane Central Register of Controlled Trials, the Cochrane Inflammatory Bowel Disease and Functional Bowel Disorders Review Group Specialized Trials Register, MEDLINE and EMBASE was performed to identify relevant publications between 1966 and June 2005. The medical subject heading (MeSH) terms "Crohn disease" or "inflammatory bowel disease", "Natalizumab" or "Antegren" or "Tysabri" and "Antibodies, Monoclonal" were used to perform key word searches of each database. Manual searches of reference lists from potentially relevant papers were performed in order to identify additional studies that may have been missed using the computer-assisted search strategy. Abstracts from major gastroenterological meetings were searched to identify research submitted in abstract form only. Personal contacts, leaders in the field, and the manufacturers were contacted to identify other studies which may not be published. We included only randomized controlled trials comparing natalizumab to a placebo or control therapy for the induction of remission in Crohn

  15. Collective processing device for spent fuel

    International Nuclear Information System (INIS)

    Irie, Hiroaki; Taniguchi, Noboru.

    1996-01-01

    The device of the present invention comprises a sealing vessel, a transporting device for transporting spent fuels to the sealing vessel, a laser beam cutting device for cutting the transported spent fuels, a dissolving device for dissolving the cut spent fuels, and a recovering device for recovering radioactive materials from the spent fuels during processing. Reprocessing treatments comprising each processing of dismantling, shearing and dissolving are conducted in the sealing vessel can ensure a sealing barrier for the radioactive materials (fissionable products and heavy nuclides). Then, since spent fuels can be processed in a state of assemblies, and the spent fuels are easily placed in the sealing vessel, operation efficiency is improved, as well as operation cost is saved. Further, since the spent fuels can be cut by a remote laser beam operation, there can be prevented operator's exposure due to radioactive materials released from the spent fuels during cutting operation. (T.M.)

  16. Distillery spent wash: Treatment technologies and potential applications

    International Nuclear Information System (INIS)

    Mohana, Sarayu; Acharya, Bhavik K.; Madamwar, Datta

    2009-01-01

    Distillery spent wash is the unwanted residual liquid waste generated during alcohol production and pollution caused by it is one of the most critical environmental issue. Despite standards imposed on effluent quality, untreated or partially treated effluent very often finds access to watercourses. The distillery wastewater with its characteristic unpleasant odor poses a serious threat to the water quality in several regions around the globe. The ever-increasing generation of distillery spent wash on the one hand and stringent legislative regulations of its disposal on the other has stimulated the need for developing new technologies to process this effluent efficiently and economically. A number of clean up technologies have been put into practice and novel bioremediation approaches for treatment of distillery spent wash are being worked out. Potential microbial (anaerobic and aerobic) as well as physicochemical processes as feasible remediation technologies to combat environmental pollution are being explored. An emerging field in distillery waste management is exploiting its nutritive potential for production of various high value compounds. This review presents an overview of the pollution problems caused by distillery spent wash, the technologies employed globally for its treatment and its alternative use in various biotechnological sectors

  17. Combined treatment with immunoadsorption and rituximab leads to fast and prolonged clinical remission in difficult-to-treat pemphigus vulgaris.

    Science.gov (United States)

    Behzad, M; Möbs, C; Kneisel, A; Möller, M; Hoyer, J; Hertl, M; Eming, R

    2012-04-01

    Pemphigus vulgaris (PV) is a potentially life-threatening autoimmune bullous disorder which is characterized by blisters and erosions of the skin and mucous membranes. A frequently applied first-line therapy for PV consists of systemic corticosteroids (CS) combined with immunosuppressive agents. In refractory cases, novel therapeutic strategies such as immunoadsorption (IA) and the anti-CD20 antibody rituximab (Rtx) aim at directly interfering with pathogenic autoantibodies (auto-Abs). To investigate the long-term efficacy of IA in combination with Rtx in patients with difficult-to-treat PV, we assessed the clinical response to treatment by monitoring the Autoimmune Bullous Skin Disorder Intensity Score, IgG auto-Abs against desmoglein 1 and 3 (Dsg1 and Dsg3) and the dose of systemic CS. We retrospectively analysed clinical and serological parameters of 10 patients with difficult-to-treat PV who received IA at 4-week intervals, followed by Rtx either twice at 1000 mg or four times at 375mg m(-2) . During a 12-month follow-up period, CS were tapered according to the individual clinical status. Six months after the first IA treatment eight of 10 patients were in complete remission on therapy while one patient showed a partial response and one patient was unresponsive to the treatment. At 12 months, six of eight patients were in complete remission on therapy, one patient showed stable disease and one patient had relapsed. Overall, anti-Dsg3 IgG and anti-Dsg1 IgG auto-Abs correlated well with the clinical activity and systemic CS were tapered gradually. The present findings show that the combination of IA and Rtx induces rapid clinical remission and long-term control in difficult-to-treat pemphigus. © 2011 The Authors. BJD © 2011 British Association of Dermatologists.

  18. Helpful and hindering factors for remission in dysthymia and panic disorder at 9-year follow-up: A mixed methods study

    Directory of Open Access Journals (Sweden)

    Lützen Kim

    2008-07-01

    Full Text Available Abstract Background A better understanding is needed of factors behind the long-term outcome of dysthymic and panic disorders. Combining patients' perceptions of factors that help and hind remission with objective assessments of outcome may give greater insight into mechanisms for maintaining recovery. Methods Twenty-three dysthymic and 15 panic disorder patients participated in a 9-year follow-up investigation of a naturalistic study with psychotherapy and antidepressants. Degree of remission was determined by reassessments with SCID-I & II interviews, self-reported symptoms and life-charting (aided by case records. Qualitative content analysis of in-depth interviews with all 38 patients was done to examine the phenomenon of enduring remission by exploring: 1 perceived helpful and hindering factors, 2 factors common to and specific for the diagnostic groups, 3 convergence between patients' subjective views on remission with objective diagnostic assessments. Results About 50% of the patients were in full or partial remission. Subjective and objective views on degree of remission generally converged, and remission was perceived as receiving 'Tools to handle life'. Common helpful factors were self-understanding, enhanced flexibility of thinking, and antidepressant medication, as well as confidence in the therapist and social support. The perceived main obstacle was difficulty in negotiating treatments. Remitted had overcome the obstacles, whereas many non-remitted had problems expressing their needs. Patients with dysthymia and panic disorder described specific helpful relationships with the therapist: 'As a parent' versus 'As a coach', and specific central areas for change: self-acceptance and resolution of relational problems versus awareness and handling of feelings. Conclusion A general model for recovery from dysthymic and panic disorders is proposed, involving: 1 understanding self and illness mechanisms, 2 enhanced flexibility of thinking

  19. Helpful and hindering factors for remission in dysthymia and panic disorder at 9-year follow-up: a mixed methods study.

    Science.gov (United States)

    Svanborg, Cecilia; Bäärnhielm, Sofie; Aberg Wistedt, Anna; Lützen, Kim

    2008-07-01

    A better understanding is needed of factors behind the long-term outcome of dysthymic and panic disorders. Combining patients' perceptions of factors that help and hind remission with objective assessments of outcome may give greater insight into mechanisms for maintaining recovery. Twenty-three dysthymic and 15 panic disorder patients participated in a 9-year follow-up investigation of a naturalistic study with psychotherapy and antidepressants. Degree of remission was determined by reassessments with SCID-I & II interviews, self-reported symptoms and life-charting (aided by case records). Qualitative content analysis of in-depth interviews with all 38 patients was done to examine the phenomenon of enduring remission by exploring: 1) perceived helpful and hindering factors, 2) factors common to and specific for the diagnostic groups, 3) convergence between patients' subjective views on remission with objective diagnostic assessments. About 50% of the patients were in full or partial remission. Subjective and objective views on degree of remission generally converged, and remission was perceived as receiving 'Tools to handle life'. Common helpful factors were self-understanding, enhanced flexibility of thinking, and antidepressant medication, as well as confidence in the therapist and social support. The perceived main obstacle was difficulty in negotiating treatments. Remitted had overcome the obstacles, whereas many non-remitted had problems expressing their needs. Patients with dysthymia and panic disorder described specific helpful relationships with the therapist: 'As a parent' versus 'As a coach', and specific central areas for change: self-acceptance and resolution of relational problems versus awareness and handling of feelings. A general model for recovery from dysthymic and panic disorders is proposed, involving: 1) understanding self and illness mechanisms, 2) enhanced flexibility of thinking, and 3) change from avoidance coping to approach coping; and

  20. TMI-2 spent fuel shipping

    International Nuclear Information System (INIS)

    Quinn, G.J.; Burton, H.M.

    1985-01-01

    TMI-2 failed fuel will be shipped to the Idaho National Engineering Laboratory for use in the DOE Core Examination Program. The fuel debris will be loaded into three types of canisters during defueling and dry loaded into a spent fuel shipping cask. The cask design accommodates seven canisters per cask and has two separate containment vessels with ''leaktight'' seals. Shipments are expectd to begin in early 1986

  1. Spent fuel receipt scenarios study

    International Nuclear Information System (INIS)

    Ballou, L.B.; Montan, D.N.; Revelli, M.A.

    1990-09-01

    This study reports on the results of an assignment from the DOE Office of Civilian Radioactive Waste Management to evaluate of the effects of different scenarios for receipt of spent fuel on the potential performance of the waste packages in the proposed Yucca Mountain high-level waste repository. The initial evaluations were performed and an interim letter report was prepared during the fall of 1988. Subsequently, the scope of work was expanded and additional analyses were conducted in 1989. This report combines the results of the two phases of the activity. This study is a part of a broader effort to investigate the options available to the DOE and the nuclear utilities for selection of spent fuel for acceptance into the Federal Waste Management System for disposal. Each major element of the system has evaluated the effects of various options on its own operations, with the objective of providing the basis for performing system-wide trade-offs and determining an optimum acceptance scenario. Therefore, this study considers different scenarios for receipt of spent fuel by the repository only from the narrow perspective of their effect on the very-near-field temperatures in the repository following permanent closure. This report is organized into three main sections. The balance of this section is devoted to a statement of the study objective, a summary of the assumptions. The second section of the report contains a discussion of the major elements of the study. The third section summarizes the results of the study and draws some conclusions from them. The appendices include copies of the waste acceptance schedule and the existing and projected spent fuel inventory that were used in the study. 10 refs., 27 figs

  2. Extended storage of spent fuel

    International Nuclear Information System (INIS)

    1992-10-01

    This document is the final report on the IAEA Co-ordinated Research Programme on the Behaviour of Spent Fuel and Storage Facility Components during Long Term Storage (BEFAST-II, 1986-1991). It contains the results on wet and dry spent fuel storage technologies obtained from 16 organizations representing 13 countries who participated in the co-ordinated research programme. Considerable quantities of spent fuel continue to arise and accumulate. Many countries are investigating the option of extended spent fuel storage prior to reprocessing or fuel disposal. Wet storage continues to predominate as an established technology with the construction of additional away-from-reactor storage pools. However, dry storage is increasingly used with most participants considering dry storage concepts for the longer term. Depending on the cladding type options of dry storage in air or inert gas are proposed. Dry storage is becoming widely used as a supplement to wet storage for zirconium alloy clad oxide fuels. Storage periods as long as under wet conditions appear to be feasible. Dry storage will also continue to be used for Al clad and Magnox type fuel. Enhancement of wet storage capacity will remain an important activity. Rod consolidation to increase wet storage capacity will continue in the UK and is being evaluated for LWR fuel in the USA, and may start in some other countries. High density storage racks have been successfully introduced in many existing pools and are planned for future facilities. For extremely long wet storage (≥50 years), there is a need to continue work on fuel integrity investigations and LWR fuel performance modelling. it might be that pool component performance in some cases could be more limiting than the FA storage performance. It is desirable to make concerted efforts in the field of corrosion monitoring and prediction of fuel cladding and poll component behaviour in order to maintain good experience of wet storage. Refs, figs and tabs

  3. Spent nuclear fuel in Bulgaria

    International Nuclear Information System (INIS)

    Peev, P.; Kalimanov, N.

    1999-01-01

    The development of the nuclear energy sector in Bulgaria is characterized by two major stages. The first stage consisted of providing a scientific basis for the programme for development of the nuclear energy sector in the country and was completed with the construction of an experimental water-water reactor. At present, spent nuclear fuel from this reactor is placed in a water filled storage facility and will be transported back to Russia. The second stage consisted of the construction of the 6 NPP units at the Kozloduy site. The spent nuclear fuel from the six units is stored in at reactor pools and in an additional on-site storage facility which is nearly full. In order to engage the government of the country with the on-site storage problems, the new management of the National Electric Company elaborated a policy on nuclear fuel cycle and radioactive waste management. The underlying policy is de facto the selection of the 'deferred decision' option for its spent fuel management. (author)

  4. Spent Fuel Working Group Report

    International Nuclear Information System (INIS)

    O'Toole, T.

    1993-11-01

    The Department of Energy is storing large amounts of spent nuclear fuel and other reactor irradiated nuclear materials (herein referred to as RINM). In the past, the Department reprocessed RINM to recover plutonium, tritium, and other isotopes. However, the Department has ceased or is phasing out reprocessing operations. As a consequence, Department facilities designed, constructed, and operated to store RINM for relatively short periods of time now store RINM, pending decisions on the disposition of these materials. The extended use of the facilities, combined with their known degradation and that of their stored materials, has led to uncertainties about safety. To ensure that extended storage is safe (i.e., that protection exists for workers, the public, and the environment), the conditions of these storage facilities had to be assessed. The compelling need for such an assessment led to the Secretary's initiative on spent fuel, which is the subject of this report. This report comprises three volumes: Volume I; Summary Results of the Spent Fuel Working Group Evaluation; Volume II, Working Group Assessment Team Reports and Protocol; Volume III; Operating Contractor Site Team Reports. This volume presents the overall results of the Working Group's Evaluation. The group assessed 66 facilities spread across 11 sites. It identified: (1) facilities that should be considered for priority attention. (2) programmatic issues to be considered in decision making about interim storage plans and (3) specific vulnerabilities for some of these facilities

  5. Spent nuclear fuel storage vessel

    International Nuclear Information System (INIS)

    Watanabe, Yoshio; Kashiwagi, Eisuke; Sekikawa, Tsutomu.

    1997-01-01

    Containing tubes for containing spent nuclear fuels are arranged vertically in a chamber. Heat releasing fins are disposed horizontal to the outer circumference of the containing tubes for rectifying cooling air and promoting cooling of the containing tubes. Louvers and evaporation sides of heat pipes are disposed at a predetermined distance in the chamber. Cooling air flows from an air introduction port to the inside of the chamber and takes heat from the containing tubes incorporated with heat generating spent nuclear fuels, rising its temperature and flows off to an air exhaustion exit. The direction for the rectification plate of the louver is downward from a horizontal position while facing to the air exhaustion port. Since the evaporation sides of the heat pipes are disposed in the inside of the chamber and the condensation side of the heat pipes is disposed to the outside of the chamber, the thermal energy can be recovered from the containing tubes incorporated with spent nuclear fuels and utilized. (I.N.)

  6. Modular dry storage of spent fuel

    International Nuclear Information System (INIS)

    Baxter, J.W.

    1982-01-01

    Long term uncertainties in US spent fuel reprocessing and storage policies and programs are forcing the electric utilities to consider means of storing spent fuel at the reactor site in increasing quantitities and for protracted periods. Utilities have taken initial steps in increasing storage capacity. Existing wet storage pools have in many cases been reracked to optimize their capacity for storing spent fuel assemblies

  7. Spent fuel storage process equipment development

    International Nuclear Information System (INIS)

    Park, Hyun Soo; Lee, Jae Sol; Yoo, Jae Hyung

    1990-02-01

    Nuclear energy which is a major energy source of national energy supply entails spent fuels. Spent fuels which are high level radioactive meterials, are tricky to manage and need high technology. The objectives of this study are to establish and develop key elements of spent fuel management technologies: handling equipment and maintenance, process automation technology, colling system, and cleanup system. (author)

  8. Spontaneous remission of hepatocellular carcinoma without any treatment

    Directory of Open Access Journals (Sweden)

    Shao-Ciao Luo

    2016-12-01

    A 61 year old asymptomatic woman visited our outpatient clinic (OPC with a high alpha-fetal protein (AFP level. A computed tomogram (CT revealed a 4.1 cm hypervascular tumor (arterial phase at S4 of the liver and washed out in venous phase. Her Hepatitis B Surface Antigen (HBsAg was negative and Hepatitis C Antibody (anti-HCV was positive. This patient also had esophageal varices. She refused any treatment and returned to our OPC about 2 years later. Her AFP level was 11.8 ng/ml. The following CT scan revealed a small amount of cirrhosis, but no mass, in the liver, so that spontaneous remission of HCC was determined. She was treated by oral diuretics. Here we report the case and review of literature.

  9. Mucosal healing and deep remission: What does it mean?

    Science.gov (United States)

    Rogler, Gerhard; Vavricka, Stephan; Schoepfer, Alain; Lakatos, Peter L

    2013-01-01

    The use of specific terms under different meanings and varying definitions has always been a source of confusion in science. When we point our efforts towards an evidence based medicine for inflammatory bowel diseases (IBD) the same is true: Terms such as “mucosal healing” or “deep remission” as endpoints in clinical trials or treatment goals in daily patient care may contribute to misconceptions if meanings change over time or definitions are altered. It appears to be useful to first have a look at the development of terms and their definitions, to assess their intrinsic and context-independent problems and then to analyze the different relevance in present-day clinical studies and trials. The purpose of such an attempt would be to gain clearer insights into the true impact of the clinical findings behind the terms. It may also lead to a better defined use of those terms for future studies. The terms “mucosal healing” and “deep remission” have been introduced in recent years as new therapeutic targets in the treatment of IBD patients. Several clinical trials, cohort studies or inception cohorts provided data that the long term disease course is better, when mucosal healing is achieved. However, it is still unclear whether continued or increased therapeutic measures will aid or improve mucosal healing for patients in clinical remission. Clinical trials are under way to answer this question. Attention should be paid to clearly address what levels of IBD activity are looked at. In the present review article authors aim to summarize the current evidence available on mucosal healing and deep remission and try to highlight their value and position in the everyday decision making for gastroenterologists. PMID:24282345

  10. Remission induction using alemtuzumab can permit chemotherapy-refractory chronic lymphocytic leukemia (CLL) patients to undergo allogeneic stem cell transplantation.

    Science.gov (United States)

    Knauf, Wolfgang; Rieger, Kathrin; Blau, Wolfgang; Hegenbart, Ute; Von Gruenhagen, Ulrich; Niederwieser, Dietger; Thiel, Eckhard

    2004-12-01

    The outcome of allogeneic stem cell transplantation depends upon the disease status before transplantation. Patients with refractory disease are at high risk for relapse. To improve the curative potential of the transplant procedure, we treated 3 chemotherapy-refractory CLL patients with alemtuzumab before allogeneic stem cell transplantation. Prior to therapy, all patients suffered from B-symptoms, and had massive adenopathy, splenomegaly, thrombocytopenia, and anemia; two patients had hepatomegaly. Alemtuzumab greatly reduced tumor mass in blood and bone marrow, B-symptoms resolved, and organomegaly improved. Two patients became blood product independent. All patients proceeded to transplantation after conditioning with TBI 2 Gy (n=1) or Treosulfan (n=2) in combination with Fludarabine either from an HLA-matched sibling (n=2) or from an HLA-matched unrelated donor (n=1). All patients engrafted, and are alive and well. Two patients reached complete remission (CR); one patient attained stable partial remission (PR). These heavily pre-treated refractory patients gained substantial clinical benefit from alemtuzumab, and received successful allografts.

  11. Treated and Untreated Remission from Problem Drinking in Late Life: Post-Remission Functioning and Health-Related Quality of Life

    Science.gov (United States)

    Schutte, Kathleen K.; Brennan, Penny L.; Moos, Rudolf H.

    2009-01-01

    Objective To evaluate the post-remission status of older remitted problem drinkers who achieved stable remission without treatment. Method The post-remission drinking behavior, health-related functioning, life context, coping, and help-seeking of older, untreated (n = 330) and treated (n = 120) former problem drinkers who had been remitted for a minimum of six years were compared twice over the course of six-years to each other and to lifetime nonproblem drinkers (n = 232). Analyses considered the impact of severity of drinking problem history. Results Untreated remitters were more likely than treated remitters to continue to drink, exhibited fewer chronic health problems and less depressive symptomatology, and were less likely to smoke. Untreated remitters’ life contexts were somewhat more benign than those of treated ones, and they were less likely to describe a coping motive for drinking and engage in post-remission help-seeking. Although untreated remitters more closely resembled lifetime nonproblem drinkers than did treated remitters, both untreated and treated remitter groups exhibited worse health-related functioning, more financial and interpersonal stressors, and more post-remission help-seeking than did lifetime nonproblem drinkers. Conclusions Regardless of whether late-life remission was gained without or with treatment, prior drinking problems conveyed a legacy of health-related and life context deficits. PMID:18829184

  12. Near surface spent fuel storage: environmental issues

    International Nuclear Information System (INIS)

    Nelson, I.C.; Shipler, D.B.; McKee, R.W.; Glenn, R.D.

    1979-01-01

    Interim storage of spent fuel appears inevitable because of the lack of reprocessing plants and spent fuel repositories. This paper examines the environmental issues potentially associated with management of spent fuel before disposal or reprocessing in a reference scenario. The radiological impacts of spent fuel storage are limited to low-level releases of noble gases and iodine. Water needed for water basin storage of spent fuel and transportation accidents are considered; the need to minimize the distance travelled is pointed out. Resource commitments for construction of the storage facilities are analyzed

  13. Overview of spent fuel management and problems

    International Nuclear Information System (INIS)

    Ritchie, I.G.; Ernst, P.C.

    1998-01-01

    Results compiled in the research reactor spent fuel database are used to assess the status of research reactor spent fuel worldwide. Fuel assemblies, their types, enrichment, origin of enrichment and geological distribution among the industrialized and developed countries of the world are discussed. Fuel management practices in wet and dry storage facilities and the concerns of reactor operators about long-term storage of their spent fuel are presented and some of the activities carried out by the International Atomic Energy Agency to address the issues associated with research reactor spent fuel are outlined. Some projections of spent fuel inventories to the year 2006 are presented and discussed. (author)

  14. Surveillance instrumentation for spent-fuel safeguards

    International Nuclear Information System (INIS)

    McKenzie, J.M.; Holmes, J.P.; Gillman, L.K.; Schmitz, J.A.; McDaniel, P.J.

    1978-01-01

    The movement, in a facility, of spent reactor fuel may be tracked using simple instrumentation together with a real time unfolding algorithm. Experimental measurements, from multiple radiation monitors and crane weight and position monitors, were obtained during spent fuel movements at the G.E. Morris Spent-Fuel Storage Facility. These data and a preliminary version of an unfolding algorithm were used to estimate the position of the centroid and the magnitude of the spent fuel radiation source. Spatial location was estimated to +-1.5 m and source magnitude to +-10% of their true values. Application of this surveillance instrumentation to spent-fuel safeguards is discussed

  15. Period of remission after treatment with UVA-1 in sclerodermic skin diseases.

    NARCIS (Netherlands)

    Kroft, Ilse; Kerkhof, P.C.M. van de; Gerritsen, M.J.P.; Jong, E.M.G.J. de

    2008-01-01

    BACKGROUND: Sclerodermic skin diseases can cause severe morbidity and disability. UVA-1 has shown to be an effective therapy for sclerodermic skin diseases. However, the period of remission in these patients is not clear. In this study, the effect and remission period of UVA-1 phototherapy in

  16. 19 CFR 162.96 - Remission of forfeitures and payment of fees, costs or interest.

    Science.gov (United States)

    2010-04-01

    ... Asset Forfeiture Reform Act § 162.96 Remission of forfeitures and payment of fees, costs or interest... for purposes of collection of any fees, costs or interest from the Government. ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Remission of forfeitures and payment of fees...

  17. 19 CFR 171.24 - Remission of forfeitures and payment of fees, costs or interest.

    Science.gov (United States)

    2010-04-01

    ... Disposition of Petitions § 171.24 Remission of forfeitures and payment of fees, costs or interest. Any seizure... fees, costs or interest from the Government. [T.D. 00-88, 65 FR 78093, Dec. 14, 2000] ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Remission of forfeitures and payment of fees...

  18. Microbial shifts and signatures of long-term remission in ulcerative colitis after faecal microbiota transplantation

    NARCIS (Netherlands)

    Fuentes Enriquez de Salamanca, Susana; Rossen, Noortje G.; Spek, van der Mirjam J.; Hartman, Jorn H.A.; Huuskonen, Laura; Korpela, Katri; Salojärvi, Jarkko; Aalvink, Steven; Vos, de Willem M.; Haens, D' Geert R.; Zoetendal, Erwin G.

    2017-01-01

    Faecal microbiota transplantation (FMT) may contribute towards disease remission in ulcerative colitis (UC), but it is unknown which factors determine long-term effect of treatment. Here, we aimed to identify bacterial signatures associated with sustained remission. To this end, samples from

  19. Nonremission and time to remission among remitters in major depressive disorder: Revisiting STAR*D.

    Science.gov (United States)

    Mojtabai, Ramin

    2017-12-01

    Some individuals with major depressive disorder do not experience a remission even after one or more adequate treatment trials. In some others who experience remission, it happens at variable times. This study sought to estimate the prevalence of nonremission in a large sample of patient participating in the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial and to identify correlates of nonremission and time to remission among remitters. Using data from 3,606 participants of STAR*D, the study used cure regression modeling to estimate nonremission and jointly model correlates of nonremission and time to remission among the remitters. Overall, 14.7% of the STAR*D participants were estimated to be nonremitters. Among remitters, the rate of remission declined over time. Greater severity, poorer physical health, and poor adherence with treatments were associated with both nonremission and a longer time to remission among the remitters in multivariable analyses, whereas unemployment, not having higher education, and longer duration of current episode were uniquely associated with nonremission; whereas, treatment in specialty mental health settings, poorer mental health functioning, and greater impairment in role functioning with a longer time to remission among remitters. Poor treatment adherence and poor physical health appear to be common risk factors for both nonremission and longer time to remission, highlighting the importance of integrated care models that address both medical and mental healthcare needs and interventions aimed at improving treatment adherence. © 2017 Wiley Periodicals, Inc.

  20. 19 CFR 351.517 - Exemption or remission upon export of indirect taxes.

    Science.gov (United States)

    2010-04-01

    ... taxes. 351.517 Section 351.517 Customs Duties INTERNATIONAL TRADE ADMINISTRATION, DEPARTMENT OF COMMERCE... Exemption or remission upon export of indirect taxes. (a) Benefit. In the case of the exemption or remission upon export of indirect taxes, a benefit exists to the extent that the Secretary determines that the...

  1. No survival benefit associated with routine surveillance imaging for Hodgkin lymphoma in first remission

    DEFF Research Database (Denmark)

    Jakobsen, L. H.; Hutchings, M.; Brown, P d N

    2016-01-01

    The use of routine imaging for patients with classical Hodgkin lymphoma (HL) in complete remission (CR) is controversial. In a population-based study, we examined the post-remission survival of Danish and Swedish HL patients for whom follow-up practices were different. Follow-up in Denmark includ...

  2. Predictive validity of proposed remission criteria in first-episode schizophrenic patients responding to antipsychotics

    NARCIS (Netherlands)

    Wunderink, Lex; Nienhuis, Fokko J.; Sytema, Sjoerd; Wiersma, Durk

    The objective of this study was to examine the predictive validity of the remission criteria proposed by Andreasen et all in first-episode patients responding to antipsychotics. Antipsychotic responsive patients with first-episode schizophrenia showing symptom remission (n = 60) were compared with

  3. Probability of spent fuel transportation accidents

    International Nuclear Information System (INIS)

    McClure, J.D.

    1981-07-01

    The transported volume of spent fuel, incident/accident experience and accident environment probabilities were reviewed in order to provide an estimate of spent fuel accident probabilities. In particular, the accident review assessed the accident experience for large casks of the type that could transport spent (irradiated) nuclear fuel. This review determined that since 1971, the beginning of official US Department of Transportation record keeping for accidents/incidents, there has been one spent fuel transportation accident. This information, coupled with estimated annual shipping volumes for spent fuel, indicated an estimated annual probability of a spent fuel transport accident of 5 x 10 -7 spent fuel accidents per mile. This is consistent with ordinary truck accident rates. A comparison of accident environments and regulatory test environments suggests that the probability of truck accidents exceeding regulatory test for impact is approximately 10 -9 /mile

  4. Factors predictive for incidence and remission of internet addiction in young adolescents: a prospective study.

    Science.gov (United States)

    Ko, Chih-Hung; Yen, Ju-Yu; Yen, Cheng-Fang; Lin, Huang-Chi; Yang, Ming-Jen

    2007-08-01

    The aim of the study is to determine the incidence and remission rates for Internet addiction and the associated predictive factors in young adolescents over a 1-year follow-up. This was a prospective, population-based investigation. Five hundred seventeen students (267 male and 250 female) were recruited from three junior high schools in southern Taiwan. The factors examined included gender, personality, mental health, self-esteem, family function, life satisfaction, and Internet activities. The result revealed that the 1-year incidence and remission rates for Internet addiction were 7.5% and 49.5% respectively. High exploratory excitability, low reward dependence, low self-esteem, low family function, and online game playing predicted the emergency of the Internet addiction. Further, low hostility and low interpersonal sensitivity predicted remission of Internet addiction. The factors predictive incidence and remission of Internet addiction identified in this study could be provided for prevention and promoting remission of Internet addiction in adolescents.

  5. Remission and rheumatoid arthritis: Data on patients receiving usual care in twenty-four countries

    DEFF Research Database (Denmark)

    Sokka, Tuulikki; Hetland, Merete Lund; Mäkinen, Heidi

    2008-01-01

    and lowest remission rates was >/=15% in 10 countries, 5-14% in 7 countries, and generally low remission rates [definition of remission, male sex, higher education, shorter disease duration, smaller number of comorbidities, and regular......OBJECTIVE: To compare the performance of different definitions of remission in a large multinational cross-sectional cohort of patients with rheumatoid arthritis (RA). METHODS: The Questionnaires in Standard Monitoring of Patients with RA (QUEST-RA) database, which (as of January 2008) included 5......,848 patients receiving usual care at 67 sites in 24 countries, was used for this study. Patients were clinically assessed by rheumatologists and completed a 4-page self-report questionnaire. The database was analyzed according to the following definitions of remission: American College of Rheumatology (ACR...

  6. HTGR spent fuel storage study

    International Nuclear Information System (INIS)

    Burgoyne, R.M.; Holder, N.D.

    1979-04-01

    This report documents a study of alternate methods of storing high-temperature gas-cooled reactor (HTGR) spent fuel. General requirements and design considerations are defined for a storage facility integral to a fuel recycle plant. Requirements for stand-alone storage are briefly considered. Three alternate water-cooled storage conceptual designs (plug well, portable well, and monolith) are considered and compared to a previous air-cooled design. A concept using portable storage wells in racks appears to be the most favorable, subject to seismic analysis and economic evaluation verification

  7. Spent nuclear fuel sampling strategy

    International Nuclear Information System (INIS)

    Bergmann, D.W.

    1995-01-01

    This report proposes a strategy for sampling the spent nuclear fuel (SNF) stored in the 105-K Basins (105-K East and 105-K West). This strategy will support decisions concerning the path forward SNF disposition efforts in the following areas: (1) SNF isolation activities such as repackaging/overpacking to a newly constructed staging facility; (2) conditioning processes for fuel stabilization; and (3) interim storage options. This strategy was developed without following the Data Quality Objective (DQO) methodology. It is, however, intended to augment the SNF project DQOS. The SNF sampling is derived by evaluating the current storage condition of the SNF and the factors that effected SNF corrosion/degradation

  8. Dry storage of spent fuel

    International Nuclear Information System (INIS)

    Jeffrey, R.

    1993-01-01

    Scottish Nuclear's plans to build and operate dry storage facilities at each of its two nuclear power station sites in Scotland are explained. An outline of where waste materials arise as part of the operation and decommissioning of nuclear power stations, the volumes for each category of high-, intermediate-and low-level wastes and the costs involved are given. The present procedure for the spent fuels from Hunterston-B and Torness stations is described and Scottish Nuclear's aims of driving output up and costs down are studied. (UK)

  9. Spent fuel canister docking station

    International Nuclear Information System (INIS)

    Suikki, M.

    2006-01-01

    The working report for the spent fuel canister docking station presents a design for the operation and structure of the docking equipment located in the fuel handling cell for the spent fuel in the encapsulation plant. The report contains a description of the basic requirements for the docking station equipment and their implementation, the operation of the equipment, maintenance and a cost estimate. In the designing of the equipment all the problems related with the operation have been solved at the level of principle, nevertheless, detailed designing and the selection of final components have not yet been carried out. In case of defects and failures, solutions have been considered for postulated problems, and furthermore, the entire equipment was gone through by the means of systematic risk analysis (PFMEA). During the docking station designing we came across with needs to influence the structure of the actual disposal canister for spent nuclear fuel, too. Proposed changes for the structure of the steel lid fastening screw were included in the report. The report also contains a description of installation with the fuel handling cell structures. The purpose of the docking station for the fuel handling cell is to position and to seal the disposal canister for spent nuclear fuel into a penetration located on the cell floor and to provide suitable means for executing the loading of the disposal canister and the changing of atmosphere. The designed docking station consists of a docking ring, a covering hatch, a protective cone and an atmosphere-changing cap as well as the vacuum technology pertaining to the changing of atmosphere and the inert gas system. As far as the solutions are concerned, we have arrived at rather simple structures and most of the actuators of the system are situated outside of the actual fuel handling cell. When necessary, the equipment can also be used for the dismantling of a faulty disposal canister, cut from its upper end by machining. The

  10. Spent fuel storage requirements 1987

    International Nuclear Information System (INIS)

    1987-09-01

    Historical inventories of spent fuel and utility estimates of future discharges from US commercial nuclear reactors are presented through the year 2005. The ultimate needs for additional storage capacity are estimated. These estimtes are based on the maximum capacities within current and planned at-reactor facilities and on any planned transshipments of fuel to other reactors or facilities. Historical data through December, 1986, and projected discharges through the end of reactor life are used in this analysis. The source data was supplied by the utilities to the DOE Energy Information Administration (EIA) through the 1987 RW-859 data survey. 14 refs., 4 figs., 9 tabs

  11. Spent nuclear fuel storage - Basic concept

    International Nuclear Information System (INIS)

    Krempel, Ascanio; Santos, Cicero D. Pacifici dos; Sato, Heitor Hitoshi; Magalhaes, Leonardo de

    2009-01-01

    According to the procedures adopted in others countries in the world, the spent nuclear fuel elements burned to produce electrical energy in the Brazilian Nuclear Power Plant of Angra do Reis, Central Nuclear Almirante Alvaro Alberto - CNAAA will be stored for a long time. Such procedure will allow the next generation to decide how they will handle those materials. In the future, the reprocessing of the nuclear fuel assemblies could be a good solution in order to have additional energy resource and also to decrease the volume of discarded materials. This decision will be done in the future according to the new studies and investigations that are being studied around the world. The present proposal to handle the nuclear spent fuel is to storage it for a long period of time, under institutional control. Therefore, the aim of this paper is to introduce a proposal of a basic concept of spent fuel storage, which involves the construction of a new storage building at site, in order to increase the present storage capacity of spent fuel assemblies in CNAAA installation; the concept of the spent fuel transportation casks that will transfer the spent fuel assemblies from the power plants to the Spent Fuel Complementary Storage Building and later on from this building to the Long Term Intermediate Storage of Spent Fuel; the concept of the spent fuel canister and finally the basic concept of the spent fuel long term storage. (author)

  12. Sealed can of spent fuel

    International Nuclear Information System (INIS)

    Suzuki, Yasuyuki.

    1976-01-01

    Object: To provide a seal plug cover with a gripping portion fitted to a canning machine and a gripping portion fitted to a gripper of the same configuration as a fuel body for handling the fuel body so as to facilitate the handling work. Structure: A sealed can comprises a vessel and a seal plug cover, said cover being substantially in the form of a bottomed cylinder, which is slipped on the vessel and air-tightly secured by a fastening bolt between it and a flange. The spent fuel body is received into the vessel together with coolant during the step of canning operation. Said seal plug cover has two gripping portions, one for opening and closing the plug cover of the canning machine as an exclusive use member, the other being in the form of a hook-shaped peripheral groove, whereby the gripping portions may be effectively used using the same gripper when the spent fuel body is transported while being received in the sealed can or when the fuel body is removed from the sealed can. (Kawakami, Y.)

  13. Reprocessing of spent nuclear fuel

    International Nuclear Information System (INIS)

    Schmitt, D.

    1985-01-01

    How should the decision in favour of reprocessing and against alternative waste management concepts be judged from an economic standpoint. Reprocessing is not imperative neither for resource-economic reasons nor for nuclear energy strategy reasons. On the contrary, the development of an ultimate storage concept representing a real alternative promising to close, within a short period of time, the nuclear fuel cycle at low cost. At least, this is the result of an extensive economic efficiency study recently submitted by the Energy Economics Institute which investigated all waste management concepts relevant for the Federal Republic of Germany in the long run, i.e. direct ultimate storage of spent fuel elements (''Other waste disposal technologies'' - AE) as well as reprocessing of spent fuel elements where re-usable plutonium and uranium are recovered and radioactive waste goes to ultimate storage (''Integrated disposal'' - IE). Despite such fairly evident results, the government of the Federal Republic of Germany has favoured the construction of a reprocessing plant. From an economic point of view there is no final answer to the question whether or not the argumentation is sufficient to justify the decision to construct a reprocessing plant. This is true for both the question of technical feasibility and issues of overriding significance of a political nature. (orig./HSCH) [de

  14. Spent fuel storage criticality safety

    Energy Technology Data Exchange (ETDEWEB)

    Amin, E M; Elmessiry, A M [National center of nuclear safety and radiation control atomic energy authority, (Egypt)

    1995-10-01

    The safety aspects of the spent fuel storage pool of the Egyptian test and research reactor one (ET-R R-1) has to be assessed as part of a general overall safety evaluation to be included in a safety analysis report (SAR) for this reactor. The present work treats the criticality safety of the spent fuel storage pool. Conservative calculations based on using fresh fuel has been performed, as well as less conservative using burned fuel. The calculations include cross library generation for burned and fresh fuel for the ET-R R-1 fuel type. The WIMS-D 4 code has been used in library generation and burn up calculation the critically calculations are performed using the one dimensional transport code (ANISN) and the two dimensional diffusion code (DIXY2). The possibility of increasing the storage efficiency either by insertion of absorber sheets of soluble boron salts or by reduction of fuel rod separation has been studied. 8 figs., 2 tabs.

  15. Spent fuel storage criticality safety

    International Nuclear Information System (INIS)

    Amin, E.M.; Elmessiry, A.M.

    1995-01-01

    The safety aspects of the spent fuel storage pool of the Egyptian test and research reactor one (ET-R R-1) has to be assessed as part of a general overall safety evaluation to be included in a safety analysis report (SAR) for this reactor. The present work treats the criticality safety of the spent fuel storage pool. Conservative calculations based on using fresh fuel has been performed, as well as less conservative using burned fuel. The calculations include cross library generation for burned and fresh fuel for the ET-R R-1 fuel type. The WIMS-D 4 code has been used in library generation and burn up calculation the critically calculations are performed using the one dimensional transport code (ANISN) and the two dimensional diffusion code (DIXY2). The possibility of increasing the storage efficiency either by insertion of absorber sheets of soluble boron salts or by reduction of fuel rod separation has been studied. 8 figs., 2 tabs

  16. Intermodal transfer of spent fuel

    International Nuclear Information System (INIS)

    Neuhauser, K.S.; Weiner, R.F.

    1993-01-01

    This paper discusses RADTRAN calculational models and parameter values for describing dose to workers during incident-free ship-to-truck transfer of spent fuel. Data obtained during observation of the offloading of research reactor spent fuel at Newport News Terminal in the Port of Hampton Roads, Virginia, are described. These data include estimates of exposure times and distances for handlers, inspectors, and other workers during offloading and overnight storage. Other workers include crane operators, scale operators, security personnel, and truck drivers. The data are compared to the default data in RADTRAN 4, and the latter are found to be conservative. The casks were loaded under IAEA supervision at their point of origin, and three separate radiological inspections of each cask were performed at the entry to the port (Hampton Roads) by the U.S. Coast Guard, the state of Virginia, and the shipping firm. As a result of the international standardization of containerized cargo handling in ports around the world, maritime shipment handling is particularly uniform. Thus, handler exposure parameters will be relatively constant for ship-truck and ship-rail transfers at ports throughout the world. Inspectors' doses are expected to vary because of jurisdictional considerations. The results of this study should be applicable to truck-to-rail transfers. (author)

  17. Remission and recovery in schizophrenia: practitioner and patient perspectives.

    Science.gov (United States)

    Davidson, Larry; Schmutte, Timothy; Dinzeo, Thomas; Andres-Hyman, Raquel

    2008-01-01

    Schizophrenia remains a complex, dynamic, multi-dimensional, and poorly understood condition. Although the concept of heterogeneity in outcome has conceptually overturned the post Kraepelinian legacy of progressive deterioration, a number of factors appear to contribute to perpetuating a pessimistic attitude toward outcome within the field. These include the limited access people with schizophrenia have to effective interventions and the phenomenon of the "clinician's illusion," which refers to the tendency of practitioners to assume that patients remain seriously ill when outside of the clinical care settings in which they are typically seen. Longitudinal studies, however, continue to point to a large number of people who experience improvements in their condition over time. Pressure from patients and their families, who experience periods of symptomatic relief and enhanced functioning first-hand, has led to the introduction of such concepts as "remission" and being "in" recovery with schizophrenia, in addition to the conventional notion of recovering "from" schizophrenia. These developments are consistent with recent policy initiatives by the U.S. and other governments around the world and aim to re-orient research and clinical practice from a traditional focus on effecting cure to exploring ways to encourage and assist people with schizophrenia to live meaningful lives in the face of an enduring illness.

  18. Spent fuel. Dissolution and oxidation

    International Nuclear Information System (INIS)

    Grambow, B.

    1989-03-01

    Data from studies of the low temperature air oxidation of spent fuel were retrieved in order to provide a basis for comparison between the mechanism of oxidation in air and corrosion in water. U 3 O 7 is formed by diffusion of oxygen into the UO 2 lattice. A diffusion coefficient of oxygen in the fuel matric was calculated for 25 degree C to be in the range of 10 -23 to 10 -25 m 2 /s. The initial rates of U release from spent fuel and from UO 2 appear to be similar. The lowest rates (at 25 degree c >10 -4 g/(m 2 d)) were observed under reducing conditions. Under oxidizing conditions the rates depend mainly of the nature and concentraion of the oxidant and/or on corbonate. In contact with air, typical initial rates at room temperature were in the range between 0.001 and 0.1 g/(m 2 d). A study of apparent U solubility under oxidizing conditions was performed and it was suggested that the controlling factor is the redox potential at the UO 2 surface rather than the E h of the bulk solution. Electrochemical arguments were used to predict that at saturation, the surface potential will eventually reach a value given by the boundaries at either the U 3 O 7 /U 3 O 8 or the U 3 O 7 /schoepite stability field, and a comparison with spent fuel leach data showed that the solution concentration of uranium is close to the calculated U solubility at the U 3 O 7 /U 3 O 8 boundary. The difference in the cumulative Sr and U release was calculated from data from Studsvik laboratory. The results reveal that the rate of Sr release decreases with the square root of time under U-saturated conditions. This time dependence may be rationalized either by grain boundary diffusion or by diffusion into the fuel matrix. Hence, there seems to be a possibility of an agreement between the Sr release data, structural information and data for oxygen diffusion in UO 2 . (G.B.)

  19. Overview on spent fuel management strategies

    International Nuclear Information System (INIS)

    Dyck, P.

    2002-01-01

    This paper presents an overview on spent fuel management strategies which range from reprocessing to interim storage in a centralised facility followed by final disposal in a repository. In either case, more spent fuel storage capacity (wet or dry, at-reactor or away-from-reactor, national or regional) is required as spent fuel is continuously accumulated while most countries prefer to defer their decision to choose between these two strategies. (author)

  20. Spent fuel management in France: Programme status

    International Nuclear Information System (INIS)

    Chaudat, J.P.

    1990-01-01

    France's programme is best characterized as a closed fuel cycle including reprocessing, Plutonium recycling in PWR and use of breeder reactors. The current installed nuclear capacity is 52.5 GWe from 55 units. The spent fuel management scheme chosen is reprocessing. This paper describes the national programme, spent nuclear fuel storage, reprocessing and contracts for reprocessing of spent fuel from various countries. (author). 5 figs, 2 tabs

  1. Spent fuel shipping cask accident evaluation

    International Nuclear Information System (INIS)

    Fields, S.R.

    1975-12-01

    Mathematical models have been developed to simulate the dynamic behavior, following a hypothetical accident and fire, of typical casks designed for the rail shipment of spent fuel from nuclear reactors, and to determine the extent of radioactive releases under postulated conditions. The casks modeled were the IF-300, designed by the General Electric Company for the shipment of spent LWR fuel, and a cask designed by the Aerojet Manufacturing Company for the shipment of spent LMFBR fuel

  2. Spent fuels transportation coming from Australia

    International Nuclear Information System (INIS)

    2002-01-01

    Maritime transportation of spent fuels from Australia to France fits into the contract between COGEMA and ANSTO, signed in 1999. This document proposes nine information cards in this domain: HIFAR a key tool of the nuclear, scientific and technological australian program; a presentation of the ANSTO Australian Nuclear Science and Technology Organization; the HIFAR spent fuel management problem; the COGEMA expertise in favor of the research reactor spent fuel; the spent fuel reprocessing at La Hague; the transports management; the transport safety (2 cards); the regulatory framework of the transports. (A.L.B.)

  3. Thermal model of spent fuel transport cask

    International Nuclear Information System (INIS)

    Ahmed, E.E.M.; Rahman, F.A.; Sultan, G.F.; Khalil, E.E.

    1996-01-01

    The investigation provides a theoretical model to represent the thermal behaviour of the spent fuel elements when transported in a dry shipping cask under normal transport conditions. The heat transfer process in the spent fuel elements and within the cask are modeled which include the radiant heat transfer within the cask and the heat transfer by thermal conduction within the spent fuel element. The model considers the net radiant method for radiant heat transfer process from the inner most heated element to the surrounding spent elements. The heat conduction through fuel interior, fuel-clad interface and on clad surface are also presented. (author) 6 figs., 9 refs

  4. Spent fuel critical masses and supportive measurements

    International Nuclear Information System (INIS)

    Toffer, H.; Wells, A.H.

    1987-01-01

    Critical masses for spent fuel are larger than for green fuel and therefore use of the increased masses could result in improved handling, storage, and transport of such materials. To apply spent fuel critical masses requires an assessment of fuel exposure and the corresponding isotopic compositions. The paper discusses several approaches at the Hanford N Reactor in establishing fuel exposure, including a direct measurement of spent to green fuel critical masses. The benefits derived from the use of spent fuel critical masses are illustrated for cask designs at the Nuclear Assurance Corporation. (author)

  5. Safety analysis of spent fuel packaging

    International Nuclear Information System (INIS)

    Akamatsu, Hiroshi; Taniuchi, Hiroaki; Tai, Hideto

    1987-01-01

    Many types of spent fuel packagings have been manufactured and been used for transport of spent fuels discharged from nuclear power plant. These spent fuel packagings need to be assesed thoroughly about safety transportation because spent fuels loaded into the packaging have high radioactivity and generation of heat. This paper explains the outline of safety analysis of a packaging, Safety analysis is performed for structural, thermal, containment, shielding and criticality factors, and MARC-CDC, TRUMP, ORIGEN, QAD, ANISN, KENO, etc computer codes are used for such analysis. (author)

  6. Spent fuel's behavior under dynamic drip tests

    International Nuclear Information System (INIS)

    Finn, P.A.; Buck, E.C.; Hoh, J.C.; Bates, J.K.

    1995-01-01

    In the potential repository at Yucca Mountain, failure of the waste package container and the cladding of the spent nuclear fuel would expose the fuel to water under oxidizing conditions. To simulate the release behavior of radionuclides from spent fuel, dynamic drip and vapor tests with spent nuclear fuel have been ongoing for 2.5 years. Rapid alteration of the spent fuel has been noted with concurrent release of radionuclides. Colloidal species containing americium and plutonium have been found in the leachate. This observation suggests that colloidal transport of radionuclides should be included in the performance assessment of a potential repository

  7. Transplantation of autologous bone marrow in three patients with acute myelogenous leukaemia during the first remission

    Energy Technology Data Exchange (ETDEWEB)

    Loewenberg, B; Sizoo, W; Sintnicolaas, K; Hendriks, W D.H.; Poel, J van der [Rotterdams Radio Therapeutisch Inst. (Netherlands); Abels, J; Dzoljic, G [Akademisch Ziekenhuis Rotterdam-Dijkzigt (Netherlands); Bekkum, D.W. van; Wagemaker, G [Gezondheidsorganisatie TNO, Rijswijk (Netherlands). Radiobiologisch Inst. TNO

    1983-07-23

    A report is presented on the first results of transplantation of autologous bone marrow in 3 adult patients with acute myelogenous leukaemia. The treatment consisted of intensive chemotherapy and whole-body irradiation and was followed by transplantation of a limited number of non-purified bone-marrow cells that had previously been collected from the patient. In all three patients, transplantation was followed by a stable remission. One patient had a fatal recurrence after a total period of 21 months of remission. In 2 patients, the remissions continue. The clinical significance of these findings is discussed.

  8. Development of Preliminary Remission Criteria for Gout Using Delphi and 1000Minds® Consensus Exercises

    DEFF Research Database (Denmark)

    de Lautour, Hugh; Taylor, William J; Adebajo, Ade

    2016-01-01

    OBJECTIVES: The aim of this study was to establish consensus for potential remission criteria for use in clinical trials of gout. METHODS: Experts (n=88) in gout from multiple countries were invited to participate in a web-based questionnaire study. Three rounds of Delphi consensus exercises were...... months (51%) and one year (49%). In the discrete choice experiment, there was a preference towards 12 months as a timeframe for remission. CONCLUSION: These consensus exercises have identified domains and provisional definitions for gout remission criteria. Based on the results of these exercises...

  9. [Clinical features of depression in the remission phase of paranoid schizophrenia].

    Science.gov (United States)

    Petrova, N N; Vishnevskaya, O A

    2013-01-01

    Phenomenological and pathogenetic features of depression developed in the remission phase of paranoid schizophrenia were studied in 75 patients (mean age 44.9±1.22 years). Depression was diagnosed in 58.7% patients. It has been shown that the psychopathological structure of depression was not homogenous and 63.6% cases were atypical. In 25% patients, depressive disorders were psychogenic. Depression concomitant with anxiety disorders was most common. Depression in the phase of remission developed most often in female patients older than 39 years and in male patients younger than 39 years. Cognitive function was not impaired in patients with depression in the remission phase of paranoid schizophrenia.

  10. Transplantation of autologous bone marrow in three patients with acute myelogenous leukaemia during the first remission

    International Nuclear Information System (INIS)

    Loewenberg, B.; Sizoo, W.; Sintnicolaas, K.; Hendriks, W.D.H.; Poel, J. van der; Abels, J.; Dzoljic, G.; Bekkum, D.W. van; Wagemaker, G.

    1983-01-01

    A report is presented on the first results of transplantation of autologous bone marrow in 3 adult patients with acute myelogenous leukaemia. The treatment consisted of intensive chemotherapy and whole-body irradiation and was followed by transplantation of a limited number of non-purified bone-marrow cells that had previously been collected from the patient. In all three patients, transplantation was followed by a stable remission. One patient had a fatal recurrence after a total period of 21 months of remission. In 2 patients, the remissions continue. The clinical significance of these findings is discussed. (Auth.)

  11. Reprocessing method for spent fuel

    International Nuclear Information System (INIS)

    Fujie, Makoto; Shoji, Yuichi; Kobayashi, Tsuguyuki.

    1997-01-01

    After reducing oxides of uranium (U), plutonium (Pu) and miner actinides in spent fuels by magnesium (Mg) in a molten salt, rear earth element oxides and salts of alkali metals and alkaline earth metals contained in the molten salt phase are separated and removed. Further, the Mg phase containing the reduced metals is evaporated to separate and remove Mg, thereby recovering U, Pu and minor actinides. In a lithium (Li) process, Li 2 O also generated in the reduction step is regenerated to Li simultaneously, and the reduction is conducted while suppressing the Li 2 O concentration in the molten salt low. This can improve the reduction rate of oxides of U, Pu and minor actinides compared with conventional cases. Since Li 2 O is regenerated into Li in the reduction step of the Li process, deposited Li 2 O is not carried to an electrolysis purification step, and recovering rate of U, Pu and minor actinides is not lowered. (T.M.)

  12. Method of decladding spent fuel

    International Nuclear Information System (INIS)

    Fukutome, Kazuyuki; Kitagawa, Kazuo.

    1988-01-01

    Purpose: To enable to safety and easy decladding of nuclear fuels thereby reduce the processing cost. Constitution: Upon dismantling of a spent fuel rod, the fuel rod is heated at least to such a temperature that the ductility of a fuel can is recovered, then transported by using seizing rollers, by which the fuel rod is pressurized from the outer circumference to break the nuclear fuels at the inside thereof. Then, the destructed fuels are recovered from both ends of the fuel can. With such a constitution, since the ductility of the fuel can is recovered by heating, when the fuel rod is passed through the rollers in this state, the fuel can is deformed to destroy the nuclear fuels at the inside thereof. Since the nuclear fuels are destroyed into small pieces, they can be taken out easily from both ends of the fuel can. (Kawakami, Y.)

  13. The Steroids in the Maintenance of Remission of Proliferative Lupus Nephritis (SIMPL Pilot Trial

    Directory of Open Access Journals (Sweden)

    Lauren Galbraith

    2014-11-01

    Full Text Available Background: Patients with proliferative lupus nephritis are at risk of frequent relapses. Whether low- dose prednisone prevents relapses is uncertain. Objectives: We undertook a pilot RCT to determine the feasibility of a larger trial. Design: Pilot randomized controlled trial. Setting: Single center Canadian outpatient nephrology clinic. Patients: Participants with systemic lupus erythematosus (SLE and a history of class III or IV lupus nephritis that achieved at least partial remission and remained on prednisone were eligible. Measurements: Feasibility: proportion of eligible patients randomized and adherence to tapering regimen. Clinical: occurrence of renal or major non-renal flare of SLE. Methods: We conducted a blinded, two-parallel-group randomized controlled trial of prednisone 7.5 mg/day (continuation compared to a matching placebo (withdrawal. Results: Of nineteen eligible patients screened, 15 (79% were recruited and randomized; 8 to prednisone continuation and seven to withdrawal. All participants adhered to the tapering protocol to their assigned withdrawal or low-dose maintenance target. Over 36 months, the primary outcome occurred in four (50% patients in the continuation group (three renal and one major non-renal flare, compared with one patient (14% in the withdrawal group (one renal flare. Three participants (38% in the continuation group had minor flares, while no patients in the withdrawal group did. Limitations: This pilot RCT was small and not designed to assess the efficacy or safety of maintenance with low-dose prednisone. Conclusions: The high proportion of eligible patients recruited, and success of protocol adherence suggest a large trial of prednisone maintenance therapy compared to withdrawal is feasible. Trial registration: Current Controlled Trials ISRCTN31327267.

  14. Spent fuel receipt and lag storage facility for the spent fuel handling and packaging program

    International Nuclear Information System (INIS)

    Black, J.E.; King, F.D.

    1979-01-01

    Savannah River Laboratory (SRL) is participating in the Spent Fuel Handling and Packaging Program for retrievable, near-surface storage of spent light water reactor (LWR) fuel. One of SRL's responsibilities is to provide a technical description of the wet fuel receipt and lag storage part of the Spent Fuel Handling and Packaging (SFHP) facility. This document is the required technical description

  15. Paternal alcoholism predicts the occurrence but not the remission of alcoholic drinking

    DEFF Research Database (Denmark)

    Knop, J; Penick, E C; Nickel, E J

    2007-01-01

    OBJECTIVE: To test the effects of father's alcoholism on the development and remission from alcoholic drinking by age 40. METHOD: Subjects were selected from a Danish birth cohort that included 223 sons of alcoholic fathers (high risk; HR) and 106 matched controls (low risk; LR). Clinical...... examinations were performed at age 40 (n = 202) by a psychiatrist using structured interviews and DSM-III-R diagnostic criteria. RESULTS: HR subjects were significantly more likely than LR subjects to develop alcohol dependence (31% vs. 16%), but not alcohol abuse (17% vs. 15%). More subjects with alcohol...... abuse were in remission at age 40 than subjects with alcohol dependence. Risk did not predict remission from either alcohol abuse or alcohol dependence. CONCLUSION: Familial influences may play a stronger role in the development of alcoholism than in the remission or recovery from alcoholism....

  16. Remission and rheumatoid arthritis: Data on patients receiving usual care in twenty-four countries

    DEFF Research Database (Denmark)

    Sokka, Tuulikki; Hetland, Merete Lund; Mäkinen, Heidi

    2008-01-01

    and lowest remission rates was >/=15% in 10 countries, 5-14% in 7 countries, and definition of remission, male sex, higher education, shorter disease duration, smaller number of comorbidities, and regular......OBJECTIVE: To compare the performance of different definitions of remission in a large multinational cross-sectional cohort of patients with rheumatoid arthritis (RA). METHODS: The Questionnaires in Standard Monitoring of Patients with RA (QUEST-RA) database, which (as of January 2008) included 5......,848 patients receiving usual care at 67 sites in 24 countries, was used for this study. Patients were clinically assessed by rheumatologists and completed a 4-page self-report questionnaire. The database was analyzed according to the following definitions of remission: American College of Rheumatology (ACR...

  17. Prospects of spent management in Spain

    International Nuclear Information System (INIS)

    Melches, C.; Ramirez, E.; Selgas, F.; Cabanilles, P.A.; Lopez Perez, B.; Uriarte, A.

    1978-01-01

    The purpose of this paper is to outline the forecast on spent fuel management in Spain, taking into account the international developments produced during the last years and specially on LWR fuels. This forecast is based on the following actions: increase of the storage capacity in the reactors: construction of an independent spent fuel storage installation (ISFSI) and a fuel reprocessing pilot plant. (author)

  18. Research reactor spent fuel in Ukraine

    International Nuclear Information System (INIS)

    Trofimenko, A.P.

    1996-01-01

    This paper describes the research reactors in Ukraine, their spent fuel facilities and spent fuel management problems. Nuclear sciences, technology and industry are highly developed in Ukraine. There are 5 NPPs in the country with 14 operating reactors which have total power capacity of 12,800 MW

  19. Costing of spent nuclear fuel storage

    International Nuclear Information System (INIS)

    2009-01-01

    This report deals with economic analysis and cost estimation, based on exploration of relevant issues, including a survey of analytical tools for assessment and updated information on the market and financial issues associated with spent fuel storage. The development of new storage technologies and changes in some of the circumstances affecting the costs of spent fuel storage are also incorporated. This report aims to provide comprehensive information on spent fuel storage costs to engineers and nuclear professionals as well as other stakeholders in the nuclear industry. This report is meant to provide informative guidance on economic aspects involved in selecting a spent fuel storage system, including basic methods of analysis and cost data for project evaluation and comparison of storage options, together with financial and business aspects associated with spent fuel storage. After the review of technical options for spent fuel storage in Section 2, cost categories and components involved in the lifecycle of a storage facility are identified in Section 3 and factors affecting costs of spent fuel storage are then reviewed in the Section 4. Methods for cost estimation and analysis are introduced in Section 5, and other financial and business aspects associated with spent fuel storage are discussed in Section 6.

  20. A central spent fuel storage in Sweden

    International Nuclear Information System (INIS)

    Gustafsson, B.; Hagberth, R.

    1978-01-01

    A planned central spent fuel storage facility in Sweden is described. The nuclear power program and quantities of spent fuel generated in Sweden is discussed. A general description of the facility is given with emphasis on the lay-out of the buildings, transport casks and fuel handling. Finally a possible design of a Swedish transportation system is discussed. (author)

  1. Spent fuel storage for ISER plant

    International Nuclear Information System (INIS)

    Nakajima, Takasuke; Kimura, Yuzi

    1987-01-01

    ISER is an intrinsically safe reactor basing its safety only on physical laws, and uses a steel reactor vessel in order to be economical. For such a new type reactor, it is essentially important to be accepted by the society by showing that the reactor is more profitable than conventional reactors to the public in both technical and economic viewpoint. It is also important that the reactor raises no serious problem in the total fuel cycle. Reprocessing seems one of the major worldwide fuel cycle issues. Spent fuel storage is also one of the key technologies for fuel cycle back end. Various systems for ISER spent fuel storages are examined in the present report. Spent fuel specifications of ISER are similar to those of LWR and therefore, most of LWR spent fuel technologies are basically applicable to ISER spent fuel. Design requirements and examples of storage facilities are also discussed. Dry storage seems to be preferable for the relatively long cooling time spent fuel like ISER's one from economical viewpoint. Vault storage will possibly be the most advantageous for large storage capacity. Another point for discussion is the location and international collaboration for spent fuel storages: ISER expected to be a worldwide energy source and therefore, international spent fuel management seems to be fairly attractive way for an energy recipient country. (Nogami, K.)

  2. Spent Nuclear Fuel (SNF) Project Execution Plan

    International Nuclear Information System (INIS)

    LEROY, P.G.

    2000-01-01

    The Spent Nuclear Fuel (SNF) Project supports the Hanford Site Mission to cleanup the Site by providing safe, economic, environmentally sound management of Site spent nuclear fuel in a manner that reduces hazards by staging it to interim onsite storage and deactivates the 100 K Area facilities

  3. Spent Nuclear Fuel (SNF) Project Execution Plan

    Energy Technology Data Exchange (ETDEWEB)

    LEROY, P.G.

    2000-11-03

    The Spent Nuclear Fuel (SNF) Project supports the Hanford Site Mission to cleanup the Site by providing safe, economic, environmentally sound management of Site spent nuclear fuel in a manner that reduces hazards by staging it to interim onsite storage and deactivates the 100 K Area facilities.

  4. Intraoperation haemorrhage into hypophysis adenoma as the cause of acromegaly remission

    Directory of Open Access Journals (Sweden)

    V N Azizyan

    2011-03-01

    Full Text Available In this article we describe a spontaneous remission of acromegaly of intraoperative bleeding, with subsequent hemorrhage into the tumor. The cases of spontaneous remission of acromegaly described in the literature have been associated mainly with hemorrhage or ischemic apoplexy pituitary adenoma without surgical intervention. Most often, both processes, especially hemorrhage are accompanied by the development of panhypopituitarism. Cases in which there was a normalization of only growth hormone isolated.

  5. Intractable seizures after a lengthy remission in childhood-onset epilepsy.

    Science.gov (United States)

    Camfield, Peter R; Camfield, Carol S

    2017-12-01

    To establish the risk of subsequent intractable epilepsy after ≥2, ≥5, and ≥10 years of remission in childhood-onset epilepsy. From the Nova Scotia childhood-onset epilepsy population-based cohort patients with all types of epilepsy were selected with ≥20 years follow-up from seizure onset (incidence cases). Children with childhood absence epilepsy were excluded. The rate of subsequent intractable epilepsy was then studied for patients with ≥5 years remission on or off AED treatment and compared with the rate for those with ≥2 and ≥10 years of remission. Three hundred eighty-eight eligible patients had ≥20 years follow-up (average 27.7 ± (standard deviation) 4 years) until they were an average of 34 ± 6.5 years of age. Overall, 297 (77%) had a period of ≥5 years of seizure freedom (average 21.2 ± 8 years), with 90% of these remissions continuing to the end of follow-up. Seizures recurred in 31 (10%) and were intractable in 7 (2%). For the 332 with a remission of ≥2 years seizure-free, 6.9% subsequently developed intractable epilepsy (p = 0.001). For the 260 with ≥10 years remission, 0.78% subsequently developed intractable epilepsy (p = 0.25 compared with ≥5 years remission). Even after ≥5 or ≥10 years of seizure freedom, childhood-onset epilepsy may reappear and be intractable. The risk is fortunately small, but for most patients it is not possible to guarantee a permanent remission. Wiley Periodicals, Inc. © 2017 International League Against Epilepsy.

  6. Remote technology applications in spent fuel management

    International Nuclear Information System (INIS)

    2005-03-01

    Spent fuel management has become a prospective area for application of remote technology in recent years with a steadily growing inventory of spent fuel arising from nuclear power production. A remark that could be made from the review of technical information collected from the IAEA meetings was that remote technology in spent fuel management has matured well through the past decades of industrial experiences. Various remote technologies have been developed and applied in the past for facility operation and maintenance work in spent fuel examination, storage, transportation, reprocessing and radioactive waste treatment, among others, with significant accomplishments in dose reduction to workers, enhancement of reliability, etc. While some developmental activities are continuing for more advanced applications, industrial practices have made use of simple and robust designs for most of the remote systems technology applications to spent fuel management. In the current state of affairs, equipment and services in remote technology are available in the market for applications to most of the projects in spent fuel management. It can be concluded that the issue of critical importance in remote systems engineering is to make an optimal selection of technology and equipment that would best satisfy the as low as reasonably achievable (ALARA) requirements in terms of relevant criteria like dose reduction, reliability, costs, etc. In fact, good selection methodology is the key to efficient implementation of remote systems applications in the modern globalized market. This TECDOC gives a review of the current status of remote technology applications for spent fuel management, based on country reports from some Member States presented at the consultancy meetings, of which updated reports are attached in the annex. The scope of the review covers the series of spent fuel handling operations involved in spent fuel management, from discharge from reactor to reprocessing or

  7. Development of spent fuel dry storage technology

    International Nuclear Information System (INIS)

    Maruoka, Kunio; Matsunaga, Kenichi; Kunishima, Shigeru

    2000-01-01

    The spent fuels are the recycle fuel resources, and it is very important to store the spent fuels in safety. There are two types of the spent fuel interim storage system. One is wet storage system and another is dry storage system. In this study, the dry storage technology, dual purpose metal cask storage and canister storage, has been developed. For the dual purpose metal cask storage, boronated aluminum basket cell, rational cask body shape and shaping process have been developed, and new type dual purpose metal cask has been designed. For the canister storage, new type concrete cask and high density vault storage technology have been developed. The results of this study will be useful for the spent fuel interim storage. Safety and economical spent fuel interim storage will be realized in the near future. (author)

  8. Remission of screen-detected metabolic syndrome and its determinants: an observational study

    Directory of Open Access Journals (Sweden)

    den Engelsen Corine

    2012-09-01

    Full Text Available Abstract Background Early detection and treatment of the metabolic syndrome may prevent diabetes and cardiovascular disease. Our aim was to assess remission of the metabolic syndrome and its determinants after a population based screening without predefined intervention in the Netherlands. Methods In 2006 we detected 406 metabolic syndrome cases (The National Cholesterol Education Program’s Adult Treatment Panel III (NCEP ATP III definition among apparently healthy individuals with an increased waist circumference. They received usual care in a primary care setting. After three years metabolic syndrome status was re-measured. We evaluated which baseline determinants were independently associated with remission. Results The remission rate among the 194 participants was 53%. Baseline determinants independently associated with a remission were the presence of more than three metabolic syndrome components (OR 0.46 and higher levels of waist circumference (OR 0.91, blood pressure (OR 0.98 and fasting glucose (OR 0.60. Conclusions In a population with screen-detected metabolic syndrome receiving usual care, more than half of the participants achieved a remission after three years. This positive result after a relatively simple strategy provides a solid basis for a nation-wide implementation. Not so much socio-demographic variables but a higher number and level of the metabolic syndrome components were predictors of a lower chance of remission. In such cases, primary care physicians should be extra alert.

  9. Factors associated with remission of eczema in children: a population-based follow-up study.

    Science.gov (United States)

    von Kobyletzki, Laura B; Bornehag, Carl-Gustaf; Breeze, Elizabeth; Larsson, Malin; Lindström, Cecilia Boman; Svensson, Åke

    2014-03-01

    The aim of this study was to analyse factors associated with remission of atopic dermatitis (AD) in childhood. A population-based AD cohort of 894 children aged 1-3 years from a cross-sectional baseline study in 2000 was followed up in 2005. The association between remission, background, health, lifestyle, and environmental variables was estimated with crude and multivariable logistic regression. At follow-up, 52% of the children had remission. Independent factors at baseline predicting remission were: milder eczema (adjusted odds ratio (aOR), 1.43; 95% confidence interval (95% CI) 1.16-1.77); later onset of eczema (aOR 1.40; 95% CI 1.08-1.80); non-flexural eczema (aOR 2.57; 95% CI 1.62-4.09); no food allergy (aOR 1.51; 95% CI 1.11-2.04), and rural living (aOR 1.48; 95% CI 1.07-2.05). Certain aspects of AD and rural living were important for remission, but despite the initial hypotheses to the contrary, the environmental factors examined in this paper were not substantial predictors of remission.

  10. Adherence predicts symptomatic and psychosocial remission in schizophrenia: Naturalistic study of patient integration in the community.

    Science.gov (United States)

    Bernardo, Miguel; Cañas, Fernando; Herrera, Berta; García Dorado, Marta

    Psychosocial functioning in patients with schizophrenia attended in daily practice is an understudied aspect. The aim of this study was to assess the relationship between symptomatic and psychosocial remission and adherence to treatment in schizophrenia. This cross-sectional, non-interventional, and multicenter study assessed symptomatic and psychosocial remission and community integration of 1,787 outpatients with schizophrenia attended in Spanish mental health services. Adherence to antipsychotic medication in the previous year was categorized as≥80% vs.<80%. Symptomatic remission was achieved in 28.5% of patients, and psychosocial remission in 26.1%. A total of 60.5% of patients were classified as adherent to antipsychotic treatment and 41% as adherent to non-pharmacological treatment. During the index visit, treatment was changed in 28.4% of patients, in 31.1% of them because of low adherence (8.8% of the total population). Adherent patients showed higher percentages of symptomatic and psychosocial remission than non-adherent patients (30.5 vs. 25.4%, P<.05; and 32 vs. 17%, P<.001, respectively). Only 3.5% of the patients showed an adequate level of community integration, which was also higher among adherent patients (73.0 vs. 60.1%, P<.05). Adherence to antipsychotic medication was associated with symptomatic and psychosocial remission as well as with community integration. Copyright © 2016 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. Spent fuel management in India

    International Nuclear Information System (INIS)

    Balu, K.

    1998-01-01

    From Indian point of view, the spent fuel management by the reprocessing and plutonium recycle option is considered to be a superior and an inevitable option. The nuclear energy programme in Indian envisages three stages of implementation involving installation of thermal reactors in the first phase followed by recycling of plutonium from reprocessed fuel in fast breeder reactors and in the third phase utilization of its large thorium reserves in reactor system based on U-233-Th cycle. The Indian programme for Waste Management envisages disposal of low and intermediate level radioactive waste in near surface disposal facilities and deep geological disposal for high level and alpha bearing wastes. A Waste Immobilization Plant (WHIP), employing metallic melter for HLW vitrification is operational at Tarapur. Two more WIPs are being set up at Kalpakkam and Tarapur. A Solid waste Storage Surveillance Facility (SSSF) is also set up for interim storage of vitrified HLW. Site investigations are in progress for selecting site for ultimate disposal in igneous rock formations. R and D works is taken up on partitioning of HLW. Solvent extraction and extraction chromatographic studies are in progress. Presently emphasis is on separation of heat generating short lived nuclides like strontium and alpha emitters. (author)

  12. Complete stable remission and autoantibody specificity in myasthenia gravis.

    Science.gov (United States)

    Baggi, Fulvio; Andreetta, Francesca; Maggi, Lorenzo; Confalonieri, Paolo; Morandi, Lucia; Salerno, Franco; Bernasconi, Pia; Montomoli, Cristina; Barberis, Massimo; Mantegazza, Renato; Antozzi, Carlo

    2013-01-08

    Patients with myasthenia gravis (MG) are subgrouped as acetylcholine receptor (AChR)-positive, muscle-specific kinase (MuSK)-positive, and AChR/MuSK-negative MG (or double negative [DN]) on the basis of autoantibody assay. We investigated the relationships between autoantibody specificity, main clinical features, and outcome of the disease, in particular the occurrence of complete stable remission (CSR), by means of a retrospective study on a cohort of 677 Italian patients with MG. A total of 517 (76%) patients with AChR-positive MG, 55 (8%) patients with MuSK-positive MG, and 105 (16%) patients with DN MG were included in the study. Kaplan-Meier and Cox proportional hazard regression analyses were used to evaluate associations between baseline characteristics, antibody specificity, and CSR. Clinical stage at onset and at maximal worsening was more severe for MuSK-positive patients: bulbar impairment at maximal worsening was found in 83.6% of MuSK-positive patients compared with 58.6% of AChR-positive patients and 43.8% of DN patients (p CSR was observed in 3.6% of MuSK-positive patients compared with 22.2% of AChR-positive and 21.9% of DN patients. In the whole MG cohort, onset before age 40 (hazard ratio [HR] = 1.96, 95% confidence interval [CI] 1.27-3.02, p = 0.002) and ocular and generalized clinical stages at maximal worsening were associated with CSR (ocular, HR = 8.05, 95% CI 1.88-34.53, p = 0.005; generalized, HR = 3.71, 95% CI 1.16-11.90, p = 0.023; bulbar, HR = 3.16, 95% CI 1.00-10.05, p = 0.051). MuSK antibodies identify a clinically distinguishable, more severe form of MG since the disease onset, with a lower occurrence of CSR. These features should be considered by the clinician in the management of this particular form of MG.

  13. Long lasting second remission and quality of life following brachytherapy of relapsing cancer in preirradiated regions. Experience in 108 patients

    International Nuclear Information System (INIS)

    Schmidt, B.F.; Kwiatkowski, J.

    1996-01-01

    Introduction: In patients with unresectable relapsing malignant tumor following external beam radiotherapy retreatment by brachytherapy gives a second chance of good palliation and even cure. But regardless the great number of tumor relapse reirradiation is given only to few patients due to the impending risks of severe radiation sequelae. Material and method: From January 1st 1992 to December 31st 1995 overall 108 patients with histologically proven local tumor relapses in preirradiated regions were reirradiated by interstitial or intraluminal brachytherapy (192-Iridium sources). The preirradiation dose was 40 to 70 Gray (Gy) in conventional fractionation. The brachytherapy retreatment dose was 30 to 40 Gy at the individually shaped reference isodose shell. In high dose-rate technique (about two third of all patients) mostly single doses of 5 Gy were applied once or twice a week. If low dose-rate techniques were used, a maximum dose of 60 Gy was applied. In some cases a second course of external beam radiotherapy was added. The sites of reirradiation were: ear-nose-throat-yaw areas 76, large airways 24, soft tissues 7, scalp 1. Results: In (23(108)) patients (21 %) complete or partial remission could be achieved lasting at least one year. In (8(23)) patients (overall 7,4 %) the second remission lasted longer than two years. The quality of life in the long time survivors was felt to be good or at least acceptable. Local necroses, not life threatening, occurred in about 20 %. No fatal complication was to be observed. Altogether in about 85 % the reirradiation resulted in effective palliation and was well tolerated. Discussion and conclusion: Retreatment by brachytherapy yields valuable palliation to the vast majority of patients and gives a second chance of long time good quality survival to about 10 % of all retreated patients. Careful selection of patients and experienced realisation of brachytherapy is essential to avoid severe complications

  14. Spent fuel characterization for the commercial waste and spent fuel packaging program

    International Nuclear Information System (INIS)

    Fish, R.L.; Davis, R.B.; Pasupathi, V.; Klingensmith, R.W.

    1980-03-01

    This document presents the rationale for spent fuel characterization and provides a detailed description of the characterization examinations. Pretest characterization examinations provide quantitative and qualitative descriptions of spent fuel assemblies and rods in their irradiated conditions prior to disposal testing. This information is essential in evaluating any subsequent changes that occur during disposal demonstration and laboratory tests. Interim examinations and post-test characterization will be used to identify fuel rod degradation mechanisms and quantify degradation kinetics. The nature and behavior of the spent fuel degradation will be defined in terms of mathematical rate equations from these and laboratory tests and incorporated into a spent fuel performance prediction model. Thus, spent fuel characterization is an essential activity in the development of a performance model to be used in evaluating the ability of spent fuel to meet specific waste acceptance criteria and in evaluating incentives for modification of the spent fuel assemblies for long-term disposal purposes

  15. Partial tooth gear bearings

    Science.gov (United States)

    Vranish, John M. (Inventor)

    2010-01-01

    A partial gear bearing including an upper half, comprising peak partial teeth, and a lower, or bottom, half, comprising valley partial teeth. The upper half also has an integrated roller section between each of the peak partial teeth with a radius equal to the gear pitch radius of the radially outwardly extending peak partial teeth. Conversely, the lower half has an integrated roller section between each of the valley half teeth with a radius also equal to the gear pitch radius of the peak partial teeth. The valley partial teeth extend radially inwardly from its roller section. The peak and valley partial teeth are exactly out of phase with each other, as are the roller sections of the upper and lower halves. Essentially, the end roller bearing of the typical gear bearing has been integrated into the normal gear tooth pattern.

  16. Recycling of waste spent catalyst in road construction and masonry blocks.

    Science.gov (United States)

    Taha, Ramzi; Al-Kamyani, Zahran; Al-Jabri, Khalifa; Baawain, Mahad; Al-Shamsi, Khalid

    2012-08-30

    Waste spent catalyst is generated in Oman as a result of the cracking process of petroleum oil in the Mina Al-Fahl and Sohar Refineries. The disposal of spent catalyst is of a major concern to oil refineries. Stabilized spent catalyst was evaluated for use in road construction as a whole replacement for crushed aggregates in the sub-base and base layers and as a partial replacement for Portland cement in masonry blocks manufacturing. Stabilization is necessary as the waste spent catalyst exists in a powder form and binders are needed to attain the necessary strength required to qualify its use in road construction. Raw spent catalyst was also blended with other virgin aggregates, as a sand or filler replacement, for use in road construction. Compaction, unconfined compressive strength and leaching tests were performed on the stabilized mixtures. For its use in masonry construction, blocks were tested for unconfined compressive strength at various curing periods. Results indicate that the spent catalyst has a promising potential for use in road construction and masonry blocks without causing any negative environmental impacts. Copyright © 2012 Elsevier B.V. All rights reserved.

  17. Essays on partial retirement

    NARCIS (Netherlands)

    Kantarci, T.

    2012-01-01

    The five essays in this dissertation address a range of topics in the micro-economic literature on partial retirement. The focus is on the labor market behavior of older age groups. The essays examine the economic and non-economic determinants of partial retirement behavior, the effect of partial

  18. Factors associated with failure to achieve remission and with relapse after remission in patients with major depressive disorder in the PERFORM study.

    Science.gov (United States)

    Saragoussi, Delphine; Touya, Maëlys; Haro, Josep Maria; Jönsson, Bengt; Knapp, Martin; Botrel, Bastien; Florea, Ioana; Loft, Henrik; Rive, Benoît

    2017-01-01

    The Prospective Epidemiological Research on Functioning Outcomes Related to Major Depressive Disorder (PERFORM) study has been initiated to better understand the course of a depressive episode and its impact on patient functioning. This analysis aimed to identify sociodemographic and clinical factors associated with failure to achieve remission at month 2 after initiating or switching antidepressant monotherapy and with subsequent relapse at month 6 for patients in remission at month 2. This was a 2-year observational cohort study in 1,159 outpatients aged 18-65 years with major depressive disorder initiating or undergoing the first switch of antidepressant monotherapy. Factors with P 8 weeks (OR 0.51), being in psychotherapy (OR 0.51), sexual dysfunction (OR 0.62), and severity of depression (OR 0.87). Factors significantly associated with relapse at month 6 were male sex (OR 2.47), being married or living as a couple (OR 2.73), residual patient-reported cognitive symptoms at 2 months (OR 1.12 per additional unit of Perceived Deficit Questionnaire-5 score) and residual depressive symptoms at 2 months (OR 1.27 per additional unit of Patient Health Questionnaire-9 score). Different factors appear to be associated with failure to achieve remission in patients with major depressive disorder and with subsequent relapse in patients who do achieve remission. Patient-reported cognitive dysfunction is an easily measurable and treatable characteristic that may be associated with an increased likelihood of relapse at 6 months in patients who have achieved remission.

  19. Spent nuclear fuel disposal liability insurance

    International Nuclear Information System (INIS)

    Martin, D.W.

    1984-01-01

    This thesis examines the social efficiency of nuclear power when the risks of accidental releases of spent fuel radionuclides from a spent fuel disposal facility are considered. The analysis consists of two major parts. First, a theoretical economic model of the use of nuclear power including the risks associated with releases of radionuclides from a disposal facility is developed. Second, the costs of nuclear power, including the risks associated with a radionuclide release, are empirically compared to the costs of fossil fuel-fired generation of electricity. Under the provisions of the Nuclear Waste Policy Act of 1982, the federally owned and operated spent nuclear fuel disposal facility is not required to maintain a reserve fund to cover damages from an accidental radionuclide release. Thus, the risks of a harmful radionuclide release are not included in the spent nuclear fuel disposal fee charged to the electric utilities. Since the electric utilities do not pay the full, social costs of spent fuel disposal, they use nuclear fuel in excess of the social optimum. An insurance mechanism is proposed to internalize the risks associated with spent fueled disposal. Under this proposal, the Federal government is required to insure the disposal facility against any liabilities arising from accidental releases of spent fuel radionuclides

  20. Rock cavern storage of spent fuel

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Won Jin; Kim, Kyung Soo [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Kwon, Sang Ki [Inha University, Incheon (Korea, Republic of)

    2015-12-15

    The rock cavern storage for spent fuel has been assessed to apply in Korea with reviewing the state of the art of the technologies for surface storage and rock cavern storage of spent fuel. The technical feasibility and economic aspects of the rock cavern storage of spent fuel were also analyzed. A considerable area of flat land isolated from the exterior are needed to meet the requirement for the site of the surface storage facilities. It may, however, not be easy to secure such areas in the mountainous region of Korea. Instead, the spent fuel storage facilities constructed in the rock cavern moderate their demands for the suitable site. As a result, the rock cavern storage is a promising alternative for the storage of spent fuel in the aspect of natural and social environments. The rock cavern storage of spent fuel has several advantages compared with the surface storage, and there is no significant difference on the viewpoint of economy between the two alternatives. In addition, no great technical difficulties are present to apply the rock cavern storage technologies to the storage of domestic spent fuel.

  1. Modeling the highway transportation of spent fuel

    International Nuclear Information System (INIS)

    Harrison, I.G.

    1986-01-01

    There will be a substantial increase in the number of spent fuel shipments on the nation's highway system in the next thirty years. Most of the spent fuel will be moving from reactors to a spent fuel repository. This study develops two models that evaluate the risk and cost of moving the spent fuel. The Minimum Total Transport Risk Model (MTTRM) seeks an efficient solution for this problem by finding the minimum risk path through the network and sending all the spent fuel shipments over this one path. The Equilibrium Transport Risk Model (ETRM) finds an equitable solution by distributing the shipments over a number of paths in the network. This model decreases the risk along individual paths, but increases society's risk because the spent fuel shipments are traveling over more links in the network. The study finds that there is a trade off between path risk and societal risk. As path risk declines, societal risk rises. The cost of shipping also increases as the number of paths expand. The cost and risk of shipping spent fuel from ten reactors to four potential repository sites are evaluated using the MTTRM. The temporary monitored retrievable storage (MRS) facility in Tennessee is found to be the minimum cost and minimum risk solution. When direct shipment to the permanent sites is considered, Deaf Smith, Texas is the least cost and least incident free transport risk location. Yucca Mountain, Nevada is the least risk location when the focus is placed on the potential consequences of an accident

  2. The cost of spent fuel storage

    Energy Technology Data Exchange (ETDEWEB)

    Ramirez S, J. R.; Palacios H, J. C.; Badillo, V.; Alonso, G., E-mail: ramon.ramirez@inin.gob.mx [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2011-11-15

    Spent fuel is one of the most important issues in the nuclear industry, currently spent fuel management is been cause of great amount of research, investments, constructing repositories or constructing the necessary facilities to reprocess the fuel, and later to recycle the plutonium recovered in thermal reactors. What is the best solution?, or What is the best technology for an specific solution? Many countries have deferred the decision on selecting an option, while others works actively constructing repositories and others implementing the reprocessing facilities to recycle the plutonium obtained from nuclear spent fuel. In Mexico the nuclear power is limited to two reactors BWR type and medium size. So the nuclear spent fuel discharged has been accommodated at reactor's spent fuel pools. Originally these pools have enough capacity to accommodate spent fuel for the 40 years of designed plant operation. However currently, the plants are under a process for extended power up-rate to 20% of original power and also there are plans to extended operational life for 20 more years. Under these conditions there will not be enough room for spent fuel in the pools. (Author)

  3. German Approach to Spent Fuel Management

    International Nuclear Information System (INIS)

    Jussofie, A.; Graf, R.; Filbert, W.

    2010-01-01

    The management of spent fuel was based on two powerful columns until 30 June 2005, i. e. reprocessing and direct disposal. After this date any delivery of spent fuel to reprocessing plants was prohibited so that the direct disposal of unreprocessed spent fuel is the only available option in Germany today. The main steps of the current concept are: (i) Intermediate storage of spent fuel, which is the only step in practice. After the first cooling period in spent fuel storage pools it continues into cask-receiving dry storage facilities. Identification of casks, 'freezing' of inventories in terms of continuity of knowledge, monitoring the access to spent fuel, verifying nuclear material movements in terms of cask transfers and ensurance against diversion of nuclear material belong to the fundamental safeguards goals which have been achieved in the intermediate storage facilities by containment and surveillance techniques in unattended mode. (ii) Conditioning of spent fuel assemblies by separating the fuel rods from structural elements. Since the pilot conditioning facility in Gorleben has not yet come into operation, the underlying safeguards approach which focuses on safeguarding the key measurement points - the spent fuel related way in and out of the facility - has not been applied yet. (iii) Disposal in deep geological formations, but no decision has been made so far neither regarding the location of a geological repository nor regarding the safeguards approach for the disposal concept of spent fuel. The situation was complicated by a moratorium which suspended the underground exploration of the Gorleben salt dome as potential geological repository for spent fuel. The moratorium expires in October 2010. Nevertheless, considerable progress has been made in the development of disposal concepts. According to the basic, so-called POLLUX (registered) -concept spent fuel assemblies are to be conditioned after dry storage and reloaded into the POLLUX (registered) -cask

  4. The Canadian research reactor spent fuel situation

    International Nuclear Information System (INIS)

    Ernst, P.C.

    1996-01-01

    This paper summarizes the present research reactor spent fuel situation in Canada. The research reactors currently operating are listed along with the types of fuel that they utilize. Other shut down research reactors contributing to the storage volume are included for completeness. The spent fuel storage facilities associated with these reactors and the methods used to determine criticality safety are described. Finally the current inventory of spent fuel and where it is stored is presented along with concerns for future storage. (author). 3 figs

  5. Advances in HTGR spent fuel treatment technology

    International Nuclear Information System (INIS)

    Holder, N.D.; Lessig, W.S.

    1984-08-01

    GA Technologies, Inc. has been investigating the burning of spent reactor graphite under Department of Energy sponsorship since 1969. Several deep fluidized bed burners have been used at the GA pilot plant to develop graphite burning techniques for both spent fuel recovery and volume reduction for waste disposal. Since 1982 this technology has been extended to include more efficient circulating bed burners. This paper includes updates on high-temperature gas-cooled reactor fuel cycle options and current results of spent fuel treatment testing for fluidized and advanced circulating bed burners

  6. Spent fuel management newsletter. No. 2

    International Nuclear Information System (INIS)

    1993-04-01

    This issue of the newsletter consists of two parts. The first part describes the IAEA Secretariat activities - work and programme of the Nuclear Materials and Fuel Cycle Technology Section of the Division of Nuclear Fuel Cycle and Waste Management, recent and planned meetings and publications, Technical Co-operation projects, Co-ordinated Research programmes. The second part contains country reports - national programmes on spent fuel management: current and planned storage and reprocessing capacities, spent fuel arisings, safety, transportation, storage and treatment of spent fuel

  7. Spent Nuclear Fuel Project dose management plan

    International Nuclear Information System (INIS)

    Bergsman, K.H.

    1996-03-01

    This dose management plan facilitates meeting the dose management and ALARA requirements applicable to the design activities of the Spent Nuclear Fuel Project, and establishes consistency of information used by multiple subprojects in ALARA evaluations. The method for meeting the ALARA requirements applicable to facility designs involves two components. The first is each Spent Nuclear Fuel Project subproject incorporating ALARA principles, ALARA design optimizations, and ALARA design reviews throughout the design of facilities and equipment. The second component is the Spent Nuclear Fuel Project management providing overall dose management guidance to the subprojects and oversight of the subproject dose management efforts

  8. Immobilization of spent resin with epoxy resin

    International Nuclear Information System (INIS)

    Gultom, O.; Suryanto; Sayogo; Ramdan

    1997-01-01

    immobilization of spent resin using epoxy resin has been conducted. The spent resin was mixtured with epoxy resin in variation of concentration, i.e., 30, 40, 50, 60, 70 weight percent of spent resin. The mixture were pour into the plastic tube, with a diameter of 40 mm and height of 40 mm. The density, compressive strength and leaching rate were respectively measured by quanta chrome, paul weber apparatus and gamma spectrometer. The results showed that the increasing of waste concentration would be decreased the compressive strength, and increased density by immobilized waste. The leaching rate of 137 Cs from waste product was not detected in experiment (author)

  9. Spent fuel management newsletter. No. 2

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-04-01

    This issue of the newsletter consists of two parts. The first part describes the IAEA Secretariat activities - work and programme of the Nuclear Materials and Fuel Cycle Technology Section of the Division of Nuclear Fuel Cycle and Waste Management, recent and planned meetings and publications, Technical Co-operation projects, Co-ordinated Research programmes. The second part contains country reports - national programmes on spent fuel management: current and planned storage and reprocessing capacities, spent fuel arisings, safety, transportation, storage and treatment of spent fuel.

  10. A probability score for preoperative prediction of type 2 diabetes remission following RYGB surgery

    Science.gov (United States)

    Still, Christopher D.; Wood, G. Craig; Benotti, Peter; Petrick, Anthony T.; Gabrielsen, Jon; Strodel, William E.; Ibele, Anna; Seiler, Jamie; Irving, Brian A.; Celaya, Melisa P.; Blackstone, Robin; Gerhard, Glenn S.; Argyropoulos, George

    2014-01-01

    BACKGROUND Type 2 diabetes (T2D) is a metabolic disease with significant medical complications. Roux-en-Y gastric bypass (RYGB) surgery is one of the few interventions that remit T2D in ~60% of patients. However, there is no accurate method for predicting preoperatively the probability for T2D remission. METHODS A retrospective cohort of 2,300 RYGB patients at Geisinger Clinic was used to identify 690 patients with T2D and complete electronic data. Two additional T2D cohorts (N=276, and N=113) were used for replication at 14 months following RYGB. Kaplan-Meier analysis was used in the primary cohort to create survival curves until remission. A Cox proportional hazards model was used to estimate the hazard ratios on T2D remission. FINDINGS Using 259 preoperative clinical variables, four (use of insulin, age, HbA1c, and type of antidiabetic medication) were sufficient to develop an algorithm that produces a type 2 diabetes remission (DiaRem) score over five years. The DiaRem score spans from 0 to 22 and was divided into five groups corresponding to five probability-ranges for T2D remission: 0–2 (88%–99%), 3–7 (64%–88%), 8–12 (23%–49%), 13–17 (11%–33%), 18–22 (2%–16%). The DiaRem scores in the replication cohorts, as well as under various definitions of diabetes remission, conformed to the DiaRem score of the primary cohort. INTERPRETATION The DiaRem score is a novel preoperative method for predicting the probability (from 2% to 99%) for T2D remission following RYGB surgery. FUNDING This research was supported by the Geisinger Health System and the National Institutes of Health. PMID:24579062

  11. Recurrent Partial Words

    Directory of Open Access Journals (Sweden)

    Francine Blanchet-Sadri

    2011-08-01

    Full Text Available Partial words are sequences over a finite alphabet that may contain wildcard symbols, called holes, which match or are compatible with all letters; partial words without holes are said to be full words (or simply words. Given an infinite partial word w, the number of distinct full words over the alphabet that are compatible with factors of w of length n, called subwords of w, refers to a measure of complexity of infinite partial words so-called subword complexity. This measure is of particular interest because we can construct partial words with subword complexities not achievable by full words. In this paper, we consider the notion of recurrence over infinite partial words, that is, we study whether all of the finite subwords of a given infinite partial word appear infinitely often, and we establish connections between subword complexity and recurrence in this more general framework.

  12. Spent fuel interim management: 1995 update

    International Nuclear Information System (INIS)

    Anderson, C.K.

    1995-01-01

    The problems of interim away-from-reactor spent fuel storage and storage in spent fuel pools at the reactor site are discussed. An overview of the state-of-the-art in the USA, Europe, and Japan is presented. The technical facilities for away-from-reactor storage are briefly described, including wet storage pools, interactive concrete systems, metallic containers, and passive concrete systems. Reprocessing technologies are mostly at the design stage only. It is predicted that during the 20 years to come, about 50 000 tonnes of spent fuel will be stored at reactor sites regardless of the advance of spent fuel reprocessing or interim storage projects. (J.B.). 4 tabs., 2 figs

  13. Long term wet spent nuclear fuel storage

    International Nuclear Information System (INIS)

    1987-04-01

    The meeting showed that there is continuing confidence in the use of wet storage for spent nuclear fuel and that long-term wet storage of fuel clad in zirconium alloys can be readily achieved. The importance of maintaining good water chemistry has been identified. The long-term wet storage behaviour of sensitized stainless steel clad fuel involves, as yet, some uncertainties. However, great reliance will be placed on long-term wet storage of spent fuel into the future. The following topics were treated to some extent: Oxidation of the external surface of fuel clad, rod consolidation, radiation protection, optimum methods of treating spent fuel storage water, physical radiation effects, and the behaviour of spent fuel assemblies of long-term wet storage conditions. A number of papers on national experience are included

  14. Spent fuel management of NPPs in Argentina

    International Nuclear Information System (INIS)

    Alvarez, D.E.; Lee Gonzalez, H.M.

    2010-01-01

    There are two Nuclear Power Plants in operation in Argentina: 'Atucha I' (unique PHWR design) in operation since 1974, and 'Embalse' (typical Candu reactor) which started operation in 1984. Both NPPs are operated by 'Nucleoelectrica Argentina S.A' which is responsible for the management and interim storage of spent fuel till the end of the operative life of the plants. A third NPP, 'Atucha II' is under construction, with a similar design of Atucha I. The legislative framework establishes that after final shutdown of a NPP the spent fuel will be transferred to the 'National Atomic Energy Commission', which is also responsible for the decommissioning of the Plants. In Atucha I, the spent fuel is stored underwater, until another option is implemented meanwhile in Embalse the spent fuel is stored during six years in pools and then it is moved to a dry storage. A decision about the fuel cycle back-end strategy will be taken before year 2030. (authors)

  15. Utilization of spent sulfite liquor carbohydrates

    Energy Technology Data Exchange (ETDEWEB)

    Wiley, A J; Whitmore, L M; Boggs, Jr, L A

    1959-01-01

    Possible utilization of the sugars in spent sulfite liquor in the manufacture of ethanol, torula food yeast, and other fermentation products, and in the production of sugar derivatives, such as the diacetone derivatives, is discussed.

  16. Electrodialytic decontamination of spent ion exchange resins

    International Nuclear Information System (INIS)

    Nott, B.R.

    1982-01-01

    Development of a novel electrodialytic decontamination process for the selective removal of radioactive Cs from spent ion exchange resins containing large amounts of Li is described. The process involves passage of a dc electric current through a bed of the spent ion exchange resin in a specially designed electrodialytic cell. The radiocesium so removed from a volume of the spent resin is concentrated onto a much smaller volume of a Cs selective sorbent to achieve a significant radioactive waste volume reduction. Technical feasibility of the electrodialytic resin decontamination process has been demonstrated on a bench scale with a batch of simulated spent ion exchange resin and using potassium cobalt ferrocyanide as the Cs selective sorbent. A volume reduction factor between 10 and 17 has been estimated. The process appears to be economically attractive. Improvements in process economics can be expected from optimization of the process. Other possible applications of the EDRD process have been identified

  17. Effects of environments on spent fuel

    International Nuclear Information System (INIS)

    Funk, C.W.; Jacobson, L.D.; Menon, M.N.

    1979-07-01

    This report describes the influence of water storage environment and transportation on spent light water reactor (LWR) fuel assemblies. It also estimates the storage duration and capacity requirements for several assumed scenarios

  18. Management of spent sealed sources in Indonesia

    International Nuclear Information System (INIS)

    Wisnubroto, D.S.

    2002-01-01

    This paper describes the effort of the Center for Development of Radioactive Waste Management (CDRWM) to develop and implement activities in maintaining and improving the safety of spent sealed radiation sources and the security of radioactive materials over their life cycle. There is a wide variety of uses of radiation sources and radioactive materials in Indonesia, while the CDRWM plan to cover all spent radiation sources. Primary consideration is given to sealed radiation sources with relatively high levels of radioactivity which might necessitate interventional measures should control over them be lost. The policy of the Government of Indonesia for spent radiation sources is, whenever possible, spent sealed sources should be returned to the supplier. CDRWM has a general principle that sealed sources should not be removed from their holders, or the holders physically modified (except for Ra-226 needles, smoke detector and lighting preventer). (author)

  19. International experience in conditioning spent fuel elements

    International Nuclear Information System (INIS)

    Ashton, P.

    1991-04-01

    The purpose of this report is to compile and present in a clear form international experience (USA, Canada, Sweden, FRG, UK, Japan, Switzerland) gained to date in conditioning spent fuel elements. The term conditioning is here taken to mean the handling and packaging of spent fuel elements for short- or long-term storage or final disposal. Plants of a varying nature fall within this scope, both in terms of the type of fuel element treated and the plant purpose eg. experimental or production plant. Emphasis is given to plants which bear some similarity to the concept developed in Germany for direct disposal of spent fuel elements. Worldwide, however, relatively few conditioning plants are in existence or have been conceived. Hence additional plants have been included where aspects of the experience gained are also of relevance eg. plants developed for the consolidation of spent fuel elements. (orig./HP) [de

  20. TRIGA Mark II Ljubljana - spent fuel transportation

    International Nuclear Information System (INIS)

    Ravnik, M.; Dimic, V.

    2008-01-01

    The most important activity in 1999 was shipment of the spent fuel elements back to the United States for final disposal. This activity started already in 1998 with some governmental support. In July 1999 all spent fuel elements (219 pieces) from the TRIGA research reactor in Ljubljana were shipped back to the United Stated by the ship from the port Koper in Slovenia. At the same time shipment of the spent fuel from the research reactor in Pitesti, Romania, and the research reactor in Rome, Italy, was conducted. During the loading the radiation exposure to the workers was rather low. The loading and shipment of the spent nuclear fuel went very smoothly and according the accepted time table. During the last two years the TRIGA research reactor in Ljubljana has been in operation about 1100 hours per year and without any undesired shut-down. (authors)

  1. Spent Nuclear Fuel Project Safety Management Plan

    International Nuclear Information System (INIS)

    Garvin, L.J.

    1996-02-01

    The Spent Nuclear Fuel Project Safety Management Plan describes the new nuclear facility regulatory requirements basis for the Spemt Nuclear Fuel (SNF) Project and establishes the plan to achieve compliance with this basis at the new SNF Project facilities

  2. Spent fuel storage requirements 1993--2040

    International Nuclear Information System (INIS)

    1994-09-01

    Historical inventories of spent fuel are combined with U.S. Department of Energy (DOE) projections of future discharges from commercial nuclear reactors in the United States to provide estimates of spent fuel storage requirements through the year 2040. The needs are estimated for storage capacity beyond that presently available in the reactor storage pools. These estimates incorporate the maximum capacities within current and planned in-pool storage facilities and any planned transshipments of spent fuel to other reactors or facilities. Existing and future dry storage facilities are also discussed. The nuclear utilities provide historical data through December 1992 on the end of reactor life are based on the DOE/Energy Information Administration (EIA) estimates of future nuclear capacity, generation, and spent fuel discharges

  3. Choosing a spent fuel interim storage system

    International Nuclear Information System (INIS)

    Roland, V.; Hunter, I.

    2001-01-01

    The Transnucleaire Group has developed different modular solutions to address spent fuel interim storage needs of NPP. These solutions, that are present in Europe, USA and Asia are metal casks (dual purpose or storage only) of the TN 24 family and the NUHOMS canister based system. It is not always simple for an operator to sort out relevant choice criteria. After explaining the basic designs involved on the examples of the TN 120 WWER dual purpose cask and the NUHOMS 56 WWER for WWER 440 spent fuel, we shall discuss the criteria that govern the choice of a given spent fuel interim storage system from the stand point of the operator. In conclusion, choosing and implementing an interim storage system is a complex process, whose implications can be far reaching for the long-term success of a spent fuel management policy. (author)

  4. Spent fuel workshop'2002

    Energy Technology Data Exchange (ETDEWEB)

    Poinssot, Ch

    2002-07-01

    This document gathers the transparencies of the presentations given at the 2002 spent fuel workshop: Session 1 - Research Projects: Overview on the IN CAN PROCESSES European project (M. Cowper), Overview on the SPENT FUEL STABILITY European project (C. Poinssot), Overview on the French R and D project on spent fuel long term evolution, PRECCI (C. Poinssot); Session 2 - Spent Fuel Oxidation: Oxidation of uranium dioxide single crystals (F. Garrido), Experimental results on SF oxidation and new modeling approach (L. Desgranges), LWR spent fuel oxidation - effects of burn-up and humidity (B. Hanson), An approach to modeling CANDU fuel oxidation under dry storage conditions (P. Taylor); Session 3 - Spent Fuel Dissolution Experiments: Overview on high burnup spent fuel dissolution studies at FZK/INE (A. Loida), Results on the influence of hydrogen on spent fuel leaching (K. Spahiu), Leaching of spent UO{sub 2} fuel under inert and reducing conditions (Y. Albinsson), Fuel corrosion investigation by electrochemical techniques (D. Wegen), A reanalysis of LWR spent fuel flow through dissolution tests (B. Hanson), U-bearing secondary phases formed during fuel corrosion (R. Finch), The near-field chemical conditions and spent fuel leaching (D. Cui), The release of radionuclides from spent fuel in bentonite block (S.S. Kim), Trace actinide behavior in altered spent fuel (E. Buck, B. Hanson); Session 4 - Radiolysis Issues: The effect of radiolysis on UO{sub 2} dissolution determined from electrochemical experiments with {sup 238}Pu doped UO{sub 2} M. Stroess-Gascoyne (F. King, J.S. Betteridge, F. Garisto), doped UO{sub 2} studies (V. Rondinella), Preliminary results of static and dynamic dissolution tests with {alpha} doped UO{sub 2} in Boom clay conditions (K. Lemmens), Studies of the behavior of UO{sub 2} / water interfaces under He{sup 2+} beam (C. Corbel), Alpha and gamma radiolysis effects on UO{sub 2} alteration in water (C. Jegou), Behavior of Pu-doped pellets in brines

  5. Duration of post-operative hypocortisolism predicts sustained remission after pituitary surgery for Cushing’s disease

    Directory of Open Access Journals (Sweden)

    Prachi Bansal

    2017-10-01

    Full Text Available Purpose: Transsphenoidal surgery (TSS is the primary treatment modality for Cushing’s disease (CD. However, the predictors of post-operative remission and recurrence remain debatable. Thus, we studied the post-operative remission and long-term recurrence rates, as well as their respective predictive factors. Methods: A retrospective analysis of case records of 230 CD patients who underwent primary microscopic TSS at our tertiary care referral centre between 1987 and 2015 was undertaken. Demographic features, pre- and post-operative hormonal values, MRI findings, histopathological features and follow-up data were recorded. Remission and recurrence rates as well as their respective predictive factors were studied. Results: Overall, the post-operative remission rate was 65.6% (early remission 46%; delayed remission 19.6%, while the recurrence rate was 41% at mean follow-up of 74 ± 61.1 months (12–270 months. Significantly higher early remission rates were observed in patients with microadenoma vs macroadenoma (51.7% vs 30.6%, P = 0.005 and those with unequivocal vs equivocal MRI for microadenoma (55.8% vs 38.5%, P = 0.007. Patients with invasive macroadenoma had poorer (4.5% vs 45%, P = 0.001 remission rates. Recurrence rates were higher in patients with delayed remission than those with early remission (61.5% vs 30.8%, P = 0.001. Duration of post-operative hypocortisolemia ≥13 months predicted sustained remission with 100% specificity and 46.4% sensitivity. Recurrence could be detected significantly earlier (27.7 vs 69.2 months, P < 0.001 in patients with available serial follow-up biochemistry as compared to those with infrequent follow-up after remission. Conclusion: In our study, remission and recurrence rates were similar to that of reported literature, but proportion of delayed remission was relatively higher. Negative/equivocal MRI findings and presence of macroadenoma, especially those with cavernous sinus invasion were

  6. ATR Spent Fuel Options Study

    International Nuclear Information System (INIS)

    Connolly, Michael James; Bean, Thomas E.; Brower, Jeffrey O.; Luke, Dale E.; Patterson, M. W.; Robb, Alan K.; Sindelar, Robert; Smith, Rebecca E.; Tonc, Vincent F.; Tripp, Julia L.; Winston, Philip L.

    2017-01-01

    The Advanced Test Reactor (ATR) is a materials and fuels test nuclear reactor that performs irradiation services for the U.S. Department of Energy (DOE) Office of Nuclear Energy (NE), Naval Reactors, the National Nuclear Security Administration (NNSA), and other research programs. ATR achieved initial criticality in 1967 and is expected to operate in support of needed missions until the year 2050 or beyond. It is anticipated that ATR will generate approximately 105 spent nuclear fuel (SNF) elements per year through the year 2050. Idaho National Laboratory (INL) currently stores 2,008 ATR SNF elements in dry storage, 976 in wet storage, and expects to have 1,000 elements in wet storage before January 2017. A capability gap exists at INL for long-term (greater than the year 2050) management, in compliance with the Idaho Settlement Agreement (ISA), of ATR SNF until a monitored retrievable geological repository is open. INL has significant wet and dry storage capabilities that are owned by the DOE Office of Environmental Management (EM) and operated and managed by Fluor Idaho, which include the Idaho Nuclear Technology and Engineering Center's (INTEC's) CPP-666, CPP-749, and CPP-603. In addition, INL has other capabilities owned by DOE-NE and operated and managed by Battelle Energy Alliance, LLC (BEA), which are located at the Materials and Fuel Complex (MFC). Additional storage capabilities are located on the INL Site at the Naval Reactors Facility (NRF). Current INL SNF management planning, as defined in the Fluor Idaho contract, shows INTEC dry fuel storage, which is currently used for ATR SNF, will be nearly full after transfer of an additional 1,000 ATR SNF from wet storage. DOE-NE tasked BEA with identifying and analyzing options that have the potential to fulfill this capability gap. BEA assembled a team comprised of SNF management experts from Fluor Idaho, Savannah River Site (SRS), INL/BEA, and the MITRE Corp with an objective of developing and analyzing

  7. ATR Spent Fuel Options Study

    Energy Technology Data Exchange (ETDEWEB)

    Connolly, Michael James [Idaho National Lab. (INL), Idaho Falls, ID (United States); Bean, Thomas E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Brower, Jeffrey O. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Luke, Dale E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Patterson, M. W. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Robb, Alan K. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Sindelar, Robert [Idaho National Lab. (INL), Idaho Falls, ID (United States); Smith, Rebecca E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Tonc, Vincent F. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Tripp, Julia L. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Winston, Philip L. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2017-01-01

    The Advanced Test Reactor (ATR) is a materials and fuels test nuclear reactor that performs irradiation services for the U.S. Department of Energy (DOE) Office of Nuclear Energy (NE), Naval Reactors, the National Nuclear Security Administration (NNSA), and other research programs. ATR achieved initial criticality in 1967 and is expected to operate in support of needed missions until the year 2050 or beyond. It is anticipated that ATR will generate approximately 105 spent nuclear fuel (SNF) elements per year through the year 2050. Idaho National Laboratory (INL) currently stores 2,008 ATR SNF elements in dry storage, 976 in wet storage, and expects to have 1,000 elements in wet storage before January 2017. A capability gap exists at INL for long-term (greater than the year 2050) management, in compliance with the Idaho Settlement Agreement (ISA), of ATR SNF until a monitored retrievable geological repository is open. INL has significant wet and dry storage capabilities that are owned by the DOE Office of Environmental Management (EM) and operated and managed by Fluor Idaho, which include the Idaho Nuclear Technology and Engineering Center’s (INTEC’s) CPP-666, CPP-749, and CPP-603. In addition, INL has other capabilities owned by DOE-NE and operated and managed by Battelle Energy Alliance, LLC (BEA), which are located at the Materials and Fuel Complex (MFC). Additional storage capabilities are located on the INL Site at the Naval Reactors Facility (NRF). Current INL SNF management planning, as defined in the Fluor Idaho contract, shows INTEC dry fuel storage, which is currently used for ATR SNF, will be nearly full after transfer of an additional 1,000 ATR SNF from wet storage. DOE-NE tasked BEA with identifying and analyzing options that have the potential to fulfill this capability gap. BEA assembled a team comprised of SNF management experts from Fluor Idaho, Savannah River Site (SRS), INL/BEA, and the MITRE Corp with an objective of developing and analyzing

  8. Impacts of the use of spent nuclear fuel burnup credit on DOE advanced technology legal weight truck cask GA-4 fleet size

    International Nuclear Information System (INIS)

    Mobasheran, A.S.; Boshoven, J.; Lake, B.

    1995-01-01

    The object of this paper is to study the impact of full and partial spent fuel burnup credit on the capacity of the Legal Weight Truck Spent Fuel Shipping Cask (GA-4) and to determine the numbers of additional spent fuel assemblies which could be accommodated as a result. The scope of the study comprised performing nuclear criticality safety scoping calculations using the SCALE-PC software package and the 1993 spent fuel database to determine logistics for number of spent fuel assemblies to be shipped. The results of the study indicate that more capacity than 2 or 3 pressurized water reactor assemblies could be gained for GA-4 casks when burnup credit is considered. Reduction in GA-4 fleet size and number of shipments are expected to result from the acceptance of spent fuel burnup credit

  9. Probable leaching mechanisms for spent fuel

    International Nuclear Information System (INIS)

    Wang, R.; Katayama, Y.B.

    1981-01-01

    At the Pacific Northwest Laboratory, researchers in the Waste/Rock Interaction Technology Program are studying spent fuel as a possible waste form for the Office of Nuclear Waste Isolation. This paper presents probable leaching mechanisms for spent fuel and discusses current progress in identifying and understanding the leaching process. During the past year, experiments were begun to study the complex leaching mechanism of spent fuel. The initial work in this investigation was done with UO 2 , which provided the most information possible on the behavior of the spent-fuel matrix without encountering the very high radiation levels associated with spent fuel. Both single-crystal and polycrystalline UO 2 samples were used for this study, and techniques applicable to remote experimentation in a hot cell are being developed. The effects of radiation are being studied in terms of radiolysis of water and surface activation of the UO 2 . Dissolution behavior and kinetics of UO 2 were also investigated by electrochemical measurement techniques. These data will be correlated with those acquired when spent fuel is tested in a hot cell. Oxidation effects represent a major area of concern in evaluating the stability of spent fuel. Dissolution of UO 2 is greatly increased in an oxidizing solution because the dissolution is then controlled by the formation of hexavalent uranium. In solutions containing very low oxygen levels (i.e., reducing solutions), oxidation-induced dissolution may be possible via a previously oxidized surface, through exposure to air during storage, or by local oxidants such as O 2 and H 2 O 2 produced from radiolysis of water and radiation-activated UO 2 surfaces. The effects of oxidation not only increase the dissolution rate, but could lead to the disintegration of spent fuel into fine fragments

  10. Electrochemical processing of spent nuclear fuel

    Energy Technology Data Exchange (ETDEWEB)

    Williamson, M. A.; Willit, J. L.; Barnes, L. A.; Figueroa, J.; Limmer, S. L.; Blaskovitz, R. [Argonne National Laboratory, Argonne (United States)

    2008-08-15

    Our work in developing the fuel cycles and electrochemical technologies needed for the treatment of spent light water reactor and spent fast reactor fuel is progressing well. Baseline flowsheets along with a theoretical material balance have been developed for treatment of each type of fuel. A discussion about the flowsheets provides the opportunity to present the status of our technology development activities and future research and development directions.

  11. Electrochemical processing of spent nuclear fuel

    International Nuclear Information System (INIS)

    Williamson, M. A.; Willit, J. L.; Barnes, L. A.; Figueroa, J.; Limmer, S. L.; Blaskovitz, R.

    2008-01-01

    Our work in developing the fuel cycles and electrochemical technologies needed for the treatment of spent light water reactor and spent fast reactor fuel is progressing well. Baseline flowsheets along with a theoretical material balance have been developed for treatment of each type of fuel. A discussion about the flowsheets provides the opportunity to present the status of our technology development activities and future research and development directions

  12. Nuclear spent fuel management. Experience and options

    International Nuclear Information System (INIS)

    1986-01-01

    Spent nuclear fuel can be stored safely for long periods at relatively low cost, but some form of permanent disposal will eventually be necessary. This report examines the options for spent fuel management, explores the future prospects for each stage of the back-end of the fuel cycle and provides a thorough review of past experience and the technical status of the alternatives. Current policies and practices in twelve OECD countries are surveyed

  13. Clinical validity of a population database definition of remission in patients with major depression.

    Science.gov (United States)

    Sicras-Mainar, Antoni; Blanca-Tamayo, Milagrosa; Gutiérrez-Nicuesa, Laura; Salvatella-Pasant, Jordi; Navarro-Artieda, Ruth

    2010-02-11

    Major depression (MD) is one of the most frequent diagnoses in Primary Care. It is a disabling illness that increases the use of health resources. To describe the concordance between remission according to clinical assessment and remission obtained from the computerized prescription databases of patients with MD in a Spanish population. multicenter cross-sectional. The population under study was comprised of people from six primary care facilities, who had a MD episode between January 2003 and March 2007. A specialist in psychiatry assessed a random sample of patient histories and determined whether a certain patient was in remission according to clinical criteria (ICPC-2). Regarding the databases, patients were considered in remission when they did not need further prescriptions of AD for at least 6 months after completing treatment for a new episode. Validity indicators (sensitivity [S], specificity [Sp]) and clinical utility (positive and negative probability ratio [PPR] and [NPR]) were calculated. The concordance index was established using Cohen's kappa coefficient. Significance level was p Reliability analysis: Cronbach's alpha: 90.6% (CI was 95%: 85.6 - 95.6%). Results show an acceptable level of concordance between remission obtained from the computerized databases and clinical criteria. The major discrepancies were found in diagnostic accuracy.

  14. [Symptomatic remission and its relationship to social functioning in Tunisian out-patients with schizophrenia].

    Science.gov (United States)

    El Gharbi, I; Chhoumi, M; Mechri, A

    2017-11-28

    The concept of symptomatic and functional remission represents an important challenge in the care of the mentally ill, particularly in patients with schizophrenia. Operational criteria for symptomatic remission in schizophrenia have been proposed by Andreasen et al. (2005). Over the last decade, these criteria have been widely validated; however few studies have been conducted outside developed countries. Moreover, the association of symptomatic remission with functional outcome has not yet been established in developing countries including Tunisia, as there may be variability in the social and familial environment. To determine the frequency and associated factors of symptomatic remission in a sample of Tunisian out-patients with schizophrenia and to explore the relationship between symptomatic remission and some indicators of social functioning. A cross-sectional study was carried-out on 115 out-patients with schizophrenia (87 males, 28 females, mean age=37.56±10.2 years) in the psychiatry department of the university hospital in Monastir (Tunisia). Nearly all of the patients (98.26%) had been hospitalized at least once in a psychiatric unit. The last hospitalization dated back to 39 months on average (range=6 months to 16 years). Symptomatic remission was assessed by the eight core items of the positive and negative syndrome scale (PANSS). These are the items P1 "Delusions"; P3 "Hallucinatory behavior" and G9 "Unusual thought content" for the positive dimension, the items P2 "Conceptual disorganization" and G5 "Mannerism and disorders of posture" for the disorganization dimension and the items N1 "Blunted affect", N4 "Social withdrawal" and N6 "Lack of spontaneity and flow of conversation" for the negative dimension. A score of mild or less on all eight-core symptoms constitutes symptomatic remission. This symptom level should have been maintained for six months. The social functioning was assessed by the Social and Occupational Functioning Assessment Scale

  15. Factors that predict remission of infant atopic dermatitis: a systematic review.

    Science.gov (United States)

    von Kobyletzki, Laura; Svensson, Åke; Apfelbacher, Christian; Schmitt, Jochen

    2015-04-01

    The individual prognosis of infants with atopic dermatitis (AD) is important for parents, healthcare professionals, and society. The aim of this study was to investigate predictors for remission of infant AD until school age. A systematic review was carried out of clinical and epidemiological studies investigating the effect of filaggrin gene (FLG) loss-of-function mutations, sex, exposure to pets, topical anti-inflammatory treatment, disease severity, and atopic sensitization during infancy on complete remission of infant-onset AD until 6-7 years of age. Systematic electronic searches until September 2013, data abstraction, and study quality assessment (Newcastle-Ottawa Scale) were performed. From 3,316 abstracts identified, 2 studies of good study quality were included. Parental allergies and sex did not significantly affect remission. For non-remission of AD, the included articles reported an association with any atopic sensitization at 2 years old (adjusted odds ratio [aOR] 2.76; 95% confidence interval (CI) 1.29-5.91), frequent scratching with early AD (aOR 5.86; 95% CI 3.04-11.29), objective severity score at 2 years old (aOR 1.10; 95% CI 1.07-1.14), and exposure to pets (cat OR 2.33; 95% CI 0.85-6.38). It is largely unknown which factors predict remission of infant AD. This is a highly relevant research gap that hinders patient information on the prognosis of infant-onset AD.

  16. Utility of baseline serum phosphorus levels for predicting remission in acromegaly patients.

    Science.gov (United States)

    Yalin, G Y; Tanrikulu, S; Gul, N; Uzum, A K; Aral, F; Tanakol, R

    2017-08-01

    High GH and IGF I levels increase tubular phosphate reabsorption in patients with acromegaly. We aimed to investigate the utility of serum phosphorus levels as an indicator for predicting chance of remission in acromegaly patients. Fifty-one patients (n: 51; F: 24, M: 27) with diagnosis of acromegaly were included in the study. Plasma IGF-1, Phosphorus (P) and nadir GH levels on oral glucose tolerance test (OGTT) at the time of diagnosis were analysed retrospectively. Patients were classified into two groups according to their plasma P levels; P ≤ 4.5 mg/dl (Group-1, n: 23, 45.1%), P > 4.5 mg/dl (Group-2, n: 28, 54.9%). Two groups were compared according to remission status; remission (n: 27) and non-remission (n: 24). Remission was defined with absence of clinical symptoms, normal plasma IGF-1 (adjusted for age and gender) and GH levels (acromegaly patients. Further studies with wider spectrum are needed to make specific suggestions.

  17. Gut-directed hypnotherapy significantly augments clinical remission in quiescent ulcerative colitis

    Science.gov (United States)

    Keefer, Laurie; Taft, Tiffany H; Kiebles, Jennifer L; Martinovich, Zoran; Barrett, Terrence A; Palsson, Olafur S

    2013-01-01

    Summary Background Psychotherapy is not routinely recommended for in ulcerative colitis (UC). Gut-directed hypnotherapy (HYP) has been linked to improved function in the gastrointestinal tract and may operate through immune-mediated pathways in chronic diseases. Aims To determine the feasibility and acceptability of hypnotherapy and estimate the impact of hypnotherapy on clinical remission status over a 1 year period in patients with an historical flare rate of 1.3 times per year. Methods 54 patients were randomized at a single site to 7 sessions of gut-directed hypnotherapy (N = 26) or attention control (CON; N = 29) and followed for 1 year. The primary outcome was the proportion of participants in each condition that had remained clinically asymptomatic (clinical remission) through 52 weeks post-treatment. Results One-way ANOVA comparing hypnotherapy and control subjects on number of days to clinical relapse favored the hypnotherapy condition [F = 4.8 (1, 48), p = .03] by 78 days. Chi square analysis comparing the groups on proportion maintaining remission at 1 year was also significant [X2(1) = 3.9, p = .04], with 68% of hypnotherapy and 40% of control patients maintaining remission for 1 year. There were no significant differences between groups over time in quality of life, medication adherence, perceived stress or psychological factors. Conclusions This is the first prospective study that has demonstrated a significant effect of a psychological intervention on prolonging clinical remission in patients with quiescent UC. Clinical Trial # NCT00798642 PMID:23957526

  18. Spent fuel transportation in the United States: commercial spent fuel shipments through December 1984

    International Nuclear Information System (INIS)

    1986-04-01

    This report has been prepared to provide updated transportation information on light water reactor (LWR) spent fuel in the United States. Historical data are presented on the quantities of spent fuel shipped from individual reactors on an annual basis and their shipping destinations. Specifically, a tabulation is provided for each present-fuel shipment that lists utility and plant of origin, destination and number of spent-fuel assemblies shipped. For all annual shipping campaigns between 1980 and 1984, the actual numbers of spent-fuel shipments are defined. The shipments are tabulated by year, and the mode of shipment and the casks utilized in shipment are included. The data consist of the current spent-fuel inventories at each of the operating reactors as of December 31, 1984. This report presents historical data on all commercial spent-fuel transportation shipments have occurred in the United States through December 31, 1984

  19. Automatic spent fuel ID number reader (I)

    International Nuclear Information System (INIS)

    Tanabe, S.; Kawamoto, H.; Fujimaki, K.; Kobe, A.

    1991-01-01

    An effective and efficient technique has been developed for facilitating identification works of LWR spent fuel stored in large scale spent fuel storage pools of such as processing plants. Experience shows that there are often difficulties in the implementation of operator's nuclear material accountancy and control works as well as safeguards inspections conducted on spent fuel assemblies stored in deep water pool. This paper reports that the technique is realized as an automatic spent fuel ID number reader system installed on fuel handling machine. The ID number reader system consists of an optical sub-system and an image processing sub-system. Thousands of spent fuel assemblies stored in under water open racks in each storage pool could be identified within relatively short time (e.g. within several hours) by using this combination. Various performance tests were carried out on image processing sub-system in 1990 using TV images obtained from different types of spent fuel assemblies stored in various storage pools of PWR and BWR power stations

  20. Spent fuel dry storage in Hungary

    International Nuclear Information System (INIS)

    Buday, G.; Szabo, B.; Oerdoegh, M.; Takats, F.

    1999-01-01

    Paks Nuclear Power Plant is the only NPP in Hungary. It has four WWER-440 type reactor units. Since 1989, approximately 40-50% of the total annual electricity generation of the country has been supplied by this plant. The fresh fuel is imported from Russia. Most of the spent fuel assemblies have been shipped back to Russia. Difficulties with spent fuel transportation to Russia have begun in 1992. Since that time, some of the shipments were delayed, some of them were completely cancelled, thus creating a backlog of spent fuel filling all storage positions of the plant. To provide assurance of the continued operation, Paks NPPs management decided to implement an independent spent fuel storage facility and chose GEC-Althom's MVDS design. The construction of the facility started in February 1995 and the first spent fuel assembly was placed in the store in September 1997. The paper gives an overview of the situation, describing the conditions leading to the construction of the dry storage facility at Paks and its implementation. Finally, some information is given about the new Public Agency for Radioactive Waste Management established this year and responsible for managing the issues related to spent fuel management. (author)

  1. Pyrochemical processing of DOE spent nuclear fuel

    International Nuclear Information System (INIS)

    Laidler, J.J.

    1995-01-01

    A compact, efficient method for conditioning spent nuclear fuel is under development. This method, known as pyrochemical processing, or open-quotes pyroprocessing,close quotes provides a separation of fission products from the actinide elements present in spent fuel and further separates pure uranium from the transuranic elements. The process can facilitate the timely and environmentally-sound treatment of the highly diverse collection of spent fuel currently in the inventory of the United States Department of Energy (DOE). The pyroprocess utilizes elevated-temperature processes to prepare spent fuel for fission product separation; that separation is accomplished by a molten salt electrorefining step that provides efficient (>99.9%) separation of transuranics. The resultant waste forms from the pyroprocess, are stable under envisioned repository environment conditions and highly leach-resistant. Treatment of any spent fuel type produces a set of common high-level waste forms, one a mineral and the other a metal alloy, that can be readily qualified for repository disposal and avoid the substantial costs that would be associated with the qualification of the numerous spent fuel types included in the DOE inventory

  2. Transport and storage of spent nuclear fuel

    International Nuclear Information System (INIS)

    Lung, M.; Lenail, B.

    1987-01-01

    From a safety standpoint, spent fuel is clearly not ideal for permanent disposal and reprocessing is the best method of preparing wastes for long-term storage in a repository. Furthermore, the future may demonstrate that some fission products recovered in reprocessing have economic applications. Many countries have in fact reached the point at which the recycling of plutonium and uranium from spent fuel is economical in LWR's. Even in countries where this is not yet evident, (i.e., the United States), the French example shows that the day will come when spent fuel will be retrieved for reprocessing and recycle. It is highly questionable whether spent fuel will ever be considered and treated as waste in the same sense as fission products and processed as such, i.e., packaged in a waste form for permanent disposal. Even when recycled fuel material can no longer be reused in LWR's because of poor reactivity, it will be usable in FBR's. Based on the considerable experience gained by SGN and Cogema, this paper has provided practical discussion and illustrations of spent fuel transport and storage of a very important step in the nuclear fuel management process. The best of spent fuel storage depends on technical, economic and policy considerations. Each design has a role to play and we hope that the above discussion will help clarify certain issues

  3. Spent Fuel Management Newsletter. No. 1

    International Nuclear Information System (INIS)

    1990-03-01

    This Newsletter has been prepared in accordance with the recommendations of the International Regular Advisory Group on Spent Fuel Management and the Agency's programme (GC XXXII/837, Table 76, item 14). The main purpose of the Newsletter is to provide Member States with new information about the state-of-the-art in one of the most important parts of the nuclear fuel cycle - Spent Fuel Management. The contents of this publication consists of two parts: (1) IAEA Secretariat contribution -work and programme of the Nuclear Materials and Fuel Cycle Technology Section of the Division of Nuclear Fuel Cycle and Waste Management, recent and planned meetings and publications, Technical Co-operation projects, Co-ordinated Research programmes, etc. (2) Country reports - national programmes on spent fuel management: current and planned storage and reprocessing capacities, spent fuel arisings, safety, transportation, storage, treatment of spent fuel, some aspects of uranium and plutonium recycling, etc. The IAEA expects to publish the Newsletter once every two years between the publications of the Regular Advisory Group on Spent Fuel Management. Figs and tabs

  4. Development of advanced spent fuel management process

    International Nuclear Information System (INIS)

    Park, Seong Won; Shin, Y. J.; Cho, S. H.

    2004-03-01

    The research on spent fuel management focuses on the maximization of the disposal efficiency by a volume reduction, the improvement of the environmental friendliness by the partitioning and transmutation of the long lived nuclides, and the recycling of the spent fuel for an efficient utilization of the uranium source. In the second phase which started in 2001, the performance test of the advanced spent fuel management process consisting of voloxidation, reduction of spent fuel and the lithium recovery process has been completed successfully on a laboratory scale. The world-premier spent fuel reduction hot test of a 5 kgHM/batch has been performed successfully by joint research with Russia and the valuable data on the actinides and FPs material balance and the characteristics of the metal product were obtained with experience to help design an engineering scale reduction system. The electrolytic reduction technology which integrates uranium oxide reduction in a molten LiCl-Li 2 O system and Li 2 O electrolysis is developed and a unique reaction system is also devised. Design data such as the treatment capacity, current density and mass transfer behavior obtained from the performance test of a 5 kgU/batch electrolytic reduction system pave the way for the third phase of the hot cell demonstration of the advanced spent fuel management technology

  5. Nuclear criticality safety studies applicable to spent fuel shipping cask designs and spent fuel storage

    International Nuclear Information System (INIS)

    Tang, J.S.

    1980-11-01

    Criticality analyses of water-moderated and reflected arrays of LWR fresh and spent fuel assemblies were carried out in this study. The calculated results indicate that using the assumption of fresh fuel loading in spent fuel shipping cask design leads to assembly spacings which are about twice the spacings of spent fuel loadings. Some shipping cask walls of composite lead and water are more effective neutron reflectors than water of 30.48 cm

  6. A Gut Feeling to Cure Diabetes: Potential Mechanisms of Diabetes Remission after Bariatric Surgery

    Directory of Open Access Journals (Sweden)

    Young Min Cho

    2014-12-01

    Full Text Available A cure for type 2 diabetes was once a mere dream but has now become a tangible and achievable goal with the unforeseen success of bariatric surgery in the treatment of both obesity and type 2 diabetes. Popular bariatric procedures such as Roux-en-Y gastric bypass and sleeve gastrectomy exhibit high rates of diabetes remission or marked improvement in glycemic control. However, the mechanism of diabetes remission following these procedures is still elusive and appears to be very complex and encompasses multiple anatomical and physiological changes. In this article, calorie restriction, improved β-cell function, improved insulin sensitivity, and alterations in gut physiology, bile acid metabolism, and gut microbiota are reviewed as potential mechanisms of diabetes remission after Roux-en-Y gastric bypass and sleeve gastrectomy.

  7. Ability to perform Actvities of Daily Living among patients with bipolar disorder in remission

    DEFF Research Database (Denmark)

    Decker, Lone; Träger, Conny; Miskowiak, Kamilla

    2017-01-01

    in the community. While participants reported decreased ADL ability, especially within instrumental ADL, they had a tendency towards evaluating themselves as more competent than what was observed. No relationships between measures of observed and self-reported ADL ability were found. Conclusion: Overall, patients......ABSTRACT Aims: Patients with bipolar disorder often experience disability in terms of cognitive impairments and activity limitations even in remission. However, knowledge is sparse concerning the ability to perform Activities of Daily Living (ADL) during remission. The aim of this study was to (1......) investigate the observed and self-reported ability to perform ADL tasks and (2) examine the association between observed and self-reported ability to perform ADL in patients with bipolar disorder in remission. Methods: The observed ADL ability was assessed with the Assessment of Motor and Process Skills...

  8. A remissão em esquizofrenia é possível?

    OpenAIRE

    Elkis,Hélio

    2007-01-01

    CONTEXTO: O conceito de remissão já está bem definido em algumas patologias psiquiátricas, como é o caso do transtorno depressivo, porém só recentemente foi proposto um critério para esquizofrenia. OBJETIVO: Revisar o novo conceito de remissão em esquizofrenia. MÉTODO: Revisão da literatura usando o PubMed. RESULTADOS: Os conceitos de resposta, remissão, estabilidade e recuperação são amplamente discutidos neste artigo, bem como os itens das escalas utilizados para definição. CONCLUSÃO: O con...

  9. In-vivo remission spectroscopy on tattoos and topically applied photosensitizers in man

    Science.gov (United States)

    Koenig, Karsten; Beck, Gerd C.; Boehncke, Wolf-Henning; Kaufmann, Roland; Hibst, Raimund

    1994-02-01

    In-vivo remission spectra of the human skin in the spectral region of 400 nm to 800 nm were recorded using a xenon lamp as an excitation source, a fiberoptical sensor combined with a polychromator, and a multichannel analyzer. The remission of amateur tattoos before and after laser treatment (Q-switched Nd:YAG) was measured and the degree of blanching determined. It was found that the process of blanching proceeds partly reversible. In another study, the time-dependent remission of human skin after topical administration of the photosensitizer Methylene Blue was studied. The additional application of the ceratolytic agent urea promotes the penetration of the thiazine dye. The experimental data were analyzed by the Kubelka Munk theory.

  10. Remission of Grave's disease after oral anti-thyroid drug treatment.

    Science.gov (United States)

    Ishtiaq, Osama; Waseem, Sabiha; Haque, M Naeemul; Islam, Najmul; Jabbar, Abdul

    2009-11-01

    To evaluate remission rate of anti-thyroid drug treatment in patients with Grave's disease, and to study the factors associated with remission. A cross sectional study. The Endocrine Department of the Aga Khan University Hospital, Karachi from 1999 to 2000. Seventy four patients of Grave's disease were recruited who were prescribed medical treatment. Grave's disease was diagnosed in the presence of clinical and biochemical hyperthyroidism along with anti-microsomal (AMA) and anti-thyroglobulin antibodies (ATA) and thyroid scan. These patients were prescribed oral anti-thyroid drugs using titration regime and followed at 3, 6, 12 and 18 months. Patients were categorized into two groups: "remission group" and "treatment failure group" and results were compared using a chi-square test, t-test and logistic regression model with significance at p disease on initial presentation.

  11. Discontinuation of infliximab therapy in patients with Crohn's disease in sustained complete remission (the STOP IT study)

    DEFF Research Database (Denmark)

    Buhl, Sine Schnoor; Steenholdt, Casper; Brynskov, Jørn

    2014-01-01

    INTRODUCTION: Infliximab (IFX), a monoclonal chimeric antibody against tumour necrosis factor (TNF) α, is effective for induction and maintenance of remission in moderate to severe Crohn's disease. Discontinuation of IFX maintenance therapy in patients in remission should be considered in order......, biochemical and endoscopic remission (ie, Crohn's Disease Activity Index (CDAI) score therapy. The primary end point...... a patient exhibits sustained remission. Study results will be published in an English language scientific medical journal. The study is approved by the Danish Medicines Agency (EudraCT-number: 2012-002702-51) and the Regional Ethics Committee of Region Hovedstaden Denmark (Approval-number: H-4...

  12. EVALUATION OF ULTRASOUND REMISSION CRITERIA IN PATIENTS WITH RHEUMATOID ARTHRITIS DURING TOCILIZUMAB THERAPY

    Directory of Open Access Journals (Sweden)

    Rita Aleksandrovna Osipyants

    2013-01-01

    Full Text Available Objective: to study the association of ultrasound (US remission criteria with the clinical and laboratory indicators of inflammatory activity, functional status, and X-ray changes in patients with rheumatoid arthritis (RA during tocilizumab (TCZ therapy.Subjects and methods. The trial included 36 patients with RA (meeting the 1987 American College of Rheumatology (ACR criteria who had received TCZ for 6 months. The authors made a clinical and laboratory assessment of RA activity (DAS28-CRP, and SDAI, functional impairments (HAQ index and US verification of wrist joint synovitis (a Voluson-i device, GE, 4-13-MHz linear transducer at baseline and 6 months after therapy. No signs of grey-scale (B-mode and power Doppler (PD synovitis (B = 0; PD = 0 or minimal B-mode synovitis, and not more one PD hypervascular signal (В ≤1; PD ≤1 were arbitrarily taken as US remission criteria. Destruction changes were evaluated by hand and foot X-ray using the Sharp method modified by van der Heijde (SHS.Results. After 6 months of therapy, about 80% of the patients in clinical remission retained moderate or significant synovitis, as evidenced by US studies. There were no clinical differences in clinical activity indices and functional impairments between the patients who were and were not in US remission (p > 0.05. The 12-month follow-up SHS score was significantly higher with the preservation of 6-month therapy signs of B-mode synovitis and PD hypervascularization (of not more than one signal than that in US remission (p < 0.05. There was no relationship of X-ray progression to the clinical and functional statuses (p > 0.05.Conclusion. Subclinical synovitis is observed even in clinical remission of RA. Destruction progression is significantlyrelated to synovitis persistence, as shown by ultrasonography.

  13. Spontaneous complete remission of type 1 diabetes mellitus in an adult – review and case report

    Directory of Open Access Journals (Sweden)

    Harsha Moole

    2015-10-01

    Full Text Available Type 1 diabetes mellitus (T1DM is an autoimmune condition that results in low plasma insulin levels by destruction of beta cells of the pancreas. As part of the natural progression of this disease, some patients regain beta cell activity transiently. This period is often referred to as the ‘honeymoon period’ or remission of T1DM. During this period, patients manifest improved glycemic control with reduced or no use of insulin or anti-diabetic medications. The incidence rates of remission and duration of remission is extremely variable. Various factors seem to influence the remission rates and duration. These include but are not limited to C-peptide level, serum bicarbonate level at the time of diagnosis, duration of T1DM symptoms, haemoglobin A1C (HbA1C levels at the time of diagnosis, sex, and age of the patient. Mechanism of remission is not clearly understood. Extensive research is ongoing in regard to the possible prevention and reversal of T1DM. However, most of the studies that showed positive results were small and uncontrolled. We present a 32-year-old newly diagnosed T1DM patient who presented with diabetic ketoacidosis (DKA and HbA1C of 12.7%. She was on basal bolus insulin regimen for the first 4 months after diagnosis. Later, she stopped taking insulin and other anti-diabetic medications due to compliance and logistical issues. Eleven months after diagnosis, her HbA1C spontaneously improved to 5.6%. Currently (14 months after T1DM diagnosis, she is still in complete remission, not requiring insulin therapy.

  14. Spontaneous complete remission of type 1 diabetes mellitus in an adult – review and case report

    Science.gov (United States)

    Moole, Harsha; Moole, Vishnu; Mamidipalli, Adrija; Dharmapuri, Sowmya; Boddireddy, Raghuveer; Taneja, Deepak; Sfeir, Hady; Gajula, Sonia

    2015-01-01

    Type 1 diabetes mellitus (T1DM) is an autoimmune condition that results in low plasma insulin levels by destruction of beta cells of the pancreas. As part of the natural progression of this disease, some patients regain beta cell activity transiently. This period is often referred to as the ‘honeymoon period’ or remission of T1DM. During this period, patients manifest improved glycemic control with reduced or no use of insulin or anti-diabetic medications. The incidence rates of remission and duration of remission is extremely variable. Various factors seem to influence the remission rates and duration. These include but are not limited to C-peptide level, serum bicarbonate level at the time of diagnosis, duration of T1DM symptoms, haemoglobin A1C (HbA1C) levels at the time of diagnosis, sex, and age of the patient. Mechanism of remission is not clearly understood. Extensive research is ongoing in regard to the possible prevention and reversal of T1DM. However, most of the studies that showed positive results were small and uncontrolled. We present a 32-year-old newly diagnosed T1DM patient who presented with diabetic ketoacidosis (DKA) and HbA1C of 12.7%. She was on basal bolus insulin regimen for the first 4 months after diagnosis. Later, she stopped taking insulin and other anti-diabetic medications due to compliance and logistical issues. Eleven months after diagnosis, her HbA1C spontaneously improved to 5.6%. Currently (14 months after T1DM diagnosis), she is still in complete remission, not requiring insulin therapy. PMID:26486109

  15. Patterns of remission, continuation and incidence of broadly defined eating disorders during early pregnancy in the Norwegian Mother and Child Cohort Study (MoBa).

    Science.gov (United States)

    Bulik, Cynthia M; Von Holle, Ann; Hamer, Robert; Knoph Berg, Cecilie; Torgersen, Leila; Magnus, Per; Stoltenberg, Camilla; Siega-Riz, Anna Maria; Sullivan, Patrick; Reichborn-Kjennerud, Ted

    2007-08-01

    We explored the course of broadly defined eating disorders during pregnancy in the Norwegian Mother and Child Cohort Study (MoBa) at the Norwegian Institute of Public Health. A total of 41,157 pregnant women, enrolled at approximately 18 weeks' gestation, had valid data from the Norwegian Medical Birth Registry. We collected questionnaire-based diagnostic information on broadly defined anorexia nervosa (AN), and bulimia nervosa (BN), and eating disorders not otherwise specified (EDNOS). EDNOS subtypes included binge eating disorder (BED) and recurrent self-induced purging in the absence of binge eating (EDNOS-P). We explored rates of remission, continuation and incidence of BN, BED and EDNOS-P during pregnancy. Prepregnancy prevalence estimates were 0.1% for AN, 0.7% for BN, 3.5% for BED and 0.1% for EDNOS-P. During early pregnancy, estimates were 0.2% (BN), 4.8% (BED) and 0.1% (EDNOS-P). Proportions of individuals remitting during pregnancy were 78% (EDNOS-P), 40% (BN purging), 39% (BED), 34% (BN any type) and 29% (BN non-purging type). Additional individuals with BN achieved partial remission. Incident BN and EDNOS-P during pregnancy were rare. For BED, the incidence rate was 1.1 per 1000 person-weeks, equating to 711 new cases of BED during pregnancy. Incident BED was associated with indices of lower socio-economic status. Pregnancy appears to be a catalyst for remission of some eating disorders but also a vulnerability window for the new onset of broadly defined BED, especially in economically disadvantaged individuals. Vigilance by health-care professionals for continuation and emergence of eating disorders in pregnancy is warranted.

  16. Favourable course of disease after incomplete remission on {sup 131}I therapy in children with pulmonary metastases of papillary thyroid carcinoma: 10 years follow-up

    Energy Technology Data Exchange (ETDEWEB)

    Biko, Johannes; Reiners, Christoph; Kreissl, Michael C.; Verburg, Frederik A. [University of Wuerzburg, Department of Nuclear Medicine, Wuerzburg (Germany); Demidchik, Yuri [Thyroid Cancer Centre, Minsk (Belarus); Drozd, Valentina [International Belarussian-German Foundation, Minsk (Belarus)

    2011-04-15

    The aim of this study is to report on a collective of 20 children from Belarus who had developed papillary thyroid carcinoma with pulmonary metastases after the Chernobyl disaster. In all children fractionated radioiodine therapy (RIT) was ceased before achieving complete remission due to a lack of further effects of {sup 131}I therapy and an increased risk of pulmonary fibrosis. The 20 children (12 girls) were treated with {sup 131}I using 50 MBq/kg body weight for thyroid remnant ablation and 100 MBq/kg for further therapy in intervals of 5-12 months. After five to six courses and a cumulative activity of about 24 GBq {sup 131}I no further RIT was conducted; the median thyroglobulin (TG) was 56 {mu}g/l at this time. All patients were followed for at least 10 years after cessation of RIT using diagnostic whole-body scintigraphy, CT of the chest, lung function testing and stimulated TG measurements every 1-3 years. During follow-up after the last RIT a continuous decline of values for TG levels of {proportional_to}35% per year was observed between individual visits. The median Tg level at the time of cessation of {sup 131}I therapy was 56 {mu}g/l; however, at the last visit 16 of 20 patients had a TG level {<=}10 {mu}g/l (median 2.4 {mu}g/l). Neither on diagnostic radioiodine whole-body scan nor on CT was progression of lung metastases observed. No significant pulmonary fibrosis developed. In spite of incomplete remission of thyroid cancer at cessation of RIT, a continuing spontaneous decline of TG and clinically stable partial remissions were observed in this collective of children. Therefore, if RIT does not show further effects, the administration of further courses should be handled restrictively. (orig.)

  17. Final environmental statement: US Spent Fuel Policy. Storage of foreign spent power reactor fuel

    International Nuclear Information System (INIS)

    1980-05-01

    In October 1977, the Department of Energy (DOE) announced a Spent Fuel Storage Policy for nuclear power reactors. Under this policy, as approved by the President, US utilities will be given the opportunity to deliver spent fuel to US Government custody in exchange for payment of a fee. The US Government will also be prepared to accept a limited amount of spent fuel from foreign sources when such action would contribute to meeting nonproliferation goals. Under the new policy, spent fuel transferred to the US Government will be delivered - at user expense - to a US Government-approved site. Foreign spent fuel would be stored in Interim Spent Fuel Storage (ISFS) facilities with domestic fuel. This volume of the environmental impact statement includes effects associated with implementing or not implementing the Spent Fuel Storage Policy for the foreign fuels. The analyses show that there are no substantial radiological health impacts whether the policy is implemented or not. In no case considered does the population dose commitment exceed 0.000006% of the world population dose commitment from natural radiation sources over the period analyzed. Full implementation of the US offer to accept a limited amount of foreign spent fuel for storage provides the greatest benefits for US nonproliferation policy. Acceptance of lesser quantities of foreign spent fuel in the US or less US support of foreign spent fuel storage abroad provides some nonproliferation benefits, but at a significantly lower level than full implementation of the offer. Not implementing the policy in regard to foreign spent fuel will be least productive in the context of US nonproliferation objectives. The remainder of the summary provides a brief description of the options that are evaluated, the facilities involved in these options, and the environmental impacts, including nonproliferation considerations, associated with each option

  18. Impact of Allogeneic Stem Cell Transplantation in First Complete Remission in Acute Myeloid Leukemia

    DEFF Research Database (Denmark)

    Østgård, Lene Sofie Granfeldt; Lund, Jennifer L; Nørgaard, Jan Maxwell

    2018-01-01

    To examine the outcome of allogeneic stem cell transplantation (HSCT) in first complete remission (CR1) compared to chemotherapy alone in a population-based setting, we identified a cohort of acute myeloid leukemia (AML) patients aged 15-70 years diagnosed between 2000-2014 in Denmark. Using...... the Danish National Acute Leukemia Registry, we compared relapse risk, relapse-free survival (RFS), and overall survival between patients with non-favorable cytogenetic features receiving post-remission therapy with conventional chemotherapy-only versus those undergoing HSCT in CR1. To minimize immortal time...

  19. THE POLICY OF GRANTING REMISSION TO CORRUPTION INMATES IN ORDER TO ERADICATE CORRUPTION IN INDONESIA

    Directory of Open Access Journals (Sweden)

    M Ali Zaidan

    2016-01-01

    Full Text Available Corruption is an extraordinary crime, even though the laws have been revised and has a more progressive character has also established Anti-Corruption Commission the number of crimes of corruption still do not show any significant change. In the midst of public pessimism, the Ministry of Justice and Human Rights has initiated efforts to revise the Government Regulation Number 99 Year 2012. The tightening of remission meant that the convict is not easy to get their sentences reduced. Attempts to revise the provisions concerning remission, it should consider how far can reduce corruption and its impact on inmates and the public

  20. Komplet remission af højmalignt lymfom i ventriklen efter eradikation af Helicobacter pylori

    DEFF Research Database (Denmark)

    Høeg, Rasmus Tetens; Skau, Anne-Marie; Nørgaard, Peter

    2011-01-01

    . The recommended treatment of DLBCL is chemotherapy followed by involved-field irradiation. However, small prospective trials have shown high rates of complete remission after eradication of H. pylori alone and this treatment is an option in patients of advanced age or with severe co-morbidities.......A 91 year-old man was found to have diffuse large cell B-cell lymphoma (DLBCL), localized to the stomach. Because of his age, his only treatment was anti-Helicobacter pylori therapy. He achieved a complete remission, and six months after the initial presentation, there were no signs of recurrence...

  1. Spontaneous complete remission of type 1 diabetes mellitus in an adult ? review and case report

    OpenAIRE

    Moole, Harsha; Moole, Vishnu; Mamidipalli, Adrija; Dharmapuri, Sowmya; Boddireddy, Raghuveer; Taneja, Deepak; Sfeir, Hady; Gajula, Sonia

    2015-01-01

    Type 1 diabetes mellitus (T1DM) is an autoimmune condition that results in low plasma insulin levels by destruction of beta cells of the pancreas. As part of the natural progression of this disease, some patients regain beta cell activity transiently. This period is often referred to as the ‘honeymoon period’ or remission of T1DM. During this period, patients manifest improved glycemic control with reduced or no use of insulin or anti-diabetic medications. The incidence rates of remission and...

  2. Remission of aplastic anemia induced by treatment for Graves disease in a pediatric patient.

    Science.gov (United States)

    Das, Prabodh Kumar; Wherrett, Diane; Dror, Yigal

    2007-08-01

    Aplastic anemia (AA) is mediated by T-cell autoimmunity in the majority of cases; it is rare and mostly idiopathic in children. We describe a child, who developed AA following Graves' disease which could not be attributed to antithyroid drugs. We hypothesized that both diseases were caused by similar autoimmune process. We monitored the blood counts and did not administer any conventional treatment for AA assuming that the existing anti- hematopoietic stem cell humoral and cellular immunity might subside with induction of remission of Grave's disease. The child went into complete remission with the treatment of the Graves' disease.

  3. Features and safety aspects of spent fuel storage facility, Tarapur

    International Nuclear Information System (INIS)

    Pradhan, Sanjay; Dubey, K.; Qureshi, F.T.; Lokeswar, S.P.

    2017-01-01

    Spent Fuel Storage Facility (SFSF), Tarapur is designed to store spent fuel arising from PHWRs in different parts of the country. Spent fuel is transported in AERB qualified/authorized shipping cask by NPCIL to SFSF by road or rail route. The spent fuel storage facility at Tarapur was hot commissioned after regulatory clearances

  4. Current status of the first interim spent fuel storage facility in Japan

    International Nuclear Information System (INIS)

    Shinbo, Hitoshi; Kondo, Mitsuru

    2008-01-01

    In Japan, storage of spent fuels outside nuclear power plants was enabled as a result of partial amendments to the Nuclear Reactor Regulation Law in June 2000. Five months later, Mutsu City in Aomori Prefecture asked the Tokyo Electric Power Company (TEPCO) to conduct technical surveys on siting of the interim spent fuel storage facility (we call it 'Recyclable-Fuel Storage Center'). In April 2003, TEPCO submitted the report on siting feasibility examination, concluded that no improper engineering data for siting, construction of the facility will be possible from engineering viewpoint. Siting Activities for publicity and public acceptance have been continued since then. After these activities, Aomori Prefecture and Mutsu City approved siting of the Recyclable Fuel Storage Center in October 2005. Aomori Prefecture, Mutsu City, TEPCO and Japan Atomic Power Company (JAPC) signed an agreement on the interim spent fuel storage Facility. A month later, TEPCO and JAPC established Recyclable-Fuel Storage Company (RFS) in Mutsu City through joint capital investment, specialized in the first interim spent fuel storage Facility in Japan. In May 2007, we made an application for establishment permit, following safety review by regulatory authorities. In March 2008, we started the preparatory construction. RFS will safely store of spent fuels of TEPCO and JAPC until they will be reprocessed. Final storage capacity will be 5,000 ton-U. First we will construct the storage building of 3,000 ton-U to be followed by second building. We aim to start operation by 2010. (author)

  5. Fact sheet on spent fuel management

    International Nuclear Information System (INIS)

    2006-01-01

    The IAEA gives high priority to safe and effective spent fuel management. As an example of continuing efforts, the 2003 International Conference on Storage of Spent Fuel from Power Reactors gathered 125 participants from 35 member states to exchange information on this important subject. With its large number of Member States, the IAEA is well-positioned to gather and share information useful in addressing Member State priorities. IAEA activities on this topic include plans to produce technical documents as resources for a range of priority topics: spent fuel performance assessment and research, burnup credit applications, cask maintenance, cask loading optimization, long term storage requirements including records maintenance, economics, spent fuel treatment, remote technology, and influence of fuel design on spent fuel storage. In addition to broader topics, the IAEA supports coordinated research projects and technical cooperation projects focused on specific needs. The proceedings of the 2003 IAEA conference on storage of spent fuel from power reactors has been ranked in the top twenty most accessed IAEA publications. These proceedings are available for free downloads at http://www-pub.iaea.org/MTCD/publications/PubDetails.asp?pubId=6924]. The IAEA organized and held a 2004 meeting focused on long term spent fuel storage provisions in Central and Eastern Europe, using technical cooperation funds to support participation by these Member States. Over ninety percent of the participants in this meeting rated its value as good or excellent, with participants noting that the IAEA is having a positive effect in stimulating communication, cooperation, and information dissemination on this important topic. The IAEA was advised in 2004 that results from a recent coordinated research project (IAEA-TECDOC-1343) were used by one Member State to justify higher clad temperatures for spent fuel in dry storage, leading to more efficient storage and reduced costs. Long term

  6. Management of Spent Radiation Source from Radiotherapy

    International Nuclear Information System (INIS)

    Aisyah

    2008-01-01

    Nowadays the use of radioactive source for both radiodiagnostic and radiotherapy in Indonesia hospital increases rapidly. Sealed source used in radiotherapy among others for brachytherapy, teletherapy, bone densitometry, whole blood irradiation and gamma knife (radiosurgery). In line with this, the waste of spent radiation sources will be generated in hospitals. Of course these spent radiation sources must be treated correctly in order to maintain the safety of both the public and the environment. According to the Act No. 10/1997, BATAN, in care of the Radioactive Waste Management Center is the national appointed agency for the management of radioactive waste. The option for waste management by hospitals needs to be expound, either by re-exporting to the supplier of origin, re-exporting to other supplier, re-use by other licensee or sending to the Radioactive Waste Management Center. Usually the waste sent by the hospitals to the center comprises of sealed radiation source of 60 Co, 137 Cs or 226 Ra. The management of spent radiation source in the center is carried out in several steps i.e. conditioning, temporary storage, and long-term storage (final disposal). The conditioning of non 226 Ra is carried out by placing the waste in a 200 litter drum shell, 950 or 350 litter concrete shells, depends on the activity and dimension of the spent radiation source. The conditioning of 226 Ra is carried out by encapsulating the waste in a stainless steel container for long-term storage shield which then placed in a 200 litter drum shell. The temporary storage of the conditioned spent radiation source is carried out by storing it in the center’s temporary storages, either low or medium activity waste. Finally, the conditioned spent radiation source is buried in a disposal facility. For medium half-life spent radiation source, the final disposal is burial it in a shallow-land disposal; mean while, for long half-life spent radiation source, the final disposal is burial it in

  7. Storing the world's spent nuclear fuel

    International Nuclear Information System (INIS)

    Barkenbus, J.N.; Weinberg, A.M.; Alonso, M.

    1985-01-01

    Given the world's prodigious future energy requirements and the inevitable depletion of oil and gas, it would be foolhardy consciously to seek limitations on the growth of nuclear power. Indeed, the authors continue to believe that the global nuclear power enterprise, as measured by installed reactor capacity, can become much larger in the future without increasing proliferation risks. To accomplish this objective will require renewed dedication to the non-proliferation regime, and it will require some new initiatives. Foremost among these would be the establishment of a spent fuel take-back service, in which one or a few states would retrieve spent nuclear fuel from nations generating it. The centralized retrieval of spent fuel would remove accessible plutonium from the control of national leaders in non-nuclear-weapons states, thereby eliminating the temptation to use this material for weapons. The Soviets already implement a retrieval policy with the spent fuel generated by East European allies. The authors believe that it is time for the US to reopen the issue of spent-fuel retrieval, and thus to strengthen its non-proliferation policies and the nonproliferation regime in general. 7 references

  8. Burnup credit demands for spent fuel management in Ukraine

    International Nuclear Information System (INIS)

    Medun, V.

    2001-01-01

    In fact, till now, burnup credit has not be applied in Ukrainian nuclear power for spent fuel management systems (storage and transport). However, application of advanced fuel at VVER reactors, arising spent fuel amounts, represent burnup credit as an important resource to decrease spent fuel management costs. The paper describes spent fuel management status in Ukraine from viewpoint of subcriticality assurance under spent fuel storage and transport. It also considers: 1. Regulation basis concerning subcriticality assurance, 2. Basic spent fuel and transport casks characteristics, 3. Possibilities and demands for burnup credit application at spent fuel management systems in Ukraine. (author)

  9. Factors associated with failure to achieve remission and with relapse after remission in patients with major depressive disorder in the PERFORM study

    Directory of Open Access Journals (Sweden)

    Saragoussi D

    2017-08-01

    Full Text Available Delphine Saragoussi,1 Maëlys Touya,2 Josep Maria Haro,3 Bengt Jönsson,4 Martin Knapp,5 Bastien Botrel,6 Ioana Florea,7 Henrik Loft,8 Benoît Rive9 1Real-World Evidence and Epidemiology, Lundbeck SAS, Issy-les-Moulineaux, France; 2Health Economics and Outcomes Research, Lundbeck, Deerfield, IL, US; 3Research and Teaching Unit, Parc Sanitari Sant Joan de Deu, CIBERSAM, University of Barcelona, Sant Boi de Llobregat, Barcelona, Spain; 4Department of Economics, Stockholm School of Economics, Stockholm, Sweden; 5Department of Health Policy, London School of Economics and Political Science, London, UK; 6Biostatistics, Inferential, Paris, France; 7Clinical Research Paediatrics, H. Lundbeck A/S, Valby, Denmark; 8Biometrics, H. Lundbeck A/S, Valby, Denmark; 9Global Analytics, Lundbeck SAS, Issy-les-Moulineaux, France Background: The Prospective Epidemiological Research on Functioning Outcomes Related to Major Depressive Disorder (PERFORM study has been initiated to better understand the course of a depressive episode and its impact on patient functioning. This analysis aimed to identify sociodemographic and clinical factors associated with failure to achieve remission at month 2 after initiating or switching antidepressant monotherapy and with subsequent relapse at month 6 for patients in remission at month 2. Materials and methods: This was a 2-year observational cohort study in 1,159 outpatients aged 18–65 years with major depressive disorder initiating or undergoing the first switch of antidepressant monotherapy. Factors with P<0.20 in univariate logistic regression analyses were combined in a multiple logistic regression model to which backward variable selection was applied (ie, sequential removal of the least significant variable from the model and recomputation of the model until all remaining variables have P<0.05. Results: Baseline factors significantly associated with lower odds of remission at month 2 were body-mass index ≥30 kg/m2 (OR 0

  10. Reduction of uranium in disposal conditions of spent nuclear fuel

    International Nuclear Information System (INIS)

    Myllykylae, E.

    2008-02-01

    This literature study is a summary of publications, in which the reduction of uranium by iron has been investigated in anaerobic groundwater conditions or in aqueous solution in general. The basics of the reduction phenomena and the oxidation states, complexes and solubilities of uranium and iron in groundwaters are discussed as an introduction to the subject, as well as, the Finnish disposal concept of spent nuclear fuel. The spent fuel itself mainly (∼96 %) consists of a sparingly soluble uranium(IV) dioxide, UO 2 (s), which is stable phase in the anticipated reducing disposal conditions. If spent fuel gets in contact with groundwater, oxidizing conditions might be induced by the radiolysis of water, or by the intrusion of oxidizing glacial melting water. Under these conditions, the oxidation and dissolution of uranium dioxide to more soluble U(VI) species could occur. This could lead to the mobilization of uranium and other components of spent fuel matrix including fission products and transuranium elements. The reduction of uranium back to oxidation state U(IV) can be considered as a favourable immobilization mechanism in a long-term, leading to precipitation due to the low solubility of U(IV) species. The cast iron insert of the disposal canister and its anaerobic corrosion products are the most important reductants under disposal conditions, but dissolved ferrous iron may also function as reductant. Other iron sources in the buffer or near-field rock, are also considered as possible reductants. The reduction of uranium is a very challenging phenomenon to investigate. The experimental studies need e.g. well-controlled anoxic conditions and measurements of oxidation states. Reduction and other simultaneous phenomena are difficult to distinghuish. The groundwater conditions (pH, Eh and ions) influence on the prevailing complexes of U and Fe and on forming corrosion products of iron and, thus they determine also the redox chemistry. The partial reduction of

  11. Behavior of iodine in the dissolution of spent nuclear fuels

    Energy Technology Data Exchange (ETDEWEB)

    Sakurai, Tsutomu; Komatsu, Kazunori; Takahashi, A. [Japan Atomic Energy Research Institute, Ibaraki-ken (Japan)

    1997-08-01

    The results of laboratory-scale experiments concerning the behavior of iodine in the dissolution of spent nuclear fuels, which were carried out at the Japan Atomic Energy Research Institute, are summarized. Based on previous and new experimental results, the difference in quantity of residual iodine in the fuel solution between laboratory-scale experiments and reprocessing plants is discussed, Iodine in spent fuels is converted to the following four states: (1) oxidation into I{sub 2} by nitric acid, (2) oxidation into I{sub 2} by nitrous acid generated in the dissolution, (3) formation of a colloid of insoluble iodides such as AgI and PdI{sub 2}, and (4) deposition on insoluble residue. Nitrous acid controls the amount of colloid formed. As a result, up to 10% of iodine in spent fuels is retained in the fuel solution, up to 3% is deposited on insoluble residue, and the balance volatilizes to the off-gas, Contrary to earlier belief, when the dissolution is carried out in 3 to 4 M HNO{sub 3} at 100{degrees}C, the main iodine species in a fuel solution is a colloid, not iodate, Immediately after its formation, the colloid is unstable and decomposes partially in the hot nitric acid solution through the following reaction: AgI(s) + 2HNO{sub 3}(aq) = {1/2}I{sub 2}(aq) + AgNO{sub 3}(aq) + NO{sub 2}(g) + H{sub 2}O(1). For high concentrations of gaseous iodine, I{sub 2}(g), and NO{sub 2}, this reaction is reversed towards formation of the colloid (AgI). Since these concentrations are high near the liquid surface of a plant-scale dissolver, there is a possibility that the colloid is formed there through this reversal, Simulations performed in laboratory-scale experiments demonstrated this reversal, This phenomenon can be one reason the quantity of residual iodine in spent fuels is higher in reprocessing plants than in laboratory-scale experiments. 17 refs., 5 figs., 3 tabs.

  12. Developing Spent Fuel Assembly for Advanced NDA Instrument Calibration - NGSI Spent Fuel Project

    Energy Technology Data Exchange (ETDEWEB)

    Hu, Jianwei [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Gauld, Ian C. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Banfield, James [GE Hitachi Nuclear Energy, Wilmington, NC (United States); Skutnik, Steven [Univ. of Tennessee, Knoxville, TN (United States)

    2014-02-01

    This report summarizes the work by Oak Ridge National Laboratory to investigate the application of modeling and simulation to support the performance assessment and calibration of the advanced nondestructive assay (NDA) instruments developed under the Next Generation Safeguards Initiative Spent Fuel (NGSI-SF) Project. Advanced NDA instrument calibration will likely require reference spent fuel assemblies with well-characterized nuclide compositions that can serve as working standards. Because no reference spent fuel standard currently exists, and the practical ability to obtain direct measurement of nuclide compositions using destructive assay (DA) measurements of an entire fuel assembly is prohibitive in the near term due to the complexity and cost of spent fuel experiments, modeling and simulation will be required to construct such reference fuel assemblies. These calculations will be used to support instrument field tests at the Swedish Interim Storage Facility (Clab) for Spent Nuclear Fuel.

  13. Metronomic Treatment with Low-Dose Trofosfamide Leads to a Long-Term Remission in a Patient with Docetaxel-Refractory Advanced Metastatic Prostate Cancer

    Directory of Open Access Journals (Sweden)

    Jochen Greiner

    2010-01-01

    Full Text Available The treatment of metastatic prostate cancer patients refractory to androgen withdrawal and docetaxel therapy is currently discouraging and new therapeutic approaches are vastly needed. Here, we report a long-term remission over one year in a 68-year-old patient with metastatic docetaxel-refractory prostate cancer employing low-dose trofosfamide. The patient suffered from distant failure with several bone lesions and lymph node metastases depicted by a (11 C-Choline positron emission tomography/computerized tomography (PET/CT. After initiation of trofosfamide 100 mg taken orally once a day we observed a steadily decreasing PSA value from initial 46.6 down to 2.1 g/l. The Choline-PET/CT was repeated after 10 months of continuous therapy and demonstrated a partial remission of the bone lesions and a regression of all involved lymph nodes but one. Taken together we found an astonishing and durable activity of the alkylating agent trofosfamide given in a metronomic fashion. We rate the side effects as low and state an excellent therapeutic ratio of this drug in our patient.

  14. Spent Nuclear Fuel Alternative Technology Decision Analysis

    International Nuclear Information System (INIS)

    Shedrow, C.B.

    1999-01-01

    The Westinghouse Savannah River Company (WSRC) made a FY98 commitment to the Department of Energy (DOE) to recommend a technology for the disposal of aluminum-based spent nuclear fuel (SNF) at the Savannah River Site (SRS). The two technologies being considered, direct co-disposal and melt and dilute, had been previously selected from a group of eleven potential SNF management technologies by the Research Reactor Spent Nuclear Fuel Task Team chartered by the DOE''s Office of Spent Fuel Management. To meet this commitment, WSRC organized the SNF Alternative Technology Program to further develop the direct co-disposal and melt and dilute technologies and ultimately provide a WSRC recommendation to DOE on a preferred SNF alternative management technology

  15. Method of processing spent fuel cladding tubes

    International Nuclear Information System (INIS)

    Nakatsuka, Masafumi; Ouchi, Atsuhiro; Imahashi, Hiromichi.

    1986-01-01

    Purpose: To decrease the residual activity of spent fuel cladding tubes in a short period of time and enable safety storage with simple storage equipments. Constitution: Spent fuel cladding tubes made of zirconium alloys discharged from a nuclear fuel reprocessing step are exposed to a grain boundary embrittling atmosphere to cause grain boundary destruction. This causes grain boundary fractures to the zirconium crystal grains as the matrix of nuclear fuels and then precipitation products precipitated to the grain boundary fractures are removed. The zirconium constituting the nuclear fuel cladding tube and other ingredient elements contained in the precipitation products are separated in this removing step and they are separately stored respectively. As a result, zirconium constituting most part of the composition of the spent nuclear fuel cladding tubes can be stored safely at a low activity level. (Takahashi, M.)

  16. Status of spent fuel shipping cask development

    International Nuclear Information System (INIS)

    Hall, I.K.; Hinschberger, S.T.

    1989-01-01

    This paper discusses how several new-generation shopping cask systems are being developed for safe and economical transport of commercial spent nuclear fuel and other radioactive wastes for the generating sites to a federal geologic repository or monitored retrievable storage (MRS) facility. Primary objectives of the from-reactor spent fuel cask development work are: to increase cask payloads by taking advantage of the increased at-reactor storage time under the current spent fuel management scenario, to facilitate more efficient cask handling operations with reduced occupational radiation exposure, and to promote standardization of the physical interfaces between casks and the shipping and receiving facilities. Increased cask payloads will significantly reduce the numbers of shipments, with corresponding reductions in transportation costs and risks to transportation workers, cask handling personnel, and the general public

  17. Spent fuel storage requirements 1989--2020

    International Nuclear Information System (INIS)

    1989-10-01

    Historical inventories of spent fuel are combined with Department of Energy (DOE) projections of future discharges from commercial nuclear reactors in the US to provide estimates of spent fuel storage requirements over the next 32 years, through the year 2020. The needs for storage capacity beyond that presently available in the pools are estimated. These estimates incorporate the maximum capacities within current and planned in-pool storage facilities and any planned transshipments of fuel to other reactors or facilities. Historical data through December 1988 are derived from the 1989 Form RW-859 data survey of nuclear utilities. Projected discharges through the end of reactor life are based on DOE estimates of future nuclear capacity, generation, and spent fuel discharges. 14 refs., 3 figs., 28 tabs

  18. Spent grain as energy source for breweries

    Energy Technology Data Exchange (ETDEWEB)

    Scharf, P; Meyer-Pittroff, R [Technical Univ. of Munich, Freising (West Germany)

    1990-01-01

    About 1.7 million tons of spent grain are produced from brewing operations each year in the Federal Republic of Germany. Because there is more spent grain than can be sold as cattle fodder, other uses for this product are being sought. These include composting, methane generation, and direct combustion. Researchers are using anaerobic fermentation as a means of producing biogas and using waste energy from the brewery to heat the fermenter. Combustion of spent grain can give a net energy of 12.8 MJ per kg dry grain. With biogas production, about 15-20% of the whole primary energy or 50% of the primary energy used in the boiling house could be substituted by the biogas.

  19. Evolution of spent fuel dry storage

    Energy Technology Data Exchange (ETDEWEB)

    Standring, Paul Nicholas [International Atomic Energy Agency, Vienna (Austria). Div. of Nuclear Fuel Cycle and Waste Technology; Takats, Ferenc [TS ENERCON KFT, Budapest (Hungary)

    2016-11-15

    Around 10,000 tHM of spent fuel is discharged per year from the nuclear power plants in operation. Whilst the bulk of spent fuel is still held in at reactor pools, 24 countries have developed storage facilities; either on the reactor site or away from the reactor site. Of the 146 operational AFR storage facilities about 80 % employ dry storage; the majority being deployed over the last 20 years. This reflects both the development of dry storage technology as well as changes in politics and trading relationships that have affected spent fuel management policies. The paper describes the various approaches to the back-end of the nuclear fuel cycle for power reactor fuels and provides data on deployed storage technologies.

  20. Spent Nuclear Fuel Alternative Technology Decision Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Shedrow, C.B.

    1999-11-29

    The Westinghouse Savannah River Company (WSRC) made a FY98 commitment to the Department of Energy (DOE) to recommend a technology for the disposal of aluminum-based spent nuclear fuel (SNF) at the Savannah River Site (SRS). The two technologies being considered, direct co-disposal and melt and dilute, had been previously selected from a group of eleven potential SNF management technologies by the Research Reactor Spent Nuclear Fuel Task Team chartered by the DOE''s Office of Spent Fuel Management. To meet this commitment, WSRC organized the SNF Alternative Technology Program to further develop the direct co-disposal and melt and dilute technologies and ultimately provide a WSRC recommendation to DOE on a preferred SNF alternative management technology.

  1. Geomechanics of the Spent Fuel Test: Climax

    International Nuclear Information System (INIS)

    Wilder, D.G.; Yow, J.L. Jr.

    1987-07-01

    Three years of geomechanical measurements were made at the Spent Fuel Test-Climax (SFT-C) 1400 feet underground in fractured granitic rock. Heating of the rock mass resulted from emplacement of spent fuel as well as the heating by electrical heaters. Cooldown of the rock occurred after the spent fuel was removed and the heaters were turned off. The measurements program examines both gross and localized responses of the rock mass to thermal loading, to evaluate the thermomechanical response of sheared and fractured rock with that of relatively unfractured rock, to compare the magnitudes of displacements during mining with those induced by extensive heating of the rock mass, and to check assumptions regarding symmetry and damaged zones made in numerical modeling of the SFT-C. 28 refs., 113 figs., 10 tabs

  2. Laser surveillance system for spent fuel

    International Nuclear Information System (INIS)

    Fiarman, S.; Zucker, M.S.; Bieber, A.M. Jr.

    1980-01-01

    A laser surveillance system installed at spent fuel storage pools will provide the safeguard inspector with specific knowledge of spent fuel movement that cannot be obtained with current surveillance systems. The laser system will allow for the division of the pool's spent fuel inventory into two populations - those assemblies which have been moved and those which haven't - which is essential for maximizing the efficiency and effectiveness of the inspection effort. We have designed, constructed, and tested a laser system and have used it with a simulated BWR assembly. The reflected signal from the zircaloy rods depends on the position of the assembly, but in all cases is easily discernable from the reference scan of background with no assembly

  3. Spent fuel storage and transportation - ANSTO experience

    International Nuclear Information System (INIS)

    Irwin, Tony

    2002-01-01

    The Australian Nuclear Science and Technology Organisation (ANSTO) has operated the 10 MW DIDO class High Flux Materials Test Reactor (HIFAR) since 1958. Refuelling the reactor produces about 38 spent fuel elements each year. Australia has no power reactors and only one operating research reactor so that a reprocessing plant in Australia is not an economic proposition. The HEU fuel for HIFAR is manufactured at Dounreay using UK or US origin enriched uranium. Spent fuel was originally sent to Dounreay, UK for reprocessing but this plant was shutdown in 1998. ANSTO participates in the US Foreign Research Reactor Spent Fuel Return program and also has a contract with COGEMA for the reprocessing of non-US origin fuel

  4. Laser surveillance system for spent fuel

    International Nuclear Information System (INIS)

    Fiarman, S.; Zucker, M.S.; Bieber, A.M. Jr.

    1980-01-01

    A laser surveillance system installed at spent fuel storage pools (SFSP's) will provide the safeguard inspector with specific knowledge of spent fuel movement that cannot be obtained with current surveillance systems. The laser system will allow for the division of the pool's spent fuel inventory into two populations - those assemblies which have been moved and those which haven't - which is essential for maximizing the efficiency and effectiveness of the inspection effort. We have designed, constructed, and tested a full size laser system operating in air and have used an array of 6 zircaloy BWR tubes to simulate an assembly. The reflective signal from the zircaloy rods is a strong function of position of the assembly, but in all cases is easily discernable from the reference scan of the background with no assembly. A design for a SFSP laser surveillance system incorporating laser ranging is discussed. 10 figures

  5. Spent fuel storage requirements, 1991--2040

    International Nuclear Information System (INIS)

    1991-12-01

    Historical inventories of spent fuel are combined with US Department of Energy (DOE) projections of future discharges from commercial nuclear reactors in the United States to provide estimates of spent fuel storage requirements over the next 50 years, through the year 2040. The needs for storage capacity beyond that presently available in the pools are estimated. These estimates incorporate the maximum capacities within current and planned in-pool storage facilities and any planned transshipments of fuel to other reactors or facilities. Existing and future dry storage facilities are also discussed. Historical data through December 1990 are derived from the 1991 Form RW-859 data survey of nuclear utilities. Projected discharges through the end of reactor life are based on DOE estimates of future nuclear capacity, generation, and spent fuel discharges

  6. Spent fuel storage requirements, 1990--2040

    International Nuclear Information System (INIS)

    Walling, R.; Bierschbach, M.

    1990-11-01

    Historical inventories of spent fuel are combined with US Department of Energy (DOE) projections of future discharges from commercial nuclear reactors in the United States to provide estimates of spent fuel storage requirements over the next 51 years, through the year 2040. The needs for storage capacity beyond that presently available in the pools are estimated. These estimates incorporate the maximum capacities within current and planned in-pool storage facilities and any planned transshipments of fuel to other reactors or facilities. Existing and future dry storage facilities are also discussed. Historical data through December 1989 are derived from the 1990 Form RW-859 data survey of nuclear utilities. Projected discharges through the end of reactor life are based on DOE estimates of future nuclear capacity, generation, and spent fuel discharges. 15 refs., 3 figs., 11 tabs

  7. Spent fuel management in South Africa

    International Nuclear Information System (INIS)

    Bredell, P.J.; Stott, A.K.

    1998-01-01

    Eskom, the South African utility, operates one of the largest electricity networks in the world. However, only 6% of the South African generating capacity is nuclear; the remainder is coal fired and hydroelectric. The nuclear component consists of the Koeberg Nuclear Power Plant, comprising two French supplied PWRs of 920 MWe each, situated approximately 45 kilometres from cape Town. Construction started in 1976 and the two reactors reached criticality in 1984 and 1985 respectively. South Africa also has an Oak Ridge type research reactor, called SAFARI, operated by the South African Atomic Energy Corporation (AEC) at their Pelindaba site near Pretoria. This research reactor was commissioned in 1965, and has been in operation ever since. South Africa has a National Radioactive Waste Disposal facility called Vaalputs, some 600 km north of Cape Town. The facility, operated by AEC, is presently licensed only for the disposal of low and intermediate radioactive level wastes. Vaalputs offers unique features as a potential interim spent fuel storage and final disposal site, such as favorable geology (granite), low seismicity, low population density, remoteness from industrial centres and and conditions. Therefore, this site has been investigated by the AEC as a potential interim spent fuel storage site, but has not yet been licensed for this purpose. Hence, all spent fuel is currently stored on the two sites at Koeberg and Pelindaba respectively. The spent fuel storage pools at Koeberg have recently been enlarged to accommodate the lifetime spent fuel arisings of the plant. Since late 1997, the Safari spent fuel is stored in a pipe storage facility, constructed away from the reactor on the Pelindaba site. (author)

  8. [Predictors of long-term remission after transsphenoidal surgery in Cushing's disease].

    Science.gov (United States)

    Abellán Galiana, Pablo; Fajardo Montañana, Carmen; Riesgo Suárez, Pedro Antonio; Gómez Vela, José; Escrivá, Carlos Meseguer; Lillo, Vicente Rovira

    2013-10-01

    There is no consensus on the remission criteria for Cushing's disease or on the definition of disease recurrence after transsphenoidal surgery, and comparison of the different published series is therefore difficult. A long-term recurrence rate of Cushing's disease ranging from 2%-25% has been reported. Predictors of long-term remission reported include: 1) adenoma-related factors (aggressiveness, size, preoperative identification in MRI), 2) surgery-related factors, mainly neurosurgeon experience, 3) clinical factors, of which dependence on and duration of glucocorticoid treatment are most important, and 4) biochemical factors. Among the latter, low postoperative cortisol levels, less than 2 mcg/dL predict for disease remission. However, even when undetectable plasma cortisol levels are present, long-term recurrence may still occur and lifetime follow-up is required. We report the preliminary results of the first 20 patients with Cushing's disease operated on at our hospital using nadir cortisol levels less than 2 mcg/dl as remission criterion. Copyright © 2012 SEEN. Published by Elsevier Espana. All rights reserved.

  9. Predictors of impaired work functioning in employees with major depression in remission

    NARCIS (Netherlands)

    de Vries, Gabe; Koeter, Maarten W. J.; Nieuwenhuijsen, Karen; Hees, Hiske L.; Schene, Aart H.

    2015-01-01

    This study aims to (i) assess work functioning in employees returning to work with a major depression in remission, (ii) study the predictors of impaired work functioning. Participants diagnosed with major depressive disorder (MDD), on long term sick leave (mean 27 weeks) and treated in a

  10. Predictors of impaired work functioning in employees with major depression in remission

    NARCIS (Netherlands)

    Vries, G. de; Koeter, M.W.; Nieuwenhuijsen, K.; Hees, H.L.; Schene, A.H.

    2015-01-01

    OBJECTIVES: This study aims to (i) assess work functioning in employees returning to work with a major depression in remission, (ii) study the predictors of impaired work functioning. METHODS: Participants diagnosed with major depressive disorder (MDD), on long term sick leave (mean 27 weeks) and

  11. Safety and efficacy of Profermin(R) to induce remission in ulcerative colitis

    DEFF Research Database (Denmark)

    Krag, Aleksander; Israelsen, Hans; von Ryberg, Bjørn

    2012-01-01

    AIM: To test the efficacy and safety of Profermin(R) in inducing remission in patients with active ulcerative colitis (UC). METHODS: The study included 39 patients with mild to moderate UC defined as a Simple Clinical Colitis Activity Index (SCCAI) > 4 and < 12 (median: 7.5), who were treated ope...

  12. Female Overweight and Obesity in Adolescence: Developmental Trends and Ethnic Differences in Prevalence, Incidence, and Remission

    Science.gov (United States)

    Huh, David; Stice, Eric; Shaw, Heather; Boutelle, Kerri

    2012-01-01

    Despite substantial increases in the prevalence of adolescent overweight and obesity documented in recent decades, few studies have prospectively tracked their development during the entire adolescent period. The aims of this study were to characterize developmental trends in prevalence, incidence, and remission of overweight and obesity using…

  13. Lung cancer: Value of computed tomography in radiotherapy planning and evaluation of tumour remission

    International Nuclear Information System (INIS)

    Feyerabend, T.; Schmitt, R.; Richter, E.; Bohndorf, W.

    1990-01-01

    434 CT examinations of 133 patients with histologically proven bronchogenic carcinoma (22 out of 133 with small cell lung cancer) were analysed before and after radiotherapy. The study evaluates the use of CT for determining target volume, tumour volume and remission rate: 1. Concerning determination of target volume conventional roentgendiagnostic simulator methods are much inferior to CT aided planning; as for our patients changes of the target volume were necessary in 50%, in 22% the changes were crucial. This happened more often in non-small cell lung cancer than in small cell carcinomas. 2. The response rate (CR + PR) after radiotherapy (based on the calculated tumour volumes by CT) was 70 to 80%. The rate of CR of the primary was 45% (non-small cell carcinoma) and 67% (small cell carcinoma). 3. The crucial point for the evaluation of tumour remission after radiotherapy is the point of time. One to three months and four to nine months after irradiation we found complete remissions in 19% and 62%, respectively. Hence, the evaluation of treatment results earlier than three months after radiotherapy may be incorrect. We deem it indispensable to use CT for determination of target, calculation of dose distribution and accurate evaluation of tumour remission and side effects during and after irradiation of patients with bronchogenic carcinoma. (orig.) [de

  14. Cognitive deficits in unipolar depression during remission-Auditory Verbal Learning test findings

    Czech Academy of Sciences Publication Activity Database

    Preiss, M.; Kučerová, H.; Štěpánková, H.; Sos, P.; Lukavský, Jiří; Kawaciuková, R.

    2007-01-01

    Roč. 11, Suppl. 3 (2007), s. 79-83 ISSN 1211-7579 Institutional research plan: CEZ:AV0Z70250504 Keywords : major depressive episode * remission * cognitive function Subject RIV: AN - Psychology http://www.tigis.cz/PSYCHIAT/Psych_suppl_3_07/21Preiss_suppl_3_07.pdf)

  15. Remission of type 2 diabetes mellitus after bariatric surgery - comparison between procedures.

    Science.gov (United States)

    Fernández-Soto, María L; Martín-Leyva, Ana; González-Jiménez, Amalia; García-Rubio, Jesús; Cózar-Ibáñez, Antonio; Zamora-Camacho, Francisco J; Leyva-Martínez, María S; Jiménez-Ríos, Jose A; Escobar-Jiménez, Fernándo

    2017-01-01

    We aimed to assess the mid-term type 2 diabetes mellitus recovery patterns in morbidly obese patients by comparing some relevant physiological parameters of patients of bariatric surgery between two types of surgical procedures: mixed (roux-en-Y gastric bypass and biliopancreatic diversion) and restrictive (sleeve gastrectomy). This is a prospective and observational study of co-morbid, type 2 diabetes mellitus evolution in 49 morbidly obese patients: 37 underwent mixed surgery procedures and 12 a restrictive surgery procedure. We recorded weight, height, body mass index, and glycaemic, lipid, and nutritional blood parameters, prior to procedure, as well as six and twelve months post-operatively. In addition, we tested for differences in patient recovery and investigated predictive factors in diabetes remission. Both glycaemic and lipid profiles diminished significantly to healthy levels by 6 and 12 months post intervention. Type 2 diabetes mellitus showed remission in more than 80% of patients of both types of surgical procedures, with no difference between them. Baseline body mass index, glycated haemoglobin, and insulin intake, among others, were shown to be valuable predictors of diabetes remission one year after the intervention. The choice of the type of surgical procedure did not significantly affect the remission rate of type 2 diabetes mellitus in morbidly obese patients. (Endokrynol Pol 2017; 68 (1): 18-25).

  16. Is going into stable symptomatic remission associated with a more positive development of life satisfaction?

    DEFF Research Database (Denmark)

    Gardsjord, Erlend Strand; Romm, Kristin Lie; Røssberg, Jan Ivar

    2017-01-01

    BACKGROUND: Quality of life is an important outcome measure for patients with psychosis. We investigated whether going into stable symptomatic remission is associated with a more positive development of subjective quality of life (S-QoL) and if different patient characteristics are associated wit...

  17. Widespread reductions of white matter integrity in patients with long-term remission of Cushing's disease

    Directory of Open Access Journals (Sweden)

    Steven J.A. van der Werff

    2014-01-01

    Conclusion: Patients with a history of endogenous hypercortisolism in present remission show widespread changes of white matter integrity in the brain, with abnormalities in the integrity of the uncinate fasciculus being related to the severity of depressive symptoms, suggesting persistent structural effects of hypercortisolism.

  18. Remission of post-transplant focal segmental glomerulosclerosis with angiotensin receptor blockers

    Directory of Open Access Journals (Sweden)

    S B Bansal

    2017-01-01

    Full Text Available Recurrence of focal segmental glomerulosclerosis (FSGS is common after kidney transplantation. Plasmapheresis (PP is considered to be the most effective treatment; however, results are variable and relapse is common after stopping plasmapheresis. Here, we report an unusual case of recurrent FSGS, who achieved complete remission with angiotensin receptor blocker therapy.

  19. Inequality and ethics in paediatric HIV remission research: From Mississippi to South Africa and back.

    Science.gov (United States)

    Crane, Johanna T; Rossouw, Theresa M

    2017-02-01

    In 2013, physician-researchers announced that a baby in Mississippi had been 'functionally cured' of HIV [Persaud, D., Gay, H., Ziemniak, C. F., Chen, Y. H., Piatak, M., Chun, T.-W., … Luzuriaga, K. (2013b, March). Functional HIV cure after very early ART of an infected infant. Paper presented at the 20th conference on retroviruses and opportunistic infections, Atlanta, GA]. Though the child later developed a detectable viral load, the case remains unprecedented, and trials to build on the findings are planned [National Institute of Allergy and Infectious Diseases. (2014). 'Mississippi baby' now has detectable HIV, researchers find. Retrieved from http://www.niaid.nih.gov/news/newsreleases/2014/pages/mississippibabyhiv.aspx ]. Whether addressing HIV 'cure' or 'remission', scrutiny of this case has focused largely on scientific questions, with only introductory attention to ethics. The social inequalities and gaps in care that made the discovery possible - and their ethical implications for paediatric HIV remission - have gone largely unexamined. This paper describes structural inequalities surrounding the 'Mississippi baby' case and a parallel case in South Africa, where proof-of-concept studies are in the early stages. We argue that an ethical programme of research into infant HIV remission ought to be 'structurally competent', and recommend that paediatric remission studies consider including a research component focused on social protection and barriers to care.

  20. Remission of Maternal Depression: Relations to Family Functioning and Youth Internalizing and Externalizing Symptoms

    Science.gov (United States)

    Foster, Cynthia Ewell; Webster, Melissa C.; Weissman, Myrna M.; Pilowsky, Daniel J.; Wickramaratne, Priya J.; Talati, Ardesheer; Rush, A. John; Hughes, Carroll W.; Garber, Judy; Malloy, Erin; Cerda, Gabrielle; Kornstein, Susan G.; Alpert, Jonathan E.; Wisniewski, Stephen R.; Trivedi, Madhukar H.; Fava, Maurizio; King, Cheryl A.

    2008-01-01

    Family functioning and parenting were hypothesized to mediate the relation between remission of maternal depression and children's psychosocial adjustment. Participants were 114 mother-child dyads participating in the Sequenced Treatment Alternatives to Relieve Depression Child 3-month follow-up. All mothers had been diagnosed with major…

  1. Dose-remission of pulsating electromagnetic fields as augmentation in therapy-resistant depression

    DEFF Research Database (Denmark)

    Straasø, Birgit; Lauritzen, Lise; Lunde, Marianne

    2014-01-01

    OBJECTIVE: To evaluate to what extent a twice daily dose of Transcranial Pulsating ElectroMagnetic Fields (T-PEMF) was superior to once daily in patients with treatment-resistant depression as to obtaining symptom remission after 8 weeks of augmentation therapy. METHODS: A self-treatment set...

  2. Continuation-Phase Cognitive Therapy's Effects on Remission and Recovery from Depression

    Science.gov (United States)

    Vittengl, Jeffrey R.; Clark, Lee Anna; Jarrett, Robin B.

    2009-01-01

    The authors tested the effects of continuation-phase cognitive therapy (C-CT) on remission and recovery from recurrent major depressive disorder, defined as 6 weeks and 8 months, respectively, of continuously absent or minimal symptoms. Responders to acute-phase cognitive therapy were randomized to 8 months of C-CT (n = 41) or assessment control…

  3. Theory of mind and functionality in bipolar patients with symptomatic remission.

    Science.gov (United States)

    Barrera, Angeles; Vázquez, Gustavo; Tannenhaus, Lucila; Lolich, María; Herbst, Luis

    2013-01-01

    Functional deficits are commonly observed in bipolar disorder after symptomatic remission. Social cognition deficits have also been reported, which could contribute to dysfunction in patients with bipolar disorder in remission. Twelve bipolar disorder patients in symptomatic remission (7 patients with bipolar disorder type I and 5 with bipolar disorder type II) and 12 healthy controls completed the Reading the Mind in the Eyes Test and the Faux Pas Test to evaluate theory of mind (ToM). Both groups also completed the Functional Assessment Short Test (FAST). The performance of the bipolar patients in the cognitive component of ToM was below normal, although the difference between the control group was not statistically significant (P=.078), with a trend to a worse performance associated with a higher number of depressive episodes (P=.082). There were no statistically significant differences between groups for the emotional component of ToM. Global functionality was significantly lower in bipolar patients compared to the control group (P=.001). Significant differences were also observed between both groups in five of the six dimensions of functionality assessed. No significant correlation was found between functionality and theory of mind. Bipolar patients in symptomatic remission exhibit impairments in several areas of functioning. Cognitive ToM appears more affected than emotional ToM. Deficits in ToM were not related to functional impairment. Copyright © 2012 SEP y SEPB. Published by Elsevier Espana. All rights reserved.

  4. Spontaneous remission of acromegaly and Cushing’s disease following pituitary apoplexy: Two case reports

    NARCIS (Netherlands)

    Roerink, S.H.P.P.; Lindert, E.J. van; Ven, A.C. van de

    2015-01-01

    In this double case report, we present two special cases of pituitary apoplexy. First, we describe a patient with growth hormone deficiency despite clinical suspicion of acromegaly. Imaging showed evidence of a recent pituitary apoplexy, which might have caused spontaneous remission of the

  5. Remission of encephalopathy with status epilepticus (ESES) during sleep renormalizes regulation of slow wave sleep

    DEFF Research Database (Denmark)

    Bölsterli, Bigna K.; Gardella, Elena; Pavlidis, Elena

    2017-01-01

    Objective: In previous studies, we showed an altered overnight decrease of non–rapid-eye-movement (NREM) sleep slow waves in children with encephalopathy related to status epilepticus during sleep (ESES). Here, we test the hypothesis that these alterations renormalize after remission of ESES...

  6. Acceptance of spent fuel of varying characteristics

    International Nuclear Information System (INIS)

    Short, S.M.

    1990-03-01

    This paper is a preliminary overview of a study with the primary objective of establishing a set of acceptance selection criteria and corresponding spent fuel characteristics to be incorporated as a component of requirements for the Federal Waste Management System (FWMS). A number of alternative acceptance allocations and selection rules were analyzed to determine the operational sensitivity of each element of the FWMS to the resultant spent fuel characteristics. Preliminary recommendations of the study include three different sets of selection rules to be included in the FWMS design basis. 2 refs., 4 figs., 4 tabs

  7. Neutron intensity of fast reactor spent fuel

    Energy Technology Data Exchange (ETDEWEB)

    Takamatsu, Misao; Aoyama, Takafumi [Power Reactor and Nuclear Fuel Development Corp., Oarai, Ibaraki (Japan). Oarai Engineering Center

    1998-03-01

    Neutron intensity of spent fuel of the JOYO Mk-II core with a burnup of 62,500 MWd/t and cooling time of 5.2 years was measured at the spent fuel storage pond. The measured data were compared with the calculated values based on the JOYO core management code system `MAGI`, and the average C/E approximately 1.2 was obtained. It was found that the axial neutron intensity didn`t simply follow the burnup distribution, and the neutron intensity was locally increased at the bottom end of the fuel region due to an accumulation of {sup 244}Cm. (author)

  8. Array Detector Modules for Spent Fuel Verification

    Energy Technology Data Exchange (ETDEWEB)

    Bolotnikov, Aleksey

    2018-05-07

    Brookhaven National Laboratory (BNL) proposes to evaluate the arrays of position-sensitive virtual Frisch-grid (VFG) detectors for passive gamma-ray emission tomography (ET) to verify the spent fuel in storage casks before storing them in geo-repositories. Our primary objective is to conduct a preliminary analysis of the arrays capabilities and to perform field measurements to validate the effectiveness of the proposed array modules. The outcome of this proposal will consist of baseline designs for the future ET system which can ultimately be used together with neutrons detectors. This will demonstrate the usage of this technology in spent fuel storage casks.

  9. Biodiesel Production from Spent Coffee Grounds

    Science.gov (United States)

    Blinová, Lenka; Bartošová, Alica; Sirotiak, Maroš

    2017-06-01

    The residue after brewing the spent coffee grounds is an oil-containing waste material having a potential of being used as biodiesel feedstock. Biodiesel production from the waste coffee grounds oil involves collection and transportation of coffee residue, drying, oil extraction, and finally production of biodiesel. Different methods of oil extraction with organic solvents under different conditions show significant differences in the extraction yields. In the manufacturing of biodiesel from coffee oil, the level of reaction completion strongly depends on the quality of the feedstock oil. This paper presents an overview of oil extraction and a method of biodiesel production from spent coffee grounds.

  10. Conditioning of spent mercury by amalgamation

    International Nuclear Information System (INIS)

    Yim, S. P.; Shon, J. S.; An, B. G.; Lee, H. J.; Lee, J. W.; Ji, C. G.; Kim, S. H.; Yoon, J. H.; Yang, M. S.

    2002-01-01

    Solidification by amalgamation was performed to immobilize and stabilize the liquid spent mercury. First, the appropriate metal and alloy which can convert liquid mercury into a solid form of amalgam were selected through initial tests. The amalgam form, formulated in optimum composition, was characterized and subjected to performance tests including compressive strength, water immersion, leachability and initial vaporization rate to evaluate mechanical integrity, durability and leaching properties. Finally, bench scale amalgamation trial was conducted with about 1 kg of spent mercury to verify the feasibility of amalgamation method

  11. Transporting spent nuclear fuel: an overview

    International Nuclear Information System (INIS)

    1986-03-01

    Although high-level radioactive waste from both commercial and defense activities will be shipped to the repository, this booklet focuses on various aspects of transporting commercial spent fuel, which accounts for the majority of the material to be shipped. The booklet is intended to give the reader a basic understanding of the following: the reasons for transportation of spent nuclear fuel, the methods by which it is shipped, the safety and security precautions taken for its transportation, emergency response procedures in the event of an accident, and the DOE program to develop a system uniquely appropriate to NWPA transportation requirements

  12. Release of segregated nuclides from spent fuel

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, L.H.; Tait, J.C. [Atomic Energy Canada Ltd., Pinawa, MB (Canada). Whiteshell Laboratories

    1997-10-01

    The potential release of fission and activation products from spent nuclear fuel into groundwater after container failure in the Swedish deep repository is discussed. Data from studies of fission gas release from representative Swedish BWR fuel are used to estimate the average fission gas release for the spent fuel population. Information from a variety of leaching studies on LWR and CANDU fuel are then reviewed as a basis for estimating the fraction of the inventory of key radionuclides that could be released preferentially (the Instant Release Fraction of IRF) upon failure of the fuel cladding. The uncertainties associated with these estimates are discussed. 33 refs, 6 figs, 3 tabs.

  13. Dissolution studies of spent nuclear fuels

    International Nuclear Information System (INIS)

    1991-02-01

    To obtain quantitative data on the dissolution of high burnup spent nuclear fuel, dissolution study have been carried out at the Department of Chemistry, JAERI, from 1984 under the contract with STA entitled 'Reprocessing Test Study of High Burnup Fuel'. In this study PWR spent fuels of 8,400 to 36,100 MWd/t in averaged burnup were dissolved and the chemical composition and distribution of radioactive nuclides were measured for insoluble residue, cladding material (hull), off-gas and dissolved solution. With these analyses basic data concerning the dissolution and clarification process in the reprocessing plant were accumulated. (author)

  14. Integrated spent nuclear fuel database system

    International Nuclear Information System (INIS)

    Henline, S.P.; Klingler, K.G.; Schierman, B.H.

    1994-01-01

    The Distributed Information Systems software Unit at the Idaho National Engineering Laboratory has designed and developed an Integrated Spent Nuclear Fuel Database System (ISNFDS), which maintains a computerized inventory of all US Department of Energy (DOE) spent nuclear fuel (SNF). Commercial SNF is not included in the ISNFDS unless it is owned or stored by DOE. The ISNFDS is an integrated, single data source containing accurate, traceable, and consistent data and provides extensive data for each fuel, extensive facility data for every facility, and numerous data reports and queries

  15. Significance of campaigned spent fuel shipments

    International Nuclear Information System (INIS)

    Doman, J.W.; Tehan, T.E.

    1993-01-01

    Operational experience associated with spent fuel or irradiated hardware shipments to or from the General Electric Morris Facility is presented. The following specific areas are addressed: Problems and difficulties associated with meeting security and safeguard requirements of 10 CFR Part 73; problems associated with routing via railroad; problems associated with scheduling and impact on affected parties when a shipment is delayed or cancelled; and impact on training when shipments spread over many years. The lessons learned from these experiences indicate that spent fuel shipments are best conducted in dedicated open-quotes campaignsclose quotes that concentrate as much consecutive shipping activity as possible into one continuous time frame

  16. Remission and Recovery in the Treatment for Adolescents with Depression Study (TADS): Acute and Long-Term Outcomes

    Science.gov (United States)

    Kennard, Betsy D.; Silva, Susan G.; Tonev, Simon; Rohde, Paul; Hughes, Jennifer L.; Vitiello, Benedetto; Kratochvil, Christopher J.; Curry, John F.; Emslie, Graham J.; Reinecke, Mark; March, John

    2009-01-01

    The remission and recovery rates of adolescent patients with depression who were treated with fluoxetine, cognitive-behavioral therapy, their combination, and placebos were examined through a multisite clinical trial. It is concluded that most depressed adolescents who received such therapies achieved remission at the end of nine months.

  17. Hyperbolic partial differential equations

    CERN Document Server

    Witten, Matthew

    1986-01-01

    Hyperbolic Partial Differential Equations III is a refereed journal issue that explores the applications, theory, and/or applied methods related to hyperbolic partial differential equations, or problems arising out of hyperbolic partial differential equations, in any area of research. This journal issue is interested in all types of articles in terms of review, mini-monograph, standard study, or short communication. Some studies presented in this journal include discretization of ideal fluid dynamics in the Eulerian representation; a Riemann problem in gas dynamics with bifurcation; periodic M

  18. Successful removable partial dentures.

    Science.gov (United States)

    Lynch, Christopher D

    2012-03-01

    Removable partial dentures (RPDs) remain a mainstay of prosthodontic care for partially dentate patients. Appropriately designed, they can restore masticatory efficiency, improve aesthetics and speech, and help secure overall oral health. However, challenges remain in providing such treatments, including maintaining adequate plaque control, achieving adequate retention, and facilitating patient tolerance. The aim of this paper is to review the successful provision of RPDs. Removable partial dentures are a successful form of treatment for replacing missing teeth, and can be successfully provided with appropriate design and fabrication concepts in mind.

  19. Beginning partial differential equations

    CERN Document Server

    O'Neil, Peter V

    2011-01-01

    A rigorous, yet accessible, introduction to partial differential equations-updated in a valuable new edition Beginning Partial Differential Equations, Second Edition provides a comprehensive introduction to partial differential equations (PDEs) with a special focus on the significance of characteristics, solutions by Fourier series, integrals and transforms, properties and physical interpretations of solutions, and a transition to the modern function space approach to PDEs. With its breadth of coverage, this new edition continues to present a broad introduction to the field, while also addres

  20. Roux-en-Y Gastric Bypass Surgery Induces Early Plasma Metabolomic and Lipidomic Alterations in Humans Associated with Diabetes Remission

    DEFF Research Database (Denmark)

    Arora, Tulika; Velagapudi, Vidya; Pournaras, Dimitri J

    2015-01-01

    -surgery levels. At 4 days after surgery, insulin levels correlated positively with metabolites of branched chain and aromatic amino acid metabolism and negatively with triglycerides with long-chain fatty acids. Of the 14 subjects with diabetes prior to surgery, 7 were in remission 2 years after surgery....... The subjects in remission displayed higher pre-surgery levels of tricarboxylic acid cycle intermediates and triglycerides with long-chain fatty acids compared with subjects not in remission. Thus, metabolic alterations are induced soon after surgery and subjects with diabetes remission differ in the metabolic......Roux-en-Y gastric bypass (RYGB) is an effective method to attain sustained weight loss and diabetes remission. We aimed to elucidate early changes in the plasma metabolome and lipidome after RYGB. Plasma samples from 16 insulin-resistant morbidly obese subjects, of whom 14 had diabetes, were...

  1. Sustained Remission Improves Physical Function in Patients with Established Rheumatoid Arthritis, and Should Be a Treatment Goal

    DEFF Research Database (Denmark)

    Einarsson, Jon Thorkell; Geborek, Pierre; Saxne, Tore

    2016-01-01

    of the strongest predictors of longterm outcomes. The purpose of this study was to investigate the physical function over a long time in patients with RA who achieved sustained remission (SR) compared with that of patients occasionally achieving remission [non-sustained remission (NSR)]. METHODS: Patients with RA...... treated with antitumor necrosis factor and included in the South Swedish Arthritis Treatment Group register were eligible for this study. We identified patients with a Disease Activity Score at 28 joints (DAS28) achieved...... SR, i.e., remission during consecutive visits for at least 6 months. The course of functional status was assessed using the HAQ at each visit. RESULTS: Of the 2416 patients, 1177 (48.7%) reached DAS28 remission at some point. SR was achieved by 382 (15.8%) for the DAS28 and 186 (7.7%) for the SDAI...

  2. Mixed-state bipolar I and II depression: time to remission and clinical characteristics.

    Science.gov (United States)

    Shim, In Hee; Woo, Young Sup; Jun, Tae-Youn; Bahk, Won-Myong

    2014-01-01

    We compared the time to achieve remission and the clinical characteristics of patients with bipolar depressive mixed state and those with bipolar depressive non-mixed state. The subjects (N=131) were inpatients diagnosed between 2006 and 2012 with bipolar I or II disorder, depression and were classified into the following three groups: "pure depressive state" (PD, n=70), "sub-threshold mixed state" (SMX, n=38), and "depressive mixed state" (DMX, n=23). Diagnosis of a DMX was in accordance with Benazzi's definition: three or more manic symptoms in a depressive episode. The subjects' charts were retrospectively reviewed to ascertain the time to achieve remission from the index episode and to identify other factors, such as demographic and clinical characteristics, specific manic symptoms, and pharmacological treatment, that may have contributed to remission. The time to achieve remission was significantly longer in the DMX (p=0.022) and SMX (p=0.035) groups than in the PD group. Adjustment for covariates using a Cox proportional hazards model did not change these results. Clinically, subjects with a DMX were more likely to have manic symptoms in the index episode, especially inflated self-esteem and psychomotor agitation than those in the PD. We investigated only inpatients and therefore could not comment on outpatients. These findings showed that sub-syndromal manic symptoms in bipolar depression had different clinical characteristics and a more severe illness course, including a longer time to achieve remission, than did a pure depressive state. © 2013 Elsevier B.V. All rights reserved.

  3. Rifaximin-extended intestinal release induces remission in patients with moderately active Crohn's disease.

    Science.gov (United States)

    Prantera, Cosimo; Lochs, Herbert; Grimaldi, Maria; Danese, Silvio; Scribano, Maria Lia; Gionchetti, Paolo

    2012-03-01

    Bacteria might be involved in the development and persistence of inflammation in patients with Crohn's disease (CD), and antibiotics could be used in therapy. We performed a clinical phase 2 trial to determine whether a gastroresistant formulation of rifaximin (extended intestinal release [EIR]) induced remission in patients with moderately active CD. We performed a multicenter, randomized, double-blind trial of the efficacy and safety of 400, 800, and 1200 mg rifaximin-EIR, given twice daily to 402 patients with moderately active CD for 12 weeks. Data from patients given rifaximin-EIR were compared with those from individuals given placebo, and collected during a 12-week follow-up period. The primary end point was remission (Crohn's Disease Activity Index <150) at the end of the treatment period. At the end of the 12-week treatment period, 62% of patients who received the 800-mg dosage of rifaximin-EIR (61 of 98) were in remission, compared with 43% of patients who received placebo (43 of 101) (P = .005). A difference was maintained throughout the 12-week follow-up period (45% [40 of 89] vs 29% [28 of 98]; P = .02). Remission was achieved by 54% (56 of 104) and 47% (47 of 99) of the patients given the 400-mg and 1200-mg dosages of rifaximin-EIR, respectively; these rates did not differ from those of placebo. Patients given the 400-mg and 800-mg dosages of rifaximin-EIR had low rates of withdrawal from the study because of adverse events; rates were significantly higher among patients given the 1200-mg dosage (16% [16 of 99]). Administration of 800 mg rifaximin-EIR twice daily for 12 weeks induced remission with few adverse events in patients with moderately active CD. Copyright © 2012 AGA Institute. Published by Elsevier Inc. All rights reserved.

  4. Clinical validity of a population database definition of remission in patients with major depression

    Directory of Open Access Journals (Sweden)

    Salvatella-Pasant Jordi

    2010-02-01

    Full Text Available Abstract Background Major depression (MD is one of the most frequent diagnoses in Primary Care. It is a disabling illness that increases the use of health resources. Aim: To describe the concordance between remission according to clinical assessment and remission obtained from the computerized prescription databases of patients with MD in a Spanish population. Methods Design: multicenter cross-sectional. The population under study was comprised of people from six primary care facilities, who had a MD episode between January 2003 and March 2007. A specialist in psychiatry assessed a random sample of patient histories and determined whether a certain patient was in remission according to clinical criteria (ICPC-2. Regarding the databases, patients were considered in remission when they did not need further prescriptions of AD for at least 6 months after completing treatment for a new episode. Validity indicators (sensitivity [S], specificity [Sp] and clinical utility (positive and negative probability ratio [PPR] and [NPR] were calculated. The concordance index was established using Cohen's kappa coefficient. Significance level was p Results 133 patient histories were reviewed. The kappa coefficient was 82.8% (confidence intervals [CI] were 95%: 73.1 - 92.6, PPR 9.8% and NPR 0.1%. Allocation discrepancies between both criteria were found in 11 patients. S was 92.5% (CI was 95%: 88.0 - 96.9% and Sp was 90.6% (CI was 95%: 85.6 - 95.6%, p Conclusions Results show an acceptable level of concordance between remission obtained from the computerized databases and clinical criteria. The major discrepancies were found in diagnostic accuracy.

  5. Semantic organizational strategy predicts verbal memory and remission rate of geriatric depression.

    Science.gov (United States)

    Morimoto, Sarah Shizuko; Gunning, Faith M; Kanellopoulos, Dora; Murphy, Christopher F; Klimstra, Sibel A; Kelly, Robert E; Alexopoulos, George S

    2012-05-01

    This study tests the hypothesis that the use of semantic organizational strategy during the free-recall phase of a verbal memory task predicts remission of geriatric depression. Sixty-five older patients with major depression participated in a 12-week escitalopram treatment trial. Neuropsychological performance was assessed at baseline after a 2-week drug washout period. The Hopkins Verbal Learning Test-Revised was used to assess verbal learning and memory. Remission was defined as a Hamilton Depression Rating Scale score of ≤ 7 for 2 consecutive weeks and no longer meeting the DSM-IV-TR criteria for major depression. The association between the number of clusters used at the final learning trial (trial 3) and remission was examined using Cox's proportional hazards survival analysis. The relationship between the number of clusters utilized in the final learning trial and the number of words recalled after a 25-min delay was examined in a regression with age and education as covariates. Higher number of clusters utilized predicted remission rates (hazard ratio, 1.26 (95% confidence interval, 1.04-1.54); χ(2)  = 4.23, df = 3, p = 0.04). There was a positive relationship between the total number of clusters used by the end of the third learning trial and the total number of words recalled at the delayed recall trial (F(3,58) = 7.93; p < 0.001). Effective semantic strategy use at baseline on a verbal list learning task by older depressed patients was associated with higher rates of remission with antidepressant treatment. This result provides support for previous findings indicating that measures of executive functioning at baseline are useful in predicting antidepressant response. Copyright © 2011 John Wiley & Sons, Ltd.

  6. César Augusto Restrepo Valencia, Consuelo Vélez Álvarez Abstract Objective. To evaluate the effectiveness of calcineurin ciclosporin and tacrolimus inhibitors to induce remission in patients with refractory lupus nephritis. Patients, materials and methods. Patients with lupus nephritis class IV-G who despite receiving therapy with high doses of steroid and with a cytostatic (cyclophosphamide or mycophenolate for 3 months had not been able to induce some kind of remission.The exclusion criteria were creatinine levels greater than 3 mg / dl, pregnancy, previous history of exposure to calcineurin inhibitors, cancer, active infections, uncontrolled hypertension, and negligence with medication intake. The recommended dose of cyclosporine was 3 mg / kg / day and tacrolimus 0.1 mg / kg / day, in joint with prednisone 0.3 mg / kg / day, cyclophosphamide 1 mg / kg / day or mycophenolate mofetil 1 gram every 12 hours. The cyclophosphamide was administered only during 6 months, after which it was changed to azathioprine at doses of 1 mg / kg / day. Still, mycophenolate was continued at the same dose. All patients completed a minimum period of 12 months follow-up, it was considered that patients achieved partial remission when proteinuria decreased by 50% of the baseline value or its value decreased to less than 1 gram in 24 hours, decrease of leukocytes count and red blood cells in urine of 50%, and creatinine values were stable. A complete remission was considered when there was a reduction in proteinuria in a value less than 300 mg per 24 hours, urinary sediment with less than 3 red blood cells, less than 5 leukocyte for each high power microscopic field, and a creatinine value reduction by 50% or reaching a normal value. Results. Twelve patients met the inclusion criteria and initiated the calcineurin inhibitor protocol. Two presented accelerated deterioration in their function and required chronic dialysis therapy. Ten patients with active treatment completed 12 months

    Directory of Open Access Journals (Sweden)

    César Augusto Restrepo Valencia

    2014-10-01

    Full Text Available Objective: To evaluate the effectiveness of calcineurin ciclosporin and tacrolimus inhibitors to induce remission in patients with refractory lupus nephritis. Patients, materials and methods: Patients with lupus nephritis class IV-G who despite receiving the rapy with high doses of steroid and with a cytostatic (cyclophosphamide or mycophenolate for 3 months had not been able to induce some kind of remission.The exclusion criteria were creatinine levels greater than 3 mg / dl, pregnancy, previous history of exposure to calcineurin inhibitors, cancer, active infections, uncontrolled hypertension, and negligence with medication intake. The recommended dose of cyclosporine was 3 mg / kg / day and tacrolimus 0.1 mg / kg / day, in joint with prednisone 0.3 mg / kg / day, cyclophosphamide 1 mg / kg / day or mycophenolate mofetil 1 gram every 12 hours. The cyclophosphamide was administered only during 6 months, after which it was changed to azathioprine at doses of 1 mg / kg / day. Still, mycophenolate was continued at the same dose. All patients completed a minimum period of 12 months follow-up, it was considered that patients achieved partial remission when proteinuria decreased by 50% of the baseline value or its value decreased to less than 1 gram in 24 hours, decrease of leukocytes count and red blood cells in urine of 50%, and creatinine values were stable. A complete remission was considered when there was a reduction in proteinuria in a value less than 300 mg per 24 hours, urinary sediment with less than 3 red blood cells, less than 5 leukocyte for each high power microscopic field, and a creatinine value reduction by 50% or reaching a normal value. Results: Twelve patients met the inclusion criteria and initiated the calcineurin inhibitor protocol. Two presented accelerated deterioration in their function and required chronic dialysis therapy. Ten patients with active treatment completed 12 months of followup, of which 4 (40% had partial

  7. Partial knee replacement - slideshow

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/presentations/100225.htm Partial knee replacement - series—Normal anatomy To use the sharing ... A.M. Editorial team. Related MedlinePlus Health Topics Knee Replacement A.D.A.M., Inc. is accredited ...

  8. What could be learned from a decade with standardized remission criteria in schizophrenia spectrum disorders: An exploratory follow-up study.

    Science.gov (United States)

    Johansson, Madeleine; Hjärthag, Fredrik; Helldin, Lars

    2018-05-01

    A decade has passed since the standardized remission criteria of schizophrenia spectrum disorders-the Andreasen Criteria-were defined. Over 2000 studies have been published, but only a few describe symptomatic remission over time. In this prospective study we followed patients for 3 and 5years, respectively. The aim was to investigate how different symptoms affect the occurrence of remission and how the remission cut-off level affects remission sustainability. The participants were patients diagnosed with schizophrenia spectrum disorders (DSM-IV). First, the importance of each core symptom for remission was examined using the Positive and Negative Syndrome Scale (n=274). Second, we investigated which items affect patients to either go in and out of remission or never achieve remission (n=154). Third, we investigated how the sustainability of remission is affected by a cut-off set to 2 (minimal) and 3 (mild) points, respectively (n=154). All core symptoms affected the occurence of remission, to a higher or lesser extent. Delusions and Hallucinatory behavior contributed the strongest to fluctuation between remission and non-remission, while the contribution of Mannerism and posturing was very marginal. Negative symptoms were enhanced when remission was never achieved. Moreover, the study found that remission duration was significantly longer for the cut-off score 2 rather than 3. The study shows that, over time, remission criteria discriminate between being stable, unstable, or never in remission. Patients with only a minimal occurrence of symptom intensity exhibit a significantly longer remission duration compared to patients with mild symptom intensity, indicating that the treatment goal should be minimal symptom intensity. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Clinical Global Impression of Improvement (CGI-I) as a valid proxy measure for remission in schizophrenia: analyses of ziprasidone clinical study data.

    Science.gov (United States)

    Masand, Prakash; O'Gorman, Cedric; Mandel, Francine S

    2011-03-01

    To determine the degree to which a proxy measure of remission in schizophrenia correlates with the criteria identified by the Remission in Schizophrenia Working Group, and how well early treatment response to ziprasidone predicts remission. Data from 10 ziprasidone studies were analyzed to determine rates of remission achieved with ziprasidone using a remission definition of Clinical Global Impression of Improvement (CGI-I) of 1, and compared with rates of remission achieved using the remission working group criteria. Positive and Negative Syndrome Scale (PANSS) and Brief Psychiatric Rating Scale (BPRS) scores were then investigated as predictors of remission. A CGI-I score of 1 correlated with the remission criteria developed by the remission working group. In the combined ziprasidone arms, BPRS scores at Weeks 1, 3, and 4 successfully predicted PANSS remission (pproxy measure for the assessment of remission should be easy to apply in a clinical setting and facilitates the prediction of remission in schizophrenia. Copyright © 2010 Elsevier B.V. All rights reserved.

  10. Does early improvement in depressive symptoms predict subsequent remission in patients with depression who are treated with duloxetine?

    Directory of Open Access Journals (Sweden)

    Sueki A

    2016-05-01

    Full Text Available Akitsugu Sueki, Eriko Suzuki, Hitoshi Takahashi, Jun Ishigooka Department of Neuropsychiatry, Tokyo Women’s Medical University, Tokyo, Japan Purpose: In this prospective study, we examined whether early reduction in depressive symptoms predicts later remission to duloxetine in the treatment of depression, as monitored using the Montgomery–Asberg Depression Rating Scale (MADRS. Patients and methods: Among the 106 patients who were enrolled in this study, 67 were included in the statistical analysis. A clinical evaluation using the MADRS was performed at weeks 0, 4, 8, 12, and 16 after commencing treatment. For each time point, the MADRS total score was separated into three components: dysphoria, retardation, and vegetative scores. Results: Remission was defined as an MADRS total score of ≤10 at end point. From our univariate logistic regression analysis, we found that improvements in both the MADRS total score and the dysphoria score at week 4 had a significant interaction with subsequent remission. Furthermore, age and sex were significant predictors of remission. There was an increase of approximately 4% in the odds of remission for each unit increase in age, and female sex had an odds of remission of 0.318 times that of male sex (remission rate for men was 73.1% [19/26] and for women 46.3% [19/41]. However, in the multivariate model using the change from baseline in the total MADRS, dysphoria, retardation, and vegetative scores at week 4, in which age and sex were included as covariates, only sex retained significance, except for an improvement in the dysphoria score. Conclusion: No significant interaction was found between early response to duloxetine and eventual remission in this study. Sex difference was found to be a predictor of subsequent remission in patients with depression who were treated with duloxetine, with the male sex having greater odds of remission. Keywords: antidepressant, early response, sex difference, serotonin

  11. Beginning partial differential equations

    CERN Document Server

    O'Neil, Peter V

    2014-01-01

    A broad introduction to PDEs with an emphasis on specialized topics and applications occurring in a variety of fields Featuring a thoroughly revised presentation of topics, Beginning Partial Differential Equations, Third Edition provides a challenging, yet accessible,combination of techniques, applications, and introductory theory on the subjectof partial differential equations. The new edition offers nonstandard coverageon material including Burger's equation, the telegraph equation, damped wavemotion, and the use of characteristics to solve nonhomogeneous problems. The Third Edition is or

  12. Development of advanced spent fuel management process. System analysis of advanced spent fuel management process

    International Nuclear Information System (INIS)

    Ro, S.G.; Kang, D.S.; Seo, C.S.; Lee, H.H.; Shin, Y.J.; Park, S.W.

    1999-03-01

    The system analysis of an advanced spent fuel management process to establish a non-proliferation model for the long-term spent fuel management is performed by comparing the several dry processes, such as a salt transport process, a lithium process, the IFR process developed in America, and DDP developed in Russia. In our system analysis, the non-proliferation concept is focused on the separation factor between uranium and plutonium and decontamination factors of products in each process, and the non-proliferation model for the long-term spent fuel management has finally been introduced. (Author). 29 refs., 17 tabs., 12 figs

  13. Safeguardability of advanced spent fuel conditioning process

    Energy Technology Data Exchange (ETDEWEB)

    Li, T. K. (Tien K.); Lee, S. Y. (Sang Yoon); Burr, Tom; Russo, P. A. (Phyllis A.); Menlove, Howard O.; Kim, H. D.; Ko, W. I. (Won Il); Park, S. W.; Park, H. S.

    2004-01-01

    The Advanced Spent Fuel Conditioning Process (ACP) is an electro-metallurgical treatment technique to convert oxide-type spent nuclear fuel into a metallic form. The Korea Atomic Energy Research Institute (KAERI) has been developing this technology since 1977 for the purpose of spent fuel management and is planning to perform a lab-scale demonstration in 2006. By using of this technology, a significant reduction of the volume and heat load of spent fuel is expected, which would lighten the burden of final disposal in terms of disposal size, safety and economics. In the framework of collaboration agreement to develop the safeguards system for the ACP, a joint study on the safeguardability of the ACP technology has been performed by the Los Alamos National Laboratory (LANL) and the KAERI since 2002. In this study, the safeguardability of the ACP technology was examined for the pilot-scale facility. The process and material flows were conceptually designed, and the uncertainties in material accounting were estimated with international target values.

  14. Spent fuel surveillance and monitoring methods

    International Nuclear Information System (INIS)

    1988-05-01

    The Technical Committee Meeting on ''Spent Fuel Surveillance and Monitoring Methods'' (27-30 October 1987) has been organized in accordance with recommendations of the International Standing Advisory Group on Spent Fuel Management during its second meeting in 1986. The aim of the meeting was to discuss the above questions with emphasis on current design and operation criteria, safety principles and licensing requirements and procedures in order to prevent: inadvertent criticality, undue radiation exposure, unacceptable release of radioactivity as well as control for loss of storage pool water, crud impact, water chemistry, distribution and behaviour of particulates in cooling water, oxidation of intact and failed fuel rods as a function of temperature and burnup; distribution of radiation and temperature through dry cask wall, monitoring of leakages from pools and gas escapes from dry storage facilities, periodical integrity tests of the containment barriers, responsibilities of organizations for the required operation, structure, staff and subordination, etc. The presentations of the Meeting were divided into two sessions: Spent fuel surveillance programmes and practice in Member States (4 papers); Experimental methods developed in support of spent fuel surveillance programmes (5 papers). A separate abstract was prepared for each of these papers. Refs, figs and tabs

  15. Spent fuel and waste inventories and projections

    International Nuclear Information System (INIS)

    Carter, W.L.; Finney, B.C.; Alexander, C.W.; Blomeke, J.O.; McNair, J.M.

    1980-08-01

    Current inventories of commercial spent fuels and both commercial and US Department of Energy radioactive wastes were compiled, based on judgments of the most reliable information available from Government sources and the open literature. Future waste generation rates and quantities to be accumulated over the remainder of this century are also presented, based on a present projection of US commercial nuclear power growth and expected defense-related activities. Spent fuel projections are based on the current DOE/EIA estimate of nuclear growth, which projects 180 GW(e) in the year 2000. It is recognized that the calculated spent fuel discharges are probably high in view of recent reactor cancellations; hence adjustments will be made in future updates of this report. Wastes considered, on a chapter-by-chapter basis, are: spent fuel, high-level wastes, transuranic wastes, low-level wastes, mill tailings (active sites), and remedial action wastes. The latter category includes mill tailings (inactive sites), surplus facilities, formerly utilized sites, and the Grand Junction Project. For each category, waste volume inventories and projections are given through the year 2000. The land usage requirements are given for storage/disposal of low-level and transuranic wastes, and for present inventories of mill tailings

  16. Development of spent fuel remote handling technology

    International Nuclear Information System (INIS)

    Yoon, J. S.; Hong, H. D.; Kim, S. H.

    2004-02-01

    In this research, the remote handling technology is developed for the advanced spent fuel conditioning process which gives a possible solution to deal with the rapidly increasing spent fuels. In detail, a fuel rod slitting device is developed for the decladding of the spent fuel. A series of experiments has been performed to find out the optimal condition of the spent fuel voloxidation which converts the UO 2 pellet into U 3 O 8 powder. The design requirements of the ACP equipment for hot test is established by analysing the modular requirement, radiation hardening and thermal protection of the process equipment, etc. The prototype of the servo manipulator is developed. The manipulator has an excellent performance in terms of the payload to weight ratio that is 30 % higher than that of existing manipulators. To provide reliability and safety of the ACP, the 3 dimensional graphic simulator is developed. Using the simulator the remote handling operation is simulated and as a result, the optimal layout of ACP is obtained. The supervisory control system is designed to control and monitor the several different unit processes. Also the failure monitoring system is developed to detect the possible accidents of the reduction reactor

  17. Regional spent fuel storage facility (RSFSF)

    International Nuclear Information System (INIS)

    Dyck, H.P.

    1999-01-01

    The paper gives an overview of the meetings held on the technology and safety aspects of regional spent fuel storage facilities. The questions of technique, economy and key public and political issues will be covered as well as the aspects to be considered for implementation of a regional facility. (author)

  18. Casette for storage of spent fuel assemblies

    International Nuclear Information System (INIS)

    Ericsson, S.

    1992-01-01

    Describes a design of a casette for spent fuel storage in a fuelstorage pool. The new design, based on flexible spacers, allows the fuel assemblies to be packed more compact and the fuel storage pool used in a more economic way

  19. Development of spent fuel remote handling technology

    International Nuclear Information System (INIS)

    Yoon, J. S.; Hong, H. D.; Kim, Y. H.

    2001-03-01

    Since the amount of the spent fuel rapidly increases, the current R and D activities are focused on the technology development related with the storage and utilization of the spent fuel. In this research, to provide such a technology, the mechanical head-end process has been developed. In detail, the swing and shock-free crane and the RCGLUD(Remote Cask Grappling and Lid Unbolting Device) were developed for the safe transportation of the spent fuel assembly, the LLW drum and the transportation cask. Also, the disassembly devices required for the head-end process were developed. This process consists of an assembly downender, a rod extractor, a rod cutter, a fuel decladding device, a skeleton compactor, a force-rectifiable manipulator for the abnormal spent fuel disassembly, and the gantry type telescopic transporter, etc. To provide reliability and safety of these devices, the 3 dimensional graphic design system is developed. In this system, the mechanical devices are modelled and their operation is simulated in the virtual environment using the graphic simulation tools. So that the performance and the operational mal-function can be investigated prior to the fabrication of the devices. All the devices are tested and verified by using the fuel prototype at the mockup facility

  20. Total quality in spent fuel pool reracking

    International Nuclear Information System (INIS)

    Cranston, J.S.; Bradbury, R.B.; Cacciapouti, R.J.

    1993-01-01

    The nuclear utility environment is one of strict cost control under prescriptive regulations and increasing public scrutiny. This paper presents the results of A Total Quality approach, by a dedicated team, that addresses the need for increased on-site spent fuel storage in this environment. Innovations to spent fuel pool reracking, driven by utilities' specific technical needs and shrinking budgets, have resulted in both product improvements and lower prices. A Total Quality approach to the entire turnkey project is taken, thereby creating synergism and process efficiency in each of the major phases of the project: design and analysis, licensing, fabrication, installation and disposal. Specific technical advances and the proven quality of the team members minimizes risk to the utility and its shareholders and provides a complete, cost effective service. Proper evaluation of spent fuel storage methods and vendors requires a full understanding of currently available customer driven initiatives that reduce cost while improving quality. In all phases of a spent fuel reracking project, from new rack design and analysis through old rack disposal, the integration of diverse experts, at all levels and throughout all phases of a reracking project, better serves utility needs. This Total Quality environment in conjunction with many technical improvements results in a higher quality product at a lower cost

  1. Spent-fuel-stabilizer screening studies

    International Nuclear Information System (INIS)

    Wynhoff, N.; Girault, S.E.; Fish, R.L.

    1980-11-01

    A broad range of potential stabilizer materials was identified and screened for packaging spent fuel assemblies for underground storage. The screening took into consideration the thermal gradient, stress, differential thermal expansion, nuclear criticality, radiation shielding, cost, and availability. Recommended stabilizer materials for further testing include silica, quartz, mullite, zircon, bentonite, graphite, gases, lead, Zn alloys, Cu alloys, etc

  2. Magnetically modified spent grain for dye removal

    Czech Academy of Sciences Publication Activity Database

    Šafařík, Ivo; Horská, Kateřina; Šafaříková, Miroslava

    2011-01-01

    Roč. 53, č. 1 (2011), s. 78-80 ISSN 0733-5210 R&D Projects: GA MŠk OC09052; GA MPO 2A-1TP1/094 Institutional research plan: CEZ:AV0Z60870520 Keywords : Spent grain * Magnetic fluid * Adsorption * Dyes Subject RIV: GM - Food Processing Impact factor: 2.073, year: 2011

  3. Corrosion of spent Advanced Test Reactor fuel

    International Nuclear Information System (INIS)

    Lundberg, L.B.; Croson, M.L.

    1994-01-01

    The results of a study of the condition of spent nuclear fuel elements from the Advanced Test Reactor (ATR) currently being stored underwater at the Idaho National Engineering Laboratory (INEL) are presented. This study was motivated by a need to estimate the corrosion behavior of dried, spent ATR fuel elements during dry storage for periods up to 50 years. The study indicated that the condition of spent ATR fuel elements currently stored underwater at the INEL is not very well known. Based on the limited data and observed corrosion behavior in the reactor and in underwater storage, it was concluded that many of the fuel elements currently stored under water in the facility called ICPP-603 FSF are in a degraded condition, and it is probable that many have breached cladding. The anticipated dehydration behavior of corroded spent ATR fuel elements was also studied, and a list of issues to be addressed by fuel element characterization before and after forced drying of the fuel elements and during dry storage is presented

  4. PROTEIN ENRICHMENT OF SPENT SORGHUM RESIDUE USING ...

    African Journals Online (AJOL)

    BSN

    The optimum concentration of spent sorghum for protein enrichment with S. cerevisiae was 7.Sg/100 ml. Th.: protein ... production of single sell protein using Candida utilis and cassava starch effluem as substrate. ... wastes as substrates, Kluyveromyces fragilis and milk whey coconut water as substrate (Rahmat et al.,. 1995 ...

  5. Conditioning experience for spent radium sources

    International Nuclear Information System (INIS)

    Kang, I. S.; Shon, J. S.; Kim, K. J.; Min, D. K.

    2001-01-01

    In order to avoid accidents that could be resulted from improper storage of spent radium sources, it is necessary to condition and store them safely. The program for safe conditioning of spent radium sources by IAEA has been established to assist the developing countries. The main object of this paper is to apply the technology that was adapted by IAEA for the conditioning the national inventory of Ra-226 sources in member states, as a part of IAEA's project with the Korean expert team. This paper is the result that the Korean expert team carried out spent radium conditioning, under the project title 'Radium Conditioning in Myanmar(INT4131-06646C)'. The whole inventory of spent radium sources 1,429.5mCi, was safely conditioned by the Korean expert team according to the manual under the supervision of IAEA's technical officer and the control of Myanmar authority on behalf of Myanmar. These sources were encapsuled and welded into 27 small capsules and 3 large capsules, and conditioned in 3 lead shields, producing 3 concrete-shielded drums. The inventories were distributed into 3 shielding devices, holding 500mCi, 459.5mCi, and 470mCi

  6. Comparison of spent nuclear fuel management alternatives

    International Nuclear Information System (INIS)

    Beebe, C.L.; Caldwell, M.A.

    1996-01-01

    This paper reports the process an results of a trade study of spent nuclear fuel (SNF)management alternatives. The purpose of the trade study was to provide: (1) a summary of various SNF management alternatives, (2) an objective comparison of the various alternatives to facilitate the decision making process, and (3) documentation of trade study rational and the basis for decisions

  7. Operation of spent fuel storage facilities

    International Nuclear Information System (INIS)

    1994-01-01

    This Safety Guide was prepared as part of the IAEA's programme on safety of spent fuel storage. This is for interim spent fuel storage facilities that are not integral part of an operating nuclear power plant. Following the introduction, Section 2 describes key activities in the operation of spent fuel storage facilities. Section 3 lists the basic safety considerations for storage facility operation, the fundamental safety objectives being subcriticality, heat removal and radiation protection. Recommendations for organizing the management of a facility are contained in Section 4. Section 5 deals with aspects of training and qualification; Section 6 describes the phases of the commissioning of a spent fuel storage facility. Section 7 describes operational limits and conditions, while Section 8 deals with operating procedures and instructions. Section 9 deals with maintenance, testing, examination and inspection. Section 10 presents recommendations for radiation and environmental protection. Recommendations for the quality assurance (QA) system are presented in Section 11. Section 12 describes the aspects of safeguards and physical protection to be taken into account during operations; Section 13 gives guidance for decommissioning. 15 refs, 5 tabs

  8. Spent fuel management: Current status and prospects

    International Nuclear Information System (INIS)

    1988-12-01

    The main objective of the Advisory Group on Spent Fuel Management is to review the world-wide situation in Spent Fuel Management, to define the most important directions of national efforts and international cooperation in this area, to exchange information on the present status and progress in performing the back-end of Nuclear Fuel Cycle and to elaborate the general recommendations for future Agency programmes in the field of spent fuel management. This report which is a result of the third IAEA Advisory Group Meeting (the first and second were held in 1984 and 1986) is intended to provide the reader with an overview of the status of spent fuel management programmes in a number of leading countries, with a description of the past and present IAEA activities in this field of Nuclear Fuel Cycle and with the Agency's plans for the next years, based on the proposals and recommendations of Member States. A separate abstract was prepared for each of 14 papers presented at the advisory group meeting. Refs, figs and tabs

  9. Time spent on television in European countries

    NARCIS (Netherlands)

    Vergeer, M.R.M.; Coenders, M.T.A.; Scheepers, P.L.H.; Konig, R.P.; Nelissen, P.W.M.; Huysmans, F.J.M.

    2009-01-01

    This study aims to explain the variation in time spent on watching television in 15 European Union countries, using determinants defined at the individual level, and characteristics defined at the national level, such as the number of channels and nature of the television supply. The results of the

  10. Method for processing spent nuclear reactor fuel

    International Nuclear Information System (INIS)

    Levenson, M.; Zebroski, E.L.

    1981-01-01

    A method and apparatus are claimed for processing spent nuclear reactor fuel wherein plutonium is continuously contaminated with radioactive fission products and diluted with uranium. Plutonium of sufficient purity to fabricate nuclear weapons cannot be produced by the process or in the disclosed reprocessing plant. Diversion of plutonium is prevented by radiation hazards and ease of detection

  11. High density aseismic spent fuel storage racks

    International Nuclear Information System (INIS)

    Louvat, J.P.

    1985-05-01

    After the reasons of the development of high density aseismic spent fuel racks by FRAMATOME and LEMER, a description is presented, as also the codes, standards and regulations used to design this FRAMATOME storage rack. Tests have been carried out concerning criticality, irradiation of Cadminox, corrosion of the cell, and the seismic behaviour

  12. Spent nuclear fuel project product specification

    International Nuclear Information System (INIS)

    PAJUNEN, A.L.

    1999-01-01

    This document establishes the limits and controls for the significant parameters that could potentially affect the safety and/or quality of the Spent Nuclear Fuel (SNF) packaged for processing, transport, and storage. The product specifications in this document cover the SNF packaged in Multi-Canister Overpacks to be transported throughout the SNF Project

  13. Spent Fuel Storage Operation - Lessons Learned

    International Nuclear Information System (INIS)

    2013-12-01

    Experience gained in planning, constructing, licensing, operating, managing and modifying spent fuel storage facilities in some Member States now exceeds 50 years. Continual improvement is only achieved through post-project review and ongoing evaluation of operations and processes. This publication is aimed at collating and sharing lessons learned. Hopefully, the information provided will assist Member States that already have a developed storage capability and also those considering development of a spent nuclear fuel storage capability in making informed decisions when managing their spent nuclear fuel. This publication is expected to complement the ongoing Coordinated Research Project on Spent Fuel Performance Assessment and Research (SPAR-III); the scope of which prioritizes facility operational practices in lieu of fuel and structural components behaviour over extended durations. The origins of the current publication stem from a consultants meeting held on 10-12 December 2007 in Vienna, with three participants from the IAEA, Slovenia and USA, where an initial questionnaire on spent fuel storage was formulated (Annex I). The resultant questionnaire was circulated to participants of a technical meeting, Spent Fuel Storage Operations - Lessons Learned. The technical meeting was held in Vienna on 13-16 October 2008, and sixteen participants from ten countries attended. A consultants meeting took place on 18-20 May 2009 in Vienna, with five participants from the IAEA, Slovenia, UK and USA. The participants reviewed the completed questionnaires and produced an initial draft of this publication. A third consultants meeting took place on 9-11 March 2010, which six participants from Canada, Hungary, IAEA, Slovenia and the USA attended. The meeting formulated a second questionnaire (Annex II) as a mechanism for gaining further input for this publication. A final consultants meeting was arranged on 20-22 June 2011 in Vienna. Six participants from Hungary, IAEA, Japan

  14. Uranium in selected endorheic basins as partial analogue for spent fuel behavior in salt

    International Nuclear Information System (INIS)

    Van Luik, A.E.

    1987-01-01

    If uranium (U) behavior with respect to the components of certain endorheic (closed) basin subsurface, playa, or terminal lake brines were quantitatively understood, the ability to predict the long-term redistribution of emplaced U among analogous components of salt formations may be enhanced. Tests that determine the nature of U interactions with pure mineral and organic matter surfaces are important, but studying the natural systems available could give indications of long-term stabilities of processes, and of preferential processes. For example, some metals present in trace quantities, such as U, may be coprecipitated in the oxidized zone with an evaporite mineral that may afterward undergo diagenesis, especially if conditions become more reducing. During diagenesis, the trace metal may be remobilized, but scavenged by sulfides or organic particulates, leaving the evaporite mineral depleted of its trace metal content. A survey of the literature shows trace metal behavior in closed basins has been studied. However, information on U consists of only a few abundance determinations for some evaporite systems. Obtaining and interpreting natural analogue data for the U and Th decay series in selected endorheic basin environments is suggested. 44 refs., 3 figs

  15. Uranium in selected endorheic basins as partial analogue for spent fuel behavior in salt

    International Nuclear Information System (INIS)

    Luik, A.E. van

    1987-01-01

    If uranium (U) behavior with respect to the components of certain endorheic (closed) basin subsurface, playa, or terminal lake brines were quantitatively understood, the ability to predict the long-term redistribution of emplaced U among analogous components of salt formations may be enhanced. Tests that determine the nature of U interactions with pure mineral and organic matter surfaces are important, but studying the natural systems available could give indications of long-term stabilities of processes, and of preferential processes. For example, some metals present in trace quantities, such as U, may be coprecipitated in the oxidized zone with an evaporite mineral that may afterwards undergo diagenesis, especially if conditions become more reducing. During diagenesis, the trace metal may be remobilized, but scavenged by sulfides or organic particulates, leaving the evaporite mineral depleted of its trace metal content. A survey of the literature shows some trace metal behavior in closed basins has been studied. However, information on U consists of only a few abundance determinations for some evaporite systems. Obtaining and interpreting natural analogue data for the U and Th decay series in selected endorheic basin environments is suggested. (author)

  16. The psychosocial consequences of spent fuel disposal

    International Nuclear Information System (INIS)

    Paavola, J.; Eraenen, L.

    1999-03-01

    In this report the potential psychosocial consequences of spent fuel disposal to inhabitants of a community are assessed on the basis of earlier research. In studying the situation, different interpretations and meanings given to nuclear power are considered. First, spent fuel disposal is studied as fear-arousing and consequently stressful situation. Psychosomatic effects of stress and coping strategies used by an individual are presented. Stress as a collective phenomenon and coping mechanisms available for a community are also assessed. Stress reactions caused by natural disasters and technological disasters are compared. Consequences of nuclear power plant accidents are reviewed, e.g. research done on the accident at Three Mile Island power plant. Reasons for the disorganising effect on a community caused by a technological disaster are compared to the altruistic community often seen after natural disasters. The potential reactions that a spent fuel disposal plant can arouse in inhabitants are evaluated. Both short-term and long-term reactions are evaluated as well as reactions under normal functioning, after an incident and as a consequence of an accident. Finally an evaluation of how the decision-making system and citizens' opportunity to influence the decision-making affect the experience of threat is expressed. As a conclusion we see that spent fuel disposal can arouse fear and stress in people. However, the level of the stress is probably low. The stress is at strongest at the time of the starting of the spent fuel disposal plant. With time people get used to the presence of the plant and the threat experienced gets smaller. (orig.)

  17. US spent fuel research and experience

    Energy Technology Data Exchange (ETDEWEB)

    Machiels, A [EPRI and USDOE (United States)

    2012-07-01

    The structural performance of high-burnup spent fuel cladding during dry storage and transportation has been the subject of research and evaluation at EPRI for several years. The major issues addressed in this research program have included the following: Characterization and development of predictive models for damage mechanisms perceived to be potentially active during dry storage; Modeling and analysis of deformation processes during long-term dry storage; Development of cladding failure models and failure criteria, considering cladding material and physical conditions during dry storage and transportation; Failure analysis, considering end-of-dry-storage conditions, of spent fuel systems subjected to normal and accident conditions of transport, prescribed in Part 71 of Title 10 of the Code of Federal Regulations (10CFR71) While issues related to dry storage have largely been resolved, transportation issues have not, at least for spent fuel with discharge burnups greater than 45 GWd/MTU. A research program was launched in late 2002 following two NRC-industry meetings held on September 6, 2002 and October 23, 2002. The aim of the research program was to assess the performance of high-burnup spent fuel cladding under normal and accident conditions of transportation, as prescribed by 10CFR71, considering the physical characteristics and mechanical properties of cladding at the end of dry storage. The objective is to present a synthesis of the information that collectively forms a part of a technical basis intended to facilitate resolution of regulatory issues associated with the transportation of spent nuclear fuel characterized by discharge burnups greater than 45 GWd/MTU.

  18. Spent fuel disposal problem in Bulgaria

    Energy Technology Data Exchange (ETDEWEB)

    Milanov, M; Stefanova, I [Bylgarska Akademiya na Naukite, Sofia (Bulgaria). Inst. za Yadrena Izsledvaniya i Yadrena Energetika

    1994-12-31

    The internationally agreed basic safety principles and criteria for spent fuel (SF) and high level waste (HLW) disposal are outlined. In the framework of these principles the specific problems of Bulgaria described in the `National Concept for Radioactive Waste Management and Disposal in Republic of Bulgaria` are discussed. The possible alternatives for spent fuel management are: (1) sending the spent fuel for disposal in other country; (2) once-through cycle and (3) closed fuel cycle. A mixed solution of the problem is implemented in Bulgaria. According to the agreement between Bulgaria and former Soviet Union a part of the spent fuel has been returned to Russia. The once-through and closed-fuel cycle are also considered. The projected cumulated amount of spent fuel is estimated for two cases: (1) the six units of Kozloduy NPP are in operation till the end of their lifetime (3300 tHM) and (2) low estimate (2700 tHM) - only units 5 and 6 are operated till the end of their lifetime. The reprocessing of the total amount of 3300 tHM will lead to the production of about 370 m{sup 3} vitrified high level wastes. Together with the HLW about 1850 m{sup 3} cladding hulls and 7800 m{sup 3} intermediate-level wastes will be generated, which should be disposed off in deep geological repository. The total production of radioactive waste in once-through cycle is 181 000 m{sup 3}, and in closed cycle - 190 000 m{sup 3}. Geological investigations are performed resulting in categorization of the territory of the country based on geological, geotechnical and hydrogeological conditions. This will facilitate the choice of the most suitable location for deep geological repository. 7 figs., 11 refs.

  19. Development and engineering plan for graphite spent fuels conditioning program

    International Nuclear Information System (INIS)

    Bendixsen, C.L.; Fillmore, D.L.; Kirkham, R.J.; Lord, D.L.; Phillips, M.B.; Pinto, A.P.; Staiger, M.D.

    1993-09-01

    Irradiated (or spent) graphite fuel stored at the Idaho Chemical Processing Plant (ICPP) includes Fort St. Vrain (FSV) reactor and Peach Bottom reactor spent fuels. Conditioning and disposal of spent graphite fuels presently includes three broad alternatives: (1) direct disposal with minimum fuel packaging or conditioning, (2) mechanical disassembly of spent fuel into high-level waste and low-level waste portions to minimize geologic repository requirements, and (3) waste-volume reduction via burning of bulk graphite and other spent fuel chemical processing of the spent fuel. A multi-year program for the engineering development and demonstration of conditioning processes is described. Program costs, schedules, and facility requirements are estimated

  20. Safety aspects of dry spent fuel storage and spent fuel management

    International Nuclear Information System (INIS)

    Botsch, W.; Smalian, S.; Hinterding, P.; Voelzke, H.; Wolff, D.; Kasparek, E.

    2014-01-01

    The storage of spent nuclear fuel (SF) and high-level radioactive waste (HLW) must conform to safety requirements. Safety aspects like safe enclosure of radioactive materials, safe removal of decay heat, nuclear criticality safety and avoidance of unnecessary radiation exposure must be achieved throughout the storage period. The implementation of these safety requirements can be achieved by dry storage of SF and HLW in casks as well as in other systems such as dry vault storage systems or spent fuel pools, where the latter is neither a dry nor a passive system. In Germany dual purpose casks for SF or HLW are used for safe transportation and interim storage. TUV and BAM, who work as independent experts for the competent authorities, present the storage licensing process including sites and casks and inform about spent nuclear fuel management and issues concerning dry storage of spent nuclear fuel, based on their long experience in these fields (authors)

  1. Toward an online cognitive and emotional battery to predict treatment remission in depression

    Directory of Open Access Journals (Sweden)

    Gordon E

    2015-02-01

    Full Text Available Evian Gordon,1 A John Rush,2 Donna M Palmer,3,4 Taylor A Braund,3 William Rekshan1 1Brain Resource, San Francisco, CA, USA; 2Duke-NUS, Singapore; 3Brain Resource, Sydney, NSW, Australia; 4Brain Dynamics Center, Sydney Medical School – Westmead and Westmead Millennium Institute, The University of Sydney, Sydney, NSW, Australia Purpose: To evaluate the performance of a cognitive and emotional test battery in a representative sample of depressed outpatients to inform likelihood of remission over 8 weeks of treatment with each of three common antidepressant medications. Patients and methods: Outpatients 18–65 years old with nonpsychotic major depressive disorder (17 sites were randomized to escitalopram, sertraline or venlafaxine-XR (extended release. Participants scored ≥12 on the baseline 16-item Quick Inventory of Depressive Symptomatology – Self-Report and completed 8 weeks of treatment. The baseline test battery measured cognitive and emotional status. Exploratory multivariate logistic regression models predicting remission (16-item Quick Inventory of Depressive Symptomatology – Self-Report score ≤5 at 8 weeks were developed independently for each medication in subgroups stratified by age, sex, or cognitive and emotional test performance. The model with the highest cross-validated accuracy determined the participant proportion in each arm for whom remission could be predicted with an accuracy ≥10% above chance. The proportion for whom a prediction could be made with very high certainty (positive predictive value and negative predictive value exceeding 80% was calculated by incrementally increasing test battery thresholds to predict remission/non-remission. Results: The test battery, individually developed for each medication, improved identification of remitting and non-remitting participants by ≥10% beyond chance for 243 of 467 participants. The overall remission rates were escitalopram: 40.8%, sertraline: 30.3%, and

  2. Global map of physical interactions among differentially expressed genes in multiple sclerosis relapses and remissions.

    Science.gov (United States)

    Tuller, Tamir; Atar, Shimshi; Ruppin, Eytan; Gurevich, Michael; Achiron, Anat

    2011-09-15

    Multiple sclerosis (MS) is a central nervous system autoimmune inflammatory T-cell-mediated disease with a relapsing-remitting course in the majority of patients. In this study, we performed a high-resolution systems biology analysis of gene expression and physical interactions in MS relapse and remission. To this end, we integrated 164 large-scale measurements of gene expression in peripheral blood mononuclear cells of MS patients in relapse or remission and healthy subjects, with large-scale information about the physical interactions between these genes obtained from public databases. These data were analyzed with a variety of computational methods. We find that there is a clear and significant global network-level signal that is related to the changes in gene expression of MS patients in comparison to healthy subjects. However, despite the clear differences in the clinical symptoms of MS patients in relapse versus remission, the network level signal is weaker when comparing patients in these two stages of the disease. This result suggests that most of the genes have relatively similar expression levels in the two stages of the disease. In accordance with previous studies, we found that the pathways related to regulation of cell death, chemotaxis and inflammatory response are differentially expressed in the disease in comparison to healthy subjects, while pathways related to cell adhesion, cell migration and cell-cell signaling are activated in relapse in comparison to remission. However, the current study includes a detailed report of the exact set of genes involved in these pathways and the interactions between them. For example, we found that the genes TP53 and IL1 are 'network-hub' that interacts with many of the differentially expressed genes in MS patients versus healthy subjects, and the epidermal growth factor receptor is a 'network-hub' in the case of MS patients with relapse versus remission. The statistical approaches employed in this study enabled us

  3. Efficacy of Remission-Induction Regimens for ANCA-Associated Vasculitis

    Science.gov (United States)

    Specks, Ulrich; Merkel, Peter A.; Seo, Philip; Spiera, Robert; Langford, Carol A.; Hoffman, Gary S.; Kallenberg, Cees G.M.; St. Clair, E. William; Fessler, Barri J.; Ding, Linna; Viviano, Lisa; Tchao, Nadia K.; Phippard, Deborah J.; Asare, Adam L.; Lim, Noha; Ikle, David; Jepson, Brett; Brunetta, Paul; Allen, Nancy B.; Fervenza, Fernando C.; Geetha, Duvuru; Keogh, Karina; Kissin, Eugene Y.; Monach, Paul A.; Peikert, Tobias; Stegeman, Coen; Ytterberg, Steven R.; Mueller, Mark; Sejismundo, Lourdes P.; Mieras, Kathleen; Stone, John H.

    2018-01-01

    Background The 18-month efficacy of a single course of rituximab as compared with conventional immunosuppression with cyclophosphamide followed by azathioprine in patients with severe (organ-threatening) antineutrophil cytoplasmic antibody (ANCA)–associated vasculitis is unknown. Methods In a multicenter, randomized, double-blind, double-dummy, noninferiority trial, we compared rituximab (375 mg per square meter of body-surface area administered once a week for 4 weeks) followed by placebo with cyclophosphamide administered for 3 to 6 months followed by azathioprine for 12 to 15 months. The primary outcome measure was complete remission of disease by 6 months, with the remission maintained through 18 months. Results A total of 197 patients were enrolled. As reported previously, 64% of the patients in the rituximab group, as compared with 53% of the patients in the cyclophosphamide–azathioprine group, had a complete remission by 6 months. At 12 and 18 months, 48% and 39%, respectively, of the patients in the rituximab group had maintained the complete remissions, as compared with 39% and 33%, respectively, in the comparison group. Rituximab met the prespecified criteria for noninferiority (P<0.001, with a noninferiority margin of 20%). There was no significant difference between the groups in any efficacy measure, including the duration of complete remission and the frequency or severity of relapses. Among the 101 patients who had relapsing disease at baseline, rituximab was superior to conventional immunosuppression at 6 months (P = 0.01) and at 12 months (P = 0.009) but not at 18 months (P = 0.06), at which time most patients in the rituximab group had reconstituted B cells. There was no significant between-group difference in adverse events. Conclusions In patients with severe ANCA-associated vasculitis, a single course of rituximab was as effective as continuous conventional immunosuppressive therapy for the induction and maintenance of remissions over the

  4. The Spent Fuel Management in Finland and Modifications of Spent Fuel Storages

    International Nuclear Information System (INIS)

    Maaranen, Paeivi

    2014-01-01

    The objective of this presentation is to share the Finnish regulator's (STUK) experiences on regulatory oversight of the enlargement of a spent fuel interim storage. An overview of the current situation of spent fuel management in Finland will also be given. In addition, the planned modifications and requirements set for spent fuel storages due to the Fukushima accident are discussed. In Finland, there are four operating reactors, one under construction and two reactors that have a Council of State's Decision-in-Principle to proceed with the planning and licensing of a new reactor. In Olkiluoto, the two operating ASEA-Atom BWR units and the Areva EPR under construction have a shared interim storage for the spent fuel. The storage was designed and constructed in 1980's. The option for enlarging the storage was foreseen in the original design. Considering three operating units to produce their spent fuel and the final disposal to begin in 2022, extra space in the spent fuel storage is estimated to be needed in around 2014. The operator decided to double the number of the spent fuel pools of the storage and the construction began in 2010. The capacity of the enlarged spent fuel storage is considered to be sufficient for the three Olkiluoto units. The enlargement of the interim storage was included in Olkiluoto NPP 1 and 2 operating license. The licensing of the enlargement was conducted as a major plant modification. The operator needed the approval from STUK to conduct the enlargement. Prior to the construction of this modification, the operator was required to submit the similar documentation as needed for applying for the construction license of a nuclear facility. When conducting changes in an old nuclear facility, the new safety requirements have to be followed. The major challenge in the designing the enlargement of the spent fuel storage was to modify it to withstand a large airplane crash. The operator chose to cover the pools with protecting slabs and also to

  5. Neurocognitive predictors of remission of symptoms and social and role functioning in the early course of first-episode schizophrenia.

    Science.gov (United States)

    Torgalsbøen, Anne-Kari; Mohn, Christine; Rishovd Rund, Bjørn

    2014-04-30

    In a Norwegian ongoing longitudinal study, we investigate the neurocognitive development in first-episode schizophrenia patients, and the influence of neurocognition on remission and real life functioning. In the present study, results from the early course of illness are reported. The sample includes 28 schizophrenia spectrum patients and 28 pairwise matched healthy controls. The patients were recruited from mental health service institutions and data on psychosocial functioning, remission and neurocognition were obtained through a clinical interview, an inventory on social and role functioning, operational criteria of remission, and a standardized neurocognitive test battery, the MATRICS Consensus Cognitive Battery (MCCB). Large effect size differences between patients and controls were observed at baseline on every cognitive domain, as well as statistically significant improvements on overall cognitive function at follow-up for the patient group. A remission rate of 61% was found. The neurocognitive baseline measure of Attention significantly predicted remission status at follow-up, whereas Attention and Working Memory at baseline predicted levels of social and role functioning. In the early course of the illness, more than half of the group of first-episode patients were in remission, and neurocognitive functions are significantly associated with both remission of symptoms and social and role functioning. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  6. “Everyone Needs a Friend Sometimes” – Social Predictors of Long-term Remission In first Episode psychosis

    Directory of Open Access Journals (Sweden)

    Jone Bjornestad

    2016-10-01

    Full Text Available BackgroundPredictors of long-term symptomatic remission are crucial to the successful tailoring of treatment in first episode psychosis. There is lack of studies distinguishing the predictive effects of different social factors. This prevents a valid evaluating of their independent effects.ObjectivesTo test specific social baseline predictors of long-term remission. We hypothesized that first, satisfaction with social relations predicts remission; second, that frequency of social interaction predicts remission; and third, that the effect of friend relationship satisfaction and frequency will be greater than that of family relations satisfaction and frequency.Material and MethodsA sample of first episode psychosis (n=186 completed baseline measures of social functioning, as well as clinical assessments. We compared groups of remitted and non-remitted individuals using generalized estimating equations analyses.ResultsFrequency of social interaction with friends was a significant positive predictor of remission over a two-year period. Neither global perceived social satisfaction nor frequency of family interaction showed significant effects. ConclusionsThe study findings are of particular clinical importance since frequency of friendship interaction is a possibly malleable factor. Frequency of interaction could be affected through behavioral modification and therapy already from an early stage in the course, and thus increase remission rates.KeywordsFirst-Episode Psychosis, Schizophrenia, Social factors, Baseline predictors, Long-term remission.

  7. Centralized disassembly and packaging of spent fuel in the DOE spent fuel management system

    International Nuclear Information System (INIS)

    Johnson, E.R.

    1986-01-01

    In October 1984, E.R. Johnson Associates, Inc. (JAI) initiated a study of the prospective use of a centralized facility for the disassembly and packaging of spent fuel to support the various elements of the US Dept. of Energy (DOE) spent fuel management system, including facilities for monitored retrievable storage (MRS) and repositories. It was DOE's original plan to receive spent fuel at each repository where it would be disassembled and packaged (overpacked) for disposal purposes. Subsequently, DOE considered the prospective use of MRS of spent fuel as an option for providing safe and reliable management of spent fuel. This study was designed to consider possible advantages of the use of centralized facilities for disassembly and packaging of spent fuel at whose location storage facilities could be added as required. The study was divided into three principal technical tasks that covered: (a) development of requirements and criteria for the central disassembly and packaging facility and associated systems. (2) Development of conceptual designs for the central disassembly and packaging facility and associated systems. (3) Estimation of capital and operating costs involved for all system facilities and determination of life cycle costs for various scenarios of operation - for comparison with the reference system

  8. Partial differential equations

    CERN Document Server

    Evans, Lawrence C

    2010-01-01

    This text gives a comprehensive survey of modern techniques in the theoretical study of partial differential equations (PDEs) with particular emphasis on nonlinear equations. The exposition is divided into three parts: representation formulas for solutions; theory for linear partial differential equations; and theory for nonlinear partial differential equations. Included are complete treatments of the method of characteristics; energy methods within Sobolev spaces; regularity for second-order elliptic, parabolic, and hyperbolic equations; maximum principles; the multidimensional calculus of variations; viscosity solutions of Hamilton-Jacobi equations; shock waves and entropy criteria for conservation laws; and, much more.The author summarizes the relevant mathematics required to understand current research in PDEs, especially nonlinear PDEs. While he has reworked and simplified much of the classical theory (particularly the method of characteristics), he primarily emphasizes the modern interplay between funct...

  9. Optimization of partial search

    International Nuclear Information System (INIS)

    Korepin, Vladimir E

    2005-01-01

    A quantum Grover search algorithm can find a target item in a database faster than any classical algorithm. One can trade accuracy for speed and find a part of the database (a block) containing the target item even faster; this is partial search. A partial search algorithm was recently suggested by Grover and Radhakrishnan. Here we optimize it. Efficiency of the search algorithm is measured by the number of queries to the oracle. The author suggests a new version of the Grover-Radhakrishnan algorithm which uses a minimal number of such queries. The algorithm can run on the same hardware that is used for the usual Grover algorithm. (letter to the editor)

  10. Effects of Spent Engine Oil Polluted Soil and Organic Amendment ...

    African Journals Online (AJOL)

    Effects of Spent Engine Oil Polluted Soil and Organic Amendment on Soil ... AFRICAN JOURNALS ONLINE (AJOL) · Journals · Advanced Search · USING AJOL ... of using organic fertilizer as bioremediant for spent engine oil polluted soils.

  11. Status and prospects for spent fuel management in France

    International Nuclear Information System (INIS)

    Portal, R.; L'Epine, P. de

    1996-01-01

    The spent fuel arisings and storage capacities, the interface between fuel storage and transportation activities, the spent fuel storage technology, the reprocessing and recycling industrial activities in France are described in the paper. (author). 6 figs, 8 tabs

  12. Spent oxide fuel regeneration by crystallization in molybdate melts

    International Nuclear Information System (INIS)

    Ustinov, O.A.; Sukhanov, L.P.; Yakunin, S.A.

    2006-01-01

    Paper describes a procedure to regenerate spent oxide fuel by its crystallization in molybdate melts. Paper presents the process procedures to regenerate spent fuel of both fast and thermal neutron reactors. One analyzes the advantages of the elaborated procedure [ru

  13. Management and storage of spent fuel from CEA research reactors

    International Nuclear Information System (INIS)

    Merchie, F.

    1996-01-01

    CEA research reactors and their interim spent fuel storage facilities are described. Long-term solutions for spent fuel storage problems, involving wet storage at PEGASE or dry storage at CASCAD, are outlined in some detail. (author)

  14. Granulocytic sarcoma in a patient with chronic myeloid leukaemia in complete haematological, cytogenetic and molecular remission.

    Science.gov (United States)

    Kittai, Adam; Yu, Eun-Mi; Tabbara, Imad

    2014-12-23

    Granulocytic sarcoma, also known as myeloid sarcoma, is an extramedullary tumour composed of immature myeloid cells. Granulocytic sarcoma is typically found in patients with acute myeloid leukaemia, accelerated phase or blast crisis of chronic myeloid leukaemia, myelodysplastic syndrome, or as an isolated event without bone marrow involvement. We present a case of granulocytic sarcoma in a patient with chronic myeloid leukaemia in the setting of complete haematological, molecular and cytogenetic remission. Our patient was first treated with imatinib for chronic-phase chronic myeloid leukaemia. After maintaining remission for 42 months, he developed a granulocytic sarcoma in his spine. In this case report, we describe our case, along with the three other cases reported in the literature. In addition to being a rare diagnosis, this case demonstrates the importance of being vigilant in diagnosing the cause of back pain and atypical symptoms in patients with a history of leukaemia. 2014 BMJ Publishing Group Ltd.

  15. Antipsychotic medication and remission of psychotic symptoms 10 years after a first-episode psychosis

    DEFF Research Database (Denmark)

    Wils, Regitze Sølling; Gotfredsen, Ditte Resendal; Hjorthøj, Carsten

    2017-01-01

    medication for a period of time. This study investigated the long-term outcome and characteristics of patients in remission of psychotic symptoms with no use of antipsychotic medication at the 10-year follow-up. METHODS: The study was a cohort study including 496 patients diagnosed with schizophrenia...... spectrum disorders (ICD 10: F20 and F22-29). Patients were included in the Danish OPUS Trial and followed up 10years after inclusion, where patient data was collected on socio-demographic factors, psychopathology, level of functioning and medication. FINDINGS: 61% of the patients from the original cohort...... attended the 10-year follow up and 30% of these had remission of psychotic symptoms at the time of the 10-year follow up with no current use of antipsychotic medication. This outcome was associated with female gender, high GAF-F score, participation in the labour market and absence of substance abuse...

  16. Temporary remission of disseminated paecilomycosis in a German shepherd dog treated with ketoconazole : case report

    Directory of Open Access Journals (Sweden)

    M.J. Booth

    2001-07-01

    Full Text Available Disseminated mycosis caused by Paecilomyces varioti in a female German shepherd dog presented with chronic forelimb lameness is described. Radiographs of the swollen carpal joint revealed geographic lysis of the radial epiphysis. Diagnosis was based on cytological demonstration of fungal hyphae and chlamydiospores, as well as fungal culture of fluid obtained by arthrocentesis. Temporary remission was characterised by markedly improved clinical signs and laboratory parameters, following treatment with ketoconazole. The dog was euthanased 9 months after the initial diagnosis, following the diagnosis of multifocal discospondylitis. This appears to be the longest described period of temporary remission obtained with treatment in dogs with paecilomycosis. Clinical, clinicopathological and necropsy findings of this disease in another German shepherd dog are briefly described.

  17. Pioglitazone could induce remission in major depression: a meta-analysis

    Directory of Open Access Journals (Sweden)

    Colle R

    2016-12-01

    Full Text Available Romain Colle,1,* Delphine de Larminat,1,* Samuel Rotenberg,1 Franz Hozer,1 Patrick Hardy,1 Céline Verstuyft,2 Bruno Fève,3,* Emmanuelle Corruble1,* 1Psychiatry Department, Hôpital Bicêtre, INSERM, UMR S1178, University Paris-Sud, Assistance Publique-Hôpitaux de Paris, Le Kremlin Bicêtre, France; 2Molecular Genetic, Pharmacogenetics and Hormonology Department, Hôpital Bicêtre, INSERM UMR_S1184, Centre IMVA, University Paris-Sud, Assistance Publique-Hôpitaux de Paris, Le Kremlin Bicêtre, France; 3Endocrinology Department, INSERM UMR_S938, Hôpital Saint-Antoine, Centre de Recherche Saint-Antoine, Institut Hospitalo-Universitaire ICAN, Sorbonne Universités, Université Pierre et Marie Curie, Assistance Publique des Hôpitaux de Paris, Paris, France *These authors contributed equally to this work Background: Pioglitazone, a selective agonist of the nuclear transcription factor peroxisome proliferator-activated receptor-gamma (PPAR-γ, prescribed for the treatment of type 2 diabetes, could have antidepressant properties. However, its potential to induce remission of major depressive episodes, the optimal clinical target for an antidepressant drug, is a matter of concern. Indeed, only one out of four double-blind randomized controlled trials show higher remission rates with pioglitazone than with control treatments. Hence, the main aim of this study was to perform a meta-analysis of the efficacy of pioglitazone for the treatment of MDE, focusing on remission rates.Methods: Four double-blind randomized controlled trials, comprising 161 patients with an MDE, were included in this meta-analysis. Pioglitazone was studied either alone (one study or as add-on therapy to conventional treatments (antidepressant drugs or lithium salts. It was compared either to placebo (three studies or to metformin (one study. Remission was defined by a Hamilton Depression Rating Scale score <8 after treatment.Results: Pioglitazone could induce higher remission

  18. Body composition and phase angle in Russian children in remission from acute lymphoblastic leukemia

    Science.gov (United States)

    Tseytlin, G. Ja; Khomyakova, I. A.; Nikolaev, D. V.; Konovalova, M. V.; Vashura, A. Yu; Tretyak, A. V.; Godina, E. Z.; Rudnev, S. G.

    2010-04-01

    Elevated degree of body fatness and changes in other body composition parameters are known to be common effects of treatment for acute lymphoblastic leukemia (ALL) in children. In order to study peculiarities of somatic growth and development in ALL survivors, we describe the results of BIA body composition analysis of 112 boys and 108 girls aged 5-18 years in remission from ALL (remission time range 1-13 years) compared to data from the same number of age- and sex-matched healthy controls (n=220). Detrimental effect on height in ALL boys was observed, whereas girls experienced additional weight gain compared to healthy subjects. In ALL patients, resistance, body fat, and percent body fat were significantly increased. The reactance, phase angle, absolute and relative values of skeletal muscle and body cell mass were significantly decreased. Principal component analysis revealed an early prevalence of adiposity traits in the somatic growth and development of ALL girls compared to healthy controls.

  19. Knowledge and insight in relation to functional remission in patients with long-term psychotic disorders

    DEFF Research Database (Denmark)

    Alenius, Malin; Hammarlund-Udenaes, Margareta; Hartvig, Per

    2009-01-01

    : To investigate the knowledge and insight in relation to treatment response. METHODS: A naturalistic study was performed using patient interviews and information gathered from patient drug charts. Apart from the rating scales used for classification of treatment response (CANSEPT method), the SPKS knowledge......BACKGROUND: Patients with psychotic symptoms often respond poorly to treatment. Outcomes can be affected by biological, physiological and psychological factors according to the vulnerability-stress model. The patient's coping strategies and beliefs have been correlated with outcomes. OBJECTIVES...... of illness and drugs rating scale was utilized. RESULTS: In the group of patients in functional remission (FR; n = 38), 37% had insight into their illness as compared to 10% among those not in functional remission (non-FR; n = 78; P strategy for responding...

  20. Development of personality and the remission and onset of personality pathology.

    Science.gov (United States)

    Wright, Aidan G C; Pincus, Aaron L; Lenzenweger, Mark F

    2011-12-01

    The current study used the Longitudinal Study of Personality Disorders data set (Lenzenweger, 1999) to examine the development of personality traits in the context of the remission and onset of personality disorder (PD) symptoms. Despite high levels of stability, past research on the development of basic personality traits has also found a mean trend toward increased maturity and that individuals vary in their trajectories of trait development. Research on PD change has shown a similar pattern. We employed individual growth curve modeling to examine the relationship between personality trait development and PD symptom course. We found that both are indeed related and that remission in PD symptoms is associated with patterns of trait development associated with more rapid maturity. In contrast, deviating from the mean of trait development either through no change (i.e., stagnation) or change in the opposite direction (i.e., regression) was associated with developing PD symptoms over the course of the study.

  1. Prediction of remission in Graves' disease after thionamide therapy by technetium-99m early uptake

    International Nuclear Information System (INIS)

    Misaki, Takashi; Dokoh, Shigeharu; Koh, Toshikiyo; Shimbo, Shin-ichiro; Hidaka, Akinari; Iida, Yasuhiro; Kasagi, Kanji; Konishi, Junji.

    1991-01-01

    In the clinical management of Graves' thyrotoxicosis, one of the most important subject is when to stop antithyroid drugs after achieving an euthyroid state. T 3 suppression test and other methods have been used to forecast the outcome after drug cessation, but the results were not always satisfactory. We have attempted to predict remission of Graves' disease by single measurement of early technetium uptake without administration of triiodothyronine. Drugs were discontinued in the seventy-five patients with Graves' disease on maintenance doses of either methimazole or propylthiouracil who showed normalized uptake (4.0% or less). Of 64 patients evaluable after twelve months, 55 (86%) remained euthyroid, 8 relapsed, and 1 became hypothyoid. With its accuracy in prediction of short-term remission comparable or superior to T 3 suppression test, this rapid and simple method seemed suitable for routine use in clinical practice. (author)

  2. EURATOM safeguards efforts in the development of spent fuel verification methods by non-destructive assay

    Energy Technology Data Exchange (ETDEWEB)

    Matloch, L.; Vaccaro, S.; Couland, M.; De Baere, P.; Schwalbach, P. [Euratom, Communaute europeenne de l' energie atomique - CEEA (European Commission (EC))

    2015-07-01

    The back end of the nuclear fuel cycle continues to develop. The European Commission, particularly the Nuclear Safeguards Directorate of the Directorate General for Energy, implements Euratom safeguards and needs to adapt to this situation. The verification methods for spent nuclear fuel, which EURATOM inspectors can use, require continuous improvement. Whereas the Euratom on-site laboratories provide accurate verification results for fuel undergoing reprocessing, the situation is different for spent fuel which is destined for final storage. In particular, new needs arise from the increasing number of cask loadings for interim dry storage and the advanced plans for the construction of encapsulation plants and geological repositories. Various scenarios present verification challenges. In this context, EURATOM Safeguards, often in cooperation with other stakeholders, is committed to further improvement of NDA methods for spent fuel verification. In this effort EURATOM plays various roles, ranging from definition of inspection needs to direct participation in development of measurement systems, including support of research in the framework of international agreements and via the EC Support Program to the IAEA. This paper presents recent progress in selected NDA methods. These methods have been conceived to satisfy different spent fuel verification needs, ranging from attribute testing to pin-level partial defect verification. (authors)

  3. Chronic myelocytic leukaemia with unusual (27 years) complete remission terminating in acute undifferentiated leukaemia: a clinical and karyotypic study.

    Science.gov (United States)

    Najean, Y; Miclea, M; Tanzer, J; Lessard, M; Sigaux, F

    1991-07-01

    A case of clinically typical CML (300 x 10(6)/l leukocytes, 400 x 10(6)/l platelets, splenomegaly) is presented. After complete remission induced by busulphan, no clinical or haematological abnormalities were observed for 27 years until the development of acute leukaemia (type M1), which was rapidly fatal after a brief chemotherapy-induced remission. The cytogenetic findings were also original: no chromosome Ph1 (during remission 3 years after the onset of the disease), no translocation (banding study 5 years later), and no bcr/abl rearrangement (during the terminal phase).

  4. Labeling of the spent fuel waste package

    International Nuclear Information System (INIS)

    Culbreth, W.G.; Chagari, A.K.

    1992-01-01

    This paper reports that the containers used to store spent fuel in an underground repository must meet federal guidelines that call for unique labels that identify the contents and processing history. Existing standards in the nuclear power industry and relevant ASME/ANSI codes have been reviewed for possible application to the spent-fuel container labeling. An Array of labeling techniques were found that include recommendations for: fonts, word spacing, color combinations, label materials and mounting methods, placement, and content. The use of bar code, optical character recognition, and RF labels were also studied to meet the requirement that the container labels be consistent with the methods used to maintain the repository records

  5. Management of spent sealed radioactive sources

    International Nuclear Information System (INIS)

    Vicente, Roberto; Sordei, Gian-Maria; Hiromoto, Goro

    2002-01-01

    The number of sealed radiation sources used in industrial, medical, and research applications in Brazil amounts to hundreds of thousands. Spent or disused sources are being collected and stored as radioactive waste in nuclear research centers, awaiting for a decision on their final disposal. However, a safe and economically feasible disposal technology is unavailable. The aim of this paper is to report the development of the concept of a repository and a treatment process that will allow the final disposal of all the spent sealed sources in a safe, dedicated, and exclusive repository. The concept of the disposal system is a deep borehole in stable geologic media, meeting the radiological performance standards and safety requirements set by international organizations. (author)

  6. Historical overview of domestic spent fuel shipments

    International Nuclear Information System (INIS)

    Pope, R.B.; Wankerl, M.W.; Armstrong, S.; Hamberger, C.; Schmid, S.

    1991-01-01

    The purpose of this paper is to provide available historical data on most commercial and research reactor spent fuel shipments that have been completed in the United States between 1964 and 1989. This information includes data on the sources of spent fuel that has been shipped, the types of shipping casks used, the number of fuel assemblies that have been shipped, and the number of shipments that have been made. The data are updated periodically to keep abreast of changes. Information on shipments is provided for planning purposes; to support program decisions of the US Department of Energy's (DOE's) Office of Civilian Radioactive Waste Management (OCRWM); and to inform interested members of the public, federal, state, and local government, Indian tribes, and the transportation community. 5 refs., 7 figs., 2 tabs

  7. Spent fuel container alignment device and method

    Science.gov (United States)

    Jones, Stewart D.; Chapek, George V.

    1996-01-01

    An alignment device is used with a spent fuel shipping container including a plurality of fuel pockets for spent fuel arranged in an annular array and having a rotatable cover including an access opening therein. The alignment device includes a lightweight plate which is installed over the access opening of the cover. A laser device is mounted on the plate so as to emit a laser beam through a laser admittance window in the cover into the container in the direction of a pre-established target associated with a particular fuel pocket. An indexing arrangement on the container provides an indication of the angular position of the rotatable cover when the laser beam produced by the laser is brought into alignment with the target of the associated fuel pocket.

  8. Incineration of spent ion exchange resin

    International Nuclear Information System (INIS)

    Hasegawa, Chiaki

    1990-01-01

    It is a pressing need to reduce radioactive waste which is generated from the maintenance and operation of a nuclear power plant. Incineration of low level combustible solid waste such as polyethylene seats, paper and others have been successfully performed since 1984 at the Shimane Nuclear Power Station. Furthermore, for extending incineration treatment to spent ion exchange resin, the incineration test was carried out in 1989. However, as the cation exchange resin contains sulfur and then incineration generates SOx gases, so the components of this facility will be in a corrosive environment. We surveyed incineration conditions to improve the corrosive environment at the exhaust gas treatment system. This paper includes these test results and improved method to incinerate spent ion exchange resin. (author)

  9. Cost analysis methodology of spent fuel storage

    International Nuclear Information System (INIS)

    1994-01-01

    The report deals with the cost analysis of interim spent fuel storage; however, it is not intended either to give a detailed cost analysis or to compare the costs of the different options. This report provides a methodology for calculating the costs of different options for interim storage of the spent fuel produced in the reactor cores. Different technical features and storage options (dry and wet, away from reactor and at reactor) are considered and the factors affecting all options defined. The major cost categories are analysed. Then the net present value of each option is calculated and the levelized cost determined. Finally, a sensitivity analysis is conducted taking into account the uncertainty in the different cost estimates. Examples of current storage practices in some countries are included in the Appendices, with description of the most relevant technical and economic aspects. 16 figs, 14 tabs

  10. Development of advanced spent fuel management process

    International Nuclear Information System (INIS)

    Ro, Seung Gy; Shin, Y. J.; Do, J. B.; You, G. S.; Seo, J. S.; Lee, H. G.

    1998-03-01

    This study is to develop an advanced spent fuel management process for countries which have not yet decided a back-end nuclear fuel cycle policy. The aims of this process development based on the pyroreduction technology of PWR spent fuels with molten lithium, are to reduce the storage volume by a quarter and to reduce the storage cooling load in half by the preferential removal of highly radioactive decay-heat elements such as Cs-137 and Sr-90 only. From the experimental results which confirm the feasibility of metallization technology, it is concluded that there are no problems in aspects of reaction kinetics and equilibrium. However, the operating performance test of each equipment on an engineering scale still remain and will be conducted in 1999. (author). 21 refs., 45 tabs., 119 figs

  11. International safeguards for spent fuel storage

    International Nuclear Information System (INIS)

    Kratzer, M.; Wonder, E.; Immerman, W.; Crane, F.

    1981-08-01

    This report analyzes the nonproliferation effectiveness and political and economic acceptability of prospective improvements in international safeguard techniques for LWR spent fuel storage. Although the applicability of item accounting considerably eases the safeguarding of stored spent fuel, the problem of verification is potentially serious. A number of simple gamma and neutron nondestructive assay techniques were found to offer considerable improvements, of a qualitative rather than quantitative nature, in verification-related data and information, and possess the major advantage of intruding very little on facility operations. A number of improved seals and monitors appear feasible as well, but improvements in the timeliness of detection will not occur unless the frequency of inspection is increased or a remote monitoring capability is established. Limitations on IAEA Safeguards resources and on the integration of results from material accounting and containment and surveillance remain problems

  12. Design of spent fuel storage facilities

    International Nuclear Information System (INIS)

    1994-01-01

    This Safety Guide is for interim spent fuel storage facilities that are not integral part of an operating nuclear power plant. Following the introduction, Section 2 describes the general safety requirements applicable to the design of both wet and dry spent fuel storage facilities; Section 3 deals with the design requirements specific to either wet or dry storage. Recommendations for the auxiliary systems of any storage facility are contained in Section 4; these are necessary to ensure the safety of the system and its safe operation. Section 5 provides recommendations for establishing the quality assurance system for a storage facility. Section 6 discusses the requirements for inspection and maintenance that must be considered during the design. Finally, Section 7 provides guidance on design features to be considered to facilitate eventual decommissioning. 18 refs

  13. Spent-fuel transport: available as needed

    International Nuclear Information System (INIS)

    Macklin, L.

    1976-01-01

    As a result of the general uncertainty as to when commercial reprocessing will actually take place in the United States (U.S.) and the long lead times now required before bringing a spent-fuel cask system in operation, it appears that serious problems can arise by 1979-1980 in cask capacity availability. Compounding the uncertainty with respect to cask capacity availability is the position taken by some of the U.S. railroad systems and some state and local governmental agencies in imposing restraints in the movement of spent fuel. By utility companies taking risk in committing to casks in advance of the actual requirement dates and by cask suppliers assuming the risks of licensing, costs, and delivery schedules, this potential bottleneck could be minimized

  14. Storage method for spent fuel assembly

    International Nuclear Information System (INIS)

    Tajiri, Hiroshi.

    1992-01-01

    In the present invention, spent fuel assemblies are arranged at a dense pitch in a storage rack by suppressing the reactivity of the assemblies, to increase storage capacity for the spent fuel assemblies. That is, neutron absorbers are filled in the cladding tube of an absorbing rod, and the diameter thereof is substantially equal with that of a fuel rod. A great amount of the absorbing rods are arranged at the outer circumference of the fuel assembly. Then, they are fixed integrally to the fuel assembly and stored in a storage rack. In this case, the storage rack may be constituted only with angle materials which are inexpensive and installed simply. With such a constitution, in the fuel assembly having absorbing rods wound therearound, neutrons are absorbed by absorbing rods and the reactivity is lowered. Accordingly, the assembly arrangement pitch in the storage rack can be made dense. As a result, the storage capacity for the assemblies is increased. (I.S.)

  15. Corrosion surveillance in spent fuel storage pools

    International Nuclear Information System (INIS)

    Howell, J.P.

    1996-01-01

    In mid-1991, corrosion of aluminum-clad spent nuclear fuel was observed in the light-water filled basins at the Savannah River site. A corrosion surveillance program was initiated in the P, K, L-Reactor basins and in the Receiving Basin for Offsite Fuels (RBOF). This program verified the aggressive nature of the pitting corrosion and provided recommendations for changes in basin operations to permit extended longer term interim storage. The changes were implemented during 1994--1996 and have resulted in significantly improved basin water quality with conductivity in the 1--3 microS/cm range. Under these improved conditions, no new pitting has been observed over the last three years. This paper describes the corrosion surveillance program at SRS and what has been learned about the corrosion of aluminum-clad in spent fuel storage pools

  16. Impact analysis of spent fuel jacket assemblies

    International Nuclear Information System (INIS)

    Aramayo, G.A.

    1994-01-01

    As part of the analyses performed in support of the reracking of the High Flux Isotope Reactor pool, it became necessary to prove the structural integrity of the spent fuel jacket assemblies subjected to gravity drop that result from postulated accidents associated with the handling of these assemblies while submerged in the pool. The spent fuel jacket assemblies are an integral part of the reracking project, and serve to house fuel assemblies. The structure integrity of the jacket assemblies from loads that result from impact from a height of 10 feet onto specified targets has been performed analytically using the computer program LS-DYNA3D. Nine attitudes of the assembly at the time of impact have been considered. Results of the analyses show that there is no failure of the assemblies as a result of the impact scenarios considered

  17. BR-100 spent fuel shipping cask development

    International Nuclear Information System (INIS)

    McGuinn, E.J.; Childress, P.C.

    1990-01-01

    Continued public acceptance of commercial nuclear power is contingent to a large degree on the US Department of Energy (DOE) establishing an integrated waste management system for spent nuclear fuel. As part of the from-reactor transportation segment of this system, the B ampersand W Fuel Company (BWFC) is under contract to the DOE to develop a spent-fuel cask that is compatible with both rail and barge modes of transportation. Innovative design approaches were the keys to achieving a cask design that maximizes payload capacity and cask performance. The result is the BR-100, a 100-ton rail/barge cask with a capacity of 21 PWR or 52 BWR ten-year cooled, intact fuel assemblies. 3 figs

  18. Research reactor spent fuel management in Argentina

    International Nuclear Information System (INIS)

    Audero, M.A.; Bevilacqua, A.M.; Mehlich, A.M.; Novara, O.

    2002-01-01

    The research reactor spent fuel (RRSF) management strategy will be presented as well as the interim storage experience. Currently, low-enriched uranium RRSF is in wet interim storage either at reactor site or away from reactor site in a centralized storage facility. High-enriched uranium RRSF from the centralized storage facility has been sent to the USA in the framework of the Foreign Research Reactor Spent Nuclear Fuel Acceptance Program. The strategy for the management of the RRSF could implement the encapsulation for interim dry storage. As an alternative to encapsulation for dry storage some conditioning processes are being studied which include decladding, isotopic dilution, oxidation and immobilization. The immobilized material will be suitable for final disposal. (author)

  19. Remediation of spent block in Uvanas deposit

    International Nuclear Information System (INIS)

    Nurgaziev, M.A.; Iskakov, M.M.

    2012-01-01

    In 2007 by 'Kazatomprom' and 'Mining company' board decision, the branch of 'Mining company', 'Steppe ore management body' is reorganized in structure subdivision, the basic activity of which is organization and carrying out remediation works on spent blocks of PSV uranium deposit. In 2002 works are completed on OVOS for operating deposits Uvanas, Kanjugan, Northern Karamurun and Eastern Minkuduk. The results of present work were reported in IAEA conference. The working project 'Remediation of spent blocks of PSV uranium deposit PV-17 polygon of Steppe ore management body' approved in 2005 was developed for carrying out the remediation works. Works funding were carried out from liquidation fund of the current deposit established in accordance with the Republic of Kazakhstan law 'About interior and interior use'. Deposits remediation is the part of deposit operation life cycle which obliges to operate deposits with minimum expenditures for remediation.

  20. Robotic cleaning of a spent fuel pool

    International Nuclear Information System (INIS)

    Roman, H.T.; Marian, F.A.; Silverman, E.B.; Barkley, V.P.

    1987-01-01

    Spent fuel pools at nuclear power plants are not cleaned routinely, other than by purifying the water that they contain. Yet, debris can collect on the bottom of a pool and should be removed prior to fuel transfer. At Public Service Electric and Gas Company's Hope Creek Nuclear Power Plant, a submersible mobile robot - ARD Corporation's SCAVENGER - was used to clean the bottom of the spent fuel pool prior to initial fuel loading. The robotic device was operated remotely (as opposed to autonomously) with a simple forward/reverse control, and it cleaned 70-80% of the pool bottom. This paper reports that a simple cost-benefit analysis shows that the robotic device would be less expensive, on a per mission basis, than other cleaning alternatives, especially if it were used for other similar cleaning operations throughout the plant

  1. Spent nuclear fuel project product specification

    International Nuclear Information System (INIS)

    Pajunen, A.L.

    1998-01-01

    Product specifications are limits and controls established for each significant parameter that potentially affects safety and/or quality of the Spent Nuclear Fuel (SNF) packaged for transport to dry storage. The product specifications in this document cover the spent fuel packaged in MultiCanister Overpacks (MCOs) to be transported throughout the SNF Project. The SNF includes N Reactor fuel and single-pass reactor fuel. The FRS removes the SNF from the storage canisters, cleans it, and places it into baskets. The MCO loading system places the baskets into MCO/Cask assembly packages. These packages are then transferred to the Cold Vacuum Drying (CVD) Facility. After drying at the CVD Facility, the MCO cask packages are transferred to the Canister Storage Building (CSB), where the MCOs are removed from the casks, staged, inspected, sealed (by welding), and stored until a suitable permanent disposal option is implemented. The key criteria necessary to achieve these goals are documented in this specification

  2. Emotional rigidity negatively impacts remission from anxiety and recovery of well-being.

    Science.gov (United States)

    Wiltgen, Anika; Shepard, Christopher; Smith, Ryan; Fowler, J Christopher

    2018-08-15

    Emotional rigidity is described in clinical literature as a significant barrier to recovery; however, few there are few empirical measures of the construct. The current study had two aims: Study 1 aimed to identify latent factors that may bear on the construct of emotional rigidity while Study 2 assessed the potential impact of the latent factor(s) on anxiety remission rates and well-being. This study utilized data from 2472 adult inpatients (1176 females and 1296 males) with severe psychopathology. Study 1 utilized exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to identify latent factors of emotional rigidity. Study 2 utilized hierarchical logistic regression analyses to assess the relationships among emotional rigidity factors and anxiety remission and well-being recovery at discharge. Study 1 yielded a two-factor solution identified in EFA was confirmed with CFA. Factor 1 consisted of neuroticism, experiential avoidance, non-acceptance of emotions, impaired goal-directed behavior, impulse control difficulties and limited access to emotion regulation strategies when experiencing negative emotions. Factor 2 consisted of lack of emotional awareness and lack of emotional clarity when experiencing negative emotions. Results of Study 2 indicated higher scores on Factor 1 was associated with lower remission rates from anxiety and poorer well-being upon discharge. Factor 2 was not predictive of outcome. Emotional rigidity appears to be a latent construct that negatively impacts remission rates from anxiety. Limitations of the present study include its retrospective design, and inefficient methods of assessing emotional rigidity. Copyright © 2018. Published by Elsevier B.V.

  3. Prediction of electroconvulsive therapy response and remission in major depression : meta-analysis

    OpenAIRE

    Diermen, van, Linda; Ameele, van den, Seline; Kamperman, Astrid M.; Sabbe, Bernard G.C.; Vermeulen, Tom; Schrijvers, Didier; Birkenhager, Tom K.

    2018-01-01

    Abstract: Background Electroconvulsive therapy (ECT) is considered to be the most effective treatment in severe major depression. The identification of reliable predictors of ECT response could contribute to a more targeted patient selection and consequently increased ECT response rates. Aims To investigate the predictive value of age, depression severity, psychotic and melancholic features for ECT response and remission in major depression. Method A meta-analysis was conducted according to t...

  4. Achieving Remission in Gulf War Illness: A Simulation-Based Approach to Treatment Design.

    Directory of Open Access Journals (Sweden)

    Travis J A Craddock

    Full Text Available Gulf War Illness (GWI is a chronic multi-symptom disorder affecting up to one-third of the 700,000 returning veterans of the 1991 Persian Gulf War and for which there is no known cure. GWI symptoms span several of the body's principal regulatory systems and include debilitating fatigue, severe musculoskeletal pain, cognitive and neurological problems. Using computational models, our group reported previously that GWI might be perpetuated at least in part by natural homeostatic regulation of the neuroendocrine-immune network. In this work, we attempt to harness these regulatory dynamics to identify treatment courses that might produce lasting remission. Towards this we apply a combinatorial optimization scheme to the Monte Carlo simulation of a discrete ternary logic model that represents combined hypothalamic-pituitary-adrenal (HPA, gonadal (HPG, and immune system regulation in males. In this work we found that no single intervention target allowed a robust return to normal homeostatic control. All combined interventions leading to a predicted remission involved an initial inhibition of Th1 inflammatory cytokines (Th1Cyt followed by a subsequent inhibition of glucocorticoid receptor function (GR. These first two intervention events alone ended in stable and lasting return to the normal regulatory control in 40% of the simulated cases. Applying a second cycle of this combined treatment improved this predicted remission rate to 2 out of 3 simulated subjects (63%. These results suggest that in a complex illness such as GWI, a multi-tiered intervention strategy that formally accounts for regulatory dynamics may be required to reset neuroendocrine-immune homeostasis and support extended remission.

  5. Remission of diabetes mellitus in cats cannot be predicted by the arginine stimulation test

    OpenAIRE

    Tschuor, F

    2011-01-01

    Background: Responsiveness of β-cells to arginine persists the longest during diabetes progression, making the intravenous arginine stimulation test (IVAST) a useful tool to assess residual insulin and glucagon secretion. Hypothesis: Diabetic cats with and without remission will have different arginine-induced insulin or glucagon response. Animals: 17 cats with diabetes, 7 healthy cats. Methods: Response to IVAST was assessed by calculating insulin and glucagon area under the c...

  6. Remission rate of acute lymphoblastic leukemia (all) in adolescents and young adults (aya)

    International Nuclear Information System (INIS)

    Vallacha, A.; Haider, G.; Kumar, D.

    2018-01-01

    To determine the remission rate in adolescent and young adult (AYA) patients with acute lymphoblastic leukemia (ALL). Study Design:Descriptive study. Place and Duration of Study:Department of Oncology, Jinnah Postgraduate Medical Centre (JPMC), Karachi from January, 2016 to March, 2017. Methodology:Adolescent and young adult (AYA) patients aged 15-39 years, newly diagnosed with acute lymphoblastic leukemia from January, 2016 to March, 2017. Diagnosis was confirmed by bone marrow trephine biopsy and immuno-phenotyping. All the patients were treated with daunorubicin, vincristine, prednisone, and L-asparaginase in the induction phase. The response evaluation was done on day 35 of the induction phase and the remission rate was assessed by the bone marrow examination. Results:Of the total 50 AYA patients diagnosed with ALL, 41 patients could complete induction phase and 9 patients died during the first week of induction, therefore excluded from the study. Forty (97.8%) patients were <35years of age, 28 (68.3%) were male, of female 10 (24.4%) were housewives, 33 (80.5%) patients belonged to Sindh, 28 (68.3%) presented with fever and body ache, 17 (41.5%) patients had precursor B cell type ALL, with 7 (17.1%) patients had hemoglobin of <7 g/dL,11 (26.8%) patients had white cell count of >30x10/sup 9//L, platelet count of <20x103/mu L in 6 (14.6%) patients and complete morphological remission was reported in 29 (70.7%) patients. Conclusion:The remission induction rate was 70.7% in the adolescents and young adults with acute lymphoblastic leukemia at the study centre. (author)

  7. Remission in Depressed Geriatric Primary Care Patients: A Report From the PROSPECT Study

    Science.gov (United States)

    Alexopoulos, George S.; Katz, Ira R.; Bruce, Martha L.; Heo, Moonseong; Have, Thomas Ten; Raue, Patrick; Bogner, Hillary R.; Schulberg, Herbert C.; Mulsant, Benoit H.; Reynolds, Charles F.

    2009-01-01

    Objective This study compared time to first remission for elderly depressed patients in primary care for practices that implemented a care management model versus those providing usual care. In addition, it sought to identify risk factors for nonremission that could guide treatment planning and referral to care managers or specialists. Method Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT) data were analyzed. Participants were older patients (≥60 years) selected following screening of 9,072 randomly identified primary care patients. The present analysis examined patients with major depression and a 24-item Hamilton Depression Rating Scale score of 18 or greater who were followed for at least 4 months (N=215). Primary care practices were randomly assigned to offer the PROSPECT intervention or usual care. The intervention consisted of services of trained care managers, who offered algorithm-based recommendations to physicians and helped patients with treatment adherence over 18 months. Results First remission occurred earlier and was more common among patients receiving the intervention than among those receiving usual care. For all patients, limitations in physical and emotional functions predicted poor remission rate. Patients experiencing hopelessness were more likely to achieve remission if treated in intervention practices. Similarly, the intervention was more effective in patients with low baseline anxiety. Conclusions Longitudinal assessment of depression, hopelessness, anxiety, and physical and emotional functional limitations in depressed older primary care patients is critical. Patients with prominent symptoms or impairment in these areas may be candidates for care management or mental health care, since they are at risk for remaining depressed and disabled. PMID:15800144

  8. Limited utility of routine surveillance imaging for classical Hodgkin lymphoma patients in first complete remission.

    Science.gov (United States)

    Pingali, Sai Ravi; Jewell, Sarah W; Havlat, Luiza; Bast, Martin A; Thompson, Jonathan R; Eastwood, Daniel C; Bartlett, Nancy L; Armitage, James O; Wagner-Johnston, Nina D; Vose, Julie M; Fenske, Timothy S

    2014-07-15

    The objective of this study was to compare the outcomes of patients with classical Hodgkin lymphoma (cHL) who achieved complete remission with frontline therapy and then underwent either clinical surveillance or routine surveillance imaging. In total, 241 patients who were newly diagnosed with cHL between January 2000 and December 2010 at 3 participating tertiary care centers and achieved complete remission after first-line therapy were retrospectively analyzed. Of these, there were 174 patients in the routine surveillance imaging group and 67 patients in the clinical surveillance group, based on the intended mode of surveillance. In the routine surveillance imaging group, the intended plan of surveillance included computed tomography and/or positron emission tomography scans; whereas, in the clinical surveillance group, the intended plan of surveillance was clinical examination and laboratory studies, and scans were obtained only to evaluate concerning signs or symptoms. Baseline patient characteristics, prognostic features, treatment records, and outcomes were collected. The primary objective was to compare overall survival for patients in both groups. For secondary objectives, we compared the success of second-line therapy and estimated the costs of imaging for each group. After 5 years of follow-up, the overall survival rate was 97% (95% confidence interval, 92%-99%) in the routine surveillance imaging group and 96% (95% confidence interval, 87%-99%) in the clinical surveillance group (P = .41). There were few relapses in each group, and all patients who relapsed in both groups achieved complete remission with second-line therapy. The charges associated with routine surveillance imaging were significantly higher than those for the clinical surveillance strategy, with no apparent clinical benefit. Clinical surveillance was not inferior to routine surveillance imaging in patients with cHL who achieved complete remission with frontline therapy. Routine

  9. Fibromyalgia Syndrome: A Case Report on Controlled Remission of Symptoms by a Dietary Strategy

    Directory of Open Access Journals (Sweden)

    Silvia Maria Lattanzio

    2018-04-01

    Full Text Available A 34-year-old woman suffered from significant chronic pain, depression, non-restorative sleep, chronic fatigue, severe morning stiffness, leg cramps, irritable bowel syndrome, hypersensitivity to cold, concentration difficulties, and forgetfulness. Blood tests were negative for rheumatic disorders. The patient was diagnosed with Fibromyalgia syndrome (FMS. Due to the lack of effectiveness of pharmacological therapies in FMS, she approached a novel metabolic proposal for the symptomatic remission. Its core idea is supporting serotonin synthesis by allowing a proper absorption of tryptophan assumed with food, while avoiding, or at least minimizing the presence of interfering non-absorbed molecules, such as fructose and sorbitol. Such a strategy resulted in a rapid improvement of symptoms after only few days on diet, up to the remission of most symptoms in 2 months. Depression, widespread chronic pain, chronic fatigue, non-restorative sleep, morning stiffness, and the majority of the comorbidities remitted. Energy and vitality were recovered by the patient as prior to the onset of the disease, reverting the occupational and social disabilities. The patient episodically challenged herself breaking the dietary protocol leading to its negative test and to the evaluation of its benefit. These breaks correlated with the recurrence of the symptoms, supporting the correctness of the biochemical hypothesis underlying the diet design toward remission of symptoms, but not as a final cure. We propose this as a low risk and accessible therapeutic protocol for the symptomatic remission in FMS with virtually no costs other than those related to vitamin and mineral salt supplements in case of deficiencies. A pilot study is required to further ground this metabolic approach, and to finally evaluate its inclusion in the guidelines for clinical management of FMS.

  10. Durable remission of leptomeningeal metastases from hormone-responsive prostate cancer.

    Science.gov (United States)

    Zhang, Meng; Mahta, Ali; Kim, Ryan Y; Akar, Serra; Kesari, Santosh

    2012-06-01

    Prostate cancer is rarely associated with leptomeningeal metastasis. An 87-year-old man with a history of prostate cancer presented with leptomeningeal metastasis. He received hormonal therapy with leuprolide. Subsequently, he achieved an impressive response, indicated by a constant fall in his PSA levels and by the stabilization of leptomeningeal disease and clinical improvement. Hormonal therapy may be effective in inducing remission in hormone-sensitive prostate cancer with leptomeningeal metastasis.

  11. Multimodality assessment of cardiac involvement in Churg-Strauss syndrome patients in clinical remission

    International Nuclear Information System (INIS)

    Szczeklik, W.; Miszalski-Jamka, T.; Mastalerz, L.; Sokolowska, B.; Dropinski, J.; Musial, J.; Banys, R.; Hor, K.N.; Mazur, W.

    2011-01-01

    Cardiac involvement in Churg-Strauss syndrome (CSS) is not uncommon, but its frequency varies widely and may depend on the activity of the disease. Therefore, the cardiac involvement in CSS patients in clinical remission was assessed in the present study. In 20 CSS patients in remission and 20 sex- and age-matched healthy controls, an electrocardiogram (ECG) stress test, echocardiography, and 24-h ECG Holter monitoring were performed, together with cardiac magnetic resonance imaging (cMRI). Cardiac involvement was present in 90% (18/20) of CSS patients. Left ventricular ejection fraction (LVEF) was on average lower in the CSS group than in controls (P<0.05), with 7 patients showing systolic heart failure (LVEF <50%). cMRI changes included late gadolinium enhancement lesions in the LV in 89% of patients (17/19), present in all layers of the myocardium. Signs of ongoing inflammation (early gadolinium enhancement) and edema (T2-weighted imaging) were present in 6/19 patients. Holter monitoring revealed both supraventricular and ventricular arrhythmias more frequently in CSS patients when compared with controls (P<0.05). Absolute eosinophil count before the initiation of treatment was higher in rhythm disturbances (P<0.05), and inversely correlated with LV systolic function (rho -0.65). Heart involvement in CSS patients who are in clinical remission is very common. It is characterized not only by fibrosis, but also by an active inflammatory process. The latter finding might influence therapeutic decisions in CSS patients in full clinical remission. (author)

  12. Multimodality assessment of cardiac involvement in Churg-Strauss syndrome patients in clinical remission

    Energy Technology Data Exchange (ETDEWEB)

    Szczeklik, W; Miszalski-Jamka, T; Mastalerz, L; Sokolowska, B; Dropinski, J; Musial, J [Medical Coll., Jagiellonian Univ., Krakow (Poland); Banys, R [John Paul II Hospital, Krakow (Poland); Hor, K N [Cincinnati Children' s Medical Center, OH (United States); Mazur, W [Heart and Vascular Center at The Christ Hospitals, OH (United States)

    2011-02-15

    Cardiac involvement in Churg-Strauss syndrome (CSS) is not uncommon, but its frequency varies widely and may depend on the activity of the disease. Therefore, the cardiac involvement in CSS patients in clinical remission was assessed in the present study. In 20 CSS patients in remission and 20 sex- and age-matched healthy controls, an electrocardiogram (ECG) stress test, echocardiography, and 24-h ECG Holter monitoring were performed, together with cardiac magnetic resonance imaging (cMRI). Cardiac involvement was present in 90% (18/20) of CSS patients. Left ventricular ejection fraction (LVEF) was on average lower in the CSS group than in controls (P<0.05), with 7 patients showing systolic heart failure (LVEF <50%). cMRI changes included late gadolinium enhancement lesions in the LV in 89% of patients (17/19), present in all layers of the myocardium. Signs of ongoing inflammation (early gadolinium enhancement) and edema (T2-weighted imaging) were present in 6/19 patients. Holter monitoring revealed both supraventricular and ventricular arrhythmias more frequently in CSS patients when compared with controls (P<0.05). Absolute eosinophil count before the initiation of treatment was higher in rhythm disturbances (P<0.05), and inversely correlated with LV systolic function (rho -0.65). Heart involvement in CSS patients who are in clinical remission is very common. It is characterized not only by fibrosis, but also by an active inflammatory process. The latter finding might influence therapeutic decisions in CSS patients in full clinical remission. (author)

  13. Factors That Predict Remission of Infant Atopic Dermatitis: A Systematic Review.

    OpenAIRE

    von Kobyletzki, Laura; Svensson, Åke; Apfelbacher, Christian; Schmitt, Jochen

    2015-01-01

    The individual prognosis of infants with atopic dermatitis (AD) is important for parents, healthcare professionals, and society. The aim of this study was to investigate predictors for remission of infant AD until school age. A systematic review was carried out of clinical and epidemiological studies investigating the effect of filaggrin gene (FLG) loss-of-function mutations, sex, exposure to pets, topical anti-inflammatory treatment, disease severity, and atopic sensitization during infancy ...

  14. Evaluation of erythropoietin hormone in chronic obstructive pulmonary disease patients during exacerbation and after remission

    Directory of Open Access Journals (Sweden)

    Ahmed G. El Gazzar

    2017-01-01

    Conclusion: EPO hormone level was significantly higher in grade (II, III than grade (I, IV COPD patients (p = 0.005, and also COPD with anemia was higher in stage (II, III than stage (I, IV, EPO hormone level significantly higher in anemic than non anemic COPD patients and was significantly higher (p = 0.005 during remission than during exacerbation.

  15. [Bone marrow autotransplantation in patients with acute myeloblastic leukemia in primary remission].

    Science.gov (United States)

    Richard, C; Iriondo, A; Baro, J; Conde, E; Hermosa, V; Alsar, M J; Gómez Casares, M T; Muruzabal, M J; Pérez Encinas, M; Zubizarreta, A

    1990-09-22

    Fifteen bone marrow autotransplants (BMAT) in patients with acute myeloblastic leukemia (AML) were performed after the first remission. The mean age was 37 years (range 12 to 60 years). According to the morphological classification FAB, 8 patients had monocytic leukemia (M4, M5) and 7 myeloid leukemia (M1, M2, M3). The mean interval elapsed between the date of complete remission and the BMAT was 3.9 months (range 1 to 5-9 months). In 8 patients this interval was longer than 6 months and in 7 cases it was shorter than 6 months. After achievement of the complete remission all patients underwent certain cycles of intensification before the BMAT. Eight patients received only a cycle whereas 7 patients received more than one cycle (between 2 and 4). The conditioning protocol consisted of cyclophosphamide (CP) (60 mg/kg x 2) and total body radiotherapy (TBR) (10 Gy) in 9 patients; CP and busulfan in five; and CP, cytarabine at high doses and melphalan in one case. Marrow extraction was performed after completion of chemotherapy of intensification. In 5 cases the bone marrow was depleted of leukemic cells by previous in vitro treatment with ASTA-Z. There are at present 8 alive patients. The survival free of illness was 51.8%. Seven patients died: 3 cases because relapse of the leukemia, 3 due to attachment failure of the transplantation, and one patient suffered a viral myocarditis. The survival free of illness was significantly longer in those patients transplanted after 6 months of the complete remission.

  16. Influence of dietary isoflavone intake on gastrointestinal symptoms in ulcerative colitis individuals in remission.

    Science.gov (United States)

    Głąbska, Dominika; Guzek, Dominika; Grudzińska, Dominika; Lech, Gustaw

    2017-08-07

    To analyse the association between isoflavone intake and ulcerative colitis motility symptoms in individuals in remission. Cross-sectional study was conducted in a group of ulcerative colitis remission individuals, in sub-groups characterised by various intestinal motility and functioning characteristics (abdominal pain, flatulence, constipations, tenesmus). Total of 56 individuals with ulcerative colitis in remission (19 males and 37 females) were recruited for the study. Assessment of diet was based on self-reported data from each patient's dietary records taken over a period of three typical, random days (2 weekdays and 1 d of the weekend). The daily isoflavone intake (daidzein, genistein, glycitein and total isoflavones) and daily isoflavone intake per 1000 kcal of diet were assessed. No correlations between isoflavone intake levels and number of bowel movements per day were observed both in the case of intake and intake per 1000 kcal of diet. In the group of individuals declaring lack of abdominal pain, the higher intakes of daidzein ( P = 0.0075), daidzein per 1000 kcal of diet ( P = 0.0358) and total isoflavone ( P = 0.0358) were stated, than in the group of individuals declaring abdominal pain. In the group of individuals declaring lack of constipations, the lower intakes of glycitein ( P = 0.0213) and glycitein per 1000 kcal of diet ( P = 0.0213) were stated, than in the group of individuals declaring presence of constipations. No differences were observed in isoflavone intake between groups of ulcerative colitis individuals declaring lack of flatulence and declaring presence of flatulence, as well as between groups declaring lack of tenesmus and declaring presence of tenesmus. The moderate dietary isoflavone intake may be beneficial for individuals with ulcerative colitis in remission, however, before including it into recommendations, further prospective studies are needed.

  17. THE POLICY OF GRANTING REMISSION TO CORRUPTION INMATES IN ORDER TO ERADICATE CORRUPTION IN INDONESIA

    OpenAIRE

    M Ali Zaidan

    2016-01-01

    Corruption is an extraordinary crime, even though the laws have been revised and has a more progressive character has also established Anti-Corruption Commission the number of crimes of corruption still do not show any significant change. In the midst of public pessimism, the Ministry of Justice and Human Rights has initiated efforts to revise the Government Regulation Number 99 Year 2012. The tightening of remission meant that the convict is not easy to get their sentences reduced. Attempts ...

  18. Past and future IAEA spent fuel management activities

    International Nuclear Information System (INIS)

    Grigoriev, A.

    1993-01-01

    The main objectives and strategies of the Agency's activities in the area of spent fuel management are to promote the exchange of information between Member States on technical, safety, environmental and economic aspects of spent fuel management technology, including storage, transport and treatment of spent fuel, and to provide assistance to Member States in the planning, implementation and operation of nuclear fuel cycle facilities. This paper give a list of the meetings held since the last issue of the Spent Fuel Management Newsletter

  19. Development of spent fuel remote handling technology

    Energy Technology Data Exchange (ETDEWEB)

    Park, B. S.; Yoon, J. S.; Hong, H. D. (and others)

    2007-02-15

    In this research, the remote handling technology was developed for the ACP application. The ACP gives a possible solution to reduce the rapidly cumulative amount of spent fuels generated from the nuclear power plants in Korea. The remote technologies developed in this work are a slitting device, a voloxidizer, a modified telescopic servo manipulator and a digital mock-up. A slitting device was developed to declad the spent fuel rod-cuts and collect the spent fuel UO{sub 2} pellets. A voloxidizer was developed to convert the spent fuel UO{sub 2} pellets obtained from the slitting process in to U{sub 3}O{sub 8} powder. Experiments were performed to test the capabilities and remote operation of the developed slitting device and voloxidizer by using simulated rod-cuts and fuel in the ACP hot cell. A telescopic servo manipulator was redesigned and manufactured improving the structure of the prototype. This servo manipulator was installed in the ACP hot cell, and the target module for maintenance of the process equipment was selected. The optimal procedures for remote operation were made through the maintenance tests by using the servo manipulator. The ACP digital mockup in a virtual environment was established to secure a reliability and safety of remote operation and maintenance. The simulation for the remote operation and maintenance was implemented and the operability was analyzed. A digital mockup about the preliminary conceptual design of an enginnering-scale ACP was established, and an analysis about a scale of facility and remote handling was accomplished. The real-time diagnostic technique was developed to detect the possible fault accidents of the slitting device. An assessment of radiation effect for various sensors was also conducted in the radiation environment.

  20. Spent fuel transportation regulatory and institutional issues

    International Nuclear Information System (INIS)

    Lippek, H.E.

    1978-01-01

    The problems that could result from state and local governments and other groups with relation to regulations concerning the transportation of spent nuclear fuels are discussed. The powers of the individual states as spelled out in the Clean Air Act Amendments of 1977 are set forth in some detail. The possibility of transportation employees gaining a position to demand and receive more stringent protections from hazards of radiation is pointed out

  1. Towards a Swedish repository for spent fuel

    International Nuclear Information System (INIS)

    Ahlstroem, P.-E.

    1997-01-01

    Nuclear power is producing electricity for the benefit of society but is also leaving radioactive residues behind. It is our responsibility to handle these residues in a safe and proper manner. The development of a system for handling spent fuel from nuclear power plants has proceeded in steps. The same is true for the actual construction of facilities and will continue to be the case for the final repository for spent fuel and other types of long-lived wastes. The primary objective in constructing the repository will be to isolate and contain the radioactive waste. In case the isolation fails for some reason the multibarrier system should retain and retard the radionuclides that might come into contact with the groundwater. A repository is now planned to be built in two steps where the first step will include deposition of about 400 canisters with spent fuel. This first step should be finished in about 20 years from now and be followed by an extensive evaluation of the results from not only this particular step but also from the development of alternative routes before deciding on how to proceed. A special facility to encapsulate the spent fuel is also required. Such an encapsulation plant is proposed to be constructed as an extension of the existing interim storage CLAB. Finding a site for the repository is a critical issue in the implementation of any repository. The siting process started a few years ago and made some progress but is by no means yet completed. It will go on at least into the early part of the next decade. When the present nuclear power plants begin to be due for retirement there should also be some facilities in place to take permanent care of the long-lived radioactive residues. Progress in siting will be a prerequisite for success in our responsibility to make progress towards a safe permanent solution of the waste issue. (orig.)

  2. Management and disposal of spent nuclear fuel

    International Nuclear Information System (INIS)

    1987-05-01

    The programme consists of the long-term and short-term programme, the continued bedrock investigations, the underground research laboratory, the decision-making procedure in the site selection process and information questions during the site selection process. The National Board for Spent Nuclear Fuel hereby subunits both the SKB's R and D Programme 86 and the Board's statement concerning the programme. Decisions in the matter have been made by the Board's executive committee. (DG)

  3. Safety assessment for spent fuel storage facilities

    International Nuclear Information System (INIS)

    1994-01-01

    This Safety Practice has been prepared as part of the IAEA's programme on the safety assessment of interim spent fuel storage facilities which are not an integral part of an operating nuclear power plant. This report provides general guidance on the safety assessment process, discussing both deterministic and probabilistic assessment methods. It describes the safety assessment process for normal operation and anticipated operational occurrences and also related to accident conditions. 10 refs, 2 tabs

  4. Spent nuclear fuel project integrated schedule plan

    International Nuclear Information System (INIS)

    Squires, K.G.

    1995-01-01

    The Spent Nuclear Fuel Integrated Schedule Plan establishes the organizational responsibilities, rules for developing, maintain and status of the SNF integrated schedule, and an implementation plan for the integrated schedule. The mission of the SNFP on the Hanford site is to provide safe, economic, environmentally sound management of Hanford SNF in a manner which stages it to final disposition. This particularly involves K Basin fuel

  5. Spent nuclear fuel project integrated schedule plan

    Energy Technology Data Exchange (ETDEWEB)

    Squires, K.G.

    1995-03-06

    The Spent Nuclear Fuel Integrated Schedule Plan establishes the organizational responsibilities, rules for developing, maintain and status of the SNF integrated schedule, and an implementation plan for the integrated schedule. The mission of the SNFP on the Hanford site is to provide safe, economic, environmentally sound management of Hanford SNF in a manner which stages it to final disposition. This particularly involves K Basin fuel.

  6. Spent fuel packaging and its safety analysis

    International Nuclear Information System (INIS)

    Takada, Kimitaka; Nakaoki, Kozo; Tamamura, Tadao; Matsuda, Fumio; Fukudome, Kazuyuki

    1983-01-01

    An all stainless steel B(U) type packaging is proposed to transport spent fuels discharged from research reactors and other radioactive materials. The package is used dry and provided with surface fins to absorb drop shock and to dissipate decay heat. Safety was analyzed for structural, thermal, containment shielding and criticality factors, and the integrity of the package was confirmed with the MARC-CDC, TRUMP, ORIGEN, QAD, ANISN, and KENO computer codes. (author)

  7. Decreased activation and subsyndromal manic symptoms predict lower remission rates in bipolar depression.

    Science.gov (United States)

    Caldieraro, Marco Antonio; Walsh, Samantha; Deckersbach, Thilo; Bobo, William V; Gao, Keming; Ketter, Terence A; Shelton, Richard C; Reilly-Harrington, Noreen A; Tohen, Mauricio; Calabrese, Joseph R; Thase, Michael E; Kocsis, James H; Sylvia, Louisa G; Nierenberg, Andrew A

    2017-11-01

    Activation encompasses energy and activity and is a central feature of bipolar disorder. However, the impact of activation on treatment response of bipolar depression requires further exploration. The aims of this study were to assess the association of decreased activation and sustained remission in bipolar depression and test for factors that could affect this association. We assessed participants with Diagnostic and Statistical Manual of Mental Disorders (4th ed) bipolar depression ( n = 303) included in a comparative effectiveness study of lithium- and quetiapine-based treatments (the Bipolar CHOICE study). Activation was evaluated using items from the Bipolar Inventory of Symptoms Scale. The selection of these items was based on a dimension of energy and interest symptoms associated with poorer treatment response in major depression. Decreased activation was associated with lower remission rates in the raw analyses and in a logistic regression model adjusted for baseline severity and subsyndromal manic symptoms (odds ratio = 0.899; p = 0.015). The manic features also predicted lower remission (odds ratio = 0.934; p bipolar depression. Patients with these features may require specific treatment approaches, but new studies are necessary to identify treatments that could improve outcomes in this population.

  8. Spontaneous remission of post-transplant recurrent focal and segmental glomerulosclerosis

    Directory of Open Access Journals (Sweden)

    Bassam Saeed

    2011-01-01

    Full Text Available A 12-year-old girl with a history of steroid and cyclosporine (CsA resistant nephrotic syndrome owing to focal and segmental glomerulosclerosis (FSGS has progressed to end-stage renal disease (ESRD for which she underwent hemodialysis for 18 months before she successfully received a fully matched kidney transplant from her sister at the age of nine years. The post transplantation (Tx period was marked by an early and massive proteinuria indicating recurrent FSGS for which she received 12 sessions of plasmapheresis (PP; unfortunately, she did not appear to have any response to the PP therapy; thereafter, a conservative management comprising essentially enalapril and losartan has been initiated and was also not successful during the first four months, however, a very gradual response has been noticed to occur after five months of conservative therapy and ultimately, the patient attained complete remission after 21 months of treatment. Amazingly, 15 months after discontinuation of enalapril and losartan, she remained in a complete and sustained remission with a good renal allograft function. To the best of our knowledge, this is the first case ever reported in the literature of a "spontaneous" remission of post transplant recurrent FSGS.

  9. Personality traits of Japanese patients in remission from an episode of primary unipolar depression.

    Science.gov (United States)

    von Zerssen, D; Asukai, N; Tsuda, H; Ono, Y; Kizaki, Y; Cho, Y

    1997-07-01

    Personality traits were assessed by means of the Munich Personality Test (MPT) in 75 Japanese subjects, 27 patients in remission from an episode of moderate to severe primary unipolar depression, with melancholic features during one episode or more of the disorder, in 24 patients in remission from other non-organic mental disorders and in 24 healthy controls. Compared with healthy controls, unipolar depressives displayed decreased Frustration Tolerance and elevated Rigidity as well as a stronger Orientation towards Social Norms. No significant difference was found between patients in remission from either unipolar depression or other mental disorders. However, the increase in Rigidity in comparison with healthy subjects was significant in the depressives only whereas the other patients, in contrast to the depressives, had significantly lower scores in Extraversion than the healthy subjects. Our results in Japanese patients are similar to findings of previous German studies, including two high risk studies, in which the same assessment instrument was used. This suggests that, beyond cultural differences, Rigidity, possibly in combination with a strong Orientation towards Social Norms and a reduced Frustration Tolerance, is a stable vulnerability marker for at least the more severe forms of primary unipolar depression.

  10. Quality of life in schizophrenia and bipolar disorder: The impact of symptomatic remission and resilience.

    Science.gov (United States)

    Hofer, A; Mizuno, Y; Wartelsteiner, F; Wolfgang Fleischhacker, W; Frajo-Apor, B; Kemmler, G; Mimura, M; Pardeller, S; Sondermann, C; Suzuki, T; Welte, A; Uchida, H

    2017-10-01

    Health-related quality of life (HRQOL) is significantly affected in individuals with schizophrenia or bipolar I disorder (BD-I). The current study investigated whether symptomatic remission and resilience might differently impact HRQOL in these patients. Fifty-two patients with schizophrenia and 60 patients suffering from BD-I from outpatient mental health services as well as 77 healthy control subjects from the general community were included into a cross-sectional study. HRQOL and resilience were assessed using the WHOQOL-BREF and the Resilience Scale. In patients, psychopathology was quantified by the Positive and Negative Syndrome Scale or the Montgomery Asberg Depression Rating Scale and the Young Mania Rating Scale, respectively. Notably, both patient groups showed lower HRQOL and resilience compared to control subjects, non-remitted patients indicated lower HRQOL than remitted ones. The effect of remission on HRQOL was significantly larger in patients with BD-I than in those with schizophrenia but did not explain the difference in HRQOL between groups. Resilience predicted HRQOL in all three groups. When accounting for the effect of resilience among remitted patients, only the difference in HRQOL between schizophrenia patients and control subjects was significant. These findings demonstrate the impact of symptomatic remission and resilience on HRQOL of both patients suffering from schizophrenia and BD-I and indicate that these factors are especially relevant for HRQOL of patients with BD-I. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  11. Evaluation of treatment response for breast cancer: are we entering the era of "biological complete remission"?

    Institute of Scientific and Technical Information of China (English)

    Li Bian; Tao Wang; Yi Liu; Hui-Qiang Zhang; Jin-Jie Song; Shao-Hua Zhang; Shi-Kai Wu; San-Tai Song; Ze-Fei Jiang

    2012-01-01

    Breast cancer is one of the most common malignancies in women.The post-operative recurrence and metastasis are the leading causes of breast cancer-related mortality.In this study,we tried to explore the role of circulating tumor cell (CTC) detection combination PET/CT technology evaluating the prognosis and treatment response of patients with breast cancer; meanwhile,we attempted to assess the concept of "biological complete remission" (bCR) in this regard.A 56-year-old patient with breast cancer (T2N1M1,stage Ⅳ left breast cancer,with metastasis to axillary lymph nodes and lungs) received 6 cycles of salvage treatment with albumin-bound paclitaxel plus capecitabine and trastuzumab.Then,she underwent CTC detection and PET/CT for efficacy evaluation.CTC detection combination PET/CT is useful for the evaluation of the biological efficacy of therapies for breast cancer.The bCR of the patient appeared earlier than the conventional clinical imaging complete remission and promised the histological (pathological) complete remission.The integrated application of the concepts including bCR,imageological CR,and histological CR can achieve the early and accurate assessment of biological therapeutic reponse and prognosis of breast cancer.

  12. Offloading the diabetic foot: toward healing wounds and extending ulcer-free days in remission

    Directory of Open Access Journals (Sweden)

    Boghossian JA

    2017-07-01

    Full Text Available Jano A Boghossian,1 John D Miller,2 David G Armstrong1 1Department of Surgery, Southern Arizona Limb Salvage Alliance, University of Arizona, Tucson, AZ, 2Department of Podiatric Surgery and Medicine, DVA Maryland Healthcare System, Baltimore, MD, USA Abstract: Management of the diabetic foot is multifaceted and requires constant monitoring from patients and health care providers. The alarmingly high rate of recurrence of ulcerations in diabetic foot requires a change in our approach to care and to the vernacular in the medical literature. With its high rates of morbidity and recurrence, care of the complex diabetic foot may be aptly comparable to many forms of cancer. Therefore, our efforts should be not only in rapid healing of open wounds but also in maximizing ulcer-free days for the patient in diabetic foot remission. One facet of the multidisciplinary approach in managing wounds is achieved by reducing peak plantar pressures by offloading the foot with various conservative and surgical techniques aimed at reducing areas of stress caused by ambulation and improper shoe gear. Evidence supports the use of total contact casts as the gold standard for offloading open wounds; however, other methods have gained popularity as well. Novel approaches in surgical techniques and advances in wearable technology appear to show promise in measuring and modulating dangerous pressure and inflammation to extend remission and improve quality of life for these most complex patients. Keywords: diabetic foot, ulcer, remission, amputation, offloading, wearables 

  13. Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission

    Directory of Open Access Journals (Sweden)

    Caterina Viganò

    2016-01-01

    Full Text Available Background and Aims. This study investigated the proportion of CD patients in clinical remission with clinical depression, and coping strategies in those with severe depressive disorders. Materials and Methods. One hundred consecutive CD patients in clinical remission were screened for anxiety and depression by using Hospital Anxiety and Depression Scale and patients with depressive symptoms were further investigated by means of Cognitive Behavioural Assessment 2.0 and Beck Depression Inventory (BDI. Afterwards the coping strategies were assessed through the Brief-COPE questionnaire. Results. Twenty-one patients had anxious symptoms and 16 had depressive symptoms with or without anxiety. Seven of these patients (43.8% showed significant depressive symptoms. Compared to patients without psychiatric disorders, these patients showed significant lower score in “positive reframing” (p: 0.017 and in “planning” (p: 0.046 and higher score in “use of instrumental social support” (p<0.001, in “denial” scale (p: 0.001, and in “use of emotional social support” (p: 0.003. Conclusions. Depressed CD patients in clinical remission may have dysfunctional coping strategies, meaning that they may not be able to implement functional strategies to manage at best stress related with their disease.

  14. The microbiome and HIV persistence: implications for viral remission and cure.

    Science.gov (United States)

    Koay, Wei Li A; Siems, Lilly V; Persaud, Deborah

    2018-01-01

    This article discusses the interaction between HIV infection, the gut microbiome, inflammation and immune activation, and HIV reservoirs, along with interventions to target the microbiome and their implications for HIV remission and cure. Most studies show that HIV-infected adults have a gut microbiome associated with decreased bacterial richness and diversity, and associated systemic inflammation and immune activation. A unique set of individuals, elite controllers, who spontaneously control HIV replication, have a similar microbiome to HIV-uninfected individuals. Conversely, exposure to maternal HIV in infants was shown to alter the gut microbiome, even in infants who escaped perinatal infection. Emerging research highlights the importance of the metabolomics and metaproteomics of the gut microbiome, which may have relevance for HIV remission and cure. Together, these studies illustrate the complexity of the relationship between HIV infection, the gut microbiome, and its systemic effects. Understanding the association of HIV with the microbiome, metabolome, and metaproteome may lead to novel therapies to decrease inflammation and immune activation, and impact HIV reservoir size and vaccine responses. Further research in this area is important to inform HIV remission and cure treatments.

  15. Decreased prefrontal functional brain response during memory testing in women with Cushing's syndrome in remission.

    Science.gov (United States)

    Ragnarsson, Oskar; Stomby, Andreas; Dahlqvist, Per; Evang, Johan A; Ryberg, Mats; Olsson, Tommy; Bollerslev, Jens; Nyberg, Lars; Johannsson, Gudmundur

    2017-08-01

    Neurocognitive dysfunction is an important feature of Cushing's syndrome (CS). Our hypothesis was that patients with CS in remission have decreased functional brain responses in the prefrontal cortex and hippocampus during memory testing. In this cross-sectional study we included 19 women previously treated for CS and 19 controls matched for age, gender, and education. The median remission time was 7 (IQR 6-10) years. Brain activity was studied with functional magnetic resonance imaging during episodic- and working-memory tasks. The primary regions of interest were the prefrontal cortex and the hippocampus. A voxel-wise comparison of functional brain responses in patients and controls was performed. During episodic-memory encoding, patients displayed lower functional brain responses in the left and right prefrontal gyrus (pright inferior occipital gyrus (pbrain responses in the left posterior hippocampus in patients (p=0.05). During episodic-memory retrieval, the patients displayed lower functional brain responses in several brain areas with the most predominant difference in the right prefrontal cortex (pbrain response during a more complex working memory task compared with a simpler one. In conclusion, women with CS in long-term remission have reduced functional brain responses during episodic and working memory testing. This observation extends previous findings showing long-term adverse effects of severe hypercortisolaemia on brain function. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. [Disappearance of Philadelphia chromosomes after remission induction in lymphoid crisis of chronic myelogenous leukemia].

    Science.gov (United States)

    Nagafuji, K; Iwakiri, R; Miyamoto, T; Okamura, H; Yokota, E; Matsumoto, I

    1992-09-01

    The authors report a rare case of chronic myelogenous leukemia (CML) in which the Ph1 clone disappeared after remission induction of lymphoid crisis. A 58-year-old man was admitted to our hospital because of fever in July 1988. The white cell count was elevated. Bone marrow aspirate showed hypercellularity with myeloid hyperplasia. In the chromosomal analysis, Ph1 chromosomes were detected in 100% of bone marrow cells analysed. Diagnosis of CML was made and treatment was initiated with recombinant interferon-alpha 2a. Hematological remission without cytogenetic improvement was achieved. In March 1990 he developed lymphoid crisis with proliferation of CD10-positive cells. The chromosomal analysis revealed additional abnormalities including, 45, X, -Y, t(9;22) (q34;q11), +1, -8. With vincristine 0.6 mgX4, pirarubicin 15 mgX4, dexamethasone 40 mgX4 therapy complete remission was obtained. In December 1990 the Ph1 positive clone completely disappeared judging from normal karyotypes in the chromosomal analysis and the disappearance of M-bcr gene rearrangement.

  17. A novel approach to measuring response and remission in schizophrenia in clinical trials.

    Science.gov (United States)

    Aboraya, Ahmed; Leucht, Stefan; Nasrallah, Henry A; Samara, Myrto; Haro, Josep Maria; Elshazly, Ahmed; Zangeneh, Masood

    2017-12-01

    Pharmaceutical companies conduct clinical trials to show the efficacy and safety of new medications for the treatment of schizophrenia. After the new medications are marketed, clinicians treating patients with schizophrenia discover that a considerable number of patients do not respond to these new medications. The goals of the review are to examine the methodology and design of recent antipsychotic clinical trials, identify common flaws, and propose guidelines to fix the flaws and improve the quality of future clinical trials of antipsychotic medications. A review of recent antipsychotic clinical trials was conducted using a PubMed search. Ten recent trials published in the past four years were reviewed and their methods analyzed and critiqued. The authors identified six major methodological flaws that may explain the suboptimal response in many patients after a drug is approved. Most of the flaws are related to eligibility criteria, the misuse of the Positive and Negative Syndromes Scale (PANSS) and the lack of consensus on how to define remission, response and exacerbation in schizophrenia. Proposed guidelines for a more rigorous use of the PANSS are presented and recommendations are proposed for using uniform criteria for remission, response and exacerbation in schizophrenia. The authors recommend using standardized diagnostic interviews to screen patients for eligibility criteria and using the PANSS according to the author's recommendations and the proposed guidelines. Uniform criteria to define remission, response and exacerbation are recommended for clinical trials examining the efficacy and safety of antipsychotic drugs in schizophrenia. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. The cascad spent fuel dry storage facility

    International Nuclear Information System (INIS)

    Guay, P.; Bonnet, C.

    1991-01-01

    France has a wide variety of experimental spent fuels different from LWR spent fuel discharged from commercial reactors. Reprocessing such fuels would thus require the development and construction of special facilities. The French Atomic Energy Commission (CEA) has consequently opted for long-term interim storage of these spent fuels over a period of 50 years. Comparative studies of different storage concepts have been conducted on the basis of safety (mainly containment barriers and cooling), economic, modular design and operating flexibility criteria. These studies have shown that dry storage in a concrete vault cooled by natural convection is the best solution. A research and development program including theoretical investigations and mock-up tests confirmed the feasibility of cooling by natural convection and the validity of design rules applied for fuel storage. A facility called CASCAD was built at the CEA's Cadarache Nuclear Research Center, where it has been operational since mid-1990. This paper describes the CASCAD facility and indicates how its concept can be applied to storage of LWR fuel assemblies

  19. New developments in dry spent fuel storage

    International Nuclear Information System (INIS)

    Bonnet, C.; Chevalier, Ph.

    2001-01-01

    As shown in various new examples, HABOG facility (Netherlands), CERNAVODA (Candu - Romania), KOZLODUY (WWER - Bulgaria), CHERNOBYL ( RMBK - Ukraine), MAYAK (Spent Fuel from submarine and Icebreakers - Russia), recent studies allow to confirm the flexibility and performances of the CASCAD system proposed by SGN, both in safety and operability, for the dry storage of main kinds of spent fuel. The main features are: A multiple containment barrier system: as required by international regulation, 2 independent barriers are provided (tight canister and storage pit); Passive cooling, while the Fuel Assemblies are stored in an inert atmosphere and under conditions of temperature preventing from degradation of rod cladding; Sub-criticality controlled by adequate arrangements in any conditions; Safe facility meeting ICPR 60 Requirements as well as all applicable regulations (including severe weather conditions and earthquake); Safe handling operations; Retrievability of the spent fuel either during storage period or at the end of planned storage period (100 years); Future Decommissioning of the facility facilitated through design optimisation; Construction and operating cost-effectiveness. (author)

  20. Considerations for the transportation of spent fuel

    International Nuclear Information System (INIS)

    Jefferson, R.M.

    1984-01-01

    In our society today the transportation of radioactive materials, and most particularly spent reactor fuel, is surrounded by considerable emotion and a wealth of information, good and bad. The transportation of these materials is viewed as unique and distinct from the transportation of other hazardous materials and as a particularly vulnerable component of the nuclear power activities of this nation. Added to this is the concept, widely held, that almost everyone is an expert on the transportation of radioactive materials. One significant contribution to this level of emotion is the notion that all roads (rail and highway), on which these goods will be transported, somehow traverse everyone's backyard. The issue of the transportation of spent fuel has thus become a political battleground. Perhaps this should not be surprising since it has all of the right characteristics for such politicization in that it is pervasive, emotional, and visible. In order that those involved in the discussion of this activity might be able to reach some rational conclusions, this paper offers some background information which might be useful to a broad range of individuals in developing their own perspectives. The intent is to address the safety of transporting spent fuel from a technical standpoint without the emotional content which is frequently a part of this argument

  1. Problems of the Spent Nuclear Fuel Storage

    International Nuclear Information System (INIS)

    Negrivoda, G.

    1997-01-01

    Approximately 99% of the radioactivity in waste, produced in the process of operating a nuclear power plant, is contained in spent nuclear fuel. Safe handling and storage of the spent nuclear fuel is an important factor of a nuclear plant safety. Today at Ignalina NPP the spent fuel is stored in special water pools, located in the same buildings as the reactors. The volume of the pools is limited, for unit one the pool will be fully loaded in 1998, for unit 2 - in 2000. The further operation of the plant will only be possible if new storage is constructed. In 1994 contract with German company GNB was signed for the supply of 20 containers of the CASTOR type. Containers were delivered in accordance with agreed schedule. In the end of 1995 a new tender for new storage options was announced in order to minimize the storage costs. A proposal from Canadian company AECL now is being considered as one of the most suitable and negotiations to sign the contract started. (author)

  2. Development of advanced spent fuel management process

    International Nuclear Information System (INIS)

    Shin, Young Joon; Cho, S. H.; You, G. S.

    2001-04-01

    Currently, the economic advantage of any known approach to the back end fuel cycle of a nuclear power reactor has not been well established. Thus the long term storage of the spent fuel in a safe manner is one of the important issues to be resolved in countries where the nuclear power has a relatively heavy weight in power production of that country. At KAERI, as a solution to this particular issue midterm storage of the spent fuel, an alternative approach has been developed. This approach includes the decladding and pulverization process of the spent PWR fuel rod, the reducing process from the uranium oxide to a metallic uranium powder using Li metal in a LiCl salt, the continuous casting process of the reduced metal, and the recovery process of Li from mixed salts by the electrolysis. We conducted the laboratory scale tests of each processes for the technical feasibility and determination for the operational conditions for this approach. Also, we performed the theoretical safety analysis and conducted integral tests for the equipment integration through the Mock-up facility with non-radioactive samples. There were no major issues in the approach, however, material incompatibility of the alkaline metal and oxide in a salt at a high temperature and the reactor that contains the salt became a show stopper of the process. Also the difficulty of the clear separation of the salt with metals reduced from the oxide became a major issue

  3. Spent fuel performance in geologic repository environments

    International Nuclear Information System (INIS)

    Bradley, D.J.

    1985-10-01

    The performance assessment of the waste package is a current area of study in the United States program to develop a geologic repository for nuclear waste isolation. The waste package is presently envisioned as the waste form and its surrounding containers and possibly a packing material composed of crushed host rock or mixtures of that rock with clays. This waste package is tied to performance criteria set forth in recent legislation. It is the goal of the Civilian Radioactive Waste Management Program to obtain the necessary information on the waste package, in several geologic environments, to show that the waste package provides reasonable assurance of meeting established performance criteria. This paper discusses the United States program directed toward managing high-level radioactive waste, with emphasis on the current effort to define the behavior of irradiated spent fuel in repository groundwaters. Current studies are directed toward understanding the rate and nature (such as valence state, colloid form if any, solid phase controlling solubility) of radionuclide release from the spent fuel. Due to the strong interactive effect of radiation, thermal fields, and waste package components on this release, current spent fuel studies are being conducted primarily in the presence of waste package components over a wide range of potential environments

  4. Spent-fuel transportation - a success story

    International Nuclear Information System (INIS)

    Gertz, C.P.; Schoonen, D.H.; Wakeman, B.H.

    1986-01-01

    Spent nuclear fuel research and development (R and D) demonstrations and associated transportation activities are being performed as a part of the storage cask performance testing programs at the Idaho National Engineering Laboratory (INEL). These spent-fuel programs support the Nuclear Waste Policy Act (NWPA) and US Department of Energy (DOE) objectives for cooperative demonstrations with the utilities, testing at federal sites, and alternatives for viable transportation systems. A cooperative demonstration program with the private sector to develop dry storage technologies that the US Nuclear Regulatory Commission (NRC) can generically approve is in place as well as cost-shared dry storage R and D program at a federal facility to collect the necessary licensing data. In addition to the accomplishments in the cask performance and testing demonstrations, the long-distance transportation of a large number of spent-fuel assemblies is considered a success story. The evaluation and implementation of applicable requirements, industry perspective, and extensive planning all contributed to this achievement

  5. Spent Nuclear Fuel Alternative Technology Risk Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Perella, V.F.

    1999-11-29

    A Research Reactor Spent Nuclear Fuel Task Team (RRTT) was chartered by the Department of Energy (DOE) Office of Spent Fuel Management with the responsibility to recommend a course of action leading to a final technology selection for the interim management and ultimate disposition of the foreign and domestic aluminum-based research reactor spent nuclear fuel (SNF) under DOE''s jurisdiction. The RRTT evaluated eleven potential SNF management technologies and recommended that two technologies, direct co-disposal and an isotopic dilution alternative, either press and dilute or melt and dilute, be developed in parallel. Based upon that recommendation, the Westinghouse Savannah River Company (WSRC) organized the SNF Alternative Technology Program to further develop the direct co-disposal and melt and dilute technologies and provide a WSRC recommendation to DOE for a preferred SNF alternative management technology. A technology risk assessment was conducted as a first step in this recommendation process to determine if either, or both, of the technologies posed significant risks that would make them unsuitable for further development. This report provides the results of that technology risk assessment.

  6. Spent fuel assembly source term parameters

    International Nuclear Information System (INIS)

    Barrett, P.R.; Foadian, H.; Rashid, Y.R.; Seager, K.D.; Gianoulakis, S.E.

    1993-01-01

    Containment of cask contents by a transport cask is a function of the cask body, one or more closure lids, and various bolting hardware, and seals associated with the cavity closure and other containment penetrations. In addition, characteristics of cask contents that impede the ability of radionuclides to move from an origin to the external environment also provide containment. In essence, multiple release barriers exist in series in transport casks, and the magnitude of the releasable activity in the cask is considerably lower than the total activity of its contents. A source term approach accounts for the magnitude of the releasable activity available in the cask by assessing the degree of barrier resistance to release provided by material characteristics and inherent barriers that impede the release of radioactive contents. Standardized methodologies for defining the spent-fuel transport packages with specified regulations have recently been developed. An essential part of applying the source term methodology involves characterizing the response of the spent fuel under regulatory conditions of transport. Thermal and structural models of the cask and fuel are analyzed and used to predict fuel rod failure probabilities. Input to these analyses and failure evaluations cover a wide range of geometrical and material properties. An important issue in the development of these models is the sensitivity of the radioactive source term generated during transport to individual parameters such as temperature and fluence level. This paper provides a summary of sensitivity analyses concentrating on the structural response and failure predictions of the spent fuel assemblies

  7. Conditioning technology of spent radium sources

    International Nuclear Information System (INIS)

    Kang, Il Sik; Kim, K. J.; Jang, K. D.

    2001-03-01

    In order to avoid accidents that could be resulted from improper storage of spent radium sources, it is necessary to condition and store them safely. The program for safe conditioning of spent radium sources by IAEA has been established to assist the developing countries. The main object of this report is to understand well and apply the technology that was applied in conditioning the national inventory of Ra-226 sources in Myanmar, as a part of IAEA's project by the Korean expert team. The report is the result that the Korean expert team carried out in Myanmar under the project title 'Radium Conditioning Service in Myanmar(INT4131-06646C)'. As a result of the mission, a whole inventory, 1,429.5 mCi of spent radium sources was safely conditioned by the Korean expert team according to the manual under the supervision of IAEA's technical officer, Mr. Al-Mughrabi, and under the control of DAE authority. These sources were encapsuled in 27 small capsules and 3 large capsules, and conditioned in 3 lead shields, producing 3 packages. The inventories were distributed into 3 shielding devices, holding 500, 459.5, and 470 mCi

  8. Spent Nuclear Fuel Alternative Technology Risk Assessment

    International Nuclear Information System (INIS)

    Perella, V.F.

    1999-01-01

    A Research Reactor Spent Nuclear Fuel Task Team (RRTT) was chartered by the Department of Energy (DOE) Office of Spent Fuel Management with the responsibility to recommend a course of action leading to a final technology selection for the interim management and ultimate disposition of the foreign and domestic aluminum-based research reactor spent nuclear fuel (SNF) under DOE''s jurisdiction. The RRTT evaluated eleven potential SNF management technologies and recommended that two technologies, direct co-disposal and an isotopic dilution alternative, either press and dilute or melt and dilute, be developed in parallel. Based upon that recommendation, the Westinghouse Savannah River Company (WSRC) organized the SNF Alternative Technology Program to further develop the direct co-disposal and melt and dilute technologies and provide a WSRC recommendation to DOE for a preferred SNF alternative management technology. A technology risk assessment was conducted as a first step in this recommendation process to determine if either, or both, of the technologies posed significant risks that would make them unsuitable for further development. This report provides the results of that technology risk assessment

  9. Auxiliary partial liver transplantation

    NARCIS (Netherlands)

    C.B. Reuvers (Cornelis Bastiaan)

    1986-01-01

    textabstractIn this thesis studies on auxiliary partial liver transplantation in the dog and the pig are reported. The motive to perform this study was the fact that patients with acute hepatic failure or end-stage chronic liver disease are often considered to form too great a risk for successful

  10. Fundamental partial compositeness

    DEFF Research Database (Denmark)

    Sannino, Francesco; Strumia, Alessandro; Tesi, Andrea

    2016-01-01

    We construct renormalizable Standard Model extensions, valid up to the Planck scale, that give a composite Higgs from a new fundamental strong force acting on fermions and scalars. Yukawa interactions of these particles with Standard Model fermions realize the partial compositeness scenario. Unde...

  11. Partially ordered models

    NARCIS (Netherlands)

    Fernandez, R.; Deveaux, V.

    2010-01-01

    We provide a formal definition and study the basic properties of partially ordered chains (POC). These systems were proposed to model textures in image processing and to represent independence relations between random variables in statistics (in the later case they are known as Bayesian networks).

  12. Partially Hidden Markov Models

    DEFF Research Database (Denmark)

    Forchhammer, Søren Otto; Rissanen, Jorma

    1996-01-01

    Partially Hidden Markov Models (PHMM) are introduced. They differ from the ordinary HMM's in that both the transition probabilities of the hidden states and the output probabilities are conditioned on past observations. As an illustration they are applied to black and white image compression where...

  13. Honesty in partial logic

    NARCIS (Netherlands)

    W. van der Hoek (Wiebe); J.O.M. Jaspars; E. Thijsse

    1995-01-01

    textabstractWe propose an epistemic logic in which knowledge is fully introspective and implies truth, although truth need not imply epistemic possibility. The logic is presented in sequential format and is interpreted in a natural class of partial models, called balloon models. We examine the

  14. 5 CFR 551.425 - Time spent receiving medical attention.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Time spent receiving medical attention... Relation to Other Activities § 551.425 Time spent receiving medical attention. (a) Time spent waiting for and receiving medical attention for illness or injury shall be considered hours of work if: (1) The...

  15. Development of on-site spent fuel transfer system designs

    International Nuclear Information System (INIS)

    Lambert, R.W.; Pennington, C.W.; Guerra, G.V.

    1993-01-01

    The Electric Power Research Institute (EPRI) of the United States has sponsored development of conceptual designs for accomplishing spent fuel transfer from spent fuel pools to casks and from one cask to another. Under an EPRI research contract, transnuclear has developed several concepts for spent fuel transfer systems. (J.P.N.)

  16. 5 CFR 551.422 - Time spent traveling.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Time spent traveling. 551.422 Section 551... Activities § 551.422 Time spent traveling. (a) Time spent traveling shall be considered hours of work if: (1... who is permitted to use an alternative mode of transportation, or an employee who travels at a time...

  17. Radioactive waste management decommissioning spent fuel storage. V. 3. Waste transport, handling and disposal spent fuel storage

    International Nuclear Information System (INIS)

    1985-01-01

    As part of the book entitled Radioactive waste management decommissioning spent fuel storage, vol. 3 dealts with waste transport, handling and disposal, spent fuel storage. Twelve articles are presented concerning the industrial aspects of nuclear waste management in France [fr

  18. Algebraic partial Boolean algebras

    International Nuclear Information System (INIS)

    Smith, Derek

    2003-01-01

    Partial Boolean algebras, first studied by Kochen and Specker in the 1960s, provide the structure for Bell-Kochen-Specker theorems which deny the existence of non-contextual hidden variable theories. In this paper, we study partial Boolean algebras which are 'algebraic' in the sense that their elements have coordinates in an algebraic number field. Several of these algebras have been discussed recently in a debate on the validity of Bell-Kochen-Specker theorems in the context of finite precision measurements. The main result of this paper is that every algebraic finitely-generated partial Boolean algebra B(T) is finite when the underlying space H is three-dimensional, answering a question of Kochen and showing that Conway and Kochen's infinite algebraic partial Boolean algebra has minimum dimension. This result contrasts the existence of an infinite (non-algebraic) B(T) generated by eight elements in an abstract orthomodular lattice of height 3. We then initiate a study of higher-dimensional algebraic partial Boolean algebras. First, we describe a restriction on the determinants of the elements of B(T) that are generated by a given set T. We then show that when the generating set T consists of the rays spanning the minimal vectors in a real irreducible root lattice, B(T) is infinite just if that root lattice has an A 5 sublattice. Finally, we characterize the rays of B(T) when T consists of the rays spanning the minimal vectors of the root lattice E 8

  19. Effects of Short-Term Cognitive Remediation on Cognitive Dysfunction in Partially or Fully Remitted Individuals with Bipolar Disorder

    DEFF Research Database (Denmark)

    Demant, Kirsa M; Vinberg, Maj; Kessing, Lars V

    2015-01-01

    for the primary outcome analysis, calculation of the 95% confidence interval showed that it was highly unlikely that an increase in sample size would have rendered any beneficial effects of CR vs. ST on the verbal memory. CONCLUSIONS: Short-term group-based CR did not seem to improve overall cognitive...... aimed to investigate the effects of CR on persistent cognitive dysfunction in BD. METHOD: Patients with BD in partial remission with cognitive complaints were randomised to 12 weeks group-based CR (n=23) or standard treatment (ST) (n=23). Outcomes were improved verbal memory (primary), sustained...... or psychosocial function in individuals with BD in full or partial remission. The present findings suggest that that longer-term, more intensive and individualised CR may be necessary to improve cognition in BD. TRIAL REGISTRATION: ClinicalTrials.gov NCT01457235....

  20. Status and trends in spent fuel reprocessing

    International Nuclear Information System (INIS)

    2005-09-01

    The management of spent fuel arising from nuclear power production is a crucial issue for the sustainable development of nuclear energy. The IAEA has issued several publications in the past that provide technical information on the global status and trends in spent fuel reprocessing and associated topics, and one reason for this present publication is to provide an update of this information which has mostly focused on the conventional technology applied in the industry. However, the scope of this publication has been significantly expanded in an attempt to make it more comprehensive and by including a section on emerging technologies applicable to future innovative nuclear systems, as are being addressed in such international initiatives as INPRO, Gen IV and MICANET. In an effort to be informative, this publication attempts to provide a state-of-the-art review of these technologies, and to identify major issues associated with reprocessing as an option for spent fuel management. It does not, however, provide any detailed information on some of the related issues such as safety or safeguards, which are addressed in other relevant publications. This report provides an overview of the status of reprocessing technology and its future prospects in terms of various criteria in Section 2. Section 3 provides a review of emerging technologies which have been attracting the interest of Member States, especially in the international initiatives for future development of innovative nuclear systems. A historical review of IAEA activities associated with spent fuel reprocessing, traceable back to the mid-1970s, is provided in Section 4, and conclusions in Section 5. A list of references is provided at the end the main text for readers interested in further information on the related topics. Annex I summarizes the current status of reprocessing facilities around the world, including the civil operational statistics of Purex-based plants, progress with decommissioning and