Pre-operative fasting guidelines: an update

DEFF Research Database (Denmark)

Søreide, E; Eriksson, L I; Hirlekar, G

2005-01-01

Liberal pre-operative fasting routines have been implemented in most countries. In general, clear fluids are allowed up to 2 h before anaesthesia, and light meals up to 6 h. The same recommendations apply for children and pregnant women not in labour. In children......Liberal pre-operative fasting routines have been implemented in most countries. In general, clear fluids are allowed up to 2 h before anaesthesia, and light meals up to 6 h. The same recommendations apply for children and pregnant women not in labour. In children...

Agreement between pre-operative and intra-operative bacteriological samples in 85 chronic peri-prosthetic infections.

Science.gov (United States)

Matter-Parrat, V; Ronde-Oustau, C; Boéri, C; Gaudias, J; Jenny, J-Y

2017-04-01

Whether pre-operative microbiological sampling contributes to the management of chronic peri-prosthetic infection remains controversial. We assessed agreement between the results of pre-operative and intra-operative samples in patients undergoing single-stage prosthesis exchange to treat chronic peri-prosthetic infection. Agreement between pre-operative and intra-operative samples exceeds 75% in patients undergoing single-stage exchange of a hip or knee prosthesis to treat chronic peri-prosthetic infection. This single-centre retrospective study included 85 single-stage prosthesis exchange procedures in 82 patients with chronic peri-prosthetic infection at the hip or knee. Agreement between pre-operative and intra-operative sample results was evaluated. Changes to the initial antibiotic regimen made based on the intra-operative sample results were recorded. Of 149 pre-operative samples, 109 yielded positive cultures, in 75/85 cases. Of 452 intra-operative samples, 354 yielded positive cultures, in 85/85 cases. Agreement was complete in 54 (63%) cases and partial in 9 (11%) cases; there was no agreement in the remaining 22 (26%) cases. The complete agreement rate was significantly lower than 75% (P=0.01). The initial antibiotic regimen was inadequate in a single case. Pre-operative sampling may contribute to the diagnosis of peri-prosthetic infection but is neither necessary nor sufficient to confirm the diagnosis and identify the causative agent. The spectrum of the initial antibiotic regimen cannot be safely narrowed based on the pre-operative sample results. We suggest the routine prescription of a probabilistic broad-spectrum antibiotic regimen immediately after the prosthesis exchange, even when a pathogen was identified before surgery. IV, retrospective study. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Association between elevated pre-operative glycosylated hemoglobin and post-operative infections after non-emergent surgery

Directory of Open Access Journals (Sweden)

Joseph M. Blankush

2016-09-01

Conclusions: The risk factors of post-operative infection are multiple and likely synergistic. While pre-operative HbA1c level is not independently associated with risk of post-operative infection, there are scenarios and patient subgroups where pre-operative HbA1c is useful in predicting an increased risk of infectious complications in the post-operative period.

An integrated environmental and health performance quantification model for pre-occupancy phase of buildings in China

Energy Technology Data Exchange (ETDEWEB)

Li, Xiaodong, E-mail: eastdawn@tsinghua.edu.cn; Su, Shu, E-mail: sushuqh@163.com; Zhang, Zhihui, E-mail: zhzhg@tsinghua.edu.cn; Kong, Xiangqin, E-mail: kxlwq@126.com

2017-03-15

To comprehensively pre-evaluate the damages to both the environment and human health due to construction activities in China, this paper presents an integrated building environmental and health performance (EHP) assessment model based on the Building Environmental Performance Analysis System (BEPAS) and the Building Health Impact Analysis System (BHIAS) models and offers a new inventory data estimation method. The new model follows the life cycle assessment (LCA) framework and the inventory analysis step involves bill of quantity (BOQ) data collection, consumption data formation, and environmental profile transformation. The consumption data are derived from engineering drawings and quotas to conduct the assessment before construction for pre-evaluation. The new model classifies building impacts into three safeguard areas: ecosystems, natural resources and human health. Thus, this model considers environmental impacts as well as damage to human wellbeing. The monetization approach, distance-to-target method and panel method are considered as optional weighting approaches. Finally, nine residential buildings of different structural types are taken as case studies to test the operability of the integrated model through application. The results indicate that the new model can effectively pre-evaluate building EHP and the structure type significantly affects the performance of residential buildings.

An integrated environmental and health performance quantification model for pre-occupancy phase of buildings in China

International Nuclear Information System (INIS)

Li, Xiaodong; Su, Shu; Zhang, Zhihui; Kong, Xiangqin

2017-01-01

To comprehensively pre-evaluate the damages to both the environment and human health due to construction activities in China, this paper presents an integrated building environmental and health performance (EHP) assessment model based on the Building Environmental Performance Analysis System (BEPAS) and the Building Health Impact Analysis System (BHIAS) models and offers a new inventory data estimation method. The new model follows the life cycle assessment (LCA) framework and the inventory analysis step involves bill of quantity (BOQ) data collection, consumption data formation, and environmental profile transformation. The consumption data are derived from engineering drawings and quotas to conduct the assessment before construction for pre-evaluation. The new model classifies building impacts into three safeguard areas: ecosystems, natural resources and human health. Thus, this model considers environmental impacts as well as damage to human wellbeing. The monetization approach, distance-to-target method and panel method are considered as optional weighting approaches. Finally, nine residential buildings of different structural types are taken as case studies to test the operability of the integrated model through application. The results indicate that the new model can effectively pre-evaluate building EHP and the structure type significantly affects the performance of residential buildings.

Implementation of Pre-Operative Checklist: An Effort to Reduce ...

African Journals Online (AJOL)

Implementation of Pre-Operative Checklist: An Effort to Reduce Delays in. Surgery and ... insight to develop a pre-operative checklist to ensure that patients were prepared for surgery and to minimize disruptions ... documentation audit was conducted in May 2014, showing 59% compliance in completing the checklist. Since.

Quality assurance of pre-operative assessment--a review of quality assurance activities related to pre-operative assessment in nine hospitals in The Netherlands

NARCIS (Netherlands)

Klazinga, N. S.; Helsloot, R.

1989-01-01

Pre-operative assessment of patients for surgery is one of the most prevalent topics for quality assurance by peer-review in Dutch hospitals. This article describes the experiences with pre-operative assessment in nine hospitals. It is discussed why preoperative assessment is performed, what tests

The Relationship between Environmental Moral Reasoning and Environmental Attitudes of Pre-Service Science Teachers

Science.gov (United States)

Tuncay, Busra; Yilmaz-Tuzun, Ozgul; Tuncer-Teksoz, Gaye

2011-01-01

The aim of the present study was to investigate the relationship between environmental moral reasoning patterns and environmental attitudes of 120 pre-service science teachers. Content analysis was carried out on participants' written statements regarding their concerns about the presented environmental problems and the statements were labeled as…

Pre-operative pain and sensory function in groin hernia

DEFF Research Database (Denmark)

Aasvang, Eske K; Hansen, Jeanette B; Kehlet, Henrik

2009-01-01

BACKGROUND: Although persistent postherniotomy occurs in 5-10% of patients, pathogenic mechanisms remain debatable. Since pre-operative pain has been demonstrated to be a risk factor for persistent postherniotomy pain, pre-operative alterations in nociceptive function may be a potential pathogenic...... mechanism. AIMS: To investigate the correlation between pre-operative pain intensity and sensory functions in the groin hernia area. METHODS: Patients with unilateral groin hernia were examined preoperatively by quantitative sensory testing (thermal, mechanical, and pressure [detection and pain thresholds...... (7%), all whom experienced no pain or pain less than weekly. Only cool detection thresholds were significantly lower between the hernia vs. contralateral side (poperative groin hernia...

Modeling Environmental Literacy of Malaysian Pre-University Students

Science.gov (United States)

Shamuganathan, Sheila; Karpudewan, Mageswary

2015-01-01

In this study attempt was made to model the environmental literacy of Malaysian pre-university students enrolled in a matriculation college. Students enrolled in the matriculation colleges in Malaysia are the top notch students in the country. Environmental literacy of this group is perceived important because in the future these students will be…

Pre-operative skin preparation practices: results of the 2007 French national assessment.

Science.gov (United States)

Borgey, F; Thibon, P; Ertzscheid, M-A; Bernet, C; Gautier, C; Mourens, C; Bettinger, A; Aggoune, M; Galy, E; Lejeune, B; Kadi, Z

2012-05-01

Pre-operative skin preparation, aimed at reducing the endogenous microbial flora, is one of the main preventive measures employed to decrease the likelihood of surgical site infection. National recommendations on pre-operative management of infection risks were issued in France in 2004. To assess compliance with the French national guidelines for pre-operative skin preparation in 2007. A prospective audit was undertaken in French hospitals through interviews with patients and staff, and observation of professional practice. Compliance with five major criteria selected from the guidelines was studied: patient information, pre-operative showering, pre-operative hair removal, surgical site disinfection and documentation of these procedures. Data for 41,188 patients from all specialties at 609 facilities were analysed. Patients were issued with information about pre-operative showering in 88.2% of cases [95% confidence interval (CI) 87.9-88.5]. The recommended procedure for pre-operative showering, including hairwashing, with an antiseptic skin wash solution was followed by 70.3% of patients (95% CI 69.9-70.8); this percentage was higher when patients had received appropriate information (P pre-operative surgical hygiene, 82.3% of cases; and pre-operative site disinfection, 71.7% of cases. The essential content of the French guidelines seems to be understood, but reminders need to be issued. Some recommendations may need to be adapted for certain specialties. Copyright © 2012 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Association between elevated pre-operative glycosylated hemoglobin and post-operative infections after non-emergent surgery.

Science.gov (United States)

Blankush, Joseph M; Leitman, I Michael; Soleiman, Aron; Tran, Trung

2016-09-01

A chronic state of impaired glucose metabolism affects multiple components of the immune system, possibly leading to an increased incidence of post-operative infections. Such infections increase morbidity, length of stay, and overall cost. This study evaluates the correlation between elevated pre-operative glycosylated hemoglobin (HbA1c) and post-operative infections. Adult patients undergoing non-emergent procedures across all surgical subspecialties from January 2010 to July 2014 had a preoperative HbA1c measured as part of their routine pre-surgical assessment. 2200 patient charts (1100 operative infection (superficial surgical site infection, deep wound/surgical space abscess, pneumonia, and/or urinary tract infection as defined by Centers for Disease Control criteria) within 30 days of surgery. Patients with HbA1c infection rate (3.8% in the HbA1c infection. Elevated HbA1c was, however, predictive of significantly increased risk of post-operative infection when associated with increased age (≥81 years of age) or dirty wounds. The risk factors of post-operative infection are multiple and likely synergistic. While pre-operative HbA1c level is not independently associated with risk of post-operative infection, there are scenarios and patient subgroups where pre-operative HbA1c is useful in predicting an increased risk of infectious complications in the post-operative period.

The Relationship between Environmental Moral Reasoning and Environmental Attitudes of Pre-Service Science Teachers

OpenAIRE

TUNCAY, Busra; YILMAZ-TUZUN, Ozgul; TUNCER-TEKSOZ, Gaye

2011-01-01

The aim of the present study was to investigate the relationship between environmental moral reasoning patterns and environmental attitudes of 120 pre-service science teachers. Content analysis was carried out on participants’ written statements regarding their concerns about the presented environmental problems and the statements were labeled as ecocentric, anthropocentric, and non-environmental according to their meanings. Then, descriptive and inferential analyses were conducted ...

Pre-operative clinical assessment for anaesthesia and the effect of ...

African Journals Online (AJOL)

Background. HIV infection is common in South Africa, often remaining clinically latent and liable to be missed during clinical pre-operative assessment, despite the patient having a severe degree of immune compromise. Objectives. The primary objective was to determine the pre-operative physical status of patients ...

Predictive potential of pre-operative functional neuroimaging in patients treated with subthalamic stimulation

International Nuclear Information System (INIS)

Sestini, Stelvio; Castagnoli, Antonio; Pupi, Alberto; Sciagra, Roberto; Ammannati, Franco; Ramat, Silvia; Sorbi, Sandro; Mansi, Luigi

2010-01-01

The aim of this study was to investigate the predictive potential of pre-operative regional cerebral blood flow (rCBF) in the pre-supplementary motor area (pre-SMA) and clinical factors in Parkinson's disease (PD) patients treated with subthalamic nucleus (STN) stimulation. Ten patients underwent rCBF SPECT and motor Unified Parkinson's Disease Rating Scale (UPDRS) pre- and post-operatively during stimulation at 5 and 42 months. Statistical parametric mapping (SPM) was used to extract rCBF values in the pre-SMA because it is related with motor improvement. Post-operative outcomes included motor response to stimulation and percent improvement in UPDRS. Pre-operative predictors were explored by correlation test, linear regression and multivariate analyses. Higher pre-operative rCBF in the pre-SMA and younger age were associated with favourable outcomes at 5 and 42 months. Pre-operative rCBF results were significantly associated with baseline clinical factors. This study shows that PD patients with younger age have higher rCBF values in the pre-SMA and better outcome, thus giving the rationale to the hypothesis that STN stimulation could be considered early in the course of disease. (orig.)

Predictive potential of pre-operative functional neuroimaging in patients treated with subthalamic stimulation

Energy Technology Data Exchange (ETDEWEB)

Sestini, Stelvio; Castagnoli, Antonio [Ospedale Misericordia e Dolce, Department of Diagnostic Imaging, Nuclear Medicine Unit, Prato (Italy); Pupi, Alberto; Sciagra, Roberto [University of Florence, Department of Clinical Physiopathology, Nuclear Medicine Unit, Florence (Italy); Ammannati, Franco; Ramat, Silvia; Sorbi, Sandro [University of Florence, Department of Neurological and Psychiatric Sciences, Florence (Italy); Mansi, Luigi [University II Naples, Department of Diagnostic Imaging, Nuclear Medicine Unit, Naples (Italy)

2010-01-15

The aim of this study was to investigate the predictive potential of pre-operative regional cerebral blood flow (rCBF) in the pre-supplementary motor area (pre-SMA) and clinical factors in Parkinson's disease (PD) patients treated with subthalamic nucleus (STN) stimulation. Ten patients underwent rCBF SPECT and motor Unified Parkinson's Disease Rating Scale (UPDRS) pre- and post-operatively during stimulation at 5 and 42 months. Statistical parametric mapping (SPM) was used to extract rCBF values in the pre-SMA because it is related with motor improvement. Post-operative outcomes included motor response to stimulation and percent improvement in UPDRS. Pre-operative predictors were explored by correlation test, linear regression and multivariate analyses. Higher pre-operative rCBF in the pre-SMA and younger age were associated with favourable outcomes at 5 and 42 months. Pre-operative rCBF results were significantly associated with baseline clinical factors. This study shows that PD patients with younger age have higher rCBF values in the pre-SMA and better outcome, thus giving the rationale to the hypothesis that STN stimulation could be considered early in the course of disease. (orig.)

Use of operational data for the assessment of pre-existing software

International Nuclear Information System (INIS)

Helminen, Atte; Gran, Bjoern Axel; Kristiansen, Monica; Winther, Rune

2004-01-01

To build sufficient confidence on the reliability of the safety systems of nuclear power plants all available sources of information should be used. One important data source is the operational experience collected for the system. The operational experience is particularly applicable for systems of pre-existing software. Even though systems and devices involving pre-existing software are not considered for the functions of highest safety levels of nuclear power plants, they will most probably be introduced to functions of lower safety levels and to none-safety related applications. In the paper we shortly discuss the use of operational experience data for the reliability assessment of pre-existing software in general, and the role of pre-existing software in relation to safety applications. Then we discuss the modelling of operational profiles, the application of expert judgement on operational profiles and the need of a realistic test case. Finally, we discuss the application of operational experience data in Bayesian statistics. (Author)

Environmental Performance of Hypothetical Canadian Pre-Combustion Carbon Dioxide Capture Processes Using Life-Cycle Techniques

Directory of Open Access Journals (Sweden)

Lakkana Piewkhaow

2016-03-01

Full Text Available The methodology of life-cycle assessment was applied in order to evaluate the environmental performance of a hypothetical Saskatchewan lignite-fueled Integrated Gasification Combined Cycle (IGCC electricity generation, with and without pre-combustion carbon dioxide (CO2 capture from a full life-cycle perspective. The emphasis here is placed on environmental performance associated with air contaminants of the comparison between IGCC systems (with and without CO2 capture and a competing lignite pulverized coal-fired electricity generating station in order to reveal which technology offers the most positive environmental effects. Moreover, ambient air pollutant modeling was also conducted by using American Meteorological Society/Environmental Protection Agency Regulatory Model (AERMOD air dispersion modeling to determine the ground-level concentration of pollutants emitted from four different electricity generating stations. This study assumes that all stations are located close to Estevan. The results showed a significant reduction in greenhouse gas (GHG emissions and acidification potential by applying both post-combustion and pre-combustion CO2 capture processes. The GHG emissions were found to have reduced by 27%–86%, and IGCC systems were found to compare favorably to pulverized coal systems. However, in other environmental impact categories, there are multiple environmental trade-offs depending on the capture technology used. In the case of post-combustion capture, it was observed that the environmental impact category of eutrophication potential, summer smog, and ozone depletion increased due to the application of the CO2 capture process and the surface mining coal operation. IGCC systems, on the other hand, showed the same tendency as the conventional coal-fired electricity generation systems, but to a lesser degree. This is because the IGCC system is a cleaner technology that produces lower pollutant emission levels than the electricity

Pre-operative optimisation of lung function

Directory of Open Access Journals (Sweden)

Naheed Azhar

2015-01-01

Full Text Available The anaesthetic management of patients with pre-existing pulmonary disease is a challenging task. It is associated with increased morbidity in the form of post-operative pulmonary complications. Pre-operative optimisation of lung function helps in reducing these complications. Patients are advised to stop smoking for a period of 4–6 weeks. This reduces airway reactivity, improves mucociliary function and decreases carboxy-haemoglobin. The widely used incentive spirometry may be useful only when combined with other respiratory muscle exercises. Volume-based inspiratory devices have the best results. Pharmacotherapy of asthma and chronic obstructive pulmonary disease must be optimised before considering the patient for elective surgery. Beta 2 agonists, inhaled corticosteroids and systemic corticosteroids, are the main drugs used for this and several drugs play an adjunctive role in medical therapy. A graded approach has been suggested to manage these patients for elective surgery with an aim to achieve optimal pulmonary function.

Pre-operative irradiation with rectal carcinoma - clinical practices and results

International Nuclear Information System (INIS)

Rendl, H.

1986-01-01

The goal of this work is to portray the effect of a high-dosed short-timed pre-irradiation on intra- and post-operative therapy of rectal carcinoma and the appearance of recidivistic tumors, respectively distant metastasis. This intermediate balance should help make the decision easier as to whether to continue to use this combined treatment form. The subjects consisted of 65 rectal carcinoma patients - pre-irradiated and operated - and 95 only operated patients. The irradiation was completed using a 8 MeV linear accelerator with ultra hard x-radiation. Dosing - (more than 80%) as short-timed irradiation with 16 Gy (4 x 4 Gy in 2 days) - 25 Gy (10 x 2,5 Gy in 12 days); average field size 150 mm x 150 mm. There were no significant differences with regard to intra- and post-operative complications, late complications or distant metastasis, but there was with tumor recidivision reduced with pre-irradiated. Regarding the survival rate, there was a slight tendency in favor of the pre-irradiated. (orig./MG) [de

The role of pre-operative and post-operative glucose control in surgical-site infections and mortality.

Directory of Open Access Journals (Sweden)

Christie Y Jeon

Full Text Available The impact of glucose control on surgical-site infection (SSI and death remains unclear. We examined how pre- and post-operative glucose levels and their variability are associated with the risk of SSI or in-hospital death.This retrospective cohort study employed data on 13,800 hospitalized patients who underwent a surgical procedure at a large referral hospital in New York between 2006 and 2008. Over 20 different sources of electronic data were used to analyze how thirty-day risk of SSI and in-hospital death varies by glucose levels and variability. Maximum pre- and post-operative glucose levels were determined for 72 hours before and after the operation and glucose variability was defined as the coefficient of variation of the glucose measurements. We employed logistic regression to model the risk of SSI or death against glucose variables and the following potential confounders: age, sex, body mass index, duration of operation, diabetes status, procedure classification, physical status, emergency status, and blood transfusion.While association of pre- and post-operative hyperglycemia with SSI were apparent in the crude analysis, multivariate results showed that SSI risk did not vary significantly with glucose levels. On the other hand, in-hospital deaths were associated with pre-operative hypoglycemia (OR = 5.09, 95% CI (1.80, 14.4 and glucose variability (OR = 1.14, 95% CI (1.03, 1.27 for 10% increase in coefficient of variation.In-hospital deaths occurred more often among those with pre-operative hypoglycemia and higher glucose variability. These findings warrant further investigation to determine whether stabilization of glucose and prevention of hypoglycemia could reduce post-operative deaths.

The role of pre-operative and post-operative glucose control in surgical-site infections and mortality.

Science.gov (United States)

Jeon, Christie Y; Furuya, E Yoko; Berman, Mitchell F; Larson, Elaine L

2012-01-01

The impact of glucose control on surgical-site infection (SSI) and death remains unclear. We examined how pre- and post-operative glucose levels and their variability are associated with the risk of SSI or in-hospital death. This retrospective cohort study employed data on 13,800 hospitalized patients who underwent a surgical procedure at a large referral hospital in New York between 2006 and 2008. Over 20 different sources of electronic data were used to analyze how thirty-day risk of SSI and in-hospital death varies by glucose levels and variability. Maximum pre- and post-operative glucose levels were determined for 72 hours before and after the operation and glucose variability was defined as the coefficient of variation of the glucose measurements. We employed logistic regression to model the risk of SSI or death against glucose variables and the following potential confounders: age, sex, body mass index, duration of operation, diabetes status, procedure classification, physical status, emergency status, and blood transfusion. While association of pre- and post-operative hyperglycemia with SSI were apparent in the crude analysis, multivariate results showed that SSI risk did not vary significantly with glucose levels. On the other hand, in-hospital deaths were associated with pre-operative hypoglycemia (OR = 5.09, 95% CI (1.80, 14.4)) and glucose variability (OR = 1.14, 95% CI (1.03, 1.27) for 10% increase in coefficient of variation). In-hospital deaths occurred more often among those with pre-operative hypoglycemia and higher glucose variability. These findings warrant further investigation to determine whether stabilization of glucose and prevention of hypoglycemia could reduce post-operative deaths.

Environmental Education in Pre-Service Teacher Training: A Literature Review of Existing Evidence

Science.gov (United States)

Álvarez-García, Olaya; Sureda-Negre, Jaume; Comas-Forgas, Rubén

2015-01-01

The importance of pre-service teacher training regarding environmental education (EE) has been vastly demonstrated. This systematic review examined the existing evidence from studies evaluating and analysing the relationship between EE, including environmental competences and pre-service primary school teacher training. The literature review…

Pre-Service Teachers' Perception toward Environmental Knowledge, Attitudes and Behaviours

Science.gov (United States)

Borhan, Mohamad Termizi; Ismail, Zurida

2011-01-01

Purpose: The study investigated the environmental knowledge, attitudes and behaviours exhibited by the pre-service teachers and determined if there was any significant relationship between environmental knowledge, attitudes and behaviours. Method: This descriptive study adopted a quantitative approach using questionnaires to obtain information on…

Acute gallbladder torsion - a continued pre-operative diagnostic dilemma

Directory of Open Access Journals (Sweden)

Desrochers Randal

2011-04-01

Full Text Available Abstract Acute gallbladder volvulus continues to remain a relatively uncommon process, manifesting itself usually during exploration for an acute surgical abdomen with a presumptive diagnosis of acute cholecystitis. The pathophysiology is that of mechanical organo-axial torsion along the gallbladder's longitudinal axis involving the cystic duct and cystic artery, and with a pre-requisite of local mesenteric redundancy. The demographic tendency is septua- and octo-genarians of the female sex, and its overall incidence is increasing, this being attributed to increasing life expectancy. We discuss two cases of elderly, fragile women presenting to the emergency department complaining of sudden onset right upper quadrant abdominal pain. Their subsequent evaluation suggested acute cholecystitis. Ultimately both were taken to the operating room where the correct diagnosis of gallbladder torsion was made. Pre-operative diagnosis continues to be a major challenge with only 4 cases reported in the literature diagnosed with pre-operative imaging; the remainder were found intra-operatively. Consequently, a delay in diagnosis can have devastating patient outcomes. Herein we propose a necessary high index of suspicion for gallbladder volvulus in the outlined patient demographic with symptoms and signs mimicking acute cholecystitis.

Safety Culture in Pre-operational Phases of Nuclear Power Plant Projects

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-09-15

An abundance of information exists on safety culture related to the operational phases of nuclear power plants; however, pre-operational phases present unique challenges. This publication focuses on safety culture during pre-operational phases that span the interval from before a decision to launch a nuclear power programme to first fuel load. It provides safety culture insights and focuses on eight generic issues: safety culture understanding; multicultural aspects; leadership; competencies and resource competition; management systems; learning and feedback; cultural assessments; and communication. Each issue is discussed in terms of: specific challenges; desired state; approaches and methods; and examples and resources. This publication will be of interest to newcomers and experienced individuals faced with the opportunities and challenges inherent in safety culture programmes aimed at pre-operational activities.

Safety Culture in Pre-operational Phases of Nuclear Power Plant Projects

International Nuclear Information System (INIS)

2012-01-01

An abundance of information exists on safety culture related to the operational phases of nuclear power plants; however, pre-operational phases present unique challenges. This publication focuses on safety culture during pre-operational phases that span the interval from before a decision to launch a nuclear power programme to first fuel load. It provides safety culture insights and focuses on eight generic issues: safety culture understanding; multicultural aspects; leadership; competencies and resource competition; management systems; learning and feedback; cultural assessments; and communication. Each issue is discussed in terms of: specific challenges; desired state; approaches and methods; and examples and resources. This publication will be of interest to newcomers and experienced individuals faced with the opportunities and challenges inherent in safety culture programmes aimed at pre-operational activities.

WIPP - Pre-Licensing and Operations: Developer and Regulator Perspectives

International Nuclear Information System (INIS)

Peake, Tom; Patterson, R.

2014-01-01

The Waste Isolation Pilot Plant (WIPP) is a disposal system for defense-related transuranic (TRU) radioactive waste. Developed by the Department of Energy (DOE), WIPP is located in Southeastern New Mexico: radioactive waste is disposed of 2,150 feet underground in an ancient layer of salt with a total capacity of 6.2 million cubic feet of waste. Congress authorized the development and construction of WIPP in 1980 for the express purpose of providing a research and development facility to demonstrate the safe disposal of radioactive wastes resulting from the defense activities and programs of the United States. This paper makes a historical review of the site development, site operations (waste disposal operations started in 1999), communications between US EPA and DOE, the chronology of pre-licensing and pre-operations, the operational phase and the regulatory challenges, and the lessons learned after 12 years of operations

Pre-operative and early post-operative factors associated with surgical site infection after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Ruiz-Tovar, Jaime; Oller, Inmaculada; Llavero, Carolina; Arroyo, Antonio; Muñoz, Jose Luis; Calero, Alicia; Diez, María; Zubiaga, Lorea; Calpena, Rafael

2013-08-01

Surgical procedures on obese patients are expected to have a high incidence of surgical site infection (SSI). The identification of pre-operative or early post-operative risk factors for SSI may help the surgeon to identify subjects in risk and adequately optimize their status. We conducted a study of the association of comorbidities and pre- and post-operative analytical variables with SSI following laparoscopic sleeve gastrectomy for the treatment of morbid obesity. We performed a prospective study of all morbidly obese patients undergoing laparoscopic sleeve gastrectomy as a bariatric procedure between 2007 and 2011. An association of clinical and analytical variables with SSI was investigated. The study included 40 patients with a mean pre-operative body mass index (BMI) of 51.2±7.9 kg/m(2). Surgical site infections appeared in three patients (7.5%), of whom two had an intra-abdominal abscess located in the left hypochondrium and the third had a superficial incisional SSI. Pre-operatively, a BMI >45 kg/m(2) (OR 8.7; p=0.008), restrictive disorders identified by pulmonary function tests (OR 10.0; p=0.012), a serum total protein concentration 30 mcg/dL (OR 13.0; p=0.003), and a mean corpuscular volume (MCV) operative SSI. Post-operatively, a serum glucose >128 mg/dL (OR 4.7; p=0.012) and hemoglobin operative anemia and hyperglycemia as risk factors for SSI. In these situations, the surgeon must be aware of and seek to control these risk factors.

The ultrastructure of tumor cells in patients with rectal cancer after pre-operative irradiation and intra-operative cryotherapy

International Nuclear Information System (INIS)

Vyinnik, Yu.O.; Kotenko, O.Je.; Nevzorov, V.P.; Chyibyisov, L.P.

2000-01-01

Electronic microscopy of the tumor cells was performed to confirm the efficacy of combined pre-operative gamma-therapy and intraoperative cryotherapy (CT). Pre-operative irradiation at the dose of 20 Gy accompanied by intra-operative cryotherapy caused the changes in the ultrastructure, the depth and degree of which allow to consider them destructive and irreversible

Pre-operational monitoring program of Ra-226 in biological material in uranium mining and milling areas

International Nuclear Information System (INIS)

Souza Pereira, Wagner de; Azevedo Py Junior, Delcy de; Kelecom, Alphonse; Iatesta, Antonio

2008-01-01

The environmental licensing processes of 'Santa Quiteria' uranium mining and milling unit are being carried out nowadays. The pre-operational radiological environmental monitoring program is part of those processes, which has the objective of determining the background for further comparisons and evaluation of radiological environmental impact of the operation unit. This work shows the results of Ra-226 determination in the most consumed farm products of the region, which are black beans, corn and milk. These data are compared with data available in the literature. Measurement results of Ra-226 in black beans vary from 3.3 x 10 -2 Bq/Kg to 9.1 x 10 -2 Bq/Kg; in corn, the results vary from 8.0 x 10 -3 Bq/Kg to 4.6 x 10 -2 Bq/Kg; in milk the results vary from 1.0 x 10 -3 Bq/Kg to 7.0 x 10 -3 Bq/Kg that represents the smallest variation range. All of these results are in good agreement with literature reported data. (author)

Fostering Pre-service Teachers' Self-Determined Environmental Motivation Through Green Chemistry Experiments

Science.gov (United States)

Karpudewan, Mageswary; Ismail, Zurida; Roth, Wolff-Michael

2012-10-01

The global environmental crisis intensifies particularly in developing nations. Environmental educators have begun to understand that changing the environmental impact requires not only changes in pro-environmental knowledge and attitudes but also in associated, self-determined motivation. This study was designed to test the hypothesis that a green chemistry curriculum changes Malaysian pre-service teachers' environmental motivation. Two comparable groups of pre-service teachers participated in this study. The students in the experimental group ( N = 140) did green chemistry experiments whereas the control group ( N = 123) did equivalent experiments in a traditional manner. Posttest results indicate that there is significant difference between both the groups for intrinsic motivation, integration, identification, and introjections scales and no differences for external regulation and amotivation scales. The qualitative analysis of interview data suggests that the changes are predominantly due to the personal satisfaction that participants derived from engaging in pro-environmental behavior.

Pre-operative fasting: a nationwide survey of German anaesthesia departments.

Science.gov (United States)

Breuer, J-P; Bosse, G; Seifert, S; Prochnow, L; Martin, J; Schleppers, A; Geldner, G; Soreide, E; Spies, C

2010-03-01

Shorter pre-operative fasting improves clinical outcome without an increased risk. Since October 2004, German Anaesthesiology Societies have officially recommended a fast of 2 h for clear fluids and 6 h for solid food before elective surgery. We conducted a nationwide survey to evaluate the current clinical practice in Germany. Between July 2006 and January 2007, standardized questionnaires were mailed to 3751 Anaesthesiology Society members in leading positions requesting anonymous response. The overall response rate was 66% (n=2418). Of those, 2148 (92%) claimed familiarity with the new guidelines. About a third (n=806, 34%) reported full adherence to the new recommendations, whereas 1043 (45%) reported an eased fasting practice. Traditional Nil per os after midnight was still recommended by 157 (7%). Commonest reasons reported for adopting the new guidelines were: 'improved pre-operative comfort' (84%), and 'increased patient satisfaction' (83%); reasons against were: 'low flexibility in operation room management' (19%), and 'increased risk of aspiration' (13%). Despite the apparent understanding of the benefits from reduced pre-operative fasting, full implementation of the guidelines remains poor in German anaesthesiology departments.

Reactor operation environmental information document

Energy Technology Data Exchange (ETDEWEB)

Bauer, L.R.; Hayes, D.W.; Hunter, C.H.; Marter, W.L.; Moyer, R.A.

1989-12-01

This volume is a reactor operation environmental information document for the Savannah River Plant. Topics include meteorology, surface hydrology, transport, environmental impacts, and radiation effects. 48 figs., 56 tabs. (KD)

Integration of operational research and environmental management

NARCIS (Netherlands)

Bloemhof - Ruwaard, J.M.

1996-01-01

The subject of this thesis is the integration of Operational Research and Environmental Management. Both sciences play an important role in the research of environmental issues. Part I describes a framework for the interactions between Operational Research and Environmental Management.

The effect of pre-operative optimization on post-operative outcome in Crohn's disease resections

DEFF Research Database (Denmark)

El-Hussuna, Alaa; Iesalnieks, Igors; Horesh, Nir

2017-01-01

BACKGROUND: The timing of surgical intervention in Crohn's disease (CD) may depend on pre-operative optimization (PO) which includes different interventions to decrease the risk for unfavourable post-operative outcome. The objective of this study was to investigate the effect of multi-model PO on...

Light Duty Utility Arm system pre-operational (cold test) test plan

International Nuclear Information System (INIS)

Bennett, K.L.

1995-01-01

The Light Duty Utility (LDUA) Cold Test Facility, located in the Hanford 400 Area, will be used to support cold testing (pre- operational tests) of LDUA subsystems. Pre-operational testing is composed of subsystem development testing and rework activities, and integrated system qualification testing. Qualification testing will be conducted once development work is complete and documentation is under configuration control. Operational (hot) testing of the LDUA system will follow the testing covered in this plan and will be covered in a separate test plan

Operational performance at the German Pre-Konvoi Philippsburg-2 NPP

International Nuclear Information System (INIS)

Streit, K.; Ruehle, W.; Enkler, G.

1998-01-01

Philippsburg 2 is one of the first German Pre-Konvoi PWRs starting commercial operation in 1985. From a chemistry point of view three major modifications have been implemented focusing on radiation source reduction, improving steam generator corrosion performance and changing from high hydrazine to low hydrazine chemistry in the component cooling water systems. From an environmental protection perspective, all component cooling water systems were changed from the high hydrazine inhibitor treatment (300-400 ppm N 2 H 4 ) to an oxygen-free treatment, using only small amount of hydrazine of 3 to 5 ppm of N 2 H 4 for oxygen scavenging. During the 13 years of operation, the overall plant performance and availability is excellent; more than 140 million MW hrs of electricity have been generated at an average plant availability of more than 88%. After about 13 years of power operation, it can be concluded, that all modifications applied at the Philippsburg 2 NPP during the design phase resulted in considerable plant performance. Primary side dose rate build-up is experienced on very low levels, leading to extremely low annual personnel radiation exposures, which usually range in the area of 0.2 man Sievert per year. Also steam generator operational and corrosion performance is excellent; at present, no tubes had to be plugged by any reason and no indications for any tubing degradation process has been observed during the ECT tube integrity inspections. Component cooling water systems are operated on low iron and copper concentration indicating the absence of any structural material degradation phenomenon. (J.P.N.)

Anesthesiologists' and surgeons' perceptions about routine pre-operative testing in low-risk patients: application of the Theoretical Domains Framework (TDF) to identify factors that influence physicians' decisions to order pre-operative tests.

Science.gov (United States)

Patey, Andrea M; Islam, Rafat; Francis, Jill J; Bryson, Gregory L; Grimshaw, Jeremy M

2012-06-09

Routine pre-operative tests for anesthesia management are often ordered by both anesthesiologists and surgeons for healthy patients undergoing low-risk surgery. The Theoretical Domains Framework (TDF) was developed to investigate determinants of behaviour and identify potential behaviour change interventions. In this study, the TDF is used to explore anaesthesiologists' and surgeons' perceptions of ordering routine tests for healthy patients undergoing low-risk surgery. Sixteen clinicians (eleven anesthesiologists and five surgeons) throughout Ontario were recruited. An interview guide based on the TDF was developed to identify beliefs about pre-operative testing practices. Content analysis of physicians' statements into the relevant theoretical domains was performed. Specific beliefs were identified by grouping similar utterances of the interview participants. Relevant domains were identified by noting the frequencies of the beliefs reported, presence of conflicting beliefs, and perceived influence on the performance of the behaviour under investigation. Seven of the twelve domains were identified as likely relevant to changing clinicians' behaviour about pre-operative test ordering for anesthesia management. Key beliefs were identified within these domains including: conflicting comments about who was responsible for the test-ordering (Social/professional role and identity); inability to cancel tests ordered by fellow physicians (Beliefs about capabilities and social influences); and the problem with tests being completed before the anesthesiologists see the patient (Beliefs about capabilities and Environmental context and resources). Often, tests were ordered by an anesthesiologist based on who may be the attending anesthesiologist on the day of surgery while surgeons ordered tests they thought anesthesiologists may need (Social influences). There were also conflicting comments about the potential consequences associated with reducing testing, from negative

Operational Area Environmental Evaluations

Energy Technology Data Exchange (ETDEWEB)

Bailey-White, Brenda Eileen [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Nagy, Michael David [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Wagner, Katrina Marie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Goodman, Thomas Richard [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Herring, Allen [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Catechis, Christopher S. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Kinghorn, Aubrianna Nicole [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Johnson, Ellie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Barthel, Michael David [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Casaus, Benito [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2017-08-01

The Operational Area Environmental Evaluation update provides a description of activities that have the potential to adversely affect natural and cultural resources, including soil, air, water, biological, ecological, and historical resources. The environmental sensitivity of an area is evaluated and summarized, which may facilitate informed management decisions as to where development may be prohibited, restricted, or subject to additional requirements.

Operational and environmental safety

International Nuclear Information System (INIS)

Anon.

1978-01-01

The responsibility of the DOE Office of Operational and Environmental Safety is to assure that DOE-controlled activities are conducted in a manner that will minimize risks to the public and employees and will provide protection for property and the environment. The program supports the various energy technologies by identifying and resolving safety problems; developing and issuing safety policies, standards, and criteria; assuring compliance with DOE, Federal, and state safety regulations; and establishing procedures for reporting and investigating accidents in DOE operations. Guidelines for the radiation protection of personnel; radiation monitoring at nuclear facilities; an assessment of criticality accidents by fault tree analysis; and the preparation of environmental, safety, and health standards applicable to geothermal energy development are discussed

Pre-operative pain and sensory function in groin hernia

DEFF Research Database (Denmark)

Aasvang, Eske K; Hansen, Jeanette B; Kehlet, Henrik

2009-01-01

(rho=-0.413, p=0.049), indicating a paradoxical association between level of mechanical pain threshold and magnitude of spontaneous pain. No other sensory modality was significantly correlated to pain intensity. New/increased pain during repetitive pinprick stimulation (wind-up) was seen in 3 patients...... mechanism. AIMS: To investigate the correlation between pre-operative pain intensity and sensory functions in the groin hernia area. METHODS: Patients with unilateral groin hernia were examined preoperatively by quantitative sensory testing (thermal, mechanical, and pressure [detection and pain thresholds...... pain is not related to findings of hyperalgesia or other changes in sensory function that may support pain-induced pre-operative neuroplasticity as a pathogenic mechanism for the development of persistent postherniotomy pain....

Does pre-operative psychological distress affect patient satisfaction after primary total hip arthroplasty?

Directory of Open Access Journals (Sweden)

Nolan John

2011-06-01

Full Text Available Abstract Background There are concerns that pre-operative psychological distress might be associated with reduced patient satisfaction after total hip replacement (THR. Methods We investigated this in a multi-centre prospective study between January 1999 and January 2002. We dichotomised the patients into the mentally distressed (MHS ≤ 56 and the not mentally distressed (MHS > 56 groups based on their pre-operative Mental Health Score (MHS of SF36. Results 448 patients (340 not distressed and 108 distressed completed the patient satisfaction survey. Patient satisfaction rate at five year was 96.66% (415/448. There was no difference in patient satisfaction or willingness to have the surgery between the two groups. None of pre-operative variables predicted five year patient satisfaction in logistic regression. Conclusions Patient satisfaction after surgery may not be adversely affected by pre-operative psychological distress.

Effect of investments on fundamentals and market reaction on pre-operational and operational Brazilian companies for the period 2006-2012

Directory of Open Access Journals (Sweden)

Marco Antonio Pereira

2016-03-01

Full Text Available ABSTRACT This paper provides evidence on the market reaction to corporate investment decisions whose shareholder value is largely attributed to growth options. The exploratory research raised pre-operational companies and their operational pairs on the same economy segments. It had the purpose of investigating the existence of statistical differentiation from financial indicators that reflect the installed assets and growth assets, and then study the market reaction to changes in fixed assets as a signaling element about investment decisions. The formation process of operational assets and shareholder value almost exclusively dependent on asset growth stands out in the pre-operational companies. As a result, differentiation tests confirmed that the pre-operational companies had their value especially derived on growth options. The market reaction was particularly bigger in pre-operational companies with abnormal negative stock returns, while the operational companies had positive returns, which may indicate that the quality of the investment is judged based on the financial disclosure. Additionally, operational companies' investors await the disclosure to adjust their prices. We conclude that the results are consistent with the empirical evidence and the participants in financial markets to long-term capital formation investments should give that special attention.

Economic environmental management of drilling operations

International Nuclear Information System (INIS)

Longwell, H.J.; Akers, T.J.

1992-01-01

This paper presents significant environmental and regulatory initiatives developed by Exxon's New Orleans Drilling Organization. Specifically, the paper will cover drilling waste minimization techniques and disposal options, recycling of drilling waste streams, and environmentally managed drilling location design considerations. The implementation of some of these initiatives at Exxon's Chalkley field land locations have resulted in a fifty percent reduction in drilling location waste management costs. Some of these same initiatives have been successfully applied to Exxon's barge drilling locations. For operations at the environmentally sensitive Mobile Bay, Exxon contracted with a local company and assisted in the development of an economically and environmentally superior drilling waste disposal and treatment system. In summary, it is possible for drilling operators to pro-actively manage escalating environmental and regulatory challenges through the implementation of economic and practical initiatives

A comparison of radiological and historical findings in osteosarcomas following pre-operative chemotherapy

International Nuclear Information System (INIS)

Sommer, H.J.; Riebel, T.; Winkler, K.; Heise, U.; Delling, G.; Hamburg Univ.; Hamburg Univ.

1985-01-01

Since the introduction of pre-operative chemotherapy, osteosarcomas have shown a more favourable prognosis. Reaction of the tumour due to chemotherapy is judged pre-operative primarily by radiology (plain films, angiography, CT, scintigraphy). There is little evidence concerning the radiological appearances after pre-operative chemotherapy and morphological changes, particularly in respect of tumour regression. Specific radiological changes were therefore compared with pathological findings following chemotherapy and operation in 17 patients with osteosarcomas. Tumours were examined which showed radiological evidence of intra- and extra-osseous sclerosis or lysis and which still were classified as vital tumour tissue. Tumour planes were reconstructed from large histological sections of the operative specimen and compared with the radiological appearances. Sclerosis was found to be due to reactive new bone formation or to mineralisation of the osteosarcomatous tissue. Lysis correlated with persistent vital tumour, or in connective tissue. Nine out of ten cases, regarded as vital on radiological evidence, showed vital tumour cells on histological section. Lyses and scleroses were not reliable indications of the pre-operative state of the osteosarcoma following chemotherapy. On the other hand, combined qualitative radiological criteria for assesing tumour vitality, proved to be helpful. (orig.) [de

Investigation of Pre-Service Science Teachers' Attitudes towards Sustainable Environmental Education

Science.gov (United States)

Keles, Özgül

2017-01-01

The purpose of the current study is to investigate pre-service science teachers' sustainable environmental education attitudes and the factors affecting them in terms of some variables (gender and grade level). The study group of the current research is comprised of 154 pre-service teachers attending the Department of Science Education in the…

The National Polar-orbiting Operational Environmental Satellite System

Science.gov (United States)

Bloom, H.

The tri-agency Integrated Program Office (IPO) is responsible for managing the development of the National Polar-orbiting Operational Environmental Satellite System (NPOESS). NPOESS will replace the current military and civilian operational polar-orbiting ``weather'' satellites. The Northrop Grumman Space Technology - Raytheon team was competitively selected in 2002 as the Acquisition and Operations contractor team to develop, integrate, deploy, and operate NPOESS satellites to meet the tri-agency user requirements for NPOESS over the 10-year (2009-2018) operational life of the program. Beginning in 2009, NPOESS spacecraft will be launched into three orbital planes to provide significantly improved operational capabilities and benefits to satisfy critical civil and national security requirements for space-based, remotely sensed environmental data. With the development of NPOESS, we are evolving operational ``weather'' satellites into integrated environmental observing systems by expanding our capabilities to observe, assess, and predict the total Earth system - atmosphere, ocean, land, and the space environment. In recent years, the operational weather forecasting and climate science communities have levied more rigorous requirements on space-based observations of the Earth's system that have significantly increased demands on performance of the instruments, spacecraft, and ground systems required to deliver NPOESS data, products, and information to end users. The ``end-to-end'' system consists of: the spacecraft; instruments and sensors on the spacecraft; launch support capabilities; the command, control, communications, and data routing infrastructure; and data processing hardware and software. NPOESS will observe significantly more phenomena simultaneously from space than its operational predecessors. NPOESS is expected to deliver large volumes of more accurate measurements at higher spatial (horizontal and vertical) and temporal resolution at much higher data

Anesthesiologists’ and surgeons’ perceptions about routine pre-operative testing in low-risk patients: application of the Theoretical Domains Framework (TDF to identify factors that influence physicians’ decisions to order pre-operative tests

Directory of Open Access Journals (Sweden)

Patey Andrea M

2012-06-01

Full Text Available Abstract Background Routine pre-operative tests for anesthesia management are often ordered by both anesthesiologists and surgeons for healthy patients undergoing low-risk surgery. The Theoretical Domains Framework (TDF was developed to investigate determinants of behaviour and identify potential behaviour change interventions. In this study, the TDF is used to explore anaesthesiologists’ and surgeons’ perceptions of ordering routine tests for healthy patients undergoing low-risk surgery. Methods Sixteen clinicians (eleven anesthesiologists and five surgeons throughout Ontario were recruited. An interview guide based on the TDF was developed to identify beliefs about pre-operative testing practices. Content analysis of physicians’ statements into the relevant theoretical domains was performed. Specific beliefs were identified by grouping similar utterances of the interview participants. Relevant domains were identified by noting the frequencies of the beliefs reported, presence of conflicting beliefs, and perceived influence on the performance of the behaviour under investigation. Results Seven of the twelve domains were identified as likely relevant to changing clinicians’ behaviour about pre-operative test ordering for anesthesia management. Key beliefs were identified within these domains including: conflicting comments about who was responsible for the test-ordering (Social/professional role and identity; inability to cancel tests ordered by fellow physicians (Beliefs about capabilities and social influences; and the problem with tests being completed before the anesthesiologists see the patient (Beliefs about capabilities and Environmental context and resources. Often, tests were ordered by an anesthesiologist based on who may be the attending anesthesiologist on the day of surgery while surgeons ordered tests they thought anesthesiologists may need (Social influences. There were also conflicting comments about the potential

40 CFR 89.406 - Pre-test procedures.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Pre-test procedures. 89.406 Section 89.406 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... Procedures § 89.406 Pre-test procedures. (a) Allow a minimum of 30 minutes warmup in the standby or operating...

Can the pre-operative Western Ontario and McMaster score predict patient satisfaction following total hip arthroplasty?

Science.gov (United States)

Rogers, B A; Alolabi, B; Carrothers, A D; Kreder, H J; Jenkinson, R J

2015-02-01

In this study we evaluated whether pre-operative Western Ontario and McMaster Universities (WOMAC) osteoarthritis scores can predict satisfaction following total hip arthroplasty (THA). Prospective data for a cohort of patients undergoing THA from two large academic centres were collected, and pre-operative and one-year post-operative WOMAC scores and a 25-point satisfaction questionnaire were obtained for 446 patients. Satisfaction scores were dichotomised into either improvement or deterioration. Scatter plots and Spearman's rank correlation coefficient were used to describe the association between pre-operative WOMAC and one-year post-operative WOMAC scores and patient satisfaction. Satisfaction was compared using receiver operating characteristic (ROC) analysis against pre-operative, post-operative and δ WOMAC scores. We found no relationship between pre-operative WOMAC scores and one-year post-operative WOMAC or satisfaction scores, with Spearman's rank correlation coefficients of 0.16 and -0.05, respectively. The ROC analysis showed areas under the curve (AUC) of 0.54 (pre-operative WOMAC), 0.67 (post-operative WOMAC) and 0.43 (δ WOMAC), respectively, for an improvement in satisfaction. We conclude that the pre-operative WOMAC score does not predict the post-operative WOMAC score or patient satisfaction after THA, and that WOMAC scores can therefore not be used to prioritise patient care. ©2015 The British Editorial Society of Bone & Joint Surgery.

Pre- and post-operative values of serum CRP in patients undergoing surgery for brain tumour

International Nuclear Information System (INIS)

Syeda, T.; Rizvi, H.A.; Hashim, A.S.

2014-01-01

Objective: To determine the concentration of C-reactive protein in pre- and post-operative serum samples of brain tumour patients in order to detect the potential risks of post-operative infections. Methods: Serum C-reactive protein was measured on pre- and post-operative Day 1, Day 2 and Day 7 in 18 patients who underwent surgery for brain tumours. The study was performed at the Neurosurgical Ward, Jinnah Postgraduate Medical Centre, Karachi, from May 2007 to April 2008. Mean pre-operative patients and control values were compared using Mann-Whitney or Wilcoxon tests for comparing between pre- and post-operative values. P-value was considered significant at 5.0mg/L but no statistically significant difference was found when compared with healthy controls, with mean 4.4+-6.6 and 0.9+-0.7, respectively. Significantly raised serum concentrations were observed in all post-operative samples when compared with pre-operative samples. Serum CRP concentrations significantly increased post-operatively on Day 1, with mean value of 102.9+-82.0mg/L (p<0.0005), and further increased on Day 2 with mean value of 166.9+-128.1mg/L (p<0.0005), but declined on Day 7, with mean value of 42.7+-63.6mg/L (p<0.005). Conclusion: Pre-operative serum C-reactive protein concentrations of 28% of the patients were elevated, suggesting an association with brain tumours. Post-operative serum concentrations were significantly higher than those noted before the surgery. Absence of a fall of concentration from peak value on post-operative Day 2 or a secondary rise from post-operative Day 7 could be alarming for inter-current infection. (author)

The Impact of the Environmental Documentary Movies on Pre-Service German Teachers' Environmental Attitudes

Science.gov (United States)

Alyaz, Yunus; Isigicok, Erkan; Gursoy, Esim

2017-01-01

This study examines the environmental attitudes of Turkish pre-service teachers of German as a foreign language using the German version of The Revised New Ecological Paradigm Scale (RNEP) and aims to compare New Ecological Paradigm (NEP) level of participants before and after a larger research project that uses documentary movies as a language…

Association between elevated pre-operative glycosylated hemoglobin and post-operative infections after non-emergent surgery

OpenAIRE

Blankush, Joseph M.; Leitman, I. Michael; Soleiman, Aron; Tran, Trung

2016-01-01

Background: A chronic state of impaired glucose metabolism affects multiple components of the immune system, possibly leading to an increased incidence of post-operative infections. Such infections increase morbidity, length of stay, and overall cost. This study evaluates the correlation between elevated pre-operative glycosylated hemoglobin (HbA1c) and post-operative infections. Study design: Adult patients undergoing non-emergent procedures across all surgical subspecialties from January...

Pre-operative assessment of patients undergoing endoscopic, transnasal, transsphenoidal pituitary surgery.

Science.gov (United States)

Lubbe, D; Semple, P

2008-06-01

To demonstrate the importance of pre-operative ear, nose and throat assessment in patients undergoing endoscopic, transsphenoidal surgery for pituitary tumours. Literature pertaining to the pre-operative otorhinolaryngological assessment and management of patients undergoing endoscopic anterior skull base surgery is sparse. We describe two cases from our series of 59 patients undergoing endoscopic pituitary surgery. The first case involved a young male patient with a large pituitary macroadenoma. His main complaint was visual impairment. He had no previous history of sinonasal pathology and did not complain of any nasal symptoms during the pre-operative neurosurgical assessment. At the time of surgery, a purulent nasal discharge was seen emanating from both middle meati. Surgery was abandoned due to the risk of post-operative meningitis, and postponed until the patient's chronic rhinosinusitis was optimally managed. The second patient was a 47-year-old woman with a large pituitary macroadenoma, who presented to the neurosurgical department with a main complaint of diplopia. She too gave no history of previous nasal problems, and she underwent uneventful surgery using the endoscopic, transnasal approach. Two weeks after surgery, she presented to the emergency unit with severe epistaxis. A previous diagnosis of hereditary haemorrhagic telangiectasia was discovered, and further surgical and medical intervention was required before the epistaxis was finally controlled. Pre-operative otorhinolaryngological assessment is essential prior to endoscopic pituitary or anterior skull base surgery. A thorough otorhinolaryngological history will determine whether any co-morbid diseases exist which could affect the surgical field. Nasal anatomy can be assessed via nasal endoscopy and sinusitis excluded. Computed tomography imaging is a valuable aid to decisions regarding additional procedures needed to optimise access to the pituitary fossa.

Community-Operated Environmental Surveillance Program

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-06-01

This section of the 1994 Hanford Site Environmental Report summarizes the environmental surveillance activities with which citizens living near the Hanford Site have been participating. Local teachers have been managing and operating three special radiological air sampling stations located in Richland, Basin City, and Franklin County, Washington. Other expansion efforts of this program are also described.

Community-Operated Environmental Surveillance Program

International Nuclear Information System (INIS)

Anon.

1995-01-01

This section of the 1994 Hanford Site Environmental Report summarizes the environmental surveillance activities with which citizens living near the Hanford Site have been participating. Local teachers have been managing and operating three special radiological air sampling stations located in Richland, Basin City, and Franklin County, Washington. Other expansion efforts of this program are also described

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

Energy Technology Data Exchange (ETDEWEB)

Schreck, R.I.

1991-10-01

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

Assessing Environmental Literacy of Pre-Vocational Education Teachers in Jordan

Science.gov (United States)

Al-Dajeh, Hesham I.

2012-01-01

This study assesses the environmental literacy (knowledge, attitudes, and concerns) of pre-vocational education teachers. A total of 124 teachers participated in the study. Data was collected through a closed ended questionnaire. Questionnaire validity was established by content and a Cranach's alpha coefficient used to determine reliability. The…

A histopathological effectiveness of pre-operative irradiation for biliary tract cancer

International Nuclear Information System (INIS)

Mizusaki, Kaoru

1993-01-01

There is almost no report on pre-operative irradiation therapy in biliary tract cancer. For the purpose of attaining improved operative results, pre-operative irradiation has so for been performed in our department. We experienced 106 cases of biliary tract cancer during the period from January 1982 to December 1990, including 30 cases treated by pre-operative irradiation. Among 30 cases, 20 cases, including 9 cases of gallbladder cancer and 11 cases of bile duct cancer, were resectable. Final histopathological findings were obtained in 8 cases of gallbladder cancer and 9 cases of bile duct cancer. The effectiveness of irradiation was evaluated according to the histopathological criteria proposed by Ohboshi and Shimosato in 1971. Four cases were Grade I, 2 cases were Grade IIA, and 2 cases were Grade IIB, and 1 case was Grade III of bile duct cancer. In both groups, no correlation was observed between the exposure doses and their effects. Although no correlation was noted between the degree of differentiation of tubular adenocarcinoma of microscopic pathological findings and the irradiation effects, 1 case of poorly differentiated tubular adenocarcinoma of the bile duct was evaluated as Grade III. Mucinous adenocarcinoma and papillary adenocarcinoma of the gallbladder were revealed to be Grade I. According to the main affected site of bile duct cancer, a good irradiation effect was obtained in patients with upper to middle bile duct cancer. The irradiation effect on the gallbladder and the bile duct wall was predominant on the mucous side but less effective on the serous side. From the histopathological findings, the effectiveness of pre-operative irradiation was suggested. These results suggested that the further clinical evaluation, such as rates of resection or prognostic outcome would be relevant. (author)

Pre-Operational Seismic Walk-Through of NPPs in India

International Nuclear Information System (INIS)

Soni, R.S.; Mishra, R.K.; Agrawal, M.K.; Reddy, G.R.; Kushwaha, H.S.; Venkat Raj, V.; Badrinarayan, G.; Hawaldar, R.V.; Ingole, S.M.

2002-01-01

In nuclear power plants, it is essential to design the various safety and safety related systems and components of the plant in such a manner that they maintain their structural integrity as well as serve their functional performance during a seismic event. The pre-operational seismic walk-through helps in ensuring the installation of various seismic supports as per design intent, identifying the areas where supports are inadequate, identifying the interaction concerns between the systems of various safety classes and locating the various undesired loose, untied / unanchored components, tools, etc. used during the construction activity. A detailed procedure for the pre-operational seismic walk-through of the NPPs was therefore, prepared. Since the types and locations of seismic supports for the various systems and components of the plant had been already reviewed, the major emphasis during the walk-through was laid on their proper installation. (authors)

Pre-operative use of anti-TNF-alpha agents and the risk of post-operative complications in patients with Crohn's disease--a nationwide cohort study

DEFF Research Database (Denmark)

Nørgård, Bente Mertz; Nielsen, J.; Qvist, N.

2013-01-01

BACKGROUND: A possible negative role of pre-operative use of antitumour necrosis factor-alpha (anti-TNF-alpha) agents on post-operative outcomes in Crohn's disease (CD) patients is still debated. AIM: To examine the impact of pre-operative anti-TNF-alpha agents on post-operative outcomes 30 and 6...

Pre-operative simulation of pediatric mastoid surgery with 3D-printed temporal bone models.

Science.gov (United States)

Rose, Austin S; Webster, Caroline E; Harrysson, Ola L A; Formeister, Eric J; Rawal, Rounak B; Iseli, Claire E

2015-05-01

As the process of additive manufacturing, or three-dimensional (3D) printing, has become more practical and affordable, a number of applications for the technology in the field of pediatric otolaryngology have been considered. One area of promise is temporal bone surgical simulation. Having previously developed a model for temporal bone surgical training using 3D printing, we sought to produce a patient-specific model for pre-operative simulation in pediatric otologic surgery. Our hypothesis was that the creation and pre-operative dissection of such a model was possible, and would demonstrate potential benefits in cases of abnormal temporal bone anatomy. In the case presented, an 11-year-old boy underwent a planned canal-wall-down (CWD) tympano-mastoidectomy for recurrent cholesteatoma preceded by a pre-operative surgical simulation using 3D-printed models of the temporal bone. The models were based on the child's pre-operative clinical CT scan and printed using multiple materials to simulate both bone and soft tissue structures. To help confirm the models as accurate representations of the child's anatomy, distances between various anatomic landmarks were measured and compared to the temporal bone CT scan and the 3D model. The simulation allowed the surgical team to appreciate the child's unusual temporal bone anatomy as well as any challenges that might arise in the safety of the temporal bone laboratory, prior to actual surgery in the operating room (OR). There was minimal variability, in terms of absolute distance (mm) and relative distance (%), in measurements between anatomic landmarks obtained from the patient intra-operatively, the pre-operative CT scan and the 3D-printed models. Accurate 3D temporal bone models can be rapidly produced based on clinical CT scans for pre-operative simulation of specific challenging otologic cases in children, potentially reducing medical errors and improving patient safety. Copyright © 2015 Elsevier Ireland Ltd. All rights

Operable severe obstructive jaundice: How should we use pre ...

African Journals Online (AJOL)

Obstructive jaundice is a common surgical problem, and surgery in jaundiced patients is associated with a higher risk of postoperative complications than surgery in non-jaundiced patients. However, the efficacy of pre-operative biliary drainage (PBD) for patients with obstructive jaundice remains controversial. Many studies ...

Pre-operative Asymptomatic Bacteriuria: A Risk Factor For Prosthetic Joint Infection?

Science.gov (United States)

Weale, R; El-Bakri, F; Saeed, Kordo

2018-04-13

Infection is a rare complication following implantation of prosthetic material into a joint. The impact of asymptomatic bacteriuria (ASB) before elective operations and the subsequent risk of prosthetic joint infection (PJI) are not well understood. • Assess the prevalence of ASB amongst patients undergoing total arthroplasty of the hip and knee. • Determine the rates of PJI diagnosed within two years of the arthroplasty and if ASB is an independent risk factor for developing PJI. Patients who had total/unicondylar knee or total hip arthroplasty were retrospectively reviewed over a five-year period. Pre-operative urine samples within one year of surgery were analysed and those with ASB identified. Primary outcome was prosthetic joint infection (PJI) within the first postoperative year. 5542 patients were included. 4368 had a pre-operative urine culture recorded. The prevalence of ASB was 140 of 4368 (3.2%). The overall PJI rate was 56 of 5542 (1.01%). Of those with a PJI, 33 had a pre-operative urine sample recorded. The infection rate in the ASB group was 5% (7 of 140), in the no-ASB group it was 0.61% (26 of 4228) and in the group without a urine sample it was 1.96% (23 of 1174) (p value prosthetic joint, suggestive the relationship is unlikely causal. Copyright © 2018. Published by Elsevier Ltd.

Pre-operative use of anti-TNF-α agents and the risk of post-operative complications in patients with ulcerative colitis - a nationwide cohort study

DEFF Research Database (Denmark)

Nørgård, B M; Nielsen, J; Qvist, N

2012-01-01

It is still controversial whether pre-operative anti-tumour necrosis factor-alpha (anti-TNF-α) agents increase post-operative complications in patients with ulcerative colitis (UC).......It is still controversial whether pre-operative anti-tumour necrosis factor-alpha (anti-TNF-α) agents increase post-operative complications in patients with ulcerative colitis (UC)....

Assessment of 99Tcm-ethylenedicysteine diuretic renography in pre-and post-operative pediatric congenital hydronephrosis

International Nuclear Information System (INIS)

Ye Zhiyi; Wang Hui; Li Jianing; Fu Hongliang; Wu Jingchuan

2010-01-01

Objective: To investigate the clinical value of 99 Tc m -ethylenedicysteine (EC) diuretic renography (DR) in pre-and post-operative pediatric congenital hydronephrosis. Methods: The DR with injection of Furosemide at 15 min of forty children with hydronephrosis was retrospectively studied. The preoperative renal blood perfusion rate (BPR), effective renal plasma flow (ERPF), grade of hydronephrosis,renogram and renal dynamic imaging of pre- and post-operative kidneys were compared. The t-test and Mann-Whitney test were used for data analysis. Results: (1) Of 40 pathological kidneys, the BPR increased 5.99% (t=-5.13, P<0.01) from pre-operative to post-operative: (34.05 ± 11.07)% to (40.04 ± 8.56)%. The ERPF increased 12.48 ml/min (t=-4.35, P<0.01) from pre-operative to post-operative: (57.81 ± 34.32) ml/min to (70.29 ± 5.37) ml/min. (2) The grade of hydronephrosis of 40 pathological kidneys improved significantly(Z=-2.64, P<0.01) with the mean sum of ranks of 47.21 pre-operatively to 33.79 post-operatively.(3) As the hydronephrosis worsened, the collecting system became bigger, the renal parenchyma became thinner, the extent of intrarenal parenchymal photopenia became larger and the response to diuretic challenge in pathological kidneys decreased or became totally irresponsive. (4)Thirty-seven cases of obstruction at ureteropelvic junction (UPJO) and 3 cases at ureterovesical junction (UVJO) were diagnosed by DR, which were all confirmed by surgery. Conclusions: DR is a reliable method to evaluate pediatric congenital hydronephrosis.It can accurately reflect the grade and (or) severity of the disease, guide therapy and assess the therapeutic success of operation. (authors)

The use of CT scan in the pre-operative staging of bronchogenic carcinoma

International Nuclear Information System (INIS)

Pada, C.C.

1992-01-01

Surgery remains the treatment of choice in patients with localized bronchogenic carcinoma. Pre-operative identification of inoperability spares the patient from unnecessary surgery. This prospective study was carried out to determine the correctness of judgement regarding a patient's operability or inoperability based on the pre-operative staging of CT scan; to find out the sensitivity, specificity and overall accuracy of the CT scan in estimating tumor description, nodal status and metastatic spread to the chest. Staging was done by 3 senior radiologists aware of the diagnosis. Both the surgical and histopathologic findings and staging were gathered and used as measurement of truth in arriving at the CT scan's accuracy. Overall accuracy rate of CT scan in determining operability or inoperability is 80%; tumor description accuracy of assessment is 87% and nodal status estimation has an accuracy of 60%. Sensitivity of CT scan is assessment of metastatic spread to the chest is 93%. There is no statistically significant difference in the judgement of operability or interpretability by CT scan compared to surgical and histopathologic results. The CT scan is recommended as a valuable tool in the pre-operative staging of patients with bronchogenic carcinoma who are candidates for surgery. (auth.). 21 refs.; 8 tabs

Branchial cleft anomalies: accuracy of pre-operative diagnosis, clinical presentation and management.

Science.gov (United States)

Guldfred, L-A; Philipsen, B B; Siim, C

2012-06-01

To examine the accuracy of the pre-operative diagnosis of branchial cleft anomalies, and also to describe their occurrence, clinical presentation and management. Retrospective review of the records of patients diagnosed with a branchial cleft anomaly between 1997 and 2006. One hundred and twenty-six patients were included. Pre-operative diagnosis had a positive predictive value of 0.856 (95 per cent confidence interval, 0.771-0.918) and a sensitivity of 0.944 (95 per cent confidence interval, 0.869-0.979). These patients' demographic data, investigations, findings and management are presented, along with a possible strategy for dealing with solitary cystic masses in the neck. As pre-operative diagnosis has a positive predictive value of 86 per cent, cystic lesions in the neck should be presumed to be carcinomatous until proven otherwise. Branchial fistulae and sinuses seem to be a disease of childhood, while branchial cysts occur mainly in adults. Branchial cleft anomalies are equally frequent in men and women, and equally distributed on the left and right side of the neck.

The potential benefit of pre-operative assessment of amputation ...

African Journals Online (AJOL)

The potential benefit of pre-operative assessment of amputation wound healing potential in peripheral vascular disease. M. Mars, R. P. Mills, J. V. Robbs. Abstract. Choosing the most distal amputation level that will heal is difficult in patients with peripheral vascular disease. From 1984 to 1988,965 patients underwent 1 563 ...

An Analysis of Pre-Service Teachers' Attitudes towards Environmental Issues in Terms of Various Variables

Science.gov (United States)

Sarikaya, Rabia; Saraç, Esra

2018-01-01

In this study, the attitudes of the pre-service teachers towards environmental issues are analysed by such variables as gender, the department of education, year, department, taking or not taking environmental education course, participating in any environmental activity, being a member of any environmental organization, and the longest duration…

Pre-surgery briefings and safety climate in the operating theatre.

Science.gov (United States)

Allard, Jon; Bleakley, Alan; Hobbs, Adrian; Coombes, Lee

2011-08-01

In 2008, the WHO produced a surgical safety checklist against a background of a poor patient safety record in operating theatres. Formal team briefings are now standard practice in high-risk settings such as the aviation industry and improve safety, but are resisted in surgery. Research evidence is needed to persuade the surgical workforce to adopt safety procedures such as briefings. To investigate whether exposure to pre-surgery briefings is related to perception of safety climate. Three Safety Attitude Questionnaires, completed by operating theatre staff in 2003, 2004 and 2006, were used to evaluate the effects of an educational intervention introducing pre-surgery briefings. Individual practitioners who agree with the statement 'briefings are common in the operating theatre' also report a better 'safety climate' in operating theatres. The study reports a powerful link between briefing practices and attitudes towards safety. Findings build on previous work by reporting on the relationship between briefings and safety climate within a 4-year period. Briefings, however, remain difficult to establish in local contexts without appropriate team-based patient safety education. Success in establishing a safety culture, with associated practices, may depend on first establishing unidirectional, positive change in attitudes to create a safety climate.

Combining task-evoked and spontaneous activity to improve pre-operative brain mapping with fMRI

Science.gov (United States)

Fox, Michael D.; Qian, Tianyi; Madsen, Joseph R.; Wang, Danhong; Li, Meiling; Ge, Manling; Zuo, Huan-cong; Groppe, David M.; Mehta, Ashesh D.; Hong, Bo; Liu, Hesheng

2016-01-01

Noninvasive localization of brain function is used to understand and treat neurological disease, exemplified by pre-operative fMRI mapping prior to neurosurgical intervention. The principal approach for generating these maps relies on brain responses evoked by a task and, despite known limitations, has dominated clinical practice for over 20 years. Recently, pre-operative fMRI mapping based on correlations in spontaneous brain activity has been demonstrated, however this approach has its own limitations and has not seen widespread clinical use. Here we show that spontaneous and task-based mapping can be performed together using the same pre-operative fMRI data, provide complimentary information relevant for functional localization, and can be combined to improve identification of eloquent motor cortex. Accuracy, sensitivity, and specificity of our approach are quantified through comparison with electrical cortical stimulation mapping in eight patients with intractable epilepsy. Broad applicability and reproducibility of our approach is demonstrated through prospective replication in an independent dataset of six patients from a different center. In both cohorts and every individual patient, we see a significant improvement in signal to noise and mapping accuracy independent of threshold, quantified using receiver operating characteristic curves. Collectively, our results suggest that modifying the processing of fMRI data to incorporate both task-based and spontaneous activity significantly improves functional localization in pre-operative patients. Because this method requires no additional scan time or modification to conventional pre-operative data acquisition protocols it could have widespread utility. PMID:26408860

Pre-operative stroke and neurological disability do not independently affect short- and long-term mortality in infective endocarditis patients.

Science.gov (United States)

Diab, Mahmoud; Guenther, Albrecht; Sponholz, Christoph; Lehmann, Thomas; Faerber, Gloria; Matz, Anna; Franz, Marcus; Witte, Otto W; Pletz, Mathias W; Doenst, Torsten

2016-10-01

Infective endocarditis (IE) is still associated with high morbidity and mortality. The impact of pre-operative stroke on mortality and long-term survival is controversial. In addition, data on the severity of neurological disability due to pre-operative stroke are scarce. We analysed the impact of pre-operative stroke and the severity of its related neurological disability on short- and long-term outcome. We retrospectively reviewed our data from patients operated for left-sided IE between 01/2007 and 04/2013. We performed univariate (Chi-Square and independent samples t test) and multivariate analyses. Among 308 consecutive patients who underwent cardiac surgery for left-sided IE, pre-operative stroke was present in 87 (28.2 %) patients. Patients with pre-operative stroke had a higher pre-operative risk profile than patient without it: higher Charlson comorbidity index (8.1 ± 2.6 vs. 6.6 ± 3.3) and higher incidence of Staphylococcus aureus infection (43 vs. 17 %) and septic shock (37 vs. 19 %). In-hospital mortality was equal but 5-year survival was significantly worse with pre-operative stroke (33.1 % vs. 45 %, p = 0.006). 5-year survival was worst in patients with severe neurological disability compared to mild disability (19.0 vs. 0.58 %, p = 0.002). However, neither pre-operative stroke nor the degree of neurological disability appeared as an independent risk factor for short or long-term mortality by multivariate analysis. Pre-operative stroke and the severity of neurological disability do not independently affect short- and long-term mortality in patients with infective endocarditis. It appears that patients with pre-operative stroke present with a generally higher risk profile. This information may substantially affect decision-making.

Overview of the role of pre-operative breast MRI in the absence of evidence on patient outcomes.

Science.gov (United States)

Sardanelli, Francesco

2010-02-01

The role of pre-operative breast MRI is outlined on the basis of the existing evidence in favor of a superior capability in comparison with mammography and sonography to detect ipsilateral and contralateral malignant lesions and to evaluate the disease extent, including the extensive intraductal component associated with invasive cancers. Patients with a potential higher anticipated benefit from pre-operative MRI can be identified as those: with mammographically dense breasts; with a unilateral multifocal/multicentric cancer or a synchronous bilateral cancer already diagnosed at mammography and sonography; with a lobular invasive cancer; at high-risk for breast cancer; with a cancer which shows a discrepancy in size of >1 cm between mammography and sonography; or under consideration for partial breast irradiation. More limited evidence exists in favor of MRI for evaluating candidates for total skin sparing mastectomy or for patients with Paget's disease. Irrespective of whether the clinical team routinely uses preoperative MRI or not: women newly diagnosed with breast cancer should always be informed of the potential risks and benefits of pre-operative MRI; results of pre-operative MRI should be interpreted taking into account clinical breast examination, mammography, sonography and verified by percutaneous biopsy; MRI-only detected lesions require MR-guidance for needle biopsy and pre-surgical localization, and these should be available or potentially accessible if pre-operative MRI is to be implemented; total therapy delay due to pre-operative MRI (including MRI-induced work-up) should not exceed one month; changes in therapy planning resulting from pre-operative MRI should be decided by a multidisciplinary team. Copyright (c) 2009 Elsevier Ltd. All rights reserved.

Manual on environmental monitoring in normal operation

International Nuclear Information System (INIS)

1966-01-01

Many establishments handling radioactive materials produce, and to some extent also discharge, radioactive waste as part of their normal operation. The radiation doses to which members of the public may be exposed during such operation must remain below the stipulated level. The purpose of this manual is to provide technical guidance for setting up programmes of routine environmental monitoring in the vicinity of nuclear establishment. The annex gives five examples of routine environmental monitoring programmes currently in use: these have been indexed separately.

Assessing the effectiveness of a guideline recommendation for pre-operative radiochemotherapy in rectal cancer

International Nuclear Information System (INIS)

Manchon-Walsh, Paula; Borras, Josep Maria; Espinas, Josep Alfons; Aliste, Luisa

2011-01-01

Aim: To ascertain the degree of adherence to the guideline recommendation on pre-operative RT/ChT for stage-II and -III patients in Catalonian public hospitals, and its impact on local recurrence among rectal cancer patients. Methods: Data were derived from a multicentre retrospective cohort study of patients who underwent curative-intent surgery for primary rectal cancer at Catalonian public hospitals in 2005 and 2007. Results: The study covered 1229 patients with TNM stage-II or -III primary rectal cancer. Of these patients, 54.5% underwent pre-operative RT/ChT; 14.9% underwent post-operative RT (± chemotherapy); and 30.6% did not undergo any RT. The crude local recurrence rate at 2 years was 4.1% and the crude distant recurrence rate at 2 years was 6.5%. The results of the univariate analyses showed a local-recurrence hazard ratio of 1.84 for the group of patients that received no RT versus the group that received pre-operative RT/ChT (p < 0.01). Conclusions: This is the first population-based study in Catalonia to support the use of pre-operative RT/ChT in rectal cancer patients because, in line with the results of population-based studies reported from other countries, its application, compared to non-application of RT, was found to lead to a clear reduction in the probability of local recurrence.

Pre-operative and intra-operative detection of axillary lymph node metastases in 108 patients with invasive lobular breast cancer undergoing mastectomy.

Science.gov (United States)

Novak, Jerica; Besic, Nikola; Dzodic, Radan; Gazic, Barbara; Vogrin, Andrej

2018-02-05

Despite the recent changes in the treatment of the axilla in selected breast cancer patient, positive sentinel lymph node (SLN) in patients undergoing mastectomy still necessitates axillary lymph node dissection (ALND). In invasive lobular carcinoma (ILC), pre-operative detection of the lymph node metastasis may be demanding due to its unique morphology. The aim of this study was to examine the benefit of preoperative axillary ultrasound (AUS), ultrasound-guided fine-needle aspiration biopsy (US-FNAB), and intra-operative imprint cytology (IIC), in order to avoid two-stage axillary surgery in patients with ILC undergoing mastectomy. The object of this study were 102 patients (median age 52, range 34-73 years) with clinically non-suspicious axilla in whom 108 mastectomies were performed after a pre-operative AUS investigation. Whenever a metastasis was detected in a sentinel lymph node, ALND was done. Reports of the pre-operative AUS investigation, US-FNAB, and IIC were compared with definitive histopathological reports of surgical specimens. In 46 cases lymph node metastases were diagnosed. AUS suspicious lymph nodes were found in 29/108 cases and histopathology confirmed metastases in 22/30 cases. US-FNAB was performed in 29 cases with AUS suspicious lymph nodes. Cytology proved metastases in 11/29 cases. Histopathology confirmed metastases in 10/11 cases with only isolated tumor cells found in one case. IIC investigation was performed in 63 cases and in 10/27 cases metastases were confirmed by histopathology. Pre-operative AUS, US-FNAB, and/or IIC investigation enabled ALND during a single surgical procedure in 20/46 patients with metastases in lymph nodes. Pre-operative AUS, US-FNAB, and/or IIC are/is beneficial in patients with ILC planned for mastectomy in order to decrease the number of two stage axillary procedures.

Environmental requirements for oil and gas operations in Saskatchewan

International Nuclear Information System (INIS)

Nystuen, L.J.

1997-01-01

The administration and regulation of environmental issues regarding the oil and gas industry in Saskatchewan were discussed. The political and cultural differences in Saskatchewan that make environmental processes distinct from its neighbouring jurisdictions were described. The following Saskatchewan legislation deals with environmental requirements: Environmental Management and Protection Act, Environmental Assessment Act, Oil and Gas Conservation Act, Wildlife Habitat Protection Act, Clean Air Act, Planning and Development Act, Forest Act, Water Corporation Act, Heritage Property Act, and Parks Act. The Saskatchewan Department of Energy and Mines (SEM) is the primary regulator of the upstream oil and gas industry. It regulates the construction, operation, reporting and abandonment requirements for oilfield operations. SEM also manages crude oil prior to refining and manages the wastes contaminated with crude oil. Provisions of the relevant Acts regarding drilling in environmentally sensitive areas, flaring requirements, transporting and disposing of oilfield wastes, road-building, operating restrictions, emergency response plans, spill clean-up responsibilities, well abandonment and site reclamation responsibilities were discussed. 8 refs., 2 tabs

Combining task-evoked and spontaneous activity to improve pre-operative brain mapping with fMRI.

Science.gov (United States)

Fox, Michael D; Qian, Tianyi; Madsen, Joseph R; Wang, Danhong; Li, Meiling; Ge, Manling; Zuo, Huan-Cong; Groppe, David M; Mehta, Ashesh D; Hong, Bo; Liu, Hesheng

2016-01-01

Noninvasive localization of brain function is used to understand and treat neurological disease, exemplified by pre-operative fMRI mapping prior to neurosurgical intervention. The principal approach for generating these maps relies on brain responses evoked by a task and, despite known limitations, has dominated clinical practice for over 20years. Recently, pre-operative fMRI mapping based on correlations in spontaneous brain activity has been demonstrated, however this approach has its own limitations and has not seen widespread clinical use. Here we show that spontaneous and task-based mapping can be performed together using the same pre-operative fMRI data, provide complimentary information relevant for functional localization, and can be combined to improve identification of eloquent motor cortex. Accuracy, sensitivity, and specificity of our approach are quantified through comparison with electrical cortical stimulation mapping in eight patients with intractable epilepsy. Broad applicability and reproducibility of our approach are demonstrated through prospective replication in an independent dataset of six patients from a different center. In both cohorts and every individual patient, we see a significant improvement in signal to noise and mapping accuracy independent of threshold, quantified using receiver operating characteristic curves. Collectively, our results suggest that modifying the processing of fMRI data to incorporate both task-based and spontaneous activity significantly improves functional localization in pre-operative patients. Because this method requires no additional scan time or modification to conventional pre-operative data acquisition protocols it could have widespread utility. Copyright © 2015. Published by Elsevier Inc.

Pre-operative anxiety. Effect of early or late position on the operating list.

Science.gov (United States)

Panda, N; Bajaj, A; Pershad, D; Yaddanapudi, L N; Chari, P

1996-04-01

The influence of the relative position on the operating list on pre-operative anxiety was studied in 60 adult female ASA 1 patients undergoing major surgery. Thirty patients were placed first on the operating list (group 1) and 30 were given a time 4-5 h later (group 2). Each patient was visited on the evening prior to surgery and again on the morning of surgery. Anxiety was measured at each visit by objective criteria and part 1 of the State-Trait Anxiety Inventory questionnaire. The pulse rate, systolic blood pressure and the State-Trait Anxiety Inventory questionnaire scores were higher on the second visit than on the first (p patients. This increase was greater in group 2 than in group 1 (p < 0.05). The evening anxiety scores were not correlated with those on the morning visit and could not predict them.

Transcranial magnetic stimulation in the semi-quantitative, pre-operative assessment of patients undergoing spinal deformity surgery.

Science.gov (United States)

Glasby, Michael A; Tsirikos, Athanasios I; Henderson, Lindsay; Horsburgh, Gillian; Jordan, Brian; Michaelson, Ciara; Adams, Christopher I; Garrido, Enrique

2017-08-01

To compare measurements of motor evoked potential latency stimulated either magnetically (mMEP) or electrically (eMEP) and central motor conduction time (CMCT) made pre-operatively in conscious patients using transcranial and intra-operatively using electrical cortical stimulation before and after successful instrumentation for the treatment of adolescent idiopathic scoliosis. A group initially of 51 patients with adolescent idiopathic scoliosis aged 12-19 years was evaluated pre-operatively in the outpatients' department with transcranial magnetic stimulation. The neurophysiological data were then compared statistically with intra-operative responses elicited by transcranial electrical stimulation both before and after successful surgical intervention. MEPs were measured as the cortically evoked compound action potentials of Abductor hallucis. Minimum F-waves were measured using conventional nerve conduction methods and the lower motor neuron conduction time was calculated and this was subtracted from MEP latency to give CMCT. Pre-operative testing was well tolerated in our paediatric/adolescent patients. No neurological injury occurred in any patient in this series. There was no significant difference in the values of mMEP and eMEP latencies seen pre-operatively in conscious patients and intra-operatively in patients under anaesthetic. The calculated quantities mCMCT and eCMCT showed the same statistical correlations as the quantities mMEP and eMEP latency. The congruency of mMEP and eMEP and of mCMCT and eCMCT suggests that these measurements may be used comparatively and semi-quantitatively for the comparison of pre-, intra-, and post-operative spinal cord function in spinal deformity surgery.

Changes in biological markers, particularly hormone receptors, due to pre-operative chemotherapy (epirubicin/docetaxel in operable breast cancer

Directory of Open Access Journals (Sweden)

Rumiko Tashima

2011-12-01

Full Text Available We investigated the correlation between biological markers prior to pre-operative chemotherapy with epirubicin and docetaxel (ET therapy and the effect of treatment as well as the clinically significant changes in biological markers before and after chemotherapy. Since April 2002, 52 patients with tumors ≥3 cm in diameter or lymph node metastases have received pre-operative ET chemotherapy. The items investigated were ER/PgR, proliferative activity (MIB-1, etc. The correlation of changes in these factors between pre- and post-treatment status and the clinical and pathological responses was investigated. Clinical response was 82%, BCS rate was 67%. Pathological response was 31.4%. The ER/PgR positive cell rate significantly decreased from 48%/32% to 37%/14%. The MIB-1 decreased from 48% to 27%. The pathological response was significantly high in patients with low ER/PgR-positive rates and those with high MIB-1 values.

Improving operating room first start efficiency - value of both checklist and a pre-operative facilitator.

Science.gov (United States)

Panni, M K; Shah, S J; Chavarro, C; Rawl, M; Wojnarwsky, P K; Panni, J K

2013-10-01

There are multiple components leading to improved operating room efficiency. We undertook a project focusing on first case starts; accounting for each delay component on a global basis. Our hypothesis was there would be a reduction in first start delays after we implemented strategies to address the issues identified through this accounting process. An orange sheet checklist was implemented, with specific items that needed to be clear prior to roll back to the operating room (OR), and an OR facilitator was employed to intervene whenever there were any missing items needed for a specific patient. We present the data from this quality improvement project over an 18-month period. Initially, 10.07 (± 0.73) delayed first starts occurred per day but declined steadily over time to a low of 4.95 (± 0.38) per day after 6 months (-49.2 %, P < 0.001). By the end of the project, the most common reasons for delay still included late surgical attending (19%), schedule changes (14%) as well as 'other reasons' (13%), but with an overall reduction per day of each. Total anaesthesia delay initially totalled 11% of the first start delays, but was negligible (< 1%) at the project's completion. While we have a challenging operating room environment based on our patient population, multiple trainees in both the surgery and anaesthesiology teams: an orange sheet - pre-operative checklist in addition to a dedicated pre-operative facilitator; allowed us to make a substantial improvement in our first start on time starts. © 2013 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Pre-operative Functional Cardiovascular Reserve Is Associated with Acute Kidney Injury after Intervention.

Science.gov (United States)

Saratzis, A; Shakespeare, J; Jones, O; Bown, M J; Mahmood, A; Imray, C H E

2017-05-01

Acute kidney injury (AKI) is a common complication after endovascular intervention, associated with poor short and long-term outcomes. However, the mechanisms underlying AKI development remain poorly understood. The impact of pre-existing cardiovascular disease and low cardiovascular reserve (CVR) in AKI is unclear; it remains unknown whether AKI is primarily related to pre-existing comorbidity or to procedural parameters. The association between CVR and AKI after EVAR was therefore assessed. This is a case control study. From a database of 484 patients, 292 undergoing elective endovascular aneurysm repair (EVAR) of an infrarenal abdominal aortic aneurysm (AAA) in two tertiary centres were included. Of these, 73 patients who had developed AKI after EVAR were case matched, based on pre-operative estimated glomerular filtration rate (eGFR; within 5 mL/min/1.73 m 2 ) and age, with patients who had not developed AKI. Cardiopulmonary exercise testing (CPET) was used to assess CVR using the anaerobic threshold (AT). Development of AKI was defined using the Kidney Disease Improving Outcomes (KDIGO) guidance. Associations between CVR (based on AT levels) and AKI development were then analysed. Pre-operative AT levels were significantly different between those who did and did not develop AKI (12.1±2.9 SD vs. 14.8±3.0 mL/min/kg, p < .001). In multivariate analysis, a higher level of AT (per 1 mL/min/kg) was associated with a lower odds ratio (OR) of 0.72 (95% CI, 0.63-0.82, p < .001), relative to AKI development. A pre-operative AT level of < 11 mL/min/kg was associated with post-operative AKI development in adjusted analysis, with an OR of 7.8 (95% CI, 3.75-16.51, p < .001). The area under the curve (receiver operating characteristic) for AT as a predictor of post-operative AKI was 0.81 (standard error, 0.06, 95% CI, 0.69-0.93, p < .001). Poor CVR was strongly associated with the development of AKI. This provides pathophysiological insights into the

Choreographer Pre-Testing Code Analysis and Operational Testing.

Energy Technology Data Exchange (ETDEWEB)

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

2014-07-01

Choreographer is a "moving target defense system", designed to protect against attacks aimed at IP addresses without corresponding domain name system (DNS) lookups. It coordinates actions between a DNS server and a Network Address Translation (NAT) device to regularly change which publicly available IP addresses' traffic will be routed to the protected device versus routed to a honeypot. More details about how Choreographer operates can be found in Section 2: Introducing Choreographer. Operational considerations for the successful deployment of Choreographer can be found in Section 3. The Testing & Evaluation (T&E) for Choreographer involved 3 phases: Pre-testing, Code Analysis, and Operational Testing. Pre-testing, described in Section 4, involved installing and configuring an instance of Choreographer and verifying it would operate as expected for a simple use case. Our findings were that it was simple and straightforward to prepare a system for a Choreographer installation as well as configure Choreographer to work in a representative environment. Code Analysis, described in Section 5, consisted of running a static code analyzer (HP Fortify) and conducting dynamic analysis tests using the Valgrind instrumentation framework. Choreographer performed well, such that only a few errors that might possibly be problematic in a given operating situation were identified. Operational Testing, described in Section 6, involved operating Choreographer in a representative environment created through Emulytics^TM . Depending upon the amount of server resources dedicated to Choreographer vis-á-vis the amount of client traffic handled, Choreographer had varying degrees of operational success. In an environment with a poorly resourced Choreographer server and as few as 50-100 clients, Choreographer failed to properly route traffic over half the time. Yet, with a well-resourced server, Choreographer handled over 1000 clients without missrouting. Choreographer

Environmental concerns gaining importance in industry operations

International Nuclear Information System (INIS)

Anon.

1992-01-01

This paper reports that environmental concerns have leapt to the forefront of industry's concerns in operating in Latin America. The United Nations Conference on Environment and Development in Rio de Janeiro June 3-14 focused a strong world spotlight on the region's environmental and commercial resources. Protection of the region's rain forests, which accounts for a huge share of the world's total, is emerging as an especially contentious issue. Ecuador's Oriente region may well prove the litmus test of how or whether oil and gas companies are able to operate in Latin American rain forests. Controversy over industry operations in the Oriente have heated to the point that environmentalist and native groups have routinely picketed company offices in Quito and used mass fundraiser mailings in North America

Environmental analytical laboratory setup operation and QA/QC

International Nuclear Information System (INIS)

Hsu, J.P.; Boyd, J.A.; DeViney, S.

1991-01-01

Environmental analysis requires precise and timely measurements. The required precise measurement is ensured with quality control and timeliness through an efficient operation. The efficiency of the operation also ensures cost-competitiveness. Environmental analysis plays a very important role in the environmental protection program. Due to the possible litigation involvement, most environmental analyses follow stringent criteria, such as the U.S. EPA Contract Laboratory Program procedures with analytical results documented in an orderly manner. The documentation demonstrates that all quality control steps are followed and facilitates data evaluation to determine the quality and usefulness of the data. Furthermore, the tedious documents concerning sample checking, chain-of-custody, standard or surrogate preparation, daily refrigerator and oven temperature monitoring, analytical and extraction logbooks, standard operation procedures, etc., also are an important part of the laboratory documentation. Quality control for environmental analysis is becoming more stringent, required documentation is becoming more detailed and turnaround time is shorter. However, the business is becoming more cost-competitive and it appears that this trend will continue. In this paper, we discuss what should be done to deal this high quality, fast-paced and tedious environmental analysis process at a competitive cost. The success of environmental analysis is people. The knowledge and experience of the staff are the key to a successful environmental analysis program. In order to be successful in this new area, the ability to develop new methods is crucial. In addition, the laboratory information system, laboratory automation and quality assurance/quality control (QA/QC) are major factors for laboratory success. This paper concentrates on these areas

Prediction of chronic post-operative pain: pre-operative DNIC testing identifies patients at risk.

Science.gov (United States)

Yarnitsky, David; Crispel, Yonathan; Eisenberg, Elon; Granovsky, Yelena; Ben-Nun, Alon; Sprecher, Elliot; Best, Lael-Anson; Granot, Michal

2008-08-15

Surgical and medical procedures, mainly those associated with nerve injuries, may lead to chronic persistent pain. Currently, one cannot predict which patients undergoing such procedures are 'at risk' to develop chronic pain. We hypothesized that the endogenous analgesia system is key to determining the pattern of handling noxious events, and therefore testing diffuse noxious inhibitory control (DNIC) will predict susceptibility to develop chronic post-thoracotomy pain (CPTP). Pre-operative psychophysical tests, including DNIC assessment (pain reduction during exposure to another noxious stimulus at remote body area), were conducted in 62 patients, who were followed 29.0+/-16.9 weeks after thoracotomy. Logistic regression revealed that pre-operatively assessed DNIC efficiency and acute post-operative pain intensity were two independent predictors for CPTP. Efficient DNIC predicted lower risk of CPTP, with OR 0.52 (0.33-0.77 95% CI, p=0.0024), i.e., a 10-point numerical pain scale (NPS) reduction halves the chance to develop chronic pain. Higher acute pain intensity indicated OR of 1.80 (1.28-2.77, p=0.0024) predicting nearly a double chance to develop chronic pain for each 10-point increase. The other psychophysical measures, pain thresholds and supra-threshold pain magnitudes, did not predict CPTP. For prediction of acute post-operative pain intensity, DNIC efficiency was not found significant. Effectiveness of the endogenous analgesia system obtained at a pain-free state, therefore, seems to reflect the individual's ability to tackle noxious events, identifying patients 'at risk' to develop post-intervention chronic pain. Applying this diagnostic approach before procedures that might generate pain may allow individually tailored pain prevention and management, which may substantially reduce suffering.

Surveillance of Environmental and Procedural Measures of Infection Control in the Operating Theatre Setting

Directory of Open Access Journals (Sweden)

Laura Dallolio

2017-12-01

Full Text Available The microbiological contamination of operating theatres and the lack of adherence to best practices by surgical staff represent some of the factors affecting Surgical Site Infections (SSIs. The aim of the present study was to assess the microbiological quality of operating settings and the staff compliance to the SSI evidence-based control measures. Ten operating rooms were examined for microbiological contamination of air and surfaces, after cleaning procedures, in “at rest” conditions. Furthermore, 10 surgical operations were monitored to assess staff compliance to the recommended practices. None of the air samples exceeded microbiological reference standards and only six of the 200 surface samples (3.0% were slightly above recommended levels. Potentially pathogenic bacteria and moulds were never detected. Staff compliance to best practices varied depending on the type of behaviour investigated and the role of the operator. The major not compliant behaviours were: pre-operative skin antisepsis, crowding of the operating room and hand hygiene of the anaesthetist. The good environmental microbiological quality observed is indicative of the efficacy of the cleaning-sanitization procedures adopted. The major critical point was staff compliance to recommended practices. Awareness campaigns are therefore necessary, aimed at improving the organisation of work so as to facilitate compliance to operative protocols.

Target motion predictions for pre-operative planning during needle-based interventions

NARCIS (Netherlands)

op den Buijs, J.; Abayazid, Momen; de Korte, Chris L.; Misra, Sarthak

During biopsies, breast tissue is subjected to displacement upon needle indentation, puncture, and penetration. Thus, accurate needle placement requires pre-operative predictions of the target motions. In this paper, we used ultrasound elastography measurements to non-invasively predict elastic

Romanian-Danish Environmental Co-operation. Co-operation development 1993-1998

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-08-01

The Danish Ministry of Environment and Energy has, since 1991, through the Danish Environmental Support Fund, contributed towards protecting the environment and nature in Central and Eastern European countries and has helped to limit regional as well as global pollution. The Romanian Ministry of Waters, Forests and Environmental Protection and the Danish Ministry of Environment and Energy initiated the co-operation in 1993 and an official Agreement was signed in 1994. This publication describes the co-operation between the two countries in the field of the environment in the hope that this will give both the general public of Romania and the international community a better understanding of the work being accomplished. It also gives an overview of the 19 projects developed within this framework, which has a total Danish grant of DKK 77.9 million. (au)

40 CFR 90.408 - Pre-test procedures.

Science.gov (United States)

2010-07-01

....408 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... during service accumulation is allowed only in accordance with § 90.118. (b) Engine pre-test preparation... by § 90.324(a). If necessary, allow the heated sample line, filters, and pumps to reach operating...

Automatic joint alignment measurements from pre- and post-operative long leg standing radiographs

NARCIS (Netherlands)

Goossen, A.; Weber, G.M.; Dries, S.P.M.

2012-01-01

Objectives: For diagnosis or treatment assessment of knee joint osteoarthritis it is required to measure bone morphometry from radiographic images. We propose a method for automatic measurement of joint alignment from pre-operative as well as post-operative radiographs.Methods: In a two step

Is pre-operative imaging essential prior to ureteric stone surgery?

Science.gov (United States)

Youssef, F R; Wilkinson, B A; Hastie, K J; Hall, J

2012-09-01

The aim of this study was to identify patients not requiring ureteric stone surgery based on pre-operative imaging (within 24 hours) prior to embarking on semirigid ureteroscopy (R-URS) for urolithiasis. The imaging of all consecutive patients on whom R-URS for urolithiasis was performed over a 12-month period was reviewed. All patients had undergone a plain x-ray of the kidney, ureters and bladder (KUB), abdominal non-contrast computed tomography (NCCT-KUB) or both on the day of surgery. A total of 96 patients were identified for the study. Stone sizes ranged from 3 mm to 20 mm. Thirteen patients (14%) were cancelled as no stone(s) were identified on pre-operative imaging. Of the patients cancelled, 8 (62%) required NCCT-KUB to confirm spontaneous stone passage. One in seven patients were stone free on the day of surgery. This negates the need for unnecessary anaesthetic and instrumentation of the urinary tract, with the associated morbidity. Up-to-date imaging prior to embarking on elective ureteric stone surgery is highly recommended.

Patient-specific instrumentation for total knee arthroplasty does not match the pre-operative plan as assessed by intra-operative computer-assisted navigation.

Science.gov (United States)

Scholes, Corey; Sahni, Varun; Lustig, Sebastien; Parker, David A; Coolican, Myles R J

2014-03-01

The introduction of patient-specific instruments (PSI) for guiding bone cuts could increase the incidence of malalignment in primary total knee arthroplasty. The purpose of this study was to assess the agreement between one type of patient-specific instrumentation (Zimmer PSI) and the pre-operative plan with respect to bone cuts and component alignment during TKR using imageless computer navigation. A consecutive series of 30 femoral and tibial guides were assessed in-theatre by the same surgeon using computer navigation. Following surgical exposure, the PSI cutting guides were placed on the joint surface and alignment assessed using the navigation tracker. The difference between in-theatre data and the pre-operative plan was recorded and analysed. The error between in-theatre measurements and pre-operative plan for the femoral and tibial components exceeded 3° for 3 and 17% of the sample, respectively, while the error for total coronal alignment exceeded 3° for 27% of the sample. The present results indicate that alignment with Zimmer PSI cutting blocks, assessed by imageless navigation, does not match the pre-operative plan in a proportion of cases. To prevent unnecessary increases in the incidence of malalignment in primary TKR, it is recommended that these devices should not be used without objective verification of alignment, either in real-time or with post-operative imaging. Further work is required to identify the source of discrepancies and validate these devices prior to routine use. II.

Environmental dosimetry for normal operations at SRP. Revision 1

International Nuclear Information System (INIS)

Marter, W.L.

1984-01-01

The radiological effect of environmental releases from SRP during normal operations has been assessed annually since 1972 with a dosimetry model developed by SRL in 1971 to 1972, as implemented in the MREM code for atmospheric releases and RIVDOSE code for liquid releases. Starting in 1978, SRL started using environmental models and dose commitment factors developed by Nuclear Regulatory Commission (NRC) for all other environmental dose calculations. The NRC models are more flexible than the older SRL models, use more up-to-date methodologies, cover more exposure pathways, and permit more detailed analysis of effects of normal operations. It is recommended that the NRC models, as implemented in the computer codes X0QD0Q and GASPAR for atmospheric releases and LADTAP for liquid releases, and NRC dose commitment factors be used as the standard method at SRP for assessing offsite dose from normal operations in Health Protection Department annual environmental monitoring reports, and in National Environmental Policy Act documents and Safety Analysis Reports for SRP facilities. 23 references, 3 figures, 9 tables

Pre-operative Tei Index does not predict left ventricular function immediately after mitral valve repair

Directory of Open Access Journals (Sweden)

Chirojit Mukherjee

2012-01-01

Full Text Available Echocardiographic assessment of systolic left ventricular (LV function in patients with severe mitral regurgitation (MR undergoing mitral valve (MV repair can be challenging because the measurement of ejection fraction (EF or fractional area change (FAC in pathological states is of questionable value. The aim of our study was to evaluate the usefulness of the pre-operative Tei Index in predicting left ventricular EF or FAC immediately after MV repair. One hundred and thirty patients undergoing MV repair with sinus rhythm pre- and post-operatively were enrolled in this prospective study. Twenty-six patients were excluded due to absence of sinus rhythm post-operatively. Standard transesophageal examination(IE 33,Philips,Netherlands was performed before and after cardiopulmonary bypass according to the guidelines of the ASE/SCA. FAC was determined in the transgastric midpapillary short-axis view. LV EF was measured in the midesophageal four- and two-chamber view. For calculation of the Tei Index, the deep transgastric and the midesophageal four-chamber view were used. Statistical analysis was performed with SPSS 17.0. values are expressed as mean with standard deviation. LV FAC and EF decreased significantly after MV repair (FAC: 56±12% vs. 50±14%, P<0.001; EF: 58±11 vs. 50±12Έ P<0.001. The Tei Index decreased from 0.66±0.23 before MV repair to 0.41±0.19 afterwards (P<0.001. No relationship between pre-operative Tei Index and post-operative FAC or post-operative EF were found (FAC: r=−0.061, P=0.554; EF: r=−0.29, P=0.771. Conclusion: Pre-operative Tei Index is not a good predictor for post-operative FAC and EF in patients undergoing MV repair.

Pre-operative imaging of rectal cancer and its impact on surgical performance and treatment outcome.

Science.gov (United States)

Beets-Tan, R G H; Lettinga, T; Beets, G L

2005-08-01

To discuss the ability of pre-operative MRI to have a beneficial effect on surgical performance and treatment outcome in patients with rectal cancer. A description on how MRI can be used as a tool so select patients for differentiated neoadjuvant treatment, how it can be used as an anatomical road map for the resection of locally advanced cases, and how it can serve as a tool for quality assurance of both the surgical procedure and overall patient management. As an illustration the proportion of microscopically complete resections of the period 1993-1997, when there was no routine pre-operative imaging, is compared to that of the period 1998-2002, when pre-operative MR imaging was standardized. The proportion of R0 resections increased from 92.5 to 97% (p=0.08) and the proportion of resections with a lateral tumour free margin of >1mm increased from 84.4 to 92.1% (p=0.03). The incomplete resections in the first period were mainly due to inadequate surgical management of unsuspected advanced or bulky tumours, whereas in the second period insufficient consideration was given to extensive neoadjuvant treatment when the tumour was close to or invading the mesorectal fascia on MR. There are good indications that in our setting pre-operative MR imaging, along with other improvements in rectal cancer management, had a beneficial effect on patient outcome. Audit and discussion of the incomplete resections can lead to an improved operative and perioperative management.

Non-transboundary pollution and the efficiency of international environmental co-operation

International Nuclear Information System (INIS)

Kox, Henk L.M.; Van der Tak, Casper M.

1996-01-01

The standard view is that situations where no transborder environmental externalities occur are most efficiently dealt with by national environmental policies rather than by international co-operation. Though this may be the general case, non-coordinated national policies do not always produce the most efficient international allocation. This paper presents four cases in which the allocative outcome of non-coordinated domestic policy choices can be improved upon by international environmental co-operation. The first case refers to the use of environmental policy as a strategic trade instrument. The other cases refer to the existence of discrete technologies, set-up costs and increasing returns to scale. The form of international environmental co-operation should be adapted to the situation. Formal international agreements between countries are characterised by high transaction costs and may not always be the most efficient form of co-operation

Operational practices of lean manufacturing: Potentiating environmental improvements

Directory of Open Access Journals (Sweden)

Marcos José Alves Pinto Junior

2017-10-01

Full Text Available Purpose: The objective of this paper is to investigate how environmental improvements can be achieved through operational practices of Lean Manufacturing. Design/methodology/approach: A literature review was conducted to analyze the relationship between operational practices of Lean and reduction of environmental impact in organizational contexts. Verified theoretically, this relationship was observed in a company of the electronics industry, through an exploratory research which contemplated a mixed approach. The adopted research method consisted of a single case study, by providing greater depth and detail of the study. Utilized a research protocol, validated test pilot. The instruments for data collection were semi-structured interviews, direct observation and document analysis. The information was examined qualitatively considering the technique for content analysis. Findings: As a result of the study, it was found that there is evidence for the existence of relationship between the practices of Lean, for example, Kaizen, PDCA (plan, do, check, act, Ishikawa Diagram, Poka-Yoke, Standardized Work and Value Stream Mapping, with the reduction of environmental impacts of an organization. This reduction was observed after application of these practices that resulted in the reduction of energy consumption, water and waste generation. These results were accounted for financially, contributing to a reduction of annual costs by about US$ 20,900. Originality/value: The study presents in detail, the application of operational practices of Lean Manufacturing, with an effective view to reducing the environmental impact and cost reduction. The literature review, a detailed description of the application process and financial results are important information that contributes to the scientific studies that address traditional operating practices and the search for better environmental performance.

Operational practices of lean manufacturing: Potentiating environmental improvements

Energy Technology Data Exchange (ETDEWEB)

Pinto, Marcos José Alves Junior; Mendes, Juliana Veiga

2017-07-01

Purpose: The objective of this paper is to investigate how environmental improvements can be achieved through operational practices of Lean Manufacturing. Design/methodology/approach: A literature review was conducted to analyze the relationship between operational practices of Lean and reduction of environmental impact in organizational contexts. Verified theoretically, this relationship was observed in a company of the electronics industry, through an exploratory research which contemplated a mixed approach. The adopted research method consisted of a single case study, by providing greater depth and detail of the study. Utilized a research protocol, validated test pilot. The instruments for data collection were semi-structured interviews, direct observation and document analysis. The information was examined qualitatively considering the technique for content analysis. Findings: As a result of the study, it was found that there is evidence for the existence of relationship between the practices of Lean, for example, Kaizen, PDCA (plan, do, check, act), Ishikawa Diagram, Poka-Yoke, Standardized Work and Value Stream Mapping, with the reduction of environmental impacts of an organization. This reduction was observed after application of these practices that resulted in the reduction of energy consumption, water and waste generation. These results were accounted for financially, contributing to a reduction of annual costs by about US$ 20,900. Originality/value: The study presents in detail, the application of operational practices of Lean Manufacturing, with an effective view to reducing the environmental impact and cost reduction. The literature review, a detailed description of the application process and financial results are important information that contributes to the scientific studies that address traditional operating practices and the search for better environmental performance.

Operational practices of lean manufacturing: Potentiating environmental improvements

International Nuclear Information System (INIS)

Pinto, Marcos José Alves Junior; Mendes, Juliana Veiga

2017-01-01

Purpose: The objective of this paper is to investigate how environmental improvements can be achieved through operational practices of Lean Manufacturing. Design/methodology/approach: A literature review was conducted to analyze the relationship between operational practices of Lean and reduction of environmental impact in organizational contexts. Verified theoretically, this relationship was observed in a company of the electronics industry, through an exploratory research which contemplated a mixed approach. The adopted research method consisted of a single case study, by providing greater depth and detail of the study. Utilized a research protocol, validated test pilot. The instruments for data collection were semi-structured interviews, direct observation and document analysis. The information was examined qualitatively considering the technique for content analysis. Findings: As a result of the study, it was found that there is evidence for the existence of relationship between the practices of Lean, for example, Kaizen, PDCA (plan, do, check, act), Ishikawa Diagram, Poka-Yoke, Standardized Work and Value Stream Mapping, with the reduction of environmental impacts of an organization. This reduction was observed after application of these practices that resulted in the reduction of energy consumption, water and waste generation. These results were accounted for financially, contributing to a reduction of annual costs by about US$ 20,900. Originality/value: The study presents in detail, the application of operational practices of Lean Manufacturing, with an effective view to reducing the environmental impact and cost reduction. The literature review, a detailed description of the application process and financial results are important information that contributes to the scientific studies that address traditional operating practices and the search for better environmental performance.

Premedication with gabapentin, alprazolam or a placebo for abdominal hysterectomy: Effect on pre-operative anxiety, post-operative pain and morphine consumption

Directory of Open Access Journals (Sweden)

Tim Thomas Joseph

2014-01-01

Full Text Available Background and Aims : Utility of gabapentin for pre-operative anxiolysis as compared to commonly administered alprazolam is not evident. The aim of the present study was to compare the effects of pre-operative oral gabapentin 600 mg, alprazolam 0.5 mg or a placebo on pre-operative anxiety along with post-operative pain and morphine consumption. Methods: Seventy five patients scheduled for abdominal hysterectomy under general anaesthesia were included. Groups gabapentin, alprazolam and placebo, received oral gabapentin 600 mg, alprazolam 0.5 mg and one capsule of oral B-complex forte with Vitamin C respectively, on the night prior to surgery and 2 h prior to surgery. Visual analogue scale (VAS was used to measure the anxiety and post-operative pain. All patients received patient-controlled analgesia. Statistical tests used were Kruskal-Wallis test, Wilcoxon signed rank test and one-way ANOVA. Results: Alprazolam provided significant anxiolysis (median [interquartile range] baseline VAS score 35 [15.5, 52] to 20 [6.5, 34.5] after drug administration; P = 0.007. Gabapentin did not provide significant decrease in anxiety (median [interquartile range] VAS score 21 [7.5, 41] to 20 [6.5, 34.5]; P = 0.782. First analgesic request time (median [interquartile range in minutes] was longer in group gabapentin (17.5 [10, 41.25] compared to group placebo (10 [5, 15] (P = 0.019 but comparable to that in group alprazolam (15 [10, 30]. Cumulative morphine consumption at different time periods and total morphine consumption (mean [standard deviation] at the end of study period (38.65 [18.04], 39.91 [15.73], 44.29 [16.02] mg in group gabapentin, alprazolam and placebo respectively were comparable. Conclusion: Gabapentin 600 mg does not have significant anxiolytic effect compared to alprazolam 0.5 mg. Alprazolam 0.5 mg was found to be an effective anxiolytic in the pre-operative period. Neither alprazolam nor gabapentin, when compared to placebo showed any opioid

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

Science.gov (United States)

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

2016-07-07

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

Pre-operative indicators for mortality following hip fracture surgery: a systematic review and meta-analysis.

Science.gov (United States)

Smith, Toby; Pelpola, Kelum; Ball, Martin; Ong, Alice; Myint, Phyo Kyaw

2014-07-01

hip fracture is a common and serious condition associated with high mortality. This study aimed to identify pre-operative characteristics which are associated with an increased risk of mortality after hip fracture surgery. systematic search of published and unpublished literature databases, including EMBASE, MEDLINE, AMED, CINAHL, PubMed and the Cochrane Library, was undertaken to identify all clinical studies on pre-operative predictors of mortality after surgery in hip fracture with at least 3-month follow-up. Data pertaining to the study objectives was extracted by two reviewers independently. Where study homogeneity was evidence, a meta-analysis of pooled relative risk and 95% confidence intervals was performed for mortality against pre-admission characteristics. fifty-three studies including 544,733 participants were included. Thirteen characteristics were identified as possible pre-operative indicators for mortality. Following meta-analysis, the four key characteristics associated with the risk of mortality up to 12 months were abnormal ECG (RR: 2.00; 95% CI: 1.45, 2.76), cognitive impairment (RR: 1.91; 95% CI: 1.35, 2.70), age >85 years (RR: 0.42; 95% CI: 0.20, 0.90) and pre-fracture mobility (RR: 0.13; 95% CI: 0.05, 0.34). Other statistically significant pre-fracture predictors of increased mortality were male gender, being resident in a care institution, intra-capsular fracture type, high ASA grade and high Charlson comorbidity score on admission. this review has identified the characteristics of patients with a high risk of mortality after a hip fracture surgery beyond the peri-operative period who may benefit from comprehensive assessment and appropriate management. CRD42012002107. © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Association between Pre-Operative Cefazolin Dose and Surgical Site Infection in Obese Patients.

Science.gov (United States)

Peppard, William J; Eberle, David G; Kugler, Nathan W; Mabrey, Danielle M; Weigelt, John A

A fixed dose of cefazolin results in serum concentrations that decrease as body mass increases. Current national guidelines suggest a pre-operative cefazolin dose of two grams may be insufficient for patients ≥120 kg; thus a three gram dose is recommended. These recommendations, however, are based on pharmacokinetic rather than outcome data. We evaluate the efficacy of pre-operative cefazolin two gram and three gram doses as measured by the rate of surgical site infection (SSI). We conducted a retrospective review of adult patients ≥100 kg who were prescribed cefazolin as surgical prophylaxis between September 1, 2012 and May 31, 2013 at an academic medical center. Patients were excluded if cefazolin was prescribed but not administered, had a known infection at the site of surgery, or inappropriately received cefazolin prophylaxis based on surgical indication. The SSIs were identified by documentation of SSI in the medical record or findings consistent with the standard Centers for Disease Control and Prevention definition. Inpatient and outpatient records up to 90 days post-operative were reviewed for delayed SSI. Four hundred eighty-three surgical cases were identified in which pre-operative cefazolin was prescribed. Forty-seven patients were excluded leaving a total of 436 patients for final analysis: 152 in the cefazolin two gram group and 284 in the three gram group. Baseline demographics were similar between groups with a mean follow-up duration of 77 days for both groups. Unadjusted SSI rates were 7.2% and 7.4% (odds ratio [OR] 0.98, p = 0.95), for the two gram and three gram groups, respectively. When differences in follow-up between groups were considered and logistic regression was adjusted with propensity score, there remained no difference in SSI rates (OR 0.87, 95% confidence interval 0.36-2.06, p = 0.77). In otherwise similar obese surgical patients weighing ≥100 kg, the administration of a pre-operative cefazolin two gram dose is

Environmental design of the Olympic Dam operations

International Nuclear Information System (INIS)

Middleton, B.A.

1989-01-01

Environmental Design of The Olympic Dam Operations has been required to take into account the Environmental Management Programme as approved by the South Australian Government and radiological protection standards as determined by the Commonwealth of Australia's Code of Practice on Radiation Protection in the Mining and Milling of Radioactive Ores 1987. The article describes the natural environment, project assessment and infrastructure relating to the environmental design. The radiological standards refer to the control of exposure to radiation above naturally occurring background levels both for employees and for members of the public. 2 tabs., maps

Application of operating experience in environmental qualification program

International Nuclear Information System (INIS)

Lee, S.Y.; Wise, R.

2000-01-01

Environmental qualification (EQ) of equipment related to nuclear safety has been carried out in the nuclear community since the 70's. It started with electrical equipment and then expanded to include mechanical equipment. During this evolutionary process, the methods used for EQ have gone through a long period of refinement and clarification. Prior to 1971, qualification for equipment in licensed nuclear power plants was based on the use of electrical components of commonly accepted high industrial quality without the benefit of specific environmental qualification standards. Between 1971 and 1974, most plants used the criteria of IEEE Standard 323-1971 as the basis for demonstrating qualification. Also during this period related 'daughter' standards, mainly by IEEE, became available which addressed qualification for specific equipment items. After July 1974, plants were required to meet the more comprehensive guidelines specified in IEEE Standard 323-1974 and the related 'daughter' standards. IEEE Standard 323-1974 later evolved into IEEE Standard 323-1983. For nuclear power plants built in Ontario during the 70's, i.e. Pickering B and Bruce B, has included the environmental qualification requirements in their respective nuclear safety design guides. It is now recognized that they are not up to the current EQ standards. Darlington, constructed during the 80's, implemented the environmental qualification program in its project. An Environmental Qualification (EQ) Program is now under way in Ontario Power Generation (OPG) to formally implement the Environmental Qualification for Bruce B, Pickering B, and Pickering A and to preserve the Qualification for Darlington G.S. This paper makes a thorough a review of the standard methods used in the past by utilities for environmental qualification. These methods include type testing, analysis, and operating experience. Both type testing and analysis have been clearly defined in standards listed in References [2] to [6] and

Environmental monitoring annual report for the Tumulus Disposal Demonstration Project

International Nuclear Information System (INIS)

Yager, R.E.; Craig, P.M.

1989-01-01

The Fiscal Year 1988 Annual Report is the third in a series of semi-annual Tumulus Development Disposal Project data summary reports. The reporting schedule has been modified to correspond to the fiscal years and the subcontractor contract periods. This data summary spans the time from start of operations in June 1987 through the end of September 1988. The environmental data collected include run-off water quality and quantity, groundwater quality and levels, soil sampling and hydrometeorological data. This data is being used and analyzed here to demonstrate the environmental performance objectives for the TDDP as part of the overall performance assessment for the TDDP. Approximately one year of pre-operational data were collected prior to operations beginning on April 11, 1988. Comparisons are made between pre- and post-operational data. No significant environmental impacts have been found since operations have begun. 10 refs., 21 figs., 22 tabs

Applying AI tools to operational space environmental analysis

Science.gov (United States)

Krajnak, Mike; Jesse, Lisa; Mucks, John

1995-01-01

The U.S. Air Force and National Oceanic Atmospheric Agency (NOAA) space environmental operations centers are facing increasingly complex challenges meeting the needs of their growing user community. These centers provide current space environmental information and short term forecasts of geomagnetic activity. Recent advances in modeling and data access have provided sophisticated tools for making accurate and timely forecasts, but have introduced new problems associated with handling and analyzing large quantities of complex data. AI (Artificial Intelligence) techniques have been considered as potential solutions to some of these problems. Fielding AI systems has proven more difficult than expected, in part because of operational constraints. Using systems which have been demonstrated successfully in the operational environment will provide a basis for a useful data fusion and analysis capability. Our approach uses a general purpose AI system already in operational use within the military intelligence community, called the Temporal Analysis System (TAS). TAS is an operational suite of tools supporting data processing, data visualization, historical analysis, situation assessment and predictive analysis. TAS includes expert system tools to analyze incoming events for indications of particular situations and predicts future activity. The expert system operates on a knowledge base of temporal patterns encoded using a knowledge representation called Temporal Transition Models (TTM's) and an event database maintained by the other TAS tools. The system also includes a robust knowledge acquisition and maintenance tool for creating TTM's using a graphical specification language. The ability to manipulate TTM's in a graphical format gives non-computer specialists an intuitive way of accessing and editing the knowledge base. To support space environmental analyses, we used TAS's ability to define domain specific event analysis abstractions. The prototype system defines

A phase I trial of pre-operative radiotherapy for prostate cancer: Clinical and translational studies

International Nuclear Information System (INIS)

Supiot, Stephane; Shubbar, Shubber; Fleshner, Neil; Warde, Padraig; Hersey, Karen; Wallace, Kris; Cole, Heather; Sweet, Joan; Tsihlias, John; Jewett, Michael A.S.; Klotz, Laurence; Bristow, Robert G.

2008-01-01

Background and purpose: Selected patients undergoing radical prostatectomy for localized prostate cancer can be at high-risk for pT3 disease and require subsequent radiotherapy. In a phase I trial, we investigated the feasibility of pre-operative radiotherapy for this patient subset. Materials and methods: Eligibility criteria were: T1/T2N0M0 tumors plus (i) Gleason ≥ 7, PSA > 10 ng/ml and 15 ng/ml and less WAF associated with reduced cell proliferation. Conclusion: Intra-operative morbidity is low following short-course, pre-operative radiotherapy. A phase II trial is planned to fully document biochemical response with this combined-modality approach

Pre-operative concurrent chemoradiotherapy for stage IIIA (N2) Non-Small cell lung cancer

International Nuclear Information System (INIS)

Lee, Kyu Chan; Ahn, Yong Chan; Park, Keun Chil

1999-01-01

This is to evaluate the acute complication, resection rate, and tumor down-staging after pre-operative concurrent chemoradiotherapy for stage IIIA (N2) non-small cell lung cancer. Fifteen patients with non-small cell lung cancer were enrolled in this study from May 1997 to June 1998 in Samsung Medical Center. The median age of the patients was 61 (range, 45-67) years and male to female ratio was 12:3. Pathologic types were squamous cell carcinoma (11) and adenocarcinoma (4). Pre-operative clinical tumor stages were cT1 in 2 patients, cT2 in 12, and cT3 in 1 and all were N2. Ten patients were proved to be N2 with mediastinoscopic biopsy and five had clinically evident mediastinal lymph node metastases on the chest CT scans. Pre-operative radiation therapy field included the primary tumor, the ipsilateral hilum, and the mediastinum. Total radiation dose was 45 Gy over 5 weeks with daily dose of 1.8 Gy. Pre-operative concurrent chemotherapy consisted of two cycles of intraventous cis-Platin (100 mg/m 2 ) on day 1 and oral Etoposide (50 mg/m 2 /day) on days 1 through 14 with 4 weeks' interval. Surgery was followed after the pre-operative re-evaluation including chest CT scan in 3 weeks of the completion of the concurrent chemoradiotherapy if there was no evidence of disease progression. Full dose radiation therapy was administered to all the 15 patients. Planned two cycles of chemotherapy was completed in 11 patients and one cycle was given to four. One treatment related death of acute respiratory distress syndrome occurred in 15 days of surgery. Hospital admission was required in three patients including one with radiation pneumonitis and two with neutropenic fever. Hematologic complications and other acute complications including esophagitis were tolerable. Resection rate was 92.3% (12/13) in 13 patients excluding two patients who refused surgery. Pleural seeding was found in one patient after thoracotomy and tumor resection was not feasible. Post-operative tumor

Pre-operative concurrent chemoradiotherapy for stage IIIA (N2) Non-Small cell lung cancer

Energy Technology Data Exchange (ETDEWEB)

Lee, Kyu Chan; Ahn, Yong Chan; Park, Keun Chil [College of Medicine, Sungkyunkwan Univ., Seoul (Korea, Republic of)] [and others

1999-06-01

This is to evaluate the acute complication, resection rate, and tumor down-staging after pre-operative concurrent chemoradiotherapy for stage IIIA (N2) non-small cell lung cancer. Fifteen patients with non-small cell lung cancer were enrolled in this study from May 1997 to June 1998 in Samsung Medical Center. The median age of the patients was 61 (range, 45-67) years and male to female ratio was 12:3. Pathologic types were squamous cell carcinoma (11) and adenocarcinoma (4). Pre-operative clinical tumor stages were cT1 in 2 patients, cT2 in 12, and cT3 in 1 and all were N2. Ten patients were proved to be N2 with mediastinoscopic biopsy and five had clinically evident mediastinal lymph node metastases on the chest CT scans. Pre-operative radiation therapy field included the primary tumor, the ipsilateral hilum, and the mediastinum. Total radiation dose was 45 Gy over 5 weeks with daily dose of 1.8 Gy. Pre-operative concurrent chemotherapy consisted of two cycles of intraventous cis-Platin (100 mg/m{sup 2}) on day 1 and oral Etoposide (50 mg/m{sup 2}/day) on days 1 through 14 with 4 weeks' interval. Surgery was followed after the pre-operative re-evaluation including chest CT scan in 3 weeks of the completion of the concurrent chemoradiotherapy if there was no evidence of disease progression. Full dose radiation therapy was administered to all the 15 patients. Planned two cycles of chemotherapy was completed in 11 patients and one cycle was given to four. One treatment related death of acute respiratory distress syndrome occurred in 15 days of surgery. Hospital admission was required in three patients including one with radiation pneumonitis and two with neutropenic fever. Hematologic complications and other acute complications including esophagitis were tolerable. Resection rate was 92.3% (12/13) in 13 patients excluding two patients who refused surgery. Pleural seeding was found in one patient after thoracotomy and tumor resection was not feasible. Post-operative

Effect of stapedotomy on pre-operative tinnitus and its psychosomatic burden.

Science.gov (United States)

Bast, Florian; Mazurek, Birgit; Schrom, Thomas

2013-12-01

According to the literature, between 40 and 90% of otosclerosis patients suffering from hearing loss also suffer from tinnitus on the affected side. For a lot of these patients tinnitus represents a handicap that is just as debilitating as the hearing loss itself. The main goal of the surgical treatment of otosclerosis is a significant improvement in hearing loss, but frequent reports of reduced tinnitus after surgery suggest that this can be a positive side effect. All patients who underwent stapedotomy were initially included in the study. Retrospectively, the tinnitus questionnaire as compiled by Goebel and Hiller was sent to the patients, and 34 patients (37 ears) replied. The pre- and postoperative cases of tinnitus were divided into compensated and non-compensated tinnitus. In addition the following tinnitus-related factors were evaluated: emotional, cognitive and mental burden; intrusiveness of the tinnitus; hearing problems; somatic ailments; and sleep disturbances. Over 80% of the patients surveyed suffered from tinnitus pre-operation. The tinnitus disappeared or improved in over 60% of the cases after stapedotomy. In addition, the related factors surveyed also improved appreciably post surgery and reached a significant level in patients with compensated tinnitus. Besides a significant improvement in hearing loss the intensity and the psychosomatic burden of a pre-operative tinnitus can be reduced by stapedotomy. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

The Army's Green Warriors: Environmental Considerations in Contingency Operations

National Research Council Canada - National Science Library

2008-01-01

.... Environmental considerations encompass anything related to the environment that either affects the planning and execution of military operations, positively or negatively, or is affected by those operations...

Model of environmental life cycle assessment for coal mining operations

Energy Technology Data Exchange (ETDEWEB)

Burchart-Korol, Dorota, E-mail: dburchart@gig.eu; Fugiel, Agata, E-mail: afugiel@gig.eu; Czaplicka-Kolarz, Krystyna, E-mail: kczaplicka@gig.eu; Turek, Marian, E-mail: mturek@gig.eu

2016-08-15

This paper presents a novel approach to environmental assessment of coal mining operations, which enables assessment of the factors that are both directly and indirectly affecting the environment and are associated with the production of raw materials and energy used in processes. The primary novelty of the paper is the development of a computational environmental life cycle assessment (LCA) model for coal mining operations and the application of the model for coal mining operations in Poland. The LCA model enables the assessment of environmental indicators for all identified unit processes in hard coal mines with the life cycle approach. The proposed model enables the assessment of greenhouse gas emissions (GHGs) based on the IPCC method and the assessment of damage categories, such as human health, ecosystems and resources based on the ReCiPe method. The model enables the assessment of GHGs for hard coal mining operations in three time frames: 20, 100 and 500 years. The model was used to evaluate the coal mines in Poland. It was demonstrated that the largest environmental impacts in damage categories were associated with the use of fossil fuels, methane emissions and the use of electricity, processing of wastes, heat, and steel supports. It was concluded that an environmental assessment of coal mining operations, apart from direct influence from processing waste, methane emissions and drainage water, should include the use of electricity, heat and steel, particularly for steel supports. Because the model allows the comparison of environmental impact assessment for various unit processes, it can be used for all hard coal mines, not only in Poland but also in the world. This development is an important step forward in the study of the impacts of fossil fuels on the environment with the potential to mitigate the impact of the coal industry on the environment. - Highlights: • A computational LCA model for assessment of coal mining operations • Identification of

Model of environmental life cycle assessment for coal mining operations

International Nuclear Information System (INIS)

Burchart-Korol, Dorota; Fugiel, Agata; Czaplicka-Kolarz, Krystyna; Turek, Marian

2016-01-01

This paper presents a novel approach to environmental assessment of coal mining operations, which enables assessment of the factors that are both directly and indirectly affecting the environment and are associated with the production of raw materials and energy used in processes. The primary novelty of the paper is the development of a computational environmental life cycle assessment (LCA) model for coal mining operations and the application of the model for coal mining operations in Poland. The LCA model enables the assessment of environmental indicators for all identified unit processes in hard coal mines with the life cycle approach. The proposed model enables the assessment of greenhouse gas emissions (GHGs) based on the IPCC method and the assessment of damage categories, such as human health, ecosystems and resources based on the ReCiPe method. The model enables the assessment of GHGs for hard coal mining operations in three time frames: 20, 100 and 500 years. The model was used to evaluate the coal mines in Poland. It was demonstrated that the largest environmental impacts in damage categories were associated with the use of fossil fuels, methane emissions and the use of electricity, processing of wastes, heat, and steel supports. It was concluded that an environmental assessment of coal mining operations, apart from direct influence from processing waste, methane emissions and drainage water, should include the use of electricity, heat and steel, particularly for steel supports. Because the model allows the comparison of environmental impact assessment for various unit processes, it can be used for all hard coal mines, not only in Poland but also in the world. This development is an important step forward in the study of the impacts of fossil fuels on the environment with the potential to mitigate the impact of the coal industry on the environment. - Highlights: • A computational LCA model for assessment of coal mining operations • Identification of

Effect of pre-operative methylprednisolone on orthostatic hypotension during early mobilization after total hip arthroplasty

DEFF Research Database (Denmark)

Lindberg-Larsen, V; Petersen, P B; Jans, Ø

2018-01-01

a standardized mobilization protocol pre-operatively, 6, and 24 h after surgery. Systolic and diastolic arterial pressure and heart rate were measured non-invasively (Nexfin® ). The systemic inflammation was monitored by the C-reactive protein (CRP) response. RESULTS: At 6 h post-operatively, 11 (38%) versus 11......BACKGROUND: Orthostatic hypotension (OH) and intolerance (OI) are common after total hip arthroplasty (THA) and may delay early mobilization. The pathology of OH and OI includes a dysregulated post-operative vasopressor response, by a hitherto unknown mechanism. We hypothesized that OI could...... be related to the inflammatory stress response which is inhibited by steroid administration. Consequently, this study evaluated the effect of a pre-operative high-dose methylprednisolone on OH and OI early after THA. METHODS: Randomized, double-blind, placebo-controlled study in 59 patients undergoing...

Pre-operative urinary tract infection: is it a risk factor for early surgical site infection with hip fracture surgery? A retrospective analysis.

Science.gov (United States)

Yassa, Rafik Rd; Khalfaoui, Mahdi Y; Veravalli, Karunakar; Evans, D Alun

2017-03-01

The aims of the current study were to determine whether pre-operative urinary tract infections in patients presenting acutely with neck of femur fractures resulted in a delay to surgery and whether such patients were at increased risk of developing post-operative surgical site infections. A retrospective review of all patients presenting with a neck of femur fracture, at a single centre over a one-year period. The hospital hip fracture database was used as the main source of data. UK University Teaching Hospital. All patients ( n  = 460) presenting across a single year study period with a confirmed hip fracture. The presence of pre-operative urinary tract infection, the timing of surgical intervention, the occurrence of post-operative surgical site infection and the pathogens identified. A total of 367 patients were operated upon within 24 hours of admission. Urinary infections were the least common cause of delay. A total of 99 patients (21.5%) had pre-operative urinary tract infection. Post-operatively, a total of 57 (12.4%) patients developed a surgical site infection. Among the latter, 31 (54.4%) did not have a pre-operative urinary infection, 23 (40.4%) patients had a pre-operative urinary tract infection, 2 had chronic leg ulcers and one patient had a pre-operative chest infection. Statistically, there was a strong relationship between pre-operative urinary tract infection and the development of post-operative surgical site infection ( p -value: 0.0005). The results of our study indicate that pre-operative urinary tract infection has a high prevalence amongst those presenting with neck of femur fractures, and this is a risk factor for the later development of post-operative surgical site infection.

A comparison of pre- and post-operational hydrographic data of a coastal waters near a nuclear power plant

International Nuclear Information System (INIS)

Satpathy, K.K.; Nair, K.V.K.

1998-01-01

Data gathered on air and water temperature, salinity, DO, suspended matter (SM) and water transparency over a period of 11 years (1980-90) from the coastal waters in the vicinity of a nuclear power plant were analysed to assess the impact of power plant operation on the physico-chemical properties of coastal waters. The major change observed in water temperature from pre-operational to the post-operational was a slight flatterning of the monthly average curve showing a more even distribution during the latter period. Salinity data did not show any change between the pre- and post-operational periods. Monthly variations in DO values during the post-operational period were larger as compared to the pre-operational period. Post-operational period showed a marginal increase in SM content and a decrease in water transparency as compared to the pre-operational period. Results of ANOVA indicated the existence of a significant difference between seasons for air and water temperature, salinity, DO, SM and water transparency. An increasing trend for atmospheric temperature (0.0036 deg C/ year), SM content (1.54 mg/l/year) and decreasing trend for surface water temperature (0.0184 deg C/year), salinity (0.094 x10 -3 /year), DO (0.0052 mg/l/year) and Secchi disc depth (0.037 m/year) from 1980 was observed. (author)

Environmentally friendly hybrid coatings for corrosion protection: silane based pre-treatments and nanostructured waterborne coatings

OpenAIRE

Fedel, Michele

2009-01-01

This thesis considers a nanotechnology approach based on the production of metals pre-treatments and organic coatings (a complete protection system at all) designed from the nanoscale. The final aim is to develop protection systems with improved corrosion protection properties and a low environmental impact. In particular, multifunctional silane hybrid molecules were used to design sol-gel pre-treatments for metals and to modify the inner structure of UV curable waterborne organic coatings...

Angra nuclear plant - environmental control program

International Nuclear Information System (INIS)

Kircher, E.; Cruz, E.S. da

1989-01-01

The pre-operational studies, that were elaborated before the beginning of Angra I Power Plant operation, are described in particular the environmental radiological safety area till the fuel loading in the core reactor. Several aspects are included, as socio-economic survey, seismological analysis, Meteorological Program, marine biology, water cooling system, exposure measures of natural radiation, marine sediments characterization in the effluent dispersion area and Environmental Radiological Monitoring Program. The main environmental programs developed for the operational phase of the Angra I Plant are also presented, citing some considerations about the Meteorological Program, Marine Biology Control Program, Temperature and Chlorine Control in Piraquara de Fora Bay, Radiological Environmental Monitoring Program, Sanitary Effluent Control Program and Radiological Emergency Program. (C.G.C.). 2 refs

Sleep and Alertness in North Sea Helicopter Operations

NARCIS (Netherlands)

Simons, M.; Wilschut, E.S.; Valk, P.J.L.

2011-01-01

Introduction : Dutch North Sea helicopter operations are characterized by multiple sector flights to offshore platforms under difficult environmental conditions. In the context of a Ministry of Transport program to improve safety levels of helicopter operations, we assessed effects of pre-duty

An observational cohort study on pre-operative investigations and referrals: How far are we following recommendations?

Science.gov (United States)

Karim, Habib Md Reazaul; Yunus, Md; Bhattacharyya, Prithwis

2016-01-01

Background and Aims: Pre-operative investigations are often required to supplement information for risk stratification and assessing reserve for undergoing surgery. Although there are evidence-based recommendations for which investigations should be done, clinical practice varies. The present study aimed to assess the pre-operative investigations and referral practices and compare it with the standard guidelines. Methods: The present observational study was carried out during 2014–appen2015 in a teaching institute after the approval from Institute Ethical Committee. A designated anaesthesiologist collected data from the completed pre-anaesthetic check-up (PAC) sheets. Investigations already done, asked by anaesthesiologists as well as referral services sought were noted and compared with an adapted master table prepared from standard recommendations and guidelines. Data were expressed in frequencies, percentage and statistically analysed using INSTAT software (GraphPad Prism software Inc., La Zolla, USA). Results: Seventy-five out of 352 patients (42.67% male, 57.33% female; American Society of Anesthesiologists physical status I to III) were included in this study. Nearly, all patients attended PAC with at least 5 investigations done. Of them, 89.33% were subjected to at least one unnecessary investigation and 91.67% of the referral services were not required which lead to 3.5 ( SD ±1.64) days loss. Anaesthesiologist-ordered testing was more focused than surgeons. Conclusion: More than two-third of pre-operative investigations and referral services are unnecessary. Anaesthesiologists are relatively more rational in ordering pre-operative tests yet; a lot can be done to rationalise the practice as well as reducing healthcare cost. PMID:27601737

Final Environmental Impact Statement/Environmental Impact Report for continued operation of Lawrence Livermore National Laboratory and Sandia National Laboratories, Livermore

International Nuclear Information System (INIS)

1992-08-01

This Environmental Impact Statement/Environmental Impact Report (EIS/EIR) is prepared pursuant to the National Environmental Policy Act (NEPA) and the California Environmental Quality Act (CEQA). This document analyzes the potential environmental impacts of the proposed action: continued operation, including near-term (within 5 to 10 years) proposed projects, of Lawrence Livermore National Laboratory (LLNL) and Sandia National Laboratories, Livermore (SNL, Livermore). Additionally, this document analyzes a no action alternative involving continuing operations at FY 1992 funding levels without further growth, a modification of operations alternative to reduce adverse environmental impacts of operations or facilities, and a shutdown and decommissioning alternative of UC discontinuing its management of LLNL after the current contract expires on September 30, 1992. This document assesses the environmental impacts of the Laboratories' operations on air and water quality, geological and ecological systems, occupational and public health risks, prehistoric and historic resources, endangered species, floodplains and wetlands, socioeconomic resources, hazardous waste management, site contamination, and other environmental issues. The EIS/EIR is divided into five volumes and two companion reports. This volume contains the Final EIS/EIR technical appendices which provide technical support for the analyses in Volume 1 and also provide additional information and references

L-Reactor operation, Savannah River Plant: environmental assessment

International Nuclear Information System (INIS)

1982-08-01

The purpose of this document is to assess the significance of the effects on the human environment of the proposed resumption of L-reactor operation at the Savannah River Plant, scheduled for October 1983. The discussion is presented under the following section headings: need for resumption of L-Reactor operations and purpose of this environmental assessment; proposed action and alternative; affected environment (including, site location and description, land use, historic and archeological resources, socioeconomic and community characteristics, geology and seismology, hydrology, meteorology and climatology, ecology, and radiation environment); environmental consequences; summary of projected L-Reactor releases and impacts; and Federal and State permits and approval. The three appendices are entitled: radiation dose calculation methods and assumptions; floodplain/wetlands assessment - L-Reactor operations; and, conversion table. A list of references is included at the end of each chapter

Predictors of Success in Bariatric Surgery: the Role of BMI and Pre-operative Comorbidities.

Science.gov (United States)

da Cruz, Magda Rosa Ramos; Branco-Filho, Alcides José; Zaparolli, Marília Rizzon; Wagner, Nathalia Farinha; de Paula Pinto, José Simão; Campos, Antônio Carlos Ligocki; Taconeli, Cesar Augusto

2017-11-10

This is a retrospective review of 204 patients who underwent bariatric surgery. The impact of weight regain (WR), pre-operative comorbidities and BMI values on the recurrence of comorbidities was evaluated, and an equation was elaborated to estimate BMI at 5 years of bariatric surgery. Pre-operative data, after 1 year and after 5 years, was collected from the medical records. Descriptive analyses and bivariate hypothesis tests were performed first, and then, a generalised linear regression model with Tweedie distribution was adjusted. The hit rate and the Kendall coefficient of concordance (Kendall's W) of the equation were calculated. At the end, the Mann-Whitney test was performed between the BMI, WR and the presence of comorbidities, after a post-operative period of 5 years. The adjustment of the model resulted in an equation that estimates the mean value of BMI 5 years after surgery. The hit rate was 82.35% and the value of Kendall's W was 0.85 for the equation. It was found that patients with comorbidities presented a higher median WR (10.13%) and a higher mean BMI (30.09 kg/m 2 ) 5 years after the surgery. It is concluded that the equation is useful for estimating the mean BMI at 5 years of surgery and that patients with low pre-operative HDL and folic acid levels, with depression and/or anxiety and a higher BMI, have a higher BMI at 5 years of surgery and higher incidence of comorbid return and dissatisfaction with post-operative results.

Matrix multiplication operations with data pre-conditioning in a high performance computing architecture

Science.gov (United States)

Eichenberger, Alexandre E; Gschwind, Michael K; Gunnels, John A

2013-11-05

Mechanisms for performing matrix multiplication operations with data pre-conditioning in a high performance computing architecture are provided. A vector load operation is performed to load a first vector operand of the matrix multiplication operation to a first target vector register. A load and splat operation is performed to load an element of a second vector operand and replicating the element to each of a plurality of elements of a second target vector register. A multiply add operation is performed on elements of the first target vector register and elements of the second target vector register to generate a partial product of the matrix multiplication operation. The partial product of the matrix multiplication operation is accumulated with other partial products of the matrix multiplication operation.

Environmental impact assessment of coal power plants in operation

Directory of Open Access Journals (Sweden)

Bartan Ayfer

2017-01-01

Full Text Available Coal power plants constitute an important component of the energy mix in many countries. However, coal power plants can cause several environmental risks such as: climate change and biodiversity loss. In this study, a tool has been proposed to calculate the environmental impact of a coal-fired thermal power plant in operation by using multi-criteria scoring and fuzzy logic method. We take into account the following environmental parameters in our tool: CO, SO2, NOx, particulate matter, fly ash, bottom ash, the cooling water intake impact on aquatic biota, and the thermal pollution. In the proposed tool, the boundaries of the fuzzy logic membership functions were established taking into account the threshold values of the environmental parameters which were defined in the environmental legislation. Scoring of these environmental parameters were done with the statistical analysis of the environmental monitoring data of the power plant and by using the documented evidences that were obtained during the site visits. The proposed method estimates each environmental impact factor level separately and then aggregates them by calculating the Environmental Impact Score (EIS. The proposed method uses environmental monitoring data and documented evidence instead of using simulation models. The proposed method has been applied to the 4 coal-fired power plants that have been operation in Turkey. The Environmental Impact Score was obtained for each power plant and their environmental performances were compared. It is expected that those environmental impact assessments will contribute to the decision-making process for environmental investments to those plants. The main advantage of the proposed method is its flexibility and ease of use.

Environmental impact assessment of coal power plants in operation

Science.gov (United States)

Bartan, Ayfer; Kucukali, Serhat; Ar, Irfan

2017-11-01

Coal power plants constitute an important component of the energy mix in many countries. However, coal power plants can cause several environmental risks such as: climate change and biodiversity loss. In this study, a tool has been proposed to calculate the environmental impact of a coal-fired thermal power plant in operation by using multi-criteria scoring and fuzzy logic method. We take into account the following environmental parameters in our tool: CO, SO2, NOx, particulate matter, fly ash, bottom ash, the cooling water intake impact on aquatic biota, and the thermal pollution. In the proposed tool, the boundaries of the fuzzy logic membership functions were established taking into account the threshold values of the environmental parameters which were defined in the environmental legislation. Scoring of these environmental parameters were done with the statistical analysis of the environmental monitoring data of the power plant and by using the documented evidences that were obtained during the site visits. The proposed method estimates each environmental impact factor level separately and then aggregates them by calculating the Environmental Impact Score (EIS). The proposed method uses environmental monitoring data and documented evidence instead of using simulation models. The proposed method has been applied to the 4 coal-fired power plants that have been operation in Turkey. The Environmental Impact Score was obtained for each power plant and their environmental performances were compared. It is expected that those environmental impact assessments will contribute to the decision-making process for environmental investments to those plants. The main advantage of the proposed method is its flexibility and ease of use.

A well test analysis method accounting for pre-test operations

International Nuclear Information System (INIS)

Silin, D.B.; Tsang, C.-F.

2003-01-01

We propose to use regular monitoring data from a production or injection well for estimating the formation hydraulic properties in the vicinity of the wellbore without interrupting the operations. In our approach, we select a portion of the pumping data over a certain time interval and then derive our conclusions from analysis of these data. A distinctive feature of the proposed approach differing it form conventional methods is in the introduction of an additional parameter, an effective pre-test pumping rate. The additional parameter is derived based on a rigorous asymptotic analysis of the flow model. Thus, we account for the non-uniform pressure distribution at the beginning of testing time interval caused by pre-test operations at the well. By synthetic and field examples, we demonstrate that deviation of the matching curve from the data that is usually attributed to skin and wellbore storage effects, can also be interpreted through this new parameter. Moreover, with our method, the data curve is matched equally well and the results of the analysis remain stable when the analyzed data interval is perturbed, whereas traditional methods are sensitive to the choice of the data interval. A special efficient minimization procedure has been developed for searching the best fitting parameters. We enhanced our analysis above with a procedure of estimating ambient reservoir pressure and dimensionless wellbore radius. The methods reported here have been implemented in code ODA (Operations Data Analysis). A beta version of the code is available for free testing and evaluation to interested parties

Implementation of pre-operational version of RODOS in Slovakia

International Nuclear Information System (INIS)

Duranova, T.; Janko, K.

2000-01-01

With support of the European Commission's Echo programme ''Implementation of the Rodeos Decision Support System for Off-Site Emergency Preparation and response in the Emergency centres in Poland and the Slovak Republics' '', Rodeos was implemented in the Slovak Republic. The main objective of the project - implemented by the Consortium of Ecton and STUK, with participation of VUJE and IAE - was to accelerate the implementation of the RODOS system within national emergency preparedness arrangements in Poland and the Slovak Republic. The main elements are: procure and install the computer hardware for the RODOS; establish dedicated communication lines; install and adapt RODOS software; test and verify the operability of the whole system; develop and implement procedures for the pre-operational integration of RODOS into national emergency arrangements; develop and implement maintenance procedures; develop and implement a training programme. (author)

Implementation of pre-operational version of RODOS in Slovakia

International Nuclear Information System (INIS)

Duranova, T.

2001-01-01

With support from the European Commission's ECHO programme 'Implementation of the RODOS Decision Support System for Off-Site Emergency Preparation and response in the Emergency centres in Poland and the Slovak Republic', RODOS was implemented in the Slovak Republic. The main objective of the project which was implemented by the Consortium of ENCONET and STUK, with participation of VUJE and IAE, was to accelerate the implementation of the RODOS system within national emergency preparedness arrangements in Poland and the Slovak Republic. The main elements are: procure and install the computer hardware for the RODOS; establish dedicated communication lines; install and adapt RODOS software; test and verify the operability of the whole system; develop and implement procedures for the pre-operational integration of RODOS into national emergency arrangements; develop and implement maintenance procedures; develop and implement a training programme. (author)

Comparison of the effect of pre- and post-operative physical therapy versus post-operative physical therapy alone on pain and recovery of function after total knee arthroplasty

OpenAIRE

Alghadir, Ahmad; Iqbal, Zaheen Ahmed; Anwer, Shahnawaz

2016-01-01

[Purpose] The aim of the present study was to compare the effect of pre-operative and post-operative physical therapy versus post-operative physical therapy alone on pain and recovery of function after total knee arthroplasty. [Subjects and Methods] Fifty patients (18 males and 32 females) ranging in age from 48 to 80?years (mean 63.28, SD 9.44) participated in a 6-week two-arm randomized rater-blinded trial. One group received pre- and post-operative physical therapy whereas the other group ...

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

Science.gov (United States)

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

2014-10-01

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

Determination of Pre-Service Science Teachers' Level of Awareness of Environmental Ethics in Relation to Different Variables

Science.gov (United States)

Keles, Özgül; Özer, Nilgün

2016-01-01

The purpose of the current study is to determine the pre-service science teachers' awareness levels of environmental ethics in relation to different variables. The sampling of the present study is comprised of 1,023 third and fourth year pre-service science teachers selected from 12 different universities in the spring term of 2013-2014 academic…

Model of environmental life cycle assessment for coal mining operations.

Science.gov (United States)

Burchart-Korol, Dorota; Fugiel, Agata; Czaplicka-Kolarz, Krystyna; Turek, Marian

2016-08-15

This paper presents a novel approach to environmental assessment of coal mining operations, which enables assessment of the factors that are both directly and indirectly affecting the environment and are associated with the production of raw materials and energy used in processes. The primary novelty of the paper is the development of a computational environmental life cycle assessment (LCA) model for coal mining operations and the application of the model for coal mining operations in Poland. The LCA model enables the assessment of environmental indicators for all identified unit processes in hard coal mines with the life cycle approach. The proposed model enables the assessment of greenhouse gas emissions (GHGs) based on the IPCC method and the assessment of damage categories, such as human health, ecosystems and resources based on the ReCiPe method. The model enables the assessment of GHGs for hard coal mining operations in three time frames: 20, 100 and 500years. The model was used to evaluate the coal mines in Poland. It was demonstrated that the largest environmental impacts in damage categories were associated with the use of fossil fuels, methane emissions and the use of electricity, processing of wastes, heat, and steel supports. It was concluded that an environmental assessment of coal mining operations, apart from direct influence from processing waste, methane emissions and drainage water, should include the use of electricity, heat and steel, particularly for steel supports. Because the model allows the comparison of environmental impact assessment for various unit processes, it can be used for all hard coal mines, not only in Poland but also in the world. This development is an important step forward in the study of the impacts of fossil fuels on the environment with the potential to mitigate the impact of the coal industry on the environment. Copyright © 2016 Elsevier B.V. All rights reserved.

National Polar-orbiting Operational Environmental Satellite System (NPOESS) Design and Architecture

Science.gov (United States)

Hinnant, F.

2008-12-01

The National Oceanic and Atmospheric Administration (NOAA), Department of Defense (DoD), and National Aeronautics and Space Administration (NASA) are jointly acquiring the next-generation weather and environmental satellite system - the National Polar-orbiting Operational Environmental Satellite System (NPOESS). NPOESS will replace the current Polar-orbiting Operational Environmental Satellites (POES) managed by NOAA and the Defense Meteorological Satellite Program (DMSP) managed by the DoD and will provide continuity for the NASA Earth Observing System (EOS) with the launch of the NPOESS Preparatory Project (NPP). This poster will provide an overview of the NPOESS architecture, which includes four segments. The space segment includes satellites in two orbits that carry a suite of sensors to collect meteorological, oceanographic, climatological, and solar-geophysical observations of the Earth, atmosphere, and near-Earth space environment. The NPOESS design allows centralized mission management and delivers high quality environmental products to military, civil and scientific users through a Command, Control, and Communication Segment (C3S). The data processing for NPOESS is accomplished through an Interface Data Processing Segment (IDPS)/Field Terminal Segment (FTS) that processes NPOESS satellite data to provide environmental data products to NOAA and DoD processing centers operated by the United States government as well as to remote terminal users. The Launch Support Segment completes the four segments that make up NPOESS that will enhance the connectivity between research and operations and provide critical operational and scientific environmental measurements to military, civil, and scientific users until 2026.

Significance of Genetic, Environmental, and Pre- and Postharvest Factors Affecting Carotenoid Contents in Crops: A Review.

Science.gov (United States)

Saini, Ramesh Kumar; Keum, Young-Soo

2018-05-30

Carotenoids are a diverse group of tetraterpenoid pigments that play indispensable roles in plants and animals. The biosynthesis of carotenoids in plants is strictly regulated at the transcriptional and post-transcriptional levels in accordance with inherited genetic signals and developmental requirements and in response to external environmental stimulants. The alteration in the biosynthesis of carotenoids under the influence of external environmental stimulants, such as high light, drought, salinity, and chilling stresses, has been shown to significantly influence the nutritional value of crop plants. In addition to these stimulants, several pre- and postharvesting cultivation practices significantly influence carotenoid compositions and contents. Thus, this review discusses how various environmental stimulants and pre- and postharvesting factors can be positively modulated for the enhanced biosynthesis and accumulation of carotenoids in the edible parts of crop plants, such as the leaves, roots, tubers, flowers, fruit, and seeds. In addition, future research directions in this context are identified.

Pre-operative radiochemotherapy of locally advanced rectal cancer

Institute of Scientific and Technical Information of China (English)

Xiao-Nan Sun; Qi-Chu Yang; Jian-Bin Hu

2003-01-01

AIM: To evaluate results of pre-operative radiochemotherapy followed by surgery for 15 patients with locally advanced un-resectable rectal cancer.METHODS: 15 patients with advanced non-resectable rectal cancer were treated with pre-operative irriadiation of 40-46 Gy plus concomitant chemotherapy (5-FU+LV and 5′-DFuR) (RCS group). For comparison, 27 similar patients,treated by preoperative radiotherapy (40-50 Gy) plus surgery were served as control (RS group).RESULTS: No radiochemotherapy or radiotherapy was interrupted and then was delayed because of toxicities in both groups. The radical resectability rate was 73.3% in the RCS group and 37.0% (P=0.024) in RS group. Sphincter preservation rates were 26.6% and 3.7% respectively (P=0.028). Sphincter preservation rates of lower rectal cancer were 27.3 % and 0.0 % respectively (P=0.014). Response rates of RCS and RS groups were 46.7 % and 18.5 %(P=0.053). The tumor downstage rates were 8 (53.3%)and 9 (33.3%) in these groups (P=0.206). The 3-year overall survival rates were 66.7 % and 55.6% (P=0.485), and the disease free survival rates were 40.1% and 33.2%(P=0.663). The 3-year local recurrent rates were 26.7%and 48.1% (P=0.174). No obvious late effects were found in either groups.CONCLUSION: High resectability is possible following preoperative radiochemotherapy and can have more sphincters preserved. It is important to improve the quality of the patients′ life even without increasing the survival or local control rates. Preoperative radiotherapy with concomitant full course chemotherapy (5-Fu+LV and 5′-DFuR) is effective and safe.

Pre and post-operational radioecological studies around Kaiga Nuclear Power Station

International Nuclear Information System (INIS)

Karunakara, N.

2018-01-01

Four PHWR rectors of 220 MWe each are operating at Kaiga. The Centre for Advanced Research in Environmental Radioactivity (CARER), Mangalore University is engaged in frontline research studies on different aspects of environmental radioactivity and radioecology studies around Kaiga and West Coast of India for the last 30 years. Extensive studies were carried out on radiation levels, radionuclides distribution, and transfer of radionuclides through terrestrial, aquatic and atmospheric pathways in the environment of West Coast of India including the Kaiga nuclear power plant. The baseline studies on radioactivity levels around Kaiga region was carried out well before the nuclear power plant became operational and the data generated under these studies are considered to be highly valuable for impact assessments. The nuclear power plant became operational in the year 1999 and since then extensive studies were carried out on radiological impact assessments, through collaboration with Bhabha Atomic Research Centre (BARC) and Nuclear Power Corporation of India (NPCIL)

Operational environmental monitoring plan for the waste isolation pilot plant

International Nuclear Information System (INIS)

Mercer, D.D.; Baker, P.L.; Cockman, J.S.; Fischer, N.T.; Flynn, D.T.; Harvill, J.P.; Knudtsen, K.L.; Louderbough, E.T.

1989-01-01

This plan defines the scope and extent of the WIPP effluent and environmental monitoring programs during the facility's operational life. It also discusses the quality assurance/quality control programs which ensure that samples collected and the resulting analytical data are representative of actual conditions at the WIPP site. This plan provides a comprehensive description of environmental activities at WIPP, including: a summary of environmental program information, including an update of the status of environmental permits and compliance activities; a description of the WIPP project and its mission; a description of the local environment, including demographics; a summary of applicable standards and regulatory requirements and brief discussions of potential exposure pathways, routine and accidental releases, and their consequences; a summary of the preoperational environmental monitoring and assessment activities and responses to the requirements (Appendix A) and guidelines presented in the ''Radiological Effluent Monitoring and Environmental Surveillance for US DOE Operations.'' 166 refs., 28 figs., 27 tabs

Pre-operative simulation of periacetabular osteotomy via a three-dimensional model constructed from salt

Directory of Open Access Journals (Sweden)

Fukushima Kensuke

2017-01-01

Full Text Available Introduction: Periacetabular osteotomy (PAO is an effective joint-preserving procedure for young adults with developmental dysplasia of the hip. Although PAO provides excellent radiographic and clinical results, it is a technically demanding procedure with a distinct learning curve that requires careful 3D planning and, above all, has a number of potential complications. We therefore developed a pre-operative simulation method for PAO via creation of a new full-scale model. Methods: The model was prepared from the patient’s Digital Imaging and Communications in Medicine (DICOM formatted data from computed tomography (CT, for construction and assembly using 3D printing technology. A major feature of our model is that it is constructed from salt. In contrast to conventional models, our model provides a more accurate representation, at a lower manufacturing cost, and requires a shorter production time. Furthermore, our model realized simulated operation normally with using a chisel and drill without easy breakage or fissure. We were able to easily simulate the line of osteotomy and confirm acetabular version and coverage after moving to the osteotomized fragment. Additionally, this model allowed a dynamic assessment that avoided anterior impingement following the osteotomy. Results: Our models clearly reflected the anatomical shape of the patient’s hip. Our models allowed for surgical simulation, making realistic use of the chisel and drill. Our method of pre-operative simulation for PAO allowed for the assessment of accurate osteotomy line, determination of the position of the osteotomized fragment, and prevented anterior impingement after the operation. Conclusion: Our method of pre-operative simulation might improve the safety, accuracy, and results of PAO.

Pre and post operative facial angles in patients submitted to rhinoplasty

Directory of Open Access Journals (Sweden)

Soccol, Andréa T

2008-09-01

Full Text Available Introduction: Parameters used in facial aesthetic surgeries are currently based on POWELL and HUMPHREYS (1. These authors have formulated suitable relations between the face and the nose, and defined the face angles. Objective: To compare pre and pos-operative nasolabial, nasofrontal, nasomental and nasofacial angles in patients submitted to rhinoseptoplasty. Method: Prospective analysis of 37 patients submitted to rhinoplasty, with an average of 30±11 years of age, being 13 (36% men and 24 (64% women. The nasolabial, nasofrontal, nasomental and nasofacial angles were measured and compared, before and after the surgery, in profile pictures. Results: An average increase of 8.6o in the nasolabial angle was observed, of 8.5o in the nasofrontal and reduction of 2.3o in the nasofacial angle, and all the measures presented a statistically significant difference between the pre and pos-operative period. The nasomental angle increased, on average, 1.6o, a difference without statistical importance. Conclusions: The nasolabial and nasofrontal angles increase significantly after rhinoseptoplasty, while the nasofacial angle diminishes. There was no significant alteration in the nasomental angle with the accomplishment of the surgery.

Spatial and volumetric changes of retroperitoneal sarcomas during pre-operative radiotherapy

International Nuclear Information System (INIS)

Wong, Philip; Dickie, Colleen; Lee, David; Chung, Peter; O’Sullivan, Brian; Letourneau, Daniel; Xu, Wei; Swallow, Carol; Gladdy, Rebecca; Catton, Charles

2014-01-01

Purpose: To determine the positional and volumetric changes of retroperitoneal sarcomas (RPS) during pre-operative external beam radiotherapy (PreRT). Material and methods: After excluding 2 patients who received chemotherapy prior to PreRT and 15 RPS that were larger than the field-of-view of cone-beam CT (CBCT), the positional and volumetric changes of RPS throughout PreRT were characterized in 19 patients treated with IMRT using CBCT image guidance. Analysis was performed on 118 CBCT images representing one image per week of those acquired daily during treatment. Intra-fraction breathing motions of the gross tumor volume (GTV) and kidneys were measured in 22 RPS patients simulated using 4D-CT. Fifteen other patients were excluded whose tumors were incompletely imaged on CBCT or who received pre-RT chemotherapy. Results: A GTV volumetric increase (mean: 6.6%, p = 0.035) during the first 2 weeks (CBCT1 vs. CBCT2) of treatment was followed by GTV volumetric decrease (mean: 4%, p = 0.009) by completion of radiotherapy (CBCT1 vs. CBCT6). Internal margins of 8.6, 15 and 15 mm in the lateral, anterior/posterior and superior/inferior directions would be required to account for inter-fraction displacements. The extent of GTV respiratory motion was significantly (p < 0.0001) correlated with more superiorly positioned tumors. Conclusion: Inter-fraction CBCT provides important volumetric and positional information of RPS which may improve PreRT quality and prompt re-planning. Planning target volume may be reduced using online soft-tissue matching to account for interfractional displacements of GTVs. Important breathing motion occurred in superiorly placed RPS supporting the utility of 4D-CT planning

Environmental Control Plan for the 300-FF-1 Operable Unit Remedial Action

International Nuclear Information System (INIS)

Carlson, R.A.

2000-01-01

This environmental control plan is for the 300-FF-1 Operable Unit Remedial Action Project. The purpose of this plan is to identify environmental requirements for the 300-FF-1 operable unit Remedial Action/Waste Disposal Project

Final Environmental Impact Statement and Environmental Impact Report for continued operation of Lawrence Livermore National Laboratory and Sandia National Laboratories, Livermore

International Nuclear Information System (INIS)

1992-08-01

This Environmental Impact Statement/Environmental Impact Report (EIS/EIR) is prepared pursuant to the National Environmental Policy Act (NEPA) and the California Environmental Quality Act (CEQA). This document analyzes the potential environmental impacts of the proposed action: continued operation, including near-term (within 5 to 10 years) proposed projects, of Lawrence Livermore National Laboratory (LLNL) and Sandia National Laboratories, Livermore (SNL, Livermore). Additionally, this document analyzes a no action alternative involving continuing operations at FY 1992 funding levels without further growth, a modification of operations alternative to reduce adverse environmental impacts of operations or facilities, and a shutdown and decommissioning alternative of UC discontinuing its management of LLNL after the current contract expires on September 30, 1992. This document assesses the environmental impacts of the Laboratories' operations on air and water quality, geological and ecological systems, occupational and public health risks, prehistoric and historic resources, endangered species, floodplains and wetlands, socioeconomic resources, hazardous waste management, site contamination, and other environmental issues. The EIS/EIR is divided into five volumes and two companion reports. This volume contains copies of the written comments and transcripts of individual statements at the public hearing and the responses to them

Structural Health Monitoring under Nonlinear Environmental or Operational Influences

Directory of Open Access Journals (Sweden)

Jyrki Kullaa

2014-01-01

Full Text Available Vibration-based structural health monitoring is based on detecting changes in the dynamic characteristics of the structure. It is well known that environmental or operational variations can also have an influence on the vibration properties. If these effects are not taken into account, they can result in false indications of damage. If the environmental or operational variations cause nonlinear effects, they can be compensated using a Gaussian mixture model (GMM without the measurement of the underlying variables. The number of Gaussian components can also be estimated. For the local linear components, minimum mean square error (MMSE estimation is applied to eliminate the environmental or operational influences. Damage is detected from the residuals after applying principal component analysis (PCA. Control charts are used for novelty detection. The proposed approach is validated using simulated data and the identified lowest natural frequencies of the Z24 Bridge under temperature variation. Nonlinear models are most effective if the data dimensionality is low. On the other hand, linear models often outperform nonlinear models for high-dimensional data.

CT pre-operative planning of a new semi-implantable bone conduction hearing device

Energy Technology Data Exchange (ETDEWEB)

Law, Eric K.C.; Bhatia, Kunwar S.S. [Prince of Wales Hospital, The Chinese University of Hong Kong, Department of Imaging and Interventional Radiology, Hong Kong, SAR (China); Tsang, Willis S.S.; Tong, Michael C.F. [Prince of Wales Hospital, The Chinese University of Hong Kong, Department of Otorhinolaryngology, Head and Neck Surgery, Hong Kong, SAR (China); Shi, Lin [The Chinese University of Hong Kong, Department of Medicine and Therapeutics, Hong Kong, SAR (China); The Chinese University of Hong Kong, Chow Yuk Ho Technology Center for Innovative Medicine, Hong Kong, SAR (China)

2016-06-15

Accommodating a novel semi-implantable bone conduction hearing device within the temporal bone presents challenges for surgical planning. This study describes the utility of CT in pre-operative assessment of such an implant. Retrospective review of pre-operative CT, clinical and surgical records of 16 adults considered for device implantation. Radiological suitability was assessed on CT using 3D simulation software. Antero-posterior (AP) dimensions of the mastoid bone and minimum skull thickness were measured. CT planning results were correlated with operative records. Eight and five candidates were suitable for device placement in the transmastoid and retrosigmoid positions, respectively, and three were radiologically unsuitable. The mean AP diameter of the mastoid cavity was 14.6 mm for the transmastoid group and 4.6 mm for the retrosigmoid group (p < 0.05). Contracted mastoid and/or prior surgery were predisposing factors for unsuitability. Four transmastoid and five retrosigmoid positions required sigmoid sinus/dural depression and/or use of lifts due to insufficient bone capacity. A high proportion of patients being considered have contracted or operated mastoids, which reduces the feasibility of the transmastoid approach. This finding combined with the complex temporal bone geometry illustrates the importance of careful CT evaluation using 3D software for precise device simulation. (orig.)

Operational Flexibility Responses to Environmental Uncertainties

OpenAIRE

Miller, Kent D.

1994-01-01

This study develops and tests a behavioral model of organizational changes in operational flexibility. Regression results using an international data set provide strong support for the general proposition that uncertainties associated with different environmental components--poitical, government policy, macroeconomic, competitive, input and product demand uncertainties--have different implications for firm internal, locational, and supploer flexibility. Slack acts as a buffer attenuating, a...

NOAA Geostationary Operational Environmental Satellite (GOES) Imager Data

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Geostationary Operational Environmental Satellite (GOES) series provides continuous measurements of the atmosphere and surface over the Western Hemisphere....

The ability of conservation and seriation in the transition from the pre-operational stage to the stage of concrete logical operations

OpenAIRE

Zadnikar Rupnik, Daša

2016-01-01

In the theoretical part of the thesis I closely addressed the Piaget's theory from the field of children's thinking. I described four stages of cognitive development as defined by Piaget. I focused on cognitive operations which are characteristic of the transition from the pre-operational stage to the stage of concrete logical operations, namely conservation and seriation. I summarized certain reviews of the Piaget's theory and described the use of the Piaget's theory in education. A part of ...

Final Environmental Impact Statement and Environmental Impact Report for continued operation of Lawrence Livermore National Laboratory and Sandia National Laboratories, Livermore

International Nuclear Information System (INIS)

1992-08-01

The US Department of Energy (DOE) and the Regents of the University of California (UC) propose the continued operation, including near-term proposed projects, of the Lawrence Livermore National Laboratory (LLNL). In addition, DOE proposes the continued operation, including near-term proposed projects, of Sandia National Laboratories, Livermore (SNL, Livermore). Continued operation plus proposed projects at the two Laboratories is needed so that the research and development missions established by Congress and the President can continue to be supported. As provided and encouraged by the National Environmental Policy Act (NEPA) and the California Environmental Quality Act (CEQA), DOE and UC have prepared this document as a joint Environmental Impact Statement (EIS) and Environmental Impact Report (EIR) to analyze the impacts of the proposed action. In addition, this document discusses a no action alternative for continuing operations at FY 1992 funding levels without further growth, a modification of operations alternative focused on specific adverse environmental impacts of operations or facilities, and a shutdown and decommissioning alternative. This document also examines the alternative of UC discontinuing its management of LLNL after the current contract expires on September 30, 1992. The environmental documentation process provides information to the public, government agencies, and decision makers about the environmental impacts of implementing the proposed and alternative actions. In addition, this environmental documentation identifies alternatives and possible ways to reduce or prevent environmental impacts. A list of the issues raised through the EIS/EIR scoping process is presented

Pre-operative ultrasound identification of thyroiditis helps predict the need for thyroid hormone replacement after thyroid lobectomy.

Science.gov (United States)

Morris, Lilah F; Iupe, Isabella M; Edeiken-Monroe, Beth S; Warneke, Carla L; Hansen, Mandy O; Evans, Douglas B; Lee, Jeffrey E; Grubbs, Elizabeth G; Perrier, Nancy D

2013-01-01

To evaluate whether pre-operative thyroiditis identified by ultrasound (US) could help predict the need for thyroid hormone replacement (THR) following thyroid lobectomy. Data from patients who underwent thyroid lobectomy in 2006-2011, were not taking THR pre-operatively, and had ≥1 month of follow-up were reviewed retrospectively. THR was prescribed for relatively elevated thyroid-stimulating hormone (TSH) and hypothyroid symptoms. The Kaplan-Meier method was used to estimate the percentage of patients who required THR at 6, 12, 18, and 24 months postoperatively, and Cox proportional hazards regression models were used to evaluate prognostic factors for requiring post-thyroid lobectomy THR. During follow-up, 45 of 98 patients required THR. Median follow-up among patients not requiring THR was 11.6 months (range, 1.2 to 51.3 months). Six months after thyroid lobectomy, 22% of patients were taking THR (95% confidence interval [CI], 15-32%); the proportion increased to 46% at 12 months (95% CI, 36-57%) and 55% at 18 months (95% CI, 43-67%). On univariate analysis, significant prognostic factors for postoperative THR included a pre-operative TSH level >2.5 μ international units [IU]/mL (hazard ratio [HR], 2.8; 95% CI, 1.4-5.5; P = .004) and pathology-identified thyroiditis (HR, 2.4; 95% CI, 1.3-4.3; P = .005). Patients with both pre-operative TSH >2.5 μIU/mL and US-identified thyroiditis had a 5.8-fold increased risk of requiring postoperative THR (95% CI, 2.4-13.9; P2.5 μIU/mL significantly increases the risk of requiring THR after thyroid lobectomy. Thyroiditis can add to that prediction and guide pre-operative patient counseling and surgical decision making. US-identified thyroiditis should be reported and post-thyroid lobectomy patients followed long-term (≥18 months).

Effect of pre operative heart rate on post spinal hypotension in obsteric patients

International Nuclear Information System (INIS)

Khan, S.; Zahoor, M.U.; Zaid, A.Y.; Buland, K.

2010-01-01

The purpose of the study was to determine the association between of preoperative heart rate and post spinal hypotension in women undergoing cesarean section, Two hundred patients undergoing caesarean were included in the study selected on non probability convenience sampling technique, The patients were divided into two groups depending upon their pre operative heart rate. Spinal anesthesia was administered and number of patients developing hypotension was noted. Among 200 patients, who were included in the study; 112 were placed in group A and 88 were placed in group B depending on mean heart rate of 90 beats per minute or less or 91 beats per minute or more respectively. In group A 14 (11.86%) patients developed hypotension where as in group B 28 (31,82%) patients developed hypotension. Pre operative heart rate is significantly associated with post spinal hypotension in obstetric patients undergoing cesarean section. (author)

A New Tool for Environmental and Economic Optimization of Hydropower Operations

Science.gov (United States)

Saha, S.; Hayse, J. W.

2012-12-01

As part of a project funded by the U.S. Department of Energy, researchers from Argonne, Oak Ridge, Pacific Northwest, and Sandia National Laboratories collaborated on the development of an integrated toolset to enhance hydropower operational decisions related to economic value and environmental performance. As part of this effort, we developed an analytical approach (Index of River Functionality, IRF) and an associated software tool to evaluate how well discharge regimes achieve ecosystem management goals for hydropower facilities. This approach defines site-specific environmental objectives using relationships between environmental metrics and hydropower-influenced flow characteristics (e.g., discharge or temperature), with consideration given to seasonal timing, duration, and return frequency requirements for the environmental objectives. The IRF approach evaluates the degree to which an operational regime meets each objective and produces a score representing how well that regime meets the overall set of defined objectives. When integrated with other components in the toolset that are used to plan hydropower operations based upon hydrologic forecasts and various constraints on operations, the IRF approach allows an optimal release pattern to be developed based upon tradeoffs between environmental performance and economic value. We tested the toolset prototype to generate a virtual planning operation for a hydropower facility located in the Upper Colorado River basin as a demonstration exercise. We conducted planning as if looking five months into the future using data for the recently concluded 2012 water year. The environmental objectives for this demonstration were related to spawning and nursery habitat for endangered fishes using metrics associated with maintenance of instream habitat and reconnection of the main channel with floodplain wetlands in a representative reach of the river. We also applied existing mandatory operational constraints for the

Final Environmental Impact Statement and Environmental Impact Report for continued operation of Lawrence Livermore National Laboratory and Sandia National Laboratories, Livermore

International Nuclear Information System (INIS)

1992-08-01

This Environmental Impact Statement/Environmental Impact Report (EIS/EIR) is prepared pursuant to the National Environmental Policy Act (NEPA) and the California Environmental Quality Act (CEQA). This document analyzes the potential environmental impacts of the proposed action: continued operation, including near-term (within 5 to 10 years) proposed projects, of Lawrence Livermore National Laboratory (LLNL) and Sandia National Laboratories, Livermore (SNL, Livermore). Additionally, this document analyzes a no action alternative involving continuing operations at FY 1992 funding levels without further growth, a modification of operations alternative to reduce adverse environmental impacts of operations or facilities, and a shutdown and decommissioning alternative of UC discontinuing its management of LLNL after the current contract expires on September 30, 1992. This document assesses the environmental impacts of the Laboratories' operations on air and water quality, geological and ecological systems, occupational and public health risks, prehistoric and historic resources, endangered species, floodplains and wetlands, socioeconomic resources, hazardous waste management, site contamination, and other environmental issues. The EIS/EIR is divided into five volumes and two companion reports. This volume contains the Final EIS/EIR, which in part relies on the detailed information in the appendices, and comprehensively discusses the proposed action, the alternatives, and the existing conditions and impacts of the proposed action and the alternatives

Role of routine pre-operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgery

Directory of Open Access Journals (Sweden)

P Praveen Raj

2017-01-01

Full Text Available Background/Aims: It is well established that obesity is a strongly associated risk factor for post-operative deep vein thrombosis (DVT. Physical effects and pro-thrombotic, pro-inflammatory and hypofibrinolytic effects of severe obesity may predispose to idiopathic DVT (pre-operatively because of which bariatric patients are routinely screened before surgery. The aim of this study was to audit the use of routine screening venous duplex ultrasound in morbidly obese patients before undergoing bariatric surgery. Methods: We retrospectively reviewed 180 patients who underwent bariatric surgery from August 2013 to August 2014 who had undergone pre-operative screening bilateral lower-extremity venous duplex ultrasound for DVT. Data were collected on patient's demographics, history of venous thromboembolism, prior surgeries and duplex ultrasound details of the status of the deep veins and superficial veins of the lower limbs. Results: No patients had symptoms or signs of DVT pre-operatively. No patient gave history of DVT. No patient was found to have iliac, femoral or popliteal vein thrombosis. Superficial venous disease was found in 17 (8%. One patient had a right lower limb venous ulcer. Conclusion: Thromboembolic problems in the morbidly obese before bariatric surgery are infrequent, and screening venous duplex ultrasound can be done in high-risk patients only.

The sensitivity of pre-operative axillary staging in breast cancer: comparison of invasive lobular and ductal carcinoma.

Science.gov (United States)

Topps, A; Clay, V; Absar, M; Howe, M; Lim, Y; Johnson, R; Bundred, N

2014-07-01

Axillary ultrasound (AUS) with fine-needle aspiration (FNA) biopsy of abnormal lymph nodes is important for pre-operative staging and planning the surgical management of the axilla. Invasive lobular carcinoma (ILC) metastases are thought to be difficult to detect because the cells are small and on cytology resemble lymphocytes. To investigate this we directly compared the sensitivity of pre-operative axillary staging between ILC and invasive ductal carcinoma (IDC). Consecutive patients that presented in a single breast unit with pure IDC between April 2005 and December 2006 and pure ILC between January 2008 and December 2012 were retrospectively identified from pathology records. Pre-operative axillary ultrasound and FNA biopsy results were compared with post-operative histopathology from the sentinel node biopsy (SNB) or axillary lymph node dissection (ALND). A total of 275 and 142 axillae were identified in the IDC and ILC groups respectively. In the node positive patients there was no significant difference in the sensitivity of AUS (IDC vs. ILC; 58.7% vs. 52.8%). However, there was a significant difference in the sensitivity of ultrasound-guided FNA biopsy of abnormal nodes (IDC vs. ILC; 98.4% vs. 53.6%; p < 0.001). AUS has comparative sensitivities between IDC and ILC populations. In contrast, FNA biopsy of abnormal axillary nodes is clearly less sensitive in the ILC group. In these patients, who have abnormal AUS, we suggest that a core biopsy is required to improve the pre-operative staging and prevent unnecessary surgical procedures. Copyright © 2014 Elsevier Ltd. All rights reserved.

Role of Pre-Operative Blood Transfusion and Subcutaneous Fat Thickness as Risk Factors for Surgical Site Infection after Posterior Thoracic Spine Stabilization.

Science.gov (United States)

Osterhoff, Georg; Burla, Laurin; Werner, Clément M L; Jentzsch, Thorsten; Wanner, Guido A; Simmen, Hans-Peter; Sprengel, Kai

2015-06-01

Surgical site infections (SSIs) increase morbidity and mortality rates and generate additional cost for the healthcare system. Pre-operative blood transfusion and the subcutaneous fat thickness (SFT) have been described as risk factors for SSI in other surgical areas. The purpose of this study was to assess the impact of pre-operative blood transfusion and the SFT on the occurrence of SSI in posterior thoracic spine surgery. In total, 244 patients (median age 55 y; 97 female) who underwent posterior thoracic spine fusions from 2008 to 2012 were reviewed retrospectively. Patient-specific characteristics, pre-operative hemoglobin concentration/hematocrit values, the amount of blood transfused, and the occurrence of a post-operative SSI were documented. The SFT was measured on pre-operative computed tomography scans. Surgical site infection was observed in 26 patients (11%). The SFT was 13 mm in patients without SSI and 14 mm in those with infection (p=0.195). The odds ratio for patients with pre-operative blood transfusion to present with SSI was 3.1 (confidence interval [CI] 1.4-7.2) and 2.7 (CI 1.1-6.4) when adjusted for age. There was no difference between the groups with regard to pre-operative hemoglobin concentration (p=0.519) or hematocrit (p=0.908). The SFT did not differ in the two groups. Allogeneic red blood cell transfusion within 48 h prior to surgery was an independent risk factor for SSI after posterior fusion for the fixation of thoracic spine instabilities. Pre-operative blood transfusion tripled the risk, whereas SFT had no influence on the occurrence of SSI.

77 FR 24979 - Plan of Operations, Environmental Assessment, Big Thicket National Preserve, Texas

Science.gov (United States)

2012-04-26

... DEPARTMENT OF THE INTERIOR National Park Service [7148-NZY] Plan of Operations, Environmental.... ACTION: Notice of Availability of a Plan of Operations and Environmental Assessment for a 30-day public... Energy Company (Cimarex), a Plan of Operations to conduct the Rivers Edge 3-D Seismic Survey within the...

Globalization of environmental regulations for offshore E & P operations

Energy Technology Data Exchange (ETDEWEB)

Shannon, B.E.

1995-12-31

One of the enduring legacies of the Rio Environmental Summit of 1992 (United Nations Conference on Environment and Development, UNCED) is Agenda 21 (Chapter 17 - Protection of the Oceans), which among other things called for the assessment of the need for a global authority to regulate offshore Exploration & Production (E&P) discharges, emissions and safety. Despite advice to the contrary from the International Maritime Organization (IMO), interest is building within the European community for the standardization of regulations for offshore E&P activities. Several international of regulations for offshore E&P activities. Several international frameworks or forums have been mentioned as possible candidates. These include the United Nations Convention on the Law of the Sea, 1982 (UNCLOS); London Convention 1972 (LC 1972) and the International Convention for the Prevention of Pollution from Ships, 1973, as modified by the Protocol of 1978 (MARPOL) 73/78. International offshore oil and gas operators operate within requirements of regional conventions under the United Nations Environmental Program`s (UNEP) - Regional Seas Program. Domestic offshore operations are undertaken under the auspices of the U.S. Environmental Protection Agency and Minerals Management Service.

Environmental impact assessment of coal power plants in operation

OpenAIRE

Bartan Ayfer; Kucukali Serhat; Ar Irfan

2017-01-01

Coal power plants constitute an important component of the energy mix in many countries. However, coal power plants can cause several environmental risks such as: climate change and biodiversity loss. In this study, a tool has been proposed to calculate the environmental impact of a coal-fired thermal power plant in operation by using multi-criteria scoring and fuzzy logic method. We take into account the following environmental parameters in our tool: CO, SO2, NOx, particulate matter, fly as...

Pre- and post-operative evaluations of eight dogs following right nephrectomy due to Dioctophyma renale.

Science.gov (United States)

Mesquita, L R; Rahal, S C; Faria, L G; Takahira, R K; Rocha, N S; Mamprim, M J; Oliveira, H S

2014-01-01

Dioctophyma renale is a large nematode distributed worldwide that may cause progressive and severe destruction of renal parenchyma. The present study aimed to evaluate pre- and post-operatively dogs submitted to right nephrectomy due to D. renale and to assess the histopathological damage of the removed kidney. Eight crossbred dogs, aged from 12 to 48 months that were unilaterally nephrectomized due to the presence of D. renale were evaluated. Physical examination, urinalysis, complete blood count, serum biochemistry, and abdominal ultrasound were performed immediately before and one month after nephrectomy. The nephrectomized right kidneys were submitted to macroscopic and microscopic evaluations. Urinalysis preoperatively detected occult blood in all dogs and D. renale eggs in five cases. Complete blood count showed all parameters within the reference range, except one dog post-operatively. Serum biochemistry performed before and after surgery verified that urea, creatinine and sodium were within the reference range values in all dogs. Other findings varied among the dogs. The length and arterial resistive index mean values of the left kidney were similar pre- and post-operatively. Thus, the inconsiderable change in laboratory findings pre- and post-operatively was attributable to compensation by left kidney function for the removed abnormal right kidney. Right kidney histology revealed chronic nephropathy due to D. renale. Imaging diagnosis should be performed on dogs suspected as carrying the disease or on those from an enzootic area since the laboratory findings are not specific except eggs in the urine.

Exploration and production operations in an environmentally sensitive area

International Nuclear Information System (INIS)

Barker, G.W.; Steele, E.J.; Robalino, J.; Baldwin, S.J.

1994-01-01

The Ecuadorian portion of the Amazon Basin, known locally as the Oriente, is the major oil producing region in Ecuador. The tropical rain forests of the Oriente contain some of the Earth's most biologically diverse and ecologically sensitive areas. In addition, the rain forest is home to several groups of indigenous peoples.When formulating an exploration plan and prior to beginning E and P activities in the Oriente, operators must understand the environmental and sociocultural issues in the region. These concerns are considered throughout the planning process, from project conception to project closure. An environmental management plan is adopted which addresses environmental and sociocultural concerns, minimizes environmental impact, prevents delays, and limits environmental liability

A study of survival rate of the patients with esophageal carcinoma treated by pre- and/or post-operative irradiation

International Nuclear Information System (INIS)

Eida, Koichiro

1986-01-01

So far there is still considerable disagreement as to the evaluation of the pre- and postoperative irradiation effects on the survival rate of the patients with esophageal carcinoma. From April 1973 to December 1983, 138 cases of thoracic esophageal carcinoma were surgically operated upon at our Department; 68 cases were irradiated and 70 cases were not irradiated prior to the surgical operation. Followup study was done and its result has been reported in this communication. A few cases treated by pre-operative irradiation survived longer than the expected longevity in spite of their low curative operation rates. Prognosis was better in the cases with well differentiated squamous cell carcinoma, when marked or good responses to pre-operative irradiation with the calculated total dose of 30 Gy were recorded. There were differences in responsibility in the various histological types of esophageal carcinomas; good response in the group of well differentiated squamous carcinoma, less marked response in the groups of moderately and poorly differentiated squamous carcinomas, minor response in the types of undifferentiated and unclassifed carcinomas. From our observation it seems reasonable to say that prognosis of the patients with pre- and postoperative irradiation was better than that of those who received postoperative irradiation only. (author)

Feasibility of pre-operative autologous blood donation in Indian patients with elective orthopaedic surgery.

Science.gov (United States)

Saluja, Karan; Marwaha, Neelam; Thakral, Beenu; Goni, Vijay; Sharma, R R; Puri, G D

2006-11-01

Pre-operative autologous blood donation (PABD) in elective orthopaedic surgeries is a well known procedure in the West. We initiated this programme at a tertiary care hospital in north India to study its feasibility in Indian patients. In a prospective case-control study, 144 patients undergoing primary total hip or knee replacement, inter-vertebral discectomy, mal-union and non-union reconstruction were educated and motivated to pre-donate. Patients fulfilling the inclusion criteria and making autologous donation formed the PABD group (n=22). Patients eligible for PABD, but unwilling to participate; age, sex, pre-operative haemoglobin and operative procedure matched acted as controls (n=27). Unit(s) collected was processed like an allogeneic unit. Unit(s) found reactive for infectious markers or not utilized was discarded. Mean blood losses, transfusion trigger, allogeneic exposure and wastage between the two groups were compared. Of the 144 patients motivated, 40 per cent of the eligible subjects pre-deposited. The main motivational factor was fear of getting infection from someone's blood. Cardiac events and anaemia prevented 61.8 per cent patients to participate. Of the 50 units ordered, autologous units with a mean of 1.4 units/patient contributed 62 per cent. For total hip and total knee replacement (THR and TKR), autologous units met 76.2 and 80 per cent respectively of the total blood requirement. A significant decrease in the allogeneic exposure was observed between PABD and control group (18.2 vs 66.7%); 32.3 per cent of the autologous units were discarded. Comprehensive PABD programme may be an effective method for reducing the need for allogeneic transfusion in patients undergoing joint replacement surgeries in our country, where transfusion transmitted infections due to high percentage of replacement donations and lack of sensitive assays for testing are still a cause for concern.

The Role of Pre-Operative and Post-Operative Glucose Control in Surgical-Site Infections and Mortality

OpenAIRE

Jeon, Christie Y.; Furuya, E. Yoko; Berman, Mitchell F.; Larson, Elaine L.

2012-01-01

Background and Objective The impact of glucose control on surgical-site infection (SSI) and death remains unclear. We examined how pre- and post-operative glucose levels and their variability are associated with the risk of SSI or in-hospital death. Methods This retrospective cohort study employed data on 13,800 hospitalized patients who underwent a surgical procedure at a large referral hospital in New York between 2006 and 2008. Over 20 different sources of electronic data were used to anal...

Pre-operative irradiation of eosinophilic granuloma in the parotid area

International Nuclear Information System (INIS)

Kitahara, Satoshi; Toda, Yukio; Nakajima, Hisami; Takeyama, Isamu; Sodemoto, Yukio; Endo, Masaru

1983-01-01

Eosinophilic granuloma is thought to originate in the reticuloendothelial system and cannot clearly be distinguished from the surrounding tissue during operation. An eosinophilic granuloma in the parotid area was removed after 25 days of irradiation at a dosage of 10.0 Gy per 3 days. A thin capsule of connective tissue was observed after the tumor was cut in half. Then, histopathological studies were performed on this connective tissue to determine the effect of the irradiation. Histopathologically, at the periphery of the tissue, atrophy of lymphocytes and destruction of the lymphoid tissue, which were thought to result in an increase in the connective tissue, were observed. It was concluded that a small dose of pre-operative radiation on eosinophilic granuloma in the parotid area made the tumor small and produced a capsule around the tumor. (author)

Dam pre-release as an important operation strategy in reducing flood impact in Malaysia

Science.gov (United States)

Hidayah Ishak, Nurul; Mustafa Hashim, Ahmad

2018-03-01

The 2014 flood was reported to be one of the worst natural disaster has ever affected several states in the northern part of Peninsular Malaysia. Overwhelming rainfall was noted as one of the main factors causing such impact, which was claimed to be unprecedented to some extent. The state of Perak, which is blessed with four cascading dams had also experienced flood damage at a scale that was considered the worst in history. The rainfall received had caused the dam to reach danger level that necessitated additional discharge to be released. Safety of the dams was of great importance and such unavoidable additional discharge was allowed to avoid catastrophic failure of the dam structures. This paper discusses the dam pre-release as a significant dam management strategy in reducing flood impact. An important balance between required dam storage to be maintained and the risk element that can be afforded is the crucial factor in such enhanced operation strategy. While further possibility in developing a carefully engineered dam pre-release strategy can be explored for dam operation in Malaysia, this has already been introduced in some developed countries. Australia and South Africa are examples where pre-release has been practiced and proven to reduce flood risk. The concept involves controlling the dam lake level throughout the year, in reference to the rainfall data and the hydrological properties for the catchment area of the dams. Plentiful data analysis need to be done in contemplation of producing the optimal pre-release model. The amount of heavy rainfalls received is beyond human control but the distribution of the discharge from the dams can be further managed with the appropriate pre-release strategy.

Proposed radiological criteria for pre-operative determination of resectability in peritoneal-based malignancies

International Nuclear Information System (INIS)

Tan, Grace Hwei Ching; Chanyaputhipong, Jendana; Teo, Melissa Ching Ching; Kwek, Jin Wei; Hosseini, Reza; Tham, Chee Kian; Soo, Khee Chee

2016-01-01

The selection of patients for cytoreductive surgery (CRS) and hyperthermic intra-peritoneal chemotherapy infusion (HIPEC) is important, and relies heavily on imaging. However, it has been reported that Computer Tomographic (CT) scans may only achieve a low sensitivity of 33% for peritoneal disease. We propose a set of radiological criteria for pre-operative determination of resectability of peritoneal disease in peritoneal-based malignancies and validate this in our cohort of patients. A retrospective review of all patients who underwent laparotomy with a view for CRS and HIPEC, at the National Cancer Centre Singapore from January 2000 to April 2010, was performed. Intra-operative Peritoneal Cancer Index (PCI) scores were recorded. The pre-operative imaging was reviewed with a senior radiologist who was blinded, and recorded the radiological PCI scores (CT-PCI) and eight additional CT prognostic factors (CT-PF). The CT-PCI and CT-PF scores were then compared with the intra-operative findings to determine the radiological accuracy. The scores and the individual prognostic factors were then evaluated for their predictive ability for unresectability. Comparison of the CT-PCI and PCI scores showed a concordance correlation coefficient at 0.52 (95% CI 0.34–0.7). Accuracy was increased with the addition CT-PF. The presence of omental caking and ascites were predictors of unresectability. We propose a scoring system which is able to predict for unresectable disease with a specificity of 80% and a sensitivity of 62%. With our proposed criteria, and scoring system, the selection of patients for CRS and HIPEC can be improved, and unnecessary exploratory operations avoided.

Strategic Stakeholder Communication and Co-operation in Environmental Management

DEFF Research Database (Denmark)

Madsen, Henning; Ulhøi, John Parm

2002-01-01

in this process is strategic stakeholder relationships like communication and co-operation. The paper addresses this topic based on a proposed approach for identifying and evaluating the influence from various groups of stakeholders as well as the findings from recent surveys of environmental management......Ever since the introduction of the first major Danish environmental protection law in 1974, environmental regulation has been instrumental in pushing industry towards adopting environmentally less harmful behaviour. However, since the early 1990s, pressure from a growing number of other...... stakeholders, such as for example customers, NGO's, neighbours, etc., has increasingly driven industry towards incorporating environmental considerations in their decisions and activities to an extent which justifies placing Danish companies at the cutting edge of industrial greening. An essential element...

Pre- and post-industrial environmental changes as revealed by the biogeochemical sedimentary record of Drammensfjord, Norway

NARCIS (Netherlands)

Smittenberg, R.H.; Baas, M.; Green, M.J.; Hopmans, E.C.; Schouten, S.; Sinninghe Damsté, J.S.

2005-01-01

The biogeochemical sedimentary record of the anoxic Drammensfjord, Norway, was investigated on a decadal to centennial time scale over the last millennium, in order to reconstruct the pre-industrial fjord environment and ecosystem and humaninduced environmental changes. The sediments were dated by

Pre- and post-industrial environmental changes as revealed by the biogeochemical sedimentary record of Drammensfjord, Norway

NARCIS (Netherlands)

Sinninghe Damsté, J.S.; Smittenberg, R.H.; Baas, M.; Green, M.J.; Hopmans, E.C.; Schouten, S.

2005-01-01

The biogeochemical sedimentary record of the anoxic Drammensfjord, Norway, was investigated on a decadal to centennial time scale over the last millennium, in order to reconstruct the pre-industrial fjord environment and ecosystem and human-induced environmental changes. The sediments were dated by

Reactor operation environmental information document

Energy Technology Data Exchange (ETDEWEB)

Haselow, J.S.; Price, V.; Stephenson, D.E.; Bledsoe, H.W.; Looney, B.B.

1989-12-01

The Savannah River Site (SRS) produces nuclear materials, primarily plutonium and tritium, to meet the requirements of the Department of Defense. These products have been formed in nuclear reactors that were built during 1950--1955 at the SRS. K, L, and P reactors are three of five reactors that have been used in the past to produce the nuclear materials. All three of these reactors discontinued operation in 1988. Currently, intense efforts are being extended to prepare these three reactors for restart in a manner that protects human health and the environment. To document that restarting the reactors will have minimal impacts to human health and the environment, a three-volume Reactor Operations Environmental Impact Document has been prepared. The document focuses on the impacts of restarting the K, L, and P reactors on both the SRS and surrounding areas. This volume discusses the geology, seismology, and subsurface hydrology. 195 refs., 101 figs., 16 tabs.

The environmental toxicant 2,3,7,8-tetrachlorodibenzo-p-dioxin disrupts morphogenesis of the rat pre-implantation embryo

Directory of Open Access Journals (Sweden)

Albertini David F

2008-01-01

Full Text Available Abstract Background Environmental toxicants, whose actions are often mediated through the aryl hydrocarbon receptor (AhR pathway, pose risks to the health and well-being of exposed species, including humans. Of particular concern are exposures during the earliest stages of development that while failing to abrogate embryogenesis, may have long term effects on newborns or adults. The purpose of this study was to evaluate the effect of maternal exposure to the AhR-specific ligand 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD on the development of rat pre-implantation embryos with respect to nuclear and cytoskeletal architecture and cell lineage allocation. Results We performed a systematic 3 dimensional (3D confocal microscopy analysis of rat pre-implantation embryos following maternal exposure to environmentally relevant doses of TCDD. Both chronic (50 ng/kg/wk for 3 months and acute (50 ng/kg and 1 μg/kg at proestrus maternal TCDD exposure disrupted morphogenesis at the compaction stage (8–16 cell, with defects including monopolar spindle formation, f-actin capping and fragmentation due to aberrant cytokinesis. Additionally, the size, shape and position of nuclei were modified in compaction stage pre-implantation embryos collected from treated animals. Notably, maternal TCDD exposure did not compromise survival to blastocyst, which with the exception of nuclear shape, were morphologically similar to control blastocysts. Conclusion We have identified the compaction stage of pre-implantation embryogenesis as critically sensitive to the effects of TCDD, while survival to the blastocyst stage is not compromised. To the best of our knowledge this is the first in vivo study to demonstrate a critical window of pre-implantation mammalian development that is vulnerable to disruption by an AhR ligand at environmentally relevant doses.

How we improved operations in drilling pre-salt wells

Energy Technology Data Exchange (ETDEWEB)

Hougaz, Augusto Borella [Petroleo Brasileiro S.A. (PETROBRAS), Rio de Janeiro, RJ (Brazil); Martins, Luiz Felipe; Bittencourt, Jessica Lima; Braz, Luciano Machado [Genesis do Brasil, Sao Paulo, SP (Brazil); Damski, Carlos [Genesis Petroleum Technology Pty Ltd. (GPT), Bentley, WA (Australia)

2012-07-01

The development of pre-salt wells offshore Brazil has been one of the most challenging projects in history of E and P. Facing water depths of 2000+ meters, a salt layer 2000 meters thick to reach reservoirs at 7000 meters below sea level, has to use technological and procedural techniques never used before. In those 2 years of exploration of those fields many technologies were tested and improved. This paper describes the systematic approach was taken to analyze, plan and follow-up the development of drilling operations campaign in those fields, and the case study of overall process improvement. The assumption was to apply a risk analysis tool which uses previous data to analyze the performance and plan future time. The goals of this process are continuous improvement of execution and process control for each operation. Looking into previous performance, new interventions were planned more accurately and further improvements were studied. The frequent follow up of the drilling intervention was done using the statistical base to compare the most recent results. At operational level it was possible to see if the last operation was done in the 1st, 2nd, 3rd or 4th quartile of its related statistical distribution, as well as to verify the difference within P10 and P90, which indicates the control of each operation execution process. The same process was done for some rig related operations and for the whole intervention at end of it. Close contact with the intervention progress was kept and actions taken in any major deviation from the plan. This paper describes the case study where the process control and optimization of the total time for drilling 10 wells with similar design was measured between March 2009 and May 2011. It resulted in significant improvement in the drilling process. (author)

Environmental Assessment for Operations, Upgrades, and Consolidation at the Western Command Site, New Mexico

Science.gov (United States)

2014-09-01

Mexico Environmental Geo ra hie InformationS stem Source: NNSA AOWC Agent Operations Westem Command ER Environmental restoration NNSA National...8217)’ UU1’ Cll TONGA TE J)oputy Secretaey RE: Kirtland Air Force Dase~ Environmental Assessment for Operations, Upgrades and Consolidation at the Western

IEEE guide for planning of pre-operational testing programs for class 1E power systems for nuclear-power generating stations

International Nuclear Information System (INIS)

Anon.

1976-01-01

The Institute of Electrical and Electronics Engineers (IEEE) guide for pre-operational testing of Class 1E power systems for nuclear-power generating stations is presented. The guidelines apply to power systems both ac and dc supplies but not to the equipment which utilizes the ac and dc power. The pre-operational tests are performed after appropriate construction tests

Environmental aspects based on operation performance of nuclear fuel fabrication facilities

International Nuclear Information System (INIS)

2001-07-01

This publication was prepared within the framework of the IAEA Project entitled Development and Upgrading of Guidelines, Databases and Tools for Integrating Comparative Assessment into Energy System Analysis and Policy Making, which included the collection, review and input of data into a database on health and environmental impacts related to operation of nuclear fuel cycle facilities. The objectives of the report included assembling environmental data on operational performance of nuclear fabrication facilities in each country; compiling and arranging the data in a database, which will be easily available to experts and the public; and presenting data that may be of value for future environmental assessment of nuclear fabrication facilities

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

International Nuclear Information System (INIS)

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

2006-01-01

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

The importance of environmental communications in gas pipeline projects; A importancia da pre-comunicacao ambiental no licenciamento, implantacao e operacao de dutos

Energy Technology Data Exchange (ETDEWEB)

Figueiredo, Marcia Bartolini; Sarno, Ruy Alberto Campos [PETROBRAS, Rio de Janeiro, RJ (Brazil)

2005-07-01

The Environmental Pre-Communication is a tool developed to identify the profiles of communities surrounding the marked area (lifestyle, resources, fragilities, beliefs, culture and wishes), how they make their living, and production (community dependence relationship with ecosystems, such as rivers and subsistence areas), social organization, needs and expectations. Besides developing a social economic diagnostic, pre-communication prepares a community perception study. Regarding gas pipelines, the area of study comprehends 200 m towards each side of gas pipeline right-of-way in rural areas and 400 m towards each side in urban areas. Pre-Communication diagnostic, which is included in the process of environmental licensing, is aimed at subsidizing EIS (Environmental Impact Statement), providing data which help to elaborate mitigating and compensatory plans and programs. Moreover, diagnostic information make it possible to run public forums before Public Hearings take place, aiming at clarifying specific community issues related to construction and reduction of resistances, avoiding problems and conflicts. Also, during the entrepreneurship implementation phase, there is the advantage to know the bordering community and its daily activities, increasing the effectiveness of Environmental Programs. (author)

Cultural and Environmental Predictors of Pre-European Deforestation on Pacific Islands.

Directory of Open Access Journals (Sweden)

Quentin D Atkinson

Full Text Available The varied islands of the Pacific provide an ideal natural experiment for studying the factors shaping human impact on the environment. Previous research into pre-European deforestation across the Pacific indicated a major effect of environment but did not account for cultural variation or control for dependencies in the data due to shared cultural ancestry and geographic proximity. The relative importance of environment and culture on Pacific deforestation and forest replacement and the extent to which environmental impact is constrained by cultural ancestry therefore remain unexplored. Here we use comparative phylogenetic methods to model the effect of nine ecological and two cultural variables on pre-European Pacific forest outcomes at 80 locations across 67 islands. We show that some but not all ecological features remain important predictors of forest outcomes after accounting for cultural covariates and non-independence in the data. Controlling for ecology, cultural variation in agricultural intensification predicts deforestation and forest replacement, and there is some evidence that land tenure norms predict forest replacement. These findings indicate that, alongside ecology, cultural factors also predict pre-European Pacific forest outcomes. Although forest outcomes covary with cultural ancestry, this effect disappears after controlling for geographic proximity and ecology. This suggests that forest outcomes were not tightly constrained by colonists' cultural ancestry, but instead reflect a combination of ecological constraints and the short-term responses of each culture in the face of those constraints.

Cultural and Environmental Predictors of Pre-European Deforestation on Pacific Islands.

Science.gov (United States)

Atkinson, Quentin D; Coomber, Ties; Passmore, Sam; Greenhill, Simon J; Kushnick, Geoff

2016-01-01

The varied islands of the Pacific provide an ideal natural experiment for studying the factors shaping human impact on the environment. Previous research into pre-European deforestation across the Pacific indicated a major effect of environment but did not account for cultural variation or control for dependencies in the data due to shared cultural ancestry and geographic proximity. The relative importance of environment and culture on Pacific deforestation and forest replacement and the extent to which environmental impact is constrained by cultural ancestry therefore remain unexplored. Here we use comparative phylogenetic methods to model the effect of nine ecological and two cultural variables on pre-European Pacific forest outcomes at 80 locations across 67 islands. We show that some but not all ecological features remain important predictors of forest outcomes after accounting for cultural covariates and non-independence in the data. Controlling for ecology, cultural variation in agricultural intensification predicts deforestation and forest replacement, and there is some evidence that land tenure norms predict forest replacement. These findings indicate that, alongside ecology, cultural factors also predict pre-European Pacific forest outcomes. Although forest outcomes covary with cultural ancestry, this effect disappears after controlling for geographic proximity and ecology. This suggests that forest outcomes were not tightly constrained by colonists' cultural ancestry, but instead reflect a combination of ecological constraints and the short-term responses of each culture in the face of those constraints.

Domain general sequence operations contribute to pre-SMA involvement in visuo-spatial processing

Directory of Open Access Journals (Sweden)

E. Charles eLeek

2016-01-01

Full Text Available This study used 3T MRI to elucidate the functional role of supplementary motor area (SMA in relation to visuo-spatial processing. A localizer task contrasting sequential number subtraction and repetitive button pressing was used to functionally delineate non-motor sequence processing in pre-SMA, and activity in SMA-proper associated with motor sequencing. Patterns of BOLD responses in these regions were then contrasted to those from two tasks of visuo-spatial processing. In one task participants performed mental rotation in which recognition memory judgments were made to previously memorized 2D novel patterns across image-plane rotations. The other task involved abstract grid navigation in which observers computed a series of imagined location shifts in response to directional (arrow cues around a mental grid. The results showed overlapping activation in pre-SMA for sequential subtraction and both visuo-spatial tasks. These results suggest that visuo-spatial processing is supported by non-motor sequence operations that involve pre-SMA. More broadly, these data further highlight the functional heterogeneity of pre-SMA, and show that its role extends to processes beyond the planning and online control of movement.

Pre-Service Teacher Opinions about Eco-Friendly Person Activity Package Developed to Raise Environmental Awareness

Science.gov (United States)

Candan, Sevcan; Erten, Sinan

2015-01-01

In this study, the effectiveness of Eco-Friendly Person Activity Package developed in order to raise environmental awareness in pre-service teachers and enable them to be an example of an eco-friendly teacher for their future students, and the responses about Eco-Friendly Person Activity Package were investigated. The study was conducted on 75…

Pre-Operative Skin Antisepsis with Chlorhexidine Gluconate and Povidone-Iodine to Prevent Port-Site Infection in Laparoscopic Cholecystectomy: A Prospective Study.

Science.gov (United States)

Spaziani, Erasmo; Di Filippo, Annalisa; Orelli, Simone; Fiorini, Flavia; Spaziani, Martina; Tintisona, Orlando; Torcasio, Angelo; De Cesare, Alessandro; Picchio, Marcello

2018-04-01

Skin preparation with antiseptic agents is commonly recommended for incisional site cleansing before surgery. We present the result of a prospective case series submitted to a scheduled pre-operative antiseptic procedure combining chlorhexidine gluconate and povidone-iodine before elective laparoscopic cholecystectomy. Consecutive patients underwent pre-operative standardized cleansing of the operation site combining chlorhexidine gluconate and povidone-iodine. Patients were reviewed one week and four weeks post-operatively. Post-operative infection was observed in seven patients (4.3%). All observed infections were port-site infections, always located at the level of the umbilical incision. In all cases infections involved skin and subcutaneous tissue. Staphylococcus aureus was isolated in five patients (71.4%) and miscellaneous aerobic gram-positive bacteria in two subjects (28.6%). Post-operative hospital stay was the only factor significantly associated with the development of port-site infections. Port-site infections are a common complication after elective laparoscopic cholecystectomy. The proposed pre-operative disinfection procedure is effective in reducing port-site infections. Reducing hospital stay may contribute to limiting the occurrence of this complication.

United States Department of Energy Nevada Operations Office Environmental Compliance Handbook. Third edition

International Nuclear Information System (INIS)

1998-03-01

The Environment, Safety and Health Division (ESHD) of the Nevada Operations Office has prepared this Environmental Compliance Handbook for all users of the Nevada Test Site (NTS) and other US Department of Energy, Nevada Operations Office (DOE/NV) facilities. The Handbook gives an overview of the important environmental laws and regulations that apply to the activities conducted by the Nevada Operations Office and other users of DOE/NV facilities in Nevada

United States Department of Energy Nevada Operations Office Environmental Compliance Handbook. Third edition

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-03-01

The Environment, Safety & Health Division (ESHD) of the Nevada Operations Office has prepared this Environmental Compliance Handbook for all users of the Nevada Test Site (NTS) and other US Department of Energy, Nevada Operations Office (DOE/NV) facilities. The Handbook gives an overview of the important environmental laws and regulations that apply to the activities conducted by the Nevada Operations Office and other users of DOE/NV facilities in Nevada.

NOAA Polar-orbiting Operational Environmental Satellites (POES) Radiometer Data

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The Polar-orbiting Operational Environmental Satellite (POES) series offers the advantage of daily global coverage, by making nearly polar orbits 14 times per day...

Environmental management system for transportation maintenance operations : [technical brief].

Science.gov (United States)

2014-04-01

This report provides the framework for the environmental management system to analyze : greenhouse gas emissions from transportation maintenance operations. The system enables user : to compare different scenarios and make informed decisions to minim...

The Westinghouse Hanford Company Operational Environmental Monitoring Program CY-93

International Nuclear Information System (INIS)

Schmidt, J.W.

1993-10-01

The Operational Environmental Monitoring Program (OEMP) provides facility-specific environmental monitoring to protect the environment adjacent to facilities under the responsibility of Westinghouse Hanford Company (WHC) and assure compliance with WHC requirements and local, state, and federal environmental regulations. The objectives of the OEMP are to evaluate: compliance with federal (DOE, EPA), state, and internal WHC environmental radiation protection requirements and guides; performance of radioactive waste confinement systems; and trends of radioactive materials in the environment at and adjacent to nuclear facilities and waste disposal sites. This paper identifies the monitoring responsibilities and current program status for each area of responsibility

A retrospective analysis of surgical site infections after chlorhexidine-alcohol versus iodine-alcohol for pre-operative antisepsis.

Science.gov (United States)

Charehbili, Ayoub; Swijnenburg, Rutger-Jan; van de Velde, Cornelis; van den Bremer, Jephta; van Gijn, Willem

2014-06-01

Surgical site infection (SSI) is the most common hospital-acquired infection in the Netherlands. There is little evidence in regard to differences in the efficacy of pre-operative topical antisepsis with iodine-alcohol as compared with chlorhexidine-alcohol for preventing SSI. We conducted a retrospective analysis at a single center, involving all patients who underwent breast, colon, or vascular surgery in 2010 and 2011, in which pre-operative disinfection of the skin was done with iodine-alcohol in 2010 and with chlorhexidine-alcohol in 2011. Demographic characteristics, surgical parameters, and rates of SSI were compared in the two groups of patients. Subgroup analyses were done for wound classification, wound type, and type of surgery performed. Associations of patient characteristics with SSI were also investigated. Data were analyzed with χ(2) tests, Student t-tests, and logistic regression analysis. No statistically significant difference was found in the rates of SSI in the two study groups, at 6.1% for the patients who underwent antisepsis with iodine-alcohol and 3.8% for those who underwent disinfection with chlorhexidine-alcohol (p=0.20). After multivariable analysis, an odds ratio (OR) of 0.68 (95% confidence interval [CI] 0.30-1.47) in favor of chlorhexidine-alcohol was found. Male gender, acute surgery, absence of antibiotic prophylaxis, and longer hospital length of stay (LOS) were all associated with SSI after pre-operative topical antisepsis. In this single-center study conducted over a course of one year with each of the preparations investigated, no difference in the rate of SSI was found after an instantaneous protocol change from iodine-alcohol to chlorhexidine-alcohol for pre-operative topical antisepsis.

Ways to improve the environmental conditions of their buses in operation on passenger routes of cities

Directory of Open Access Journals (Sweden)

Melnychuk S.V.

2017-04-01

Full Text Available The results of studies on operational and environmental parameters buses used on bus routes Zhitomir city. It uses statistical methods for determining the intensity of traffic, passenger traffic and ecology in traffic. To assess the environmental chosen stop with the greatest intensity of traffic, which is the probability of accumulation of pollution transport emissions that exceed permissible limits. Calculation of environmental pollution emission route for vehicles made stops street «Str. Hundreds of Heaven» «CUM», «vul. Hlibna» on the main trunk street Kievska. Results obtained environmental field experiments compared with the data defined calculation methods, based on the proposed use appropriate operational vehicles. The conclusions that indicate the seriousness of the problem and the urgency to address it. The system of environmental safety and road safety in Zhitomir requires significant improvements due to the increased quantities bus vehicles plying city routes. Recommendations to improve the ecological condition of intersections can be developed through the optimization of traffic using buses with environmentally improved operating parameters. Keywords: environmental and operational parameters; ecological safety; environmental assessment; intensity of traffic; passenger traffic; environmental conditions; operation; bus choice; stop.

Pre-OSART mission highlights. 1988-1990

International Nuclear Information System (INIS)

1994-09-01

The IAEA Pre-Operational Safety Review Teams (Pre-OSART) programme is part of the Operational Safety Review teams (OSART) programme and provides advice and assistance to Member States for enhancing the operational safety of nuclear power plants. OSART and Pre-OSART reviews are available to all countries with nuclear power plants in operation or approaching operation. Most of these countries have participated in the programme, by hosting one or more OSART or Pre-OSART missions or by making experts available to participate in missions. This document, which summarizes the finding of Pre-OSART reviews, covers the period from January 1988 to December 1990, and it is intended that further such documents will be prepared to cover subsequent Pre-OSART reviews

Hypertrophic Pyloric stenosis: Pre- and post-operative sonographic findings

International Nuclear Information System (INIS)

Park, Joung Suk; Han, Douk Sub; Oh, Jong Sub; Kim, Min Jung; Gi, Joo Yun; Park, Byung Ran; Kim, Se Jong; Koh, Kang Suk; Kim, Byung Kun

1993-01-01

The authors retrospectively analysed the ultrasonographic findings of 43 cases of surgically confirmed hypertrophic pyloric stenosis and their postoperative findings of sonograms taken at 1 month(n=40) or 3 month(n=5) after pyloromyotomy. In preoperative study, the thickened pyloric muscle was isoechoic or slight hypoechoic relative to liver on the midline longitudinal view and appeared as a 'nonuniform acoustic ring' on the transverse view. The results of measurement in the all cases with hypertrophic pyloric stenosis were the pyloric muscle thickness ≥ 3.8 mm, the pyloric diameter ≥ 14 mm, the pyloric channel length ≥ 16 mm, the pyloric muscle volume ≥ 2.21 cm 3 and the pyloric muscle index ≥ 0.57, respectively. It usually required 1 month after operation for the hypertrophied muscle to resolve in 36 of 41 patients. The normalized pyloric muscle appeared more hypoechoic than that of adjacent parenchyma, and the nonuniform echogenicity of the pyloric muscle disappeared. Five patients whose hypertrophied muscle did not return to normal range on 1 month's follow-up sonogram were follow-up 3 months later again, and we have ascertained their resolution in all of them. In conclusion, the pre-operative sonographic findings of infantile hypertrophic pyloric stenosis were different quantitatively and qualitatively from of those of post-operative follow-up ultrasound exam. High-resolution real time sonography is a safe and accurate method for the diagnosis of hypertrophic pyloric stenosis and useful in postpyloromyotomy follow-up

Pre-operative combined 5-FU, low dose leucovorin, and sequential radiation therapy for unresectable rectal cancer

International Nuclear Information System (INIS)

Minsky, B.D.; Cohen, A.M.; Kemeny, N.; Enker, W.E.; Kelsen, D.P.; Schwartz, G.; Saltz, L.; Dougherty, J.; Frankel, J.; Wiseberg, J.

1993-01-01

The authors performed a Phase 1 trial to determine the maximum tolerated dose of combined pre-operative radiation (5040 cGy) and 2 cycles (bolus daily x 5) of 5-FU and low dose LV (20 mg/m2), followed by surgery and 10 cycles of post-operative LV/5-FU in patients with unresectable primary or recurrent rectal cancer. Twelve patients were entered. The initial dose of 5-FU was 325 mg/m2. 5-FU was to be escalated while the LV remained constant at 20 mg/m2. Chemotherapy began on day 1 and radiation on day 8. The post-operative chemotherapy was not dose escalated; 5-FU: 425 mg/m2 and LV: 20 mg/m2. The median follow-up was 14 months (7--16 months). Following pre-operative therapy, the resectability rate with negative margins was 91% and the pathologic complete response rate was 9%. For the combined modality segment (preoperative) the incidence of any grade 3+ toxicity was diarrhea: 17%, dysuria: 8%, mucositis: 8%, and erythema: 8%. The median nadir counts were WBC: 3.1, HGB: 8.8, and PLT: 153000. The maximum tolerated dose of 5-FU for pre-operative combined LV/5-FU/RT was 325 mg/m2 with no escalation possible. Therefore, the recommended dose was less than 325 mg/m2. Since adequate doses of 5-FU to treat systemic disease could not be delivered until at least 3 months (cycle 3) following the start of therapy, the authors do not recommend that this 5-FU, low dose LV, and sequential radiation therapy regimen be used as presently designed. However, given the 91% resectability rate they remain encouraged with this approach. 31 refs., 1 fig., 2 tabs

A pre-operative group rehabilitation programme provided limited benefit for people with severe hip and knee osteoarthritis.

Science.gov (United States)

Wallis, Jason A; Webster, Kate E; Levinger, Pazit; Fong, Cynthia; Taylor, Nicholas F

2014-01-01

To determine if a pre-operative group rehabilitation programme can improve arthritis self-efficacy for people with severe hip and knee osteoarthritis. Single group, repeated measures design: 4-week baseline phase followed by a 6-week intervention phase of water exercise, and education with self-management strategies. The primary outcome was arthritis self-efficacy. The secondary outcomes were measures of pain (WOMAC), activity limitation (WOMAC), activity performance (30 s chair stand test, 10 m walk test) and health-related quality of life (EuroQol). Twenty participants (10 knee osteoarthritis and 10 hip osteoarthritis) with a mean age of 71 years (SD 7) attended 92% (SD 10%) of the scheduled sessions. All measures demonstrated baseline stability between two time points for measurements at week 1 and measurements at week 4. After the 6-week intervention programme there were no significant improvements for arthritis self-efficacy. There was a 12% increase for fast walking speed (mean increase of 0.14 m/s, 95% CI 0.07, 0.22). There were no significant improvements for other secondary outcomes. A pre-operative water-based exercise and educational programme did not improve arthritis self-efficacy, self-reported pain and activity limitation, and health-related quality of life for people with hip and knee osteoarthritis who were candidates for joint replacement. While there was a significant increase in one measure of activity performance (walking speed), these findings suggest the current programme may be of little value. Implications for Rehabilitation This pre-operative group rehabilitation programme for people with severe hip and knee osteoarthritis did not change arthritis self-efficacy, pain, activity limitation and health-related quality of life. This programme may have little value in preparing people for joint replacement surgery. The optimal pre-operative programme requires further design and investigation.

Environmental education van Kaarna: Results of the operation

International Nuclear Information System (INIS)

Kivikoski, N.

2000-02-01

Kaarna, a van specialising in environmental education, has toured North Karelia since 1996 disseminating information about the environment. This survey focused on the impact of the van on specific target groups. Attitudes towards the environmental van were positive and there was a clear need for it. It is, however, difficult to define the impact of the van's operation on people's attitudes towards the environment as it often takes several years before the results of this kind of environmental project become evident. According to the respondents in the survey, the van provided them with additional information they would not otherwise have had. More than 25% of school children and almost every third adult said that the van had given them information which had an impact on their attitudes towards the environment. This can be regarded as a positive result. (orig.)

Engineering Task Plan to Expand the Environmental Operational Envelope of Core Sampling

International Nuclear Information System (INIS)

BOGER, R.M.

1999-01-01

This Engineering Task Plan authorizes the development of an Alternative Generation and Analysis (AGA). The AGA will determine how to expand the environmental operating envelope during core sampling operations

Role of B-scan ultrasonography in pre-operative cataract patients.

Science.gov (United States)

Qureshi, Manzoor A; Laghari, Khalida

2010-01-01

To visualize the posterior portion of eye globe in dense cataract patients with B scan ultrasound, and to find out any posterior segment lesion in such pre-operative cases. We performed diagnostic B-scan ultrasound on 750 cataract patients before surgery. This was a prospective diagnostic study which was conducted in the Department of Opthalmology, Liaquat University Eye Hospital, Hyderabad Sind, Pakistan from January 2007 to July 2007. Detailed history and some basic eye examination techniques, like slit lamp and tonometry were done in two groups of patients, traumatic (71) and non traumatic(679). Patients in the age range of 1 to 79 years of both sexes were included. Patients having already posterior segment lesions and those who had previous history of ocular surgery were excluded from the study. An ultrasound machine Nidek Echo Scan Model US-3300 with a probe of direct contact was used. Out of 750 patients, 90 patients had posterior segment lesions. Among traumatic group of 71 patients, 39 (55%) had positive posterior segment lesions, while in the non traumatic group of 679 patients, only 51 (7%) cases had positive posterior segment lesions. Out of the 90 positive cases, 25 (3%) had retinal detachment, 14 (2%) had posterior vitreous detachment, 24 (3%) had vitreous hemorrhage, 12 (2%) were asteroid hyolosis, while posterior staphyloma and intra-ocular foreign body were found with the frequency of 9 (1.2%) and 6 (1%), respectively. We concluded that two dimensional B-scan ultrasound can be one of the diagnostic tool for the detection of hidden posterior segment lesions and can be performed routinely in pre-operative cataract patients, as this would help in surgical planning. In cases, where a two dimensional B-scan is not sufficient or helpful. a three dimensional ultrasound would be justified.

Pre-operative brachial plexus block compared with an identical block performed at the end of surgery: a prospective, double-blind, randomised clinical trial.

Science.gov (United States)

Holmberg, A; Sauter, A R; Klaastad, Ø; Draegni, T; Raeder, J C

2017-08-01

We evaluated whether pre-emptive analgesia with a pre-operative ultrasound-guided infraclavicular brachial plexus block resulted in better postoperative analgesia than an identical block performed postoperatively. Fifty-two patients undergoing fixation of a fractured radius were included. All patients received general anaesthesia with remifentanil and propofol. Patients were randomly allocated into two groups: a pre-operative block or a postoperative block with 0.5 ml.kg -1 ropivacaine 0.75%. After surgery, all patients received regular paracetamol plus opioids for breakthrough pain. Mean (SD) time to first rescue analgesic after emergence from general anaesthesia was 544 (217) min in the pre-operative block group compared with 343 (316) min in the postoperative block group (p = 0.015). Postoperative pain scores were higher and more patients required rescue analgesia during the first 4 h after surgery in the postoperative block group. There were no significant differences in plasma stress mediators between the groups. Analgesic consumption was lower at day seven in the pre-operative block group. Pain was described as very strong at block resolution in 27 (63%) patients and 26 (76%) had episodes of mild pain after 6 months. We conclude that a pre-operative ultrasound-guided infraclavicular brachial plexus block provides longer and better analgesia in the acute postoperative period compared with an identical postoperative block in patients undergoing surgery for fractured radius. © 2017 The Association of Anaesthetists of Great Britain and Ireland.

Environmental Monitoring Plan United States Department of Energy Richland Operations Office. Revision 2

International Nuclear Information System (INIS)

1997-01-01

This Environmental Monitoring Plan was prepared for the US Department of Energy's (DOE's) Richland Operations Office (RL) to implement the requirements of DOE Order 5400.1. According to the Order, each DOE site, facility, or activity that uses, generates, releases, or manages significant pollutants or hazardous materials shall prepare a written environmental monitoring plan covering two major activities: (1) effluent monitoring and (2) environmental surveillance. The plan is to contain information discussing the rationale and design criteria for the monitoring programs, sampling locations and schedules, quality assurance requirements, program implementation procedures, analytical procedures, and reporting requirements. The plan's purpose is to assist DOE in the management of environmental activities at the Hanford Site and to help ensure that operations on the site are conducted in an environmentally safe and sound manner

Environmental Monitoring Plan United States Department of Energy Richland Operations Office. Revision 2

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-11-10

This Environmental Monitoring Plan was prepared for the US Department of Energy`s (DOE`s) Richland Operations Office (RL) to implement the requirements of DOE Order 5400.1. According to the Order, each DOE site, facility, or activity that uses, generates, releases, or manages significant pollutants or hazardous materials shall prepare a written environmental monitoring plan covering two major activities: (1) effluent monitoring and (2) environmental surveillance. The plan is to contain information discussing the rationale and design criteria for the monitoring programs, sampling locations and schedules, quality assurance requirements, program implementation procedures, analytical procedures, and reporting requirements. The plan`s purpose is to assist DOE in the management of environmental activities at the Hanford Site and to help ensure that operations on the site are conducted in an environmentally safe and sound manner.

Environmental analysis of the operation of the ERDA facilities in Oak Ridge

International Nuclear Information System (INIS)

McWherter, J.R.

1975-01-01

An analysis of the environmental effects of current ERDA operations in Oak Ridge is being conducted to establish a baseline for the consideration of the environmental effects of additional facilities or modified operations in the future. An extensive ecological survey has been conducted for about one year; social and economic data were obtained; and an archaeological survey of the area was made. The facilities were described and the effluents associated with operations were quantified to the extent practical. The effects of effluent releases to the environment are being analyzed. The social effects of the ERDA facilities in Oak Ridge are also being studied. (auth)

Pre-operational proof and leakage rate testing requirements for concrete containment structures for CANDU nuclear power plants

International Nuclear Information System (INIS)

1994-02-01

This Standard provides the requirements for pre-operational proof tests and leakage rate tests of concrete containment structures of a containment system designed as Class Containment components. 1 fig

Environmental assessment related to the operation of Argonne National Laboratory, Argonne, Illinois

Energy Technology Data Exchange (ETDEWEB)

1982-08-01

In order to evaluate the environmental impacts of Argonne National Laboratory (ANL) operations, this assessment includes a descriptive section which is intended to provide sufficient detail to allow the various impacts to be viewed in proper perspective. In particular, details are provided on site characteristics, current programs, characterization of the existing site environment, and in-place environmental monitoring programs. In addition, specific facilities and operations that could conceivably impact the environment are described at length. 77 refs., 16 figs., 47 tabs.

Nursing care system development for patients with cleft lip-palate and craniofacial deformities in Srinagarind Hospital: pre-post operation.

Science.gov (United States)

Augsornwan, Darawan; Pattangtanang, Pantamanas; Pikhunthod, Kritsana

2011-12-01

Cleft lip and palate are the most common craniofacial anomalies. Srinagarind Hospital has 150-200 cases each year. The operating process of care requires continuity of care involving a multidisciplinary team. When the patients go to hospital to have operation, pain, limited activity and food are very different from normal life. During pre and post operative care nurses who work continuously and closely with the patients should have knowledge, experience and ability to take excellent care of their patients and families. This can prevent complications and help their decision process, decrease parents stress and encourage better co-operation. To develop a nursing care system for patients with cleft lip-palate undergoing operation. This is an action research divided into 3 phases. Phase 1, situation review: review of nursing care process by interview, focus group, observation and nursing documents. Phase 2, nursing system management: developing guidelines, composing nursing manual, handbook for parents, VCD for patients and family and story telling. Following that announcement and implementation. Phase 3: evaluation. The authors found that guidelines, nursing manual, handbook for parents, VCD for patients and family and story telling are appropriate and have good utilization, but the pictures in handbook for parents and storytelling were not clear, too small and not attractive. Nursing manual for giving information about pre-post operative care, handbook for parents, story telling and VCD about pre-post operative care provide optimal care for patients and family with cleft lip and palate, but need to evaluate further the nursing outcome after this nursing system development.

Green Warriors: Army Environmental Considerations for Contingency Operations from Planning through Post-Conflict

National Research Council Canada - National Science Library

Mosher, David E; Lachman, Beth E; Greenberg, Michael D; Nichols, Tiffany; Rosen, Brian; Willis, Henry H

2008-01-01

.... Army conducts overseas. Countries in which the Army conducts operations tend to have environmental problems caused by industrialization, lack of environmental protection, long-running conflict, and natural conditions...

Signalling in international environmental agreements. Using pre-agreement emission level as a signalling device

Energy Technology Data Exchange (ETDEWEB)

Steiner, U.

1997-12-31

This paper addresses the question about strategic incentives in international environmental agreements and tries to give a positive description of how the design of the agreement influences the strategic behaviour of potential participants before they enter the treaty. A common feature of the design of agreements is that the reduction obligations (RO) are made contingent on a pre-agreement or baseline emission. As it is assumed that countries posses better information about their reduction costs than does the international body in charge of deciding the RO, countries might have incentives to signal higher costs by increasing their baseline emission, and thereby reducing the costs of entering the agreement. The appropriate analytical framework is to use a signalling game approach, where the pre-agreement emission level conveys information about the privately informed country`s reduction cost. In this paper two types of agreement design are considered, one with uniform obligations, and one with differentiated obligations. This enables us to make a comparison between two different reduction regimes. The result is that the predicted outcomes vary with regard to both the environmental effectiveness and the associated expected costs for the participating countries. This means that when private information is considered, the anticipation of a given institutional framework has significant impact on the resulting distortion of the total emission level, highlighting the necessity of taking this into consideration when future designs are proposed. (au)

Signalling in international environmental agreements: Using pre-agreement emission level as a signalling device

International Nuclear Information System (INIS)

Steiner, U.

1997-01-01

This paper addresses the question about strategic incentives in international environmental agreements and tries to give a positive description of how the design of the agreement influences the strategic behaviour of potential participants before they enter the treaty. A common feature of the design of agreements is that the reduction obligations (RO) are made contingent on a pre-agreement or baseline emission. As it is assumed that countries posses better information about their reduction costs than does the international body in charge of deciding the RO, countries might have incentives to signal higher costs by increasing their baseline emission, and thereby reducing the costs of entering the agreement. The appropriate analytical framework is to use a signalling game approach, where the pre-agreement emission level conveys information about the privately informed country's reduction cost. In this paper two types of agreement design are considered, one with uniform obligations, and one with differentiated obligations. This enables us to make a comparison between two different reduction regimes. The result is that the predicted outcomes vary with regard to both the environmental effectiveness and the associated expected costs for the participating countries. This means that when private information is considered, the anticipation of a given institutional framework has significant impact on the resulting distortion of the total emission level, highlighting the necessity of taking this into consideration when future designs are proposed. (au)

Short-term pre- and post-operative stress prolongs incision-induced pain hypersensitivity without changing basal pain perception

OpenAIRE

Cao, Jing; Wang, Po-Kai; Tiwari, Vinod; Liang, Lingli; Lutz, Brianna Marie; Shieh, Kun-Ruey; Zang, Wei-Dong; Kaufman, Andrew G.; Bekker, Alex; Gao, Xiao-Qun; Tao, Yuan-Xiang

2015-01-01

Background Chronic stress has been reported to increase basal pain sensitivity and/or exacerbate existing persistent pain. However, most surgical patients have normal physiological and psychological health status such as normal pain perception before surgery although they do experience short-term stress during pre- and post-operative periods. Whether or not this short-term stress affects persistent postsurgical pain is unclear. Results In this study, we showed that pre- or post-surgical expos...

Risk stratification by pre-operative cardiopulmonary exercise testing improves outcomes following elective abdominal aortic aneurysm surgery: a cohort study.

Science.gov (United States)

Goodyear, Stephen J; Yow, Heng; Saedon, Mahmud; Shakespeare, Joanna; Hill, Christopher E; Watson, Duncan; Marshall, Colette; Mahmood, Asif; Higman, Daniel; Imray, Christopher He

2013-05-19

In 2009, the NHS evidence adoption center and National Institute for Health and Care Excellence (NICE) published a review of the use of endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAAs). They recommended the development of a risk-assessment tool to help identify AAA patients with greater or lesser risk of operative mortality and to contribute to mortality prediction.A low anaerobic threshold (AT), which is a reliable, objective measure of pre-operative cardiorespiratory fitness, as determined by pre-operative cardiopulmonary exercise testing (CPET) is associated with poor surgical outcomes for major abdominal surgery. We aimed to assess the impact of a CPET-based risk-stratification strategy upon perioperative mortality, length of stay and non-operative costs for elective (open and endovascular) infra-renal AAA patients. A retrospective cohort study was undertaken. Pre-operative CPET-based selection for elective surgical intervention was introduced in 2007. An anonymized cohort of 230 consecutive infra-renal AAA patients (2007 to 2011) was studied. A historical control group of 128 consecutive infra-renal AAA patients (2003 to 2007) was identified for comparison.Comparative analysis of demographic and outcome data for CPET-pass (AT ≥ 11 ml/kg/min), CPET-fail (AT 11 ml/kg/min was associated with reduced perioperative mortality (open cases only), LOS, survival and inpatient costs (open and endovascular repair) for elective infra-renal AAA surgery.

Pre-operative radiotherapy in soft tissue tumors: Assessment of response by static post-contrast MR imaging compared to histopathology

International Nuclear Information System (INIS)

Einarsdottir, H.; Wejde, J.; Bauer, H.C.F.

2000-01-01

To evaluate if static post-contrast MR imaging was adequate to assess tumor viability after pre-operative radiotherapy in soft tissue sarcoma. Post-contrast MR imaging of 36 soft tissue sarcomas performed 0 - 54 days (median 13 days) after pre-operative radiotherapy, were retrospectively reviewed and compared to post-operative histopathology reports. The contrast enhancement of the tumor was visually graded as minor, moderate or extensive. From the post-operative histopathology reports, three types of tumor response to radiotherapy were defined: Poor, intermediate or good. The size of the tumors before and after radiation was compared. Even if most viable tumors enhanced more than non-viable tumors, there was major overlapping and significant contrast enhancement could be seen in tumors where histopathological examination revealed no viable tumor tissue. Based on histopathology, there were 12 good responders; 8 of these showed minor, 3 moderate and 1 extensive contrast enhancement on MR imaging. Sixteen tumors had an intermediate response; 3 showed minor, 8 moderate and 5 extensive enhancement. Eight tumors had poor response; none showed minor enhancement, 3 moderate and 5 extensive enhancement. Both increase and Decrease in tumor size was seen in lesions with a good therapy response. Static post-contrast MR imaging cannot reliably assess tumor viability after pre-operative radiotherapy in soft tissue sarcoma. In tumors with no viable tumor tissue, moderate and extensive contrast enhancement can be seen

The impact of pre-operative weight loss on incidence of surgical site infection and readmission rates after total joint arthroplasty.

Science.gov (United States)

Inacio, Maria C S; Kritz-Silverstein, Donna; Raman, Rema; Macera, Caroline A; Nichols, Jeanne F; Shaffer, Richard A; Fithian, Donald C

2014-03-01

This study characterized a cohort of obese total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients (1/1/2008-12/31/2010) and evaluated whether a clinically significant amount of pre-operative weight loss (5% decrease in body weight) is associated with a decreased risk of surgical site infections (SSI) and readmissions post-surgery. 10,718 TKAs and 4066 THAs were identified. During the one year pre-TKA 7.6% of patients gained weight, 12.4% lost weight, and 79.9% remained the same. In the one year pre-THA, 6.3% of patients gained weight, 18.0% lost weight, and 75.7% remained the same. In TKAs and THAs, after adjusting for covariates, the risk of SSI and readmission was not significantly different in the patients who gained or lost weight pre-operatively compared to those who remained the same. © 2013.

Federal Environmental Regulations Impacting Hydrocarbon Exploration, Drilling, and Production Operations

Energy Technology Data Exchange (ETDEWEB)

Carroll, Herbert B.; Johnson, William I.

1999-04-27

Waste handling and disposal from hydrocarbon exploration, drilling, and production are regulated by the US Environmental Protection Agency (EPA) through federal and state regulations and/or through implementation of federal regulations. Some wastes generated in these operations are exempt under the Resource Conservation and Recovery Act (RCRA) but are not exempt under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), Superfund Amendments and Reauthorization Act (SARA), and other federal environmental laws. Exempt wastes remain exempt only if they are not mixed with hazardous wastes or hazardous substances. Once mixture occurs, the waste must be disposed as a hazardous material in an approved hazardous waste disposal facility. Before the Clean Air Act as amended in 1990, air emissions from production, storage, steam generation, and compression facilities associated with hydrocarbon exploration, drilling, and production industry were not regulated. A critical proposed regulatory change which will significantly effect Class II injection wells for disposal of produced brine and injection for enhanced oil recovery is imminent. Federal regulations affecting hydrocarbon exploration, drilling and production, proposed EPA regulatory changes, and a recent significant US Court of Appeals decision are covered in this report. It appears that this industry will, in the future, fall under more stringent environmental regulations leading to increased costs for operators.

Environmental Assessment for Ongoing and Future Operations at U.S. Navy Dabob Bay and Hood Canal Military Operating Areas

National Research Council Canada - National Science Library

2002-01-01

...) of the Department of the Navy gives notice that an Environmental Assessment (EA) has been prepared for the proposed action of implement inc an Operations Management Plan for ongoing and future operations at the U.S...

Production of environmentally friendly aerated concrete with required construction and operational properties

Directory of Open Access Journals (Sweden)

Tkach Evgeniya

2018-01-01

Full Text Available The purpose of these studies is to justify the feasibility of recycling different types of industrial waste instead of conventional expensive raw materials in production of environmentally friendly aerated concrete with required construction and operational properties. The impact of wastes from various industries on the environmental condition of affected areas, as well as the results of their environmental assessment were analyzed to determine whether these wastes could be used in production of high-performance building materials. The assessment of industrial wastes in aerated concrete production suggests that industrial wastes of hazard class IV can be recycled to produce aerated concrete. An environmentally friendly method for large-scale waste recycling, including a two-step environmentally sustainable mechanism, was developed. The basic quality indicators of the modified aerated concrete proved that the environmental safety could be enhanced by strengthening the structure, increasing its uniformity and improving thermal insulation properties. The modified non-autoclaved aerated concrete products with improved physical and operational properties were developed. They have the following properties: density – D700; class of concrete – B3.5; thermal transmittance coefficient – 0.143 W/(m·°C; frost resistance – F75.

Sentinel node localisation using pre-operative lymphoscintigraphy and intraoperative gamma probe in early oral cavity cancer

International Nuclear Information System (INIS)

Ikram, M.; Akhtar, S.; Junaid, M.; Dhari, T.; Zaman, M.U.; Hussain, R.

2013-01-01

Objectives: To assess the diagnostic value of sentinel lymph node localisation using pre-operative lymphoscintigraphy and intra-operative gamma probe radio localisation in Pakistani patients suffering from early stage squamous cell carcinoma of the oral cavity. Methods: The prospective case series was conducted between September 2007 and April 2010 at the Aga Khan University Hospital, Karachi. It comprised patients with T1 and T2 oral cavity cancer with clinically and radiologically negative neck. Pre-operative lymphoscintigraphy was performed one day before surgery and intra-operative gamma probe was used to detect sentinel node. Final histo-pathological evaluation was taken as the gold standard. Results: The study comprised 42 patients: 32(76%) males and 10(24%) females. The primary tumour site was buccal mucosa in 25 (60%) patients, and tongue in 17 (40%). Sentinel lymph node was detected in 38 (90%) patients. On final histopathological identification, 7 (17%) patients had cancer in the neck nodes. In all patients with metastasis, sentinel lymph node technique correctly identified the involved neck level. None of the patients revealed metastasis in non-sentinel lymph nodes. Conclusion:Evidence suggested the use of sentinel node biopsy in patients with head and neck squamous cell carcinoma. (author)

Environmental monitoring report for the Point Lepreau, New Brunswick nuclear generating station 1984

International Nuclear Information System (INIS)

Nelson, R.W.P.; Ellis, K.M.; Smith, J.N.

1986-07-01

The Point Lepreau Environmental Monitoring Program (PLEMP) has been established within the Department of Fisheries and Oceans to assess the environmental impact of radioactive, thermal, and chemical releases from the Point Lepreau, N.B. Nuclear Generating Station (NGS) located on the Bay of Fundy. This report contains the results for the second year of the operational phase of the monitoring program. Emphasis has been placed on those areas where effects from the NGS operation were expected to be observed. Further studies were carried out on the characterization of the thermal plume during several pre-arranged tritium releases. Attention was given to tritium levels at the outfall, in the atmosphere and in biological samples. An initial attempt was made to relate the distribution of tritium in the Point Lepreau area in various phases to local meteorological conditions. Radionuclide levels in lichen, including, for the first time, aerial lichen on a regular basis, an efficient accumulator of atmospheric particulates were monitored. In addition, radionuclide measurements were made on samples collected during the pre-operational phase from the major environmental reservoirs and these radioactivity levels were compared to previous measurements to assess the impact of the operation of the NGS. The purpose of this program is to provide government with a comprehensive scientific basis upon which to assess the environmental implications of the operation of nuclear reactors in coastal regions

ART THERAPY MANAGEMENT IN THE PRE-OPERATIVE PERIOD IN PEDIATRICS

Directory of Open Access Journals (Sweden)

Ana Cláudia Afonso Valladares

2004-04-01

Full Text Available Every child, particularly those who will be submitted to surgery, needs to express themselves, createand establish relationships with the world. This study was based on qualitative studies which were, in turn,substantiated on the behavioral changes of patients and their images. It was developed in the pediatric clinic of apublic hospital in the city of Goiânia/GO in a two years’ period (1998-2000. The target population consisted ofhospitalized children in the pre-operative process. It was concluded that great therapeutic benefit was achievedfrom the use of art therapy for this population as it helped the children to recover their mental balance, thusstrengthening a healthier side of the child which had been deadened by the illness, hospitalization and treatment.

75 FR 76444 - Environmental Impact Statement (EIS) for Construction and Operation of a Panoramic Survey...

Science.gov (United States)

2010-12-08

... potential environmental impacts associated with construction and operation of the proposed Panoramic Survey... DEPARTMENT OF DEFENSE Department of the Air Force Environmental Impact Statement (EIS) for Construction and Operation of a Panoramic Survey Telescope and Rapid Response System (Pan-STARRS) at the Summit...

Assessment of the economic impact of environmental constraints on short-term hydropower plant operation

International Nuclear Information System (INIS)

Perez-Diaz, Juan I.; Wilhelmi, Jose R.

2010-01-01

Environmental constraints imposed on hydropower plant operation are usually given in the form of minimum environmental flows and, in some cases, in the form of maximum and minimum rates of change of flows, or ramping rates. Environmental constraints reduce the amount of water available to produce electricity and limit the contribution of peak hydropower plants to adapting the power supply to the demand and to providing certain ancillary services to the electrical grid, such as spinning reserve or load-frequency control. The objective of this paper is to assess the economic impact of environmental constraints on short-term hydropower plant operation. For that purpose, a revenue-driven daily optimization model based on mixed integer linear programming is used. The model considers the head variation and its influence on the units' efficiency, as well as the option of starting-up or shutting-down the plant at any hour of the day, should it be advantageous, while releasing the environmental flow through the bottom outlets. In order to illustrate the applicability of the methodology, it is applied in a real hydropower plant under different operating conditions and environmental constraints. (author)

Assessment of the economic impact of environmental constraints on short-term hydropower plant operation

Energy Technology Data Exchange (ETDEWEB)

Perez-Diaz, Juan I.; Wilhelmi, Jose R. [Department of Hydraulic and Energy Engineering, Technical University of Madrid (UPM), c/Profesor Aranguren s/n, 28040 Madrid (Spain)

2010-12-15

Environmental constraints imposed on hydropower plant operation are usually given in the form of minimum environmental flows and, in some cases, in the form of maximum and minimum rates of change of flows, or ramping rates. Environmental constraints reduce the amount of water available to produce electricity and limit the contribution of peak hydropower plants to adapting the power supply to the demand and to providing certain ancillary services to the electrical grid, such as spinning reserve or load-frequency control. The objective of this paper is to assess the economic impact of environmental constraints on short-term hydropower plant operation. For that purpose, a revenue-driven daily optimization model based on mixed integer linear programming is used. The model considers the head variation and its influence on the units' efficiency, as well as the option of starting-up or shutting-down the plant at any hour of the day, should it be advantageous, while releasing the environmental flow through the bottom outlets. In order to illustrate the applicability of the methodology, it is applied in a real hydropower plant under different operating conditions and environmental constraints. (author)

Pre-operative radio-chemo-thermotherapy for advanced (T3-4) and/or recurrent rectal carcinomas

International Nuclear Information System (INIS)

Wust, P.; Gremmler, M.; Rau, B.; Loeffel, J.; Gellermann, J.; Stahl, H.; Vogl, T.; Riess, H.; Schlag, P.; Felix, R.

1995-01-01

Objective: Recent studies suggest that pre-operative radio-chemotherapy in locally advanced rectal cancer can increase resectability and local control (T4 stages), and might facilitate sphincter-preserving surgery (T3 stages). However, response rates are still unsatisfactory for radiotherapy alone, and are only slightly better for radio-chemotherapy. Radiofrequency hyperthermia has now achieved a technical stage already suitable for treating this tumor entity effectively in clinical practice. Therefore, a trimodal pre-operative approach for T3-4 rectal carcinomas has been investigated in a phase I/II study. Materials and Methods: A phase I/II study was conducted on 30 pts with advanced and/or recurrent rectal cancer. (7(30)) pts had recurrences, (9(30)) uT3, (14(30)) T4-stage of the primary. Initial tumor stage was assessed by endosonography, CT and occasionally MRI (T1-w ± Echovist, T2-w, proton density). Radiotherapy was delivered in prone position using a belly-board, three-field technique, standard blocks, 5x1.8 → 45 Gy in 5 weeks. In parallel, 5-FU (300-350 mg/kg, dose escalation) and folinic acid (50 mg) on days 1-5 and days 22-28. Regional hyperthermia was administered using the annular phased array applicator SIGMA-60 once a week. Index temperatures T x were deduced from thermal mapping scans in endocavitary/intratumoral catheters. Re-staging was done by endosonography and CT. Four weeks after radiotherapy, surgery was performed with preference to continence preserving operations. If the tumor remained unresectable, a boost to a total tumor dose of 60 Gy was claimed. Results: (7(30)) pts (23%) did not undergo resection because their tumors remained technically non-resectable: 4 pts with persistent local control of 12-18 mts, 2 pts with progressive disease, 1 pt with too short observation time. (23(30)) pts underwent surgery: only 1 R2-resection, 22 R0-resections. The patho-histological analysis documented 4 CR (17%) at the primary tumor, 12 PR

Tracing freshwater nitrate sources in pre-alpine groundwater catchments using environmental tracers

Science.gov (United States)

Stoewer, M. M.; Knöller, K.; Stumpp, C.

2015-05-01

Groundwater is one of the main resources for drinking water. Its quality is still threatened by the widespread contaminant nitrate (NO3-). In order to manage groundwater resources in a sustainable manner, we need to find options of lowering nitrate input. Particularly, a comprehensive knowledge of nitrate sources is required in areas which are important current and future drinking water reservoirs such as pre-alpine aquifers covered with permanent grassland. The objective of the present study was to identify major sources of nitrate in groundwater with low mean nitrate concentrations (8 ± 2 mg/L). To achieve the objective, we used environmental tracer approaches in four pre-alpine groundwater catchments. The stable isotope composition and tritium content of water were used to study the hydrogeology and transit times. Furthermore, nitrate stable isotope methods were applied to trace nitrogen from its sources to groundwater. The results of the nitrate isotope analysis showed that groundwater nitrate was derived from nitrification of a variety of ammonium sources such as atmospheric deposition, mineral and organic fertilizers and soil organic matter. A direct influence of mineral fertilizer, atmospheric deposition and sewage was excluded. Since temporal variation in stable isotopes of nitrate were detected only in surface water and locally at one groundwater monitoring well, aquifers appeared to be well mixed and influenced by a continuous nitrate input mainly from soil derived nitrogen. Hydrogeological analysis supported that the investigated aquifers were less vulnerable to rapid impacts due to long average transit times, ranging from 5 to 21 years. Our study revealed the importance of combining environmental tracer approaches and a comprehensive sampling campaign (local sources of nitrate, soil water, river water, and groundwater) to identify the nitrate sources in groundwater and its vulnerability. In future, the achieved results will help develop targeted

Connectome analysis for pre-operative brain mapping in neurosurgery

Science.gov (United States)

Hart, Michael G.; Price, Stephen J.; Suckling, John

2016-01-01

Abstract Object: Brain mapping has entered a new era focusing on complex network connectivity. Central to this is the search for the connectome or the brains ‘wiring diagram’. Graph theory analysis of the connectome allows understanding of the importance of regions to network function, and the consequences of their impairment or excision. Our goal was to apply connectome analysis in patients with brain tumours to characterise overall network topology and individual patterns of connectivity alterations. Methods: Resting-state functional MRI data were acquired using multi-echo, echo planar imaging pre-operatively from five participants each with a right temporal–parietal–occipital glioblastoma. Complex networks analysis was initiated by parcellating the brain into anatomically regions amongst which connections were identified by retaining the most significant correlations between the respective wavelet decomposed time-series. Results: Key characteristics of complex networks described in healthy controls were preserved in these patients, including ubiquitous small world organization. An exponentially truncated power law fit to the degree distribution predicted findings of general network robustness to injury but with a core of hubs exhibiting disproportionate vulnerability. Tumours produced a consistent reduction in local and long-range connectivity with distinct patterns of connection loss depending on lesion location. Conclusions: Connectome analysis is a feasible and novel approach to brain mapping in individual patients with brain tumours. Applications to pre-surgical planning include identifying regions critical to network function that should be preserved and visualising connections at risk from tumour resection. In the future one could use such data to model functional plasticity and recovery of cognitive deficits. PMID:27447756

Connectome analysis for pre-operative brain mapping in neurosurgery.

Science.gov (United States)

Hart, Michael G; Price, Stephen J; Suckling, John

2016-10-01

Brain mapping has entered a new era focusing on complex network connectivity. Central to this is the search for the connectome or the brains 'wiring diagram'. Graph theory analysis of the connectome allows understanding of the importance of regions to network function, and the consequences of their impairment or excision. Our goal was to apply connectome analysis in patients with brain tumours to characterise overall network topology and individual patterns of connectivity alterations. Resting-state functional MRI data were acquired using multi-echo, echo planar imaging pre-operatively from five participants each with a right temporal-parietal-occipital glioblastoma. Complex networks analysis was initiated by parcellating the brain into anatomically regions amongst which connections were identified by retaining the most significant correlations between the respective wavelet decomposed time-series. Key characteristics of complex networks described in healthy controls were preserved in these patients, including ubiquitous small world organization. An exponentially truncated power law fit to the degree distribution predicted findings of general network robustness to injury but with a core of hubs exhibiting disproportionate vulnerability. Tumours produced a consistent reduction in local and long-range connectivity with distinct patterns of connection loss depending on lesion location. Connectome analysis is a feasible and novel approach to brain mapping in individual patients with brain tumours. Applications to pre-surgical planning include identifying regions critical to network function that should be preserved and visualising connections at risk from tumour resection. In the future one could use such data to model functional plasticity and recovery of cognitive deficits.

Environmental Audit at Santa Barbara Operations, Special Technologies Laboratory, Remote Sensing Laboratory, North Las Vegas Facilities

International Nuclear Information System (INIS)

1991-03-01

This report documents the results of the Environmental Audit of selected facilities under the jurisdiction of the DOE Nevada Operations Office (NV) that are operated by EG and G Energy Measurements, Incorporated (EG and G/EM). The facilities included in this Audit are those of Santa Barbara Operation (SBO) at Goleta, California; the Special Technologies Laboratory (STL) at Santa Barbara, California; and Las Vegas Area Operations (LVAO) including the Remote Sensing Laboratory (RSL) at Nellis Air Force Base in Nevada, and the North Las Vegas Facilities (NLVF) at North Las Vegas, Nevada. The Environmental Audit was conducted by the US Department of Energy's (DOE) Office of Environmental Audit, commencing on January 28, 1991 and ending on February 15, 1991. The scope of the Audit was comprehensive, addressing environmental activities in the technical areas of air, surface water/drinking water, groundwater, waste management, toxic and chemical materials, quality assurance, radiation, inactive waste sites, and environmental management. Also assessed was compliance with applicable Federal, state, and local regulations and requirements; internal operating requirements; DOE Orders; and best management practices. 8 tabs

Site Environmental Report for Calendar Year 1999. DOE Operations at The Boeing Company, Rocketdyne

Energy Technology Data Exchange (ETDEWEB)

None

2000-09-01

OAK A271 Site Environmental Report for Calendar Year 1999. DOE Operations at The Boeing Company, Rocketdyne. This Annual Site Environmental Report (ASER) for 1999 describes the environmental conditions related to work performed for the Department of Energy (DOE) at Area IV of the Rocketdyne Santa Susana Field Laboratory (SSFL). In the past, these operations included development, fabrication, and disassembly of nuclear reactors, reactor fuel, and other radioactive materials under the former Atomics International Division. Other activities included the operation of large-scale liquid metal facilities for testing of liquid metal fast breeder components at the Energy Technology Engineering Center (ETEC), a government-owned, company-operated test facility within Area IV. All nuclear work was terminated in 1988, and subsequently, all radiological work has been directed toward decontamination and decommissioning (D&D) of the previously used nuclear facilities and associated site areas. Large-scale D&D activities of the sodium test facilities began in 1996. This Annual Site Environmental Report provides information showing that there are no indications of any potential impact on public health and safety due to the operations conducted at the SSFL. All measures and calculations of off-site conditions demonstrate compliance with applicable regulations, which provide for protection of human health and the environment.

Site Environmental Report for Calendar Year 1999. DOE Operations at The Boeing Company, Rocketdyne

International Nuclear Information System (INIS)

None

2000-01-01

OAK A271 Site Environmental Report for Calendar Year 1999. DOE Operations at The Boeing Company, Rocketdyne. This Annual Site Environmental Report (ASER) for 1999 describes the environmental conditions related to work performed for the Department of Energy (DOE) at Area IV of the Rocketdyne Santa Susana Field Laboratory (SSFL). In the past, these operations included development, fabrication, and disassembly of nuclear reactors, reactor fuel, and other radioactive materials under the former Atomics International Division. Other activities included the operation of large-scale liquid metal facilities for testing of liquid metal fast breeder components at the Energy Technology Engineering Center (ETEC), a government-owned, company-operated test facility within Area IV. All nuclear work was terminated in 1988, and subsequently, all radiological work has been directed toward decontamination and decommissioning (D and D) of the previously used nuclear facilities and associated site areas. Large-scale D and D activities of the sodium test facilities began in 1996. This Annual Site Environmental Report provides information showing that there are no indications of any potential impact on public health and safety due to the operations conducted at the SSFL. All measures and calculations of off-site conditions demonstrate compliance with applicable regulations, which provide for protection of human health and the environment

A prospective, randomised, controlled study examining binaural beat audio and pre-operative anxiety in patients undergoing general anaesthesia for day case surgery.

Science.gov (United States)

Padmanabhan, R; Hildreth, A J; Laws, D

2005-09-01

Pre-operative anxiety is common and often significant. Ambulatory surgery challenges our pre-operative goal of an anxiety-free patient by requiring people to be 'street ready' within a brief period of time after surgery. Recently, it has been demonstrated that music can be used successfully to relieve patient anxiety before operations, and that audio embedded with tones that create binaural beats within the brain of the listener decreases subjective levels of anxiety in patients with chronic anxiety states. We measured anxiety with the State-Trait Anxiety Inventory questionnaire and compared binaural beat audio (Binaural Group) with an identical soundtrack but without these added tones (Audio Group) and with a third group who received no specific intervention (No Intervention Group). Mean [95% confidence intervals] decreases in anxiety scores were 26.3%[19-33%] in the Binaural Group (p = 0.001 vs. Audio Group, p Binaural beat audio has the potential to decrease acute pre-operative anxiety significantly.

The potential usefulness of the Response Index in positron emission tomography assessing the therapeutic effect of pre-operative chemotherapy for advanced colorectal cancer.

Science.gov (United States)

Nomura, Masatoshi; Takahashi, Hidekazu; Haraguchi, Naotsugu; Nishimura, Junichi; Hata, Taishi; Matsuda, Chu; Ikenaga, Masakazu; Yamamoto, Hirofumi; Murata, Kohei; Doki, Yuichiro; Mori, Masaki; Mizushima, Tsunekazu

2017-12-01

Pre-operative chemotherapy is an option for patients with local advanced rectal cancer, but the response rate to pre-operative chemotherapy with oxaliplatin is still low. If the therapeutic effect of pre-operative chemotherapy could be assessed, we may be able to convert to surgery early. The purpose of the present study was to validate the correlation between the maximum standardized uptake value (SUV max ) in 18F-fluorodeoxyglucose positron emission tomography-computed tomography (PET-CT) of the primary tumor and the therapeutic effect of pre-operative chemotherapy in advanced colorectal cancer. Retrospective cohort study from January 2011 to October 2015. We examined 28 patients with pathologically confirmed sigmoid or rectal cancer that underwent pre-operative chemotherapy and surgery. The correlation between Response Index (RI), calculated as (SUV max after chemotherapy)/(SUV max before chemotherapy), and the therapeutic effect on the primary tumor in advanced colorectal cancer. The degree of differentiation (p = 0.04), SUV max in the primary tumor after chemotherapy (p = 0.02), and RI (p = 0.008) were significant predictors of the therapeutic effect in univariate analysis. The areas under the ROC curve constructed with RI and therapeutic effect was 0.77. The optimal cut-off values for the RI in the responder group was effect of chemotherapy on advanced colorectal cancer. Thus, RI is potentially useful for predicting the therapeutic effect in advanced colorectal cancer.

Environmental Assessment for Proposed Security Forces Operations Facility, Buckley Air Force Base, Colorado

National Research Council Canada - National Science Library

Meyer, Elizabeth; Myklebust, Jessica; Denier, James; Christner, Jennifer; Fontaine, Kathyrn

2006-01-01

The United States Air Force (USAF) has prepared this EA in accordance with the National Environmental Policy Act to evaluate the potential environmental and social impacts from the construction and operation of the proposed SFOF...

Influences of environmental and operational factors on dark fermentative hydrogen production: a review

International Nuclear Information System (INIS)

Mohammadi, Parviz; Ibrahim, Shaliza; Ghafari, Shahin; Annuar, Mohamad Suffian Mohamad; Vikineswary, Sabaratnam; Zinatizadeh, Ali Akbar

2012-01-01

Hydrogen (H 2 ) is one of renewable energy sources known for its non-polluting and environmentally friendly nature, as its end combustion product is water (H 2 O). The biological production of H 2 is a less energy intensive alternative where processes can be operated at ambient temperature and pressure. Dark fermentation by bacterial biomass is one of multitude of approaches to produce hydrogen which is known as the cleanest renewable energy and is thus receiving increasing attention worldwide. The present study briefly reviews the biohydrogen production process with special attention on the effects of several environmental and operational factors towards the process. Factors such as organic loading rate, hydraulic retention time, temperature, and pH studied in published reports were compared and their influences are discussed in this work. This review highlights the variations in examined operating ranges for the factors as well as their reported optimum values. Divergent values observed for the environmental/operational factors merit further exploration in this field. (Copyright copyright 2012 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

Influences of environmental and operational factors on dark fermentative hydrogen production: a review

Energy Technology Data Exchange (ETDEWEB)

Mohammadi, Parviz [Department of Civil Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur (Malaysia); Department of Environmental Health Engineering, Faculty of Health, Kermanshah University of Medical Sciences, Kermanshah (Iran, Islamic Republic of); Ibrahim, Shaliza; Ghafari, Shahin [Department of Civil Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur (Malaysia); Annuar, Mohamad Suffian Mohamad; Vikineswary, Sabaratnam [Institute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur (Malaysia); Zinatizadeh, Ali Akbar [Department of Applied Chemistry, Faculty of Chemistry, Razi University, Kermanshah (Iran, Islamic Republic of); Water and Wastewater Research Center (WWRC), Razi University, Kermanshah (Iran, Islamic Republic of)

2012-11-15

Hydrogen (H{sub 2}) is one of renewable energy sources known for its non-polluting and environmentally friendly nature, as its end combustion product is water (H{sub 2}O). The biological production of H{sub 2} is a less energy intensive alternative where processes can be operated at ambient temperature and pressure. Dark fermentation by bacterial biomass is one of multitude of approaches to produce hydrogen which is known as the cleanest renewable energy and is thus receiving increasing attention worldwide. The present study briefly reviews the biohydrogen production process with special attention on the effects of several environmental and operational factors towards the process. Factors such as organic loading rate, hydraulic retention time, temperature, and pH studied in published reports were compared and their influences are discussed in this work. This review highlights the variations in examined operating ranges for the factors as well as their reported optimum values. Divergent values observed for the environmental/operational factors merit further exploration in this field. (Copyright copyright 2012 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

Clinical utility of routine pre-operative axillary ultrasound and fine needle aspiration cytology in patient selection for sentinel lymph node biopsy.

Science.gov (United States)

Rattay, T; Muttalib, M; Khalifa, E; Duncan, A; Parker, S J

2012-04-01

In patients with operable breast cancer, pre-operative evaluation of the axilla may be of use in the selection of appropriate axillary surgery. Pre-operative axillary ultrasound (US) and fine needle aspiration cytology (FNAC) assessments have become routine practice in many breast units, although the evidence base is still gathering. This study assessed the clinical utility of US+/-FNAC in patient selection for either axillary node clearance (ANC) or sentinel lymph node biopsy (SLNB) in patients undergoing surgery for operable breast cancer. Over a two-year period, 348 patients with a clinically negative axilla underwent axillary US. 67 patients with suspicious nodes on US also underwent FNAC. The sensitivity and specificity of axillary investigations to determine nodal involvement were 56% (confidence interval: 47-64%) and 90% (84-93%) for US alone, and 76% (61-87%) and 100% (65-100%) for FNAC combined with US, respectively. With a positive US, the post-test probability was 78%. A negative US carried a post-test probability of 25%. When FNAC was positive, the post-test probability was greater than unity. A negative FNAC yielded a post-test probability of 52%. All patients with positive FNAC and most patients with suspicious US were listed for axillary node clearance (ANC) after consideration at the multi-disciplinary team (MDT) meeting. With pre-operative axillary US+/-FNAC, 20% of patients were saved a potential second axillary procedure, facilitating a reduction in the overall re-operation rate to 12%. In this study, a positive pre-operative US+/-FNAC directs patients towards ANC. When the result is negative, other clinico-pathological factors need to be taken into account in the selection of the appropriate axillary procedure. Copyright © 2011 Elsevier Ltd. All rights reserved.

Olympic Dam operations - environmental management programme

International Nuclear Information System (INIS)

1990-03-01

This is the 3rd Annual Report pertaining to the Olympic Dam Operations Environmental Management Programme and covers the period 1st March, 1989 to 28th February, 1990. The monitoring programe has provided detailed assessment of meteorological data, vegetation, fauna, soil stability, soil salinity, hydrogeology and well-fields both inside and outside the operations area. Mine site rehabilitation is considered to be progressing satisfactorily. Out of the 851 drill pad sites 72% have been rehabilitated to the stage where natural soil stability and plant cover has been achieved. Drill pad sites that have received good rainfall within one year of being ripped have rehabilitated very succesfully. Sites that receive no significant rainfall for more than two years, particularly on dune slopes may require re-ripping before successful regeneration can occur. To improve the drill pad site rehabilitation monitoring programme it is recommended that 200 drill sites be analysed each year. Air emission and solid waste data are also presented. This program is considered to be particularly successful in relation to SO 2 assessment. 90 tabs., 63 figs., ills

Accuracy of pre-operative hysteroscopic guided biopsy for predicting final pathology in uterine malignancies.

Science.gov (United States)

Martinelli, Fabio; Ditto, Antonino; Bogani, Giorgio; Signorelli, Mauro; Chiappa, Valentina; Lorusso, Domenica; Haeusler, Edward; Raspagliesi, Francesco

2017-07-01

To evaluate concordance (C) between pre-operative hysteroscopic-directed sampling and final pathology in uterine cancers. A retrospective cross-sectional evaluation of prospectively collected data of women who underwent hysterectomy for uterine malignancies and a previous hysteroscopic-guided biopsy was performed. Diagnostic concordance between pre-operative (hysteroscopic biopsy) and postoperative (uterine specimen) histology was evaluated. In endometrioid-endometrial cancers cases Kappa (k) statistics was applied to evaluate agreement for grading (G) between the preoperative and final pathology. A total 101 hysterectomies for uterine malignancies were evaluated. There were 23 non-endometrioid cancers: 7 serous (C:5/7, 71.4%); 10 carcinosarcomas (C:7/10, 70%, remaining 3 cases only epithelial component diagnosed); 3 clear cell (C:3/3, 100%); 3 sarcomas (C:3/3, 100%). In 78 cases an endometrioid endometrial cancer was found. In 63 cases there was a histological C (63/78, 80.8%) between hysteroscopic-guided biopsy and final pathology, while in 15 cases (19.2%) only hyperplasia (with/without atypia) was found preoperatively. Overall accuracy to detect endometrial cancer was 80.2%. In 50 out of 63 endometrial cancers (79.4%) grading was concordant. The overall level of agreement between preoperative and postoperative grading was "substantial" according to Kappa (k) statistics (k 0.64; 95% CI: 0.449-0.83; p < 0.001), as well as for G1 (0.679; 95% CI: 0.432-0.926; p < 0.001) and G3 (0.774; 94% CI: 0.534-1; p < 0.001), while for G2 (0.531; 95% CI: 0.286-0.777; p < 0.001) it was moderate. In our series we found an 80% C between pre-operative hysteroscopic-guided biopsy and final pathology, in uterine malignancies. Moreover, hysteroscopic biopsy accurately predicted endometrial cancer in 80% of cases and "substantially" predicted histological grading. Hysteroscopic-guided uterine sampling could be a useful tool to tailor treatment in patients with uterine

ENVIRONMENTAL AND GENETIC INFLUENCES ON PRE-WEANING DAILY WEIGHT GAIN IN TEDDY GOAT KIDS

Directory of Open Access Journals (Sweden)

Asad Ullah Hyder, Pervez Akhtar and Omer Usman Haider

2002-04-01

Full Text Available Records belonging to 1248 Teddy goats kept at the Livestock Production Research Institute, Bahadurnagar, (Okara, Pakistan were analyzed to identify genetic and environmental factors affecting pre-weaning average daily weight gain. Sex of kid, season and year of kidding affected average daily weight gain significantly (P<0.01. Male kids gained at a faster rate (111.00 ± 6.01 g/day than female kids (106.00 ± 6.06 g per day. The kids born in summer gained 108.90 + 1.3 g per day, which. was lower (P<0.01 than winter born kids ( 115.4 ± 1.4 9 per day. Different years of birth had shown gradual decrease in pre-weaning average daily gains. The effects of. parity of dam and birth type were found to be non-significant. Habitability estimate for daily weight gain was 0.12 ± 0.06. The phenotypic and genetic trends were negative.

Environmental analysis of the operation of Oak Ridge National Laboratory (X-10 site)

Energy Technology Data Exchange (ETDEWEB)

Boyle, J.W.; Blumberg, R.; Cotter, S.J.

1982-11-01

An environmental analysis of the operation of the Oak Ridge National Laboratory (ORNL) facilities in Bethel Valley and Melton Valley was conducted to present to the public information concerning the extent to which recognizable effects, or potential effects, on the environment may occur. The analysis addresses current operations of the ORNL X-10 site and completed operations that may continue to have residual effects. Solid wastes from ORNL operations at the Y-12 site which are transported to the X-10 site for burial (e.g., Biology Division animal wastes) are included as part of X-10 site operation. Socioeconomic effects are associated primarily with the communities where employees live and with the Knoxville Bureau of Economic Analysis economic area as a whole. Therefore, ORNL employees at both Y-12 and X-10 sites are included in the ORNL socioeconomic impact analysis. An extensive base of environmental data was accumulated for this report. Over 80 reports related to ORNL facilities and/or operations are cited as well as many open-literature citations. Environmental effects of the operation of ORNL result from operational discharges from the onsite facilities; construction and/or modification of facilities, transportation to and from the site of persons, goods and services; socioeconomic impacts to the local, regional, and general population; and accidental discharges if they should occur. Operational discharges to the environnment are constrained by federal, state, and local regulations and by criteria established by the US Department of Energy to minimize adverse impacts. It is the purpose of this document to evaluate the operation of the ORNL insofar as impacts beyond the site boundary may occur or have the potential for occurrence.

Environmental analysis of the operation of Oak Ridge National Laboratory (X-10 site)

International Nuclear Information System (INIS)

Boyle, J.W.; Blumberg, R.; Cotter, S.J.

1982-11-01

An environmental analysis of the operation of the Oak Ridge National Laboratory (ORNL) facilities in Bethel Valley and Melton Valley was conducted to present to the public information concerning the extent to which recognizable effects, or potential effects, on the environment may occur. The analysis addresses current operations of the ORNL X-10 site and completed operations that may continue to have residual effects. Solid wastes from ORNL operations at the Y-12 site which are transported to the X-10 site for burial (e.g., Biology Division animal wastes) are included as part of X-10 site operation. Socioeconomic effects are associated primarily with the communities where employees live and with the Knoxville Bureau of Economic Analysis economic area as a whole. Therefore, ORNL employees at both Y-12 and X-10 sites are included in the ORNL socioeconomic impact analysis. An extensive base of environmental data was accumulated for this report. Over 80 reports related to ORNL facilities and/or operations are cited as well as many open-literature citations. Environmental effects of the operation of ORNL result from operational discharges from the onsite facilities; construction and/or modification of facilities, transportation to and from the site of persons, goods and services; socioeconomic impacts to the local, regional, and general population; and accidental discharges if they should occur. Operational discharges to the environnment are constrained by federal, state, and local regulations and by criteria established by the US Department of Energy to minimize adverse impacts. It is the purpose of this document to evaluate the operation of the ORNL insofar as impacts beyond the site boundary may occur or have the potential for occurrence

Environmental Molecular Sciences Laboratory Operations System: Version 4.0 - system requirements specification

Energy Technology Data Exchange (ETDEWEB)

Kashporenko, D.

1996-07-01

This document is intended to provide an operations standard for the Environmental Molecular Sciences Laboratory OPerations System (EMSL OPS). It is directed toward three primary audiences: (1) Environmental Molecular Sciences Laboratory (EMSL) facility and operations personnel; (2) laboratory line managers and staff; and (3) researchers, equipment operators, and laboratory users. It is also a statement of system requirements for software developers of EMSL OPS. The need for a finely tuned, superior research environment as provided by the US Department of Energy`s (DOE) Environmental Molecular Sciences Laboratory has never been greater. The abrupt end of the Cold War and the realignment of national priorities caused major US and competing overseas laboratories to reposition themselves in a highly competitive research marketplace. For a new laboratory such as the EMSL, this means coming into existence in a rapidly changing external environment. For any major laboratory, these changes create funding uncertainties and increasing global competition along with concomitant demands for higher standards of research product quality and innovation. While more laboratories are chasing fewer funding dollars, research ideas and proposals, especially for molecular-level research in the materials and biological sciences, are burgeoning. In such an economically constrained atmosphere, reduced costs, improved productivity, and strategic research project portfolio building become essential to establish and maintain any distinct competitive advantage. For EMSL, this environment and these demands require clear operational objectives, specific goals, and a well-crafted strategy. Specific goals will evolve and change with the evolution of the nature and definition of DOE`s environmental research needs. Hence, EMSL OPS is designed to facilitate migration of these changes with ease into every pertinent job function, creating a facile {open_quotes}learning organization.{close_quotes}

Use of the pre-dose technique for environmental dosimetry. [Thermoluminescence from fired bricks or tiles

Energy Technology Data Exchange (ETDEWEB)

Bailiff, I K [Durham Univ. (UK). TL Lab.; Haskell, E H [Utah Univ., Salt Lake City (USA). Radiobiology Div.

1984-01-01

The pre-dose effect associated with the 110/sup 0/C TL peak of quartz is the basis of a dating technique developed at the Oxford Laboratory, and now in use to date pottery and brick at the Durham Laboratory. Recently its use for the measurement of fallout gamma dose has been initiated at the University of Utah. Using quartz extracted from fired brick, the technique has been shown to be sufficiently sensitive to measure doses in the region of 10 mGy. The complexities of the technique encountered during dating in its upper range (approx. 5 Gy) are equally apparent in its lower range (10 mGy). With a common interest in the pre-dose technique, the research that is being performed to apply the technique through its full range in environmental dosimetry is discussed.

Environmental impact report addendum for the continued operation of Lawrence Livermore National Laboratory

International Nuclear Information System (INIS)

Weston, R. F.

1996-01-01

An environmental impact statement/environmental impact report (ES/EIR) for the continued operation and management of Lawrence Livermore National Laboratory (LLNL) was prepared jointly by the U.S. Department of Energy (DOE) and the University of California (UC). The scope of the document included near-term (within 5-10 years) proposed projects. The UC Board of Regents, as state lead agency under the California Environmental Quality Act (CEQA), certified and adopted the EIR by issuing a Notice of Determination on November 20, 1992. The DOE, as the lead federal agency under the National Environmental Policy Act (NEPA), adopted a Record of Decision for the ES on January 27, 1993 (58 Federal Register [FR] 6268). The DOE proposed action was to continue operation of the facility, including near-term proposed projects. The specific project evaluated by UC was extension of the contract between UC and DOE for UC's continued operation and management of LLNL (both sites) from October 1, 1992, through September 30, 1997. The 1992 ES/EIR analyzed impacts through the year 2002. The 1992 ES/EIR comprehensively evaluated the potential environmental impacts of operation and management of LLNL within the near-term future. Activities evaluated included programmatic enhancements and modifications of facilities and programs at the LLNL Livermore site and at LLNL's Experimental Test Site (Site 300) in support of research and development missions 2048 established for LLNL by Congress and the President. The evaluation also considered the impacts of infrastructure and building maintenance, minor modifications to buildings, general landscaping, road maintenance, and similar routine support activities

Ionization beam profile monitor for operation under hard environmental conditions

International Nuclear Information System (INIS)

Teterev, Yu.G.; Kaminski, G.; Phi Thanh Huong; Kaminski, G.; Kozik, E.

2010-01-01

The design and the performance of the Ionization Beam Profile Monitor (IBPM) operating on the residual gas ionization principle are described. The main advantage of the constructed device is the non-contact measuring method. Operating under hard environmental conditions it delivers the information about the primary beam position, profile and intensity in 'on-line' regime. It was found out that the device is capable to operate in vacuum in the range of 10 -6 /10 -3 mbar without the loss of the resolution power at the beam current as low as a few nA. The IBPM is prospective for beam profile monitoring due to long time. Emergency situations do not lead to decrease of its operability.

Growth of Environmental Science at the NSLS

International Nuclear Information System (INIS)

Northrup, P.; Lanzirotti, A.; Celestian, A.

2007-01-01

In the 25 years since the National Synchrotron Light Source (NSLS) began operations, synchrotron 'user facilities' have had a growing impact on research in molecular environmental science (MES). For example, synchrotron-based analytical techniques have allowed researchers to determine the molecular-level speciation of environmentally relevant elements and evaluate their spatial distribution and phase association at very low concentration levels (low parts per million) with micrometer or nanometer resolution [1]. For the environmental scientist, one of the primary advantages of these synchrotron-based techniques is that samples need not be disturbed or destroyed for study; characterization can often be done in-situ in dilute and heterogeneous natural samples with no need for species separation, pre-concentration, or pre-treatment [2]. Liquids, hydrated solids, and biological samples can also often be directly analyzed, which is of fundamental importance in environmental science for understanding the molecular-scale processes that occur at mineral-water interfaces and in understanding how abiotic and biotic processes are involved in the distribution, mobility and ultimate fate of molecular species in the environment.

Growth of Environmental Science at the NSLS

Energy Technology Data Exchange (ETDEWEB)

Northrup,P.; Lanzirotti, A.; Celestian, A.

2007-01-01

In the 25 years since the National Synchrotron Light Source (NSLS) began operations, synchrotron 'user facilities' have had a growing impact on research in molecular environmental science (MES). For example, synchrotron-based analytical techniques have allowed researchers to determine the molecular-level speciation of environmentally relevant elements and evaluate their spatial distribution and phase association at very low concentration levels (low parts per million) with micrometer or nanometer resolution [1]. For the environmental scientist, one of the primary advantages of these synchrotron-based techniques is that samples need not be disturbed or destroyed for study; characterization can often be done in-situ in dilute and heterogeneous natural samples with no need for species separation, pre-concentration, or pre-treatment [2]. Liquids, hydrated solids, and biological samples can also often be directly analyzed, which is of fundamental importance in environmental science for understanding the molecular-scale processes that occur at mineral-water interfaces and in understanding how abiotic and biotic processes are involved in the distribution, mobility and ultimate fate of molecular species in the environment.

Pre-operative Spermatic Cord Ultrasonography Helps to Reduce the Incidence of Metachronous Inguinal Hernia in Boys

Directory of Open Access Journals (Sweden)

Shoujiang Huang

2018-06-01

Full Text Available Background/purpose: Thickening of the spermatic cord is a clinical sign of an inguinal hernia. We therefore tested whether pre-operative spermatic cord ultrasonography could reduce the incidence of metachronous inguinal hernia (MIH.Methods: Boys under 2 years old with an initial unilateral inguinal hernia were enrolled in this study. In whom the width of the asymptomatic-sided spermatic cord was ≥0.5 cm, these patients underwent contralateral groin exploration. Age at initial operation, weight, initial operation side, the sonographic width of the spermatic cord, the operative findings and presence of MIH were recorded, and the relationship among them was studied. Boys in the US group underwent an open herniorrhaphy with pre-operative ultrasound examination; the non-US group included boys who did not undergo a pre-operative ultrasound examination. A receiver operator curve (ROC analysis was performed to evaluated predictive value of the sonographic width of the spermatic cord for contralateral hernia.Results: A total of 24 months' follow-up data were obtained from 1,793 boys (US group 1,162, non-US group 631. In the US group, the width of the hernia-sided spermatic cord (0.75 ± 0.18 cm was larger than the normal side (0.37 ± 0.05 cm, P < 0.001. And the width of normal side spermatic cord had no significant difference between the groups regarding other factors such as age and weight. In whom the width of the asymptomatic-sided spermatic cord was ≥0.5 cm, the corresponding incidence of CIH was 86.4% (57/66. The width of the spermatic cord predicted the presence of contralateral hernia with ROC area under the curve = 0.943 (95% CI = 0.919–0.966. The total incidence of MIH was 4.1% (74/1793. The incidence of MIH in the US group was 2.2% (25/1162 much lower than 7.8% (49/631 in the non-US group (P < 0.001. If the width of the asymptomatic-sided spermatic cord was 0.5 cm and 0.54 cm, the corresponding sensitivity was 0.682 and 0

Oral Nutrition as a Form of Pre-Operative Enhancement in Patients Undergoing Surgery for Colorectal Cancer

NARCIS (Netherlands)

Bruns, Emma R.J.; Argillander, Tanja E.; Heuvel, Van Den Baukje; Buskens, Christianne J.; Duijvendijk, Van Peter; Winkels, Renate M.; Kalf, Annette; Zaag, Van Der Edwin S.; Wassenaar, Eelco B.; Bemelman, Willem A.; Munster, Van Barbara C.

2018-01-01

Background: Nutritional status has major impacts on the outcome of surgery, in particular in patients with cancer. The aim of this review was to assess the merit of oral pre-operative nutritional support as a part of prehabilitation in patients undergoing surgery for colorectal cancer. Methods: A

Draft environmental statement related to the operation of Hope Creek Generating Station (Docket No. 50-354)

International Nuclear Information System (INIS)

Wagner, D.H.

1984-06-01

This report contains an assessment of the environmental impact associated with the operation of the Hope Creek Generating Station pursuant to the National Environment Policy Act of 1969 (NEPA) and Title 10 of the Code of Federal Regulations, Part 51, as amended, of the Nuclear Regulatory Commission regulations. This statement examines the environmental impacts, environmental consequences and mitigating actions, and environmental and economic benefits and costs associated with station operation. Land use and terrestrial and aquatic ecological impacts will be small. No operational impacts to historic and archeological sites are anticipated. The effects of routine operations, energy transmission, and periodic maintenance of rights-of-way and transmission facilities should not jeopardize any populations of endangered or threatened species. No significant impacts are anticipated from normal operational releases of radioactivity. The risk of radiation exposure associated with accidental release of radioactivity is very low. Socioeconomic impacts of the project are anticipated to be minimal. The action called for is the issuance of an operating license for Hope Creek Generating Station, Unit 1

Restoring Environmental Flows by Modifying Dam Operations

Directory of Open Access Journals (Sweden)

Brian D. Richter

2007-06-01

Full Text Available The construction of new dams has become one of the most controversial issues in global efforts to alleviate poverty, improve human health, and strengthen regional economies. Unfortunately, this controversy has overshadowed the tremendous opportunity that exists for modifying the operations of existing dams to recover many of the environmental and social benefits of healthy ecosystems that have been compromised by present modes of dam operation. The potential benefits of dam "re-operation" include recovery of fish, shellfish, and other wildlife populations valued both commercially and recreationally, including estuarine species; reactivation of the flood storage and water purification benefits that occur when floods are allowed to flow into floodplain forests and wetlands; regaining some semblance of the naturally dynamic balance between river erosion and sedimentation that shapes physical habitat complexity, and arresting problems associated with geomorphic imbalances; cultural and spiritual uses of rivers; and many other socially valued products and services. This paper describes an assessment framework that can be used to evaluate the benefits that might be restored through dam re-operation. Assessing the potential benefits of dam re-operation begins by characterizing the dam's effects on the river flow regime, and formulating hypotheses about the ecological and social benefits that might be restored by releasing water from the dam in a manner that more closely resembles natural flow patterns. These hypotheses can be tested by implementing a re-operation plan, tracking the response of the ecosystem, and continually refining dam operations through adaptive management. The paper highlights a number of land and water management strategies useful in implementing a dam re-operation plan, with reference to a variety of management contexts ranging from individual dams to cascades of dams along a river to regional energy grids. Because many of the

Development of tools to manage the operational monitoring and pre-design of the NPP-LV cycle

International Nuclear Information System (INIS)

Perusquia, R.; Arredondo S, C.; Hernandez M, J. L.; Montes T, J. L.; Castillo M, A.; Ortiz S, J. J.

2015-09-01

This paper presents the development of tools to facilitate the management so much, the operational monitoring of boiling water reactors (BWR) of the nuclear power plant of Laguna Verde (NPP-LV) through independent codes, and how to carry out the static calculations corresponding to process of optimized pre-design of the reference cycle next to current cycle. The progress and preliminary results obtained with the program SACal, developed at Instituto Nacional de Investigaciones Nucleares (ININ), central tool to achieve provide a management platform of the operational monitoring and pre-design of NPP-LV cycle are also described. The reached preliminary advances directed to get an Analysis center and automated design of fuel assembly cells are also presented, which together with centers or similar modules related with the fuel reloads form the key part to meet the targets set for the realization of a Management Platform of Nuclear Fuel of the NPP-LV. (Author)

Environmental dose-assessment methods for normal operations at DOE nuclear sites

International Nuclear Information System (INIS)

Strenge, D.L.; Kennedy, W.E. Jr.; Corley, J.P.

1982-09-01

Methods for assessing public exposure to radiation from normal operations at DOE facilities are reviewed in this report. The report includes a discussion of environmental doses to be calculated, a review of currently available environmental pathway models and a set of recommended models for use when environmental pathway modeling is necessary. Currently available models reviewed include those used by DOE contractors, the Environmental Protection Agency (EPA), the Nuclear Regulatory Commission (NRC), and other organizations involved in environmental assessments. General modeling areas considered for routine releases are atmospheric transport, airborne pathways, waterborne pathways, direct exposure to penetrating radiation, and internal dosimetry. The pathway models discussed in this report are applicable to long-term (annual) uniform releases to the environment: they do not apply to acute releases resulting from accidents or emergency situations

A comparison of laparoscopic and open surgery following pre-operative chemoradiation therapy for locally advanced lower rectal cancer

International Nuclear Information System (INIS)

Kusano, Toru; Inomata, Masafumi; Hiratsuka, Takahiro

2014-01-01

Although pre-operative chemoradiation therapy for advanced lower rectal cancer is a controversial treatment modality, it is increasingly used in combination with surgery. Few studies have considered the combination of chemoradiation therapy followed by laparoscopic surgery for locally advanced lower rectal cancer; therefore, this study aimed to assess the usefulness of this therapeutic combination. We retrospectively reviewed the medical records of patients with locally advanced lower rectal cancer treated by pre-operative chemoradiation therapy and surgery from February 2002 to November 2012 at Oita University. We divided patients into an open surgery group and a laparoscopic surgery group and evaluated various parameters by univariate and multivariate analyses. In total, 33 patients were enrolled (open surgery group, n=14; laparoscopic surgery group, n=19). Univariate analysis revealed that compared with the open surgery group, operative time was significantly longer, whereas intra-operative blood loss and intra-operative blood transfusion requirements were significantly less in the laparoscopic surgery group. There were no significant differences in post-operative complication and recurrence rates between the two groups. According to multivariate analysis, operative time and intra-operative blood loss were significant predictors of outcome in the laparoscopic surgery group. This study suggests that laparoscopic surgery after chemoradiation therapy for locally advanced lower rectal cancer is a safe procedure. Further prospective investigation of the long-term oncological outcomes of laparoscopic surgery after chemoradiation therapy for locally advanced lower rectal cancer is required to confirm the advantages of laparoscopic surgery over open surgery. (author)

Modeling the Environmental Impact of Air Traffic Operations

Science.gov (United States)

Chen, Neil

2011-01-01

There is increased interest to understand and mitigate the impacts of air traffic on the climate, since greenhouse gases, nitrogen oxides, and contrails generated by air traffic can have adverse impacts on the climate. The models described in this presentation are useful for quantifying these impacts and for studying alternative environmentally aware operational concepts. These models have been developed by leveraging and building upon existing simulation and optimization techniques developed for the design of efficient traffic flow management strategies. Specific enhancements to the existing simulation and optimization techniques include new models that simulate aircraft fuel flow, emissions and contrails. To ensure that these new models are beneficial to the larger climate research community, the outputs of these new models are compatible with existing global climate modeling tools like the FAA's Aviation Environmental Design Tool.

Danish environmental support fund for Eastern Europe. Co-operation development 1991-1996 and programme priority areas

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-08-01

The publication gives an account of environmental co-operation between Denmark and 12 countries in Eastern Europe. The basis of co-operation is a country programme, describing present and future priority areas in the recipient countries, as an expression of common understanding between the Danish Environmental Protection Agency and the Ministry of Environment in the recipient countries. The publication also describe the environmental efforts made in 1991-1996 under the Danish Environmental Support Fund for Eastern Europe (DESF) administered by the DEPA. (au)

Instructions for operating LBL Passive Environmental Radon Monitor (PERM)

International Nuclear Information System (INIS)

Boegel, M.L.; Nazaroff, W.W.; Ingersoll, J.G.

1979-08-01

The Passive Environmental Radon Monitor (PERM) is used to assess the impact of energy conservation in buildings, with reduced ventilation. Reduced ventilation can lead to increased concentration of air contaminants. The instrument operates on the principle of electrostatic collection of 218 Po ions. Cumulative alpha activity collects on the electrode and is detected with a lithium fluoride thermoluminescent detector

Research on evaluation of third-party governance operation services for environmental pollution

Science.gov (United States)

Xu, Bingsheng; Ling, Lin; Jin, Huang

2017-11-01

This paper focuses on the evaluation of third-party governance operation services for environmental pollution, and determines the evaluation indicator system composed of 5 primary indicators as the basic competence of enterprise, operation of equipment, technique economics, environmental benefit and management level, and 26 secondary indicators via policies and regulations, standards, literature research and expert consultation in combination with the composition elements, service value judgment factors and full-life cycle of the work, providing theoretical support for the effect evaluation of third-governance over the environmental pollution in China. Then, the hierarchical analytic matrix is formed by analyzing the environmental pollution governance evaluation indicator system via analytic hierarchy process and scoring the importance of various indicators by experts by applying the Delphi method. The feature vector of the matrix is then calculated to obtain the weight of each indicator and verify the effectiveness of the Delphi method and obtain the comprehensive weight by judging the consistency of the matrix, so as to finally determine the overall ordering level of the importance of secondary indicators.

Relationship Between Pre-operative Anxiety and Post-operative Psychosomatic Adjustment and Its Related Factors and Nursing Strategies%术前焦虑与术后心身康复的相关性及其心理社会影响因素

Institute of Scientific and Technical Information of China (English)

沈晓红; 姜乾金

2003-01-01

Objective:To study the relationship between pre-operative anxiety and post-operative psychosomatic adjustment and the related psyehosoeial factors in upper- abdominal surgery patients. Methods: Forty patients undergoing upper- abdominalsurgery were assessed in this report. One day before surgery, the Medical Coping Mode Questionnaire (MCMQ), Perceived Social Support Scale (PSSS), Eysenek Personality Questionnaire (EPQ), State Anxiety Inventory (SAI) of State - Trait Arixiety Invento-ry (STAI) and a self- developed patients'' pre - operative appraisal questionnaire were used. In an hour before operation,the shift of the mean value of the pulse of every ease compared with the base line measured at his (or her ) admission was also recorded. Af-ter surgery, State Anxiety Inventory (SAI) of State- Trait Anxiety Inventory (STAI), a self-developed postoperative appraisal scale were used, and the indexes of somatic adjustment, including intestinal aerofluxus, total dosage of analgesia and so on were recorded. Results:Firstly, pre - operative anxiety was remarkably correlated to many indexes of post - operative psychosomatic adjustment. Secondly, hopelessness about operation, concern over sequela, resignation coping style and psychosis personality were the significant predictors of pre- operative anxiety. Conclusion: Post- operative psychosomatic adjustment could be handicapped by pre - operative anxiety which might be influenced by stress - related psyehosocial factors.

Angra nuclear plant - environmental control program; Usina Nuclear de Angra: programa de controle ambiental

Energy Technology Data Exchange (ETDEWEB)

Kircher, E; Cruz, E.S. da [FURNAS, Rio de Janeiro, RJ (Brazil)

1990-12-31

The pre-operational studies, that were elaborated before the beginning of Angra I Power Plant operation, are described in particular the environmental radiological safety area till the fuel loading in the core reactor. Several aspects are included, as socio-economic survey, seismological analysis, Meteorological Program, marine biology, water cooling system, exposure measures of natural radiation, marine sediments characterization in the effluent dispersion area and Environmental Radiological Monitoring Program. The main environmental programs developed for the operational phase of the Angra I Plant are also presented, citing some considerations about the Meteorological Program, Marine Biology Control Program, Temperature and Chlorine Control in Piraquara de Fora Bay, Radiological Environmental Monitoring Program, Sanitary Effluent Control Program and Radiological Emergency Program. (C.G.C.). 2 refs.

Operable Unit 3: Proposed Plan/Environmental Assessment for interim remedial action

International Nuclear Information System (INIS)

1993-12-01

This document presents a Proposed Plan and an Environmental Assessment for an interim remedial action to be undertaken by the US Department of Energy (DOE) within Operable Unit 3 (OU3) at the Fernald Environmental Management Project (FEMP). This proposed plan provides site background information, describes the remedial alternatives being considered, presents a comparative evaluation of the alternatives and a rationnale for the identification of DOE's preferred alternative, evaluates the potential environmental and public health effects associated with the alternatives, and outlines the public's role in helping DOE and the EPA to make the final decision on a remedy

Value of flexible bronchoscopy in the pre-operative work-up of solitary pulmonary nodules.

Science.gov (United States)

Schwarz, Carsten; Schönfeld, Nicolas; Bittner, Roland C; Mairinger, Thomas; Rüssmann, Holger; Bauer, Torsten T; Kaiser, Dirk; Loddenkemper, Robert

2013-01-01

The diagnostic value of flexible bronchoscopy in the pre-operative work-up of solitary pulmonary nodules (SPN) is still under debate among pneumologists, radiologists and thoracic surgeons. In a prospective observational manner, flexible bronchoscopy was routinely performed in 225 patients with SPN of unknown origin. Of the 225 patients, 80.5% had lung cancer, 7.6% had metastasis of an extrapulmonary primary tumour and 12% had benign aetiology. Unsuspected endobronchial involvement was found in 4.4% of all 225 patients (or in 5.5% of patients with lung cancer). In addition, flexible bronchoscopy clarified the underlying aetiology in 41% of the cases. The bronchoscopic biopsy results from the SPN were positive in 84 (46.5%) patients with lung cancer. Surgery was cancelled due to the results of flexible bronchoscopy in four cases (involvement of the right main bronchus (impaired pulmonary function did not allow pneumonectomy) n=1, small cell lung cancer n=1, bacterial pneumonia n=2), and the surgical strategy had to be modified to bilobectomy in one patient. Flexible bronchoscopy changed the planned surgical approach in five cases substantially. These results suggest that routine flexible bronchoscopy should be included in the regular pre-operative work-up of patients with SPN.

Distribution of MRI signal alterations of the cartilage endplate in pre-operated patients with special focus on recurrent lumbar disc herniation

International Nuclear Information System (INIS)

Becker, G.T.; Liphofer, J.; Koester, O.; Willburger, R.E.; Schmid, G.

2006-01-01

Purpose: To study the location of (Modic) MR signal alterations (SA) of the cartilage endplate (CEP) in pre- and non-operated segments L3-S1 with special focus on the presence of recurrent lumbar disc herniation (RLDH). Materials and Methods: In a retrospective study the MR images of vertebrae L3-S1 of 65 consecutive patients with a history of microdiscectomy were evaluated. Of the 190 segments studied, 67 were pre-operated. These were divided into a group with recurrent lumbar disc herniation (RLDH) (n=19) and a group without evidence of RLDH (n=48). Non-operated segments (n=123) were also considered as a separate group. In these three groups the prevalence of different Modic types was determined using the sag. T1- and T2-weighted images, and, in particular, the distribution of SA at the upper and lower CEP was examined by evaluating the sag. T2-weighted images. In order to achieve this, each CEP was divided into nine regions. Results: Pre-operated segments showed significantly more frequent (p<0.001) and more expansive (p<0.001) SA than non-operated segments. Non-operated segments showed SA less frequently in the central region of both upper and lower CEP (p=0.056 and p=0.015, respectively). In operated segments without RLDH, the upper CEP had significantly more SA on the operation side than in the mid-sagittal and contra-lateral regions (p=0.016, p=0.037) and significantly more on the operation side of the lower CEP than in the contra-lateral region (p=0.027). Operated segments with RLDH did not show an emphasis of SA on the operation side. In this group SA occurred significantly more often in the central and ventral mid-sagittal regions of the upper CEP than in the preoperated segments without RLDH. (orig.)

40 CFR 1065.520 - Pre-test verification procedures and pre-test data collection.

Science.gov (United States)

2010-07-01

... corrective action does not resolve the deficiency, you may request to use the contaminated system as an... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Pre-test verification procedures and pre-test data collection. 1065.520 Section 1065.520 Protection of Environment ENVIRONMENTAL PROTECTION...

Non-transboundary pollution and the efficiency of international environmental co-operation

Energy Technology Data Exchange (ETDEWEB)

Kox, H.L.M.; Van der Tak, C.M. [Economics Department, Faculty of Economics and Econometrics, Vrije Universiteit, Amsterdam (Netherlands)

1995-10-01

The increased awareness of the transboundary pollution problems resulted in a number of international treaties, such as the Montreal protocol on ozone-depleting substances (1987), and the Basel Convention on hazardous waste (1989). Most authors writing on efficient environmental instruments make a sharp distinction between domestic and transboundary environmental problems. While the former should be abated by domestic environmental instruments, an efficient treatment of the latter requires international instruments. The underlying logic is that in case of non-transboundary pollution both the costs and benefits of environmental policies are strictly domestic, the trade-off between benefits and costs of abatement should also be a strictly domestic issue. In contrast, with transboundary pollution the trade-off between abatement costs and benefits becomes an international issue. In this paper we analyse four cases where international environmental co-ordination is required to achieve an efficient outcome, even though the environmental externality is non-transboundary in nature. Section two sketches the standard view on efficient intervention levels with regard to transborder and non-transborder pollution. In the third section we deal with cases where environmental policy is used in a trade-strategic way. The section pays attention to the motives for using domestic environmental policy as a disguise for trade policies. It will be argued that the resulting allocative efficiency can be improved upon by international co-operation. Sections 4-6 analyse three cases where international co-operation may improve the international outcome on the basis of non-coordinated domestic allocation decisions. These cases refer in particular to the situation of developing countries, when there is a high export dependency on the polluting good in combination with the existence of discrete technologies, set-up costs of environment-friendly technologies, and the existence of increasing

Non-transboundary pollution and the efficiency of international environmental co-operation

International Nuclear Information System (INIS)

Kox, H.L.M.; Van der Tak, C.M.

1995-10-01

The increased awareness of the transboundary pollution problems resulted in a number of international treaties, such as the Montreal protocol on ozone-depleting substances (1987), and the Basel Convention on hazardous waste (1989). Most authors writing on efficient environmental instruments make a sharp distinction between domestic and transboundary environmental problems. While the former should be abated by domestic environmental instruments, an efficient treatment of the latter requires international instruments. The underlying logic is that in case of non-transboundary pollution both the costs and benefits of environmental policies are strictly domestic, the trade-off between benefits and costs of abatement should also be a strictly domestic issue. In contrast, with transboundary pollution the trade-off between abatement costs and benefits becomes an international issue. In this paper we analyse four cases where international environmental co-ordination is required to achieve an efficient outcome, even though the environmental externality is non-transboundary in nature. Section two sketches the standard view on efficient intervention levels with regard to transborder and non-transborder pollution. In the third section we deal with cases where environmental policy is used in a trade-strategic way. The section pays attention to the motives for using domestic environmental policy as a disguise for trade policies. It will be argued that the resulting allocative efficiency can be improved upon by international co-operation. Sections 4-6 analyse three cases where international co-operation may improve the international outcome on the basis of non-coordinated domestic allocation decisions. These cases refer in particular to the situation of developing countries, when there is a high export dependency on the polluting good in combination with the existence of discrete technologies, set-up costs of environment-friendly technologies, and the existence of increasing

Environmental management and operational performance in automotive companies in Brazil

DEFF Research Database (Denmark)

Jabbour, C.J.C.; De Sousa Jabbour, A.B.L.; Govindan, Kannan

2013-01-01

The main objective of this study is to verify the influence of Environmental Management (EM) on Operational Performance (OP) in Brazilian automotive companies, analyzing whether Lean Manufacturing (LM) and Human Resources (HR) interfere in the greening of these companies. Therefore, a conceptual...... framework listing these concepts was proposed, and three research hypotheses were presented. A questionnaire was elaborated based on this theoretical background and sent to respondents occupying the highest positions in the production/operations areas of Brazilian automotive companies. The data, collected...

Pre-operative localization of parathyroid adenoma by Tc-99m-sestamibi scintigraphy (MIBI)

International Nuclear Information System (INIS)

Ramadan, Edward; Vishne, Tal H; Koren, Romelia; Lerner, Igor; Melloul, Moshe; Dreznik, Zeev

2002-01-01

The use of pre-operative imaging for localization of primary parathyroid adenoma may influence the duration and results of parathyroidectomy. The current study was aimed to evaluate the efficiency of localization of parathyroid adenoma by Tc-99m-sestamibi (MIBI) scintigraphy and compare the results with those achieved by the use of preoperative ultrasound. Seventy five patients, aged 25 to 83 years with primary hyperparathyroidism were operated due to primary adenoma in Rabin Medical Center from January 1995 to April 1997. Fifty of them had a preoperative MIBI scintigraphy and ultrasound for localization of parathyroid adenoma, while 25 had a preoperative ultrasound alone. Ultrasound identified correctly the adenoma in 84 percent of the cases, as compared to 96 percent identified by MIBI scintigraphy (p<0.01). MIBI scintigraphy shortened operation length from 120±20 min to 80±15 min (p<0.05) and reduced the number of frozen sections from 2.2±0.4 to 1.1±0.3 (p<0.001). MIBI scintigraphy is the most efficient modality for preoperative localization of parathyroid adenoma as compared to other imaging procedures, and can shorten operative time (Au)

Pre-Operative Lugol's Iodine Treatment in the Management of Patients Undergoing Thyroidectomy for Graves' Disease: A Review of the Literature.

Science.gov (United States)

Hope, Nicholas; Kelly, Andrew

2017-02-01

To undertake a review of the relevant English literature published on the pre-operative use of Lugol's iodine in the management of patients undergoing thyroidectomy for Graves' disease. We reviewed all relevant papers found through Ovid Medline, PubMed, EMBASE and the American Thyroid Association website. Searches were limited to the English language only. The critical appraisal tool CASP was used to help analyse the papers. Following this, the evidence was ranked using the Harbour and Miller classification of hierarchy. Four papers were deemed appropriate for analysis. The evidence contained within the review is considered weak. The literature available in the public domain regarding the use of iodinated solutions in the pre-operative period for those patients about to undergo thyroidectomy for Graves' disease is scant. Having undertaken an extensive literature review, we are of the opinion that the evidence on which the American Thyroid Association's guidance on the use of preoperative Lugol's iodine is based is tenuous. There appears to be little in the way of sound clinical evidence that post-operative outcomes are any different following a course of Lugol's iodine. Given the lack of robust clinical evidence regarding the clinical need for iodine solution in the pre-operative period, it appears clear that a larger, prospective, randomised controlled trial of all relevant outcomes - clinical and scientific - is required to answer whether or not patient preparation with Lugol's iodine is in fact necessary prior to operative intervention for Graves' disease.

Pre-operative Duplex Ultrasonography in Arteriovenous Fistula Creation: Intra- and Inter-observer Agreement.

Science.gov (United States)

Zonnebeld, Niek; Maas, Tommy M G; Huberts, Wouter; van Loon, Magda M; Delhaas, Tammo; Tordoir, Jan H M

2017-11-01

Although clinical guidelines on arteriovenous fistula (AVF) creation advocate minimum luminal arterial and venous diameters, assessed by duplex ultrasonography (DUS), the clinical value of routine DUS examination is under debate. DUS might be an insufficiently repeatable and/or reproducible imaging modality because of its operator dependency. The present study aimed to assess intra- and inter-observer agreement of DUS examination in support of AVF surgery planning. Ten end stage renal disease patients were included, to assess intra- and inter-observer agreement of pre-operative DUS measurements. All measurements were performed by two trained and experienced vascular technicians, blinded to measurement readings. From the routine DUS protocol, representative measurements (venous diameters, and arterial diameters and volume flow in the upper arm and forearm) were selected. For intra-observer agreement the measurements were performed in triplicate, with the probe released from the skin between each. Intraclass correlation coefficients were calculated for intra- and inter-observer agreement, and Bland-Altman plots used to graphically display mean measurement differences and limits of agreement. Ten patients (6 male, 59.4±19.7 years) consented to participate, and all predefined measurements were obtained. Intraclass correlation coefficients for intra-observer agreement of diameter measurements were at least 0.90 (95% CI 0.74-0.97; radial artery). Inter-observer agreement was at least 0.83 (0.46-0.96; lateral diameter upper arm cephalic vein). The Bland-Altman plots showed acceptable mean measurement differences and limits of agreement. In experienced hands, excellent intra- and inter-observer agreement can be reached for the discrete pre-operative DUS measurements advocated in clinical guidelines. DUS is therefore a reliable imaging modality to support AVF surgery planning. The content of DUS protocols, however, needs further standardisation. Copyright © 2017 European

Elementary Pre-Service Teacher Perceptions of the Greenhouse Effect.

Science.gov (United States)

Groves, Fred H.; Pugh, Ava F.

1999-01-01

Expands on earlier work to examine pre-service teachers' views on environmental issues, especially global warming and the related term "greenhouse effect." Suggests that pre-service elementary teachers hold many misconceptions about environmental issues. (DDR)

Concern for pain in the pre-operative period- is the internet being used for information by patients?

Science.gov (United States)

Kurup, Viji; Dabu-Bondoc, Susan; Senior, Audrey; Dai, Feng; Hersey, Denise; Vadivelu, Nalini

2014-02-01

This study was conducted to provide information regarding prevalence of pain, type of provider managing pain, and use of Internet for information regarding pain, among patients coming for presurgical anesthesia consultation at a major academic institution. With IRB approval, patients were invited to participate in a voluntary and anonymous 14 question survey given to them when they presented for anesthesia consultation prior to their surgical procedure. The qualitative/categorical data were summarized by number (percentage [%]) and analyzed by Chi-square test or Fisher's exact test as appropriate. All data analyses were performed using the statistical software SAS, v9.2. A total of 1039 patients were asked to complete the survey and 670 patients returned their responses (response rate = 64.5%). 83% of patients had a history of prior surgery. 57% were concerned about postoperative pain. 30% of patients had chronic pain for more than 3 months pre-operatively. 16% of patients had looked online for information regarding pain. Pain physicians were involved in pain management only in 3.8% of these patients. Patients are presenting for surgery with significant pre-operative pain issues. Knowing this information pre-operatively will help healthcare personnel manage postsurgical pain more effectively. Patients are also using the Internet to obtain information regarding pain. As providers, there may be value to directing patients to reliable information online during consultation. As all physicians will eventually be managing chronic pain in their patients, pain education should be given priority in medical school curriculum. © 2013 World Institute of Pain.

Endoscopic third ventriculocisternostomies in the infant: Pre- and post-operative Magnetic resonance imaging evaluation elective project undergraduate prize 2000

Energy Technology Data Exchange (ETDEWEB)

Sharman, Anna

2000-12-01

PURPOSE: To determine whether it is possible to select patients with obstructive hydrocephalus, in the under 1 age group for endoscopic third ventriculocisternostomy (ETV) using pre-operative T2 weighted turbo spin echo (T2W-TSE) sagittal sequence Magnetic Resonance (MR) imaging; and to assess ventriculocisternostomy patency using post-operative T2W-TSE MR. PATIENTS AND METHODS: A retrospective review of MR examinations and clinical notes of 11 patients under 1 year of age who had ETV, was performed. The post-operative flow MR images were divided into the presence or absence of flow-related signal changes. RESULTS: In 6 of the 11 patients, ETV was successful (54.5%) i.e. no VP shunt or revision of the ETV was required. 9 patients had post-operative T2W-TSE MR examinations -- 8 of these 9 MR studies correlated to the clinical situation (89%). The remaining MR examination showed a CSF flow void but the ETV failed at 3 weeks. CONCLUSION: Pre-operative MR using T2W-TSE to select suitable candidates for ETV improves the success rate from < 40% to 54.5%. Post-operatively MRI is a good predictor of whether the ETV has been successful or not. Sharman, A. (2000)

78 FR 46255 - Revisions to Environmental Review for Renewal of Nuclear Power Plant Operating Licenses; Correction

Science.gov (United States)

2013-07-31

... Environmental Review for Renewal of Nuclear Power Plant Operating Licenses; Correction AGENCY: Nuclear... nuclear power plant. Compliance with the provisions of the rule is required by June 20, 2014. This... environmental effect of renewing the operating license of a nuclear power plant. This document is necessary to...

Implementing and operating the Hanford Environmental Information System (HEIS)

International Nuclear Information System (INIS)

Cowley, P.J.; Schwab, M.R.; Fox, R.D.

1994-03-01

In the process of performing environmental restoration at the 560-square mile Hanford Site in southeastern Washington State, vast amounts of scientific and technical data are being generated from sampling taking place all over the Site. This paper provides an overview of the lessons we have learned in designing, implementing, and putting into operation a computerized system named the Hanford Environmental Information System (HEIS), which is being used to manage the Site's environmental characterization sampling data. Topics discussed in this paper include helping the Site adapt to a data management culture, the advantages of electronic data over paper data, issues of data validation and defensibility, being a resource to the user community (including the regulatory community), managing and tracking data changes, integrating data from multiple programs, providing configuration control for data and software, getting priorities for software development, and developing a baseline for on-going funding to maintain the infrastructure for the information system

Operational and environmental performance in China's thermal power industry: Taking an effectiveness measure as complement to an efficiency measure.

Science.gov (United States)

Wang, Ke; Zhang, Jieming; Wei, Yi-Ming

2017-05-01

The trend toward a more fiercely competitive and strictly environmentally regulated electricity market in several countries, including China has led to efforts by both industry and government to develop advanced performance evaluation models that adapt to new evaluation requirements. Traditional operational and environmental efficiency measures do not fully consider the influence of market competition and environmental regulations and, thus, are not sufficient for the thermal power industry to evaluate its operational performance with respect to specific marketing goals (operational effectiveness) and its environmental performance with respect to specific emissions reduction targets (environmental effectiveness). As a complement to an operational efficiency measure, an operational effectiveness measure not only reflects the capacity of an electricity production system to increase its electricity generation through the improvement of operational efficiency, but it also reflects the system's capability to adjust its electricity generation activities to match electricity demand. In addition, as a complement to an environmental efficiency measure, an environmental effectiveness measure not only reflects the capacity of an electricity production system to decrease its pollutant emissions through the improvement of environmental efficiency, but it also reflects the system's capability to adjust its emissions abatement activities to fulfill environmental regulations. Furthermore, an environmental effectiveness measure helps the government regulator to verify the rationality of its emissions reduction targets assigned to the thermal power industry. Several newly developed effectiveness measurements based on data envelopment analysis (DEA) were utilized in this study to evaluate the operational and environmental performance of the thermal power industry in China during 2006-2013. Both efficiency and effectiveness were evaluated from the three perspectives of operational

Longview District Operations and Maintenance Headquarters: Environmental assessment

International Nuclear Information System (INIS)

1992-03-01

Bonneville Power Administration (BPA) operations and maintenance staff are presently based at a headquarters next to the Longview Substation. These headquarters buildings, however, were built in 1941 and have deteriorated to the point of needing extensive repair. They also lack sufficient inside storage space. New buildings cannot be constructed on the site because of surrounding development. In addition, the site is within an area exposed to industrial fallout (coal tar pitch and metallic particles) that may be damaging buildings, equipment, and vehicles. BPA is concerned about the potential health risk to headquarters staff from the fallout. In light of these problems, BPA proposes to construct a new operations and maintenance headquarters at a different location, and to demolish the existing headquarters. This paper discusses the environmental impacts of the proposed action and alternatives

Assessment of Environmental Impacts of Limestone Quarrying Operations in Thailand

Science.gov (United States)

Kittipongvises, Suthirat

2017-11-01

Environmental impacts of the mineral extraction have been a public concern. Presently, there is widespread global interest in the area of mining and its sustainability that focused on the need to shift mining industry to a more sustainable framework. The aim of this study was to systematically assess all possible environmental and climate change related impacts of the limestone quarrying operation in Thailand. By considering the life cycle assessment method, the production processes were divided into three phases: raw material extraction, transportation, and comminution. Both IMPACT 2002+ and the Greenhouse Gas Protocol methods were used. Results of IMPACT 2002+ analysis showed that per 1 ton crushed limestone rock production, the total depletion of resource and GHGs emissions were 79.6 MJ and 2.76 kg CO2 eq., respectively. Regarding to the four damage categories, `resources' and `climate change' categories were the two greatest environmental impacts of the limestone rock production. Diesel fuel and electricity consumption in the mining processes were the main causes of those impacts. For climate change, the unit of CO2 eq. was expressed to quantify the total GHGs emissions. Estimated result was about 3.13 kg CO2 eq. per ton limestone rock product. The results obtained by the Greenhouse Gas Protocol were also similar to IMPACT 2002+ method. Electrical energy consumption was considered as the main driver of GHGs, accounting for approximately 46.8 % of total fossil fuel CO2 emissions. A final point should be noted that data uncertainties in environmental assessment over the complete life cycle of limestone quarrying operation have to be carefully considered.

Optimizing Environmental Flow Operation Rules based on Explicit IHA Constraints

Science.gov (United States)

Dongnan, L.; Wan, W.; Zhao, J.

2017-12-01

Multi-objective operation of reservoirs are increasingly asked to consider the environmental flow to support ecosystem health. Indicators of Hydrologic Alteration (IHA) is widely used to describe environmental flow regimes, but few studies have explicitly formulated it into optimization models and thus is difficult to direct reservoir release. In an attempt to incorporate the benefit of environmental flow into economic achievement, a two-objective reservoir optimization model is developed and all 33 hydrologic parameters of IHA are explicitly formulated into constraints. The benefit of economic is defined by Hydropower Production (HP) while the benefit of environmental flow is transformed into Eco-Index (EI) that combined 5 of the 33 IHA parameters chosen by principal component analysis method. Five scenarios (A to E) with different constraints are tested and solved by nonlinear programming. The case study of Jing Hong reservoir, located in the upstream of Mekong basin, China, shows: 1. A Pareto frontier is formed by maximizing on only HP objective in scenario A and on only EI objective in scenario B. 2. Scenario D using IHA parameters as constraints obtains the optimal benefits of both economic and ecological. 3. A sensitive weight coefficient is found in scenario E, but the trade-offs between HP and EI objectives are not within the Pareto frontier. 4. When the fraction of reservoir utilizable capacity reaches 0.8, both HP and EI capture acceptable values. At last, to make this modelmore conveniently applied to everyday practice, a simplified operation rule curve is extracted.

Rocketdyne Propulsion & Power DOE Operations Annual Site Environmental Report 1996

Energy Technology Data Exchange (ETDEWEB)

Tuttle, R. J. [The Boeing Company, Canoga Park, CA (United States)

1997-11-10

This annual report discusses environmental monitoring at two manufacturing and test operations sites operated in the Los Angeles area by Rocketdyne Propulsion & Power of Boeing North American. Inc. (formerly Rockwell International Corporation). These are identified as the Santa Susana Field Laboratory (SSFL and the De Soto site. The sites have been used for manufacturing; R&D, engineering, and testing in a broad range of technical fields, primarily rocket engine propulsion and nuclear reactor technology. The De Soto site essentially comprises office space and light industry with no remaining radiological operations, and has little potential impact on the environment. The SSFL site, because of its large size (2.668 acres), warrants comprehensive monitoring to ensure protection of the environment.

Draft environmental statement related to the operation of River Bend Station (Docket No. 50-458)

International Nuclear Information System (INIS)

1984-07-01

This draft environmental statement contains the second assessment of the environmental impact associated with the operation of River Bend Station, pursuant to the National Environmental Policy Act of 1969 (NEPA) and Title 10 of the Code of Federal Regulations, Part 51, as amended, of the Nuclear Regulatory Commission regulations. This statement examines the environment, environmental consequences and mitigating actions, and environmental and economic benefits and costs

Columbia River System Operation Review final environmental impact statement. Appendix A: River Operation Simulation (ROSE)

International Nuclear Information System (INIS)

1995-11-01

The System Operation Review (SOR) is a study and environmental compliance process being used by the three Federal agencies to analyze future operations of the system and river use issues. The goal of the SOR is to achieve a coordinated system operation strategy for the river that better meets the needs of all river users. This technical appendix addresses only the effects of alternative system operating strategies for managing the Columbia River system. The River Operation Simulation Experts (ROSE) work group is comprised of representatives of the Corps, BPA, Reclamation, NMFS, Pacific Northwest Utilities Conference Committee (PNUCC), and Northwest Power Planning Council (NPPC). ROSE was responsible for using computer hydroregulation models to simulate the operation of the river system for all of the alternatives evaluated in screening and full scale analysis in SOR. These models are complex computer programs which sequentially route streamflows through each dam in the system, calculating the streamflows, reservoir elevations, spill, power generation and other information at each project and pertinent locations on the river system. ROSE first reviewed specifications of proposed alternatives to determine whether such alternatives were formulated adequately to be run on hydroregulation models

Columbia River System Operation Review final environmental impact statement. Appendix G: Land use and development

International Nuclear Information System (INIS)

1995-11-01

The System Operation Review (SOR) is a study and environmental compliance process being used by the three Federal agencies to analyze future operations of the system and river use issues. The goal of the SOR is to achieve a coordinated system operation strategy for the river that better meets the needs of all river users. The SOR began in early 1990, prior to the filing of petitions for endangered status for several salmon species under the Endangered Species Act. The comprehensive review of Columbia River operations encompassed by the SOR was prompted by the need for Federal decisions to (1) develop a coordinated system operating strategy (SOS) for managing the multiple uses of the system into the 21st century; (2) provide interested parties with a continuing and increased long-term role in system planning (Columbia River Regional Forum); (3) renegotiate and renew the Pacific Northwest Coordination Agreement (PNCA), a contractual arrangement among the region's major hydroelectric-generating utilities and affected Federal agencies to provide for coordinated power generation on the Columbia River system; and (4) renew or develop new Canadian Entitlement Allocation Agreements. The review provides the environmental analysis required by the National Environmental Policy Act (NEPA). This technical appendix addresses only the effects of alternative system operating strategies for managing the Columbia River system. The environmental impact statement (EIS) itself and some of the other appendices present analyses of the alternative approaches to the other three decisions considered as part of the SOR

Patient-specific surgical simulator for the pre-operative planning of single-incision laparoscopic surgery with bimanual robots.

Science.gov (United States)

Turini, Giuseppe; Moglia, Andrea; Ferrari, Vincenzo; Ferrari, Mauro; Mosca, Franco

2012-01-01

The trend of surgical robotics is to follow the evolution of laparoscopy, which is now moving towards single-incision laparoscopic surgery. The main drawback of this approach is the limited maneuverability of the surgical tools. Promising solutions to improve the surgeon's dexterity are based on bimanual robots. However, since both robot arms are completely inserted into the patient's body, issues related to possible unwanted collisions with structures adjacent to the target organ may arise. This paper presents a simulator based on patient-specific data for the positioning and workspace evaluation of bimanual surgical robots in the pre-operative planning of single-incision laparoscopic surgery. The simulator, designed for the pre-operative planning of robotic laparoscopic interventions, was tested by five expert surgeons who evaluated its main functionalities and provided an overall rating for the system. The proposed system demonstrated good performance and usability, and was designed to integrate both present and future bimanual surgical robots.

Experential Learning Approach For Training Pre-Service Teachers In Environmental Science Using Mobile Apps

Science.gov (United States)

Senan, D. C.; Nair, U. S.

2015-12-01

In the context of complex environmental problems facing societies, environmental education is becoming an integral part of curriculum all levels of education, including teacher education. Traditional teaching methodology is often criticized for being reductionist and empirical and thus not optimal for training next generation of students who are expected to formulate solutions to complex, interdisciplinary environmental issues. This study will report on the use of mobile application, based on the Open Data Kit (ODK), along with the Google Earth Engine (GEE) to implement a better approach, namely experiential learning, for teacher education in Kerala, India. The specific topic considered is land use and land cover change due to human activity. The experiential learning approach implemented will involve students using Android mobile application to collect a sample of geo-locations for different land cover types. This data will be used to classify satellite imagery within Google Earth Engine and used to understand how their neighborhoods have changed over the years. Rather than being passive information recipients, the students will develop understanding based on their own analysis of how urban regions grow, crop lands shrink and forests disappear. This study will report on the implementation of experiential learning approach through the use of ODK and GEE, and on the ongoing evaluation of effectiveness of experiential learning approach for environmental education. A Pretest-Posttest study design will be used for evaluation. Change in environmental consciousness, as characterized by a well-designed and validated Environmental Consciousness Scale will be determined for a study group of 300 Pre-service teachers of Kerala, India. The significance between the mean scores of the data collected during pretest and posttest will be analyzed using paired t tests. Qualitative feedback about the Mobile Application through focus group interviews will also collected and analyzed.

Environmental hedging: A theory and method for reconciling reservoir operations for downstream ecology and water supply

Science.gov (United States)

Adams, L. E.; Lund, J. R.; Moyle, P. B.; Quiñones, R. M.; Herman, J. D.; O'Rear, T. A.

2017-09-01

Building reservoir release schedules to manage engineered river systems can involve costly trade-offs between storing and releasing water. As a result, the design of release schedules requires metrics that quantify the benefit and damages created by releases to the downstream ecosystem. Such metrics should support making operational decisions under uncertain hydrologic conditions, including drought and flood seasons. This study addresses this need and develops a reservoir operation rule structure and method to maximize downstream environmental benefit while meeting human water demands. The result is a general approach for hedging downstream environmental objectives. A multistage stochastic mixed-integer nonlinear program with Markov Chains, identifies optimal "environmental hedging," releases to maximize environmental benefits subject to probabilistic seasonal hydrologic conditions, current, past, and future environmental demand, human water supply needs, infrastructure limitations, population dynamics, drought storage protection, and the river's carrying capacity. Environmental hedging "hedges bets" for drought by reducing releases for fish, sometimes intentionally killing some fish early to reduce the likelihood of large fish kills and storage crises later. This approach is applied to Folsom reservoir in California to support survival of fall-run Chinook salmon in the lower American River for a range of carryover and initial storage cases. Benefit is measured in terms of fish survival; maintaining self-sustaining native fish populations is a significant indicator of ecosystem function. Environmental hedging meets human demand and outperforms other operating rules, including the current Folsom operating strategy, based on metrics of fish extirpation and water supply reliability.

Ulipristal acetate for pre-operative treatment of moderate-to-severe uterine fibroids in women of reproductive age in The Netherlands : cost minimization analysis and budget impact analysis

NARCIS (Netherlands)

Zakiyah, N.; van Asselt, A. D. I.; Postma, M. J.

2017-01-01

Objective: Ulipristal acetate has been found to be non-inferior to other pre-operative treatments of uterine fibroids, particularly leuprolide. The objective of this study was to assess the pharmacoeconomic profile of ulipristal acetate compared to leuprolide for the pre-operative treatment of

Operation and control strategies in pre-series testing of cold circulating pumps for ITER

International Nuclear Information System (INIS)

Bhattacharya, R.; Vaghela, H.; Sarkar, B.; Srinivas, M.; Choukekar, K.

2013-01-01

Cryo-distribution system of ITER is responsible for the distribution and control of forced-flow supercritical helium for cooling of the superconducting magnets and the cryo-pumps. The requirements of cold circulating pumps (CCP) for mass flow rates and performance are much higher than presently existing and commercially available one used at 4.0 K helium. Design up-scaling with pre-series test of CCP has been proposed including test infrastructure. Operation and control strategies for the test distribution box (TDB) of test infrastructure have been developed and analyzed using steady state and dynamic process simulation to cope with the functional requirements of CCPs. Off-normal scenario with CCP inlet pressure variation is an important concern, dynamic process responses during such scenario have been evaluated to verify the operability of CCP. The paper describes process simulation to cope with the functional requirements of CCPs along with evaluation of off-normal scenario to verify the operability of CCP. (author)

Columbia River System Operation Review final environmental impact statement. Appendix K: Resident fish

International Nuclear Information System (INIS)

1995-11-01

The System Operation Review (SOR) is a study and environmental compliance process being used by the three Federal agencies to analyze future operations of the system and river use issues. The goal of the SOR is to achieve a coordinated system operation strategy for the river that better meets the needs of all river users. This technical appendix addresses only the effects of alternative system operating strategies for managing the Columbia River system. In this appendix the Resident Fish Work Group (RFWG) has attempted to characterize and evaluate impacts of dam operation on an extremely complex and diverse integrated resource. Not only is this required under the National Environmental Policy Act (NEPA) for SOR, there are resident fish populations that have status under the Federal Endangered Species Act (ESA) or equivalent state regulations (Kootenai River white sturgeon, Snake River white sturgeon, sandroller, shorthead and torrent sculpins, bull trout, westslope cutthroat trout, redband trout, and burbot). The RFWG has also attempted to develop operating alternatives that benefit not only resident fish, but anadromous fish, wildlife, and other human interests as well. The authors have recognized the co-evolution of resident fish, anadromous fish, and other integrated resources in the basin

Environmental monitoring six month report for the Tumulus Disposal Demonstration Project

International Nuclear Information System (INIS)

Yager, R.E.; Furnari, J.A.; Craig, P.M.

1989-05-01

The Fiscal Year 1989 Six Month Report is the fourth in a series of semi-annual Tumulus Disposal Demonstration Project (TDDP) data summary reports. This data summary spans the time from start of operations in June 1987 through the end of March 1989 with particular emphasis on the last six months: October 1988 through March 1989. The environmental data collected include run-off water quality and quantity, groundwater quality and levels, soil sampling and hydrometeorological data. These data are being used and analyzed here to demonstrate the environmental performance objectives for the TDDP as part of the overall performance assessment. Comparisons are made between pre- and post-operational data and data collected during size month period ending March 31, 1989. No significant environmental impacts have been found since operations have begun. 13 refs., 28 figs., 12 tabs

U.S. Department of Energy, Nevada Operations Office, environmental data report for the Nevada Test Site -- 1995

Energy Technology Data Exchange (ETDEWEB)

Black, S.C.; Townsend, Y.E. [eds.; Kinnison, R.R.

1997-10-01

The US Department of Energy (DOE) Order 5400.1, ``General Environmental Protection Program,`` establishes environmental protection program requirements, authorities, and responsibilities for DOE operations. These mandates require compliance with applicable federal, state, and local environmental protection regulations. During calendar year (CY) 1995 environmental protection and monitoring programs were conducted at the Nevada Test Site (NTS) and other DOE Nevada Operations Office (DOE/NV) managed sites in Nevada and across the United States. A detailed discussion of these environmental protection and monitoring programs, and summary data and assessments for environmental monitoring results at these sites in CY 1995 are provided in the DOE/NV, Annual Site Environmental Report--1995, (ASER) DOE/NV/11718-037. A brief description of the scope of this environmental monitoring is provided below, categorized by ``on-NTS`` and ``off-NTS`` monitoring.

Does operational oceanography address the needs of fisheries and applied environmental scientists?

DEFF Research Database (Denmark)

Berx, B.; Dickey-Collas, M.; Skogen, M.D.

2011-01-01

whether recent developments in operational oceanographic products are addressing these needs. The International Council for the Exploration of the Sea (ICES) Working Group on Operational Oceanographic products for Fisheries and Environment (WGOOFE) identified a potential mismatch between user requirements......Although many oceanographic data products are now considered operational, continued dialogue between data producers and their user communities is still needed. The fisheries and environmental science communities have often been criticized for their lack of multidisciplinarity, and it is not clear...

Assessment of Environmental Impacts of Limestone Quarrying Operations in Thailand

Directory of Open Access Journals (Sweden)

Kittipongvises Suthirat

2017-11-01

Full Text Available Environmental impacts of the mineral extraction have been a public concern. Presently, there is widespread global interest in the area of mining and its sustainability that focused on the need to shift mining industry to a more sustainable framework. The aim of this study was to systematically assess all possible environmental and climate change related impacts of the limestone quarrying operation in Thailand. By considering the life cycle assessment method, the production processes were divided into three phases: raw material extraction, transportation, and comminution. Both IMPACT 2002+ and the Greenhouse Gas Protocol methods were used. Results of IMPACT 2002+ analysis showed that per 1 ton crushed limestone rock production, the total depletion of resource and GHGs emissions were 79.6 MJ and 2.76 kg CO2 eq., respectively. Regarding to the four damage categories, ‘resources’ and ‘climate change’ categories were the two greatest environmental impacts of the limestone rock production. Diesel fuel and electricity consumption in the mining processes were the main causes of those impacts. For climate change, the unit of CO2 eq. was expressed to quantify the total GHGs emissions. Estimated result was about 3.13 kg CO2 eq. per ton limestone rock product. The results obtained by the Greenhouse Gas Protocol were also similar to IMPACT 2002+ method. Electrical energy consumption was considered as the main driver of GHGs, accounting for approximately 46.8 % of total fossil fuel CO2 emissions. A final point should be noted that data uncertainties in environmental assessment over the complete life cycle of limestone quarrying operation have to be carefully considered.

Water-gas shift (WGS) Operation of Pre-combustion CO2 Capture Pilot Plant at the Buggenum IGCC

NARCIS (Netherlands)

Van Dijk, H.A.J.; Damen, K.; Makkee, M.; Trapp, C.

2014-01-01

In the Nuon/Vattenfall CO2 Catch-up project, a pre-combustion CO2 capture pilot plant was built and operated at the Buggenum IGCC power plant, the Netherlands. The pilot consist of sweet water-gas shift, physical CO2 absorption and CO2 compression. The technology performance was verified and

Environmental Restoration Operations: Consolidated Quarterly Report January -March 2017

Energy Technology Data Exchange (ETDEWEB)

Cochran, John R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2017-07-01

This Environmental Restoration Operations (ER) Consolidated Quarterly Report (ER Quarterly Report) provides the status of ongoing corrective action activities being implemented at Sandia National Laboratories, New Mexico (SNL/NM) during the January, February, and March 2017 quarterly reporting period. Table I-1 lists the Solid Waste Management Units (SWMUs) and Areas of Concern (AOCs) identified for corrective action at SNL/NM. Sections I.2.1 and I.2.2 summarize the work completed during this quarter. Section I.2.1 summarizes the quarterly activities at sites undergoing corrective action field activities. Field activities are conducted at the three groundwater AOCs (Burn Site Groundwater [BSG AOC], Technical Area [TA]-V Groundwater [TAVG AOC], and Tijeras Arroyo Groundwater [TAG AOC]). Section I.2.2 summarizes quarterly activities at sites where the New Mexico Environment Department (NMED) Hazardous Waste Bureau (HWB) issued a certificate of completion and the sites are in the corrective action complete (CAC) regulatory process. Currently, SWMUs 8 and 58, 68, 149, 154, and 502 are in the CAC regulatory process. Corrective action activities are deferred at the Long Sled Track (SWMU 83), the Gun Facilities (SWMU 84), and the Short Sled Track (SWMU 240) because these three sites are active mission facilities. These three active mission sites are located in TA-III. This Sandia National Laboratories, New Mexico Environmental Restoration Operations (ER) Consolidated Quarterly Report (ER Quarterly Report) fulfills all quarterly reporting requirements set forth in the Resource Conservation and Recovery Act Facility Operating Permit and the Compliance Order on Consent.

Impact of the environmental conditions and substrate pre-treatment on whey protein hydrolysis: A review.

Science.gov (United States)

Cheison, Seronei Chelulei; Kulozik, Ulrich

2017-01-22

Proteins in solution are subject to myriad forces stemming from interactions with each other as well as with the solvent media. The role of the environmental conditions, namely pH, temperature, ionic strength remains under-estimated yet it impacts protein conformations and consequently its interaction with, and susceptibility to, the enzyme. Enzymes, being proteins are also amenable to the environmental conditions because they are either activated or denatured depending on the choice of the conditions. Furthermore, enzyme specificity is restricted to a narrow regime of optimal conditions while opportunities outside the optimum conditions remain untapped. In addition, the composition of protein substrate (whether mixed or single purified) have been underestimated in previous studies. In addition, protein pre-treatment methods like heat denaturation prior to hydrolysis is a complex phenomenon whose progression is influenced by the environmental conditions including the presence or absence of sugars like lactose, ionic strength, purity of the protein, and the molecular structure of the mixed proteins particularly presence of free thiol groups. In this review, we revisit protein hydrolysis with a focus on the impact of the hydrolysis environment and show that preference of peptide bonds and/or one protein over another during hydrolysis is driven by the environmental conditions. Likewise, heat-denaturing is a process which is dependent on not only the environment but the presence or absence of other proteins.

Core instrumentation and pre-operational procedures for core conversion HEU to LEU

International Nuclear Information System (INIS)

1984-02-01

This report is intended for the reactor operator, to be used as a manual or checklist for general guidance on pre-startup activities that need to be addressed in preparation for conversion to Low Enriched Fuel (LEU). All nuclear, thermodynamic and safety calculations should have been performed prior to this stage of the core conversion process. During these calculations and certainly before ordering the new LEU fuel elements the reactor operator needs to very carefully consider additional important factors concerning the new fuel: fuel reliability, reliability of fuel fabricator, reprocessing contract or fuel element storage and disposal, economics of the new fuel cycle. At this stage, too, a preoperational experimental programme has to be developed and presented to the regulatory authorities for approval. This experimental programme could lead to additional requirements on: in-core instrumentation, out-of-core instrumentation or additional experimental devices. Detailed instructions on specific tests and measurements are not provided in this report since much information on the subject is available in the open literature

Defense Waste Processing Facility staged operations: environmental information document

International Nuclear Information System (INIS)

1981-11-01

Environmental information is presented relating to a staged version of the proposed Defense Waste Processing Facility (DWPF) at the Savannah River Plant. The information is intended to provide the basis for an Environmental Impact Statement. In either the integral or the staged design, the DWPF will convert the high-level waste currently stored in tanks into: a leach-resistant form containing about 99.9% of all the radioactivity, and a residual, slightly contaminated salt, which is disposed of as saltcrete. In the first stage of the staged version, the insoluble sludge portion of the waste and the long lived radionuclides contained therein will be vitrified. The waste glass will be sealed in canisters and stored onsite until shipped to a Federal repository. In the second stage, the supernate portion of the waste will be decontaminated by ion exchange. The recovered radionuclides will be transferred to the Stage 1 facility, and mixed with the sludge feed before vitrification. The residual, slightly contaminated salt solution will be mixed with Portland cement to form a concrete product (saltcrete) which will be buried onsite in an engineered landfill. This document describes the conceptual facilities and processes for producing glass waste and decontaminated salt. The environmental effects of facility construction, normal operations, and accidents are then presented. Descriptions of site and environs, alternative sites and waste disposal options, and environmental consultations and permits are given in the base Environmental Information Document

Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery – A cross-sectional study

Directory of Open Access Journals (Sweden)

C. Ramesh

Full Text Available Background: Coronary artery bypass graft surgery is an important treatment for the patients with coronary artery disease to reduce angina and enhance the quality of life. Anxiety is a usual reaction to a stressful situation and is existing in patients awaiting surgery. Objective: The objective of the study was to assess pre-operative anxiety in patients who were undergoing coronary artery bypass graft surgery. Methods: A cross-sectional study consisting of 140 patients undergoing coronary artery bypass graft surgery were included in the study using a convenience sampling technique in a tertiary care referral hospital. The data was collected using state-trait anxiety inventory. The data were entered into SPSS (version – 20.0 for windows and descriptive and inferential statistics were performed. Results: The study enrolled 140 (117 males and 23 females patients. Their mean age was 57.29 ± 8.14 (range 35–70 years. Most of the patients 118 (84% had preoperative anxiety before coronary artery bypass graft surgery. There was an association found between gender and anxiety with Pearson chi-square value of 11.57 (p < 0.001. Discussion: Patients undergoing coronary artery bypass graft surgery is experiencing the high level of pre-operative anxiety and females had higher anxiety than the males. Identification of the pre-operative anxiety in patients undergoing CABG surgery is essential because it helps the health professionals and nurses to develop effective and appropriate interventions. Keywords: Preoperative period, Anxiety, Coronary artery bypass, Perioperative care

Final environmental statement related to the operation of River Bend Station (Docket No. 50-458)

International Nuclear Information System (INIS)

1985-01-01

This Final Environmental Statement contains the second assessment of the environmental impact associated with the operation of River Bend Station, pursuant to the National Environment Policy Act of 1969 (NEPA) and Title 10 of the Code of Federal Regulations, Part 51, as amended, of the Nuclear Regulatory Commission regulations. This statement examines the environment, environmental consequences and mitigating actions, and environmental and economic benefits and costs

Effect of sucrose availability and pre-running on the intrinsic value of wheel running as an operant and a reinforcing consequence.

Science.gov (United States)

Belke, Terry W; Pierce, W David

2014-03-01

The current study investigated the effect of motivational manipulations on operant wheel running for sucrose reinforcement and on wheel running as a behavioral consequence for lever pressing, within the same experimental context. Specifically, rats responded on a two-component multiple schedule of reinforcement in which lever pressing produced the opportunity to run in a wheel in one component of the schedule (reinforcer component) and wheel running produced the opportunity to consume sucrose solution in the other component (operant component). Motivational manipulations involved removal of sucrose contingent on wheel running and providing 1h of pre-session wheel running. Results showed that, in opposition to a response strengthening view, sucrose did not maintain operant wheel running. The motivational operations of withdrawing sucrose or providing pre-session wheel running, however, resulted in different wheel-running rates in the operant and reinforcer components of the multiple schedule; this rate discrepancy revealed the extrinsic reinforcing effects of sucrose on operant wheel running, but also indicated the intrinsic reinforcement value of wheel running across components. Differences in wheel-running rates between components were discussed in terms of arousal, undermining of intrinsic motivation, and behavioral contrast. Copyright © 2013 Elsevier B.V. All rights reserved.

Improving environmental management on small-scale farms: perspectives of extension educators and horse farm operators.

Science.gov (United States)

Rebecca, Perry-Hill; Linda, Prokopy

2015-01-01

Although the number of small-scale farms is increasing in North America and Europe, few studies have been conducted to better understand environmental management in this sector. We investigate this issue by examining environmental management on horse farms from both the perspective of the "expert" extension educator and horse farm operator. We conducted a Delphi survey and follow-up interviews with extension educators in Indiana and Kentucky. We also conducted interviews and farm assessments with 15 horse farm operators in the two states. Our results suggest a disconnection between the perceptions of extension educators and horse farm operators. Extension educators believed that operators of small horse farms are unfamiliar with conservation practices and their environmental benefits and they found it difficult to target outreach to this audience. In the interviews with horse farm operators, we found that the majority were somewhat familiar with conservation practices like rotational grazing, soil testing, heavy use area protection, and manure composting. It was not common, however, for practices to be implemented to generally recognized standards. The horse farm respondents perceived these practices as interrelated parts of a system of farm management that has developed over time to best deal with the physical features of the property, needs of the horses, and available resources. Because conservation practices must be incorporated into a complex farm management system, traditional models of extension (i.e., diffusion of innovations) may be inappropriate for promoting better environmental management on horse farms.

Final environmental statement related to operation of White Mesa Uranium Project, Energy Fuels Nuclear, Inc

International Nuclear Information System (INIS)

1979-05-01

Environmental impact statements are presented under the following headings: the existing environment; mining and milling operations; air quality; land use; mineral resources; soils; radiological impacts; socioeconomic impacts; environmental effects of accidents; monitoring programs; unavoidable adverse environmental impacts; relation between short-term uses of the environment and long-term productivity; irreversible and irretrievable commitments

78 FR 24734 - Final Environmental Impact Statement for the Construction and Operation of an Infantry Platoon...

Science.gov (United States)

2013-04-26

... DEPARTMENT OF DEFENSE Department of the Army Final Environmental Impact Statement for the... Environmental Impact Statement (PEIS), Southwest of Range 20, is not operationally feasible and has been.... The Army identified and analyzed environmental and socioeconomic impacts associated with the proposed...

Framework and operational procedure for implementing Strategic Environmental Assessment in China

International Nuclear Information System (INIS)

Bao Cunkuan; Lu Yongsen; Shang Jincheng

2004-01-01

Over the last 20 years, Environmental Impact Assessment (EIA) has been implemented and become an important instrument for decision-making in development projects in China. The Environmental Impact Assessment Law of the P.R. China was promulgated on 28 October 2002 and will be put into effect on 1 September of 2003. The law provides that Strategic Environmental Assessment (SEA) is required in regional and sector plans and programs. This paper introduces the research achievements and practice of SEA in China, discusses the relationship of SEA and 'integrating of environment and development in decision-making (IEDD)', and relevant political and legal basis of SEA. The framework and operational procedures of SEA administration and enforcement are presented. Nine cases are analyzed and some proposals are given

Pre-IPO Operational and Financial Decisions

OpenAIRE

Volodymyr Babich; Matthew J. Sobel

2004-01-01

Many owners of growing privately held firms make operational and financial decisions in an effort to maximize the expected present value of the proceeds from an initial public offering (IPO). We ask: ÜWhat is the right time to make an IPO?Ý and ÜHow should operational and financial decisions be coordinated to increase the likelihood of a successful IPO?Ý Financial and operational decisions in this problem are linked because adequate financial capital is crucial for operational decisions to be...

Pre-Operative Prediction of Advanced Prostatic Cancer Using Clinical Decision Support Systems: Accuracy Comparison between Support Vector Machine and Artificial Neural Network

Energy Technology Data Exchange (ETDEWEB)

Kim, Sang Youn; Moon, Sung Kyoung; Hwang, Sung Il; Sung, Chang Kyu; Cho, Jeong Yeon; Kim, Seung Hyup; Lee, Hak Jong [Seoul National University College of Medicine, Seoul (Korea, Republic of); Jung, Dae Chul [National Cancer Center, Ilsan (Korea, Republic of); Lee, Ji Won [Kangwon National University College of Medicine, Chuncheon (Korea, Republic of)

2011-10-15

The purpose of the current study was to develop support vector machine (SVM) and artificial neural network (ANN) models for the pre-operative prediction of advanced prostate cancer by using the parameters acquired from transrectal ultrasound (TRUS)-guided prostate biopsies, and to compare the accuracies between the two models. Five hundred thirty-two consecutive patients who underwent prostate biopsies and prostatectomies for prostate cancer were divided into the training and test groups (n = 300 versus n 232). From the data in the training group, two clinical decision support systems (CDSSs-[SVM and ANN]) were constructed with input (age, prostate specific antigen level, digital rectal examination, and five biopsy parameters) and output data (the probability for advanced prostate cancer [> pT3a]). From the data of the test group, the accuracy of output data was evaluated. The areas under the receiver operating characteristic (ROC) curve (AUC) were calculated to summarize the overall performances, and a comparison of the ROC curves was performed (p < 0.05). The AUC of SVM and ANN is 0.805 and 0.719, respectively (p = 0.020), in the pre-operative prediction of advanced prostate cancer. Te performance of SVM is superior to ANN in the pre-operative prediction of advanced prostate cancer.

Is the Time of administration of misoprostol of value? The uterotonic effect of misoprostol given pre- and post-operative after elective cesarean section

Directory of Open Access Journals (Sweden)

Ahmed H. Abd-Ellah

2014-03-01

Conclusion: Pre-operative rectally administrated misoprostol appears to be more effective than post-operative rectally administrated misoprostol in reducing blood loss, and in decreasing the need for other uterotonic drugs in cesarean section delivery.

Sources of Data and Expertise for Environmental Factors Relevant to Amphibious Operations

National Research Council Canada - National Science Library

Andrew, Colin

2000-01-01

In the planning and conduct of amphibious operations it is necessary to have knowledge of a range of environmental variables, such as sea states, surf zone width and wave heights, beach composition, and bathymetry...

Pre-planned versus unplanned decision making in the case of environmental decontamination

International Nuclear Information System (INIS)

Paschoa, A.S.; Tranjan Filho, A.

2000-01-01

Until a few years ago it was not usual to pre-plan realistic countermeasures directly related to a radiological emergency or a nuclear accident (RENA), mostly because the probability of occurrence of such events was considered to be too low for real concern. The Three Mile Island, Chernobyl and Goiania accidents, however, changed long accepted views of the decision making community throughout the world. Today, meetings are being held just to discuss how one can go about making decisions to face the problems that may occur in a number of RENAs. The present work will examine several well established scientifically based radiological criteria to be used in decision making processes concerning either radioactive decontamination following a severe RENA, or decommissioning procedures. Such criteria can certainly be used to select pre-planned countermeasures, but can also be helpful as guidance to decision makers when facing a choice of untested and unplanned options. Selected advantages and disadvantages of each criterion based option will be presented and briefly discussed, as, for example, the amount of radioactive waste produced vis-B-vis the risk (concentration or projected dose) level adopted in the decontamination procedures. In addition, non-scientific aspects will be brought into the discussion, because their social, economical, and political implications cannot be ignored by responsible decision makers. Uncertainties associated with both non-scientific aspects and scientifically based environmental and dosimetric models will also be examined for specific cases. (author)

Neither pre-operative education or a minimally invasive procedure have any influence on the recovery time after total hip replacement.

Science.gov (United States)

Biau, David Jean; Porcher, Raphael; Roren, Alexandra; Babinet, Antoine; Rosencher, Nadia; Chevret, Sylvie; Poiraudeau, Serge; Anract, Philippe

2015-08-01

The purpose of this study was to evaluate pre-operative education versus no education and mini-invasive surgery versus standard surgery to reach complete independence. We conducted a four-arm randomized controlled trial of 209 patients. The primary outcome criterion was the time to reach complete functional independence. Secondary outcomes included the operative time, the estimated total blood loss, the pain level, the dose of morphine, and the time to discharge. There was no significant effect of either education (HR: 1.1; P = 0.77) or mini-invasive surgery (HR: 1.0; 95 %; P = 0.96) on the time to reach complete independence. The mini-invasive surgery group significantly reduced the total estimated blood loss (P = 0.0035) and decreased the dose of morphine necessary for titration in the recovery (P = 0.035). Neither pre-operative education nor mini-invasive surgery reduces the time to reach complete functional independence. Mini-invasive surgery significantly reduces blood loss and the need for morphine consumption.

Final Environmental Statement related to the operation of WPPSS Nuclear Project No. 3 (Docket No. 50-508)

International Nuclear Information System (INIS)

1985-05-01

This Final Environmental Statement contains the second assessment of the environmental impact associated with the Washington Public Power System Nuclear Project No. 3 (WNP-3) pursuant to the National Environmental Policy Act of 1969 (NEPA) and Title 10 of the Code of Federal Regulations, Part 51, as amended, of the Nuclear Regulatory Commission regulations. This statement examines the environment, environmental consequences and mitigating actions, and environmental benefits and costs. Land use and terrestrial and aquatic resource impacts will be small. Operational impacts to historic and archeological sites will be negligible. The effects of routine operations, energy transmission and periodic maintenance of rights-of-way and transmission facilities should not jeopardize any populations of endangered or threatened species. No significant impacts are anticipated from normal operational releases of radioactivity. The risk of radiation exposure associated with accidental release of radioactivity is very low. The net socioeconomic effects of the project will be beneficial

Pre-operative high sensitive C-reactive protein predicts cardiovascular events after coronary artery bypass grafting surgery: A prospective observational study

Directory of Open Access Journals (Sweden)

Balciunas Mindaugas

2009-01-01

Full Text Available C-reactive protein is a powerful independent predictor of cardiovascular events in patients with coronary artery disease. The relation between C-reactive protein (CRP concentration and in-hospital outcome, after coronary artery bypass grafting (CABG, has not yet been established. The study aims to evaluate the predictive value of pre-operative CRP for in-hospital cardiovascular events after CABG surgery. High-sensitivity CRP (hs-CRP levels were measured pre-operatively on the day of surgery in 66 patients scheduled for elective on pump CABG surgery. Post-operative cardiovascular events such as death from cardiovascular causes, ischemic stroke, myocardial damage, myocardial infarction and low output heart failure were recorded. During the first 30 days after surgery, 54 patients were free from observed events and 14 developed the following cardiovascular events: 10 (15% had myocardial damage, four (6% had low output heart failure and two (3% suffered stroke. No patients died during the follow-up period. Serum concentration of hs-CRP ≥ 3.3 mg/l (cut-off point obtained by ROC analysis was related to higher risk of post-operative cardiovascular events (36% vs 6%, P = 0.01, myocardial damage (24% vs 6%, P = 0.04 and low output heart failure (12% vs 0%, P = 0.04. Multivariate logistic regression analysis showed that hs-CRP ≥ 3.3 mg/l ( P = 0.002, O.R.: 19.3 (95% confidence interval (CI 2.9-128.0, intra-operative transfusion of red blood cells ( P = 0.04, O.R.: 9.9 (95% C.I. 1.1-85.5 and absence of diuretics in daily antihypertensive treatment ( P = 0.02, O.R.: 15.1 (95% C.I. 1.4-160.6 were independent predictors of combined cardiovascular event. Patients having hs-CRP value greater or equal to 3.3 mg/l pre-operatively have an increased risk of post-operative cardiovascular events after on pump coronary artery bypass grafting surgery.

Experiential Learning Approach for Training Pre-Service Teachers in Environmental Science Using Mobile Apps

Science.gov (United States)

Senan, D. C.; Nair, U. S.

2016-12-01

In the context of complex environmental problems, it is desirable to enhance public awareness of environmental issues. In response to this challenge, environmental education is an integral part of curriculum at all levels of education, including teacher education. However, it is often criticized for being reductionist and empirical and thus not optimal for training next generation of students who are expected to formulate solutions to complex, interdisciplinary environmental issues. Experiential learning is better suited for such training. It create a connection between the learner and the content by involving the students in reflection on their experiences. It is very appropriate in teacher education where students carry their own unique experiences into the learning environment. This study will report on the use of mobile application, based on the Open Data Kit (ODK), along with the Google Earth Engine (GEE) to implement experiential learning approach for teacher education in Kerala, India. The specific topic considered is land use and land cover change due to human activity. The approach will involve students using Android mobile application to collect a sample of geo-locations for different land cover types. This data will be used to classify satellite imagery and understand how their neighborhoods have changed over the years. The present study will also report on evaluation of effectiveness of the developed Mobile Application as a tool for experiential learning of Environmental Education. The study uses an experimental method with mixed methods-one group Pretest-Posttest design. The sample for the study consists of 300 Pre-service teachers of Kerala, India. The data collected is analyzed using paired t tests. Qualitative feedback about the Mobile Application through focus group interviews is also collected. Implementation of the experiential learning algorithm and analysis of data collected for evaluation of the learning approach will also be presented.

The IAEA network on environmental management and remediation (ENVIRONET) - promoting sustainable uranium production operations by taking environmental remediation under a life-cycle perspective

International Nuclear Information System (INIS)

Monken-Fernandes, H.

2010-01-01

Some of the past uranium production operations have caused extensive environmental problems. The lack of appropriate regulatory framework in addition to the fact that environmental issues were not conveniently addressed in the operations contributed to this situation. Nowadays, this situation has changed dramatically and lessons learned from the past have led to the implementation of responsible operations from both environmental and social perspectives. Involvement of different stakeholders in the decision making process turned out to be a mandatory issue in many countries. With the so called 'Renascence of Nuclear Power' new production sites will come into play. The sustainability of the uranium industry will depend on the adoption of good practices in these operations under a life-cycle perspective. The recently launched IAEA initiative - the ENVIRONET is aimed at contributing to expedite the transfer of experience amongst its members. It brings together private and state-owned companies, research institutes, and governmental organizations providing a forum for information and experience exchange. Sharing of practical experience is to be addressed by means of training courses and workshops. In addition to this long distance training and educational material will be made available. This paper will present the ENVIRONET and describe how networking can contribute to the implementation of sustainable and responsible uranium production operations worldwide. (author)

Sphincter preservation with pre-operative radiation therapy (RT) and coloanal anastomosis: long term follow-up

International Nuclear Information System (INIS)

Wagman, Raquel; Minsky, Bruce D.; Cohen, Alfred M.; Guillem, Jose G.; Paty, Philip B.

1997-01-01

PURPOSE: To determine the long term follow-up of sphincter preservation with pre-operative RT and coloanal anastomosis for rectal cancer. MATERIALS AND METHODS: A total of 36 pts (M:25, F:11) with invasive, clinically resectable, primary adenocarcinoma of the rectum were enrolled from 1/87 through 4/96 on a prospective Phase I/II trial. All patients were examined in the office by their operating surgeon prior to the start of RT and were judged clinically to require an abdominoperineal resection (APR) due to the proximity (but not invasion of) the tumor to the anal sphincter. By transrectal ultrasound, clinical T stage was T2:5, and T3:31. The median age was 55 years (range: 33-76 years), and the median distance from the anal verge was 4 cm (range: 3-7 cm). The median tumor size was 3.8 cm (range: 1.5-7 cm). Pts received 4680 cGy (180 cGy/day) to the whole pelvis followed by a boost to 5040 cGy followed by surgery 4-5 weeks later. Although no chemotherapy was delivered concurrently with RT, patients with pathologically positive pelvic nodes (13) or metastatic disease (6) received post-operative 5-FU based chemotherapy. All underwent fecal diversion which was closed 2-4 months post-op. Sphincter function was performed using a telephone survey according to the MSKCC sphincter function scale (Excellent: 1-2 bowel movements/day, no soilage, Good: 3-4 bowel movements/day, and/or mild soilage, fair: Episodic > 4 bowel movements/day, and/or moderate soilage, and Poor: incontinence). Actuarial calculations were performed using the Kaplan-Meier method. The median follow-up was 56 months (range: 4-121 months). RESULTS: Of the 35 patients who underwent surgery (1 pt with unresectable liver mets did not undergo surgery) (27(35)) (77%) were able to undergo a coloanal anastomosis and the pathological complete response rate was 14%. Post-operative complications included 1 (3%) partial anastamotic disruption, 2 (6%) rectal stenosis, and 1 (3%) pelvic abscess. For the total group of

Report on the pre-operational environmental radiological and micrometeorological studies around Kaiga Atomic Power Project site

International Nuclear Information System (INIS)

1999-08-01

This report presents a summary of the results of preoperational environmental radiological and micro- meteorological studies carried out during the year 1992, 1993, 1995, 1998 and 1999. Baseline radioactivity levels in Kaiga environment originating from 137 Cs, 90 Sr and natural radionuclides are given. Micro-meteorological data includes that from SODAR, tower and surface instruments. The data is compared with that observed at other NPP Sites in the country. (author)

Incorporation of environmental impact criteria in the design and operation of chemical processes

Directory of Open Access Journals (Sweden)

P.E. Bauer

2004-09-01

Full Text Available Environmental impact assessment is becoming indispensable for the design and operation of chemical plants. Structured and consistent methods for this purpose have experienced a rapid development. The more rigorous and sophisticated these methods become, the greater is the demand for convenient tools. On the other hand, despite the incredible advances in process simulators, some aspects have still not been sufficiently covered. To date, applications of these programs to quantify environmental impacts have been restricted to straightforward examples of steady-state processes. In this work, a life-cycle assessment implementation with the aim of process design will be described, with a brief discussion of a dynamic simulation for analysis of transient state operations, such as process start-up. A case study shows the importance of this analysis in making possible operation at a high performance level with reduced risks to the environment.

Short-term pre- and post-operative stress prolongs incision-induced pain hypersensitivity without changing basal pain perception.

Science.gov (United States)

Cao, Jing; Wang, Po-Kai; Tiwari, Vinod; Liang, Lingli; Lutz, Brianna Marie; Shieh, Kun-Ruey; Zang, Wei-Dong; Kaufman, Andrew G; Bekker, Alex; Gao, Xiao-Qun; Tao, Yuan-Xiang

2015-12-02

Chronic stress has been reported to increase basal pain sensitivity and/or exacerbate existing persistent pain. However, most surgical patients have normal physiological and psychological health status such as normal pain perception before surgery although they do experience short-term stress during pre- and post-operative periods. Whether or not this short-term stress affects persistent postsurgical pain is unclear. In this study, we showed that pre- or post-surgical exposure to immobilization 6 h daily for three consecutive days did not change basal responses to mechanical, thermal, or cold stimuli or peak levels of incision-induced hypersensitivity to these stimuli; however, immobilization did prolong the duration of incision-induced hypersensitivity in both male and female rats. These phenomena were also observed in post-surgical exposure to forced swimming 25 min daily for 3 consecutive days. Short-term stress induced by immobilization was demonstrated by an elevation in the level of serum corticosterone, an increase in swim immobility, and a decrease in sucrose consumption. Blocking this short-term stress via intrathecal administration of a selective glucocorticoid receptor antagonist, RU38486, or bilateral adrenalectomy significantly attenuated the prolongation of incision-induced hypersensitivity to mechanical, thermal, and cold stimuli. Our results indicate that short-term stress during the pre- or post-operative period delays postoperative pain recovery although it does not affect basal pain perception. Prevention of short-term stress may facilitate patients' recovery from postoperative pain.

Pre-cementation of deep shaft

Science.gov (United States)

Heinz, W. F.

1988-12-01

Pre-cementation or pre-grouting of deep shafts in South Africa is an established technique to improve safety and reduce water ingress during shaft sinking. The recent completion of several pre-cementation projects for shafts deeper than 1000m has once again highlighted the effectiveness of pre-grouting of shafts utilizing deep slimline boreholes and incorporating wireline technique for drilling and conventional deep borehole grouting techniques for pre-cementation. Pre-cementation of deep shaft will: (i) Increase the safety of shaft sinking operation (ii) Minimize water and gas inflow during shaft sinking (iii) Minimize the time lost due to additional grouting operations during sinking of the shaft and hence minimize costly delays and standing time of shaft sinking crews and equipment. (iv) Provide detailed information of the geology of the proposed shaft site. Informations on anomalies, dykes, faults as well as reef (gold bearing conglomerates) intersections can be obtained from the evaluation of cores of the pre-cementation boreholes. (v) Provide improved rock strength for excavations in the immediate vicinity of the shaft area. The paper describes pre-cementation techniques recently applied successfully from surface and some conclusions drawn for further considerations.

Rocketdyne Propulsion and Power DOE operations annual site environmental report 1996

International Nuclear Information System (INIS)

Tuttle, R.J.

1997-01-01

Rocketdyne currently operates several facilities in the San Fernando Valley/Simi Valley area, for manufacturing, testing, and research and development (R and D). These operations include manufacturing liquid-fueled rocket engines, such as the Space Shuttle Main Engine (SSME) and engines used for expendable launch vehicles used to place artificial satellites into orbit. This work includes fabrication and testing of rocket engines, lasers, and heat-transfer systems; and R and D in a wide range of high-technology fields, such as the electrical power system for the Space Station. Previously, this work also included development, fabrication, and disassembly of nuclear reactors, reactor fuel, and other radioactive materials, under the Atomics International Division (AI). AI was merged into Rocketdyne in 1984 and many of the AI functions were transferred to existing Rocketdyne departments. This nuclear work was terminated in 1988, and subsequently, all radiological work has been directed toward decontamination and decommissioning (D and D) of the previously used nuclear facilities and associated site areas. The majority of this work is done for the Department of Energy (DOE). This Annual Site Environmental Report for 1996 concentrates on the environmental conditions related to DOE operations at Area IV of SSFL and at De Soto

Annual radiological environmental operating report, Browns Ferry Nuclear Plant, 1988

International Nuclear Information System (INIS)

1989-04-01

This report describes the environmental radiological monitoring program conducted by TVA in the vicinity of Browns Ferry Nuclear Plant in 1988. The program includes the collection of samples from the environment and the determination of the concentrations of radioactive materials in the samples. Samples are taken from stations in the general area of the plant and from areas not influenced by plant operations. Station locations are selected after careful consideration of the weather patterns and projected radiation doses to the various areas around the plant. Material sampled includes air, water, milk, foods, vegetation, soil, fish, sediment, and direct radiation levels. Results from stations near the plant are compared with concentrations from control stations and with preoperational measurements to determine potential impacts of plant operations. The vast majority of the exposures calculated from environmental samples were contributed by naturally occurring radioactive materials or from materials commonly found in the environment as a result of atmospheric nuclear weapons fallout. Small amounts of Co-60 were found in sediment samples downstream from the plant. This activity in stream sediment would result in no measurable increase over background in the dose to the general public. 3 refs., 2 figs., 2 tabs

Pre-operative CT angiography and three-dimensional image post processing for deep inferior epigastric perforator flap breast reconstructive surgery.

Science.gov (United States)

Lam, D L; Mitsumori, L M; Neligan, P C; Warren, B H; Shuman, W P; Dubinsky, T J

2012-12-01

Autologous breast reconstructive surgery with deep inferior epigastric artery (DIEA) perforator flaps has become the mainstay for breast reconstructive surgery. CT angiography and three-dimensional image post processing can depict the number, size, course and location of the DIEA perforating arteries for the pre-operative selection of the best artery to use for the tissue flap. Knowledge of the location and selection of the optimal perforating artery shortens operative times and decreases patient morbidity.

Final environmental assessment and Finding-of-No-Significant-Impact - drum storage facility for interim storage of materials generated by environmental restoration operations

International Nuclear Information System (INIS)

1994-09-01

The Department of Energy (DOE) has prepared an Environmental Assessment (EA), DOE/EA-0995, for the construction and operation of a drum storage facility at Rocky Flats Environmental Technology Site, Golden, Colorado. The proposal for construction of the facility was generated in response to current and anticipated future needs for interim storage of waste materials generated by environmental restoration operations. A public meeting was held on July 20, 1994, at which the scope and analyses of the EA were presented. The scope of the EA included evaluation of alternative methods of storage, including no action. A comment period from July 5, 1994 through August 4, 1994, was provided to the public and the State of Colorado to submit written comment on the EA. No written comments were received regarding this proposed action, therefore no comment response is included in the Final EA. Based on the analyses in the EA, DOE has determined that the proposed action would not significantly affect the quality of the human environment within the meaning of the National Environmental Policy Act of 1969 (NEPA). Therefore, preparation of an Environmental Impact Statement is not required and the Department is issuing this Finding of No Significant Impact

Bechtel Hanford, Inc./ERC team health and safety plan Environmental Restoration Disposal Facility operations

International Nuclear Information System (INIS)

Turney, S.R.

1996-02-01

A comprehensive safety and health program is essential for reducing work-related injuries and illnesses while maintaining a safe and health work environment. This document establishes Bechtel Hanford, Inc. (BHI)/Environmental Restoration Contractor (ERC) team requirements, policies, and procedures and provides preliminary guidance to the Environmental Restoration Disposal Facility (ERDF) subcontractor for use in preparing essential safety and health documents. This health and safety plan (HASP) defines potential safety and health issues associated with operating and maintaining the ERDF. A site-specific HASP shall be developed by the ERDF subcontractor and shall be implemented before operations and maintenance work can proceed. An activity hazard analysis (AHA) shall also be developed to provide procedures to identify, assess, and control hazards or potential incidents associated with specific operations and maintenance activities

Comparison of 3D reconstruction of mandible for pre-operative planning using commercial and open-source software

Science.gov (United States)

Abdullah, Johari Yap; Omar, Marzuki; Pritam, Helmi Mohd Hadi; Husein, Adam; Rajion, Zainul Ahmad

2016-12-01

3D printing of mandible is important for pre-operative planning, diagnostic purposes, as well as for education and training. Currently, the processing of CT data is routinely performed with commercial software which increases the cost of operation and patient management for a small clinical setting. Usage of open-source software as an alternative to commercial software for 3D reconstruction of the mandible from CT data is scarce. The aim of this study is to compare two methods of 3D reconstruction of the mandible using commercial Materialise Mimics software and open-source Medical Imaging Interaction Toolkit (MITK) software. Head CT images with a slice thickness of 1 mm and a matrix of 512x512 pixels each were retrieved from the server located at the Radiology Department of Hospital Universiti Sains Malaysia. The CT data were analysed and the 3D models of mandible were reconstructed using both commercial Materialise Mimics and open-source MITK software. Both virtual 3D models were saved in STL format and exported to 3matic and MeshLab software for morphometric and image analyses. Both models were compared using Wilcoxon Signed Rank Test and Hausdorff Distance. No significant differences were obtained between the 3D models of the mandible produced using Mimics and MITK software. The 3D model of the mandible produced using MITK open-source software is comparable to the commercial MIMICS software. Therefore, open-source software could be used in clinical setting for pre-operative planning to minimise the operational cost.

Annual radiological environmental operating report: Sequoyah Nuclear Plant, 1987

International Nuclear Information System (INIS)

1988-04-01

This report describes the environmental radiological monitoring program conducted by TVA in the vicinity of the Sequoyah Nuclear Plant in 1987. The program includes the collection of samples from the environment and the determination of the concentrations of radioactive materials in the samples. Samples are taken from stations in the general area of the plant and from areas not influenced by plant operations. Station locations are selected after careful consideration of the weather patterns and projected radiation doses to the various areas around the plant. Material sampled includes air, water, milk, foods, vegetation, soil, fish, sediment, and direct radiation levels. Results from stations near the plant are compared with concentrations from control stations and with preoperational measurements to determine potential impacts of plant operations. 2 figs., 2 tabs

76 FR 70169 - Draft Supplement 2 to Final Environmental Statement Related to the Operation of Watts Bar Nuclear...

Science.gov (United States)

2011-11-10

... Environmental Statement Related to the Operation of Watts Bar Nuclear Plant, Unit 2; Tennessee Valley Authority... on NUREG-0498, ``Final Environmental Statement, Supplement 2, Related to the Operation of Watts Bar... the Nuclear Regulatory Commission. Stephen J. Campbell, Chief, Watts Bar Special Projects Branch...

Environmental Engineering Education (E3) in the Gulf Co-Operation Countries

Science.gov (United States)

Jassim, Majeed; Coskuner, Gulnur

2007-01-01

The six members of the Gulf Co-operation Countries (GCC)--Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates--are facing enormous environmental challenges associated with rapid urbanisation and industrialisation, especially in the last three decades, due to its role as a global hydrocarbon energy centre. None of these…

Patient-specific positioning guides for total knee arthroplasty: no significant difference between final component alignment and pre-operative digital plan except for tibial rotation.

Science.gov (United States)

Boonen, Bert; Schotanus, Martijn G M; Kerens, Bart; Hulsmans, Frans-Jan; Tuinebreijer, Wim E; Kort, Nanne P

2017-09-01

To assess whether there is a significant difference between the alignment of the individual femoral and tibial components (in the frontal, sagittal and horizontal planes) as calculated pre-operatively (digital plan) and the actually achieved alignment in vivo obtained with the use of patient-specific positioning guides (PSPGs) for TKA. It was hypothesised that there would be no difference between post-op implant position and pre-op digital plan. Twenty-six patients were included in this non-inferiority trial. Software permitted matching of the pre-operative MRI scan (and therefore calculated prosthesis position) to a pre-operative CT scan and then to a post-operative full-leg CT scan to determine deviations from pre-op planning in all three anatomical planes. For the femoral component, mean absolute deviations from planning were 1.8° (SD 1.3), 2.5° (SD 1.6) and 1.6° (SD 1.4) in the frontal, sagittal and transverse planes, respectively. For the tibial component, mean absolute deviations from planning were 1.7° (SD 1.2), 1.7° (SD 1.5) and 3.2° (SD 3.6) in the frontal, sagittal and transverse planes, respectively. Absolute mean deviation from planned mechanical axis was 1.9°. The a priori specified null hypothesis for equivalence testing: the difference from planning is >3 or plan in all planes, except for the tibial rotation in the transverse plane. Possible explanations for outliers are discussed and highlight the importance for adequate training surgeons before they start using PSPG in their day-by-day practise. Prospective cohort study, Level II.

Columbia River System Operation Review final environmental impact statement. Appendix P: Canadian Entitlement Allocation Agreements (CEAA)

International Nuclear Information System (INIS)

1995-11-01

The System Operation Review (SOR) is a study and environmental compliance process being used by the three Federal agencies to analyze future operations of the system and river use issues. The goal of the SOR is to achieve a coordinated system operation strategy for the river that better meets the needs of all river users. This technical appendix addresses only the effects of alternative system operating strategies for managing the Columbia River system. The purpose of this technical appendix is to provide the environmental review necessary to enter into agreements regarding the distribution between Federal and non-Federal project owners with respect to delivery of the Canadian Entitlement obligation to Canada for the period 1998 through 2024

Environmental program with operational cases to reduce risk to the marine environment significantly

International Nuclear Information System (INIS)

Cline, J.T.; Forde, R.

1991-01-01

In this paper Amoco Norway Oil Company's environmental program is detailed, followed by example operational programs and achievements aimed to minimize environmental risks to the marine environment at Valhall platform. With a corporate goal to be a leader in protecting the environment, the appropriate strategies and policies that form the basis of the environmental management system are incorporated in the quality assurance programs. Also, included in the program are necessary organizational structures, responsibilities of environmental affairs and line organization personnel, compliance procedures and a waste task force obliged to implement operations improvements. An internal environmental audit system has been initiated, in addition to corporate level audits, which, when communicated to the line organization closes the environmental management loop through experience feed back. Environmental projects underway are significantly decreasing the extent and/or risk of pollution from offshore activities. The cradle to grave responsibility is assumed with waste separated offshore and onshore followed by disposal in audited sites. A $5 MM program is underway to control produced oily solids and reduce oil in produced water aiming to less than 20 ppm. When oil-based mud is used in deeper hole sections, drill solids disposed at sea average less than 60 g oil/kg dry cuttings using appropriate shaker screens, and a washing/centrifuge system to remove fines. Certain oily liquid wastes are being injected down hole whereas previously they were burned using a mud burner. Finally, a program is underway with a goal to eliminate sea discharge of oil on cuttings through injection disposal of oily wastes, drilling with alternative muds such as a cationic water base mud, and/or proper onshore disposal of oily wastes

Final environmental statement related to the operation of Millstone Nuclear Power Station, Unit No. 3 (Docket No. 50-423)

International Nuclear Information System (INIS)

1984-12-01

This Final Environmental Statement contains the second assessment of the environmental impact associated with the operation of Millstone Nuclear Power Station, Unit 3, pursuant to the National Environmental Policy Act of 1969 (NEPA) and Title 10 of the Code of Federal Regulations, Part 51, as amended, of the Nuclear Regulatory Commission regulations. This statement examines the environment, environmental consequences and mitigating actions, and environmental and economic benefits and costs. Land use and terrestrial and aquatic ecological impacts will be small. Operational impacts to historic and archeologic sites will be small. The effects of routine operations, energy transmission, and periodic maintenance of rights-of-way and transmission facilities should not jeopardize any populations of endangered or threatened species. No significant impacts are anticipated from normal operational releases of radioactivity. The risk of radiation exposure associated with accidental release of radioactivity is very low. The net socioeconomic effects of the project will be beneficial. On the basis of the analysis and evaluation set forth in this environmental statement, it is concluded that the action called for under NEPA and 10 CFR 51 is the issuance of an operating license for Millstone Nuclear Power Station, Unit 3. 101 references, 33 figures, 30 tables

RIP Input Tables From WAPDEG for LA Design Selection: Continuous Pre-Closure Ventilation

International Nuclear Information System (INIS)

K.G. Mon

1999-01-01

The purpose of this calculation is to document the creation of .tables for input into Integrated Probabilistic Simulator for Environmental Systems (RIP) version 5.19.01 (Golder Associates 1998) from Waste Package Degradation (WAPDEG) version 3.09 (CRWMS M and O 1998b. ''Software Routine Report for WAPDEG'' (Version 3.09)) simulations. This calculation details the creation of the RIP input tables (representing waste package corrosion degradation over time) for the License Application Design Selection (LADS) analysis of the effects of continuous pre-closure ventilation. Ventilation during the operational phase of the repository could remove considerable water from the system, as well as reduce temperatures. Pre-closure ventilation is LADS Design Feature 7

Blood management and transfusion strategies in 600 patients undergoing total joint arthroplasty: an analysis of pre-operative autologous blood donation.

Science.gov (United States)

Perazzo, Paolo; Viganò, Marco; De Girolamo, Laura; Verde, Francesco; Vinci, Anna; Banfi, Giuseppe; Romagnoli, Sergio

2013-07-01

Blood loss during total joint arthroplasty strongly influences the time to recover after surgery and the quality of the recovery. Blood conservation strategies such as pre-operative autologous blood donation and post-operative cell salvage are intended to avoid allogeneic blood transfusions and their associated risks. Although widely investigated, the real effectiveness of these alternative transfusion practices remains controversial. The surgery reports of 600 patients undergoing total joint arthroplasty (312 hip and 288 knee replacements) were retrospectively reviewed to assess transfusion needs and related blood management at our institute. Evaluation parameters included post-operative blood loss, haemoglobin concentration measured at different time points, ASA score, and blood transfusion strategies. Autologous blood donation increased the odds of receiving a red blood cell transfusion. Reinfusion by a cell salvage system of post-operative shed blood was found to limit adverse effects in cases of severe post-operative blood loss. The peri-operative net decrease in haemoglobin concentration was higher in patients who had predeposited autologous blood than in those who had not. The strengths of this study are the high number of cases and the standardised procedures, all operations having been performed by a single orthopaedic surgeon and a single anaesthesiologist. Our data suggest that a pre-operative autologous donation programme may often be useless, if not harmful. Conversely, the use of a cell salvage system may be effective in reducing the impact of blood transfusion on a patient's physiological status. Basal haemoglobin concentration emerged as a useful indicator of transfusion probability in total joint replacement procedures.

Using MODIS-NDVI for the Modeling of Post-Wildfire Vegetation Response as a Function of Environmental Conditions and Pre-Fire Restoration Treatments

Directory of Open Access Journals (Sweden)

Grant M. Casady

2012-03-01

Full Text Available Post-fire vegetation response is influenced by the interaction of natural and anthropogenic factors such as topography, climate, vegetation type and restoration practices. Previous research has analyzed the relationship of some of these factors to vegetation response, but few have taken into account the effects of pre-fire restoration practices. We selected three wildfires that occurred in Bandelier National Monument (New Mexico, USA between 1999 and 2007 and three adjacent unburned control areas. We used interannual trends in the Normalized Difference Vegetation Index (NDVI time series data derived from the Moderate Resolution Imaging Spectroradiometer (MODIS to assess vegetation response, which we define as the average potential photosynthetic activity through the summer monsoon. Topography, fire severity and restoration treatment were obtained and used to explain post-fire vegetation response. We applied parametric (Multiple Linear Regressions-MLR and non-parametric tests (Classification and Regression Trees-CART to analyze effects of fire severity, terrain and pre-fire restoration treatments (variable used in CART on post-fire vegetation response. MLR results showed strong relationships between vegetation response and environmental factors (p < 0.1, however the explanatory factors changed among treatments. CART results showed that beside fire severity and topography, pre-fire treatments strongly impact post-fire vegetation response. Results for these three fires show that pre-fire restoration conditions along with local environmental factors constitute key processes that modify post-fire vegetation response.

Does operational oceanography address the needs of fisheries and applied environmental scientists?

NARCIS (Netherlands)

Berx, B.; Dickey-Collas, M.; Skogen, M.D.; Roeck, de Y.H.

2011-01-01

Although many oceanographic data products are now considered operational, continued dialogue between data producers and their user communities is still needed. The fisheries and environmental science communities have often been criticized for their lack of multidisciplinarity, and it is not clear

NASA Operational Environment Team (NOET): NASA's key to environmental technology

Science.gov (United States)

Cook, Beth

1993-01-01

NASA has stepped forward to face the environmental challenge to eliminate the use of Ozone-Layer Depleting Substances (OLDS) and to reduce our Hazardous Air Pollutants (HAP) by 50 percent in 1995. These requirements have been issued by the Clean Air Act, the Montreal Protocol, and various other legislative acts. A proactive group, the NASA Operational Environment Team or NOET, received its charter in April 1992 and was tasked with providing a network through which replacement activities and development experiences can be shared. This is a NASA-wide team which supports the research and development community by sharing information both in person and via a computerized network, assisting in specification and standard revisions, developing cleaner propulsion systems, and exploring environmentally-compliant alternatives to current processes.

Radiological monitoring related to the operation of PUSPATI's Triga Reactor

International Nuclear Information System (INIS)

Fatimah Mohamad Amin; Mohamad Yusof Mohamad Ali; Lau How Mooi; Idris Besar.

1983-01-01

Reactor operation is one of the main activities carried out at the Tun Ismail Atomic Research Centre (PUSPATI) which requires radiological monitoring. This paper describes the programme for radiological monitoring which is related to the operation of the 1 MW Triga MK II research reactor which was commissioned in July, 1982. This programme includes monitoring of the radiation and contamination levels of the reactor and its associated facilities and environmental monitoring of PUSPATI's site and its environs. The data presented in this paper covers the period between 1982 to 1983 which includes both the pre-operational and operational phases of the monitoring programme. (author)

Pre-operative evaluation with MR in tetralogy of Fallot and pulmonary atresia with ventricular septal defect

International Nuclear Information System (INIS)

Holmqvist, C.; Hochbergs, P.; Bjoerkhem, G.; Brockstedt, S.; Laurin, S.

2000-01-01

To assess whether MR imaging could replace angiography in pre-operative evaluation of patients with tetralogy of Fallot and pulmonary atresia with ventricular septal defect (VSD), especially since the surgical correction was done earlier than was previously the rule. Fourteen patients with tetralogy of Fallot (n=10) or pulmonary atresia with VSD (n=4), mean age 7.5±4.4 months, were evaluated with angiocardiography and MR before definitive surgical correction. There was good diagnostic agreement between the two modalities when evaluating right ventricular outflow obstruction; 86% for valvular and 93% for supra valvular stenosis, but the agreement was somewhat lower for the sub valvular obstruction (57%). Surgery findings, however, were in favour of MR in 5 patients concerning the sub valvular right ventricular outflow tract obstruction. MR images identified all stenoses in the right and left pulmonary arteries, but overlooked one stenosis in the main pulmonary artery. MR could evaluate patency in all palliative shunts. Even in this young age group, MR imaging offers a good alternative to angiocardiography for the pre-operative evaluation of the right ventricular outflow tract, the main pulmonary artery and the proximal right and left pulmonary arteries, before definitive surgical correction of tetralogy of Fallot and pulmonary atresia with VSD

Pre-operative evaluation with MR in tetralogy of Fallot and pulmonary atresia with ventricular septal defect

Energy Technology Data Exchange (ETDEWEB)

Holmqvist, C.; Hochbergs, P. [Univ. Hospital, Lund (Sweden). Dept of Diagnostic Radiology; Bjoerkhem, G. [Univ. Hospital, Lund (Sweden). Dept of Paediatrics; Brockstedt, S.; Laurin, S. [Univ. Hospital, Lund (Sweden). Dept of Diagnostic Radiology

2000-01-01

To assess whether MR imaging could replace angiography in pre-operative evaluation of patients with tetralogy of Fallot and pulmonary atresia with ventricular septal defect (VSD), especially since the surgical correction was done earlier than was previously the rule. Fourteen patients with tetralogy of Fallot (n=10) or pulmonary atresia with VSD (n=4), mean age 7.5{+-}4.4 months, were evaluated with angiocardiography and MR before definitive surgical correction. There was good diagnostic agreement between the two modalities when evaluating right ventricular outflow obstruction; 86% for valvular and 93% for supra valvular stenosis, but the agreement was somewhat lower for the sub valvular obstruction (57%). Surgery findings, however, were in favour of MR in 5 patients concerning the sub valvular right ventricular outflow tract obstruction. MR images identified all stenoses in the right and left pulmonary arteries, but overlooked one stenosis in the main pulmonary artery. MR could evaluate patency in all palliative shunts. Even in this young age group, MR imaging offers a good alternative to angiocardiography for the pre-operative evaluation of the right ventricular outflow tract, the main pulmonary artery and the proximal right and left pulmonary arteries, before definitive surgical correction of tetralogy of Fallot and pulmonary atresia with VSD.

78 FR 37281 - Revisions to Environmental Review for Renewal of Nuclear Power Plant Operating Licenses

Science.gov (United States)

2013-06-20

... factors: (1) License renewal will involve nuclear power plants for which the environmental impacts of...) Changes in the environment around nuclear power plants are gradual and predictable. The 1996 GEIS improved... environmental impacts that may occur from renewing commercial nuclear power plant operating licenses; (2...

Standard operating procedures for pre-analytical handling of blood and urine for metabolomic studies and biobanks

Energy Technology Data Exchange (ETDEWEB)

Bernini, Patrizia; Bertini, Ivano, E-mail: bertini@cerm.unifi.it; Luchinat, Claudio [University of Florence, Magnetic Resonance Center (CERM) (Italy); Nincheri, Paola; Staderini, Samuele [FiorGen Foundation (Italy); Turano, Paola [University of Florence, Magnetic Resonance Center (CERM) (Italy)

2011-04-15

{sup 1}H NMR metabolic profiling of urine, serum and plasma has been used to monitor the impact of the pre-analytical steps on the sample quality and stability in order to propose standard operating procedures (SOPs) for deposition in biobanks. We analyzed the quality of serum and plasma samples as a function of the elapsed time (t = 0-4 h) between blood collection and processing and of the time from processing to freezing (up to 24 h). The stability of the urine metabolic profile over time (up to 24 h) at various storage temperatures was monitored as a function of the different pre-analytical treatments like pre-storage centrifugation, filtration, and addition of the bacteriostatic preservative sodium azide. Appreciable changes in the profiles, reflecting changes in the concentration of a number of metabolites, were detected and discussed in terms of chemical and enzymatic reactions for both blood and urine samples. Appropriate procedures for blood derivatives collection and urine preservation/storage that allow maintaining as much as possible the original metabolic profile of the fresh samples emerge, and are proposed as SOPs for biobanking.

Standard operating procedures for pre-analytical handling of blood and urine for metabolomic studies and biobanks.

Science.gov (United States)

Bernini, Patrizia; Bertini, Ivano; Luchinat, Claudio; Nincheri, Paola; Staderini, Samuele; Turano, Paola

2011-04-01

(1)H NMR metabolic profiling of urine, serum and plasma has been used to monitor the impact of the pre-analytical steps on the sample quality and stability in order to propose standard operating procedures (SOPs) for deposition in biobanks. We analyzed the quality of serum and plasma samples as a function of the elapsed time (t = 0-4 h) between blood collection and processing and of the time from processing to freezing (up to 24 h). The stability of the urine metabolic profile over time (up to 24 h) at various storage temperatures was monitored as a function of the different pre-analytical treatments like pre-storage centrifugation, filtration, and addition of the bacteriostatic preservative sodium azide. Appreciable changes in the profiles, reflecting changes in the concentration of a number of metabolites, were detected and discussed in terms of chemical and enzymatic reactions for both blood and urine samples. Appropriate procedures for blood derivatives collection and urine preservation/storage that allow maintaining as much as possible the original metabolic profile of the fresh samples emerge, and are proposed as SOPs for biobanking.

Standard operating procedures for pre-analytical handling of blood and urine for metabolomic studies and biobanks

International Nuclear Information System (INIS)

Bernini, Patrizia; Bertini, Ivano; Luchinat, Claudio; Nincheri, Paola; Staderini, Samuele; Turano, Paola

2011-01-01

1 H NMR metabolic profiling of urine, serum and plasma has been used to monitor the impact of the pre-analytical steps on the sample quality and stability in order to propose standard operating procedures (SOPs) for deposition in biobanks. We analyzed the quality of serum and plasma samples as a function of the elapsed time (t = 0−4 h) between blood collection and processing and of the time from processing to freezing (up to 24 h). The stability of the urine metabolic profile over time (up to 24 h) at various storage temperatures was monitored as a function of the different pre-analytical treatments like pre-storage centrifugation, filtration, and addition of the bacteriostatic preservative sodium azide. Appreciable changes in the profiles, reflecting changes in the concentration of a number of metabolites, were detected and discussed in terms of chemical and enzymatic reactions for both blood and urine samples. Appropriate procedures for blood derivatives collection and urine preservation/storage that allow maintaining as much as possible the original metabolic profile of the fresh samples emerge, and are proposed as SOPs for biobanking.

78 FR 58570 - Environmental Assessment; Entergy Nuclear Operations, Inc., Big Rock Point

Science.gov (United States)

2013-09-24

... Assessment; Entergy Nuclear Operations, Inc., Big Rock Point AGENCY: Nuclear Regulatory Commission. ACTION... applicant or the licensee), for the Big Rock Point (BRP) Independent Spent Fuel Storage Installation (ISFSI... Rock Point (BRP) Independent Spent Fuel Storage Installation (ISFSI). II. Environmental Assessment (EA...

Forest operations in coppice: Environmental assessment of two different logging methods.

Science.gov (United States)

Laschi, Andrea; Marchi, Enrico; González-García, Sara

2016-08-15

Wood is a renewable resource and it actively contributes to enhance energy production under a sustainable perspective. However, harvesting, transport and use of wood imply several consequences and impacts on environment. There are different ways for managing forests dedicated to wood production and a sustainable approach is fundamental to preserve the resource. In this context, Life Cycle Assessment (LCA) is a useful tool for estimating the environmental impacts related to renewable resources. Traditional coppice is a common approach for forest management in several areas, including southern Europe and, specifically, Italy, Spain and the Balkans. Due to different terrain conditions, different types of forest operations are considered for wood extraction from coppices, where the main product is firewood used in domestic heating. The aim of this work was to compare the main common systems for firewood production in two different terrain conditions ('flat/low steep' and 'steep/very steep' terrains), in a representative environment for Mediterranean area, located in central Italy, by means of LCA. Seven different impact categories were evaluated in a cradle-to-gate perspective taking into account all the operations carried out from the trees felling to the firewood storage at factory. Results showed that the extraction phase was the most important in terms of environmental burdens in firewood production and the use of heavy and high-power machines negatively influenced the emissions compared with manual operations. Finally, considering the general low-inputs involved in wood production in coppice, the transport of workers by car to the work site resulted on consistent contributions into environmental burdens. An additional analysis about the modifications of CH4 and N2O exchanges between soil and atmosphere, due to soil compaction in the extraction phase, was made and based on bibliographic information. Results showed a sensible difference between disturbed and

Quality Assurance Programme for the Environmental Testing of the CMS Tracker Optical Links

CERN Document Server

Gill, K; Troska, Jan K; Vasey, F; Zanet, A

2001-01-01

The QA programme is reviewed for the environmental compliance tests of commercial off-the-shelf (COTS) components for the CMS Tracker Optical link system. These environmental tests will take place in the pre-production and final production phases of the project and will measure radiation resistance, component lifetime, and sensitivity to magnetic fields. The evolution of the programme from small-scale prototype tests to the final pre-production manufacturing tests is outlined and the main environmental effects expected for optical links operating within the Tracker are summarised. A special feature of the environmental QA programme is the plan for Advance Validation Tests (AVT's) developed in close collaboration with the various industrial partners. AVT procedures involve validation of a relatively small set of basic samples in advance of the full production of the corresponding batch of devices. Only those lots that have been confirmed as sufficiently rad-tolerant will be purchased and used in the final prod...

Environmental assessment report: Nuclear Test Technology Complex. [Construction and operation of proposed facility

Energy Technology Data Exchange (ETDEWEB)

Tonnessen, K.; Tewes, H.A.

1982-08-01

The US Department of Energy (USDOE) is planning to construct and operate a structure, designated the Nuclear Test Technology Complex (NTTC), on a site located west of and adjacent to the Lawrence Livermore National Laboratory. The NTTC is designed to house 350 nuclear test program personnel, and will accommodate the needs of the entire staff of the continuing Nuclear Test Program (NTP). The project has three phases: land acquisition, facility construction and facility operation. The purpose of this environmental assessment report is to describe the activities associated with the three phases of the NTTC project and to evaluate potential environmental disruptions. The project site is located in a rural area of southeastern Alameda County, California, where the primary land use is agriculture; however, the County has zoned the area for industrial development. The environmental impacts of the project include surface disturbance, high noise levels, possible increases in site erosion, and decreased air quality. These impacts will occur primarily during the construction phase of the NTTC project and can be mitigated in part by measures proposed in this report.

Pre-operative assessment of cancer in the elderly (PACE) : A comprehensive assessment of underlying characteristics of elderly cancer patients prior to elective surgery

NARCIS (Netherlands)

Pope, D.; Ramesh, H.; Gennari, R.; Corsini, G.; Maffezzini, M.; Hoekstra, H. J.; Mobarak, D.; Sunouchi, K.; Stotter, A.; West, C.; Audisio, R. A.

2006-01-01

Background: Cancer is a disease that particularly affects the elderly and, although surgery is the first treatment choice, many elderly cancer patients do not receive standard surgery because they are considered unfit for treatment due to an inaccurate estimation of operative risk. Pre-operative

Oral Nutrition as a Form of Pre-Operative Enhancement in Patients Undergoing Surgery for Colorectal Cancer: A Systematic Review

NARCIS (Netherlands)

Bruns, Emma R. J.; Argillander, Tanja E.; van den Heuvel, Baukje; Buskens, Christianne J.; van Duijvendijk, Peter; Winkels, Renate M.; Kalf, Annette; van der Zaag, Edwin S.; Wassenaar, Eelco B.; Bemelman, Willem A.; van Munster, Barbara C.

2018-01-01

Background: Nutritional status has major impacts on the outcome of surgery, in particular in patients with cancer. The aim of this review was to assess the merit of oral pre-operative nutritional support as a part of prehabilitation in patients undergoing surgery for colorectal cancer. Methods: A

Managing Environmental Impact Assessment for Construction and Operation in New Nuclear Power Programmes

International Nuclear Information System (INIS)

2014-01-01

This publication describes the environmental impact assessment (EIA) process, its utilization and the necessary infrastructure for such a process in order to provide a holistic approach for EIA in new nuclear power programmes. It also emphasizes the environmental aspects unique to a nuclear power programme, assuming that a State embarking on such a programme already has an environmental regulatory framework for the industrial projects in place. This publication also describes the phased implementation of the EIA programme in accordance with the phases described in IAEA Nuclear Energy Series No. NG-G-3.1. This publication is addressed to senior managers, project managers or coordinators and technical specialists of government authorities and agencies, including regulatory bodies, operating organizations and supporting industries, and other organizations involved in environmental issues

Application of finite element analysis in pre-operative planning for deformity correction of abnormal hip joints--a case series.

Science.gov (United States)

Rhyu, K H; Kim, Y H; Park, W M; Kim, K; Cho, T-J; Choi, I H

2011-09-01

In experimental and clinical research, it is difficult to directly measure responses in the human body, such as contact pressure and stress in a joint, but finite element analysis (FEA) enables the examination of in vivo responses by contact analysis. Hence, FEA is useful for pre-operative planning prior to orthopaedic surgeries, in order to gain insight into which surgical options will result in the best outcome. The present study develops a numerical simulation technique based on FEA to predict the surgical outcomes of osteotomy methods for the treatment of slipped capital femoral epiphyses. The correlation of biomechanical parameters including contact pressure and stress, for moderate and severe cases, is investigated. For severe slips, a base-of-neck osteotomy is thought to be the most reliable and effective surgical treatment, while any osteotomy may produce dramatic improvement for moderate slips. This technology of pre-operative planning using FEA can provide information regarding biomechanical parameters that might facilitate the selection of optimal osteotomy methods and corresponding surgical options.

75 FR 67996 - Environmental Documents Prepared for Proposed Oil, Gas, and Mineral Operations by the Gulf of...

Science.gov (United States)

2010-11-04

... Environmental Documents Prepared for Proposed Oil, Gas, and Mineral Operations by the Gulf of Mexico Outer... regarding whether those effects have significant impacts. Environmental Assessments are used to evaluate.... ACTION: Notice of the Availability of Environmental Documents Prepared for OCS Mineral Proposals by the...

78 FR 5830 - Draft Environmental Assessment and Proposed Habitat Conservation Plan for the Interim Operations...

Science.gov (United States)

2013-01-28

...-FXES11120800000F2-123-F2] Draft Environmental Assessment and Proposed Habitat Conservation Plan for the Interim Operations of PacifiCorp's Klamath Hydroelectric Project on the Klamath River, Klamath County, OR, and... environmental assessment and proposed habitat conservation plan; request for comment. SUMMARY: We, the U.S. Fish...

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

International Nuclear Information System (INIS)

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

2014-01-01

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

Role of emotion in public information on environmental risk and pre-environmental behaviour

NARCIS (Netherlands)

Meijnders, A.L.; Midden, C.J.H.; Wilke, H.A.M.

1996-01-01

What role does emotion play in the provision of public information about· the risks of environmental pollution? This is a question that is asked in the research project on the 'Role of emotion in public information on environmental risks and pro-environmental behaviour'. This article describes the

Final environmental statement related to the operation of Callaway Plant, Unit No. 1 (Docket No. 50-483)

International Nuclear Information System (INIS)

1982-01-01

The final environmental statement contains the second assessment of the environmental impact associated with operation of Callaway Plant Unit 1, pursuant to the National Environmental Policy Act of 1969 (NEPA) and 10 CFR Par 51, as amended, of the NRC's regulations. This statement examines: the purpose and need for the Callaway project, alternatives to the project, the affected environment, environmental consequences and mitigating actions, and environmental and economic benefits and costs. No water-use impacts are expected from cooling-tower markup withdrawn from, or blowdown discharged into, the Missouri River. Land-use and terrestrial- and aquatic-ecological impacts will be small. Air-quality impacts from cooling-tower drift and other emissions and dust will also be small. Impacts to historic and prehistoric sites will be negligible with the development and implementation of the applicant's cultural-resources management plan. No significant impacts are anticipated from normal operational releases of radioactivity. The risk associated with accidental radiation exposure is very low. The net socioeconomic effects of the project will be beneficial. The action called for is the issuance of an operating license for Unit 1 of the Callaway Plant. 18 figs., 16 tabs

Final environmental statement related to the operation of Clinton Power Station, Unit No. 1. Docket No. 50-461

International Nuclear Information System (INIS)

1982-05-01

This final environmental statement contains the second assessment of the environmental impact associated with operation of Clinton Power Station Unit 1 pursuant to the National Environmental Policy Act of 1969 (NEPA) and 10 CFR Part 51, as amended, of the NRC's regulations. This statement examines: the affected environment, environmental consequences and mitigating actions, and environmental and economic benefits and costs. Land-use and terrestrial- and aquatic-ecological impacts will be small. Air-quality impacts will also be small. However, steam fog from the station's cooling lake has the potential for reducing visibility over nearby roads and bridges. A fog-monitoring program for roads and ridges near the lake has been recommended. Impacts to historic and prehistoric sites will be negligible. Chemical discharges to Lake Clinton and Salt Creek are expected to have no appreciable impacts on water quality under normal conditions and will be required to meet conditions of the station's NPDES permit. The hydrothermal analyses indicate that under certain meteorological conditions (1-in-50-year drought), the plant would have to be operated at reduced power levels in order to meet the thermal standards established by the Illinois Pollution Control Board Order PCB 81-82. The effects of routine operations, energy transmission, and periodic maintenance of rights-of-way and transmission line facilties should not jeopardize any populations of endangered or threatened species. No significant impacts are anticipated from normal operational releases of radioactivity. Contentions associated with environmental issues accepted during the operating-license hearing are related to assessment of effects of low-level radiation. The net socioeconomic effects of the project will be beneficial. The action called for is the issuance of an operating license for Unit 1 of Clinton

Pre-Study Walkthrough with a Commercial Pilot for a Preliminary Single Pilot Operations Experiment

Science.gov (United States)

O'Connor-Dreher, Ryan; Roberts, Z.; Ziccardi, J.; Vu, K-P. L.; Strybel, T.; Koteskey, Robert William; Lachter, Joel B.; Vi Dao, Quang; Johnson, Walter W.; Battiste, V.

2013-01-01

The number of crew members in commercial flights has decreased to two members, down from the five-member crew required 50 years ago. One question of interest is whether the crew should be reduced to one pilot. In order to determine the critical factors involved in safely transitioning to a single pilot, research must examine whether any performance deficits arise with the loss of a crew member. With a concrete understanding of the cognitive and behavioral role of a co-pilot, aeronautical technologies and procedures can be developed that make up for the removal of the second aircrew member. The current project describes a pre-study walkthrough process that can be used to help in the development of scenarios for testing future concepts and technologies for single pilot operations. Qualitative information regarding the tasks performed by the pilots can be extracted with this technique and adapted for future investigations of single pilot operations.

Pre-operative antiseptic shower and bath policy decreases the rate of S. aureus and methicillin-resistant S. aureus surgical site infections in patients undergoing joint arthroplasty.

Science.gov (United States)

Colling, Kristin; Statz, Catherine; Glover, James; Banton, Kaysie; Beilman, Greg

2015-04-01

Surgical site infection (SSI) following joint arthroplasty increases length of stay, hospital cost, and leads to patient and healthcare provider dissatisfaction. Due to the presence of non-biologic implants (the prosthetic joint) in these procedures, infection is often devastating and treatment of the infection is more difficult. For this reason, prevention of SSI is of crucial importance in this population. Staphylococcus aureus colonizes the nares of approximately 30-40% of the population, is the most common pathogen causing SSI, and is associated with high morbidity and mortality rate. A pre-operative shower or bath with an antiseptic is an inexpensive and effective method of removal of these transient skin pathogens prior to the procedure and may be used to decrease SSI. We hypothesize that a preoperative antiseptic shower or bath will decrease the rate of SSI. A retrospective review was performed at two affiliated hospitals within the same system, one with a hospital-wide policy enforcing pre-operative antiseptic shower or bath and the other with no policy, with cases included from January 2010 to June 2012. International Classification of Disease-Ninth Revision-Clinical Modification (ICD-9-CM) codes and chart review were used to identify patients undergoing joint arthroplasty and to identify those with SSI. Two thousand three-hundred forty-nine arthroplasties were performed at the University of Minnesota Medical Center, a tertiary-care hospital with a pre-operative antiseptic shower or bath policy in place. An additional 1,693 procedures were performed at Fairview Ridges Hospital, a community hospital with no pre-operative policy. There was no difference in the rate of SSI between the two hospitals (1.96% vs. 1.95%; p=1.0). However, the rate of SSI caused by S. aureus was significantly decreased by pre-operative antiseptic shower/bath (17% vs. 61%; p=0.03), as was the rate of methicillin-resistant S. aureus (MRSA) infections (2% vs. 24% p=0.002). A pre-operative

Final environmental statement related to the operation of South Texas Project, Units 1 and 2 (Docket Nos. 50-498 and 50-499)

International Nuclear Information System (INIS)

1986-08-01

This Final Environmental Statement contains the second assessment of the environmental impact associated with the operation of the South Texas Project, Units 1 and 2, pursuant to the National Environmental Policy Act of 1969 (NEPA) and Title 10 of the Code of Federal Regulations, Part 51, as amended, of the Nuclear Regulatory Commission regulations. This statement examines the environmental impacts, environmental consequences and mitigating actions, and environmental and economic benefits and costs associated with station operation. Land use and terrestrial and aquatic ecological impacts will be small. No operational impacts to historic and archeological sites are anticipated. The effects of routine operations, energy transmission, and periodic maintenance of rights-of-way and transmission facilities should not jeopardize any populations of endangered or threatened species. No significant impacts are anticipated from normal operational releases of radioactivity. The risk of radiation exposure associated with accidental release of radioactivity is very low. Socioeconomic impacts of the project are anticipated to be minimal. The action called for is the issuance of an operating license for South Texas Project, Units 1 and 2

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

DEFF Research Database (Denmark)

Borup, Tine; Hahn, Robert; Holte, K

2009-01-01

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

Review of environmental aspects of uranium mill operations: industry's view

International Nuclear Information System (INIS)

Beverly, R.G.

1977-01-01

Problems faced by uranium mill operators in complying with new environmental regulations and guidelines are discussed. It is pointed out that valid data must be available in order to evaluate impacts on the environment, to determine background radiation levels, to measure the effectiveness of control techniques, and to determine compliance with standards and regulations. Specific problem areas facing mill operators today and some of the unresolved questions include: sampling methods and equipment for radon in ambient air, measurements of radon and radon daughter exposures of people, radon emanation rate meaurements applicable to monitoring mill tailings, the calibration of γ counters, measurements of population doses, regulations concerning mill tailings reclamation nd stabilization, and the comparative value of in-vivo counting and uranium urinary excretion measurements for monitoring personnel

Environmental assessment for the resiting, construction, and operation of the Environmental and Molecular Sciences Laboratory at the Hanford Site, Richland, Washington

Energy Technology Data Exchange (ETDEWEB)

1994-07-01

This environmental assessment (EA) presents estimated environmental impacts from the resiting, construction, and operation of the US Department of Energy`s (DOE`s) Environmental and Molecular Sciences Laboratory (EMSL), which is proposed to be constructed and operated on land near the south boundary of the Hanford Site near Richland, Washington. The EMSL, if constructed, would be a modern research facility in which experimental, theoretical, and computational techniques can be focused on environmental restoration problems, such as the chemical and transport behavior of complex mixtures of contaminants in the environment. The EMSL design includes approximately 18,500 square meters (200,000 square feet) of floor space on a 12-hectare (30-acre) site. The proposed new site is located within the city limits of Richland in north Richland, at the south end of DOE`s 300 Area, on land to be deeded to the US by the Battelle Memorial Institute. Approximately 200 persons are expected to be employed in the EMSL and approximately 60 visiting scientists may be working in the EMSL at any given time. State-of-the-art equipment is expected to be installed and used in the EMSL. Small amounts of hazardous substances (chemicals and radionuclides) are expected to be used in experimental work in the EMSL.

Carcinoembryonic antigen (CEA) level, CEA ratio, and treatment outcome of rectal cancer patients receiving pre-operative chemoradiation and surgery

International Nuclear Information System (INIS)

Yang, Kai-Lin; Chang, Shih-Ching; Chu, Lee-Shing; Wang, Ling-Wei; Yang, Shung-Haur; Liang, Wen-Yih; Kuo, Ying-Ju; Lin, Jen-Kou; Lin, Tzu-Chen; Chen, Wei-Shone; Jiang, Jeng-Kae; Wang, Huann-Sheng

2013-01-01

To investigate serum carcinoembryonic antigen (CEA) as a prognostic factor for rectal cancer patients receiving pre-operative chemoradiotherapy (CRT). Between 2000 and 2009, 138 patients with advanced rectal cancer receiving CRT before surgery at our hospital were retrospectively classified into 3 groups: pre-CRT CEA <6 ng/ml (group L; n = 87); pre-CRT CEA ≥ 6 ng/ml and post-CRT CEA <6 ng/ml (group H-L; n = 32); and both pre- and post-CRT CEA ≥ 6 ng/ml (group H-H; n = 19). CEA ratio (defined as post-CRT CEA divided by pre-CRT CEA), post-CRT CEA level and other factors were reviewed for prediction of pathologic complete response (pCR). Five-year disease-free survival (DFS) was better in groups L (69.0%) and H-L (74.5%) than in group H-H (44.9%) (p = 0.024). Pathologic complete response was observed in 19.5%, 21.9% and 5.3% of groups L, H-L and H-H respectively (p = 0.281). Multivariate analysis showed that ypN stage and pCR were independent prognostic factors for DFS and that post-CRT CEA level was independently predictive of pCR. As a whole, post-CRT CEA <2.61 ng/ml predicted pCR (sensitivity 76.0%; specificity 58.4%). For those with pre-CRT CEA ≥6 ng/ml, post-CRT CEA and CEA ratio both predicted pCR (sensitivity 87.5%, specificity 76.7%). In patients with pre-CRT serum CEA ≥6 ng/ml, those with “normalized” CEA levels after CRT may have similar DFS to those with “normal” (<6 ng/ml) pre-CRT values. Post-CRT CEA level is a predictor for pCR, especially in those with pre-CRT CEA ≥6 ng/ml

A single pre-operative antibiotic dose is as effective as continued antibiotic prophylaxis in implant-based breast reconstruction: A matched cohort study.

Science.gov (United States)

Townley, William A; Baluch, Narges; Bagher, Shaghayegh; Maass, Saskia W M C; O'Neill, Anne; Zhong, Toni; Hofer, Stefan O P

2015-05-01

Infections following implant-based breast reconstruction can lead to devastating consequences. There is currently no consensus on the need for post-operative antibiotics in preventing immediate infection. This study compared two different methods of infection prevention in this group of patients. A retrospective matched cohort study was performed on consecutive women undergoing implant-based breast reconstruction at University Health Network, Toronto (November 2008-December 2012). All patients received a single pre-operative intravenous antibiotic dose. Group A received minimal interventions and Group B underwent maximal prophylactic measures. Patient (age, smoking, diabetes, co-morbidities), oncologic and procedural variables (timing and laterality) were collected. Univariate and multivariate logistic regression were performed to compare outcomes between the two groups. Two hundred and eight patients underwent 647 implant procedures. After matching the two treatment groups by BMI, 94 patients in each treatment group yielding a total of 605 implant procedures were selected for analysis. The two groups were comparable in terms of patient and disease variables. Post-operative wound infection was similar in Group A (n = 11, 12%) compared with Group B (n = 9, 10%; p = 0.8). Univariate analysis revealed only pre-operative radiotherapy to be associated with the development of infection (0.004). Controlling for the effect of radiotherapy, multivariate analysis demonstrated that there was no statistically significant difference between the two methods for infection prevention. Our findings suggest that a single pre-operative dose of intravenous antibiotics is equally as effective as continued antibiotic prophylaxis in preventing immediate infection in patients undergoing implant-based breast reconstructions. Copyright © 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Clinical value of pre-operative embolization of maxillary artery for nasopharyngeal angiofibroma

International Nuclear Information System (INIS)

Zhu Wenke; Shan Hong; Zhu Kangshun; Jiang Zabo; Guan Shouhai; Huang Mingsheng; Li Zhengran; Shen Xinying

2004-01-01

Objective: To assess the clinical value of pre-operative embolization for nasopharyngeal angiofibroma. Methods: 13 patients with nasopharyngeal angiofibroma confirmed by surgery and biopsy were retrospectively analysed. Bilateral carotid artery angiography was performed for demonstration of the arterial supply of tumor. According to the size and different caliber of arteries, embolization were separately undertaken by different types of coil via 4.1 or 5F Head-Hunter catheter. The embolization efficacy, embolization was evaluated by amount of blood loss. Results: After coil embolization, no complication happened ranging 1-4 days (mean 2 days) in all 13 patients and then all the tumor masses were totally resected with mean blood loss of (584.6 ± 379.4) ml (range 250-1500 ml). Conclusions: Preoperative coils embolization is safe, reliable with less complication especially for reducing intraoperative blood loss and promoting the prognosis. (authors)

The marine environment monitoring in Saco Piraquara de Fora after the beginning of the Angra 2 nuclear power plant operation

International Nuclear Information System (INIS)

Tavares, P.G.; Souza, R.F.; Cardoso, S.N.M.

2009-01-01

The goal of this paper is to evaluate the environmental monitoring around the Almirante Alvaro Alberto Nuclear Power Station after the beginning the operation of Unit II, in July 2000. The Environmental Monitoring Laboratory collects several environmental samples and analyses them radiometrically to determine the presence of artificial radionuclides. In the Environmental Monitoring Laboratory, the samples are prepared and analysed following international procedures and the activities of the detectable radionuclides are obtained by gamma spectrometry. The Environmental Monitoring Laboratory analyses tritium in sea water as well. This paper will describe only the monitoring of the marine samples and the results of the measurements are compared with those obtained in pre-operational time of Angra 1 (1978 - 1982), Angra 2 (1996 - 2000) and those obtained in operational time of the units until 2008. The results show that, since 1982 until now, there is no impact on marine environment caused by the operation of Angra 1 and Angra 2. (author)

Environmental arsenic, cadmium and lead dust emissions from metal mine operations: Implications for environmental management, monitoring and human health

Energy Technology Data Exchange (ETDEWEB)

Taylor, Mark Patrick, E-mail: mark.taylor@mq.edu.au; Mould, Simon Anthony; Kristensen, Louise Jane; Rouillon, Marek

2014-11-15

Although blood lead values in children are predominantly falling globally, there are locations where lead exposure remains a persistent problem. One such location is Broken Hill, Australia, where the percentage of blood lead values >10 μg/dL in children aged 1–4 years has risen from 12.6% (2010), to 13% (2011) to 21% (2012). The purpose of this study was to determine the extent of metal contamination in places accessible to children. This study examines contemporary exposure risks from arsenic, cadmium, lead, silver and zinc in surface soil and dust, and in pre- and post-play hand wipes at six playgrounds across Broken Hill over a 5-day period in September 2013. Soil lead (mean 2,450 mg/kg) and zinc (mean 3,710 mg/kg) were the most elevated metals in playgrounds. Surface dust lead concentrations were consistently elevated (mean 27,500 μg/m{sup 2}) with the highest lead in surface dust (59,900 μg/m{sup 2}) and post-play hand wipes (60,900 μg/m{sup 2}) recorded close to existing mining operations. Surface and post-play hand wipe dust values exceeded national guidelines for lead and international benchmarks for arsenic, cadmium and lead. Lead isotopic compositions ({sup 206}Pb/{sup 207}Pb, {sup 208}Pb/{sup 207}Pb) of surface dust wipes from the playgrounds revealed the source of lead contamination to be indistinct from the local Broken Hill ore body. The data suggest frequent, cumulative and ongoing mine-derived dust metal contamination poses a serious risk of harm to children. - Highlights: 1.Playground soils and surface dust in a mining town have high metal concentrations. 2.Elevated levels of As, Cd, Pb and Zn dust are found on playground users′ hands. 3.Pb isotope analysis shows that the source of playground dust is ore body Pb. 4.Surface mine operations must be contained to reduce childhood lead exposure risks. 5.Mine environmental licences need to set trigger values for As, Cd, Pb and Zn dust.

Environmental arsenic, cadmium and lead dust emissions from metal mine operations: Implications for environmental management, monitoring and human health

International Nuclear Information System (INIS)

Taylor, Mark Patrick; Mould, Simon Anthony; Kristensen, Louise Jane; Rouillon, Marek

2014-01-01

Although blood lead values in children are predominantly falling globally, there are locations where lead exposure remains a persistent problem. One such location is Broken Hill, Australia, where the percentage of blood lead values >10 μg/dL in children aged 1–4 years has risen from 12.6% (2010), to 13% (2011) to 21% (2012). The purpose of this study was to determine the extent of metal contamination in places accessible to children. This study examines contemporary exposure risks from arsenic, cadmium, lead, silver and zinc in surface soil and dust, and in pre- and post-play hand wipes at six playgrounds across Broken Hill over a 5-day period in September 2013. Soil lead (mean 2,450 mg/kg) and zinc (mean 3,710 mg/kg) were the most elevated metals in playgrounds. Surface dust lead concentrations were consistently elevated (mean 27,500 μg/m 2 ) with the highest lead in surface dust (59,900 μg/m 2 ) and post-play hand wipes (60,900 μg/m 2 ) recorded close to existing mining operations. Surface and post-play hand wipe dust values exceeded national guidelines for lead and international benchmarks for arsenic, cadmium and lead. Lead isotopic compositions ( 206 Pb/ 207 Pb, 208 Pb/ 207 Pb) of surface dust wipes from the playgrounds revealed the source of lead contamination to be indistinct from the local Broken Hill ore body. The data suggest frequent, cumulative and ongoing mine-derived dust metal contamination poses a serious risk of harm to children. - Highlights: 1.Playground soils and surface dust in a mining town have high metal concentrations. 2.Elevated levels of As, Cd, Pb and Zn dust are found on playground users′ hands. 3.Pb isotope analysis shows that the source of playground dust is ore body Pb. 4.Surface mine operations must be contained to reduce childhood lead exposure risks. 5.Mine environmental licences need to set trigger values for As, Cd, Pb and Zn dust

Can EGFR mutation status be reliably determined in pre-operative needle biopsies from adenocarcinomas of the lung?

DEFF Research Database (Denmark)

Lindahl, Kim Hein; Sørensen, Flemming Brandt; Jonstrup, Søren Peter

2015-01-01

The identification of EGFR mutations in non-small-cell lung cancer is important for selecting patients, who may benefit from treatment with EGFR tyrosine kinase inhibitors. The analysis is usually performed on cytological aspirates and/or histological needle biopsies, representing a small fraction....... Moreover, several inconclusive results in the diagnostic biopsies reveal that attention must be paid on the suitability of pre-operative biopsies for EGFR mutation analysis....

Environmental assessment for the expansion and operation of the Central Shops Borrow Pit at the Savannah River Site

International Nuclear Information System (INIS)

1997-03-01

The Department of Energy (DOE) prepared this Environmental Assessment (EA) to assess the potential environmental impacts of the proposed expansion and operation of an existing borrow pit at the Savannah River Site (SRS), located near Aiken, South Carolina. A borrow pit is defined as an excavated area where material has been dug for use as fill at another location. The proposed action would entail the areal enlargement, continued operation, and eventual close-out of the established facility known as the Central Shops Borrow Pit. Operations at SRS supporting waste site closure and the construction and maintenance of site facilities and infrastructure require readily available suitable soil for use as fill material. With the recent depletion of the other existing on-site sources for such material, DOE proposes to expand the existing facility. The National Environmental Policy Act requires the assessment of environmental consequences of Federal actions that may affect the quality of the human environment. Based on the potential for impacts described herein, DOE will either publish a Finding of No Significant Impact or prepare an Environmental Impact Statement (EIS)

A review on hydrothermal pre-treatment technologies and environmental profiles of algal biomass processing.

Science.gov (United States)

Patel, Bhavish; Guo, Miao; Izadpanah, Arash; Shah, Nilay; Hellgardt, Klaus

2016-01-01

The need for efficient and clean biomass conversion technologies has propelled Hydrothermal (HT) processing as a promising treatment option for biofuel production. This manuscript discussed its application for pre-treatment of microalgae biomass to solid (biochar), liquid (biocrude and biodiesel) and gaseous (hydrogen and methane) products via Hydrothermal Carbonisation (HTC), Hydrothermal Liquefaction (HTL) and Supercritical Water Gasification (SCWG) as well as the utility of HT water as an extraction medium and HT Hydrotreatment (HDT) of algal biocrude. In addition, the Solar Energy Retained in Fuel (SERF) using HT technologies is calculated and compared with benchmark biofuel. Lastly, the Life Cycle Assessment (LCA) discusses the limitation of the current state of art as well as introduction to new potential input categories to obtain a detailed environmental profile. Copyright © 2015 Elsevier Ltd. All rights reserved.

July 2011 Memorandum: Improving EPA Review of Appalachian Surface Coal Mining Operations Under the Clean Water Act, National Environmental Policy Act, and the Environmental Justice Executive Order

Science.gov (United States)

Memorandum: Improving EPA Review of Appalachian Surface Coal Mining Operations Under the Clean Water Act, National Environmental Policy Act, and the Environmental Justice Executive Order, July 21, 2011

Columbia River System Operation Review final environmental impact statement. Appendix Q: Regional forum

International Nuclear Information System (INIS)

1995-11-01

The System Operation Review (SOR) is a study and environmental compliance process being used by the three Federal agencies to analyze future operations of the system and river use issues. The goal of the SOR is to achieve a coordinated system operation strategy for the river that better meets the needs of all river users. This technical appendix addresses only the effects of alternative system operating strategies for managing the Columbia River system. The SOR is currently developing a System Operating Strategy (SOS) that will guide the physical operations of the Columbia River system. The SOR is also addressing the institutional arrangements that must be in place to make needed changes to the SOS in the future, or make interpretations of the strategy in the light of changing water conditions or river needs. For convenience, this future institutional arrangement is referred to as ''The Columbia River Regional Forum,'' or simply ''the Forum,'' even though the nature of this institution is still to be determined. This appendix and the Final Environmental Impact Statement (EIS) identify the Forum as an administrative process that will not result in impacts to the environment and will not require analysis in a NEPA context. The composition of and procedures followed by a decision making body cannot--in and of themselves--be used to predict a particular decision with definable impacts on the environment. Nevertheless, because of the relationship to the other SOR actions, the SOR lead agencies have prepared this Technical Appendix to provide opportunities for review and comment on the Forum alternatives

Comparison of environmental radiation doses estimated for Hanford Operations, 1977 through 1982

International Nuclear Information System (INIS)

McCormack, W.D.; Carlile, J.M.V.; Peloquin, R.A.; Napier, B.A.

1983-12-01

Offsite environmental radiation dose equivalents based on Hanford operations are compared for the years 1977 through 1981 to those calculated for 1982. The comparison revealed a downward trend in calculated offsite doses over the period 1977 through 1982, due primarily to reported reduced effluent releases, changes in effluent reporting methods, and increased Columbia River flow over this period. The calculated doses verify the surveillance program findings that potential offsite radiation doses due to Hanford Operations are small and well below our ability to detect in the environment. 11 references, 23 tables

Rocketdyne Propulsion and Power DOE Operations annual site environmental report 1997

International Nuclear Information System (INIS)

Robinson, K.S.

1998-01-01

This annual report discusses environmental monitoring at two manufacturing and test sites operated in the Los Angeles area by Rocketdyne Propulsion and Power of Boeing North American, Inc. These are identified as Area 4 of the SSFL and the De Soto site. These sites have been used for research and development (R and D), engineering, and testing in a broad range of technical fields primarily in energy research and nuclear reactor technology. The De Soto site had research and development laboratories involved with nuclear research. This work was terminated in 1995 and only D and D activities will have potential for impact on the environment. Since 1956, Area 4 has been used for work with nuclear materials, including fabricating nuclear reactor fuels, testing nuclear reactors, and dissembling used fuel elements. This work ended in 1988 and subsequent efforts have been directed toward decommissioning and decontamination of the former nuclear facilities. The primary purpose of this report is to present information on environmental and effluent monitoring of DOE-sponsored activities to the regulatory agencies responsible for oversight. Information presented here concentrates on Area 4 at SSFL, which is the only area at SSFL where DOE operations were performed

Manitoba Hydro's environmental management system and its application to hydraulic facilities and operations

International Nuclear Information System (INIS)

Windsor, D. C.

1996-01-01

Development at Manitoba Hydro of a series of environmental practices manuals, as part of the public utilities' approach to environmental management, were described. Experiences gained during the process of developing these manuals were described. It has been found that to be accepted environmental practices must: (1) support existing facilities, operations and procedures, (2) be presented in an easily accessible form, (3) have an evident purpose, (4) be stated clearly; (5) be practical and feasible, and (6) have implementation clearly defined. The audience level of detail, style of presentation, implementation, frequency of revision and update were also summarized. A detailed outline of the current policy of Manitoba Hydro was included in the appendices

Surveillance of Water Quality in the Songhuajiang River System in Heilongjiang Province - Pre-feasibility study - 1995. Travel report from Heilongjiang Province, China, Oct./Nov

OpenAIRE

Wathne, B.

1996-01-01

A request for co-operation on a system for water quality surveillance of Songhuajiang River System in Heilongjiang Province, China, was received by NIVA from the Environmental Protection Agency (EPA) of the Heilongjiang Province. Funds were made available from NORAD, to initiate a co-operative work with the EPA. T. Skancke, NORGIT Centre, and B. M. Wathne, NIVA, travelled to Harbin, capital of Heilongjiang Province, to make a pre-feasibility study and project plans for further co-operation. T...

Face validity of a pre-clinical model of operant binge drinking: just a question of speed.

Science.gov (United States)

Jeanblanc, Jérôme; Sauton, Pierre; Jeanblanc, Virginie; Legastelois, Rémi; Echeverry-Alzate, Victor; Lebourgeois, Sophie; Gonzalez-Marin, Maria Del Carmen; Naassila, Mickaël

2018-06-04

Binge drinking (BD) is often defined as a large amount of alcohol consumed in a 'short' period of time or 'per occasion'. In clinical research, few researchers have included the notion of 'speed of drinking' in the definition of BD. Here, we aimed to describe a novel pre-clinical model based on voluntary operant BD, which included both the quantity of alcohol and the rapidity of consumption. In adult Long-Evans male rats, we induced BD by regularly decreasing the duration of ethanol self-administration from 1-hour to 15-minute sessions. We compared the behavioral consequences of BD with the behaviors of rats subjected to moderate drinking or heavy drinking (HD). We found that, despite high ethanol consumption levels (1.2 g/kg/15 minutes), the total amounts consumed were insufficient to differentiate HD from BD. However, consumption speed could distinguish between these groups. The motivation to consume was higher in BD than in HD rats. After BD, we observed alterations in locomotor coordination in rats that consumed greater than 0.8 g/kg, which was rarely observed in HD rats. Finally, chronic BD led to worse performance in a decision-making task, and as expected, we observed a lower stimulated dopaminergic release within nucleus accumbens slices in poor decision makers. Our BD model exhibited good face validity and can now provide animals voluntarily consuming very rapidly enough alcohol to achieve intoxication levels and thus allowing the study of the complex interaction between individual and environmental factors underlying BD behavior. © 2018 Society for the Study of Addiction.

Effect of pre-operative octenidine nasal ointment and showering on surgical site infections in patients undergoing cardiac surgery.

Science.gov (United States)

Reiser, M; Scherag, A; Forstner, C; Brunkhorst, F M; Harbarth, S; Doenst, T; Pletz, M W; Hagel, S

2017-02-01

To evaluate the effect of pre-operative octenidine (OCT) decolonization on surgical site infection (SSI) rates. Before-and-after cohort study. Patients undergoing an elective isolated coronary artery bypass graft (CABG) procedure: control group (1 st January to 31 st December 2013), N=475; intervention group (1 st January to 31 st December 2014), N=428. The intervention consisted of nasal application of OCT ointment three times daily, beginning on the day before surgery, and showering the night before and on the day of surgery with OCT soap. A median sternotomy was performed in 805 (89.1%) patients and a minimally invasive direct coronary artery bypass procedure was performed in 98 (10.9%) patients. Overall, there was no difference in SSI rates between the control and intervention groups (15.4% vs 13.3%, P=0.39). The rate of harvest site SSIs was significantly lower in patients in the intervention group (2.5% vs 0.5%, P=0.01). Patients who had undergone a median sternotomy in the intervention group had a significantly lower rate of organ/space sternal SSIs (1.9% vs 0.3%, P=0.04). However, there was a trend towards an increased rate of deep incisional sternal SSIs (1.2% vs 2.9%, P=0.08). Multi-variate analysis did not identify a significant protective effect of the intervention (odds ratio 0.79, 95% confidence interval 0.53-1.15, P=0.27). Pre-operative decolonization with OCT did not reduce overall SSI rates in patients undergoing an elective isolated CABG procedure, but significantly decreased harvest site and organ/space sternal SSIs. Randomized controlled trials, including controlled patient adherence to the intervention, are required to confirm these observations and to determine the clinical utility of OCT in pre-operative decolonization. Copyright © 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Final Environmental Assessment for the construction and operation of an office building at the Stanford Linear Accelerator Center. Part 2

International Nuclear Information System (INIS)

1995-08-01

The Department of Energy (DOE) has prepared an Environmental Assessment (EA), DOE/EA-1107, analyzing the environmental effects relating to the construction and operation of an office building at the Stanford Linear Accelerator Center (SLAC). SLAC is a national facility operated by Stanford University, California, under contract with DOE. The center is dedicated to research in elementary particle physics and in those fields that make use of its synchrotron facilities. The objective for the construction and operation of an office building is to provide adequate office space for existing SLAC Waste Management (WM) personnel, so as to centralize WM personnel and to make WM operations more efficient and effective. Based on the analyses in the EA, the DOE has determined that the proposed action does not constitute a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act of 1969 (NEPA). Therefore, the preparation of an Environmental Impact Statement is not required. This report contains the Environmental Assessment, as well as the Finding of No Significant Impact (FONSI)

Comparison of MR and fluoroscopic mucous fistulography in the pre-operative evaluation of infants with anorectal malformation: a pilot study

Energy Technology Data Exchange (ETDEWEB)

Alves, Jose C.G.; Lotz, Jan W.; Pitcher, Richard D. [Stellenbosch University, Division of Radiodiagnosis, Department of Medical Imaging and Clinical Oncology, Tygerberg Academic Hospital, Cape Town (South Africa); Sidler, Daniel [Stellenbosch University, Division of Pediatric Surgery, Department of Surgical Sciences, Tygerberg Academic Hospital, Cape Town (South Africa)

2013-08-15

Anorectal malformations are often associated with rectal pouch fistulas. Surgical correction requires accurate evaluation of the presence and position of such fistulas. Fluoroscopy is currently the chosen modality for the detection of fistulas. The role of MRI is unexplored. To compare the diagnostic accuracy of MR versus fluoroscopic fistulography in the pre-operative evaluation of infants with anorectal malformation. We conducted a pilot study of infants requiring defunctioning colostomy for initial management of anorectal malformation. Dynamic sagittal steady-state free-precession MRI of the pelvis was acquired during introduction of saline into the mucous fistulas. Findings were compared among MR fistulography, fluoroscopic fistulography and intraoperative inspection. Eight children were included. Median age at fistulography was 15 weeks, inter-quartile range 13-20 weeks; all were boys. There was full agreement among MR fistulography, fluoroscopic fistulography and surgical findings. The pilot data suggest that MR fistulography is promising in the pre-operative evaluation of children with anorectal malformation. (orig.)

Environmental qualification program for new designs

International Nuclear Information System (INIS)

Doerffer, K.

2007-01-01

Qualification of nuclear power plant equipment and components important to safety (ITS) is an integral part of the design process. The qualification methodology differs based on the severity of service conditions (operational and ambient), to which the ITS equipment is exposed. In Canada, the licensing requirements for environmental qualification for new designs are governed by the Canadian Standard Association (CSA) standard, N290.13-2005 titled 'Environmental Qualification of Equipment for CANDU Nuclear Power Plants' and the pre-consultation draft, 'Requirements for Design of Nuclear Power Plants'(DRD), issued for trial use by the Canadian Nuclear Safety Commission (CNSC) in March 2005. This paper will describe AECL's current Environmental Qualification program developed to comply with the above licensing requirements as applied to new designs. The focus will be given to qualification of ITS systems structures and components (SSC) to harsh conditions occurring due to the Design Basis Accidents (DBA). (author)

Improvement of the environmental and operational characteristics of vehicles through decreasing the motor fuel density.

Science.gov (United States)

Magaril, Elena

2016-04-01

The environmental and operational characteristics of motor transport, one of the main consumers of motor fuel and source of toxic emissions, soot, and greenhouse gases, are determined to a large extent by the fuel quality which is characterized by many parameters. Fuel density is one of these parameters and it can serve as an indicator of fuel quality. It has been theoretically substantiated that an increased density of motor fuel has a negative impact both on the environmental and operational characteristics of motor transport. The use of fuels with a high density leads to an increase in carbonization within the engine, adversely affecting the vehicle performance and increasing environmental pollution. A program of technological measures targeted at reducing the density of the fuel used was offered. It includes a solution to the problem posed by changes in the refining capacities ratio and the temperature range of gasoline and diesel fuel boiling, by introducing fuel additives and adding butanes to the gasoline. An environmental tax has been developed which allows oil refineries to have a direct impact on the production of fuels with improved environmental performance, taking into account the need to minimize the density of the fuel within a given category of quality.

Rescue pre-operative treatment with Lugol's solution in uncontrolled Graves' disease.

Science.gov (United States)

Calissendorff, Jan; Falhammar, Henrik

2017-05-01

Graves' disease is a common cause of hyperthyroidism. Three therapies have been used for decades: pharmacologic therapy, surgery and radioiodine. In case of adverse events, especially agranulocytosis or hepatotoxicity, pre-treatment with Lugol's solution containing iodine/potassium iodide to induce euthyroidism before surgery could be advocated, but this has rarely been reported. All patients hospitalised due to uncontrolled hyperthyroidism at the Karolinska University Hospital 2005-2015 and treated with Lugol's solution were included. All electronic files were carefully reviewed manually, with focus on the cause of treatment and admission, demographic data, and effects of iodine on thyroid hormone levels and pulse frequency. Twenty-seven patients were included. Lugol's solution had been chosen due to agranulocytosis in 9 (33%), hepatotoxicity in 2 (7%), other side effects in 11 (41%) and poor adherence to medication in 5 (19%). Levels of free T4, free T3 and heart rate decreased significantly after 5-9 days of iodine therapy (free T4 53-20 pmol/L, P  = 0.0002; free T3 20-6.5 pmol/L, P  = 0.04; heart rate 87-76 beats/min P  = 0.0007), whereas TSH remained unchanged. Side effects were noted in 4 (15%) (rash n  = 2, rash and vomiting n  = 1, swelling of fingers n  = 1). Thyroidectomy was performed in 26 patients (96%) and one was treated with radioiodine; all treatments were without serious complications. Treatment of uncontrolled hyperthyroidism with Lugol's solution before definitive treatment is safe and it decreases thyroid hormone levels and heart rate. Side effects were limited. Lugol's solution could be recommended pre-operatively in Graves' disease with failed medical treatment, especially if side effects to anti-thyroid drugs have occurred. © 2017 The authors.

Vascular involvement in pancreatic carcinoma. Pre-operative assessment by multislice CT angiography

International Nuclear Information System (INIS)

Ling Huawei; Guan Yongjing; Ding Bei; Lin Xiaozhu; Zhang Huan; Chen Kemin

2002-01-01

Objective: To study the value of multislice CT angiography (MSCTA) in the pre-operative assessment of vascular involvement in pancreatic carcinoma. Methods: 33 cases with pathologically proven pancreatic carcinoma underwent MSCTA prior to surgical intervention. The MSCTA findings in each of the 33 patients were evaluated prospectively by four radiologists. Vascular involvement of pancreatic carcinoma was validated at the time of surgery, which was a reference standard for comparison. Correlation was made between MSCTA findings and surgical results. Results: 11 out of 33 cases with pancreatic carcinoma were considered to be resectable by MSCTA with a positive predictive value of 82% in comparison with surgical findings. MSCTA also had high correlation with surgical results in assessing the non-resectability of pancreatic carcinoma (positive predictive value =95%). Conclusion: MSCTA could delineate the vascular involvement of pancreatic carcinoma with high accuracy and provided valuable information in the preoperative assessment of pancreatic carcinoma

A Study on an appropriate operating system of environmental basic facility service industry

Energy Technology Data Exchange (ETDEWEB)

Moon, Hyun Joo [Korea Environment Institute, Seoul (Korea)

1998-12-01

The environmental basic facility service industry is designed to have a structural reorganization of general operating system and the efficient and effective participation of private industry and regulation of industry in connection with the general system. 35 refs., 9 figs., 20 tabs.

Structural damage detection for in-service highway bridge under operational and environmental variability

Science.gov (United States)

Jin, Chenhao; Li, Jingcheng; Jang, Shinae; Sun, Xiaorong; Christenson, Richard

2015-03-01

Structural health monitoring has drawn significant attention in the past decades with numerous methodologies and applications for civil structural systems. Although many researchers have developed analytical and experimental damage detection algorithms through vibration-based methods, these methods are not widely accepted for practical structural systems because of their sensitivity to uncertain environmental and operational conditions. The primary environmental factor that influences the structural modal properties is temperature. The goal of this article is to analyze the natural frequency-temperature relationships and detect structural damage in the presence of operational and environmental variations using modal-based method. For this purpose, correlations between natural frequency and temperature are analyzed to select proper independent variables and inputs for the multiple linear regression model and neural network model. In order to capture the changes of natural frequency, confidence intervals to detect the damages for both models are generated. A long-term structural health monitoring system was installed on an in-service highway bridge located in Meriden, Connecticut to obtain vibration and environmental data. Experimental testing results show that the variability of measured natural frequencies due to temperature is captured, and the temperature-induced changes in natural frequencies have been considered prior to the establishment of the threshold in the damage warning system. This novel approach is applicable for structural health monitoring system and helpful to assess the performance of the structure for bridge management and maintenance.

Applications of ordered weighted averaging (OWA operators in environmental problems

Directory of Open Access Journals (Sweden)

Carlos Llopis-Albert

2017-04-01

Full Text Available This paper presents an application of a prioritized weighted aggregation operator based on ordered weighted averaging (OWA to deal with stakeholders' constructive participation in water resources projects. They have different degree of acceptance or preference regarding the measures and policies to be carried out, which lead to different environmental and socio-economic outcomes, and hence, to different levels of stakeholders’ satisfaction. The methodology establishes a prioritization relationship upon the stakeholders, which preferences are aggregated by means of weights depending on the satisfaction of the higher priority policy maker. The methodology establishes a prioritization relationship upon the stakeholders, which preferences are aggregated by means of weights depending on the satisfaction of the higher priority policy maker. The methodology has been successfully applied to a Public Participation Project (PPP in watershed management, thus obtaining efficient environmental measures in conflict resolution problems under actors’ preference uncertainties.

Implementation of environmental compliance for operating radioactive liquid waste systems at the Oak Ridge National Laboratory

International Nuclear Information System (INIS)

Hooyman, J.H.; Robinson, S.M.

1992-01-01

This paper addresses methods being implemented at the Oak Ridge National Laboratory (ORNL) to continue operating while achieving compliance with new standards for liquid low level waste (LLLW) underground storage tank systems. The Superfund Amendment and Reauthorization Act (SARA) of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) required that the Department of Energy (DOE) execute a Federal Facility Agreement (FFA) with the Environmental Protection Agency (EPA) within 6 months of listing of the ORNL on the National Priorities List. An FFA for ORNL became effective January 1, 1992 among the EPA, DOE, and the Tennessee Department of Environment and Conservation (TDEC). The agreement ensures that environmental impacts resulting from operations at the Oak Ridge Reservation are investigated and remediated to protect the public health, welfare, and environment

Environmental status of groundwater affected by chromite ore processing residue (COPR) dumpsites during pre-monsoon and monsoon seasons.

Science.gov (United States)

Matern, Katrin; Weigand, Harald; Singh, Abhas; Mansfeldt, Tim

2017-02-01

Chromite ore processing residue (COPR) is generated by the roasting of chromite ores for the extraction of chromium. Leaching of carcinogenic hexavalent chromium (Cr(VI)) from COPR dumpsites and contamination of groundwater is a key environmental risk. The objective of the study was to evaluate Cr(VI) contamination in groundwater in the vicinity of three COPR disposal sites in Uttar Pradesh, India, in the pre-monsoon and monsoon seasons. Groundwater samples (n = 57 pre-monsoon, n = 70 monsoon) were taken in 2014 and analyzed for Cr(VI) and relevant hydrochemical parameters. The site-specific ranges of Cr(VI) concentrations in groundwater were Rania), <0.005 to 115 mg L -1 (Chhiwali), and <0.005 to 2.0 mg L -1 (Godhrauli). Maximum levels of Cr(VI) were found close to the COPR dumpsites and significantly exceeded safe drinking water limits (0.05 mg L -1 ). No significant dependence of Cr(VI) concentration on monsoons was observed.

Environmental radioactivity in Canada - 1982

International Nuclear Information System (INIS)

Tracey, B.L.

1984-01-01

The radiological surveillance program of the Department of National Health and Welfare is conducted for the purpose of determining levels of environmental radioactivity in Canada and assessing the resulting population exposures. Special investigations were carried out during 1982 on metabolism of natural radionuclides and on the accumulation of radon in energy-efficient homes. The pre-operational phase of the monitoring program at the Point Lepreau Nuclear Generating Station was completed. Dose commitments have been estimated for the ongoing natural radioactivity, fallout and reactor studies. All measurements made during the year are below the limits recommended by the International Commission on Radiological Protection

Operational environmental assessment "Prestige" (a recent application of the MOCASSIM system).

Science.gov (United States)

Vitorino, J.; Rusu, E.; Almeida, S.; Monteiro, M.; Lermusiaux, P.; Haley, P.; Leslie, W.; Miller, P.; Coelho, E.; Signell, R.

2003-04-01

The sinking of tanker "Prestige", on the 19th November 2002, offshore the northwestern coasts of Spain and Portugal, has lead to a major environmental disaster. In this contribution we present several aspects of the operational environmental assessment "Prestige" conducted by Instituto Hidrografico (IH) in close colaboration with Instituto de Meteorologia (IM), the Harvard University, the Plymouth Marine Laboratory (PML) and the Saclancentre. The operational system MOCASSIM, which is presently being developed at IH, was used to provide forecasts of the evolution of oceanographic conditions offshore the NW Iberian coast. The system integrates a primitive equation model with data assimilation (the Harvard Ocean Prediction System - HOPS) and two wave models (the SWAN and WW3 models). The numerical domains used in both HOPS and SWAN models covered the area bewteen 40ºN and 46ºN and from 7ºW to 15ºW, and included the sinking area as well as the coastal regions more directly exposed to the oil spill. The models were run with atmospheric forcing conditions provided by the limited area model ALADIN, run operationally at IM, complemented with NOGAPS wind fields from the NATO METOC site of Rota. The HOPS simulations included assimilation of several data available for region. These data sets included CTD casts from the Northern Spanish shelf and slope (made available by University of Baleares) and SST data processed at the Remote Sensing Group of the PML. Results from both models were used in oil spill models and allowed an estimation of the impacts on the coastal areas.

Investigating the traffic-related environmental impacts of hydraulic-fracturing (fracking) operations.

Science.gov (United States)

Goodman, Paul S; Galatioto, Fabio; Thorpe, Neil; Namdeo, Anil K; Davies, Richard J; Bird, Roger N

2016-01-01

Hydraulic fracturing (fracking) has been used extensively in the US and Canada since the 1950s and offers the potential for significant new sources of oil and gas supply. Numerous other countries around the world (including the UK, Germany, China, South Africa, Australia and Argentina) are now giving serious consideration to sanctioning the technique to provide additional security over the future supply of domestic energy. However, relatively high population densities in many countries and the potential negative environmental impacts that may be associated with fracking operations has stimulated controversy and significant public debate regarding if and where fracking should be permitted. Road traffic generated by fracking operations is one possible source of environmental impact whose significance has, until now, been largely neglected in the available literature. This paper therefore presents a scoping-level environmental assessment for individual and groups of fracking sites using a newly-created Traffic Impacts Model (TIM). The model produces estimates of the traffic-related impacts of fracking on greenhouse gas emissions, local air quality emissions, noise and road pavement wear, using a range of hypothetical fracking scenarios to quantify changes in impacts against baseline levels. Results suggest that the local impacts of a single well pad may be short duration but large magnitude. That is, whilst single digit percentile increases in emissions of CO2, NOx and PM are estimated for the period from start of construction to pad completion (potentially several months or years), excess emissions of NOx on individual days of peak activity can reach 30% over baseline. Likewise, excess noise emissions appear negligible (fracking water and flowback waste requirements. The TIM model is designed to be adaptable to any geographic area where the required input data are available (such as fleet characteristics, road type and quality), and we suggest could be deployed as a

Pre-operative MRI of anorectal anomalies in the newborn period

International Nuclear Information System (INIS)

McHugh, K.; Dudley, N.E.; Tam, P.

1995-01-01

Nine infants (six boys, three girls) with anorectal anomalies were examined in the immediate newborn period, prior to corrective surgery, with MRI. Three high, one intermediate and five low anomalies were found at MRI - one patient with a 'low' lesion was subsequently found at surgery 2 months later to have a high anorectal anomaly. This infant had passed meconium per urethram soon after the MRI study, prompting the need for a protective colostomy and stressing the importance of a thorough clinical examination of babies with anorectal malformations. The MRI results and findings at surgery were in agreement in all other patients (n=8). Hydronephrosis was evident in two and renal agenesis in one patient. Sacrococcygeal hypoplasia was found in two and two hemivertebrae in one infant. No spinal cord lesion was identified. One fistula was evident on MRI but four were later found at surgery. Uniformly hyperintense T1 signal meconium was seen in all nine newborns, allowing for easy differentiation of rectal contents from rectal wall and the adjacent musculature. MRI can provide useful information regarding the development of the puborectal and external anal sphincter muscles, can help guide the pull-through procedure and help predict future continence pre-operatively in the newborn period. (orig.)

Pre-operative MRI of anorectal anomalies in the newborn period

Energy Technology Data Exchange (ETDEWEB)

McHugh, K. [Dept. of Radiology, John Radcliffe Hospital, Oxford (United Kingdom); Dudley, N.E. [Dept. of Paediatric Surgery, John Radcliffe Hospital, Oxford (United Kingdom); Tam, P. [Dept. of Paediatric Surgery, John Radcliffe Hospital, Oxford (United Kingdom)

1995-11-01

Nine infants (six boys, three girls) with anorectal anomalies were examined in the immediate newborn period, prior to corrective surgery, with MRI. Three high, one intermediate and five low anomalies were found at MRI - one patient with a `low` lesion was subsequently found at surgery 2 months later to have a high anorectal anomaly. This infant had passed meconium per urethram soon after the MRI study, prompting the need for a protective colostomy and stressing the importance of a thorough clinical examination of babies with anorectal malformations. The MRI results and findings at surgery were in agreement in all other patients (n=8). Hydronephrosis was evident in two and renal agenesis in one patient. Sacrococcygeal hypoplasia was found in two and two hemivertebrae in one infant. No spinal cord lesion was identified. One fistula was evident on MRI but four were later found at surgery. Uniformly hyperintense T1 signal meconium was seen in all nine newborns, allowing for easy differentiation of rectal contents from rectal wall and the adjacent musculature. MRI can provide useful information regarding the development of the puborectal and external anal sphincter muscles, can help guide the pull-through procedure and help predict future continence pre-operatively in the newborn period. (orig.)

Planning and programming of pre-operational and in-service inspections

International Nuclear Information System (INIS)

Udaondo, M.S.

1984-01-01

After a brief mention of the actual scope of in-service inspection work, conclusions are presented that relate to the preparations for inspections, making use of experience acquired since 1972 at 11 nuclear power plants in Spain which have commissioned such studies from one particular organization, and analyses are given of the advantages to be gained therefrom. Three different aspects of preparations for inspections are considered: (a) man-hour estimates and the duration of in-service inspections; (b) the sequence of action during a pre-operational inspection (assuming a typical functional organization) from definition of the codes of practice and standards applicable up to the issue of the final report and the schedule for distribution of the annual work load to be invested in a typical project, as a result of combining the two previous estimates, and (c) the documentary aspect of preparations for an inspection during a scheduled outage, as related to the various documents to be drawn up and their contents. Reference is made to the general training to be given to the staff in charge of inspection activities so as to provide them with information on, and a perspective of, the in-service inspection jobs required. (author)

Development of a pre-ignition submodel for hydrogen engines

Energy Technology Data Exchange (ETDEWEB)

Al-Baghdadi, Sadiq [University of Babylon (Iraq). Dept. of Mechanical Engineering

2005-10-15

In hydrogen-fuelled spark ignition engine applications, the onset of pre-ignition remains one of the prime limitations that needs to be addressed to avoid its incidence and achieve superior performance. This paper describes a new pre-ignition submodel for engine modelling codes. The effects of changes in key operating variables, such as compression ratio, spark timing, intake pressure, and temperature on pre-ignition limiting equivalence ratios are established both analytically and experimentally. With the established pre-ignition model, it is possible not only to investigate whether pre-ignition is observed with changing operating and design parameters, but also to evaluate those parameters' effects on the maximum possible pre-ignition intensity. (author)

Long-term impact of pre-operative physical rehabilitation protocol on the 6-min walk test of patients with adolescent idiopathic scoliosis: A randomized clinical trial

Directory of Open Access Journals (Sweden)

V.L. dos Santos Alves

2015-05-01

Full Text Available Background: Monitored physical activities in patients with adolescent idiopathic scoliosis (AIS have been shown to improve physical performance, endurance and cardiopulmonary function and may be assessed by the 6-min walk test (6MWT. We aimed to evaluate the long-term results of the 6MWT after a rehabilitation protocol employed before surgical correction for AIS. Methods: This prospective randomized clinical trial studied the impact of a 4-month pre-operative physical rehabilitation protocol on post-operative cardiopulmonary function and physical endurance, by using the 6MWT, in patients with AIS submitted to surgical correction, comparing them to matched controls without physical rehabilitation. Studied variables were heart and respiratory rate, systolic and diastolic blood pressure, peripheral blood oxygen saturation, Borg score, and distance walked. Patients were assessed at baseline, after 4 months of rehabilitation, and 3, 6 and 12 months post-operatively. Results: A total of 50 patients with AIS were included in the study and allocated blindly, by simple randomization, into either one of the two groups, with 25 patients each: study group (pre-operative physical rehabilitation and control group. The physical rehabilitation protocol promoted significant progressive improvement in heart and respiratory rate, peripheral blood oxygen saturation, distance walked, and level of effort assessed by the Borg scale after surgery. Conclusions: Post-surgical recovery, evaluated by 6MWT, was significantly better in patients who underwent a 4-month pre-operative physical rehabilitation protocol. Keywords: Scoliosis, Exercise, Exercise movement techniques, Exercise therapy, Exercise test

An Australian perspective on environmental protection at uranium mines during the operational and post-operational phases

International Nuclear Information System (INIS)

Needham, S.

1996-01-01

A high level of public interest surrounds uranium mining in Australia near Kakadu National Park, and government regulatory and audit systems are in place to deliver a high level of environmental protection. There is considered to be no significant level of radiological risk of the environment, although there is evidence of radio accumulation in some organisms which is relevant to calculation of radiological dose to Aboriginal communities pursuing a traditional lifestyle in the region. Assessment of environmental risk focuses mainly on water chemistry, where the main contaminants are uranium, sulphate, and magnesium. Assessment of ecosystem health are made mainly on the basis of whole effluent tests. Post-operational protection is aimed at achieving rehabilitation compatible with likely future land use: mainly wilderness and traditional Aboriginal foraging and occasional occupation. Passive management systems with landscapes and vegetation similar to the preexisting condition, and a high degree of chemical, radiological and physiographic stability for the long term (<10000 years) are key objectives in rehabilitation planning and execution

Analysis of Environmental Data During TRIGA 2000 Reactor Operation in PTNBR-BATAN Bandung

International Nuclear Information System (INIS)

Zulfakhri

2009-01-01

The radioactivity data of grass and soil obtained from environmental monitoring during 2000-2008 have been quantitatively and qualitatively analyzed. The data were analyzed using statistical method of the population homogeneity varians test and the average equality test, whereas qualitative analysis have been carried out by gamma spectrometry. From the data analysis, using homogeneity varians test (X 2 test) and average equality test (F test) it was obtained that X 2 calculation , F calculation > X 2 table , F table , so it can be assumed that operation of TRIGA 2000 reactor has no effect to the radioactivity of the environment. The qualitative analysis of grass and soil samples shows no visible peak of gamma ray from fission or activation products from the reactor, but the natural radionuclide such as 214 Bi, 228 Ac, 212 Bi, and 40 K were detected. It can be concluded that reactor operation have no effect to the environmental radioactivity. (author)

The design of a novel, environmentally improved cotton pre-treatment proces

NARCIS (Netherlands)

Bouwhuis, G.H. (Gerrit)

2011-01-01

The scope of this thesis of Gerrit Bouwhuis, lecturer at Saxion Research Centre for Design and Technology in Enschede is the development of a new industrial applicable pre-treatment process for cotton based on catalysis. The pre-treatment generally consists of desizing, scouring and bleaching. These

Development of tools to manage the operational monitoring and pre-design of the NPP-LV cycle; Desarrollo de herramientas para administrar el seguimiento operativo y el pre-diseno del ciclo de la CLV

Energy Technology Data Exchange (ETDEWEB)

Perusquia, R.; Arredondo S, C.; Hernandez M, J. L.; Montes T, J. L.; Castillo M, A.; Ortiz S, J. J., E-mail: raul.perusquia@inin.gob.mx [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

2015-09-15

This paper presents the development of tools to facilitate the management so much, the operational monitoring of boiling water reactors (BWR) of the nuclear power plant of Laguna Verde (NPP-LV) through independent codes, and how to carry out the static calculations corresponding to process of optimized pre-design of the reference cycle next to current cycle. The progress and preliminary results obtained with the program SACal, developed at Instituto Nacional de Investigaciones Nucleares (ININ), central tool to achieve provide a management platform of the operational monitoring and pre-design of NPP-LV cycle are also described. The reached preliminary advances directed to get an Analysis center and automated design of fuel assembly cells are also presented, which together with centers or similar modules related with the fuel reloads form the key part to meet the targets set for the realization of a Management Platform of Nuclear Fuel of the NPP-LV. (Author)

Phase I dose escalating trial of hyperfractionated pre-operative chemoradiation for locally advanced rectal cancer

International Nuclear Information System (INIS)

Movsas, Benjamin; Hanlon, Alexandra L.; Lanciano, Rachelle; Scher, Richard M.; Weiner, Louis M.; Sigurdson, Elin R.; Hoffman, John P.; Eisenberg, Burton L.; Cooper, Harry S.; Provins, Susan; Coia, Lawrence R.

1998-01-01

Purpose: To determine the acute toxicity, post-operative complications, pathologic response and extent of downstaging to high dose pre-operative radiation using a hyperfractionated radiation boost and concurrent chemotherapy in a prospective Phase I trial. Materials and Methods: To be eligible for this study, patients had to have adenocarcinoma of the rectum less than 12 cm from the anal verge with either Stage T4 or T3 but greater than 4 cm or greater than 40% of the bowel circumference. All patients received 45 Gy pelvic radiation (1.8 Gy per fraction). Subsequent radiation was given to the region of the gross tumor with a 2 cm margin. This 'boost' treatment was given at 1.2 Gy twice daily to a total dose of 54.6 Gy for Level I, 57 Gy for Level II, and 61.8 Gy for Level III. 5-FU was given at 1g/m 2 over 24 hours for a four day infusion during the first and sixth weeks of radiation, with the second course concurrent with the hyperfractionated radiation. Surgical resection was carried out 4-6 weeks following completion of chemoradiation (in curative cases) and additional adjuvant chemotherapy consisting of 5-FU and Leucovorin was given for an additional 4 monthly cycles Days 1 through 5 beginning four weeks post surgery. Results: Twenty-seven patients, age 40-82 (median 61), completed the initial course of chemoradiation and are included in the analysis of toxicity. The median follow-up is 27 months (range 8-68). Eleven patients were treated to a dose of 54.6 Gy, nine patients to 57 Gy, and seven patients to 61.8 Gy. Twenty-one patients had T3 tumors, and six patients T4 tumors. Grade III acute toxicity from chemoradiation included proctitis (5 patients), dermatitis (9), diarrhea (five), leukopenia (1), cardiac (1). Grade IV toxicities included one patient with diarrhea (on dose Level I) and one patient (on dose Level III) with cardiac toxicity (unrelated to radiation). Surgical resection consisted of abdominal perineal resection in 16 and low anterior resection

Draft Environmental Statement related to the operation of Vogtle Electric Generating Plant, Units 1 and 2 (Docket Nos. 50-424 and 50-425)

International Nuclear Information System (INIS)

1984-10-01

This Draft Environmental Statement contains an assessment of the environmental impact associated with the operation of the Vogtle Electric Generating Plant, Units 1 and 2, pursuant to the National Environmental Policy Act of 1969 (NEPA) and Title 10 of the Code of Federal Regulations, part 51 (10 CFR 51), as amended, of the Nuclear Regulatory Commission regulations. This statement examines the environmental impacts, environmental consequences and mitigating actions, and environmental and economic benefits and costs associated with station operation

Environmental/Economic Operation Management of a Renewable Microgrid with Wind/PV/FC/MT and Battery Energy Storage Based on MSFLA

Directory of Open Access Journals (Sweden)

Morteza Haghshenas

2016-03-01

Full Text Available Microgrids (MGs are local grids consisting of Distributed generators, energy storage systems and dispersed loads which may operate in both grid-connected and islanded modes. This paper aims to optimize the operation of a typical grid-connected MG which comprises a variety of DGs and storage devices in order to minimize both total operation cost and environmental impacts resulted from supplying local demands. Furthermore we will try to achieve an intelligent schedule to charge and discharge storage devices that provides the opportunity to benefit from market price fluctuations. The presented optimization framework is based on multiobjective modified shuffled frog leaping algorithm (MSFLA. To solve environmental/economic operation management (EEOM problem using MSFLA, a new frog leaping rule, associated with a new strategy for frog distribution into memeplexes, is proposed to improve the local exploration and performance of the ordinary shuffled frog leaping algorithm. The proposed method is examined and tested on a grid-connected MG including fuel cell, wind turbine, photovoltaic, gas-fired microturbine, and battery energy storage devices. The simulation results for three scenarios involving the economic operation management of MG, environmental operation management of MG, and environmental/economic operation management of MG are presented separately. The obtained results compared with results of well-known methods reported in the literature and prove the efficiency of the proposed approach to solve the both single objective and multiobjective operation management of the MG.

Quality system applied to the development and operation of the environmental and internal dosimetry laboratory of the National Atomic Energy Commission

International Nuclear Information System (INIS)

Tossi, Mirta H.; Picardi, Haydee M.; Rona, Nicolas F.; Gonzalez, Maria I.; Cohen, Isaac M.

1997-01-01

The characteristics of the quality plan , applied to the project of construction, commissioning and operation of the Laboratory of Internal and Environmental Dosimetry of Comision Nacional de Energia Atomica, are described. The basic objectives are: to carry out the determination of plutonium, natural and enriched uranium in biological samples, involving the operation of five plants connected with the fuel cycles, and radionuclides in environmental samples; to achieve enough sensitivity in the methods, so as to detect trends which could require the application of corrective measures or, alternatively, the practices standardisation that contribute to an operation improvement; to adequate the laboratory, under full operation conditions, for inclusion in a dose evaluation and environmental monitoring integrated system. (author). 1 ref

Columbia River System Operation Review final environmental impact statement. Appendix M: Water quality

International Nuclear Information System (INIS)

1995-11-01

The System Operation Review (SOR) is a study and environmental compliance process being used by the three Federal agencies to analyze future operations of the system and river use issues. The goal of the SOR is to achieve a coordinated system operation strategy for the river that better meets the needs of all river users. This technical appendix addresses only the effects of alternative system operating strategies for managing the Columbia River system. Analysis of water quality begins with an account of the planning and evaluation process, and continues with a description of existing water quality conditions in the Columbia River Basin. This is followed by an explanation how the analysis was conducted. The analysis concludes with an assessment of the effects of SOR alternatives on water quality and a comparison of alternatives

Symposium on operational and environmental issues concerning use of water as a coolant in power plants and industries: proceedings

International Nuclear Information System (INIS)

2008-12-01

The symposium is organised to bring together researchers, plant operators and regulatory agencies working in the area of operational and environmental problems associated with use of water as a coolant in power plants and other allied industries. The symposium targets chemists, biologists, environmental scientists, power plant operating engineers and plant designers working in various academic, governmental and non-governmental organisations. The major themes of the symposium are: water chemistry of coolant systems in power plants and other industries, chemistry of primary and moderator systems in nuclear power plants and research reactors, corrosion issues including Flow-Accelerated Corrosion (FAC) and its control in water coolant systems, chemistry of steam and water at elevated temperature in nuclear power plants, once through steam generator chemistry, industrial fire water systems, ion-exchange purification, innovative water treatment in power and industrial units, chemical cleaning and chemical decontamination, biofouling and biocorrosion, cooling water treatment chemicals and their environmental fate and environmental impact of thermal effluents. Papers relevant to INIS are indexed separately

Life cycle assessment based environmental impact estimation model for pre-stressed concrete beam bridge in the early design phase

International Nuclear Information System (INIS)

Kim, Kyong Ju; Yun, Won Gun; Cho, Namho; Ha, Jikwang

2017-01-01

The late rise in global concern for environmental issues such as global warming and air pollution is accentuating the need for environmental assessments in the construction industry. Promptly evaluating the environmental loads of the various design alternatives during the early stages of a construction project and adopting the most environmentally sustainable candidate is therefore of large importance. Yet, research on the early evaluation of a construction project's environmental load in order to aid the decision making process is hitherto lacking. In light of this dilemma, this study proposes a model for estimating the environmental load by employing only the most basic information accessible during the early design phases of a project for the pre-stressed concrete (PSC) beam bridge, the most common bridge structure. Firstly, a life cycle assessment (LCA) was conducted on the data from 99 bridges by integrating the bills of quantities (BOQ) with a life cycle inventory (LCI) database. The processed data was then utilized to construct a case based reasoning (CBR) model for estimating the environmental load. The accuracy of the estimation model was then validated using five test cases; the model's mean absolute error rates (MAER) for the total environmental load was calculated as 7.09%. Such test results were shown to be superior compared to those obtained from a multiple-regression based model and a slab area base-unit analysis model. Henceforth application of this model during the early stages of a project is expected to highly complement environmentally friendly designs and construction by facilitating the swift evaluation of the environmental load from multiple standpoints. - Highlights: • This study is to develop the model of assessing the environmental impacts on LCA. • Bills of quantity from completed designs of PSC Beam were linked with the LCI DB. • Previous cases were used to estimate the environmental load of new case by CBR model. • CBR

Life cycle assessment based environmental impact estimation model for pre-stressed concrete beam bridge in the early design phase

Energy Technology Data Exchange (ETDEWEB)

Kim, Kyong Ju, E-mail: kjkim@cau.ac.kr; Yun, Won Gun, E-mail: ogun78@naver.com; Cho, Namho, E-mail: nhc51@cau.ac.kr; Ha, Jikwang, E-mail: wlrhkd29@gmail.com

2017-05-15

The late rise in global concern for environmental issues such as global warming and air pollution is accentuating the need for environmental assessments in the construction industry. Promptly evaluating the environmental loads of the various design alternatives during the early stages of a construction project and adopting the most environmentally sustainable candidate is therefore of large importance. Yet, research on the early evaluation of a construction project's environmental load in order to aid the decision making process is hitherto lacking. In light of this dilemma, this study proposes a model for estimating the environmental load by employing only the most basic information accessible during the early design phases of a project for the pre-stressed concrete (PSC) beam bridge, the most common bridge structure. Firstly, a life cycle assessment (LCA) was conducted on the data from 99 bridges by integrating the bills of quantities (BOQ) with a life cycle inventory (LCI) database. The processed data was then utilized to construct a case based reasoning (CBR) model for estimating the environmental load. The accuracy of the estimation model was then validated using five test cases; the model's mean absolute error rates (MAER) for the total environmental load was calculated as 7.09%. Such test results were shown to be superior compared to those obtained from a multiple-regression based model and a slab area base-unit analysis model. Henceforth application of this model during the early stages of a project is expected to highly complement environmentally friendly designs and construction by facilitating the swift evaluation of the environmental load from multiple standpoints. - Highlights: • This study is to develop the model of assessing the environmental impacts on LCA. • Bills of quantity from completed designs of PSC Beam were linked with the LCI DB. • Previous cases were used to estimate the environmental load of new case by CBR model. • CBR

United States Department of Energy -- Richland Operations Office Environmental Protection Implementation Plan, November 9, 1989 to November 9, 1990

International Nuclear Information System (INIS)

Paasch, R.A.

1989-11-01

Protection of the environment at the Hanford Site is being ensured through several dedicated activities. These dedicated activities include: Routine effluent monitoring to ensure operations control emissions to the environment and environmental surveillance to characterize and assess impacts of operations on the environment; Corrective activities including permitting of facilities and upgrading of systems to come into full compliance with environmental regulations; Activities for maintaining compliance with federal and state statutes regulating both active and inactive waste sites; Environmental restoration activities for cleanup of inactive sites; Oversight activities to ensure conduct of responsive and integrated programs for environmental protection; and Recognition of additional requirements of new or revised regulations and DOE orders and implementation of means for meeting these requirements

Final Environmental Impact Statement for the construction and operation of Claiborne Enrichment Center, Homer, Louisiana (Docket No. 70-3070)

Energy Technology Data Exchange (ETDEWEB)

Zeitoun, A. [Science Applications International Corp., Germantown, MD (United States)

1994-08-01

This two-volume Final Environmental Impact Statement (FEIS) was prepared by the Nuclear Regulatory Commission (NRC) in accordance with regulation 10 CFR Part 51, which implements the National Environmental Policy Act (NEPA). Volume 1 contains the assessment of the potential environmental impacts for licensing the construction and operation of a proposed gaseous centrifuge enrichment facility to be built in Claiborne Parish, Louisiana, by Louisiana Energy Services, LP. (LES). The proposed facility would have a production capacity of about 866 metric tons annually of up to 5 weight percent enriched UF{sub 6}, using a proven centrifuge technology. Included in the assessment are construction, both normal operations and potential accidents (internal and external events), and the eventual decontamination and decommissioning (D&D)- of the site. Issues addressed include the purpose and need for the facility, the alternatives to the proposed action, potential disposition of the tails, the site selection process, and environmental justice. The NRC staff concludes that the facility can be constructed and operated with small and acceptable impacts on the public and the environment. The FEIS supports issuance of a license to the applicant, Louisiana Energy Services, to authorize construction and operation of the proposed facility.

Real time observation system for monitoring environmental impact on marine ecosystems from oil drilling operations.

Science.gov (United States)

Godø, Olav Rune; Klungsøyr, Jarle; Meier, Sonnich; Tenningen, Eirik; Purser, Autun; Thomsen, Laurenz

2014-07-15

Environmental awareness and technological advances has spurred development of new monitoring solutions for the petroleum industry. This paper presents experience from a monitoring program off Norway. To maintain operation within the limits of the government regulations Statoil tested a new monitoring concept. Multisensory data were cabled to surface buoys and transmitted to land via wireless communication. The system collected information about distribution of the drilling wastes and the welfare of the corals in relation to threshold values. The project experienced a series of failures, but the backup monitoring provided information to fulfil the requirements of the permit. The experience demonstrated the need for real time monitoring and how such systems enhance understanding of impacts on marine organisms. Also, drilling operations may improve by taking environmental information into account. The paper proposes to standardize and streamline monitoring protocols to maintain comparability during all phases of the operation and between drill sites. Copyright © 2014 Elsevier Ltd. All rights reserved.

Conception, construction, and taking into operation of a pre-accelerator system at ELSA

International Nuclear Information System (INIS)

Klarner, Fabian

2011-01-01

In order to enhance the operating capabilities of the Bonn University Accelerator Facility ELSA by a single pulse mode, a new injector was designed, built up and successfully commissioned. In addition, the new injector was designed to provide an unpolarized electron beam with increased current to the external hadron physics experiments. For this purpose, the injector will produce an 1-3 microseconds long pulse of 900 mA beam current or a single electron bunch with 1.5 A pulse current. For single bunch operation, a 1.5 ns long pulse is produced by a thermal electron source, then compressed and pre-accelerated by a subsequent resonator and a four-cell travelling wave buncher. After acceleration of the electrons in the main linac, the natural broadening of the energy distribution in the particle ensemble due to the acceleration process will be reduced by an energy compressor system. By the succeeding optical elements in the transfer beamline, the beam is guided to the synchrotron, taking into account the requirements for injection into the synchrotron including its acceptance. Finally, the first beam of the new LINAC1 section was successfully used to irradiate ammonia for preparation as polarized target material for the COMPASS experiment and to irradiate detector components of the DEPFET project. (orig.)

Sociodemographic, behavioural and environmental correlates of sweetened beverage consumption among pre-school children.

Science.gov (United States)

Pabayo, Roman; Spence, John C; Cutumisu, Nicoleta; Casey, Linda; Storey, Kate

2012-08-01

To identify sociodemographic and environmental correlates of sweetened beverages (regular soft drinks, fruit juice) among children of pre-school age. Children's dietary intake, food behaviours and screen time were measured by parental report. A Geographic Informational System was used to assess the number of grocery stores and fast-food restaurants available within 1 km of the children's residence. Multivariate log-binomial regression models were constructed to determine correlates of drinking soft drinks during the previous week. Edmonton region, Canada. Children aged 4 and 5 years (n 2114) attending a public health unit for immunization were recruited for a cohort study on determinants of childhood obesity, between 2005 and 2007. Children from neighbourhoods with low socio-economic status (relative risk (RR) = 1·17, 95 % CI 0·98, 1·40) or who participated in >2 h of screen time daily (RR = 1·28, 95 % CI 1·13, 1·45) were significantly more likely to have consumed regular soft drinks within the last week. Those who lived within 1 km of a grocery store were significantly less likely to consume regular soft drinks (RR = 0·84, 95 % CI 0·73, 0·96). Children who participated in >2 h of screen time daily (RR = 1·16, 95 % CI 1·06, 1·27) were more likely to exceed the recommended weekly number of servings of fruit juice. Socio-economic and built environment factors are associated with soft drink consumption in children of pre-school age. These findings may help health professionals to advocate for policies that reduce soft drink consumption among children.