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Sample records for preliminary disease assessment

  1. Effectiveness of diffusion tensor imaging in assessing disease severity in Duchenne muscular dystrophy: preliminary study

    International Nuclear Information System (INIS)

    Ponrartana, Skorn; Hu, Houchun Harry; Ramos-Platt, Leigh; Wren, Tishya Anne Leong; Gilsanz, Vicente; Perkins, Thomas Gardner; Chia, Jonathan Mawlin

    2015-01-01

    There is currently a lack of suitable objective endpoints to measure disease progression in Duchenne muscular dystrophy (DMD). Emerging research suggests that diffusion tensor imaging (DTI) has potential as an outcome measure for the evaluation of skeletal muscle injury. The objective of this study was to evaluate the potential of DTI as quantitative magnetic resonance imaging (MRI) markers of disease severity in DMD. Thirteen consecutive boys (8.9 years ± 3.0 years) with DMD were evaluated using DTI. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were compared with clinical outcome measures of manual muscle testing and MRI determinations of muscle fat fraction (MFF) in the right lower extremity. Both MRI measures of FA and ADC strongly correlated with age and muscle strength. Values for FA positively correlated with age and negatively correlated with muscle strength (r = 0.78 and -0.96; both P ≤ 0.002) while measures of ADC negatively correlated age, but positively correlated with muscle strength (r = -0.87 and 0.83; both P ≤ 0.0004). Additionally, ADC and FA strongly correlated with MFF (r = -0.891 and 0.894, respectively; both P ≤ 0.0001). Mean MMF was negatively correlated with muscle strength (r = -0.89, P = 0.0001). DTI measures of muscle structure strongly correlated with muscle strength and adiposity in boys with DMD in this pilot study, although these markers may be more reflective of fat replacement rather than muscle damage in later stages of the disease. Further studies in presymptomatic younger children are needed to assess the ability of DTI to detect early changes in DMD. (orig.)

  2. Effectiveness of diffusion tensor imaging in assessing disease severity in Duchenne muscular dystrophy: preliminary study

    Energy Technology Data Exchange (ETDEWEB)

    Ponrartana, Skorn; Hu, Houchun Harry [Children' s Hospital Los Angeles, Department of Radiology, Los Angeles, CA (United States); Ramos-Platt, Leigh [Children' s Hospital Los Angeles, Department of Neurology, Los Angeles, CA (United States); Wren, Tishya Anne Leong; Gilsanz, Vicente [Children' s Hospital Los Angeles, Department of Radiology, Los Angeles, CA (United States); Children' s Hospital Los Angeles, Department of Orthopaedic Surgery, Los Angeles, CA (United States); Perkins, Thomas Gardner; Chia, Jonathan Mawlin [Philips Healthcare North America, Cleveland, OH (United States)

    2015-04-01

    There is currently a lack of suitable objective endpoints to measure disease progression in Duchenne muscular dystrophy (DMD). Emerging research suggests that diffusion tensor imaging (DTI) has potential as an outcome measure for the evaluation of skeletal muscle injury. The objective of this study was to evaluate the potential of DTI as quantitative magnetic resonance imaging (MRI) markers of disease severity in DMD. Thirteen consecutive boys (8.9 years ± 3.0 years) with DMD were evaluated using DTI. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were compared with clinical outcome measures of manual muscle testing and MRI determinations of muscle fat fraction (MFF) in the right lower extremity. Both MRI measures of FA and ADC strongly correlated with age and muscle strength. Values for FA positively correlated with age and negatively correlated with muscle strength (r = 0.78 and -0.96; both P ≤ 0.002) while measures of ADC negatively correlated age, but positively correlated with muscle strength (r = -0.87 and 0.83; both P ≤ 0.0004). Additionally, ADC and FA strongly correlated with MFF (r = -0.891 and 0.894, respectively; both P ≤ 0.0001). Mean MMF was negatively correlated with muscle strength (r = -0.89, P = 0.0001). DTI measures of muscle structure strongly correlated with muscle strength and adiposity in boys with DMD in this pilot study, although these markers may be more reflective of fat replacement rather than muscle damage in later stages of the disease. Further studies in presymptomatic younger children are needed to assess the ability of DTI to detect early changes in DMD. (orig.)

  3. Diffusion-weighted imaging in assessing renal pathology of chronic kidney disease: A preliminary clinical study

    Energy Technology Data Exchange (ETDEWEB)

    Li, Qinghai; Li, Jinning; Zhang, Lan; Chen, Ying; Zhang, Minming [Department of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009 (China); Yan, Fuhua, E-mail: zemylife@163.com [Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025 (China)

    2014-05-15

    Objective: To investigate the clinical potential of diffusion-weighted imaging (DWI) in assessing renal pathology of chronic kidney disease (CKD). Methods: Seventy-one CKD patients and twelve healthy volunteers were examined using DWI with prospective acquisition correction. Renal biopsy specimens from the CKD patients were scored based on the severity of renal pathology and to confirm pathology type. CKD patients were divided into three groups according to pathology scores: mild, moderate, or severe. The association between renal apparent diffusion coefficient (ADC) values and pathology scores was investigated using Pearson's correlation and single factor analysis of variance. Multiple linear regression analysis was performed to explore associations between renal ADC values and pathology score, glomerular filtration rate, serum creatinine, and age. The Kruskal–Wallis H test was conducted to compare ADC values and pathology type. Results: Renal ADC values correlated negatively with pathology scores (r = −0.633, P < 0.001). The ADC values among the four groups (mild, moderate, severe impairment, and controls) were significantly different (F = 19.512, P < 0.001). However, when patients were stratified by pathology type, no significant differences were found in ADC values among these groups (χ{sup 2} = 9.929, P = 0.270). Further multiple linear regression analysis showed that only the pathology score and ADC values were related (t = −4.586, P = 0.000). Conclusions: DWI has clinical potential in assessing the severity of renal pathology in CKD and shows promise as a non-invasive and effective technique to guide therapy and follow-up.

  4. Diffusion-weighted imaging in assessing renal pathology of chronic kidney disease: A preliminary clinical study

    International Nuclear Information System (INIS)

    Li, Qinghai; Li, Jinning; Zhang, Lan; Chen, Ying; Zhang, Minming; Yan, Fuhua

    2014-01-01

    Objective: To investigate the clinical potential of diffusion-weighted imaging (DWI) in assessing renal pathology of chronic kidney disease (CKD). Methods: Seventy-one CKD patients and twelve healthy volunteers were examined using DWI with prospective acquisition correction. Renal biopsy specimens from the CKD patients were scored based on the severity of renal pathology and to confirm pathology type. CKD patients were divided into three groups according to pathology scores: mild, moderate, or severe. The association between renal apparent diffusion coefficient (ADC) values and pathology scores was investigated using Pearson's correlation and single factor analysis of variance. Multiple linear regression analysis was performed to explore associations between renal ADC values and pathology score, glomerular filtration rate, serum creatinine, and age. The Kruskal–Wallis H test was conducted to compare ADC values and pathology type. Results: Renal ADC values correlated negatively with pathology scores (r = −0.633, P < 0.001). The ADC values among the four groups (mild, moderate, severe impairment, and controls) were significantly different (F = 19.512, P < 0.001). However, when patients were stratified by pathology type, no significant differences were found in ADC values among these groups (χ 2 = 9.929, P = 0.270). Further multiple linear regression analysis showed that only the pathology score and ADC values were related (t = −4.586, P = 0.000). Conclusions: DWI has clinical potential in assessing the severity of renal pathology in CKD and shows promise as a non-invasive and effective technique to guide therapy and follow-up

  5. Assessment of Crohn's disease activity in the small bowel with MR and conventional enteroclysis: preliminary results

    International Nuclear Information System (INIS)

    Gourtsoyiannis, Nicholas; Papanikolaou, Nickolas; Grammatikakis, John; Papamastorakis, George; Prassopoulos, Panos; Roussomoustakaki, Maria

    2004-01-01

    Every single imaging finding that can be disclosed on conventional and MR enteroclysis was correlated with the Crohn's disease activity index (CDAI). Nineteen consecutive patients with Crohn's disease underwent colon endoscopy and both conventional and MR enteroclysis examinations. Seventeen MR imaging findings and seven conventional enteroclysis findings were ranked on a four-point grading scale and correlated with CDAI, with a value of 150 considered as the threshold for disease activity. Six patients had active disease in the colon according to colon endoscopy. In the remaining 13 patients, the presence of deep ulcers (P=0.002), small bowel wall thickening (P=0.022) and gadolinium enhancement of mesenteric lymph nodes (P=0.014) identified on MR enteroclysis images were strongly correlated to disease activity. The product of deep ulcers and enhancement of lymph node ranks identified on MR enteroclysis were the optimum combination for discriminating active from non-active disease (F-test: 55.95, P<0.001). Additionally, the ranking of deep ulcers on conventional enteroclysis provided statistically significant differences between active and non-active patients (F-test: 14.12, P=0.004). Abnormalities strongly suggestive of active Crohn's disease can be disclosed on MR enteroclysis examinations and may provide pictorial information for local inflammatory activity. (orig.)

  6. Creativity Assessment in Subjects with Tourette Syndrome vs. Patients with Parkinson’s Disease: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Carlotta Zanaboni Dina

    2017-07-01

    Full Text Available (1 Background: Literature suggests that high levels of dopamine are associated with creative thoughts. Tourette Syndrome (TS patients have high dopamine levels, while Parkinson’s Disease (PD subjects have low dopamine levels. Consequently, TS individuals are supposed to have a major and PD patients less creative output. Moreover, dopamine medications may alter the level of creativity, and therefore Quality of Life, in both pathologies. (2 Methods: The aim of the study was to verify the hypothesis of TS patients having higher creative scores than PD patients. The assessment consisted of the administration of the Creative Thinking ASK Test. There were 54 participants—36 males and 18 females—i.e., 27 TS patients and 27 PD subjects. Age of the sample was 35 to 57 years old, high school certificate was required. (3 Results: TS sample (103.11 ASK average score was more creative than PD sample (94.11 ASK average score. (4 Conclusions: The results supported the aforementioned hypothesis: TS sample resulted in having higher creative scores than PD sample. Dopamine and other neurotransmitters of TS and PS appear to affect subject’s creativity. Further studies with creative assessments in TS and PD patients are needed to support the preliminary results of our study.

  7. Preliminary evaluation of SensHand V1 in assessing motor skills performance in Parkinson disease.

    Science.gov (United States)

    Cavallo, Filippo; Esposito, Dario; Rovini, Erika; Aquilano, Michela; Carrozza, Maria Chiara; Dario, Paolo; Maremmani, Carlo; Bongioanni, Paolo

    2013-06-01

    Nowadays, the increasing old population 65+ as well as the pace imposed by work activities lead to a high number of people that have particular injuries for limbs. In addition to persistent or temporary disabilities related to accidental injuries we must take into account that part of the population suffers from motor deficits of the hands due to stroke or diseases of various clinical nature. The most recurrent technological solutions to measure the rehabilitation or skill motor performance of the hand are glove-based devices, able to faithfully capture the movements of the hand and fingers. This paper presents a system for hand motion analysis based on 9-axis complete inertial modules and dedicated microcontroller which are fixed on fingers and forearm. The technological solution presented is able to track the patients' hand motions in real-time and then to send data through wireless communication reducing the clutter and the disadvantages of a glove equipped with sensors through a different technological structure. The device proposed has been tested in the study of Parkinson's disease.

  8. TCA High Lift Preliminary Assessment

    Science.gov (United States)

    Wyatt, G. H.; Polito, R. C.; Yeh, D. T.; Elzey, M. E.; Tran, J. T.; Meredith, Paul T.

    1999-01-01

    This paper presents a TCA (Technology Concept Airplane) High lift Preliminary Assessment. The topics discussed are: 1) Model Description; 2) Data Repeatability; 3) Effect of Inboard L.E. (Leading Edge) Flap Span; 4) Comparison of 14'x22' TCA-1 With NTF (National Transonic Facility) Modified Ref. H; 5) Comparison of 14'x22' and NTF Ref. H Results; 6) Effect of Outboard Sealed Slat on TCA; 7) TCA Full Scale Build-ups; 8) Full Scale L/D Comparisons; 9) TCA Full Scale; and 10) Touchdown Lift Curves. This paper is in viewgraph form.

  9. Behavioural assessment of the dysexecutive syndrome (BADS in healthy elders and Alzheimer´s disease patients: preliminary study

    Directory of Open Access Journals (Sweden)

    Fabiola Canali

    Full Text Available Abstract Although the main initial deficit is considered to be in the memory domain, an early impairment of executive functions is also found in AD where these deficits are correlated to functional impairment. Ecological tests are more indicated to evaluate executive impairment, and are better able to assist in treating AD patients than more commonly used tests. Objectives: The aim of this preliminary study is to verify the performance in executive functions using the Behavioural Assessment of the Dysexecutive Syndrome (BADS in elder controls and mild AD patients, and to analyze its applicability in our environment. Methods: The BADS was performed by 17 healthy elders and 17 early AD patients matched for age, schooling and gender. Results: There were significant differences among controls and AD patients on MMSE scores, and in measures of executive functions, memory, and motor speed. Some sub items of BADS (rule shift cards, modified six elements, total score, standard, standard by age and overall classification by age were also different between groups. Differences were also significant on the Dysexecutive Questionnaire (DEX of BADS self-ratings and other-ratings. Conclusion: BADS was efficacious in detecting executive deficits in this sample, as confirmed by other executive functions tests applied.

  10. High-dose-rate stereotactic body radiation therapy for postradiation therapy locally recurrent prostatic carcinoma: Preliminary prostate-specific antigen response, disease-free survival, and toxicity assessment.

    Science.gov (United States)

    Fuller, Donald B; Wurzer, James; Shirazi, Reza; Bridge, Stephen S; Law, Jonathan; Mardirossian, George

    2015-01-01

    Patients with locally recurrent adenocarcinoma of the prostate following radiation therapy (RT) present a challenging problem. We prospectively evaluated the use of "high-dose-rate-like" prostate stereotactic body RT (SBRT) salvage for this circumstance, evaluating prostate-specific antigen response, disease-free survival, and toxicity. Between February 2009 and March 2014, 29 patients with biopsy-proven recurrent locally prostate cancer >2 years post-RT were treated. Median prior RT dose was 73.8 Gy and median interval to SBRT salvage was 88 months. Median recurrence Gleason score was 7 (79% was ≥7). Pre-existing RT toxicity >grade 1 was a reason for exclusion. Magnetic resonance imaging-defined prostate volume including any suspected extraprostatic extension, comprising the planning target volume. A total of 34 Gy/5 fractions was given, delivering a heterogeneous, high-dose-rate-like dose-escalation pattern. Toxicities were assessed using Common Terminology Criteria for Adverse Events, version 3.0, criteria. Twenty-nine treated patients had a median 24-month follow-up (range, 3-60 months). A median pre-SBRT salvage baseline prostate-specific antigen level of 3.1 ng/mL decreased to 0.65 ng/mL and 0.16 ng/mL at 1 and 2 years, respectively. Actuarial 2-year biochemical disease-free survival measured 82%, with no local failures. Toxicity >grade 1 was limited to the genitourinary domain, with 18% grade 2 or higher and 7% grade 3 or higher. No gastrointestinal toxicity >grade 1 occurred. Two-year disease-free survival is encouraging, and the prostate-specific antigen response kinetic appears comparable with that seen in de novo patients treated with SBRT, albeit still a preliminary finding. Grade ≥2 genitourinary toxicity was occasionally seen with no obvious predictive factor. Noting that our only brachytherapy case was 1 of the 2 cases with ≥grade 3 genitourinary toxicity, caution is recommended treating these patients. SBRT salvage of post-RT local recurrence

  11. Preliminary safety assessment of the WIPP facility

    International Nuclear Information System (INIS)

    Balestri, R.J.; Torres, B.W.; Pahwa, S.B.; Brannen, J.P.

    1979-01-01

    This paper summarizes the efforts to perform a safety assessment of the Waste Isolation Pilot Plant (WIPP) facility being proposed for southeastern New Mexico. This preliminary safety assessment is limited to a consequence assessment in terms of the dose to a maximally exposed individual as a result of introducing the radionuclides into the biosphere. The extremely low doses to the organs as a result of the liquid breach scenarios are contrasted with the background radiation

  12. The Adaptation Gap Report - a Preliminary Assessment

    DEFF Research Database (Denmark)

    Alverson, Keith; Olhoff, Anne; Noble, Ian

    This first Adaptation Gap report provides an equally sobering assessment of the gap between adaptation needs and reality, based on preliminary thinking on how baselines, future goals or targets, and gaps between them might be defined for climate change adaptation. The report focuses on gaps...... in developing countries in three important areas: finance, technology and knowledge....

  13. Preliminary melter performance assessment report

    International Nuclear Information System (INIS)

    Elliott, M.L.; Eyler, L.L.; Mahoney, L.A.; Cooper, M.F.; Whitney, L.D.; Shafer, P.J.

    1994-08-01

    The Melter Performance Assessment activity, a component of the Pacific Northwest Laboratory's (PNL) Vitrification Technology Development (PVTD) effort, was designed to determine the impact of noble metals on the operational life of the reference Hanford Waste Vitrification Plant (HWVP) melter. The melter performance assessment consisted of several activities, including a literature review of all work done with noble metals in glass, gradient furnace testing to study the behavior of noble metals during the melting process, research-scale and engineering-scale melter testing to evaluate effects of noble metals on melter operation, and computer modeling that used the experimental data to predict effects of noble metals on the full-scale melter. Feed used in these tests simulated neutralized current acid waste (NCAW) feed. This report summarizes the results of the melter performance assessment and predicts the lifetime of the HWVP melter. It should be noted that this work was conducted before the recent Tri-Party Agreement changes, so the reference melter referred to here is the Defense Waste Processing Facility (DWPF) melter design

  14. Utility of Social Modeling for Proliferation Assessment - Preliminary Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Coles, Garill A.; Gastelum, Zoe N.; Brothers, Alan J.; Thompson, Sandra E.

    2009-06-01

    This Preliminary Assessment draft report will present the results of a literature search and preliminary assessment of the body of research, analysis methods, models and data deemed to be relevant to the Utility of Social Modeling for Proliferation Assessment research. This report will provide: 1) a description of the problem space and the kinds of information pertinent to the problem space, 2) a discussion of key relevant or representative literature, 3) a discussion of models and modeling approaches judged to be potentially useful to the research, and 4) the next steps of this research that will be pursued based on this preliminary assessment. This draft report represents a technical deliverable for the NA-22 Simulations, Algorithms, and Modeling (SAM) program. Specifically this draft report is the Task 1 deliverable for project PL09-UtilSocial-PD06, Utility of Social Modeling for Proliferation Assessment. This project investigates non-traditional use of social and cultural information to improve nuclear proliferation assessment, including nonproliferation assessment, proliferation resistance assessments, safeguards assessments and other related studies. These assessments often use and create technical information about the State’s posture towards proliferation, the vulnerability of a nuclear energy system to an undesired event, and the effectiveness of safeguards. This project will find and fuse social and technical information by explicitly considering the role of cultural, social and behavioral factors relevant to proliferation. The aim of this research is to describe and demonstrate if and how social science modeling has utility in proliferation assessment.

  15. Preliminary risk assessments of the small HTGR

    International Nuclear Information System (INIS)

    Everline, C.J.; Bellis, E.A.

    1985-05-01

    Preliminary investment and safety risk assessments were performed for a preconceptual design of a four-module 250-MW(t) side-by-side steel-vessel pebble bed HTGR plant. Broad event spectra were analyzed involving component damage resulting in unscheduled plant outages and fission product releases resulting in offsite doses. The preliminary assessment indicates at this stage of the design that two categories of events govern the investment risk envelope: primary coolant leaks which release some circulating and plate-out activity that contaminates the confinement and turbogenerator damage which involves extensive turbine blade failure. Primary coolant leaks are important contributors because associated cleanup and decontamination requirements result in longer outages that arise from other events with comparable frequencies. Turbogenerator damage is the salient low-frequency investment risk accident due to the relatively long outages being experienced in the industry. Thermal transients are unimportant investment risk contributors because pressurized core heatups cause little damage, and depressurized core heatups occur at negligible frequencies relative to the forced outage goal. These preliminary results demonstrate investment and safety risk goal compliance at this stage in the design process. Studies are continuing in order to provide valuable insights into risk-significant events to assure a balanced approach to meeting user and regulatory requirements

  16. The economic impact of foot and mouth disease and its control in South-East Asia: a preliminary assessment with special reference to Thailand.

    Science.gov (United States)

    Perry, B D; Kalpravidh, W; Coleman, P G; Horst, H S; McDermott, J J; Randolph, T F; Gleeson, L J

    1999-08-01

    A pilot study of the economic impact of foot and mouth disease (FMD) in the countries and region of South-East Asia is described. Previous economic impact assessments are reviewed and summarised and a synthesis of these contributions is constructed. A framework for the future economic impact of the disease is then developed, incorporating analyses at the sectoral (production system), national and regional levels. Data requirements for such studies are also identified. Integrated epidemiological and economic models for impact assessment were developed and applied to the case study country of Thailand. The models were used to evaluate the economic viability of FMD control programmes in the country. Scenarios evaluated include the effect of improving vaccination coverage and thus reducing productivity losses, and the effect of eventual eradication of the disease. The results indicate that economic returns to the high expenditures incurred in FMD control could be achieved in the short term if greater international trade in pork products was made possible and export prices higher than those in the domestic market could be attained. If FMD were to be eradicated from Thailand in 2010, the eradication would be economically viable, even without exports, with a predicted benefit-cost ratio of 3.73. With additional exports, the economic justification for control becomes much stronger with a benefit-cost ratio of up to 15:1 being achieved. If eradication is not achieved until 2020, returns remain positive without exports, but at a lower rate. The authors propose that the integrated epidemiological and economic models developed be applied to other countries of the region to gain a more accurate insight into the future benefits of FMD control and eradication in the region.

  17. Chronic motor cortex stimulation in patients with advanced Parkinson's disease and effects on striatal dopaminergic transmission as assessed by 123I-FP-CIT SPECT: a preliminary report.

    Science.gov (United States)

    Di Giuda, Daniela; Calcagni, Maria L; Totaro, Manuela; Cocciolillo, Fabrizio; Piano, Carla; Soleti, Francesco; Fasano, Alfonso; Cioni, Beatrice; Bentivoglio, Anna R; Giordano, Alessandro

    2012-09-01

    The objective of this study was to assess striatal dopamine transporter availability in patients with advanced Parkinson's disease (PD) before and after 13 months of unilateral extradural motor cortex stimulation (EMCS) with [123I]N-ω-fluoropropyl-2-β-carbo-methoxy-3-β-(4-iodophenyl)nortropane single photon emission computed tomography (123I-FP-CIT SPECT). Six PD patients (five women and one man, aged 63.2 ± 5.6 years) underwent 123I-FP-CIT SPECT and clinical evaluation [Unified Parkinson's Disease Rating Scale (UPDRS) and Parkinson's Disease Quality of Life Scale (PDQL)] preoperatively, 8 and 13 months after EMCS. Striatum-to-occipital cortex, caudate-to-occipital cortex and putamen-to-occipital cortex 123I-FP-CIT uptake ratios were calculated using the region of interest method. Total and part III UPDRS scores significantly decreased at 8 and 13 months after stimulation (P=0.02 and 0.04, respectively); UPDRS part II and PDQL scores improved after 13 months (P=0.02 and 0.04, respectively). No significant differences in 123I-FP-CIT uptake ratios between baseline and follow-up were found in the examined regions. However, a progressive reduction in 123I-FP-CIT uptake ratios in the striatum contralateral to the implant was found. In contrast, no further decrease in 123I-FP-CIT uptake ratios was detected in the striatum ipsilateral to the implant. There were no correlations between changes in 123I-FP-CIT uptake ratios with disease duration, changes in medication dosage and motor UPDRS scores. Despite a small but highly selected sample of advanced PD patients, our results showed that no further dopamine transporter reduction occurred in the striatum ipsilateral to the implant side. This finding could lead to the hypothesis that EMCS might elicit a 'neuroprotective' effect, as suggested by significant clinical benefits.

  18. Guidance for performing preliminary assessments under CERCLA

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1991-09-01

    EPA headquarters and a national site assessment workgroup produced this guidance for Regional, State, and contractor staff who manage or perform preliminary assessments (PAs). EPA has focused this guidance on the types of sites and site conditions most commonly encountered. The PA approach described in this guidance is generally applicable to a wide variety of sites. However, because of the variability among sites, the amount of information available, and the level of investigative effort required, it is not possible to provide guidance that is equally applicable to all sites. PA investigators should recognize this and be aware that variation from this guidance may be necessary for some sites, particularly for PAs performed at Federal facilities, PAs conducted under EPA`s Environmental Priorities Initiative (EPI), and PAs at sites that have previously been extensively investigated by EPA or others. The purpose of this guidance is to provide instructions for conducting a PA and reporting results. This guidance discusses the information required to evaluate a site and how to obtain it, how to score a site, and reporting requirements. This document also provides guidelines and instruction on PA evaluation, scoring, and the use of standard PA scoresheets. The overall goal of this guidance is to assist PA investigators in conducting high-quality assessments that result in correct site screening or further action recommendations on a nationally consistent basis.

  19. Preliminary dose assessment of the Chernobyl accident

    International Nuclear Information System (INIS)

    Hull, A.P.

    1987-01-01

    From the major accident at Unit 4 of the Chernobyl nuclear power station, a plume of airborne radioactive fission products was initially carried northwesterly toward Poland, thence toward Scandinavia and into Central Europe. Reports of the levels of radioactivity in a variety of media and of external radiation levels were collected in the Department of Energy's Emergency Operations Center and compiled into a data bank. Portions of these and other data which were obtained directly from published and official reports were utilized to make a preliminary assessment of the extent and magnitude of the external dose to individuals downwind from Chernobyl. Radioactive 131 I was the predominant fission product. The time of arrival of the plume and the maximum concentrations of 131 I in air, vegetation and milk and the maximum reported depositions and external radiation levels have been tabulated country by country. A large amount of the total activity in the release was apparently carried to a significant elevation. The data suggest that in areas where rainfall occurred, deposition levels were from ten to one-hundred times those observed in nearby ''dry'' locations. Sufficient spectral data were obtained to establish average release fractions and to establish a reference spectra of the other nuclides in the release. Preliminary calculations indicated that the collective dose equivalent to the population in Scandinavia and Central Europe during the first year after the Chernobyl accident would be about 8 x 10 6 person-rem. From the Soviet report, it appears that a first year population dose of about 2 x 10 7 person-rem (2 x 10 5 Sv) will be received by the population who were downwind of Chernobyl within the U.S.S.R. during the accident and its subsequent releases over the following week. 32 refs., 14 figs., 20 tabs

  20. Preliminary geological suitability assessment for LILW disposal

    International Nuclear Information System (INIS)

    Tomse, P.; Mele, I.

    2001-01-01

    Due to the growing need for a final disposal of LILW, the final solution for the short-lived LILW is the key issue of radioactive waste management in Slovenia at the moment. ARAO - the Slovenian Agency for Radwaste Management - is intensely involved in the re-initiated site selection process for a LILW repository. In this new process we are trying to combine as best as possible the technical, geologically-led and the advocacy-site selection processes. By a combination of technical and volunteer approach to the site selection we wish to guarantee high public involvement and sufficient flexibility of the process to adapt to specific conditions or new circumstances while the project is ongoing. In the technical phase, our tendency is to retain a larger number of potential areas/sites. We also keep open the possibility of choosing the type of repository. The decision between the surface and underground option will be made only once the site has been defined. In accordance with the IAEA recommendations the site selection process is divided into four stages: the conceptual and planning stage, area survey stage, site characterisation stage and site confirmation stage. Last year the area survey stage was started. In the preliminary geological suitability assessment the required natural predisposition of Slovene territory was assessed in order to locate geologically suitable formations. The assessment of natural conditions of the system was based on consideration of the main geological, hydro-geological and seismotectonic conditions. It was performed with ARC/INFO technology. The results are compiled in a map, showing potential areas for underground and surface disposal of LILW in Slovenia. It has been established that there is a potential suitability for both surface and underground disposal on about 10 000 km 2 of the Slovenian territory, which represents almost half of the entire Slovenian territory. These preliminary results are now being carefully re-examined. As an

  1. Preliminary study of the application of transthoracic echocardiography-guided three-dimensional printing for the assessment of structural heart disease.

    Science.gov (United States)

    Zhu, Yanbo; Liu, Jianshi; Wang, Lianqun; Guan, Xin; Luo, Yongjuan; Geng, Jie; Geng, Qingguo; Lin, Yunjia; Zhang, Lixia; Li, Xixue; Lu, Yaping

    2017-12-01

    To investigate the feasibility and diagnostic value of a preoperative transthoracic echocardiography-guided three-dimensional printed model (TTE-guided 3DPM) for the assessment of structural heart disease (SHD). Fourty-four patients underwent cardiac surgery at Tianjin Chest Hospital. The patients were preoperatively assessed using TTE-guided 3DPM, which was compared to conventional three-dimensional transthoracic echocardiography (3DTTE) along with direct intraoperative findings, which were considered the "gold standard." Twelve patients had SHD, including four with mitral prolapse, two with partial endocardial cushion defects, two with secondary atrial septal defects, two with rheumatic mitral stenosis, one with tetralogy of Fallot, and one with a ventricular septal defect (VSD). Thirty-two patients who did not have SHDs were designated as the negative control group. The sensitivity and specificity of the TTE-guided 3DPM were greater than or equal to those of the 3DTTE. The P-value of the McNemar test of 3DTTE was >.05, which indicates that the difference was not statistically significant (Kappa = 0.745, P guided 3DPM was >.05, which indicates that the difference was not statistically significant (Kappa = 0.955, P guided 3DPM resulted in a P-value >.05, which indicates that the difference was not statistically significant (Kappa = 0.879, P guided 3DPM displayed the 3D structure of SHDs and cardiac lesions clearly and was consistent with the intra-operative findings. Transthoracic echocardiography-guided three-dimensional printed model (TTE-guided 3DPM) provides essential information for preoperative evaluation and decision making for patients with SHDs. © 2017, Wiley Periodicals, Inc.

  2. Preliminary Assessment of a Compliant Gait Exoskeleton.

    Science.gov (United States)

    Cestari, Manuel; Sanz-Merodio, Daniel; Garcia, Elena

    2017-06-01

    Current commercial wearable gait exoskeletons contain joints with stiff actuators that cannot adapt to unpredictable environments. These actuators consume a significant amount of energy, and their stiffness may not be appropriate for safe human-machine interactions. Adjustable compliant actuators are being designed and implemented because of their ability to minimize large forces due to shocks, to safely interact with the user, and to store and release energy in passive elastic elements. Introduction of such compliant actuation in gait exoskeletons, however, has been limited by the larger power-to-weight and volume ratio requirement. This article presents a preliminary assessment of the first compliant exoskeleton for children. Compliant actuation systems developed by our research group were integrated into the ATLAS exoskeleton prototype. The resulting device is a compliant exoskeleton, the ATLAS-C prototype. The exoskeleton is coupled with a special standing frame to provide balance while allowing a semi-natural gait. Experiments show that when comparing the behavior of the joints under different stiffness conditions, the inherent compliance of the implemented actuators showed natural adaptability during the gait cycle and in regions of shock absorption. Torque tracking of the joint is achieved, identifying the areas of loading response. The implementation of a state machine in the control of knee motion allowed reutilization of the stored energy during deflection at the end of the support phase to partially propel the leg and achieve a more natural and free swing.

  3. Retinal nerve fiber layer and ganglion cell complex thickness assessment in patients with Alzheimer disease and mild cognitive impairment. Preliminary results

    Directory of Open Access Journals (Sweden)

    A. S. Tiganov

    2014-07-01

    Full Text Available Purpose: to investigate the retinal nerve fiber layer (RNFL and the macular ganglion cell complex (GCC in patients with Alzheimer`s disease and mild cognitive impairment.Methods: this study included 10 patients (20 eyes with Alzheimer`s disease, 10 patients with mild cognitive impairment and 10 age- and sex-matched healthy controls that had no history of dementia. All the subjects underwent psychiatric examination, including the Mini-Mental State Examination (MMSE, and complete ophthalmological examination, comprising optical coherence tomography and scanning laser polarimetry.Results: there was a significant decrease in GCC thickness in patients with Alzheimer`s disease compared to the control group, global loss volume of ganglion cells was higher than in control group. there was no significant difference among the groups in terms of RNFL thickness. Weak positive correlation of GCC thickness and MMSE results was observed.Conclusion: Our data confirm the retinal involvement in Alzheimer`s disease, as reflected by loss of ganglion cells. Further studies will clear up the role and contribution of dementia in pathogenesis of optic neuropathy.

  4. Study on the Behavioural Assessment of the Dysexecutive Syndrome (BADS performance in healthy individuals, Mild Cognitive Impairment and Alzheimer's disease: A preliminary study

    Directory of Open Access Journals (Sweden)

    Cristiane Garcia da Costa Armentano

    Full Text Available Abstract Executive deficits as well as deficits in episodic memory characterize the initial phases of Alzheimer Disease (AD and are clinically correlated to neuropsychiatric symptoms and functional loss. Patients with Mild Cognitive Impairment present more problems as to inhibitory response control, switching and cognitive flexibility. Objective: To compare performance on the BADS with performance on other executive functional tests among patients with mild Alzheimer's disease, Amnestic Mild Cognitive Impairment (aMCI to performance of control individuals and to examine discriminative capacity of BADS among these groups. Methods: The BADS was performed by 35 healthy controls, 13 patients with aMCI, and 16 mild probable AD patients. Besides performing the BADS, subjects underwent neuropsychological evaluation which comprised: the Dementia Rating Scale (DRS, verbal fluency by phonemic categories (F.A.S and Concentrated Attention Test (CA. Results: There were no differences among groups by educational level, but performance differed for age (p<0.01. No difference between healthy controls and aMCI patients was found on total scores or subitems of the BADS. A significant difference was observed between aMCI and AD patients (p<0.05 and between controls and AD patients (p<0.05 on total and standard scores. Conclusions: Performance on the BADS differed between healthy individuals and mild AD patients. The BADS proved to be a sensitive method for discriminating AD from aMCI.

  5. Preliminary environmental site assessments in New York City

    International Nuclear Information System (INIS)

    Lundy, P.; Gasson, D.R.; Longendyke, S.T.

    1991-01-01

    Preliminary Environmental Site Assessments are often performed prior to real estate transactions or refinancing. These assessments are typically performed for real estate buyers, sellers and lending institutions. Undertaking a Preliminary Environmental Site Assessment in New York City can often be quite complex and time-consuming. This is due, in part, to the age and density of buildings in the city as well as the myriad of regulatory agencies with jurisdiction over environmental issues. This paper will discuss how environmental assessments are performed with a special emphasis on building in New York City. In includes hazardous wastes management for Radon, PCB's and asbestos

  6. Preliminary assessments the shortcut to remediation (category III-surplus facility assessments)

    International Nuclear Information System (INIS)

    Byars, L.L.

    1995-01-01

    This report presents the details of the preliminary assessments for the shortcut of decontamination of surplus nuclear facilities. Topics discussed include: environment, health and safety concerns; economic considerations; reduction of transition time; preliminary characterization reports; preliminary project plan; health and safety plan; quality assurance plan; surveillance and maintenance plan; and waste management plan

  7. Preliminary assessment of pump IST effectiveness

    International Nuclear Information System (INIS)

    DiBiasio, A.; Grove, E.; Carbonaro, J.

    1994-01-01

    A preliminary review of Inservice Testing (IST) effectiveness for Code Class 1, 2, and 3 pumps at nuclear power plants was performed. IST requirements are specified by ASME Section XI, and the Operations and Maintenance Standard (OM Part 6). The INPO NPRDS database was used to provide failure reports for these components for 1988 to 1992. This time frame coincides with the issuance of Generic Letter 89-04, which resulted in a more consistent application of the requirements by the licensees. For this time period, 2585 pump failures were reported. A review of these failures indicated that the majority (71.6%) were due to external leakage, and were excluded from this study since these events typically do not affect pump operability and are not detected by the measurement of IST parameters. Of the remaining 733 events, a review was performed to identify the primary failure causes, failure modes, and method of detection. Plant testing programs, consisting of IST, surveillance testing, and special testing, detected approximately 40% of these occurrences. Others were detected through operational abnormalities, routine and incidental observations, alarms, and while performing maintenance. This paper provides a discussion of the results of the study

  8. Preliminary assessment of pump IST effectiveness

    International Nuclear Information System (INIS)

    DiBiasio, A.; Grove, E.; Carbonaro, J.

    1994-01-01

    A preliminary review of inservice testing (IST) effectiveness for Class 1, 2, and 3 pumps at nuclear power plants was performed. IST requirements are specified by the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code, Section XI, and the Operations and Maintenance Standard (OM Part 6). The Institute of Nuclear Power Operations Nuclear Plant Reliability Data System was used to provide failure reports for these components from 1988 to 1992. This time frame coincides with the issuance of Generic Letter 89-04, which resulted in a more consistent application of the requirements by the licensees. For this time, 2,585 pump failures were reported. A review of these failures indicated that the majority (71.6%) resulted from external leakage. These events were excluded from the study because the typically do not affect pump operability and are not detected by the measurement of IST parameters. The remaining 733 events were reviewed to identify the primary failure causes, failure modes, and method of detection. Plant testing programs, consisting of IST, surveillance testing, detected approximately 40% of these occurrences. Others were detected through operational abnormalities, routine and incidental observations, alarms, and while performing maintenance. This paper discusses the results of the study

  9. Preliminary assessment of valve IST effectiveness

    International Nuclear Information System (INIS)

    Grove, E.; DiBiasio, A.; Carbonaro, J.

    1994-01-01

    A preliminary review of inservice testing effectiveness for Code Class 1,2, and 3 valves at nuclear power plants was performed. These requirements are specified by the American Society of Mechanical Engineers Boiler and Pressure Vessel Code, Section XI, and the Operations and Maintenance Standard. The Institute of Nuclear Power Operations Nuclear Plant Reliability Data System (NPRDS) database was used to provide failure reports for these components for 1988 to 1992. This time period coincides with the issuance of Generic Letter 89-04, which resulted in a more consistent application of the requirements by the licensees. For this time period, 8,593 valve failures were identified. From the review of the NPRDS database, the primary failure causes and failure modes for motor-operated valves (MOV), air-operated valves (AOV), and check valves (CV) were identified. Solenoid-operated valves were not reviewed in this study. Plant testing programs were effective in identifying approximately 60% of the CV failures, 46% of the AOV failures, and 44% of the MOV failures

  10. Analytical Chemistry Core Capability Assessment - Preliminary Report

    International Nuclear Information System (INIS)

    Barr, Mary E.; Farish, Thomas J.

    2012-01-01

    The concept of 'core capability' can be nebulous one. Even at a fairly specific level, where core capability equals maintaining essential services, it is highly dependent upon the perspective of the requestor. Samples are submitted to analytical services because the requesters do not have the capability to conduct adequate analyses themselves. Some requests are for general chemical information in support of R and D, process control, or process improvement. Many analyses, however, are part of a product certification package and must comply with higher-level customer quality assurance requirements. So which services are essential to that customer - just those for product certification? Does the customer also (indirectly) need services that support process control and improvement? And what is the timeframe? Capability is often expressed in terms of the currently utilized procedures, and most programmatic customers can only plan a few years out, at best. But should core capability consider the long term where new technologies, aging facilities, and personnel replacements must be considered? These questions, and a multitude of others, explain why attempts to gain long-term consensus on the definition of core capability have consistently failed. This preliminary report will not try to define core capability for any specific program or set of programs. Instead, it will try to address the underlying concerns that drive the desire to determine core capability. Essentially, programmatic customers want to be able to call upon analytical chemistry services to provide all the assays they need, and they don't want to pay for analytical chemistry services they don't currently use (or use infrequently). This report will focus on explaining how the current analytical capabilities and methods evolved to serve a variety of needs with a focus on why some analytes have multiple analytical techniques, and what determines the infrastructure for these analyses. This information will be

  11. Preliminary assessment of sponge biodiversity on Saba Bank, Netherlands Antilles.

    Directory of Open Access Journals (Sweden)

    Robert W Thacker

    Full Text Available BACKGROUND: Saba Bank Atoll, Netherlands Antilles, is one of the three largest atolls on Earth and provides habitat for an extensive coral reef community. To improve our knowledge of this vast marine resource, a survey of biodiversity at Saba Bank included a multi-disciplinary team that sampled fishes, mollusks, crustaceans, macroalgae, and sponges. METHODOLOGY/PRINCIPAL FINDINGS: A single member of the dive team conducted surveys of sponge biodiversity during eight dives at six locations, at depths ranging from 15 to 30 m. This preliminary assessment documented the presence of 45 species pooled across multiple locations. Rarefaction analysis estimated that only 48 to 84% of species diversity was sampled by this limited effort, clearly indicating a need for additional surveys. An analysis of historical collections from Saba and Saba Bank revealed an additional 36 species, yielding a total of 81 sponge species recorded from this area. CONCLUSIONS/SIGNIFICANCE: This observed species composition is similar to that found on widespread Caribbean reefs, indicating that the sponge fauna of Saba Bank is broadly representative of the Caribbean as a whole. A robust population of the giant barrel sponge, Xestospongia muta, appeared healthy with none of the signs of disease or bleaching reported from other Caribbean reefs; however, more recent reports of anchor chain damage to these sponges suggests that human activities can have dramatic impacts on these communities. Opportunities to protect this extremely large habitat should be pursued, as Saba Bank may serve as a significant reservoir of sponge species diversity.

  12. Short communications A preliminary assessment of predictive ...

    African Journals Online (AJOL)

    The high maintenance requirements of the breeding female contribute largely to this low efficiency (Dickerson, 1978). An improvement of both biological and economical effi- ciency therefore becomes increasingly important. The assessment of efficiency requires measurement of individual feed intake, which is unpractical ...

  13. Bats roosting in public buildings: A preliminary assessment from ...

    African Journals Online (AJOL)

    Madagascar has many synanthropic bat species but relatively little is known about how people interact with them. A preliminary assessment on the presence of bats in buildings and their interactions with people was conducted in the eastern town of Moramanga. Fifty of the 156 buildings were reported to contain active bat ...

  14. A Preliminary Assessment of Groundwater Samples around a Filling ...

    African Journals Online (AJOL)

    This paper is a preliminary assessment of groundwater samples around a filling station in Diobu area of Port Harcourt for four years at intervals of two years with a view to determine the level of groundwater pollution. It examines the physiochemical, major ions and heavy metal aspect of groundwater quality around the study ...

  15. A preliminary assessment of the chemical and microbial water ...

    African Journals Online (AJOL)

    A preliminary assessment of the chemical and microbial water quality of the Chunies River - Limpopo: short communication. ... For this purpose sampling was undertaken on 25 and 26 May 2002, and a range of chemical (macro-elements, micro-elements and heavy metals) and microbial variables (HPC, total coliforms and ...

  16. A preliminary simulative assessment of disproportionality indices

    OpenAIRE

    Migheli, Matteo; Ortona, Guido; Ponzano, Ferruccio

    2009-01-01

    What do indices of disproportionality actually measure? They provide an aggregate estimation of the difference between votes cast and seats assignment, but the relation between the value of the indices and the will of the voters is highly questionable. The reason is that when casting the vote the voter is deeply affected by the electoral system itself, possibly more deeply than s/he understands. The aim of this paper is to assess the performance of the most used indices of disproportionality ...

  17. Preliminary radiological assessments of low-level waste repositories

    International Nuclear Information System (INIS)

    Nancarrow, D.J.; Sumerling, T.J.; Ashton, J.

    1988-06-01

    Preliminary assessments of the post-closure radiological impact from the disposal of low-level radioactive wastes in shallow engineered facilities at four sites are presented. This provides a framework to practice and refine a methodology that could be used, on behalf of the Department, for independent assessment of any similar proposal from Nirex. Information and methodological improvements that would be required are identified. (author)

  18. Preliminary Economic Assessment of KALIMER-600

    International Nuclear Information System (INIS)

    Moon, Kee-Hwan; Kim, Seung-Su; Hahn, Do-Hee

    2008-01-01

    The GIF(GEN IV International Forum) established an Economic Modelling Working Group(EMWG) in 2003 to create economic models and guidelines to facilitate in a future evaluation of the Generation IV nuclear energy systems and assess progress toward the GIF economic goals. These goals are to have a life cycle cost advantage over other energy sources, and to have a level of financial risk comparable to other energy projects. To do this, EMWG has been developed the G4-ECONS model, which is a generic EXCEL-based model for computation of the projected levelized unit electricity cost and/or levelized non-electricity unit product cost from GEN IV energy systems. KALIMER-600 has been developed as a new design concept based on the KALIMER-150 design. KALIMER-600 is a unique design concept which has a potential to achieve GEN IV technology goals even though there is a room for a design improvement in order to make the KALIMER-600 more competitive with future generation reactors. The objective of this study is to the assess economics of KALIMER-600 by using the G4-ECONS model

  19. Preliminary results of Aruba wind resource assessment

    Energy Technology Data Exchange (ETDEWEB)

    Guda, M.H. [Fundashon Antiyano Pa Energia, Curacao (Netherlands Antilles)

    1996-12-31

    As part of a project to assess the possibilities for wind energy utilitization in the Dutch Antilles islands, windspeed and -direction data were collected in Aruba for two years, from March 1992 to February 1994. Five sites that were estimated to be representative for the islands` wind regimes, were monitored during this period: two sites on the windward coast, one east and one west; two inland sites, again one east and one west, and one site topping the cliffs overlooking the eastern windward coast. Additionally, twenty years worth of data were analyzed for the reference site at the airport, which is in the middle part of the island, on the leeward coast. Correlation calculations between these data and the data for the project sites were performed, in order to establish a methodology for estimating the long-term behavior of the wind regimes at these sites. 8 figs., 3 tabs.

  20. Preliminary safety assessment and preliminary safety report for the treated radwaste store, Winfrith

    International Nuclear Information System (INIS)

    Staples, A.T.

    1992-06-01

    It is the purpose of this assessment to define the categorisation of the Treated Radwaste Store, TRS, B55 at the Winfrith Technology Centre. Its further purpose is to cover all relevant sections required for a Preliminary Safety Report (PSR) encompassing the TRS and the integral Quality Assessment Unit (QUA). The TRS is designed for the interim storage of intermediate level radioactive wastes. All waste material stored in the TRS will be contained within 500 litre stainless steel drums acceptable to NIREX. It is proposed that the TRS will receive 500 litre stainless steel NIREX drums containing either irradiated DRAGON fuel or encapsulated sludge waste. (author)

  1. Risk Assessment of Healthcare Waste by Preliminary Hazard Analysis Method

    Directory of Open Access Journals (Sweden)

    Pouran Morovati

    2017-09-01

    Full Text Available Introduction and purpose: Improper management of healthcare waste (HCW can pose considerable risks to human health and the environment and cause serious problems in developing countries such as Iran. In this study, we sought to determine the hazards of HCW in the public hospitals affiliated to Abadan School of Medicine using the preliminary hazard analysis (PHA method. Methods: In this descriptive and analytic study, health risk assessment of HCW in government hospitals affiliated to Abadan School of Medicine (4 public hospitals was carried out by using PHA in the summer of  2016. Results: We noted the high risk of sharps and infectious wastes. Considering the dual risk of injury and disease transmission, sharps were classified in the very high-risk group, and pharmaceutical and chemical and radioactive wastes were classified in the medium-risk group. Sharps posed the highest risk, while pharmaceutical and chemical wastes had the lowest risk. Among the various stages of waste management, the waste treatment stage was the most hazardous in all the studied hospitals. Conclusion: To diminish the risks associated with healthcare waste management in the studied hospitals, adequate training of healthcare workers and care providers, provision of suitable personal protective and transportation equipment, and supervision of the environmental health manager of hospitals should be considered by the authorities.  

  2. Hellsgate Winter Range : Wildlife Mitigation Project. Preliminary Environmental Assessment.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1995-01-01

    The Bonneville Power Administration proposes funding the Hellsgate Winter Range Wildlife Mitigation Project in cooperation with the Colville Convederated Tribes and Bureau of Indian Affairs. This Preliminary Environmental Assessment examines the potential environmental effects of acquiring and managing property for wildlife and wildlife habitat within a large project area. The Propose action is intended to meet the need for mitigation of wildlife and wild life habitat that was adversely affected by the construction of Grand Coulee and Chief Joseph Dams and their reservoirs.

  3. Utility of Social Modeling for Proliferation Assessment - Preliminary Findings

    International Nuclear Information System (INIS)

    Coles, Garill A.; Gastelum, Zoe N.; Brothers, Alan J.; Thompson, Sandra E.

    2009-01-01

    Often the methodologies for assessing proliferation risk are focused around the inherent vulnerability of nuclear energy systems and associated safeguards. For example an accepted approach involves ways to measure the intrinsic and extrinsic barriers to potential proliferation. This paper describes preliminary investigation into non-traditional use of social and cultural information to improve proliferation assessment and advance the approach to assessing nuclear material diversion. Proliferation resistance assessment, safeguard assessments and related studies typically create technical information about the vulnerability of a nuclear energy system to diversion of nuclear material. The purpose of this research project is to find ways to integrate social information with technical information by explicitly considering the role of culture, groups and/or individuals to factors that impact the possibility of proliferation. When final, this work is expected to describe and demonstrate the utility of social science modeling in proliferation and proliferation risk assessments.

  4. California's forest resources. Preliminary assessment

    Energy Technology Data Exchange (ETDEWEB)

    1979-01-01

    This Preliminary Assessment was prepared in response to the California Forest Resources Assessment and Policy Act of 1977 (FRAPA). This Act was passed to improve the information base upon which State resource administrators formulate forest policy. The Act provides for this report and a full assessment by 1987 and at five year intervals thereafter. Information is presented under the following chapter titles: introduction to the forest resources assessment program; the forest area: a general description; classifications of the forest lands; the watersheds; forest lands and the air resource; fish and wildlife resources; the forested rangelands; the wilderness; forest lands as a recreation resource; the timber resource; wood energy; forest lands and the mineral, fossil fuels, and geothermal energy resources; mathematically modeling California's forest lands; vegetation mapping using remote sensing technology; important forest resources legislation; and, State and cooperative State/Federal forestry programs. Twelve indexes, a bibliography, and glossary are included. (JGB)

  5. A preliminary assessment of radiation effects on American Flagfish

    Energy Technology Data Exchange (ETDEWEB)

    Tzivaki, M.; Waller, E., E-mail: margarita.tzivaki@uoit.ca [University of Ontario Institute of Technology, Oshawa, ON (Canada)

    2015-07-01

    In order to add to the knowledge base of radiation effects on non-human biota, it is important to define benchmark values for different species. An experimental set-up was designed to investigate effects from irradiation with Cs-137 to American Flagfish. Preliminary experiments to assess the suitability of the methodology were conducted by exposing Flagfish eggs to 44 h of ionizing radiation. The subsequent observation of the developing fry showed no effect on hatching. However, the mortality and observed vertebral malformations were increased with increasing absorbed dose which is suspected to be a result of developmental defects in the embryonic stage. (author)

  6. Preliminary assessment of fleets covered by the Energy Policy Act

    Energy Technology Data Exchange (ETDEWEB)

    Hu, P.S.; Davis, S.C.; Wang, M.Q. [and others

    1994-12-31

    To facilitate the goal of decreasing oil imports by 10 percent by the year 2000 and 30 percent by 2010, two sections of the Energy Policy Act encourage and mandate alternative fuel vehicles in the acquisition of fleet vehicles. The first step in estimating the contribution of these mandates toward meeting the aforementioned goal entails identifying affected fleets. This paper presents a preliminary assessment of potential vehicle fleet coverage. Only a limited number of companies in the methanol, ethanol, and hydrogen industries are likely to quality for this mandate. Whereas, many of the oil producers, petroleum refiners, and electricity companies are likely to be regulated.

  7. AVLIS Production Plant Preliminary Quality Assurance Plan and Assessment

    International Nuclear Information System (INIS)

    1984-01-01

    This preliminary Quality Assurance Plan and Assessment establishes the Quality Assurance requirements for the AVLIS Production Plant Project. The Quality Assurance Plan defines the management approach, organization, interfaces, and controls that will be used in order to provide adequate confidence that the AVLIS Production Plant design, procurement, construction, fabrication, installation, start-up, and operation are accomplished within established goals and objectives. The Quality Assurance Program defined in this document includes a system for assessing those elements of the project whose failure would have a significant impact on safety, environment, schedule, cost, or overall plant objectives. As elements of the project are assessed, classifications are provided to establish and assure that special actions are defined which will eliminate or reduce the probability of occurrence or control the consequences of failure. 8 figures, 18 tables

  8. Preliminary environmental assessment for the satellite power system (SPS)

    Energy Technology Data Exchange (ETDEWEB)

    1978-10-01

    A preliminary assessment of the impact of the Satellite Power System (SPS) on the environment is presented. Information that has appeared in documents referenced herein is integrated and assimilated. The state-of-knowledge as perceived from recently completed DOE-sponsored studies is disclosed, and prospective research and study programs that can advance the state-of-knowledge and provide an expanded data base for use in an assessment planned for 1980 are defined. Alternatives for research that may be implemented in order to achieve this advancement are also discussed in order that a plan can be selected which will be consistent with the fiscal and time constraints on the SPS Environmental Assessment Program. Health and ecological effects of microwave radiation, nonmicrowave effects on health and the environment (terrestrial operations and space operations), effects on the atmosphere, and effects on communications systems are examined in detail. (WHK)

  9. Development of a preliminary composite disease activity index in psoriatic arthritis.

    LENUS (Irish Health Repository)

    Mumtaz, Aizad

    2012-02-01

    OBJECTIVES: To develop a preliminary composite psoriatic disease activity index (CPDAI) for psoriasis and psoriatic arthritis. METHODS: Five domains were assessed and specific instruments were employed for each domain to determine the extent of domain involvement and the effect of that involvement on quality of life\\/function. Disease activity for each domain was then graded from 0 to 3 giving a CPDAI range of 0-15. Patient and physician global disease activity measures were also recorded and an independent physician was asked to indicate if treatment change was required. Bivariate correlation analysis was performed. Factor, tree analysis and standardised response means were also calculated. RESULTS: Significant correlation was seen between CPDAI and both patient (r = 0.834) and physician (r = 0.825) global disease activity assessments (p = 0.01). Tree analysis revealed that 96.3% of patients had their treatment changed when CPDAI values were greater than 6; no patient had their treatment changed when CPDAI values were less than 5. CONCLUSION: CPDAI correlates well with patient and physician global disease activity assessments and is an effective tool that clearly distinguishes those who require a treatment change from those who do not.

  10. Comments on SKB's SFL 3-5 preliminary performance assessment

    International Nuclear Information System (INIS)

    Wilmot, R.D.; Crawford, M.B.

    2000-01-01

    Recently introduced regulations in Sweden have established an individual risk criterion ( -6 per year) for the long-term performance of repositories for the disposal of radioactive wastes. SKB has not focused its assessment of SFL 3-5 on demonstrating compliance with this regulation. Instead, SKB has calculated individual dose and provided a comparison with an annual individual dose of 14 iSv (derived from the risk criteria using the ICRP's dose-risk conversion factor of 0.073 per Sv). The justification of this approach is that probabilities do not need to be determined if doses are less than the dose equivalent to the risk criterion. However, there is insufficient information regarding uncertainty provided in the documentation of the SFL 3-5 assessment to determine whether this approach is reasonable. SKB's parallel assessment of a repository for spent fuel using the KBS-3 concept (SR 97) accounts for uncertainty by specifying a 'reasonable' and a 'pessimistic' value for uncertain parameters in the assessment calculations. Although there are problems with the way probabilities have been assigned to these values, this approach does indicate where there are significant uncertainties. The SFL 3-5 PA does not include a structured approach to defining uncertainty, although a number of assumptions and parameter values are stated to be conservative. As a preliminary assessment, there is insufficient information to identify key uncertainties or sensitivities, or to determine where further work should be focused. Any assessment requires the use of expert judgement to determine how the assessment is conducted, what modelling approach to use, what features, events and processes (FEPs) could potentially affect the disposal system, which FEPs should be included in the conceptual models, and which scenarios should be assessed. Judgements are also required in determining how to parameterize the models, and this may extend to formal expert elicitation for particular parameter

  11. Preliminary Ecotoxicity and Biodegradability Assessment of Metalworking Fluids

    Science.gov (United States)

    Gerulová, Kristína; Amcha, Peter; Filická, Slávka

    2010-01-01

    The main aim of this study was to evaluate the potential of activated sludge from sewage treatment plant to degrade selected MWFs (ecotoxicity to bacterial consortium) and to evaluate the ecotoxicity by Lemna minor-higher plant. After evaluating the ecotoxicity, biodegradations rate with activated sludge was assessed on the basis of COD measurement. Preliminary study of measuring the ecotoxicity according to OECD 221 by Lemna minor shows effective concentration of Emulzin H at the rate of 81.6 mg l-1, for Ecocool 82.9 mg l-1, for BC 25 about 99.3 mg l-1, and for Dasnobor about 97.3 mg l-1. Preliminary study of measuring the ecotoxicity by bacterial consortium according to OECD 209 (STN EN ISO 8192) shows effective concentration of Blasocut BC 25 at the rate 227.4 mg l-1. According to OECD 302B, the biodegradations level of Emulzin H, Ecocool and BC 25 achieved 80% in 10 days. It can be stated that these MWFs have potential to ultimate degradation, but the statement has to be confirmed by a biodegradability test with other parameters than COD, which exhibits some disadvantages in testing O/W emulsions.

  12. Preliminary regulatory assessment of nuclear power plants vulnerabilities

    International Nuclear Information System (INIS)

    Kostadinov, V.; Petelin, S.

    2004-01-01

    Preliminary attempts to develop models for nuclear regulatory vulnerability assessment of nuclear power plants are presented. Development of the philosophy and computer tools could be new and important insight for management of nuclear operators and nuclear regulatory bodies who face difficult questions about how to assess the vulnerability of nuclear power plants and other nuclear facilities to external and internal threats. In the situation where different and hidden threat sources are dispersed throughout the world, the assessment of security and safe operation of nuclear power plants is very important. Capability to evaluate plant vulnerability to different kinds of threats, like human and natural occurrences and terrorist attacks and preparation of emergency response plans and estimation of costs are of vital importance for assurance of national security. On the basis of such vital insights, nuclear operators and nuclear regulatory bodies could plan and optimise changes in oversight procedures, organisations, equipment, hardware and software to reduce risks taking into account security and safety of nuclear power plants operation, budget, manpower, and other limitations. Initial qualitative estimations of adapted assessments for nuclear applications are shortly presented. (author)

  13. Preliminary assessment on compatibility of DUPIC fuel with CANDU-6

    International Nuclear Information System (INIS)

    Choi, Hang-Bok; Roh, G.H.; Jeong, C.J.; Rhee, B.W.; Choi, J.W.; Boss, C.R.

    1997-01-01

    The compatibility of DUPIC fuel with the existing CANDU-6 reactor was assessed. The technical issues of DUPIC fuel compatibility were chosen based on the CANDU physics design requirements and inherent characteristics of DUPIC fuel. The compatibility was assessed for the reference DUPIC fuel composition which was determined to reduce the composition heterogeneity and improve the spent PWR fuel utilization. Preliminary studies on a CANDU core loaded with DUPIC fuel have shown that the nominal power distribution is flatter than that of a natural uranium core when a 2-bundle shift refueling scheme is used, which reduces the reactivity worths of devices in the core and, therefore, the performance of reactivity devices was assessed. The safety of the core was assessed by a LOCA simulation and it was found that the power pulse upon LOCA can be maintained below that in the natural uranium core when a poison material is used in the DUPIC fuel. For the feasibility of handling DUPIC fuel in the plant, it will be necessary to introduce new equipment to load the DUPIC fuel in the refueling magazine. The radiation effect of DUPIC fuel on both the reactor hardware and the environment will be qualitatively analyzed later. (author)

  14. Preliminary quantitative assessment of earthquake casualties and damages

    DEFF Research Database (Denmark)

    Badal, J.; Vázquez-Prada, M.; González, Á.

    2005-01-01

    Prognostic estimations of the expected number of killed or injured people and about the approximate cost associated with the damages caused by earthquakes are made following a suitable methodology of wide-ranging application. For the preliminary assessment of human life losses due to the occurrence...... of a relatively strong earthquake we use a quantitative model consisting of a correlation between the number of casualties and the earthquake magnitude as a function of population density. The macroseismic intensity field is determined in accordance with an updated anelastic attenuation law, and the number...... the local social wealth as a function of the gross domestic product of the country. This last step is performed on the basis of the relationship of the macroseismic intensity to the earthquake economic loss in percentage of the wealth. Such an approach to the human casualty and damage levels is carried out...

  15. A preliminary assessment of the Titan planetary boundary layer

    Science.gov (United States)

    Allison, Michael

    1992-01-01

    Results of a preliminary assessment of the characteristic features of the Titan planetary boundary are addressed. These were derived from the combined application of a patched Ekman surface layer model and Rossby number similarity theory. Both these models together with Obukhov scaling, surface speed limits and saltation are discussed. A characteristic Akman depth of approximately 0.7 km is anticipated, with an eddy viscosity approximately equal to 1000 sq cm/s, an associated friction velocity approximately 0.01 m/s, and a surface wind typically smaller than 0.6 m/s. Actual values of these parameters probably vary by as much as a factor of two or three, in response to local temporal variations in surface roughness and stability. The saltation threshold for the windblown injection of approximately 50 micrometer particulates into the atmosphere is less than twice the nominal friction velocity, suggesting that dusty breezes might be an occassional feature of the Titan meteorology.

  16. Clinical utility of color-form naming in Alzheimer's disease: preliminary evidence

    DEFF Research Database (Denmark)

    Nielsen, Niels Peter; Wiig, Elisabeth H; Warkentin, Siegbert

    2004-01-01

    Performances on Alzheimer's Quick Test color-form naming and Mini-Mental State Examination were compared for 38 adults with Alzheimer's disease and 38 age- and sex-matched normal controls. Group means differed significantly and indicated longer naming times by adults with Alzheimer's disease...... associated with Alzheimer's disease, are preliminary given the relatively small sample....

  17. Preliminary nuclear power reactor technology qualitative assessment for Malaysia

    International Nuclear Information System (INIS)

    Shamsul Amri Sulaiman

    2011-01-01

    Since the worlds first nuclear reactor major breakthrough in December 02, 1942, the nuclear power industry has undergone tremendous development and evolution for more than half a century. After surpassing moratorium of nuclear power plant construction caused by catastrophic accidents at Three-mile island (1979) and Chernobyl (1986), today, nuclear energy is back on the policy agendas of many countries, both developed and developing, signaling nuclear revival or nuclear renaissance. Selection of suitable nuclear power technology has thus been subjected to primary attention. This short paper attempts to draw preliminary technology assessment for the first nuclear power reactor technology for Malaysia. Methodology employed is qualitative analysis collating recent finding of tnb-kepco preliminary feasibility study for nuclear power program in peninsular malaysia and other published presentations and/or papers by multiple experts. The results suggested that pressurized water reactor (PWR) is the prevailing technology in terms of numbers and plant performances, and while the commercialization of generation IV reactors is remote (e.g. Not until 2030), generation III/ III+ NPP models are commercially available on the market today. Five (5) major steps involved in reactor technology selection were introduced with a focus on introducing important aspects of selection criteria. Three (3) categories for the of reactor technology selection were used for the cursory evaluation. The outcome of these analyses shall lead to deeper and full analyses of the recommended reactor technologies for a comprehensive feasibility study in the near future. Recommendations for reactor technology option were also provided for both strategic and technical recommendations. The paper shall also implore the best way to select systematically the first civilian nuclear power reactor. (Author)

  18. Radiological assessement of Crohn's disease

    International Nuclear Information System (INIS)

    Florio, F.; Palladino, M.; Stella, P.; Barbi, E.

    1987-01-01

    Fifty-eight consecutive cases of patients affected by Crohn's disease, with ileum (23/58), colon (10/58) and ileo-colic (25/58) involvement were studied. A good overall sensitivity was reached by the radiological procedures employed (barium meal, barium enema, enterclysis). Enterclysis is proposed as a second-step method for the study of ileum involvement, because it provides a quite precise assessement of disease stage and extent. Some criteria for a rational use of current radiological procedures in follow-up of both surgically and medically treated patients are proposed. Moreover it is suggested that better coordination of anatomo-radiological and clinical aspects could improve the therapeutic approach and prognostic judgement in such cases

  19. 76 FR 63628 - Preliminary Damage Assessment for Individual Assistance Operations Manual (9327.2-PR)

    Science.gov (United States)

    2011-10-13

    ...] Preliminary Damage Assessment for Individual Assistance Operations Manual (9327.2-PR) AGENCY: Federal... Individual Assistance Operations Manual (9327.2-PR). DATES: Comments must be received by November 14, 2011... of the draft Preliminary Damage Assessment for Individual Assistance Operations Manual (9327.2-PR) on...

  20. Potential benefit of a simultaneous, side-by-side display of contrast MDCT and echocardiography over routine sequential imaging for assessment of adult congenital heart disease: A preliminary study.

    Science.gov (United States)

    Oe, Hiroki; Watanabe, Nobuhisa; Miyoshi, Toru; Osawa, Kazuhiro; Akagi, Teiji; Kanazawa, Susumu; Ito, Hiroshi

    2018-06-18

    Management of adult congenital heart disease (ACHD) patients requires understanding of its complex morphology and functional features. An innovative imaging technique has been developed to display a virtual multi-planar reconstruction obtained from contrast-enhanced multidetector-computed tomography (MDCT) corresponding to the same cross-sectional image from transthoracic echocardiography (TTE). The aim of this study is to assess the usefulness of this imaging technology in ACHD patients. This study consisted of 46 consecutive patients (30 women; mean age, 52±18 years old) with ACHD who had undergone contrast MDCT. All patients underwent TTE within a week of MDCT. An experienced sonographer who did not know the results of MDCT conducted a diagnosis using TTE and, then, using the new imaging technology. We studied whether this imaging technology provided additional or unexpected findings or makes more accurate diagnosis. In this imaging technology, MDCT cross-section provides higher-resolution image to the deep compared to corresponding TTE image. Depending on the MDCT section which can be arbitrarily set under the echo guide, we can diagnose unexpected or incremental lesions or more accurately assess the severity of the lesion in 27 patients (59%) compared to TTE study alone. This imaging technology was useful in the following situations: CONCLUSIONS: This integrated imaging technology provides incremental role over TTE in complex anatomy, and allows functional information in ACHD patients. Copyright © 2018 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

  1. 99mTc-IgG-Lung Scintigraphy in the Assessment of Pulmonary Involvement in Interstitial Lung Disease and Its Comparison With Pulmonary Function Tests and High-Resolution Computed Tomography: A Preliminary Study

    International Nuclear Information System (INIS)

    Bahtouee, Mehrzad; Saberifard, Jamshid; Javadi, Hamid; Nabipour, Iraj; Malakizadeh, Hasan; Monavvarsadegh, Gholamhossein; Ilkhani Pak, Hoda; Sadeghi, Azadeh; Assadi, Majid

    2015-01-01

    The discrimination of inactive inflammatory processes from the active form of the disease is of great importance in the management of interstitial lung disease (ILD). The aim of this study was to determine the efficacy of 99mTc-IgG scan for the detection of severity of disease compared to high-resolution computed tomography (HRCT) and pulmonary function test (PFT). Eight known cases of ILD including four cases of Mustard gas (MG) intoxication and four patients with ILD of unknown cause were included in this study. A population of six patients without lung disease was considered as the control group. The patients underwent PFT and high-resolution computed tomography, followed by 99mTc-IgG scan. They were followed up for one year. 99mTc-IgG scan assessment of IgG uptake was accomplished both qualitatively (subjectively) and semiquantitatively. All eight ILD patients demonstrated a strong increase in 99mTc-IgG uptake in the lungs, compared to the control patients. The 99mTc-IgG scan scores were higher in the patient group (0.64[95% confidence interval(CI)=0.61-0.69])) than the control group (0.35 (0.35[95% CI=0.28-0.40]), (P<0.05)). In patients, a statistically significant positive correlation was detected between 99mTc-IgG scan and HRCT scores (Spearman’s correlation coefficient = 0.92, P < 0.008). The 99mTc-Human Immunoglobulin (HIG) scores were not significantly correlated with PFT findings (including FVC, FEV1, FEV1/FVC), O 2 saturation and age (P values > 0.05). There were no significant correlations between 99mTc-IgG score and HRCT patterns including ground glass opacity, reticular fibrosis and honeycombing (P value > 0.05). The present results confirmed that 99mTc-IgG scan could be applied to detect the severity of pulmonary involvement, which was well correlated with HRCT findings. This data also showed that the 99mTc-IgG scan might be used as a complement to HRCT in the functional evaluation of the clinical status in ILD; however, further studies are

  2. Preliminary Study of Neurodevelopmental Outcomes and Parenting Stress in Pediatric Mitochondrial Disease.

    Science.gov (United States)

    Eom, Soyong; Lee, Young-Mock

    2017-06-01

    Little is known regarding the neuropsychological profiles of pediatric patients with mitochondrial diseases or their parents, information that is crucial for improving the quality of life (QOL) for both patients and parents. We aimed to delineate neurodevelopment and psychological comorbidity in children with mitochondrial diseases in the preliminary investigation of adequate intervention methods, better prognoses, and improved QOL for both patients and parents. Seventy children diagnosed with mitochondrial diseases were neuropsychologically evaluated. Neurocognitive (development, intelligence) and psychological (behavior, daily living function, maternal depression, parenting stress) functions were analyzed. Clinical variables, including the first symptom, epileptic classification, organ involvement, lactic acidosis, brain magnetic resonance imaging findings, muscle pathology, biochemical enzyme assay results, and syndromic diagnosis of mitochondrial diseases, were also reviewed. Prediagnostic assessments indicated that cognitive and psychomotor developments were significantly delayed. Group mean full scale intelligence quotient (IQ) scores indicated mild levels of intellectual disability, borderline levels of verbal IQ impairment, and mild levels of intellectual disability on performance IQ. Many children exhibited clinically significant levels of behavioral problems, whereas mothers of children with mitochondrial diseases exhibited significant increases in parenting stress relative to mothers of healthy children. Furthermore, 65% of mothers exhibited significant levels of depression. Early onset of the first symptoms, diffuse brain atrophy, and drug-resistant epilepsy negatively influenced neurodevelopmental and adaptive functions. Better understanding of the functional levels and profiles of neurodevelopment and psychological comorbidity in children with mitochondrial diseases in the prediagnostic period is essential for adequate support and QOL of children with

  3. Preliminary psycometric assessment of the Brazilian version of the DISABKIDS Atopic Dermatitis Module.

    Science.gov (United States)

    Deon, Keila Cristiane; Santos, Danielle Maria de Souza Sério dos; Bullinger, Monika; Santos, Claudia Benedita dos

    2011-12-01

    To assess preliminary psychometric properties of the Brazilian Portuguese version of a questionnaire for measuring health-related quality of life in children and adolescents with atopic dermatitis. Cross-sectional study with a sample consisting of 52 children and adolescents aged 8 to 18 diagnosed with atopic dermatitis, and their parents or caregivers, selected at the dermatology department of a university hospital in the city of São Paulo, Southeast Brazil, in 2009. Construct validity, internal consistency and agreement between the responses of children and adolescents and their parents or caregivers were assessed in the Brazilian Portuguese version of the DISABKIDS-Atopic Dermatitis Module (ADM). Adequate internal consistency was found with Cronbach's alpha coefficients of 0.7024/0.8124 and 0.7239/0.8604. The multitrait multimethod analysis for assessing convergent validity showed measures higher than 0.30 for all items. The analysis showed good discriminant validity. Agreement between child self-report and parent proxy-report was evaluated using intra-class correlation with measures impact and social stigma of disease of 0.8173 and 0.7629, respectively. The study results showed that the DISABKIDS-ADM can be used by Brazilian researchers after its complete validation as it showed adequate preliminary psychometric properties and can be considered a valid, reliable instrument.

  4. Wind power in Eritrea, Africa: A preliminary resource assessment

    Energy Technology Data Exchange (ETDEWEB)

    Garbesi, K.; Rosen, K. [San Jose State Univ., CA (United States); Van Buskirk, R. [Dept. of Energy, Eritrea (Ethiopia)

    1997-12-31

    The authors preliminary assessment of Eritrean wind energy potential identified two promising regions: (1) the southeastern Red Sea coast and (2) the mountain passes that channel winds between the coastal lowlands and the interior highlands. The coastal site, near the port city of Aseb, has an exceptionally good resource, with estimated average annual wind speeds at 10-m height above 9 m/s at the airport and 7 m/s in the port. Furthermore, the southern 200 km of coastline has offshore WS{sub aa} > 6 m/s. This area has strong potential for development, having a local 20 MW grid and unmet demand for the fishing industry and development. Although the highland sites contain only marginal wind resources ({approximately} 5 m/s), they warrant further investigation because of their proximity to the capital city, Asmera, which has the largest unmet demand and a larger power grid (40 MW with an additional 80 MW planned) to absorb an intermittent source without storage.

  5. Preliminary Assessment of the Flow of Used Electronics, In ...

    Science.gov (United States)

    Electronic waste (e-waste) is the largest growing municipal waste stream in the United States. The improper disposal of e-waste has environmental, economic, and social impacts, thus there is a need for sustainable stewardship of electronics. EPA/ORD has been working to improve our understanding of the quantity and flow of electronic devices from initial purchase to final disposition. Understanding the pathways of used electronics from the consumer to their final disposition would provide insight to decision makers about their impacts and support efforts to encourage improvements in policy, technology, and beneficial use. This report is the first stage of study of EPA/ORD's efforts to understand the flows of used electronics and e-waste by reviewing the regulatory programs for the selected states and identifying the key lessons learned and best practices that have emerged since their inception. Additionally, a proof-of-concept e-waste flow model has been developed to provide estimates of the quantity of e-waste generated annually at the national level, as well as for selected states. This report documents a preliminary assessment of available data and development of the model that can be used as a starting point to estimate domestic flows of used electronics from generation, to collection and reuse, to final disposition. The electronics waste flow model can estimate the amount of electronic products entering the EOL management phase based on unit sales dat

  6. Preliminary Groundwater Assessment using Electrical Method at Quaternary Deposits Area

    Science.gov (United States)

    Hazreek, Z. A. M.; Raqib, A. G. A.; Aziman, M.; Azhar, A. T. S.; Khaidir, A. T. M.; Fairus, Y. M.; Rosli, S.; Fakhrurrazi, I. M.; Izzaty, R. A.

    2017-08-01

    Alternative water sources using groundwater has increasingly demand in recent years. In the past, proper and systematic study of groundwater potential was varies due to several constraints. Conventionally, tube well point was drilled based on subjective judgment of several parties which may lead to the uncertainties of the project success. Hence, this study performed an electrical method to investigate the groundwater potential at quaternary deposits area particularly using resistivity and induced polarization technique. Electrical method was performed using ABEM SAS4000 equipment based on pole dipole array and 2.5 m electrode spacing. Resistivity raw data was analyzed using RES2DINV software. It was found that groundwater was able to be detected based on resistivity and chargeability values which varied at 10 - 100 Ωm and 0 - 1 ms respectively. Moreover, suitable location of tube well was able to be proposed which located at 80 m from the first survey electrode in west direction. Verification of both electrical results with established references has shown some good agreement thus able to convince the result reliability. Hence, the establishment of electrical method in preliminary groundwater assessment was able to assist several parties in term groundwater prospective at study area which efficient in term of cost, time, data coverage and sustainability.

  7. Occupational exposure assessment in a radioactive facility: a preliminary evaluation

    International Nuclear Information System (INIS)

    Alves, Alice dos Santos; Gerulis, Eduardo; Sanches, Matias P.; Carneiro, Janete C.G.G.

    2013-01-01

    The risk that a worker has found on the job is a function of the hazards present and his exposure level to those hazards. Exposure and risk assessment is therefore the heart of all occupational health and industrial hygiene programs involving a continuous process of information gathering. The use of a systematic method to characterize workplace exposures to chemical, physical and biological risks is a fundamental part of this process. This study aims to carry out a preliminary evaluation in a radioactive facility, identifying potential exposures and consequently the existing occupational hazards (risk/agent) in the workplace which the employee is subject. The study is based on proposal to carry out a basic characterization of the facility, which could be the first step in the investigation of occupational exposure. For this study was essential to know the workplace, potential risks and agents; workforce profile including assignment of tasks, sources of exposure processes, and control measures. The main tool used in this study was based on references, records, standards, procedures, interviews with the workers and with management. Since the basic characterization of the facility has been carried out, consequently the potential exposure to the agents of risks to workers has been identified. The study provided an overview of the perception of risk founded at facility studied. It is expected to contribute with the occupational health program resources for welfare of the worker. (author)

  8. Waste to biodiesel: A preliminary assessment for Saudi Arabia.

    Science.gov (United States)

    Rehan, M; Gardy, J; Demirbas, A; Rashid, U; Budzianowski, W M; Pant, Deepak; Nizami, A S

    2018-02-01

    This study presents a preliminary assessment of biodiesel production from waste sources available in the Kingdom of Saudi Arabia (KSA) for energy generation and solution for waste disposal issues. A case study was developed under three different scenarios: (S1) KSA population only in 2017, (S2) KSA population and pilgrims in 2017, and (S3) KSA population and pilgrims by 2030 using the fat fraction of the municipal solid waste. It was estimated that S1, S2, and S3 scenarios could produce around 1.08, 1.10 and 1.41 million tons of biodiesel with the energy potential of 43423, 43949 and 56493 TJ respectively. Furthermore, annual savings of US $55.89, 56.56 and 72.71 million can be generated from landfill diversion of food waste and added to the country's economy. However, there are challenges in commercialization of waste to biodiesel facilities in KSA, including waste collection and separation, impurities, reactor design and biodiesel quality. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Occupational exposure assessment in a radioactive facility: a preliminary evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Alves, Alice dos Santos; Gerulis, Eduardo; Sanches, Matias P.; Carneiro, Janete C.G.G., E-mail: alicesante@hotmail.com [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2013-07-01

    The risk that a worker has found on the job is a function of the hazards present and his exposure level to those hazards. Exposure and risk assessment is therefore the heart of all occupational health and industrial hygiene programs involving a continuous process of information gathering. The use of a systematic method to characterize workplace exposures to chemical, physical and biological risks is a fundamental part of this process. This study aims to carry out a preliminary evaluation in a radioactive facility, identifying potential exposures and consequently the existing occupational hazards (risk/agent) in the workplace which the employee is subject. The study is based on proposal to carry out a basic characterization of the facility, which could be the first step in the investigation of occupational exposure. For this study was essential to know the workplace, potential risks and agents; workforce profile including assignment of tasks, sources of exposure processes, and control measures. The main tool used in this study was based on references, records, standards, procedures, interviews with the workers and with management. Since the basic characterization of the facility has been carried out, consequently the potential exposure to the agents of risks to workers has been identified. The study provided an overview of the perception of risk founded at facility studied. It is expected to contribute with the occupational health program resources for welfare of the worker. (author)

  10. Preliminary biogeochemical assessment of EPICA LGM and Holocene ice samples

    Science.gov (United States)

    Bulat, S.; Alekhina, I.; Marie, D.; Wagenbach, D.; Raynaud, D.; Petit, J. R.

    2009-04-01

    weak signals were possible to generate which are now under cloning. The signals were hard to reproduce because of rather low volume of samples. More ice volume is needed to get the biosignal stronger and reproducible. Meantime we are adjusting PCR and in addition testing DNA repair-enzyme cocktail in case of DNA damage. As a preliminary conclusion we would like to highlight the following. Both Holocene and LGM ice samples (EDC99 and EDML) are very clean in terms of Ultra low biomass and Ultra low DOC content. The most basal ice of EDC and EDML ice cores could help in assessing microbial biomass and diversity if present under the glacier at the ice-bedrock boundary. * The present-day consortium includes S. Bulat, I. Alekhina, P. Normand, D. Prieur, J-R. Petit and D. Raynaud (France) and E. Willerslev and J.P. Steffensen (Denmark)

  11. New method of scoliosis assessment: preliminary results using computerized photogrammetry.

    Science.gov (United States)

    Aroeira, Rozilene Maria Cota; Leal, Jefferson Soares; de Melo Pertence, Antônio Eustáquio

    2011-09-01

    A new method for nonradiographic evaluation of scoliosis was independently compared with the Cobb radiographic method, for the quantification of scoliotic curvature. To develop a protocol for computerized photogrammetry, as a nonradiographic method, for the quantification of scoliosis, and to mathematically relate this proposed method with the Cobb radiographic method. Repeated exposure to radiation of children can be harmful to their health. Nevertheless, no nonradiographic method until now proposed has gained popularity as a routine method for evaluation, mainly due to a low correspondence to the Cobb radiographic method. Patients undergoing standing posteroanterior full-length spine radiographs, who were willing to participate in this study, were submitted to dorsal digital photography in the orthostatic position with special surface markers over the spinous process, specifically the vertebrae C7 to L5. The radiographic and photographic images were sent separately for independent analysis to two examiners, trained in quantification of scoliosis for the types of images received. The scoliosis curvature angles obtained through computerized photogrammetry (the new method) were compared to those obtained through the Cobb radiographic method. Sixteen individuals were evaluated (14 female and 2 male). All presented idiopathic scoliosis, and were between 21.4 ± 6.1 years of age; 52.9 ± 5.8 kg in weight; 1.63 ± 0.05 m in height, with a body mass index of 19.8 ± 0.2. There was no statistically significant difference between the scoliosis angle measurements obtained in the comparative analysis of both methods, and a mathematical relationship was formulated between both methods. The preliminary results presented demonstrate equivalence between the two methods. More studies are needed to firmly assess the potential of this new method as a coadjuvant tool in the routine following of scoliosis treatment.

  12. Radionuclide assessment of Gaucher's disease

    International Nuclear Information System (INIS)

    Cheng, T.H.; Holman, B.L.

    1978-01-01

    Gaucher's disease involves multiple organs and may present with variable severity. The scintigraphic appearance of the reticuloendothelial system and bone are described in three patients with Gaucher's disease. Scintigraphic abnormalities reflected the severity of organ involvement and correlated well with the patients' clinical status. Scintigraphy appears useful for the evaluation and followup of patients with Gaucher's disease

  13. Pattern of Childhood Renal Diseases in Jos, Nigeria: A Preliminary ...

    African Journals Online (AJOL)

    %), urinary tract infection (11.6%), nephroblastoma (7.2%), hemolytic uremic syndrome (5.3%) and polycystic kidney disease (1.5%). The commonest complication of AGN was hypertensive encephalopathy. Chronic glomerulonephritis was the ...

  14. Preliminary assessment of risk of ozone impacts to maize (Zea mays) in Southern Africa

    CSIR Research Space (South Africa)

    Van Tienhoven, AM

    2006-03-01

    Full Text Available Surface ozone concentrations in southern Africa exceed air quality guidelines set to protect agricultural crops. This paper addresses a knowledge gap by performing a preliminary assessment of potential ozone impacts on vegetation in southern African...

  15. Preliminary report of the Hepatic Encephalopathy Assessment Driving Simulator (HEADS) score.

    Science.gov (United States)

    Baskin-Bey, Edwina S; Stewart, Charmaine A; Mitchell, Mary M; Bida, John P; Rosenthal, Theodore J; Nyberg, Scott L

    2008-01-01

    Audiovisual simulations of real-life driving (ie, driving simulators) have been used to assess neurologic dysfunction in a variety of medical applications. However, the use of simulated driving to assess neurologic impairment in the setting of liver disease (ie, hepatic encephalopathy) is limited. The aim of this analysis was to develop a scoring system based on simulated driving performance to assess mild cognitive impairment in cirrhotic patients with hepatic encephalopathy. This preliminary analysis was conducted as part of the Hepatic Encephalopathy Assessment Driving Simulator (HEADS) pilot study. Cirrhotic volunteers initially underwent a battery of neuropsychological tests to identify those cirrhotic patients with mild cognitive impairment. Performance during an audiovisually simulated course of on-road driving was then compared between mildly impaired cirrhotic patients and healthy volunteers. A scoring system was developed to quantify the likelihood of cognitive impairment on the basis of data from the simulated on-road driving. Mildly impaired cirrhotic patients performed below the level of healthy volunteers on the driving simulator. Univariate logistic regression and correlation models indicated that several driving simulator variables were significant predictors of cognitive impairment. Five variables (run time, total map performance, number of collisions, visual divided attention response, and average lane position) were incorporated into a quantitative model, the HEADS scoring system. The HEADS score (0-9 points) showed a strong correlation with cognitive impairment as measured by area under the receiver-operator curve (.89). The HEADS system appears to be a promising new tool for the assessment of mild hepatic encephalopathy.

  16. A preliminary diffusional kurtosis imaging study of Parkinson disease: comparison with conventional diffusion tensor imaging

    Energy Technology Data Exchange (ETDEWEB)

    Kamagata, Koji; Kamiya, Kouhei; Suzuki, Michimasa; Hori, Masaaki; Yoshida, Mariko; Aoki, Shigeki [Juntendo University School of Medicine, Department of Radiology, Bunkyo-ku, Tokyo (Japan); Tomiyama, Hiroyuki; Hatano, Taku; Motoi, Yumiko; Hattori, Nobutaka [Juntendo University School of Medicine, Department of Neurology, Tokyo (Japan); Abe, Osamu [Nihon University School of Medicine, Department of Radiology, Tokyo (Japan); Shimoji, Keigo [National Center of Neurology and Psychiatry Hospital, Department of Radiology, Tokyo (Japan)

    2014-03-15

    Diffusional kurtosis imaging (DKI) is a more sensitive technique than conventional diffusion tensor imaging (DTI) for assessing tissue microstructure. In particular, it quantifies the microstructural integrity of white matter, even in the presence of crossing fibers. The aim of this preliminary study was to compare how DKI and DTI show white matter alterations in Parkinson disease (PD). DKI scans were obtained with a 3-T magnetic resonance imager from 12 patients with PD and 10 healthy controls matched by age and sex. Tract-based spatial statistics were used to compare the mean kurtosis (MK), mean diffusivity (MD), and fractional anisotropy (FA) maps of the PD patient group and the control group. In addition, a region-of-interest analysis was performed for the area of the posterior corona radiata and superior longitudinal fasciculus (SLF) fiber crossing. FA values in the frontal white matter were significantly lower in PD patients than in healthy controls. Reductions in MK occurred more extensively throughout the brain: in addition to frontal white matter, MK was lower in the parietal, occipital, and right temporal white matter. The MK value of the area of the posterior corona radiata and SLF fiber crossing was also lower in the PD group. DKI detects changes in the cerebral white matter of PD patients more sensitively than conventional DTI. In addition, DKI is useful for evaluating crossing fibers. By providing a sensitive index of brain pathology in PD, DKI may enable improved monitoring of disease progression. (orig.)

  17. A preliminary assessment of the potential risks from electrical ...

    African Journals Online (AJOL)

    ... Grey-crowned Crane Balearica regulorum, Lesser Flamingo Phoeniconaias minor, White-backed Vulture Gyps africanus, Rüppell's Vulture Gyps rueppellii, Martial Eagle Polemaetus bellicosus, White Stork Ciconia ciconia, Secretarybird Sagittarius serpentarius, and various sit-and-wait raptors. These preliminary findings ...

  18. Minimal Residual Disease Assessment in Lymphoma: Methods and Applications.

    Science.gov (United States)

    Herrera, Alex F; Armand, Philippe

    2017-12-01

    Standard methods for disease response assessment in patients with lymphoma, including positron emission tomography and computed tomography scans, are imperfect. In other hematologic malignancies, particularly leukemias, the ability to detect minimal residual disease (MRD) is increasingly influencing treatment paradigms. However, in many subtypes of lymphoma, the application of MRD assessment techniques, like flow cytometry or polymerase chain reaction-based methods, has been challenging because of the absence of readily detected circulating disease or canonic chromosomal translocations. Newer MRD detection methods that use next-generation sequencing have yielded promising results in a number of lymphoma subtypes, fueling the hope that MRD detection may soon be applicable in clinical practice for most patients with lymphoma. MRD assessment can provide real-time information about tumor burden and response to therapy, noninvasive genomic profiling, and monitoring of clonal dynamics, allowing for many possible applications that could significantly affect the care of patients with lymphoma. Further validation of MRD assessment methods, including the incorporation of MRD assessment into clinical trials in patients with lymphoma, will be critical to determine how best to deploy MRD testing in routine practice and whether MRD assessment can ultimately bring us closer to the goal of personalized lymphoma care. In this review article, we describe the methods available for detecting MRD in patients with lymphoma and their relative advantages and disadvantages. We discuss preliminary results supporting the potential applications for MRD testing in the care of patients with lymphoma and strategies for including MRD assessment in lymphoma clinical trials.

  19. Minimal disease activity for rheumatoid arthritis: a preliminary definition

    NARCIS (Netherlands)

    Wells, George A.; Boers, Maarten; Shea, Beverley; Brooks, Peter M.; Simon, Lee S.; Strand, C. Vibeke; Aletaha, Daniel; Anderson, Jennifer J.; Bombardier, Claire; Dougados, Maxime; Emery, Paul; Felson, David T.; Fransen, Jaap; Furst, Dan E.; Hazes, Johanna M. W.; Johnson, Kent R.; Kirwan, John R.; Landewé, Robert B. M.; Lassere, Marissa N. D.; Michaud, Kaleb; Suarez-Almazor, Maria; Silman, Alan J.; Smolen, Josef S.; van der Heijde, Desiree M. F. M.; van Riel, Piet L. C. M.; Wolfe, Fred; Tugwell, Peter S.

    2005-01-01

    Agreement on response criteria in rheumatoid arthritis (RA) has allowed better standardization and interpretation of clinical trial reports. With recent advances in therapy, the proportion of patients achieving a satisfactory state of minimal disease activity (MDA) is becoming a more important

  20. Minimal disease activity for rheumatoid arthritis: a preliminary definition.

    NARCIS (Netherlands)

    Wells, G.A.; Boers, M.; Shea, B.; Brooks, P.M.; Simon, L.S.; Strand, C.V.; Aletaha, D.; Anderson, J.; Bombardier, C.; Dougados, M.; Emery, P.; Felson, D.T.; Fransen, J.; Furst, D.E.; Hazes, J.M.W.; Johnson, K.; Kirwan, J.; Landewe, R.B.; Lassere, M.N.; Michaud, K.; Suarez-Almazor, M.; Silman, A.J.; Smolen, J.S.; Heijde, D.M.F.M. van der; Riel, P.L.C.M. van; Wolfe, F.; Tugwell, P.S.

    2005-01-01

    Agreement on response criteria in rheumatoid arthritis (RA) has allowed better standardization and interpretation of clinical trial reports. With recent advances in therapy, the proportion of patients achieving a satisfactory state of minimal disease activity (MDA) is becoming a more important

  1. Pattern of breast diseases: preliminary report of breast clinic

    International Nuclear Information System (INIS)

    Siddiqui, K.; Rasool, I.

    2001-01-01

    Objective: To find out the pattern of breast disease in this part of the county and create public awareness about breast diseases especially cancer. Design: Ac cross sectional and cohort study. Place and Duration of Study: The study was conducted at Department of Surgery, Jinnah Hospital /Allama Iqbal Medical College, Lahore from March 1999 to July 2000. Subjects and Methods: All the female patients reported were included in this study. They were diagnosed by history, physical examination and rel event investigations like ultrasonography, mammography, FNAS and biopsy. Appropriate medical and surgical management was carried out. The breast cancer was treated according to TNA staging system by multidisciplinary approach. Method of breast self examination (BSE) was taught with the help of charts and brochures. Results: The age ranged from 10 years to 75 years. Maximum number of patients (30%) was seen between 20-29 years of age while 15 (1%) cases did not suffer from any disease. Among 1485 patients the common conditions were non cyclical mastalgia in 362 (24.37%), fibroadenoma in 289 (19.46%), fibrocystic disease in 276(17.98%) breast abscess in 149 (10%) and breast cancer (6.19%). Other diseases were puberty mastitis 49(3.2%), galactocele 40(2.69%), accessory breast 45(3%) and nipple discharge 28(1.88%). Among the palpable lumps, breast caner accounted for 11.75%. The commonest age of presentation of breast cancer was 5th decade (31%) followed by 4th decade (26%). Majority of cancer patients (45%) presented in stage III. All the women with beast abscesses were lactating. Non cyclical mastalgia was commonly seen in 4th decade (30.66%) while 44.63% patients of fibroadenoma reported in the 2nd decade. Fibrocystic disease was reported between 3rd and 4th decade (62.17%). Conclusion: Commonest being conditions were non cyclical mastalgia followed by fibroadenoma while breast cancer contributed a significant percentage of palpable lumps. Due to effective public awareness

  2. Involution of categorical thinking processes in Alzheimer's disease: Preliminary results

    Directory of Open Access Journals (Sweden)

    Claudia Berlim de Mello

    Full Text Available Abstract Alzheimer's disease (AD is a degenerative brain disorder characterized by progressive losses in cognitive functions, including memory. The sequence of these losses may correspond to the inverse order of the normal sequence of ontogenetic cognitive acquisitions, a process named retrogenesis. One of the acquisitions that improve in normal development is the ability to retrieve previously acquired categorical knowledge from semantic memory in order to guide associative thinking and memory processes; consequently, children become able to associate verbal stimuli in more complex taxonomic ways and to use this knowledge to improve their recall. Objective: In this study, we investigated if AD-related deterioration of semantic memory involves a decrease in categorical thinking processes with progression of the disease, according to the retrogenesis hypothesis. Methods: We compared the performance of AD patients at mild and moderate stages, and of groups of 7, 10 and 14-year-old children in tasks of free association along with recall tasks of perceptually and semantically related stimuli. Results: ANOVAS showed a decrease in taxonomic associations and an increase in diffuse associations between mild and moderate stages, corresponding to the inverse order shown by the child groups. At the moderate AD stage, the pattern was similar to that of 7-year-old children. Both groups of patients performed worse than child groups in recall tasks. Conclusions: These results corroborate the hypothesis of an involution of the processes of categorical associative thinking in the course of the disease.

  3. Ethical Values and Biological Diversity: A Preliminary Assessment Approach

    Directory of Open Access Journals (Sweden)

    Joel I. Cohen

    2014-10-01

    Full Text Available There have been five major extinction events over geological time. However, the current rate of extinction or reduction of species and their habitats is directly related to anthropomorphic causes. For seventh grade students, biodiversity and its ethical considerations were introduced in a life sciences curriculum, following lessons on evolution, natural selection, and decent from common ancestry. This paper takes a preliminary look at the approach used in this unit, the ethical survey developed, and improvements to be made in subsequent years.

  4. Metabolomics diagnostic approach to mustard airway diseases: a preliminary study

    Directory of Open Access Journals (Sweden)

    BiBi Fatemeh Nobakht Mothlagh Ghoochani

    2018-01-01

    Full Text Available Objective(s: This study aims to evaluate combined proton nuclear magnetic resonance (1H NMR spectroscopy and gas chromatography-mass spectrometry (GC-MS metabolic profiling approaches, for discriminating between mustard airway diseases (MADs and healthy controls and for providing biochemical information on this disease. Materials and Methods: In the present study, analysis of serum samples collected from 17 MAD subjects and 12 healthy controls was performed using NMR. Of these subjects, 14 (8 patients and 6 controls were analyzed by GC-MS. Then, their spectral profiles were subjected to principal component analysis (PCA and orthogonal partial least squares regression discriminant analysis (OPLS-DA. Results: A panel of twenty eight metabolite biomarkers was generated for MADs, sixteen  NMR-derived metabolites (3-methyl-2-oxovaleric acid, 3-hydroxyisobutyrate, lactic acid, lysine, glutamic acid, proline, hydroxyproline, dimethylamine, creatine, citrulline, choline, acetic acid, acetoacetate, cholesterol, alanine, and lipid (mainly VLDL and twelve GC-MS-derived metabolites (threonine, phenylalanine, citric acid, myristic acid, pentadecanoic acid, tyrosine, arachidonic acid, lactic acid, propionic acid, 3-hydroxybutyric acid, linoleic acid, and oleic acid. This composite biomarker panel could effectively discriminate MAD subjects from healthy controls, achieving an area under receiver operating characteristic curve (AUC values of 1 and 0.79 for NMR and GC-MS, respectively. Conclusion: In the present study, a robust panel of twenty-eight biomarkers for detecting MADs was established. This panel is involved in three metabolic pathways including aminoacyl-tRNA biosynthesis, arginine, and proline metabolism, and synthesis and degradation of ketone bodies, and could differentiate MAD subjects from healthy controls with a higher accuracy.

  5. Paraconsistent artificial neural networks and Alzheimer disease: A preliminary study

    Directory of Open Access Journals (Sweden)

    Jair Minoro Abe

    Full Text Available Abstract EEG visual analysis has proved useful in aiding AD diagnosis, being indicated in some clinical protocols. However, such analysis is subject to the inherent imprecision of equipment, patient movements, electric registers, and individual variability of physician visual analysis. Objectives: To employ the Paraconsistent Artificial Neural Network to ascertain how to determine the degree of certainty of probable dementia diagnosis. Methods: Ten EEG records from patients with probable Alzheimer disease and ten controls were obtained during the awake state at rest. An EEG background between 8 Hz and 12 Hz was considered the normal pattern for patients, allowing a variance of 0.5 Hz. Results: The PANN was capable of accurately recognizing waves belonging to Alpha band with favorable evidence of 0.30 and contrary evidence of 0.19, while for waves not belonging to the Alpha pattern, an average favorable evidence of 0.19 and contrary evidence of 0.32 was obtained, indicating that PANN was efficient in recognizing Alpha waves in 80% of the cases evaluated in this study. Artificial Neural Networks - ANN - are well suited to tackle problems such as prediction and pattern recognition. The aim of this work was to recognize predetermined EEG patterns by using a new class of ANN, namely the Paraconsistent Artificial Neural Network - PANN, which is capable of handling uncertain, inconsistent and paracomplete information. An architecture is presented to serve as an auxiliary method in diagnosing Alzheimer disease. Conclusions: We believe the results show PANN to be a promising tool to handle EEG analysis, bearing in mind two considerations: the growing interest of experts in visual analysis of EEG, and the ability of PANN to deal directly with imprecise, inconsistent, and paracomplete data, thereby providing a valuable quantitative analysis.

  6. Preliminary performance assessment for the Waste Isolation Pilot Plant, December 1992

    International Nuclear Information System (INIS)

    1992-01-01

    This volume documents model parameters chosen as of July 1992 that were used by the Performance Assessment Department of Sandia National Laboratories in its 1992 preliminary performance assessment of the Waste Isolation Pilot Plant (WIPP). Ranges and distributions for about 300 modeling parameters in the current secondary data base are presented in tables for the geologic and engineered barriers, global materials (e.g., fluid properties), and agents that act upon the WIPP disposal system such as climate variability and human-intrusion boreholes. The 49 parameters sampled in the 1992 Preliminary Performance Assessment are given special emphasis with tables and graphics that provide insight and sources of data for each parameter

  7. Gastroesophageal reflux disease in patients with diabetes: preliminary study.

    Science.gov (United States)

    Fujiwara, Mariko; Miwa, Takashi; Kawai, Takashi; Odawara, Masato

    2015-03-01

    Some studies report that complications of gastroesophageal reflux disease (GERD) occur more frequently in patients with diabetes mellitus (DM) than in non-diabetic patients. This study used transnasal endoscopy to elucidate the current status of concurrent GERD in patients with type 2 diabetes mellitus, and to examine the associations between intraesophageal pressure and GERD, as well as other neuropathic conditions. The study included 57 outpatients with type 2 diabetes mellitus. The mean age was 67 years and the duration of DM was 13 years. The mean hemoglobin A1c was 6.8%. Transnasal endoscopic evaluation items were (i) the presence or absence of esophagitis and its severity; (ii) intraesophageal pressure; and (iii) Helicobacter pylori status, which was evaluated by endoscopic findings, such as the presence or absence of gastritis and peptic ulcer, and by urea breath test. Of 57 patients, 24 (42.1%) were given a diagnosis of GERD based on endoscopy. Patients with concurrent GERD were younger, had shorter duration of DM, and were taller and heavier. Interestingly, no difference in body mass index was observed. There was no significant association between the presence of concurrent GERD and diabetic complications, including peripheral neuropathy, and infection or non-infection with H. pylori. Although there was no significant association between the presence of concurrent GERD and intraesophageal pressure values, we found aging, reduced estimated glomerular filtration rate, and the presence of autonomic nerve symptoms to correlate with reduced intraesophageal pressure. The results of this study could be used to answer the question of whether or not endoscopic GERD is a diabetic complication; however, further study is required. © 2015 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.

  8. Regenerative therapies for equine degenerative joint disease: a preliminary study.

    Directory of Open Access Journals (Sweden)

    Sarah Broeckx

    Full Text Available Degenerative joint disease (DJD is a major cause of reduced athletic function and retirement in equine performers. For this reason, regenerative therapies for DJD have gained increasing interest. Platelet-rich plasma (PRP and mesenchymal stem cells (MSCs were isolated from a 6-year-old donor horse. MSCs were either used in their native state or after chondrogenic induction. In an initial study, 20 horses with naturally occurring DJD in the fetlock joint were divided in 4 groups and injected with the following: 1 PRP; 2 MSCs; 3 MSCs and PRP; or 4 chondrogenic induced MSCs and PRP. The horses were then evaluated by means of a clinical scoring system after 6 weeks (T1, 12 weeks (T2, 6 months (T3 and 12 months (T4 post injection. In a second study, 30 horses with the same medical background were randomly assigned to one of the two combination therapies and evaluated at T1. The protein expression profile of native MSCs was found to be negative for major histocompatibility (MHC II and p63, low in MHC I and positive for Ki67, collagen type II (Col II and Vimentin. Chondrogenic induction resulted in increased mRNA expression of aggrecan, Col II and cartilage oligomeric matrix protein (COMP as well as in increased protein expression of p63 and glycosaminoglycan, but in decreased protein expression of Ki67. The combined use of PRP and MSCs significantly improved the functionality and sustainability of damaged joints from 6 weeks until 12 months after treatment, compared to PRP treatment alone. The highest short-term clinical evolution scores were obtained with chondrogenic induced MSCs and PRP. This study reports successful in vitro chondrogenic induction of equine MSCs. In vivo application of (induced MSCs together with PRP in horses suffering from DJD in the fetlock joint resulted in a significant clinical improvement until 12 months after treatment.

  9. 40 CFR 300.305 - Phase II-Preliminary assessment and initiation of action.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Phase II-Preliminary assessment and initiation of action. 300.305 Section 300.305 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... the OSC is informed of their activities in natural resource damage assessment that may affect response...

  10. Association of Tourette syndrome and obsessive-compulsive disorder with allergic diseases in children and adolescents: a preliminary study.

    Science.gov (United States)

    Yuce, M; Guner, S N; Karabekiroglu, K; Baykal, S; Kilic, M; Sancak, R; Karabekiroglu, A

    2014-01-01

    To investigate the rate of allergic diseases including asthma, allergic rhinitis and eczema in children and adolescents diagnosed with obsessive-compulsive disorder (OCD) (n:26) and/or Tourette syndrome (TS) (n:32) [OCD plus TS, n:13] compared to control subjects (n:35) [total, n:80]. The symptoms of any allergic disease were assessed using the ISAAC questionnaire form. Allergy diagnoses were made by a pediatric allergy specialist. Skin prick tests were applied, and IgE levels and eosinophil counts were measured. While only one-fifth of the control subjects had allergic diseases, more than half of the children with TS and/or OCD had comorbid allergic diseases. Positive skin prick tests were greater in OCD patients compared to control subjects. There were no significant differences between the groups in terms of eosinophil counts or IgE levels. Among the allergic diseases, while allergic rhinitis was diagnosed at significantly higher rates in TS patients, eczema was significantly higher in OCD patients compared to control subjects. This preliminary study shows an association between allergic diseases and TS and/or OCD. The results revealing differences in associations between types of allergic disease (rhinitis or eczema) and neuropsychiatric disorder (tic disorder or OCD) need to be investigated in further studies with higher numbers of participants, and immune markers should be examined.

  11. Preliminary radiological assessments of near-surface low-level radioactive waste repositories

    International Nuclear Information System (INIS)

    Sumerling, T.J.; Nancarrow, D.J.

    1988-08-01

    This report summarises preliminary assessments of post-closure radiological impact of LLW repositories at four sites previously under investigation by UK Nirex Ltd. The objectives of the assessments were: to demonstrate a methodology for site specific assessments, to identify important information requirements for detailed assessments; to identify methodological and research requirements. Doses and risks due to groundwater pathways, human intrusion, gaseous release and natural environmental change are estimated. (author)

  12. Preliminary assessment of beam impact consequences on LHC Collimators

    CERN Document Server

    Cauchi, M; Bertarelli, A; Bruce, R; Carra, F; Dallocchio, A; Deboy, D; Mariani, N; Rossi, A; Lari, L; Mollicone, P; Sammut, N

    2011-01-01

    The correct functioning of the LHC collimation system is crucial to attain the desired LHC luminosity performance. However, the requirements to handle high intensity beams can be demanding. In this respect, the robustness of the collimators plays an important role. An accident, which causes the proton beam to hit a collimator, might result in severe beam-induced damage and, in some cases, replacement of the collimator, with consequent downtime for the machine. In this paper, several case studies representing different realistic beam impact scenarios are shown. A preliminary analysis of the thermal response of tertiary collimators to beam impact is presented, from which the most critical cases can be identified. Such work will also help to give an initial insight on the operational constraints of the LHC by taking into account all relevant collimator damage limits.

  13. Preliminary environmental assessment for the Satellite Power System (SPS). Revision 1. Volume 2. Detailed assessment

    Energy Technology Data Exchange (ETDEWEB)

    1980-01-01

    The Department of Energy (DOE) is considering several options for generating electrical power to meet future energy needs. The satellite power system (SPS), one of these options, would collect solar energy through a system of satellites in space and transfer this energy to earth. A reference system has been described that would convert the energy to microwaves and transmit the microwave energy via directive antennas to large receiving/rectifying antennas (rectennas) located on the earth. At the rectennas, the microwave energy would be converted into electricity. The potential environmental impacts of constructing and operating the satellite power system are being assessed as a part of the Department of Energy's SPS Concept Development and Evaluation Program. This report is Revision I of the Preliminary Environmental Assessment for the Satellite Power System published in October 1978. It refines and extends the 1978 assessment and provides a basis for a 1980 revision that will guide and support DOE recommendations regarding future SPS development. This is Volume 2 of two volumes. It contains the technical detail suitable for peer review and integrates information appearing in documents referenced herein. The key environmental issues associated with the SPS concern human health and safety, ecosystems, climate, and electromagnetic systems interactions. In order to address these issues in an organized manner, five tasks are reported: (I) microwave-radiation health and ecological effects; (II) nonmicrowave health and ecological effectss; (III) atmospheric effects; (IV) effects on communication systems due to ionospheric disturbance; and (V) electromagnetic compatibility. (WHK)

  14. Preliminary report on hepatic and cardiovascular risk assessment of ...

    African Journals Online (AJOL)

    user

    2011-02-28

    Feb 28, 2011 ... not at greater risk of disruption of their plasma membrane ... supplementing soy protein with acetate generating amino acids. Nutr. Rep. Int. 40: ... Effects of fruits and vegetables on cardiovascular disease ris factors in non-.

  15. Preliminary seismic design cost-benefit assessment of the tuff repository waste-handling facilities

    International Nuclear Information System (INIS)

    Subramanian, C.V.; Abrahamson, N.; Hadjian, A.H.

    1989-02-01

    This report presents a preliminary assessment of the costs and benefits associated with changes in the seismic design basis of waste-handling facilities. The objectives of the study are to understand the capability of the current seismic design of the waste-handling facilities to mitigate seismic hazards, evaluate how different design levels and design measures might be used toward mitigating seismic hazards, assess the costs and benefits of alternative seismic design levels, and develop recommendations for possible modifications to the seismic design basis. This preliminary assessment is based primarily on expert judgment solicited in an interdisciplinary workshop environment. The estimated costs for individual attributes and the assumptions underlying these cost estimates (seismic hazard levels, fragilities, radioactive-release scenarios, etc.) are subject to large uncertainties, which are generally identified but not treated explicitly in this preliminary analysis. The major conclusions of the report do not appear to be very sensitive to these uncertainties. 41 refs., 51 figs., 35 tabs

  16. Economic valuation of acidic deposition damages: Preliminary results from the 1985 NAPAP [National Acid Precipitation Assessment Program] damage assessment

    International Nuclear Information System (INIS)

    Callaway, J.M.; Darwin, R.F.; Nesse, R.J.

    1985-01-01

    This paper identifies methods used to evaluate the economic damages of acid deposition in the 1985 Damage Assessment being coordinated by the National Acid Precipitation Program. It also presents the preliminary estimates of economic damages for the Assessment. Economic damages are estimated for four effect areas: commercial agriculture and forests, recreational fishing and selected types of materials. In all but the last area, methods are used which incorporate the behavioral responses of individuals and firms or simulated physical damages to resources at risk. The preliminary nature of the estimated damages in each area is emphasized. Over all, the damage estimates should be interpreted with caution. 44 refs., 6 figs., 5 tabs

  17. Preliminary assessment report for Kent National Guard Facility (Installation 53065), 24410 Military Road, Kent, Washington

    International Nuclear Information System (INIS)

    Ketels, P.; Aggarwal, P.; Rose, C.M.

    1993-08-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Washington Army National Guard property in Kent, Washington. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment

  18. Preliminary risk benefit assessment for nuclear waste disposal in space

    Science.gov (United States)

    Rice, E. E.; Denning, R. S.; Friedlander, A. L.; Priest, C. C.

    1982-01-01

    This paper describes the recent work of the authors on the evaluation of health risk benefits of space disposal of nuclear waste. The paper describes a risk model approach that has been developed to estimate the non-recoverable, cumulative, expected radionuclide release to the earth's biosphere for different options of nuclear waste disposal in space. Risk estimates for the disposal of nuclear waste in a mined geologic repository and the short- and long-term risk estimates for space disposal were developed. The results showed that the preliminary estimates of space disposal risks are low, even with the estimated uncertainty bounds. If calculated release risks for mined geologic repositories remain as low as given by the U.S. DOE, and U.S. EPA requirements continue to be met, then no additional space disposal study effort in the U.S. is warranted at this time. If risks perceived by the public are significant in the acceptance of mined geologic repositories, then consideration of space disposal as a complement to the mined geologic repository is warranted.

  19. Twelve metropolitan carbon footprints. A preliminary comparative global assessment

    International Nuclear Information System (INIS)

    Sovacool, Benjamin K.; Brown, Marilyn A.

    2010-01-01

    A dearth of available data on carbon emissions and comparative analysis between metropolitan areas make it difficult to confirm or refute best practices and policies. To help provide benchmarks and expand our understanding of urban centers and climate change, this article offers a preliminary comparison of the carbon footprints of 12 metropolitan areas. It does this by examining emissions related to vehicles, energy used in buildings, industry, agriculture, and waste. The carbon emissions from these sources - discussed here as the metro area's partial carbon footprint - provide a foundation for identifying the pricing, land use, help metropolitan areas throughout the world respond to climate change. The article begins by exploring a sample of the existing literature on urban morphology and climate change and explaining the methodology used to calculate each area's carbon footprint. The article then depicts the specific carbon footprints for Beijing, Jakarta, London, Los Angeles, Manila, Mexico City, New Delhi, New York, Sao Paulo, Seoul, Singapore, and Tokyo and compares these to respective national averages. It concludes by offering suggestions for how city planners and policymakers can reduce the carbon footprint of these and possibly other large urban areas. (author)

  20. Total cardiovascular disease risk assessment: a review.

    LENUS (Irish Health Repository)

    Cooney, Marie Therese

    2011-09-01

    The high risk strategy for the prevention of cardiovascular disease (CVD) requires an assessment of an individual\\'s total CVD risk so that the most intensive risk factor management can be directed towards those at highest risk. Here we review developments in the assessment and estimation of total CVD risk.

  1. Music therapy assessment in school settings: a preliminary investigation.

    Science.gov (United States)

    Wilson, B L; Smith, D S

    2000-01-01

    The present investigation was undertaken in response to music therapists working in school settings for information relating to the availability of music therapy assessments and the feasibility of standardizing an assessment instrument for music therapists to use in school settings. Five research questions were identified, and the music therapy literature was surveyed to compile responses to those questions. Three different online data bases (ERIC, PsycINFO, and Article 1st) were used, covering articles published between 1980 and 1997. Individual hand searches were done of the Arts in Psychotherapy, Journal of Music Therapy, Journal of Research in Music Education, Journal of the International Association of Music for the Handicapped, Music Therapy and Music Therapy Perspectives. The questions and responses were as follows: 1. Which music-based assessment tools are being used with children with disabilities? Little commonality in assessment tools being used by music therapists and researchers was discovered. Of the total 41 studies, 20 (49%) reported using a "named" or "titled" assessment tool, and in the remaining 51% of studies, the authors reported using an untitled, and usually experimenter-designed, original assessment tool. 2. Have certain assessments been used in more than one study? Very limited replication of existing assessments was found. Of the 16 "named" assessments, only 3 were found to be used in more than one research study. 3. Are the actual assessments published along with the articles describing their use? Only 3 of the 20 studies using named assessments were published along with the journal article. Of the remaining 21 studies using original, experimenter-designed assessment tools, only 6 (28%) had the assessment instrument published with the article. 4. What is the primary purpose for using the assessment? Six primary purposes emerged from the review of the literature: to compare with data obtained from other assessment measures or from other

  2. Motor assessment in Parkinson`s disease.

    Science.gov (United States)

    Opara, Józef; Małecki, Andrzej; Małecka, Elżbieta; Socha, Teresa

    2017-09-21

    Parkinson's disease (PD) is one of most disabling disorders of the central nervous system. The motor symptoms of Parkinson's disease: shaking, rigidity, slowness of movement, postural instability and difficulty with walking and gait, are difficult to measure. When disease symptoms become more pronounced, the patient experiences difficulties with hand function and walking, and is prone to falls. Baseline motor impairment and cognitive impairment are probable predictors of more rapid motor decline and disability. An additional difficulty is the variability of the symptoms caused by adverse effects of drugs, especially levodopa. Motor assessment of Parkinson`s Disease can be divided into clinimetrics, assessment of balance and posture, arm and hand function, and gait/walking. These are many clinimetric scales used in Parkinson`s Disease, the most popular being the Hoehn and Yahr stages of progression of the disease and Unified Parkinson's Disease Rating Scale. Balance and posture can be assessed by clinimetric scales like the Berg BS, Tinetti, Brunel BA, and Timed Up and Go Test, or measured by posturometric platforms. Among skill tests, the best known are: the Purdue Pegboard Test, Nine-Hole Peg Test, Jebsen and Taylor test, Pig- Tail Test, Frenchay Arm Test, Action Research Arm Test, Wolf FMT and Finger-Tapping Test. Among motricity scales, the most popular are: the Fugl-Meyer Motor Assessment Scale and Södring Motor Evaluation. Gait and walking can also be assessed quantitatively and qualitatively. Recently, the most popular is three-dimensional analysis of movement. This review article presents the current possibilities of motor assessment in Parkinson`s disease.

  3. Preliminary investigation on reliability assessment of passive safety system

    International Nuclear Information System (INIS)

    Huang Changfan; Kuang Bo

    2012-01-01

    The reliability evaluation of passive safety system plays an important part in probabilistic safety assessment (PSA) of nuclear power plant applying passive safety design, which depends quantitatively on reliabilities of passive safety system. According to the object of reliability assessment of passive safety system, relevant parameters are identified. Then passive system behavior during accident scenarios are studied. A practical example of this method is given for the case of reliability assessment of AP1000 passive heat removal system in loss of normal feedwater accident. Key and design parameters of PRHRS are identified and functional failure criteria are established. Parameter combinations acquired by Latin hyper~ cube sampling (LHS) in possible parametric ranges are input and calculations of uncertainty propagation through RELAP5/MOD3 code are carried out. Based on the calculations, sensitivity assessment on PRHRS functional criteria and reliability evaluation of the system are presented, which might provide further PSA with PRHR system reliability. (authors)

  4. Preliminary Chemical and Biological Assessment of Ogbe Creek ...

    African Journals Online (AJOL)

    USER

    The study was aimed at assessing the quality of water from the Ogbe Creek ... indicated the impact of the perturbational stress on the organisms inhabiting the creek. ... experiences seasonal flooding which introduces a lot of detritus and ...

  5. Preliminary Assessment of Heavy Metal Pollution of Opa Reservoir, Ile

    African Journals Online (AJOL)

    big timmy

    Awolowo University (OAU), Ile-Ife, Nigeria, with a view to assessing its pollution level. ... Heavy metals are not biodegradable, but are assimilated .... samples were filtered (with Whatman filter paper. No 42) and ..... acidity,Water, Air Soil Pollut.

  6. Biocides Steering Group on human exposure assessment: a preliminary report.

    Science.gov (United States)

    van Hemmen, J J

    1999-06-30

    In a project granted by DG XI of the European Commission, it is attempted to collate experimental and theoretical data on human (workers and consumers) exposure assessment to biocidal products, and to outline the methodology for sampling and measurement. On the basis of the available evidence, approaches are presented for the exposure assessment to be used for estimation of risks in authorization procedures under the recently accepted Directive 98/8/EC. Gaps in knowledge are indicated, making it possible to study the issues involved in a comprehensive and cost-effective way. Some recommendations are given on how to best do this. The current project has been detailed in a final report.

  7. Assessment of Nano Cellulose from Peach Palm Residue as Potential Food Additive: Part II: Preliminary Studies.

    Science.gov (United States)

    Andrade, Dayanne Regina Mendes; Mendonça, Márcia Helena; Helm, Cristiane Vieira; Magalhães, Washington L E; de Muniz, Graciela Ines Bonzon; Kestur, Satyanarayana G

    2015-09-01

    High consumption of dietary fibers in the diet is related to the reduction of the risk of non-transmitting of chronic diseases, prevention of the constipation etc. Rich diets in dietary fibers promote beneficial effects for the metabolism. Considering the above and recognizing the multifaceted advantages of nano materials, there have been many attempts in recent times to use the nano materials in the food sector including as food additive. However, whenever new product for human and animal consumption is developed, it has to be tested for their effectiveness regarding improvement in the health of consumers, safety aspects and side effects. However, before it is tried with human beings, normally such materials would be assessed through biological tests on a living organism to understand its effect on health condition of the consumer. Accordingly, based on the authors' finding reported in a previous paper, this paper presents body weight, biochemical (glucose, cholesterol and lipid profile in blood, analysis of feces) and histological tests carried out with biomass based cellulose nano fibrils prepared by the authors for its possible use as food additive. Preliminary results of the study with mice have clearly brought out potential of these fibers for the said purpose.

  8. IRIS Toxicological Review of Hexabromocyclododecane (HBCD) (Preliminary Assessment Materials)

    Science.gov (United States)

    In March 2014, EPA released the draft literature searches and associated search strategies, evidence tables, and exposure response arrays for HBCD to obtain input from stakeholders and the public prior to developing the draft IRIS assessment. Specifically, EPA was interested in c...

  9. PRELIMINARY EXPOSURE ASSESSMENT FINDINGS FROM THE TAMPA ASTHMATIC CHILDREN'S STUDY

    Science.gov (United States)

    The Tampa Asthmatic Children's Study (TACS) was a pilot study that focused on developing and evaluating air pollution exposure assessment methods and participant recruiting tools. The four-week study was performed in October and November, 2003. The study involved repeated daily...

  10. Biocides Steering Group on human exposure assessment: A preliminary report

    NARCIS (Netherlands)

    Hemmen, J.J. van

    1999-01-01

    In a project granted by DG XI of the European Commission, it is attempted to collate experimental and theoretical data on human (workers and consumers) exposure assessment to biocidal products, and to outline the methodology for sampling and measurement. On the basis of the available evidence,

  11. Preliminary Performance Assessment for Disposal of APT and CLWR/TEF Wastes at SRS

    International Nuclear Information System (INIS)

    Wilhite, E.L.

    1998-01-01

    This section provides the descriptive information for understanding the analyses presented in this preliminary performance assessment. This section addresses the approach taken in the PA, provides a general description of the Savannah River Site E-Area low-level waste facility, and discusses the performance criteria used for evaluating performance

  12. 76 FR 52945 - Chlorpyrifos Registration Review; Preliminary Human Health Risk Assessment; Extension of Comment...

    Science.gov (United States)

    2011-08-24

    ... ENVIRONMENTAL PROTECTION AGENCY [EPA-HQ-OPP-2008-0850; FRL-8886-6] Chlorpyrifos Registration... chlorpyrifos registration review; preliminary human health risk assessment. This document extends the comment... . SUPPLEMENTARY INFORMATION: This document extends the public comment period for the chlorpyrifos reregistration...

  13. 78 FR 14540 - Chlorpyrifos Registration Review; Preliminary Volatilization Assessment; Extension of Comment Period

    Science.gov (United States)

    2013-03-06

    ... ENVIRONMENTAL PROTECTION AGENCY [EPA-HQ-OPP-2008-0850; FRL-9380-7] Chlorpyrifos Registration... Federal Register issue of February 6, 2013, concerning Chlorpyrifos Registration Review; Preliminary... volatilization assessment for the registration review of chlorpyrifos. EPA received requests from several...

  14. A preliminary assessment of the true morels (Morchella) in Newfoundland and Labrador

    Science.gov (United States)

    A preliminary assessment of true morels (Morchella) from Newfoundland and Labrador (NL) was obtained by using DNA sequence data from portions of three genes to identify 20 collections from Newfoundland and one from a remote location in Labrador. To place this work in a broader context, data on 25 co...

  15. Preliminary Options Assessment of Versatile Irradiation Test Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Sen, Ramazan Sonat [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2017-01-01

    The objective of this report is to summarize the work undertaken at INL from April 2016 to January 2017 and aimed at analyzing some options for designing and building a versatile test reactor; the scope of work was agreed upon with DOE-NE. Section 2 presents some results related to KNK II and PRISM Mod A. Section 3 presents some alternatives to the VCTR presented in [ ] as well as a neutronic parametric study to assess the minimum power requirement needed for a 235U metal fueled fast test reactor capable to generate a fast (>100 keV) flux of 4.0 x 1015 n /cm2-s at the test location. Section 4 presents some results regarding a fundamental characteristic of test reactors, namely displacement per atom (dpa) in test samples. Section 5 presents the INL assessment of the ANL fast test reactor design FASTER. Section 6 presents a summary.

  16. Preliminary assessment of factors influencing riverine fish communities in Massachusetts.

    Science.gov (United States)

    Armstrong, David S.; Richards, Todd A.; Brandt, Sara L.

    2010-01-01

    The U.S. Geological Survey, in cooperation with the Massachusetts Department of Conservation and Recreation (MDCR), Massachusetts Department of Environmental Protection (MDEP), and the Massachusetts Department of Fish and Game (MDFG), conducted a preliminary investigation of fish communities in small- to medium-sized Massachusetts streams. The objective of this investigation was to determine relations between fish-community characteristics and anthropogenic alteration, including flow alteration and impervious cover, relative to the effect of physical basin and land-cover (environmental) characteristics. Fish data were obtained for 756 fish-sampling sites from the Massachusetts Division of Fisheries and Wildlife fish-community database. A review of the literature was used to select a set of fish metrics responsive to flow alteration. Fish metrics tested include two fish-community metrics (fluvial-fish relative abundance and fluvial-fish species richness), and five indicator species metrics (relative abundance of brook trout, blacknose dace, fallfish, white sucker, and redfin pickerel). Streamflows were simulated for each fish-sampling site using the Sustainable Yield Estimator application (SYE). Daily streamflows and the SYE water-use database were used to determine a set of indicators of flow alteration, including percent alteration of August median flow, water-use intensity, and withdrawal and return-flow fraction. The contributing areas to the fish-sampling sites were delineated and used with a Geographic Information System (GIS) to determine a set of environmental characteristics, including elevation, basin slope, percent sand and gravel, percent wetland, and percent open water, and a set of anthropogenic-alteration variables, including impervious cover and dam density. Two analytical techniques, quantile regression and generalized linear modeling, were applied to determine the association between fish-response variables and the selected environmental and

  17. Preliminary assessment report for National Guard Training Center, Georgia Army National Guard, Fort Stewart, Georgia

    International Nuclear Information System (INIS)

    1993-07-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Georgia Army National Guard (GAARNG) facility near Hinesville, Georgia, known as the National Guard Training Center (NGTC). Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a priority basis for completing corrective actions (where necessary) in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining previous site activities, types and quantities of hazardous substances utilized, and potential pathways by which contamination could affect public health and the environment. The scope of this assessment is limited to the facilities and past activities contained within the NGTC. Preliminary assessment site score sheet information is also provided for the NGTC. However, this assessment report is intended to be read in conjunction with a previous IRP assessment of Fort Stewart completed in 1992 (USATHAMA 1992) and to provide comprehensive information on the NGTC area for incorporation with information contained in that previous assessment for the entirety of Fort Stewart

  18. A Preliminary Investigation of Dynamic Assessment With Native American Kindergartners.

    Science.gov (United States)

    Ukrainetz, Teresa A; Harpell, Stacey; Walsh, Chandra; Coyle, Catherine

    2000-04-01

    This study examined dynamic assessment as a lessbiased evaluation procedure for assessing the languagelearning ability of Native American children. Twenty-three Arapahoe/Shoshone kindergartners were identified as stronger (n = 15) or weaker (n = 8) language learners through teacher report and examiner classroom observation. Through a test-teach-test protocol, participants were briefly taught the principles of categorization. Participant responses to learning were measured in terms of an index of modifiability and post-test categorization scores. The modifiability index, determined during the teaching phase, was a combined score reflecting the child's learning strategies, such as ability to attend, plan, and self-regulate, and the child's responses to the learning situation. Post-test scores consisted of performance on expressive and receptive subtests from a standardized categorization test after partialling out pretest score differences. Effect sizes and confidence intervals were also determined. Group and individual results indicated that modifiability and post-test scores were significantly greater for stronger than for weaker language learners. The response to modifiability components was a better discriminator than was the learner strategies components. These results provide support for the further development of dynamic assessment as a valid measure of language learning ability in minority children.

  19. Preliminary impact assessment of effusive eruptions at Etna volcano

    Science.gov (United States)

    Cappello, Annalisa; Michaud-Dubuy, Audrey; Branca, Stefano; De Beni, Emanuela; Del Negro, Ciro

    2016-04-01

    Lava flows are a recurring and widespread form of volcanic activity that threaten people and property around the world. The growing demographic congestion around volcanic structures increases the potential risks and costs that lava flows represent, and leads to a pressing need for faster and more accurate assessment of lava flow impact. To fully evaluate potential effects and losses that an effusive eruption may cause to society, property and environment, it is necessary to consider the hazard, the distribution of the exposed elements at stake and the associated vulnerability. Lava flow hazard assessment is at an advanced state, whereas comprehensive vulnerability assessment is lacking. Cataloguing and analyzing volcanic impacts provide insight on likely societal and physical vulnerabilities during future eruptions. Here we quantify the lava flow impact of two past main effusive eruptions of Etna volcano: the 1669, which is the biggest and destructive flank eruption to have occurred on Etna in historical time, and the 1981, lasting only 6 days, but characterized by an intense eruptive dynamics. Different elements at stake are considered, including population, hospitals, critical facilities, buildings of historic value, industrial infrastructures, gas and electricity networks, railways, roads, footways and finally land use. All these elements were combined with the 1669 and 1981 lava flow fields to quantify the social damage and economic loss.

  20. Preliminary assessment of the controlled release of radionuclides from waste packages containing borosilicate waste glass

    International Nuclear Information System (INIS)

    Strachan, D.M.; McGrail, B.P.; Apted, M.J.; Engle, D.W.; Eslinger, P.W.

    1990-06-01

    The purpose of this report is to provide a preliminary assessment of the release-rate for an engineered barriers subsystem (EBS) containing waste packages of defense high-level waste borosilicate glass at geochemical and hydrological conditions similar to the those at Yucca Mountain. The relationship between the proposed Waste Acceptance Preliminary Specifications (WAPS) test of glass- dissolution rate and compliance with the NRC's release-rate criterion is also evaluated. Calculations are reported for three hierarchical levels: EBS analysis, waste-package analysis, and waste-glass analysis. The following conclusions identify those factors that most acutely affect the magnitude of, or uncertainty in, release-rate performance

  1. Nuclear waste repository in basalt: preliminary socioeconomic assessment

    International Nuclear Information System (INIS)

    Cluett, C.; Bolton, P.A.; Malhotra, S.; McStay, J.R.; Slingsby, J.A.

    1984-06-01

    This report was prepared as a part of the continuing site characterization activities for a proposed nuclear waste repository in basalt (NWRB) to be located on the Hanford Site near Richland, Washington. The purpose of this study is to assess the social and economic impacts that could be caused by the construction and operation of the proposed NWRB facility. The specific objectives of this study are to describe historical socioeconomic trends in the study area, to describe current conditions, to project future baseline conditions without the NWRB, to project potential impacts due to the proposed NWRB under two alternative regional development scenarios and assess their significance, and to suggest an overall impact management and mitigation strategy. A closely related objective is to assemble a comprehensive socioeconomic data base that can be easily updated for future analyses. This study examines employment, labor supply, population change, housing, local transportation, revenues, and expenditures for public services. This report documents the marked demographic and economic decline that has occurred in the study area since 1981 and concludes that future baseline growth will resume at a relatively slower pace after further expected declines have been experienced through about 1985. The projected socioeconomic impacts of the NWRB development are assessed under two alternative baseline scenarios and are not expected to be significant in either case. With careful planning and attention to impact mitigation, including public participation and interaction with local and regional planning agencies, potential socioeconomic impacts can be anticipated and managed effectively. Recommendations are made for providing frequent updating of the data base and for improving the analysis of socioeconomic impacts. 68 references, 19 figures, 38 tables

  2. Preliminary assessment of potential CDM early start projects in Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Meyers, S.; Sathaye, J.; Lehman, B.; Schumacher, K.; van Vliet, O.; Moreira, J.R.

    2000-11-01

    The Brazil/US Aspen Global Forum on Climate Change Policies and Programs has facilitated a dialogue between key Brazil and US public and private sector leaders on the subject of the Clean Development Mechanism (CDM). With support from the US government, a cooperative effort between Lawrence Berkeley National Laboratory and the University of Sao Paulo conducted an assessment of a number of projects put forth by Brazilian sponsors. Initially, we gathered information and conducted a screening assessment for ten projects in the energy sector and six projects in the forestry sector. Some of the projects appeared to offer greater potential to be attractive for CDM, or had better information available. We then conducted a more detailed assessment of 12 of these projects, and two other projects that were submitted after the initial screening. An important goal was to assess the potential impact of Certified Emission Reductions (CERs) on the financial performance of projects. With the exception of the two forestry-based fuel displacement projects, the impact of CERs on the internal rate of return (IRR) is fairly small. This is true for both the projects that displace grid electricity and those that displace local (diesel-based) electricity production. The relative effect of CERs is greater for projects whose IRR without CERs is low. CERs have a substantial effect on the IRR of the two short-rotation forestry energy substitution projects. One reason is that the biofuel displaces coke and oil, both of which are carbon-intensive. Another factor is that the product of these projects (charcoal and woodfuel, respectively) is relatively low value, so the revenue from carbon credits has a strong relative impact. CERs also have a substantial effect on the NPV of the carbon sequestration projects. Financial and other barriers pose a challenge for implementation of most of the projects. In most cases, the sponsor lacks sufficient capital, and loans are available only at high interest

  3. Assessment of adrenal function in liver diseases

    Directory of Open Access Journals (Sweden)

    Sandeep Kharb

    2013-01-01

    Full Text Available Background: In recent times, there are reports of adrenal dysfunction in whole spectrum of liver disease. Adrenal insufficiency (AI has been shown to correlate with progression of liver disease. Hence this study was conducted to assess adrenal function in subjects with acute liver disease (ALD, chronic liver disease (CLD and post liver transplantation (LT. Material and Methods: This study included 25 healthy controls, 25 patients of ALD, 20 subjects of CLD with Child-Pugh stage A (CLD-1 and 30 with Child-Pugh stage B or C (CLD-2, and 10 subjects with LT. All subjects were assessed clinically, biochemically and for adrenal functions. Results: AI was present in 9 (34.6% patients with ALD, 20 (40% patients with CLD and 4 (40% in subjects with LT. AI was more common in CLD-2 (18 patients - 60% than CLD-1 (2 patients - 10%. All patients with chronic liver disease had significantly lower basal cortisol (8.8±4.8, P=0.01, stimulated cortisol (18.2±6.3, P <0.00001 and incremental cortisol (9.4±4.6, P <0.00001 as compared to controls. There was increase in percentage of subjects with adrenal dysfunction with progression of liver disease as assessed by Child-Pugh staging. AI was predicted by lower levels of serum protein, serum albumin, total cholesterol and HDL cholesterol and higher levels of serum bilirubin and INR. Adrenal functions showed recovery following liver transplantation. Conclusions: AI forms important part of spectrum of acute and chronic liver disease. Deterioration of synthetic functions of liver disease predicts presence of AI, and these patients should be evaluated for adrenal dysfunction periodically.

  4. Personality assessment and feedback (PAF): strategies and preliminary findings

    DEFF Research Database (Denmark)

    Hesse, Morten; Fridell, Mats; Pedersen, Mads Kjær

    2008-01-01

    Background: Co-morbid personality disorders are common in substance dependent patients, and personality disorders are associated with worse clinical outcomes, worse retention and compliance, and alliance problems. The whole range of personality disorders is present in substance dependent patients......, and antisocial personality disorder is particularly common. However, clinical strategies must vary strongly across disorders. Objectives: To test the clinical effectiveness of a full personality disorder assessment and individual feedback to patient and caseworker, against screening for axis I disorders alone...... anxiety or depression, drug and alcohol dependence, attention deficit hyperactivity disorder, and current level of functioning. The axis II disorder includes a semi-structured interview for personality disorders. Outcomes include global functioning (Work and Social Adjustment Scale), substance use...

  5. Environmental implications of accelerated gasohol production: preliminary assessment

    Energy Technology Data Exchange (ETDEWEB)

    1980-01-01

    This report assesses the environmental impacts of increasing US production of fuel ethanol by 330 million gallons per year in the 1980 to 1981 time frame in order to substitute gasohol for 10% of the unleaded gasoline consumed in the United States. Alternate biomass feedstocks are examined and corn is selected as the most logical feedstock, based on its availability and cost. Three corn conversion processes that could be used to attain the desired 1980 to 1981 production are identified; fermentation plants that use a feedstock of starch and wastes from an adjacent corn refining plants are found to have environmental and economic advantages. No insurmountable environmental problems can be achieved using current technology; the capital and operating costs of this control are estimated. If ethanol production is increased substantially after 1981, the environmentally acceptable use or disposal of stillage, a liquid by-product of fermentation, could become a serious problem.

  6. Preliminary assessment of the healing of fractures in salt

    International Nuclear Information System (INIS)

    1983-07-01

    Natural fractures in salt are not common but have been observed. An assessment is made of whether and under what conditions such fractures regain cohesion (heal). Evidence comes from observations in mines, commercial processing, and laboratory testing of both fractured and granular salt. Healing can take the form of chemical precipitation, ductile injection, and creep closure. Of these, creep closure is of principal interest. Healing is measured in terms of recovered strength and reduced permeability. It is found to increase with increased confining pressure and is greatly enhanced when the salt is in contact with brine. Research at Sandia National Laboratories has demonstrated salt fracture healing in relatively short time periods under conditions consistent with the environment of a geologic repository. 45 references

  7. Preliminary assessment of soil erosion impact during forest restoration process

    Science.gov (United States)

    Lai, Yen-Jen; Chang, Cheng-Sheng; Tsao, Tsung-Ming; Wey, Tsong-Huei; Chiang, Po-Neng; Wang, Ya-Nan

    2014-05-01

    Taiwan has a fragile geology and steep terrain. The 921 earthquake, Typhoon Toraji, Typhoon Morakot, and the exploitation and use of the woodland by local residents have severely damaged the landscape and posed more severe challenges to the montane ecosystem. A land conservation project has been implemented by the Experimental Forest of National Taiwan University which reclaimed approximately 1,500 hectares of leased woodland from 2008 to 2010, primarily used to grow bamboo, tea trees, betel nut, fruit, and vegetable and about 1,298 hectares have been reforested. The process of forest restoration involves clear cutting, soil preparation and a six-year weeding and tending period which may affect the amount of soil erosion dramatically. This study tried to assess the impact of forest restoration from the perspective of soil erosion through leased-land recovery periods and would like to benefit the practical implementation of reforestation in the future. A new plantation reforested in the early 2013 and a nearby 29-year-old mature forest were chosen as experimental and comparison sites. A self-designed weir was set up in a small watershed of each site for the runoff and sediment yield observation. According to the observed results from May to August 2013, a raining season in Taiwan, the runoff and erosion would not as high as we expected, because the in-situ soil texture of both sites is sandy loam to sandy with high percentage of coarse fragment which increased the infiltration. There were around 200 kg to 250 kg of wet sand/soil yielded in mature forest during the hit of Typhoon Soulik while the rest of the time only suspended material be yielded at both sites. To further investigate the influence of the six-year weeding and tending period, long term observations are needed for a more completed assessment of soil erosion impact.

  8. Evaluating fatigue in lupus-prone mice: preliminary assessments.

    Science.gov (United States)

    Meeks, Allison; Larson, Susan J

    2012-01-01

    Fatigue is a debilitating condition suffered by many as the result of chronic disease, yet relatively little is known about its biological basis or how to effectively manage its effects. This study sought to evaluate chronic fatigue by using lupus-prone mice and testing them at three different time periods. Lupus-prone mice were chosen because fatigue affects over half of patients with Systemic Lupus Erythematosus. Eleven MLR⁺/(+) (genetic controls) and twelve MLR/MpJ-Fas/J (MRL/lpr; lupus-prone) mice were tested three times: once at 12, 16 and 20 weeks of age. All mice were subjected to a variety of behavioral tests including: forced swim, post-swim grooming, running wheel, and sucrose consumption; five of the MLR⁺/(+) and five of the MLR/lpr mice were also tested on a fixed ratio-25 operant conditioning task. MRL/lpr mice showed more peripheral symptoms of lupus than controls, particularly lymphadenopathy and proteinuria. Lupus mice spent more time floating during the forced swim test and traveled less distance in the running wheel at each testing period. There were no differences between groups in post-swim grooming or in number of reinforcers earned in the operant conditioning task indicating the behavioral changes were not likely due simply to muscle weakness or motivation. Correlations between performance in the running wheel, forced swim test and sucrose consumption were conducted and distance traveled in the running wheel was consistently negatively correlated with time spent floating. Based on these data, we conclude that the lupus-prone mice were experiencing chronic fatigue and that running wheel activity and floating during a forced swim test can be used to evaluate fatigue, although these data cannot rule out the possibility that both fatigue and a depressive-like state were mediating these effects. Copyright © 2011 Elsevier Inc. All rights reserved.

  9. A selective egocentric topographical working memory deficit in the early stages of Alzheimer's disease: a preliminary study.

    Science.gov (United States)

    Bianchini, F; Di Vita, A; Palermo, L; Piccardi, L; Blundo, C; Guariglia, C

    2014-12-01

    The aim of this study was to determine whether an egocentric topographical working memory (WM) deficit is present in the early stages of Alzheimer's disease (AD) with respect to other forms of visuospatial WM. Further, we would investigate whether this deficit could be present in patients having AD without topographical disorientation (TD) signs in everyday life assessed through an informal interview to caregivers. Seven patients with AD and 20 healthy participants performed the Walking Corsi Test and the Corsi Block-Tapping Test. The former test requires memorizing a sequence of places by following a path and the latter is a well-known visuospatial memory task. Patients with AD also performed a verbal WM test to exclude the presence of general WM impairments. Preliminary results suggest that egocentric topographical WM is selectively impaired, with respect to visuospatial and verbal WM, even without TD suggesting an important role of this memory in the early stages of AD. © The Author(s) 2014.

  10. A Preliminary Assessment of HTST Processing on Donkey Milk

    Science.gov (United States)

    Antoniazzi, Sara; Gariglio, Gian Marco; Coscia, Alessandra; Bertino, Enrico; Cavallarin, Laura

    2017-01-01

    Due to increasing attention from consumers on non-bovine milk types, and to the increase in the number of small dairy donkey farms in Italy, farmers require more advanced and reliable processing devices, in order to guarantee a safe product of high quality. To this aim, a new small-scale High-Temperature Short-Time (HTST) pasteurizer (72 °C for 15 s), prototyped by the authors, was tested on donkey milk. The efficacy of the HTST device was tested on raw donkey milk microflora by enumeration of total aerobic bacteria, Enterobacteriaceae and Bacillus cereus. The biochemical quality was assessed by determining the protein profile by monodimensional electrophoresis and by measuring lysozyme activity. The HTST apparatus was able to reduce the total bacteria count, and to completely eradicate Enterobacteriaceae. Bacillus cereus, when present, was decreased with low efficiency. Changes in the protein profile were observed in milk pasteurized in accordance with both processes, although HTST seemed to limit casein degradation. Lysozyme activity was not substantially affected in comparison to raw donkey milk. In conclusion, a tailored small-volume HTST device could be safely applied to pasteurize donkey milk in on-farm pasteurization processes on small dairy donkey farms. PMID:29056708

  11. A Preliminary Assessment of HTST Processing on Donkey Milk.

    Science.gov (United States)

    Giribaldi, Marzia; Antoniazzi, Sara; Gariglio, Gian Marco; Coscia, Alessandra; Bertino, Enrico; Cavallarin, Laura

    2017-10-09

    Due to increasing attention from consumers on non-bovine milk types, and to the increase in the number of small dairy donkey farms in Italy, farmers require more advanced and reliable processing devices, in order to guarantee a safe product of high quality. To this aim, a new small-scale High-Temperature Short-Time (HTST) pasteurizer (72 °C for 15 s), prototyped by the authors, was tested on donkey milk. The efficacy of the HTST device was tested on raw donkey milk microflora by enumeration of total aerobic bacteria, Enterobacteriaceae and Bacillus cereus. The biochemical quality was assessed by determining the protein profile by monodimensional electrophoresis and by measuring lysozyme activity. The HTST apparatus was able to reduce the total bacteria count, and to completely eradicate Enterobacteriaceae. Bacillus cereus, when present, was decreased with low efficiency. Changes in the protein profile were observed in milk pasteurized in accordance with both processes, although HTST seemed to limit casein degradation. Lysozyme activity was not substantially affected in comparison to raw donkey milk. In conclusion, a tailored small-volume HTST device could be safely applied to pasteurize donkey milk in on-farm pasteurization processes on small dairy donkey farms.

  12. A Preliminary Assessment of HTST Processing on Donkey Milk

    Directory of Open Access Journals (Sweden)

    Marzia Giribaldi

    2017-10-01

    Full Text Available Due to increasing attention from consumers on non-bovine milk types, and to the increase in the number of small dairy donkey farms in Italy, farmers require more advanced and reliable processing devices, in order to guarantee a safe product of high quality. To this aim, a new small-scale High-Temperature Short-Time (HTST pasteurizer (72 °C for 15 s, prototyped by the authors, was tested on donkey milk. The efficacy of the HTST device was tested on raw donkey milk microflora by enumeration of total aerobic bacteria, Enterobacteriaceae and Bacillus cereus. The biochemical quality was assessed by determining the protein profile by monodimensional electrophoresis and by measuring lysozyme activity. The HTST apparatus was able to reduce the total bacteria count, and to completely eradicate Enterobacteriaceae. Bacillus cereus, when present, was decreased with low efficiency. Changes in the protein profile were observed in milk pasteurized in accordance with both processes, although HTST seemed to limit casein degradation. Lysozyme activity was not substantially affected in comparison to raw donkey milk. In conclusion, a tailored small-volume HTST device could be safely applied to pasteurize donkey milk in on-farm pasteurization processes on small dairy donkey farms.

  13. Preliminary Assessment of the Loss of Flow Accident for PGSFR

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Andong; Choi, Yong Won; Bae, Moohoon [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2014-10-15

    TRACE code have being considered as a candidate tool for SFR audit calculation for licensing review since 2012. On the basis of modeling and precalculation experience for the Demonstration Sodium cooled Fast Reactor (DSFR-600), TRACE code model for PGSFR was developed this year. In this paper, one of representing Design Base Event (DBE), Loss of Flow (LOF) accident was pre-calculated and Locked Rotor (LR) case was compared with LOF case since it could be a possible limiting case for LOF representing DBE. Sensitivity calculation for the LR case was implemented for identifying major parameters for the scenario. For the preparation of the review of licensing application for PGSFR, TRACE model for the PGSFR was developed and the loss of flow accident was precalculated. The locked pump rotor case was also calculated as a possible bounding case for the loss of flow scenario. Pre-calculation showed that the locked rotor case was similar or worst case to the loss of flow accident. Therefore, the locked rotor case should take into account in design base accident assessment of PGSFR. Sensitivity calculations for the rocked rotor case also studied for identification of unfixed design parameters influencing to estimation of inner surface temperature. Sensitivity result showed that the first temperature peak was largely influenced by reactor trip delay and second peak mostly influenced by pump coast down characteristic.

  14. Preliminary indicators for restoration assessment in riparian reforestations

    Directory of Open Access Journals (Sweden)

    Daniele Nogueira dos Reis

    2014-12-01

    Full Text Available The restoration success in forest ecosystems can be adequately assessed by correct selection of indicators that represent the achievement of established goals. The discriminant analysis technique on indicators selection consists of separation and classification of new observations on pre-defined groups, reducing the number of variables that are discriminant functions linearly dependent of the original variables. This study aims to define an index composed by structural attributes (number of species and individuals planted, height, basal area, number of regenerant species and individuals and chemical and pedological soil attributes to classify riparian reforested environments regarding to restoration taking as reference reforestation around the the Volta Grande reservoir, Minas Gerais State, Brazil. Eleven variables were used for previous classification of plots in partially restored or unrestored groups and also used for discriminant analysis. Variables selected by the discriminant function generated were: number of species and basal area of planted individuals, number of regenerant species and individuals litter accumulation and soil cation exchange capacity. Compatibility of 98% from previous plot classifications and after index formation, show the representativeness of the selected variables on evaluation of restoration of riparian reforestations.

  15. Albeni Falls Wildlife Management Plan - preliminary environmental assessment

    International Nuclear Information System (INIS)

    1996-04-01

    Bonneville Power Administration (BPA) proposes to fund the development and implementation of the Albeni Falls Wildlife Management Plan. Approved by the Northwest Power Planning Council (Council) in 1990, the project is a cooperative effort with the Interagency Work Group that includes the Idaho Department of Fish and Game (IDFG); United States Fish and Wildlife Service (USFWS); United States Forest Service (USFS); United States Army Corps of Engineers (COE); the Kalispel Tribe; and the Upper Columbia United Tribes (UCUT). The proposed action would enable the Interagency Work Group to protect and enhance a variety of wetland and riparian habitats, restore 28,587 habitat units lost as a result of the construction and operation of Albeni Falls Dam, and implement long-term wildlife management activities at selected sites within the overall study area. This Environmental Assessment (EA) examines the potential environmental effects of protecting and enhancing wildlife habitat in selected portions of a 225,077 hectare (556,160 acre) study area surrounding Lake Pend Oreille in Bonner County, and 7,770 hectare (19,200 acre) area surrounding Spirit and Twin lakes, in Kootenai County, Idaho. Four proposed activities are analyzed: habitat protection; habitat enhancement; operation and maintenance (O ampersand M); and monitoring and evaluation (M ampersand E)

  16. Development and preliminary reliability of a multitasking assessment for executive functioning after concussion.

    Science.gov (United States)

    Smith, Laurel B; Radomski, Mary Vining; Davidson, Leslie Freeman; Finkelstein, Marsha; Weightman, Margaret M; McCulloch, Karen L; Scherer, Matthew R

    2014-01-01

    OBJECTIVES. Executive functioning deficits may result from concussion. The Charge of Quarters (CQ) Duty Task is a multitask assessment designed to assess executive functioning in servicemembers after concussion. In this article, we discuss the rationale and process used in the development of the CQ Duty Task and present pilot data from the preliminary evaluation of interrater reliability (IRR). METHOD. Three evaluators observed as 12 healthy participants performed the CQ Duty Task and measured performance using various metrics. Intraclass correlation coefficient (ICC) quantified IRR. RESULTS. The ICC for task completion was .94. ICCs for other assessment metrics were variable. CONCLUSION. Preliminary IRR data for the CQ Duty Task are encouraging, but further investigation is needed to improve IRR in some domains. Lessons learned in the development of the CQ Duty Task could benefit future test development efforts with populations other than the military. Copyright © 2014 by the American Occupational Therapy Association, Inc.

  17. Criteria for safety-related nuclear plant operator actions: a preliminary assessment of available data

    International Nuclear Information System (INIS)

    Haas, P.M.; Bott, T.F.

    1980-01-01

    In the US, an effort has been underway for a number of years to develop a design standard to define when required manual operator action can be accepted as part of a nuclear plant design basis. Insufficient data are available to provide quantitative guidelines for the standard. To provide the necessary data base to support such standards and the necessary quantitative assessment of operator reliability, the US Nuclear Regulatory Commission is sponsoring a study at Oak National Laboratory to develop the data base. A preliminary assessment completed in April, 1979 concluded that sufficient data from US operating experience did not exist to provide an adequate data base. A program of research using full-scope nuclear plant simulators and results that are correlated to field data was suggested. That program was recently initiated. The approach, results and conclusions of the preliminary assessment are reviewed and the planned research program of simulator studies is summarised. (author)

  18. Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with Ankle Brachial Index in Adults

    Science.gov (United States)

    ... Force Recommendations Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with Ankle Brachial Index in Adults ... on Screening for Peripheral Artery Disease (PAD) and Cardiovascular Disease (CVD) Risk Assessment with Ankle Brachial Index (ABI) ...

  19. The Anaclitic-Introjective Depression Assessment: Development and preliminary validity of an observer-rated measure.

    Science.gov (United States)

    Rost, Felicitas; Luyten, Patrick; Fonagy, Peter

    2018-03-01

    The two-configurations model developed by Blatt and colleagues offers a comprehensive conceptual and empirical framework for understanding depression. This model suggests that depressed patients struggle, at different developmental levels, with issues related to dependency (anaclitic issues) or self-definition (introjective issues), or a combination of both. This paper reports three studies on the development and preliminary validation of the Anaclitic-Introjective Depression Assessment, an observer-rated assessment tool of impairments in relatedness and self-definition in clinical depression based on the item pool of the Shedler-Westen Assessment Procedure. Study 1 describes the development of the measure using expert consensus rating and Q-methodology. Studies 2 and 3 report the assessment of its psychometric properties, preliminary reliability, and validity in a sample of 128 patients diagnosed with treatment-resistant depression. Four naturally occurring clusters of depressed patients were identified using Q-factor analysis, which, overall, showed meaningful and theoretically expected relationships with anaclitic/introjective prototypes as formulated by experts, as well as with clinical, social, occupational, global, and relational functioning. Taken together, findings reported in this paper provide preliminary evidence for the reliability and validity of the Anaclitic-Introjective Depression Assessment, an observer-rated measure that allows the detection of important nuanced differentiations between and within anaclitic and introjective depression. Copyright © 2017 John Wiley & Sons, Ltd.

  20. EXPLOSION POTENTIAL ASSESSMENT OF HEAT EXCHANGER NETWORK AT THE PRELIMINARY DESIGN STAGE

    Directory of Open Access Journals (Sweden)

    MOHSIN PASHA

    2016-07-01

    Full Text Available The failure of Shell and Tube Heat Exchangers (STHE is being extensively observed in the chemical process industries. This failure can cause enormous production loss and have a potential of dangerous consequences such as an explosion, fire and toxic release scenarios. There is an urgent need for assessing the explosion potential of shell and tube heat exchanger at the preliminary design stage. In current work, inherent safety index based approach is used to resolve the highlighted issue. Inherent Safety Index for Shell and Tube Heat Exchanger (ISISTHE is a newly developed index for assessing the inherent safety level of a STHE at the preliminary design stage. This index is composed of preliminary design variables and integrated with the process design simulator (Aspen HYSYS. Process information can easily be transferred from process design simulator to MS Excel spreadsheet owing to this integration. This index could potentially facilitate the design engineer to analyse the worst heat exchanger in the heat exchanger network. Typical heat exchanger network of the steam reforming process is presented as a case study and the worst heat exchanger of this network has been identified. It is inferred from this analysis that shell and tube heat exchangers possess high operating pressure, corrected mean temperature difference (CMTD and flammability and reactive potential needs to be critically analysed at the preliminary design stage.

  1. Preliminary bioelectrical impedance analysis (BIA) equation for body composition assessment in young females from Colombia

    International Nuclear Information System (INIS)

    Caicedo, J C; González-Correa, C H; González-Correa, C A

    2013-01-01

    A previous study showed that reported BIA equations for body composition are not suitable for Colombian population. The purpose of this study was to develop and validate a preliminary BIA equation for body composition assessment in young females from Colombia, using hydrodensitometry as reference method. A sample of 30 young females was evaluated. Inclusion and exclusion criteria were defined to minimize the variability of BIA. Height, weight, BIA, residual lung volume (RV) and underwater weight (UWW) were measured. A preliminary BIA equation was developed (r 2 = 0.72, SEE = 2.48 kg) by stepwise multiple regression with fat-free mass (FFM) as dependent variable and weight, height and impedance measurements as independent variables. The quality of regression was evaluated and a cross-validation against 50% of sample confirmed that results obtained with the preliminary BIA equation is interchangeable with results obtained with hydrodensitometry (r 2 = 0.84, SEE = 2.62 kg). The preliminary BIA equation can be used for body composition assessment in young females from Colombia until a definitive equation is developed. The next step will be increasing the sample, including a second reference method, as deuterium oxide dilution (D 2 O), and using multi-frequency BIA (MF-BIA). It would also be desirable to develop equations for males and other ethnic groups in Colombia.

  2. Preliminary Hazard Assessment for Tectonic Tsunamis in the Eastern Mediterranean

    Science.gov (United States)

    Aydin, B.; Bayazitoglu, O.; Sharghi vand, N.; Kanoglu, U.

    2017-12-01

    There are many critical industrial facilities such as energy production units and energy transmission lines along the southeast coast of Turkey. This region is also active on tourism, and agriculture and aquaculture production. There are active faults in the region, i.e. the Cyprus Fault, which extends along the Mediterranean basin in the east-west direction and connects to the Hellenic Arc. Both the Cyprus Fault and the Hellenic Arc are seismologically active and are capable of generating earthquakes with tsunamigenic potential. Even a small tsunami in the region could cause confusion as shown by the recent 21 July 2017 earthquake of Mw 6.6, which occurred in the Aegean Sea, between Bodrum, Turkey and Kos Island, Greece since region is not prepared for such an event. Moreover, the Mediterranean Sea is one of the most vulnerable regions against sea level rise due to global warming, according to the 5th Report of the Intergovernmental Panel on Climate Change. For these reasons, a marine hazard such as a tsunami can cause much worse damage than expected in the region (Kanoglu et al., Phil. Trans. R. Soc. A 373, 2015). Hence, tsunami hazard assessment is required for the region. In this study, we first characterize earthquakes which have potential to generate a tsunami in the Eastern Mediterranean. Such study is a prerequisite for regional tsunami mitigation studies. For fast and timely predictions, tsunami warning systems usually employ databases that store pre-computed tsunami propagation resulting from hypothetical earthquakes with pre-defined parameters. These pre-defined sources are called tsunami unit sources and they are linearly superposed to mimic a real event, since wave propagation is linear offshore. After investigating historical earthquakes along the Cyprus Fault and the Hellenic Arc, we identified tsunamigenic earthquakes in the Eastern Mediterranean and proposed tsunami unit sources for the region. We used the tsunami numerical model MOST (Titov et al

  3. Assessment of Motor Units in Neuromuscular Disease.

    Science.gov (United States)

    Henderson, Robert D; McCombe, Pamela A

    2017-01-01

    The motor unit comprises the anterior horn cell, its axon, and the muscle fibers that it innervates. Although the true number of motor units is unknown, the number of motor units appears to vary greatly between different muscles and between different individuals. Assessment of the number and function of motor units is needed in diseases of the anterior horn cell and other motor nerve disorders. Amyotrophic lateral sclerosis is the most important disease of anterior horn cells. The need for an effective biomarker for assessing disease progression and for use in clinical trials in amyotrophic lateral sclerosis has stimulated the study of methods to measure the number of motor units. Since 1970 a number of different methods, including the incremental, F-wave, multipoint, and statistical methods, have been developed but none has achieved widespread applicability. Two methods (MUNIX and the multipoint incremental method) are in current use across multiple centres and are discussed in detail in this review, together with other recently published methods. Imaging with magnetic resonance and ultrasound is increasingly being applied to this area. Motor unit number estimates have also been applied to other neuromuscular diseases such as spinal muscular atrophy, compression neuropathies, and prior poliomyelitis. The need for an objective measure for the assessment of motor units remains tantalizingly close but unfulfilled in 2016.

  4. ProTec Tear-Offs: A Preliminary Assessment

    International Nuclear Information System (INIS)

    Peeler, D

    2005-01-01

    The Savannah River National Laboratory (SRNL) has conducted a series of ''scoping'' tests (referred to as Phase 1) to assess the potential use of a Mylar(reg s ign) tear-off system as a primary or secondary protective barrier to minimize acid etching (''frosting''), accidental scratching, and/or radiation damage for shielded cells windows. Conceptually, thin, multi-layered sheets of Mylar (referred to as a ''tear-off'' system) could be directly applied to the Lexan(reg s ign) sheet or glovebox/hood sash window to serve as a secondary (or primary) barrier. Upon degradation of visual clarity due to accidental scratching, spills/splatters, and/or radiation damage, the outer layer (or sheet) of Mylar could be removed ''refreshing'' or restoring the view. Due to the multi-layer aspect, the remaining Mylar layers would provide continued protection for the window from potential reoccurrences (which could be immediate or after some extended time period). Although the concept of using a tear-off system as a protective barrier was conceptually enticing, potential technical issues were identified and addressed as part of this Phase 1 feasibility study. These included resistance to: (1) acid(s) (concentrated (28.9 M) HF, concentrated (15.9M) HNO 3 , 6M HCl, and 0.6M H 3 BO 3 ), (2) base (a simulated sludge with pH of 12.9), (3) gamma radiation (cumulative dose of ∼200,000 rad), and (4) scratch resistance (simulating accidental scratching with the manipulators). Not only can these four factors play a significant role in determining the visual clarity of the integrated system, they can also contribute to the mechanical integrity issues which could dictate the ability to remove the outer layer when visual clarity has degraded. The results of the Phase 1 study clearly indicate that the Mylar tear-off concept (as a primary or secondary protective barrier) is a potential technical solution to prevent or retard excessive damage that would result from acid etching, base damage (as a

  5. Serum Ionized Calcium Quantification for Staging Canine Periodontal Disease: A Preliminary Study.

    Science.gov (United States)

    Miguel Carreira, L; Daniela, Dias; Pedro, Azevedo

    2015-06-01

    Periodontal diseases (PD) are infectious, inflammatory, progressive diseases of the oral cavity affecting people and dogs. PD takes 2 forms: gingivitis and periodontitis. Diagnosing or staging PD can be achieved only with dental x-rays and periodontal probing, both of which require the use of general anesthesia in dogs. This study aimed to determine whether serum ionized calcium ([iCa(2+)]) levels can be useful in preliminary PD staging in dogs. A sample of 40 dogs (n = 40) was divided into 4 groups (n = 10 each) based on the following PD stages: G1 (gingivitis), G2 (initial periodontitis), G3 (moderate periodontitis), and G4 (severe periodontitis). The groups were then subjected to [iCa(2+)] quantification. Statistically significant differences were observed between PD stages and [iCa(2+)] for all stages except G3 and G4. Therefore, this parameter can be used as an additional tool to establish and monitor preliminary PD status. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. Effects of sensitive electrical stimulation based cueing in Parkinson's disease: a preliminary study

    Directory of Open Access Journals (Sweden)

    Benoît Sijobert

    2016-06-01

    Full Text Available This study aims to investigate the effect of a sensitive cueing on Freezing of Gait (FOG and gait disorders in subjects suffering from Parkinson’s disease (PD. 13 participants with Parkinson’s disease were equipped with an electrical stimulator and a foot mounted inertial measurement unit (IMU. An IMU based algorithm triggered in real time an electrical stimulus applied on the arch of foot at heel off detection. Starting from standing, subjects were asked to walk at their preferred speed on a path comprising 5m straight, u-turn and walk around tasks. Cueing globally decreased the time to achieve the different tasks in all the subjects. In “freezer” subjects, the time to complete the entire path was reduced by 19%. FOG events occurrence was lowered by 12% compared to baseline before and after cueing. This preliminary work showed a positive global effect of an electrical stimulation based cueing on gait and FOG in PD.

  7. Preliminary assessment report for Fort Custer Training Center, Installation 26035, Augusta, Michigan

    International Nuclear Information System (INIS)

    Flaim, S.; Krokosz, M.

    1993-08-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Michigan Army National Guard property near Augusta, Michigan. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment. This PA satisfies, for the Fort Custer Training Center, phase I of the Department of Defense Installation Restoration Program. The environmentally significant operations associated with the property are (1) storage of hazardous materials and hazardous waste, (2) storage and dispensing of fuel, (3) washing of vehicles and equipment, and (4) weapons training ranges that may have accumulated lead

  8. Fukushima. A preliminary assessment in July 2011; Fukushima. Eine vorlaeufige Bilanz im Juli 2011

    Energy Technology Data Exchange (ETDEWEB)

    Michel, Rolf

    2011-07-01

    Four months after the reactor accidents in Fukushima Daiichi a preliminary assessment of the accident sequence vents is performed based on the available incomplete information. The following topics are discussed: initiating events and accident sequences, radioactive materials release and dispersion, fundamentals on radiation exposure following the accident in the nuclear power plant Fukushima Daiichi, contamination of food stuff, fission product release into the Pacific Ocean, source tern and external radiation exposure in the first year, preliminary radiological assessment, radiological situation throughout the different accident phases (radioactive cloud and fallout, late phase), estimation of radiation exposure in the first year due to decay of short-lived radionuclides based on the state end of July 2011, comparison of the reactor accidents in Chernobyl and Fukushima Daiichi.

  9. Preliminary assessment report for Fort William Henry Harrison, Montana Army National Guard, Helena, Montana

    International Nuclear Information System (INIS)

    DuWaldt, J.; Meyer, T.

    1993-07-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at a Montana Army National Guard (MTARNG) property near Helena, Montana. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment. This PA satisfies, for the Fort William Henry Harrison property, requirements of the Department of Defense Installation Restoration Program

  10. Assessing Internet addiction using the parsimonious Internet addiction components model - a preliminary study [forthcoming

    OpenAIRE

    Kuss, DJ; Shorter, GW; Van Rooij, AJ; Griffiths, MD; Schoenmakers, T

    2014-01-01

    Internet usage has grown exponentially over the last decade. Research indicates that excessive Internet use can lead to symptoms associated with addiction. To date, assessment of potential Internet addiction has varied regarding populations studied and instruments used, making reliable prevalence estimations difficult. To overcome the present problems a preliminary study was conducted testing a parsimonious Internet addiction components model based on Griffiths’ addiction components (2005), i...

  11. Assessing internet addiction using the parsimonious internet addiction components model—A preliminary study.

    OpenAIRE

    Kuss, D.J.; Shorter, G.W.; Rooij, A.J. van; Griffiths, M.D.; Schoenmakers, T.M.

    2014-01-01

    Internet usage has grown exponentially over the last decade. Research indicates that excessive Internet use can lead to symptoms associated with addiction. To date, assessment of potential Internet addiction has varied regarding populations studied and instruments used, making reliable prevalence estimations difficult. To overcome the present problems a preliminary study was conducted testing a parsimonious Internet addiction components model based on Griffiths’ addiction components (Journal ...

  12. Preliminary Marine Safety Risk Assessment, Brandon Road Lock and Dam Invasive Species Control Measures

    Science.gov (United States)

    2016-12-01

    Decision makers must include control-measure monitoring and emergency “interventions” to insure safety. The Coast Guard operational commanders...system” incorporates a travelling car on a rail above the barge-loading wharf to prevent loading personnel, cargo surveyors, or others from falling...to the Gulf of Mexico . As “Loopers”, they will have already transited the CSSC electric barriers. Preliminary Marine Safety Risk Assessment, BRLD

  13. Preliminary assessment of the possibility of supporting the decomposition of biodegradable packaging

    OpenAIRE

    Niekraś Lidia; Moliszewska Ewa

    2017-01-01

    This article presents a preliminary evaluation of the possibility of using grass biomass from a sports field as a compost ingredient which positively affects the degree of decomposition of the biodegradable wrappings. For 5 months the biodegradable bags were stored, both empty and filled with organic waste in the heap of grass clippings. After that period, fragments of the bags were observed under the microscope and then assessed the state of their decomposition. The results indicate that the...

  14. Preliminary Shielding Assessment for the IFF System in the RAON Heavy-ion Facility

    International Nuclear Information System (INIS)

    Lee, Cheol Woo; Lee, Youngouk; Kim, Jong Won; Kim, Mijung

    2014-01-01

    A heavy-ion accelerator facility is under a development in Korea to use in the basic science research and various application areas. In this facility, the In-Flight Fragment (IFF) target and isotope separator has been designed to produce various isotopes and transport the interesting isotopes into the experimental rooms. In this work, preliminary radiation shielding assessment was performed for the IFF target room

  15. The costs of failure: A preliminary assessment of major energy accidents, 1907-2007

    International Nuclear Information System (INIS)

    Sovacool, Benjamin K.

    2008-01-01

    A combination of technical complexity, tight coupling, speed, and human fallibility contribute to the unexpected failure of large-scale energy technologies. This study offers a preliminary assessment of the social and economic costs of major energy accidents from 1907 to 2007. It documents 279 incidents that have been responsible for $41 billion in property damage and 182,156 deaths. Such disasters highlight an often-ignored negative externality to energy production and use, and emphasize the need for further research

  16. Preliminary Safeguards Assessment for the Pebble-Bed Fluoride High-Temperature Reactor (PB-FHR) Concept

    Energy Technology Data Exchange (ETDEWEB)

    Disser, Jay; Arthur, Edward; Lambert, Janine

    2016-09-01

    This report examines a preliminary design for a pebble bed fluoride salt-cooled high temperature reactor (PB-FHR) concept, assessing it from an international safeguards perspective. Safeguards features are defined, in a preliminary fashion, and suggestions are made for addressing further nuclear materials accountancy needs.

  17. Preliminary risk assessment of Power Plant Plomin site contaminated by radioactive slag and ash

    International Nuclear Information System (INIS)

    Skanata, D.; Sinka, D.; Lokner, V.; Schaller, A.

    1996-01-01

    There is a certain number of radioactively contaminated sites in the Republic of Croatia, one of them being known as Power Plant Plomin site, which contains radioactive slag and ash. Due to a relatively high quantity of the deposited material, as well as relatively high population density of the neighbouring area, it is very important to assess the impact of the site on human health and environment. Using RESRAD computer code and PATHRAE method a preliminary assessment of doses and radiation risks for the workers who spend most of their working day at the pile has been performed. PATHRAE method has also been used for the assessment of radiation risks for the neighbouring population. The assessment is preliminary in its character due to the lack of input data. On the basis of assessment results, recommendations are being given comprising measurements to be taken with a view to coming up with the final risk assessment, as well as protective measures which should be undertaken in the meantime. (author)

  18. Disease state fingerprint for fall risk assessment.

    Science.gov (United States)

    Similä, Heidi; Immonen, Milla

    2014-01-01

    Fall prevention is an important and complex multifactorial challenge, since one third of people over 65 years old fall at least once every year. A novel application of Disease State Fingerprint (DSF) algorithm is presented for holistic visualization of fall risk factors and identifying persons with falls history or decreased level of physical functioning based on fall risk assessment data. The algorithm is tested with data from 42 older adults, that went through a comprehensive fall risk assessment. Within the study population the Activities-specific Balance Confidence (ABC) scale score, Berg Balance Scale (BBS) score and the number of drugs in use were the three most relevant variables, that differed between the fallers and non-fallers. This study showed that the DSF visualization is beneficial in inspection of an individual's significant fall risk factors, since people have problems in different areas and one single assessment scale is not enough to expose all the people at risk.

  19. Chagas disease. A new pathophysiological assessment

    International Nuclear Information System (INIS)

    Redruello, M.; Masoli, O.; Hasson, I.; Cragnolino, D.; Traverso, S.; Perez Balino, N.; Sarmiento, R.; Lazzari, J.; Luluaga, E.

    2002-01-01

    Background: There is scarce information on myocardial perfusion abnormalities and on the coronary vasomotor condition in Chagas disease patients. Aims: To assess regional perfusion abnormalities and the coronary vasomotor response of patients in the chronic phase of Chagas disease. Methods: With the use of 99mTc-sestamibi SPECT imaging and cold pressor test and intracoronary acetylcoline (ACH) perfusion, we studied 9 patients aged 42,6±12 years, 4 males, in the chronic stage of Chagas disease (5 with the indeterminate form and 4 with heart lesion) with normal coronary arteries. Vasomotor responses to intracoronary increasing doses of ACH and to a single dose of nitroglycerine (NTG) were assessed with digital quantitative angiography. Regional myocardial perfusion was evaluated at rest and after cold pressor test by a semi quantitative score analysis in an 18-segment model with 99mTc-sestamibi SPECT images. Results were expressed as mean ± 2SD. Differences between continuous variables were measured by two tails Student's t test for paired variables and the significance level was set at 5 %. Results: All patients had regional perfusion defects and abnormal vasomotor response. The diameter of the left anterior descending artery decreased 34% from a basal diameter of 3.66∫0.95 mm down to 2.42±0.74 mm after maximal response to ACH (p<0.002). NTG infusion augmented its diameter to 3.86±0.77 mm (p<0.0002) that is a 60% increase from post ACH diameter. Myocardial perfusion score was 1∫2.66 at rest and 6.22±3.6 after cold pressor test (p<0.0001). Conclusions: This group of patients in the chronic phase of Chagas disease showed an abnormal vasoconstrictive response to intracoronary ACH and cold-induced perfusion defects suggesting that endothelial dysfunction plays a role in the pathophysiology of chronic Chagas heart disease

  20. Site Characterization and Preliminary Performance Assessment Calculation Applied To JAEA-Horonobe URL Site of Japan

    International Nuclear Information System (INIS)

    Lim, Doo Hyun; Hatanaka, Koichiro; Ishii, Eiichi

    2010-01-01

    JAEA-Horonobe Underground Research Laboratory (URL) is designed for research and development on high-level radioactive waste (HLW) repository in sedimentary rock. For a potential HLW repository, understanding and implementing fracturing and faulting system, with data from the site characterization, into the performance assessment is essential because fracture and fault will be the major conductors or barriers for the groundwater flow and radionuclide release. The objectives are i) quantitative derivation of characteristics and correlation of fracturing/faulting system with geologic and geophysics data obtained from the site characterization, and ii) preliminary performance assessment calculation with characterized site information

  1. Site Characterization and Preliminary Performance Assessment Calculation Applied To JAEA-Horonobe URL Site of Japan

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Doo Hyun [NE Union Hill Road, Suite 200, WA 98052 (United States); Hatanaka, Koichiro; Ishii, Eiichi [Japan Atomic Energy Agency, Hokkaido (Japan)

    2010-10-15

    JAEA-Horonobe Underground Research Laboratory (URL) is designed for research and development on high-level radioactive waste (HLW) repository in sedimentary rock. For a potential HLW repository, understanding and implementing fracturing and faulting system, with data from the site characterization, into the performance assessment is essential because fracture and fault will be the major conductors or barriers for the groundwater flow and radionuclide release. The objectives are i) quantitative derivation of characteristics and correlation of fracturing/faulting system with geologic and geophysics data obtained from the site characterization, and ii) preliminary performance assessment calculation with characterized site information

  2. Preliminary market assessment of fluidized-bed waste-heat recovery technology

    Energy Technology Data Exchange (ETDEWEB)

    Campos, F.T.; Fey, C.L.; Grogan, P.J.; Klein, N.P.

    1980-06-01

    A preliminary assessment of fluidized-bed waste-heat recovery (FBWHR) system market potential is presented with emphasis on the factors influencing industrial acceptability. Preliminary market potential areas are identified based on the availability of waste heat. Trends in energy use are examined to see the effect they might have on these market potential areas in the future. Focus groups interviews are used to explore important factors in the industrial decision-making process. These important factors are explored quantitatively in a survey of industrial plant engineers. The survey deals with the waste-heat boiler configuration of the FBWHR system. Results indicate market acceptance of the fluidized-bed waste-heat boiler could be quite low.

  3. Super-Efficient Refrigerator Program (SERP) evaluation volume 2: Preliminary impact and market transformation assessment

    Energy Technology Data Exchange (ETDEWEB)

    Lee, A.D.; Conger, R.L.

    1996-08-01

    The Super Efficient Refrigerator Program (SERP) is a collaborative utility program intended to transform the market for energy-efficient and environmentally friendly refrigerators. It is one of the first examples of a large-scale {open_quotes}market transformation{close_quotes} energy efficiency program. This report documents the preliminary impact and market transformation evaluation of SERP ({open_quotes}the Program{close_quotes}). Pacific Northwest National Laboratory (PNNL) conducted this evaluation for the U.S. Department of Energy. This study focuses on the preliminary impact evaluation and market transformation assessment, but also presents limited process evaluation information. It is based on interviews with refrigerator dealers and manufacturers, interviews with utility participants, industry data, and information from the Program administrators. Results from this study complement those from prior process evaluation also conducted by PNNL. 42 refs., 5 figs., 4 tabs.

  4. Technologies Assessing Limb Bradykinesia in Parkinson's Disease.

    Science.gov (United States)

    Hasan, Hasan; Athauda, Dilan S; Foltynie, Thomas; Noyce, Alastair J

    2017-01-01

    The MDS-UPDRS (Movement Disorders Society - Unified Parkinson's Disease Rating Scale) is the most widely used scale for rating impairment in PD. Subscores measuring bradykinesia have low reliability that can be subject to rater variability. Novel technological tools can be used to overcome such issues. To systematically explore and describe the available technologies for measuring limb bradykinesia in PD that were published between 2006 and 2016. A systematic literature search using PubMed (MEDLINE), IEEE Xplore, Web of Science, Scopus and Engineering Village (Compendex and Inspec) databases was performed to identify relevant technologies published until 18 October 2016. 47 technologies assessing bradykinesia in PD were identified, 17 of which offered home and clinic-based assessment whilst 30 provided clinic-based assessment only. Of the eligible studies, 7 were validated in a PD patient population only, whilst 40 were tested in both PD and healthy control groups. 19 of the 47 technologies assessed bradykinesia only, whereas 28 assessed other parkinsonian features as well. 33 technologies have been described in additional PD-related studies, whereas 14 are not known to have been tested beyond the pilot phase. Technology based tools offer advantages including objective motor assessment and home monitoring of symptoms, and can be used to assess response to intervention in clinical trials or routine care. This review provides an up-to-date repository and synthesis of the current literature regarding technology used for assessing limb bradykinesia in PD. The review also discusses the current trends with regards to technology and discusses future directions in development.

  5. Egypt--United States cooperative energy assessment: report on preliminary discussions

    Energy Technology Data Exchange (ETDEWEB)

    1978-04-01

    Egyptian and U.S. Government representatives met in Cairo during the period of February 14-22, 1978 to discuss a cooperative Egypt-U.S. assessment of the energy demand and supply options available to Egypt. This report summarizes those preliminary discussions. The discussions accomplished the following: the background and objectives of the U.S. initiative for a cooperative energy assessment with Egypt were explained; Egyptian electric energy activities and their priorities were presented; methods under consideration for the systematic identification and assessment of energy options available to Egypt were explained; the cooperation of Egyptian energy resource and planning organizations was assured; and arrangements to carry out the cooperative assessment were planned.

  6. Criteria for safety related nuclear plant operator actions: a preliminary assessment of available data

    International Nuclear Information System (INIS)

    Haas, P.M.; Bott, T.F.

    1982-01-01

    The need for a quantitative data base on the reliability of nuclear power plant operators has long been recognised by human factors and reliability analysts, and the great need for further assessment of operator performance under accident conditions has been dramatically emphasised by the incident at Three Mile Island-2. In the US, an effort has been under way for a number of years to develop a design standard to define when required manual operator action can be accepted as part of a nuclear plant design basis. To provide the necessary data base to support such standards and the necessary quantitative assessment of operator reliability, the US Nuclear Regulatory Commission is sponsoring a study at Oak Ridge National Laboratory to develop the data base. A preliminary assessment, completed in April 1979, concluded that sufficient data from US operating experience did not exist to provide an adequate data base. A programme of research using full-scope nuclear plant simulators and results that are correlated to field data was suggested. That programme was recently initiated. This paper reviews the approach, results and conclusions of the preliminary assessment and summarises the planned research programme of simulator studies. (author)

  7. Preliminary safety assessment study for the conceptual design of a repository in tuff at Yucca Mountain

    International Nuclear Information System (INIS)

    Jackson, J.L.; Gram, H.F.; Hong, K.J.; Ng, H.S.; Pendergrass, A.M.

    1984-12-01

    Preliminary estimates of the upper bounds on postulated worst-case radiological releases resulting from possible accidents during the operating period of a prospective repository in tuff at Yucca Mountain are presented. Possible disrupting events are screened to identify the accidents of greatest potential consequence. The radiological dose commitments for the general public and repository personnel are estimated for postulated releases caused by natural phenomena, man-made events, and operational accidents. All postulated worst-case releases result in doses to the public that are lower than the 0.5-rem, whole-body dose-per-accident limit set by the Nuclear Regulatory Commission (NRC) in 10 CFR 60. Doses to repository personnel are within the NRC's 5.0-rem/yr occupational exposure limit set in 10 CFR 20 for normal operations. Doses are within this limit for all accidents except the transportation accident and fire in a drift. A preliminary risk assessment has also been performed. Based on this preliminary safety study, the proposed site boundaries and design criteria routinely used in constructing nuclear facilities appear to be adequate to protect the safety of the general public during the operating phase of the repository

  8. Interactive Block Games for Assessing Children's Cognitive Skills: Design and Preliminary Evaluation

    Directory of Open Access Journals (Sweden)

    Kiju Lee

    2018-05-01

    Full Text Available Background: This paper presents design and results from preliminary evaluation of Tangible Geometric Games (TAG-Games for cognitive assessment in young children. The TAG-Games technology employs a set of sensor-integrated cube blocks, called SIG-Blocks, and graphical user interfaces for test administration and real-time performance monitoring. TAG-Games were administered to children from 4 to 8 years of age for evaluating preliminary efficacy of this new technology-based approach.Methods: Five different sets of SIG-Blocks comprised of geometric shapes, segmented human faces, segmented animal faces, emoticons, and colors, were used for three types of TAG-Games, including Assembly, Shape Matching, and Sequence Memory. Computational task difficulty measures were defined for each game and used to generate items with varying difficulty. For preliminary evaluation, TAG-Games were tested on 40 children. To explore the clinical utility of the information assessed by TAG-Games, three subtests of the age-appropriate Wechsler tests (i.e., Block Design, Matrix Reasoning, and Picture Concept were also administered.Results: Internal consistency of TAG-Games was evaluated by the split-half reliability test. Weak to moderate correlations between Assembly and Block Design, Shape Matching and Matrix Reasoning, and Sequence Memory and Picture Concept were found. The computational measure of task complexity for each TAG-Game showed a significant correlation with participants' performance. In addition, age-correlations on TAG-Game scores were found, implying its potential use for assessing children's cognitive skills autonomously.

  9. An Instrument to Assess Self-Statements During Public Speaking: Scale Development and Preliminary Psychometric Properties

    Science.gov (United States)

    Hofmann, Stefan G.; DiBartolo, Patricia Marten

    2006-01-01

    Public speaking is the most commonly reported fearful social situation. Although a number of contemporary theories emphasize the importance of cognitive processes in social anxiety, there is no instrument available to assess fearful thoughts experienced during public speaking. The Self-Statements During Public Speaking (SSPS) scale is a 10-item questionnaire consisting of two 5-item subscales, the “Positive Self-Statements” (SSPS-P) and the “Negative Self-Statements” subscale (SSPS-N). Four studies report on the development and the preliminary psychometric properties of this instrument. PMID:16763666

  10. Preliminary assessment of the possibility of supporting the decomposition of biodegradable packaging

    Directory of Open Access Journals (Sweden)

    Niekraś Lidia

    2017-01-01

    Full Text Available This article presents a preliminary evaluation of the possibility of using grass biomass from a sports field as a compost ingredient which positively affects the degree of decomposition of the biodegradable wrappings. For 5 months the biodegradable bags were stored, both empty and filled with organic waste in the heap of grass clippings. After that period, fragments of the bags were observed under the microscope and then assessed the state of their decomposition. The results indicate that the biomass used favourably affected the process of bag degradation, however the speed of decomposition of the empty bags was quicker than the bags filled with the organic waste.

  11. A Preliminary Investigation of ADHD Symptoms in Persons with Celiac Disease

    Science.gov (United States)

    Niederhofer, Helmut; Pittschieler, Klaus

    2006-01-01

    Objective: Several studies report a possible association of celiac disease (CD) with psychiatric and psychological disturbances, such as ADHD. Method: The authors assess 132 participants from 3 to 57 years of age (M = 19.3 years) affected by CD for the possibility of an associated ADHD-like symptomatology, using the Conner Scale Hypescheme, a…

  12. Cognitive, functional and behavioral assessment: Alzheimer's disease

    Directory of Open Access Journals (Sweden)

    Márcia L.F. Chaves

    Full Text Available Abstract A review of the evidence on cognitive, functional and behavioral assessment for the diagnosis of dementia due to Alzheimer's disease (AD is presented with revision and broadening of the recommendations on the use of tests and batteries in Brazil for the diagnosis of dementia due to AD. A systematic review of the literature (MEDLINE, LILACS and SCIELO database was carried out by a panel of experts. Studies on the validation and/or adaptation of tests, scales and batteries for the Brazilian population were analyzed and classified according to level of evidence. There were sufficient data to recommend the IQCODE, DAFS-R, DAD, ADL-Q and Bayer scale for the evaluation of instrumental activities of daily living, and the Katz scale for the assessment of basic activities of daily living. For the evaluation of neuropsychiatric symptoms, the Neuropsychiatric Inventory (NPI and the CAMDEX were found to be useful, as was the Cornell scale for depression in dementia. The Mini-Mental State Examination has clinical utility as a screening test, as do the multifunctional batteries (CAMCOG-R, ADAS-COG, CERAD and MDRS for brief evaluations of several cognitive domains. There was sufficient evidence to recommend the CDR scale for clinical and severity assessment of dementia. Tests for Brazilian Portuguese are recommended by cognitive domain based on available data.

  13. Assessment of patient experience with unilateral vocal fold immobility: a preliminary study.

    Science.gov (United States)

    Francis, David O; McKiever, Monique E; Garrett, C Gaelyn; Jacobson, Barbara; Penson, David F

    2014-09-01

    Systematically moving toward patient-centered care for unilateral vocal fold immobility (UVFI) requires comprehensive understanding of the variability of actual patient experiences. This rigorous qualitative study assesses UVFI-related disability and proposes a preliminary taxonomy of UVFI patient experience. (1) Semistructured interviews and (2) taxonomy development. Consecutive UVFI patients presenting July to September, 2012, prospectively underwent open-ended interviews investigating how UVFI affected their quality of life (QOL) and had caused disability. Comments reported by >20% were synthesized into axes based on content similarity. Variables were arranged into a preliminary taxonomy of UVFI patient experience, which was evaluated for four attributes of face validity. The majority of 39 patients had "extensive" baseline voice use (56%) and an iatrogenic etiology (62%). Taxonomy of patient experience included three main axes of symptomatic classification: (1) voice, (2) swallowing, and (3) breathing-all with intrinsic (physical and emotional) and extrinsic (social) subaxes that describe major impacts on QOL. Voice complaints were 100% penetrant, whereas breathing and swallowing symptoms afflicted 76% and 66%, respectively, of interviewees. Of affected patients, solid and liquid dysphagia was experienced by 70% and 63%, respectively. Of dyspneic patients, shortness of breath existed with talking (97%) and exercise (72%). Persistent throat congestion (76%), weakened cough (62%), globus (62%), and dysfunctional valsalva (41%) were frequent. Patient experience with UVFI has been incompletely characterized. This qualitative assessment and preliminary taxonomy highlight several related patient experiences not well documented in the literature or incorporated into currently available metrics. Copyright © 2014 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  14. Preliminary Mineral Resource Assessment of Selected Mineral Deposit Types in Afghanistan

    Science.gov (United States)

    Ludington, Steve; Orris, Greta J.; Bolm, Karen S.; Peters, Stephen G.; ,

    2007-01-01

    INTRODUCTION Wise decision-making and management of natural resources depend upon credible and reliable scientific information about the occurrence, distribution, quantity and quality of a country's resource base. Economic development decisions by governments require such information to be part of a Mineral Resource Assessment. Such Mineral Assessments are also useful to private citizens and international investors, consultants, and companies prior to entry and investment in a country. Assessments can also be used to help evaluate the economic risks and impact on the natural environment associated with development of resources. In February 2002, at the request of the Department of State and the then U.S. Ambassador to Afghanistan (Robert P. Finn), the U.S. Geological Survey (USGS) prepared a detailed proposal addressing natural resources issues critical to the reconstruction of Afghanistan. The proposal was refined and updated in December 2003 and was presented as a 5-year work plan to USAID-Kabul in February 2004. USAID-Kabul currently funds this plan and this report presents a part of the preliminary results obligated for fiscal year 2006. A final Preliminary Assessment of the Non Fuel Mineral Resource of Afghanistan will be completed and delivered at the end of fiscal year 2007. Afghanistan has abundant metallic and non-metallic resources, but the potential resources have never been systematically assessed using modern methods. Much of the existing mineral information for Afghanistan was gathered during the 1950s and continued in the late 1980s until the departure of the geologic advisors from the Soviet Union. During this period, there were many mineral-related activities centered on systematic geologic mapping of the country, collection of geochemical and rock samples, implementation of airborne geophysical surveys, and exploration focused on the discovery of large mineral deposits. Many reports, maps, charts, and tables were produced at that time. Some of

  15. Mucosal CCR1 gene expression as a marker of molecular activity in Crohn's disease: preliminary data.

    Science.gov (United States)

    Dobre, Maria; Mănuc, Teodora Ecaterina; Milanesi, Elena; Pleşea, Iancu Emil; Ţieranu, Eugen Nicolae; Popa, Caterina; Mănuc, Mircea; Preda, Carmen Monica; Ţieranu, Ioana; Diculescu, Mihai Mircea; Ionescu, Elena Mirela; Becheanu, Gabriel

    2017-01-01

    A series of mechanisms of immune response, inflammation and apoptosis have been demonstrated to contribute to the appearance and evolution of Crohn's disease (CD) through the overexpression of several cytokines and chemokines in a susceptible host. The aim of this study was to identify the differences in gene expression profiles analyzing a panel of candidate genes in the mucosa from patients with active CD (CD-A), patients in remission (CD-R), and normal controls. Nine individuals were enrolled in the study: six CD patients (three with active lesions, three with mucosal healing) and three controls without inflammatory bowel disease (IBD) seen on endoscopy. All the individuals underwent mucosal biopsy during colonoscopy. Gene expression levels of 84 genes previously associated with CD were evaluated by polymerase chain reaction (PCR) array. Ten genes out of 84 were found significantly differentially expressed in CD-A (CCL11, CCL25, DEFA5, GCG, IL17A, LCN2, REG1A, STAT3, MUC1, CCR1) and eight genes in CD-R (CASP1, IL23A, STAT1, STAT3, TNF, CCR1, CCL5, and HSP90B1) when compared to controls. A quantitative gene expression analysis revealed that CCR1 gene was more expressed in CD-A than in CD-R. Our data suggest that CCR1 gene may be a putative marker of molecular activity of Crohn's disease. Following these preliminary data, a confirmation in larger cohort studies could represent a useful method in order to identify new therapeutic targets.

  16. Assessing the Penetrating Abilities of Experimental Preparation with Dental Infiltrant Features Using Optical Microscope: Preliminary Study.

    Science.gov (United States)

    Skucha-Nowak, Małgorzata; Machorowska-Pieniążek, Agnieszka; Tanasiewicz, Marta

    2016-01-01

    The aim of the infiltration technique is to penetrate demineralized enamel with a low viscosity resin. Icon® (DMG) is the first ever and so far the only dental infiltrant. Bacteriostaticity is one of the properties that should be inherent in dental infiltrants, but Icon lacks this feature. The aim of the preliminary study was to properly choose a dye which would allow us to assess the penetrating abilities of our own, experimental preparation with features of a dental infiltrant with bacteriostatic properties and to compare using an optical microscope the depth of infiltration of the designed experimental preparation with the infiltrant available on the market. The preparation is supposed to infiltrate decalcified human enamel and be assessed with an optical microscope. Eosin, neutral fuchsine and methylene blue were added to experimental preparation with dental infiltrant features and to Icon® (DMG) in order to assess the depth of penetration of the experimental solution into the decalcified layers of enamel. The experimental solution mixes well with eosin, neutral fuchsine, and methylene blue. During the preliminary study, the authors concluded that the experimental solution mixes well with methylene blue, neutral fuchsine, and eosin. An addition of eosin to a preparation which infiltrates inner, demineralized enamel layers, facilitates the assessment of such a preparation with an optical microscope. A designed experimental solution with the main ingredients, i.e., 2-hydroxyethyl methacrylate (HEMA) and tetraethylene glycol dimethacrylate (TEGDMA) with a ratio of 75% to 25% penetrates the demineralized (decalcified) inner parts of the enamel and polymerizes when exposed to light. In order to assess the infiltration of the experimental solution into the demineralized enamel layers, it is required to improve the measurement techniques that utilize optical microscopy.

  17. A preliminary social and economic assessment of the Basalt Waste Isolation Project

    International Nuclear Information System (INIS)

    Cluett, C.; Bolton, P.; York, K.; Wood, M.; Radford, L.

    1981-07-01

    This report provides a preliminary assessment of the social and economic impacts that could be caused by the construction and operation of a nuclear waste repository on the Hanford Site near Richland, Washington. This assessment involved assembling a comprehensive data base for the local Tri-Cities impact area and the surrounding region, establishing a network of local and regional contacts, making preliminary judgments about potential social impacts caused by the proposed repository, and recommending further research. This report concludes that growth effects under the anticipated work force scenario are expected to be relatively minor. With a strong public involvement program on the part of the project developers, including an ongoing dialogue with local and regional planners, potential socio-economic impacts can be anticipated and managed effectively. Specific recommendations are made for filling gaps in the available data, exploring key issues in more detail, and improving the analysis of social impacts. The report was prepared by the Battelle-Human Affairs Research Center in 1980 and 1981

  18. Preliminary assessment report for Redmond Army National Guard Facility, Installation 53120, Redmond, Washington

    International Nuclear Information System (INIS)

    Ketels, P.; Aggarwal, P.

    1993-08-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Washington Army National Guard (WAARNG) property in Redmond, Washington. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment. This PA satisfies, for the Redmond ARNG property, Phase I of the Department of Defense Installation Restoration Program. The environmentally significant operations (ESOs) associated with the property are (1) supply/storage of hazardous materials, (2) weapons cleaning, (3) the underground storage tanks (USTs), and (4) the use of herbicides. These ESOs are no longer active because of the closure of OMS 10 activities in 1988

  19. Preliminary feasibility assessment for Earth-to-space electromagnetic (Railgun) launchers

    Science.gov (United States)

    Rice, E. E.; Miller, L. A.; Earhart, R. W.

    1982-01-01

    An Earth to space electromagnetic (railgun) launcher (ESRL) for launching material into space was studied. Potential ESRL applications were identified and initially assessed to formulate preliminary system requirements. The potential applications included nuclear waste disposal in space, Earth orbital applications, deep space probe launchers, atmospheric research, and boost of chemical rockets. The ESRL system concept consisted of two separate railgun launcher tubes (one at 20 deg from the horizontal for Earth orbital missions, the other vertical for solar system escape disposal missions) powered by a common power plant. Each 2040 m launcher tube is surrounded by 10,200 homopolar generator/inductor units to transmit the power to the walls. Projectile masses are 6500 kg for Earth orbital missions and 2055 kg for nuclear waste disposal missions. For the Earth orbital missions, the projectile requires a propulsion system, leaving an estimated payload mass of 650 kg. For the nuclear waste disposal in space mission, the high level waste mass was estimated at 250 kg. This preliminary assessment included technical, environmental, and economic analyses.

  20. Association between alcohol consumption and periodontal disease among older Nigerians in plateau state: a preliminary study.

    Science.gov (United States)

    Akpata, E Samuel; Adeniyi, Abiola A; Enwonwu, Cyril O; Adeleke, Oyeladun A; Otoh, Emmanuel C

    2016-09-01

    To report the periodontal status of older adults in Plateau State, Nigeria, and determine its Association with alcohol consumption. Periodontal disease is common among Nigerians, and the prevalence increases with age. The role that alcohol consumption plays in the occurrence of the disease among Africans is uncertain. Sample selection was performed using a multistage cluster sampling technique among older adults in Plateau State, Nigeria. Interviews, using structured questionnaires, were conducted for each of the participants. Clinical examinations were then carried out to determine the occurrence of periodontal disease, assessed by clinical attachment loss and probing depth. The prevalence of periodontal disease was 79%, being severe in 46% of the population. Almost half of the participants (46.7%) examined were still actively consuming alcohol, among which 48% reported a history of intoxication. There was no statistically significant relationship between periodontal disease and the frequency of alcohol consumption, or quantity consumed on each occasion. However, alcohol consumption was highly correlated with periodontal disease among those who reported intoxication from the drink (r = 0.095; p = 0.033). A history of intoxication with alcohol was the only significant predictor of periodontal disease, after adjusting for age and gender. Periodontal disease was highly prevalent among older Nigerians in this study. Apart from those who reported intoxication from alcohol, there was no statistically significant relationship between the prevalence of periodontal disease and the frequency of alcohol consumption or the quantity consumed on each occasion. © 2014 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd.

  1. CARDIOVASCULAR RISK ASSESSMENT IN PATIENTS WITH EARLY RHEUMATOID ARTHRITIS WITHIN THE REMARCA STUDY: PRELIMINARY DATA

    Directory of Open Access Journals (Sweden)

    D. S. Novikova

    2015-01-01

    Full Text Available Most patients with early rheumatoid arthritis (RA have a high or very high cardiovascular risk (CVR before therapy with disease-modifying antirheumatic drugs (DMARDs. Objective: to evaluate the impact of antirheumatic therapy performed in accordance with the Treat-to-Target strategy on the progression of atherosclerosis and CVR in patients with early RA. Subjects and methods. This investigation enrolled 74 patients (72% women; median age, 56 years with early RA having moderate to high activity (median DAS28, 5.6 who had not previously received DMARDs and glucocorticoids (GCs. All patients were anticyclic citrullinated peptide antibody-positive and 87% of the patients were rheumatoid factor-positive. All patients received methotrexate (MT subcutaneously with dose escalation up to 25–30 mg/week, in case of its inefficiency at 3 months a biological agent (BA was added. After 6 months, 39% of the patients achieved remission; 19% had low; 35 and 7% had moderate and high disease activity, respectively. The majority (n = 20 (69% who achieved remission received MT monotherapy; 9 (31% – MT + BA whereas among the patients who did not achieve remission 15 (33% and 30 (67% respectively. At baseline and after 6 months of treatment, traditional CVR factors were assessed in all patients, by determining the total coronary risk by the SCORE scale, including that modified by EULAR (mSCORE, carotid artery atherosclerosis (CAA by duplex scanning data, coronary calcification (CC by multislice spiral computed tomography and by estimating the degree of CVR.Results and discussion. The rates of hypertension, overweight, abdominal obesity, low activity, smoking, and type 2 diabetes mellitus did not change significantly after 6 months. There were increases in the levels of total cholesterol by 7% (p < 0.05, low-density lipoprotein cholesterol by 9% (p<0.01, high-density lipoprotein cholesterol by 26% (p < 0.005, and body mass index (BMI by 1% (p < 0.01 and a decrease

  2. Sarcoidosis: assessment of disease severity using HRCT

    Energy Technology Data Exchange (ETDEWEB)

    Drent, Marjolein [Department of Respiratory Medicine, University Hospital of Maastricht, P.O. Box 5800, 6202, AZ Maastricht (Netherlands); Nutrition and Toxicology Research Institute Maastricht (NUTRIM), P.O. Box 5800, 6202, AZ Maastricht (Netherlands); Sarcoidosis Management Center, University Hospital of Maastricht, P.O. Box 5800, 6202, AZ Maastricht (Netherlands); Vries, Jolanda De [Department of Clinical Health Psychology, Tilburg University, P.O. Box 90153, 5000, LE Tilburg (Netherlands); Lenters, Merinke; Wouters, Emiel F.M. [Department of Respiratory Medicine, University Hospital of Maastricht, P.O. Box 5800, 6202, AZ Maastricht (Netherlands); Nutrition and Toxicology Research Institute Maastricht (NUTRIM), P.O. Box 5800, 6202, AZ Maastricht (Netherlands); Lamers, Rob J.S. [Department of Radiology, University Hospital of Maastricht, P.O. Box 5800, 6202, AZ Maastricht (Netherlands); Rothkranz-Kos, Snjezana; Dieijen-Visser, Marja P. van [Nutrition and Toxicology Research Institute Maastricht (NUTRIM), P.O. Box 5800, 6202, AZ Maastricht (Netherlands); Department of Clinical Chemistry, University Hospital of Maastricht, P.O. Box 5800, 6202, AZ Maastricht (Netherlands); Verschakelen, Johny A. [Department of Radiology, Catholic University, 3000, Leuven (Belgium)

    2003-11-01

    The value of high-resolution computed tomography (HRCT) in diagnosing and assessing inflammatory activity in sarcoidosis is well established. The aim of the present study was to address the intra- and inter-observer agreements of the HRCT score by Oberstein et al. [8], and to evaluate the relationship between HRCT findings and disease severity expressed in respiratory functional impairment in sarcoidosis. The clinical records of 80 known sarcoidosis patients visiting the outpatient clinic between January 2000 and August 2001, who underwent a HRCT as well as lung function tests (including exercise testing), were reviewed. Two readers scored the first 60 HRCT images twice. Weighted kappa and intra-class correlation coefficient were used to assess the reliability of the HRCT scoring system. Spearman's rank correlation coefficients and multiple regression analyses were performed to evaluate the relationship between HRCT findings (first reading, reader A) and respiratory functional impairment. Intra- and inter-reader reliability demonstrated good agreement. All HRCT subscores, except enlargement of lymph nodes, were correlated to the FEV{sub 1}, FVC, DLco, Pao{sub 2}max (all p<0.05) and A-aPo{sub 2}max (p <0.001). Furthermore, HRCT abnormalities, but not the chest radiographic stage, were strongly associated with functional parameters. Abnormal changes of lung parenchyma, established by HRCT features, were associated with respiratory functional impairment in sarcoidosis. Moreover, compared with the radiographic stages, HRCT findings appeared to be much more sensitive in depicting respiratory disability, especially abnormal gas exchange. (orig.)

  3. Sarcoidosis: assessment of disease severity using HRCT

    International Nuclear Information System (INIS)

    Drent, Marjolein; Vries, Jolanda De; Lenters, Merinke; Wouters, Emiel F.M.; Lamers, Rob J.S.; Rothkranz-Kos, Snjezana; Dieijen-Visser, Marja P. van; Verschakelen, Johny A.

    2003-01-01

    The value of high-resolution computed tomography (HRCT) in diagnosing and assessing inflammatory activity in sarcoidosis is well established. The aim of the present study was to address the intra- and inter-observer agreements of the HRCT score by Oberstein et al. [8], and to evaluate the relationship between HRCT findings and disease severity expressed in respiratory functional impairment in sarcoidosis. The clinical records of 80 known sarcoidosis patients visiting the outpatient clinic between January 2000 and August 2001, who underwent a HRCT as well as lung function tests (including exercise testing), were reviewed. Two readers scored the first 60 HRCT images twice. Weighted kappa and intra-class correlation coefficient were used to assess the reliability of the HRCT scoring system. Spearman's rank correlation coefficients and multiple regression analyses were performed to evaluate the relationship between HRCT findings (first reading, reader A) and respiratory functional impairment. Intra- and inter-reader reliability demonstrated good agreement. All HRCT subscores, except enlargement of lymph nodes, were correlated to the FEV 1 , FVC, DLco, Pao 2 max (all p 2 max (p <0.001). Furthermore, HRCT abnormalities, but not the chest radiographic stage, were strongly associated with functional parameters. Abnormal changes of lung parenchyma, established by HRCT features, were associated with respiratory functional impairment in sarcoidosis. Moreover, compared with the radiographic stages, HRCT findings appeared to be much more sensitive in depicting respiratory disability, especially abnormal gas exchange. (orig.)

  4. Preliminary assessment of future refining impacts of the Clean Air Act Amendments of 1990

    International Nuclear Information System (INIS)

    Hadder, G.R.

    1991-09-01

    A preliminary assessment of the future refining impacts of the Clean Air Act Amendments of 1990 has been performed with the Navy Mobility Fuels Forecasting Systems. The assessment suggests that gasoline reformulation costs in domestic coastal and near-coastal refining regions in the year 2000 could be 3.5 to 5.6 cents per gallon (in terms of 1989 currency). For heating value equivalent to one gallon of conventional gasoline, the regional total added costs (including reformulation costs) for reformulated gasoline could be 5.9 to 8.0 cents. In blending reformulated gasolines, the reduction of butane for lower Reid vapor pressure and the reduction of reformate for lower aromatics are generally compensated by increased percentages of alkylate and/or straight run naphthas. Relatively larger refinery process capacity additions are required for butane isomerization, alkylation, aromatics recovery, and distillate hydrotreating. 21 refs., 3 figs., 18 tabs

  5. Preliminary assessment of PWR Steam Generator modelling in RELAP5/MOD3

    International Nuclear Information System (INIS)

    Preece, R.J.; Putney, J.M.

    1993-07-01

    A preliminary assessment of Steam Generator (SG) modelling in the PWR thermal-hydraulic code RELAP5/MOD3 is presented. The study is based on calculations against a series of steady-state commissioning tests carried out on the Wolf Creek PWR over a range of load conditions. Data from the tests are used to assess the modelling of primary to secondary side heat transfer and, in particular, to examine the effect of reverting to the standard form of the Chen heat transfer correlation in place of the modified form applied in RELAP5/MOD2. Comparisons between the two versions of the code are also used to show how the new interphase drag model in RELAP5/MOD3 affects the calculation of SG liquid inventory and the void fraction profile in the riser

  6. Preliminary performance assessment for the Waste Isolation Pilot Plant, December 1992. Volume 3, Model parameters: Sandia WIPP Project

    Energy Technology Data Exchange (ETDEWEB)

    1992-12-29

    This volume documents model parameters chosen as of July 1992 that were used by the Performance Assessment Department of Sandia National Laboratories in its 1992 preliminary performance assessment of the Waste Isolation Pilot Plant (WIPP). Ranges and distributions for about 300 modeling parameters in the current secondary data base are presented in tables for the geologic and engineered barriers, global materials (e.g., fluid properties), and agents that act upon the WIPP disposal system such as climate variability and human-intrusion boreholes. The 49 parameters sampled in the 1992 Preliminary Performance Assessment are given special emphasis with tables and graphics that provide insight and sources of data for each parameter.

  7. Systematic Review Protocol for the IRIS Chloroform Assessment (Inhalation) (Preliminary Assessment Materials)

    Science.gov (United States)

    In January 2018, EPA released the Systematic Review Protocol for the IRIS Chloroform Assessment (Inhalation). As part of developing a draft IRIS assessment, EPA presents a methods document, referred to as the protocol, for conducting a chemical-specific systematic revie...

  8. Semantic Feature Training for the Treatment of Anomia in Alzheimer Disease: A Preliminary Investigation.

    Science.gov (United States)

    Flanagan, Kieran J; Copland, David A; van Hees, Sophia; Byrne, Gerard J; Angwin, Anthony J

    2016-03-01

    This is a preliminary investigation into the effectiveness of semantic feature training for the treatment of anomia in Alzheimer disease (AD). Anomia is a common clinical characteristic of AD. It is widely held that anomia in AD is caused by the combination of cognitive deficits and progressive loss of semantic feature information. Therapy that aims to help participants relearn or retain semantic features should, therefore, help treat anomia in AD. Two men with AD and one man with progressive nonfluent aphasia received 10 treatment sessions focused on relearning the names of 20 animals and 20 fruits. Within each category, half of the items were of high and half were of low typicality. We individualized treatment items to each participant, using items that each had not named correctly at baseline. Treatment sessions consisted of naming, category sorting, and semantic feature verification tasks. Both participants with AD showed post-treatment improvements in naming, and one maintained the treatment effects at 6-week follow-up. The semantic category of the treatment items influenced post-treatment outcomes, but typicality did not. In contrast to the participants with AD, the man with progressive nonfluent aphasia had no improvement in naming ability. Our results suggest the potential viability of semantic feature training to treat anomia in AD and, therefore, the need for further research.

  9. Hyperpolarized 3He magnetic resonance imaging: Preliminary evaluation of phenotyping potential in chronic obstructive pulmonary disease

    International Nuclear Information System (INIS)

    Mathew, Lindsay; Kirby, Miranda; Etemad-Rezai, Roya; Wheatley, Andrew; McCormack, David G.; Parraga, Grace

    2011-01-01

    Rationale and objectives: Emphysema and small airway obstruction are the pathological hallmarks of chronic obstructive pulmonary disease (COPD). The aim of this pilot study in a small group of chronic obstructive pulmonary disease (COPD) patients was to quantify hyperpolarized helium-3 ( 3 He) magnetic resonance imaging (MRI) functional and structural measurements and to explore the potential role for 3 He MRI in detecting the lung structural and functional COPD phenotypes. Materials and methods: We evaluated 20 ex-smokers with stage I (n = 1), stage II (n = 9) and stage III COPD (n = 10). All subjects underwent same-day plethysmography, spirometry, 1 H MRI and hyperpolarized 3 He MRI at 3.0 T. 3 He ventilation defect percent (VDP) was generated from 3 He static ventilation images and 1 H thoracic images and the 3 He apparent diffusion coefficient (ADC) was derived from diffusion-weighted MRI. Results: Based on the relative contribution of normalized ADC and VDP, there was evidence of a predominant 3 He MRI measurement in seven patients (n = 3 mainly ventilation defects or VDP dominant (VD), n = 4 mainly increased ADC or ADC dominant (AD)). Analysis of variance (ANOVA) showed significantly lower ADC for subjects with predominantly elevated VDP (p = 0.02 compared to subjects with predominantly elevated ADC; p = 0.008 compared to mixed group) and significantly decreased VDP for subjects with predominantly elevated ADC (p = 0.003, compared to mixed group). Conclusion: In this small pilot study, a preliminary analysis shows the potential for 3 He MRI to categorize or phenotype COPD ex-smokers, providing good evidence of feasibility for larger prospective studies.

  10. Vulnerability Assessments and Resilience Planning at Federal Facilities. Preliminary Synthesis of Project

    Energy Technology Data Exchange (ETDEWEB)

    Moss, R. H. [Pacific Northwest National Lab. (PNNL)/Univ. of Maryland, College Park, MD (United States). Joint Global Change Research Inst.; Blohm, A. J. [Univ. of Maryland, College Park, MD (United States); Delgado, A. [Pacific Northwest National Lab. (PNNL)/Univ. of Maryland, College Park, MD (United States). Joint Global Change Research Inst.; Henriques, J. J. [James Madison Univ., Harrisonburg, VA (United States); Malone, E L. [Pacific Northwest National Lab. (PNNL)/Univ. of Maryland, College Park, MD (United States). Joint Global Change Research Inst.

    2015-08-15

    U.S. government agencies are now directed to assess the vulnerability of their operations and facilities to climate change and to develop adaptation plans to increase their resilience. Specific guidance on methods is still evolving based on the many different available frameworks. Agencies have been experimenting with these frameworks and approaches. This technical paper synthesizes lessons and insights from a series of research case studies conducted by the investigators at facilities of the U.S. Department of Energy and the Department of Defense. The purpose of the paper is to solicit comments and feedback from interested program managers and analysts before final conclusions are published. The paper describes the characteristics of a systematic process for prioritizing needs for adaptation planning at individual facilities and examines requirements and methods needed. It then suggests a framework of steps for vulnerability assessments at Federal facilities and elaborates on three sets of methods required for assessments, regardless of the detailed framework used. In a concluding section, the paper suggests a roadmap to further develop methods to support agencies in preparing for climate change. The case studies point to several preliminary conclusions; (1) Vulnerability assessments are needed to translate potential changes in climate exposure to estimates of impacts and evaluation of their significance for operations and mission attainment, in other words into information that is related to and useful in ongoing planning, management, and decision-making processes; (2) To increase the relevance and utility of vulnerability assessments to site personnel, the assessment process needs to emphasize the characteristics of the site infrastructure, not just climate change; (3) A multi-tiered framework that includes screening, vulnerability assessments at the most vulnerable installations, and adaptation design will efficiently target high-risk sites and infrastructure

  11. Image registration for assessment of Crohn's disease severity

    NARCIS (Netherlands)

    Li, Z.

    2015-01-01

    Crohn’s disease (CD) is a chronic inflammatory bowel disease (IBD) that affects millions of people in Europe alone. It is important to accurately assess the disease severity in a safe and non-invasive manner in order to improve the treatment of patients with CD. Furthermore, the ideal assessment

  12. Contrast-enhanced ultrasonography for the determination of Crohn’s disease activity – preliminary experience

    Science.gov (United States)

    Białecki, Marcin; Białecka, Agnieszka; Laskowska, Katarzyna; Kłopocka, Maria; Liebert, Ariel; Lemanowicz, Adam; Serafin, Zbigniew

    2014-01-01

    Summary Background Contrast-enhanced ultrasound (CEUS) is a recent non-invasive modality, which may partially replace currently used techniques (endoscopy, CT enterography and MR enterography) in the diagnostics and assessment of Crohn’s disease (CD). The aim of the study was to analyze early experience in the use of CEUS for the measurement of activity and staging of CD. Material/Methods Eleven patients previously diagnosed with CD were included in the study. They underwent contrast-enhanced ultrasonography (SonoVue, Bracco), low-dose CT enterography (LDCTE), assessment of laboratory markers of inflammation and clinical CD activity index (CDAI). Contrast enhancement was evaluated using a semi-quantitative method and a quantitative method that included measurement of peak enhancement (PE), enhancement curve rise time (RT) and wash-in-rate (WiR). Results Ileal wall thickening was observed in all patients. Semi-quantitative method was used to observe CD activity in CEUS in 10 cases that perfectly matched LDCTE findings. There was a moderate positive correlation between PE and CDAI (r=0.65, p<0.001). There was no significant relationship between perfusion parameters and laboratory markers of inflammation. Conclusions CEUS is a promising modality for non-invasive assessment of pathologic ileal vascularization in the course of Crohn’s disease. Intensity of enhancement in CEUS reflects activity of the disease detected in LDCTE and correlates with CDAI. PMID:24723988

  13. Contrast-enhanced ultrasonography for the determination of Crohn's disease activity - preliminary experience.

    Science.gov (United States)

    Białecki, Marcin; Białecka, Agnieszka; Laskowska, Katarzyna; Kłopocka, Maria; Liebert, Ariel; Lemanowicz, Adam; Serafin, Zbigniew

    2014-01-01

    Contrast-enhanced ultrasound (CEUS) is a recent non-invasive modality, which may partially replace currently used techniques (endoscopy, CT enterography and MR enterography) in the diagnostics and assessment of Crohn's disease (CD). The aim of the study was to analyze early experience in the use of CEUS for the measurement of activity and staging of CD. Eleven patients previously diagnosed with CD were included in the study. They underwent contrast-enhanced ultrasonography (SonoVue, Bracco), low-dose CT enterography (LDCTE), assessment of laboratory markers of inflammation and clinical CD activity index (CDAI). Contrast enhancement was evaluated using a semi-quantitative method and a quantitative method that included measurement of peak enhancement (PE), enhancement curve rise time (RT) and wash-in-rate (WiR). Ileal wall thickening was observed in all patients. Semi-quantitative method was used to observe CD activity in CEUS in 10 cases that perfectly matched LDCTE findings. There was a moderate positive correlation between PE and CDAI (r=0.65, p<0.001). There was no significant relationship between perfusion parameters and laboratory markers of inflammation. CEUS is a promising modality for non-invasive assessment of pathologic ileal vascularization in the course of Crohn's disease. Intensity of enhancement in CEUS reflects activity of the disease detected in LDCTE and correlates with CDAI.

  14. [A preliminary study of low dosage zuclopenthixol depot in Alzheimer's disease].

    Science.gov (United States)

    Robles, A; Rodríguez Navarrete, F J; Taboada, O; Docasar, L; Páramo, M; Noya, M

    1996-03-01

    Persistent psychomotor agitation and psychotic ideation in patients with Alzheimer's disease are normally treated orally with antipsychotic drugs and are occasionally treated with other drugs. Neuroleptics administered intramuscularly at very low doses are an alternative, especially when the patient rejects medicine as a results of his or her anosognosia or of paranoid manifestations. We present the results we obtained after observing the effects of depot zuclopenthixol in six patients with probable Alzheimer's disease (based upon NINCDS-ADRDA criteria). Psychic abnormalities were assessed as per the Brief Psychiatric Rating Scale (BPRS), the Scale for the Assessment of Positive Symptoms (SAPS) and the Scale for the Assessment of Negative Symptoms (SANS). Possible extrapyramidal side effects were evaluated by means of the Abnormal Involuntary Movement Scale (AIMS). Initially 60 mg (0.3 ml) were administered intramuscularly and successive doses could be modified by +/-20 mg (0.1 ml) according to results seen on the various scales. During the first six weeks of treatment progressive improvement was noted on all three psychic functions scales in all patients. Between the sixth and twelfth weeks improvement continued although without significant change. The AIMS did not show significant changes in the twelve weeks of follow-up. We consider depot zuclopenthixol at low doses as efficacious in treating persistent psychomotor agitation and/or psychotic manifestations of Alzheimer's disease. No undesired side effects were observed in our group after a twelve week follow-up.

  15. Contrast-enhanced ultrasonography for the determination of Crohn’s disease activity – preliminary experience

    International Nuclear Information System (INIS)

    Białecki, Marcin; Białecka, Agnieszka; Laskowska, Katarzyna; Kłopocka, Maria; Liebert, Ariel; Lemanowicz, Adam; Serafin, Zbigniew

    2014-01-01

    Contrast-enhanced ultrasound (CEUS) is a recent non-invasive modality, which may partially replace currently used techniques (endoscopy, CT enterography and MR enterography) in the diagnostics and assessment of Crohn’s disease (CD). The aim of the study was to analyze early experience in the use of CEUS for the measurement of activity and staging of CD. Eleven patients previously diagnosed with CD were included in the study. They underwent contrast-enhanced ultrasonography (SonoVue, Bracco), low-dose CT enterography (LDCTE), assessment of laboratory markers of inflammation and clinical CD activity index (CDAI). Contrast enhancement was evaluated using a semi-quantitative method and a quantitative method that included measurement of peak enhancement (PE), enhancement curve rise time (RT) and wash-in-rate (WiR). Ileal wall thickening was observed in all patients. Semi-quantitative method was used to observe CD activity in CEUS in 10 cases that perfectly matched LDCTE findings. There was a moderate positive correlation between PE and CDAI (r=0.65, p<0.001). There was no significant relationship between perfusion parameters and laboratory markers of inflammation. CEUS is a promising modality for non-invasive assessment of pathologic ileal vascularization in the course of Crohn’s disease. Intensity of enhancement in CEUS reflects activity of the disease detected in LDCTE and correlates with CDAI

  16. Norms for environmentally responsible behaviour: An extended taxonomy and a preliminary assessment

    DEFF Research Database (Denmark)

    Thøgersen, John

    The currently used concept of personal or moral norms is ambiguous with regard to its motivational content. Therefore, a revision of the norm taxonomy is suggested, implying a distinction between three types of personal norms, called introjected, identified, and integrated norms. A preliminary as...... is also supported, with the reservation that the different behavioural references are more than just different methods of measuring the same latent construct(s). People evidently hold different norms for different environmentally responsible behaviours.......The currently used concept of personal or moral norms is ambiguous with regard to its motivational content. Therefore, a revision of the norm taxonomy is suggested, implying a distinction between three types of personal norms, called introjected, identified, and integrated norms. A preliminary...... assessment of the taxonomy is carried out based of a survey of a random sample of Danish residents 18 years or older. A range of norm constructs were measured with regard to four environmentally relevant behaviours: buying organic milk, buying energy saving light bulbs, source-separating compostable kitchen...

  17. Preliminary performance assessment for the Waste Isolation Pilot Plant, December 1992

    International Nuclear Information System (INIS)

    1992-12-01

    Before disposing of transuranic radioactive waste in the Waste Isolation Pilot Plant (WIPP), the United States Department of Energy (DOE) must evaluate compliance with applicable long-term regulations of the United States Environmental Protection Agency (EPA). Sandia National Laboratories is conducting iterative performance assessments (PAs) of the WIPP for the DOE to provide interim guidance while preparing for a final compliance evaluation. This volume, Volume 2, contains the technical basis for the 1992 PA. Specifically, it describes the conceptual basis for consequence modeling and the PA methodology, including the selection of scenarios for analysis, the determination of scenario probabilities, and the estimation of scenario consequences using a Monte Carlo technique and a linked system of computational models. Additional information about the 1992 PA is provided in other volumes. Volume I contains an overview of WIPP PA and results of a preliminary comparison with the long-term requirements of the EPA's Environmental Protection Standards for Management and Disposal of Spent Nuclear Fuel, High-Level and Transuranic Radioactive Wastes (40 CFR 191, Subpart B). Volume 3 contains the reference data base and values for input parameters used in consequence and probability modeling. Volume 4 contains uncertainty and sensitivity analyses related to the preliminary comparison with 40 CFR 191B. Volume 5 contains uncertainty and sensitivity analyses of gas and brine migration for undisturbed performance. Finally, guidance derived from the entire 1992 PA is presented in Volume 6

  18. Preliminary assessment of trace elements effects on essential oil production of Melissa officinalis L. (Lemon balm)

    International Nuclear Information System (INIS)

    Sussa, Fabio V.; Duarte, Celina L.; Andrade, Luana S.; Silva, Paulo S.C.; Furlan, Marcos R.

    2013-01-01

    Melissa officinalis L., Lemon balm, (Lamiaceae) is an herb used as medicine, condiment and in the cosmetic and perfumery industry due to its essential oil. In this study a preliminary assessment of trace elements effects on essential oil production was performed in order to verify an improvement in its quality. The Melissa officinalis samples were harvested from three different soil sites localized in Ibirapuera Park, São Paulo, Brazil. Elemental concentration for the elements As, Ba, Br, Ce, Cl, Co, Cr, Cs, Eu, Fe, Hf, K, La, Lu, Mg, Mn, Na, Nd, Rb, Sb, Sc, Se, Sm, Ta, Tb, Ti, Th, U, V, Yb, Zn and Zr was determined by Instrumental Neutron Activation Analysis (INAA) in Melissa officinalis leaves and surrounding soil. The essential oil was extracted from its leaves by hydrodistillation process in Clevenger apparatus and analyzed by gas chromatography coupled to a mass spectrometer (GC-MS). Certified reference materials NIST SRM-1515 Apple Leaves, NIST SRM-1547 Peach Leaves and NIST SRM-1573a Tomato Leaves were analyzed for quality control. Our results showed Geranial and Neral were identified as the major compounds in the essential oil extracted from Melissa officinalis L. for all collected sites. However, the relative proportion of some chemical constituents was altered according to the site collected. The preliminary results showed that the production of essential oil by Melissa officinalis must be positively correlated with the concentrations of Rb, Zn and negatively correlated with Sc, Mn, La, K, Fe, and Cr. (author)

  19. Preliminary assessment of trace elements effects on essential oil production of Melissa officinalis L. (Lemon balm)

    Energy Technology Data Exchange (ETDEWEB)

    Sussa, Fabio V.; Duarte, Celina L.; Andrade, Luana S.; Silva, Paulo S.C., E-mail: pscsilva@ipen.br, E-mail: clduarte@ipen.br, E-mail: fabiosussa@uol.com.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Furlan, Marcos R., E-mail: furlanagro@gmail.com [Universidade de Taubate, SP (Brazil). Departamento de Ciencias Agrarias

    2013-07-01

    Melissa officinalis L., Lemon balm, (Lamiaceae) is an herb used as medicine, condiment and in the cosmetic and perfumery industry due to its essential oil. In this study a preliminary assessment of trace elements effects on essential oil production was performed in order to verify an improvement in its quality. The Melissa officinalis samples were harvested from three different soil sites localized in Ibirapuera Park, São Paulo, Brazil. Elemental concentration for the elements As, Ba, Br, Ce, Cl, Co, Cr, Cs, Eu, Fe, Hf, K, La, Lu, Mg, Mn, Na, Nd, Rb, Sb, Sc, Se, Sm, Ta, Tb, Ti, Th, U, V, Yb, Zn and Zr was determined by Instrumental Neutron Activation Analysis (INAA) in Melissa officinalis leaves and surrounding soil. The essential oil was extracted from its leaves by hydrodistillation process in Clevenger apparatus and analyzed by gas chromatography coupled to a mass spectrometer (GC-MS). Certified reference materials NIST SRM-1515 Apple Leaves, NIST SRM-1547 Peach Leaves and NIST SRM-1573a Tomato Leaves were analyzed for quality control. Our results showed Geranial and Neral were identified as the major compounds in the essential oil extracted from Melissa officinalis L. for all collected sites. However, the relative proportion of some chemical constituents was altered according to the site collected. The preliminary results showed that the production of essential oil by Melissa officinalis must be positively correlated with the concentrations of Rb, Zn and negatively correlated with Sc, Mn, La, K, Fe, and Cr. (author)

  20. Introducing a multifaceted exercise intervention particular to older adults diagnosed with Parkinson's disease: a preliminary study.

    Science.gov (United States)

    Peacock, Corey A; Sanders, Gabriel J; Wilson, Kayla A; Fickes-Ryan, Emily J; Corbett, Duane B; von Carlowitz, Kyle-Patrick A; Ridgel, Angela L

    2014-08-01

    With a substantial increase in diagnosed Parkinson's disease, it is of great importance to examine tolerance and physical measures of evolving exercise interventions. Of particular importance, a multifaceted exercise intervention combining active-assisted cycling and resistance training to older adults diagnosed with Parkinson's disease is being assessed. Fourteen older adults diagnosed with Parkinson's disease and ten healthy older adults (67.5 ± 7.9 years of age) engaged in an 8-week, 24-session, multifaceted exercise protocol. The protocol consisted of both active-assisted cycling and resistance training. Tolerance was measured, as well as multiple indicators of health-related physical fitness. These indicators examined improvements in cardiovascular performance, muscular strength, muscular endurance, and flexibility. Twenty-two older adults and older adults diagnosed with Parkinson's disease tolerated the intervention by completing all 24 sessions. Repeated-measures analysis of variance demonstrated significant (P ≤ 0.003) improvements in cardiovascular performance, muscular strength, muscular endurance, and flexibility for both groups of individuals. The multifaceted intervention is the first to combine both active-assisted cycling and resistance training. The older adult and the older adult diagnosed with Parkinson's disease exhibited both tolerance and health-related improvements in physical fitness following the intervention.

  1. Adapting the helpful responses questionnaire to assess communication skills involved in delivering contingency management: preliminary psychometrics.

    Science.gov (United States)

    Hartzler, Bryan

    2015-08-01

    A paper/pencil instrument, adapted from Miller and colleagues' (1991) Helpful Responses Questionnaire (HRQ), was developed to assess clinician skill with core communicative aspects involved in delivering contingency management (CM). The instrument presents a single vignette consisting of six points of client dialogue to which respondents write 'what they would say next.' In the context of an implementation/effectiveness hybrid trial, 19 staff clinicians at an opiate treatment program completed serial training outcome assessments before, following, and three months after CM training. Assessments included this adaptation of the HRQ, a multiple-choice CM knowledge test, and a recorded standardized patient encounter scored for CM skillfulness. Study results reveal promising psychometric properties for the instrument, including strong scoring reliability, internal consistency, concurrent and predictive validity, test-retest reliability and sensitivity to training effects. These preliminary findings suggest the instrument is a viable, practical method to assess clinician skill in communicative aspects of CM delivery. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. System of tactical assessment in Soccer (FUT-SAT: Development and preliminary validation

    Directory of Open Access Journals (Sweden)

    I.T. Costa

    2011-01-01

    Full Text Available The purpose of this paper was to report the development and preliminary validation of tactical assessment system in Soccer and highlight its advantages. The validation process followed five perspectives of the concept of validity that consider the value of heuristic methods and the importance of the description of behavior performed in playing situations. Thus, the process of validation was focused on four points: i acceptability and reasonableness of the test perceived by players; ii analysis of content of assessment tool through a panel of experts; iii potential of the assessment tool to discriminate the quality of the performance of players; iv observation reliability. The results displayed values higher than 0.63 for correlation between the evaluations of coaches and the system. It shows the potential of this system to distinguish the performances of players based on the evaluations of coaches. The players who performed the field test agreed with its physical demands and spatial and normative configurations. All experts endorsed the categories and variables of this system. The reliabilities showed values higher than 0.79 for intra and inter-observers. Therefore, it is possible to conclude that the system is valid and reliable for the assessment of the tactical behavior of soccer players.

  3. Preliminary Screening Assessment of the Potential Impact of the Phosphate Fertilizer Industry on Wildlife

    Energy Technology Data Exchange (ETDEWEB)

    Vandenhove, Hildegarde; Sweeck, Lieve; Vives i Batlle, Jordi [SCK.CEN, Belgian Nuclear Research Centre, Boeretang 200, B-2400 Mol (Belgium)

    2014-07-01

    The activities of the phosphate industry may lead to enhanced levels of naturally occurring radioactivity in terrestrial and freshwater ecosystems. We here perform a preliminary environmental risk assessment (ERA) of the activities of the phosphate industry (phosphate ore mining, phosphate fertilizer factories, phosphate export platforms). We evaluated the environmental impact of 5 phosphate fertilizer plants (located in Belgium, Spain, Syria, Egypt, Brazil) and one phosphate-mine and phosphate-export platforms in the harbour(both located in Syria). These sites were selected because of the enhanced concentrations of naturally occurring radionuclides in the surrounding environments. The ERICA non-human biota assessment tool was used to predict radiation dose rates to the reference organisms and associated risks. Reference organisms were those assigned as default by the ERICA Tool. Potential impact is expressed as a risk quotient (RQ) based on a radiation screening value of 10 μGy h{sup -1}. If RQ ≤ 1, the environment is unlikely at risk and further radiological assessment is deemed not to be required. For all the cases assessed, RQ exceeded 1 for at least one of the reference organisms. {sup 226}Ra or {sup 210}Po were generally the highest contributors to the dose. The aquatic ecosystems in the vicinity of the phosphate fertilizer plants in Tessenderlo (Belgium), Huelva (Spain), Goias (Brazil) and the terrestrial environment around the phosphate mine in Palmyra (Syria) are the ecosystems predicted most at risk. (authors)

  4. Preliminary Guideline for the High Temperature Structure Integrity Assessment Procedure Part II. High Temperature Structural Integrity Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jae Han; Kim, J. B.; Lee, H. Y.; Park, C. G.; Joo, Y. S.; Koo, G. H.; Kim, S. H

    2007-02-15

    A high temperature structural integrity assessment belongs to the Part II of a whole preliminary guideline for the high temperature structure. The main contents of this guideline are the evaluation procedures of the creep-fatigue crack initiation and growth in high temperature condition, the high temperature LBB evaluation procedure, and the inelastic evaluations of the welded joints in SFR structures. The methodologies for the proper inelastic analysis of an SFR structures in high temperatures are explained and the guidelines of inelastic analysis options using ANSYS and ABAQUS are suggested. In addition, user guidelines for the developed NONSTA code are included. This guidelines need to be continuously revised to improve the applicability to the design and analysis of the SFR structures.

  5. Preliminary assessment of the tritium inventory and permeation in the plasma facing components of ITER

    International Nuclear Information System (INIS)

    Federici, G.; Holland, D.; Brooks, J.; Causey, R.; Dolan, T.J.; Longhurst, G.

    1995-01-01

    This paper discusses preliminary quantitative predictions for the tritium inventory in- and permeation through the first-wall and divertor PFC's of ITER. The primary plasma facing material under consideration is beryllium, with possible use of tungsten or carbon fiber composites (CFC's) on high-heat-flux surfaces. They use state-of-the-art tritium transport models, in conjunction with design parameters, and loading conditions anticipated for the first-wall, baffle, limiter and divertor. The analysis includes the synergistic effects of erosion on tritium implantation and trapping, which are expected to play a key role, particularly in the divertor regions where the interaction of the plasma with the surfaces will be most severe. The influence of several key parameters that strongly affect tritium build-up and release is assessed. Finally, they discuss the uncertainties in materials properties under ITER operating conditions and the R and D needed to resolve these uncertainties

  6. A preliminary assessment of potential doses to man from radioactive waste dumped in the Arctic Sea

    Energy Technology Data Exchange (ETDEWEB)

    Nielsen, S P [Forskningscente Risoe, Roskilde (Denmark); Iosjpe, M; Strand, P [Norwegian Radiation Protection Authority, Oesteraas (Norway)

    1995-09-01

    This report describes a preliminary radiological assessment of collective doses to the world population from radioactive material dumped in the Barents and Kara Seas in the period 1961-1991. Information on the dumped waste and the rates of release of radionuclides have been available from Russian sources and from the International Atomic Energy Agency. A box model has been used to simulate the dispersion of radionuclides in the marine environment and to calculate the contamination of seafood and the subsequent radiation doses to man. Two release scenarios have been adopted. The worst-case release scenario which ignores the presence of barriers between spent nuclear fuel and seawater is estimated to give rise to about 10 mansieverts calculated to 1000 years from the time of release. A more realistic release scenario is estimated to cause about 3 mansieverts. In both cases exposure from the radionuclide {sup 137}Cs is found to dominate the doses. (au) 8 tabs., 56 ills., 19 refs.

  7. A preliminary assessment of potential doses to man from radioactive waste dumped in the Arctic sea

    International Nuclear Information System (INIS)

    Nielsen, S.P.; Iosjpe, M.; Strand, P.

    1995-11-01

    This report describes a preliminary radiological assessment of collective doses to the world population from radioactive material dumped in the Kara and Barents Seas in the period 1961-1991. Information on the dumped waste and the rates of release of radionuclides have been available from Russian sources and from the International Atomic Energy Agency. A box model has been used to simulate the dispersion of radionuclides in the marine environment and to calculate the contamination of seafood and the subsequent radiation doses to man. Two release scenarios have been adopted. The worst-case release scenario, which ignores the presence of barriers between spent nuclear fuel and seawater, is estimated to give rise to about 10 mansievert calculated to 1000 years from the time of release. A more realistic release scenario is estimated to cause about 3 mansieverts. In both cases exposure from the radionuclide 137 Cs is found to dominate the doses. 19 refs., 56 figs., 8 tabs

  8. Identification and evaluation of areas of interest (AOIs): A screening tool for CERCLA preliminary assessments

    International Nuclear Information System (INIS)

    Autry, A.R.; Allen, K.L.; Smith, L.A.; Schumacher, J.; McDermott, M.

    1994-01-01

    A cost-effective alternative to the traditional Preliminary Assessment (PA) procedure is to identify and evaluate potential Areas of Interest (AOIs) that may become Comprehensive Environmental Response, Liability and Compensation Act of 1980 (CERCLA) sites prior to entry into Comprehensive Environmental Response, Liability Information System (CERCLIS) and the execution of a PA. AOIs would be identified by using much of the same methodology as would be used for site discovery in a CERCLA investigation, including aerial photograph review, reviews of building drawings, a limited review of historical records, and limited interviews and site visits. Once AOIs have been identified in this manner, decision criteria can be used to ascertain the regulatory status of the AOI and, based on regulatory guidance, whether the site should be considered for further investigation under CERCLA. This approach was used at Griffiss Air Force Base to identify 463 AOIs, where the primary problem was petroleum spills

  9. Effects of energy development on ground water quality: an overview and preliminary assessment

    International Nuclear Information System (INIS)

    Parker, W.M. III; Yin, S.C.L.; Davis, M.J.; Kutz, W.J.

    1981-07-01

    A preliminary national overview of the various effects on ground water quality likely to result from energy development. Based on estimates of present and projected energy-development activities, those regions of the country are identified where ground water quality has the potential for being adversely affected. The general causes of change in ground water quality are reviewed. Specific effects on ground water quality of selected energy technologies are discussed, and some case-history material is provided. A brief overview of pertinent legislation relating to the protection and management of ground water quality is presented. Six methodologies that have some value for assessing the potential effects on ground water quality of energy development activities are reviewed. A method of identifying regions in the 48 contiguous states where there is a potential for ground water quality problems is described and then applied

  10. Visual Assessment on Coastal Cruise Tourism: A Preliminary Planning Using Importance Performance Analysis

    Science.gov (United States)

    Trisutomo, S.

    2017-07-01

    Importance-Performance Analysis (IPA) has been widely applied in many cases. In this research, IPA was applied to measure perceive on coastal tourism objects and its possibility to be developed as coastal cruise tourism in Makassar. Three objects, i.e. Akkarena recreational site, Losari public space at waterfront, and Paotere traditional Phinisi ships port, were selected and assessed visually from water area by a group of purposive resource persons. The importance and performance of 10 attributes of each site were scored using Likert scale from 1 to 5. Data were processed by SPSS-21 than resulted Cartesian graph which the scores were divided in four quadrants: Quadrant I concentric here, Quadrant II keep up the good work, Quadrant III low priority, and Quadrant IV possible overkill. The attributes in each quadrant could be considered as the platform for preliminary planning of coastal cruise tour in Makassar

  11. Alternative conceptual models and codes for unsaturated flow in fractured tuff: Preliminary assessments for GWTT-95

    International Nuclear Information System (INIS)

    Ho, C.K.; Altman, S.J.; Arnold, B.W.

    1995-09-01

    Groundwater travel time (GWTT) calculations will play an important role in addressing site-suitability criteria for the potential high-level nuclear waste repository at Yucca Mountain,Nevada. In support of these calculations, Preliminary assessments of the candidate codes and models are presented in this report. A series of benchmark studies have been designed to address important aspects of modeling flow through fractured media representative of flow at Yucca Mountain. Three codes (DUAL, FEHMN, and TOUGH 2) are compared in these benchmark studies. DUAL is a single-phase, isothermal, two-dimensional flow simulator based on the dual mixed finite element method. FEHMN is a nonisothermal, multiphase, multidimensional simulator based primarily on the finite element method. TOUGH2 is anon isothermal, multiphase, multidimensional simulator based on the integral finite difference method. Alternative conceptual models of fracture flow consisting of the equivalent continuum model (ECM) and the dual permeability (DK) model are used in the different codes

  12. An inventory to assess empathic concern for disability and accessibility: development and preliminary psychometric investigation

    Directory of Open Access Journals (Sweden)

    Motohide Miyahara

    2017-11-01

    Full Text Available Cultivating empathy and prosocial attitude towards disability is a first step for university students to become the leaders of society and professions to create accessible environments and inclusive society. Gauging levels of empathy and prosocial attitude towards disability among the students is important for evaluating the adequacy of disability training and education. We developed and conducted an initial psychometric validation of a novel inventory in Japanese and English languages to assess Empathic Concern for Disability and Accessibility (ECDA in Japan and New Zealand. Preliminary psychometric evaluation indicates strong internal consistency in the Japanese sample (α = .96 and the New Zealand sample (α = .93. Exploratory factor analysis demonstrated a four-factor solution for both samples. The present study has resulted in the development of the ECDA that demonstrated initial support for internal consistency and construct validity. The ECDA may be used for the cross-cultural comparisons of disability training and education.

  13. A preliminary assessment of potential doses to man from radioactive waste dumped in the Arctic Sea

    International Nuclear Information System (INIS)

    Nielsen, S.P.; Iosjpe, M.; Strand, P.

    1995-09-01

    This report describes a preliminary radiological assessment of collective doses to the world population from radioactive material dumped in the Barents and Kara Seas in the period 1961-1991. Information on the dumped waste and the rates of release of radionuclides have been available from Russian sources and from the International Atomic Energy Agency. A box model has been used to simulate the dispersion of radionuclides in the marine environment and to calculate the contamination of seafood and the subsequent radiation doses to man. Two release scenarios have been adopted. The worst-case release scenario which ignores the presence of barriers between spent nuclear fuel and seawater is estimated to give rise to about 10 mansieverts calculated to 1000 years from the time of release. A more realistic release scenario is estimated to cause about 3 mansieverts. In both cases exposure from the radionuclide 137 Cs is found to dominate the doses. (au) 8 tabs., 56 ills., 19 refs

  14. Preliminary risk assessment for nuclear waste disposal in space. Volume I. Executive summary of technical report

    International Nuclear Information System (INIS)

    Rice, E.E.; Denning, R.S.; Friedlander, A.L.

    1982-01-01

    Three major conclusions come from this preliminary risk assessment of nuclear waste disposal in space. Preliminary estimates of space disposal risk are low, even with the estimated uncertainty bounds. If calculated mined geologic repository (MGR) release risks remain low, and the EPA requirements continue to be met, then no additional space disposal study effort is warranted. If risks perceived by the public are significant in the acceptance of mined geologic repositories, then consideration of space disposal as an MGR complement is warranted. As a result of this study, the following recommendations are made to NASA and the US DOE: During the continued evaluation of the mined geologic repository risk over the years ahead by DOE, if any significant increase in the calculated health risk is predicted for the MGR, then space disposal should be reevaluated at that time. The risks perceived by the public for the MGR should be evaluated on a broad basis by an independent organization to evaluate acceptance. If, in the future, MGR risks are found to be significant due to some presently unknown technical or social factor, and space disposal is selected as an alternative that may be useful in mitigating the risks, then the following space disposal study activities are recommended: improvement in chemical processing technology for wastes; payload accident response analysis; risk uncertainty analysis for both MGR and space disposal; health risk modeling that includes pathway and dose estimates; space disposal cost modeling; assessment of space disposal perceived (by public) risk benefit; and space systems analysis supporting risk and cost modeling

  15. Preliminary assessment of the dose to the interventional radiologist in fluoro-CT-guided procedures

    International Nuclear Information System (INIS)

    Pereira, M. F.; Alves, J. G.; Sarmento, S.; Santos, J. A. M.; Sousa, M. J.; Gouvea, M.; Oliveira, A. D.; Cardoso, J. V.; Santos, L. M.

    2011-01-01

    A preliminary assessment of the occupational dose to the intervention radiologist received in fluoroscopy computerised tomography (CT) used to guide the collection of lung and bone biopsies is presented. The main aim of this work was to evaluate the capability of the reading system as well as of the available whole-body (WB) and extremity dosemeters used in routine monthly monitoring periods to measure per procedure dose values. The intervention radiologist was allocated 10 WB detectors (LiF: Mg, Ti, TLD-100) placed at chest and abdomen levels above and below the lead apron, and at both right and left arms, knees and feet. A special glove was developed with casings for the insertion of 11 extremity detectors (LiF:Mg, Cu, P, TLD-100H) for the identification of the most highly exposed fingers. The H p (10) dose values received above the lead apron (ranged 0.20-0.02 mSv) depend mainly on the duration of the examination and on the placement of physician relative to the beam, while values below the apron are relatively low. The left arm seems to receive a higher dose value. H p (0.07) values to the hand (ranged 36.30-0.06 mSv) show that the index, middle and ring fingers are the most highly exposed. In this study, the wrist dose was negligible compared with the finger dose. These results are preliminary and further studies are needed to better characterise the dose assessment in CT fluoroscopy. (authors)

  16. Preliminary assessment of the feasibility of using AB words to assess candidacy in adults.

    Science.gov (United States)

    Vickers, Deborah A; Riley, Alison; Ricaud, Rebecca; Verschuur, Carl; Cooper, Stacey; Nunn, Terry; Webb, Kath; Muff, Joanne; Harris, Frances; Chung, Mark; Humphries, Jane; Langshaw, Alison; Poynter-Smith, Emma; Totten, Catherine; Tapper, Lynne; Ridgwell, Jillian; Mawman, Deborah; de Estibariz, Unai Martinez; O'Driscoll, Martin; George, Nicola; Pinto, Francesca; Hall, Anne; Llewellyn, Carol; Miah, Razun; Al-Malky, Ghada; Kitterick, Pádraig T

    2016-04-01

    Adult cochlear implant (CI) candidacy is assessed in part by the use of speech perception measures. In the United Kingdom the current cut-off point to fall within the CI candidacy range is a score of less than 50% on the BKB sentences presented in quiet (presented at 70 dBSPL). The specific goal of this article was to review the benefit of adding the AB word test to the assessment test battery for candidacy. The AB word test scores showed good sensitivity and specificity when calculated based on both word and phoneme scores. The word score equivalent for 50% correct on the BKB sentences was 18.5% and it was 34.5% when the phoneme score was calculated; these scores are in line with those used in centres in Wales (15% AB word score). The goal of the British Cochlear Implant Group (BCIG) service evaluation was to determine if the pre-implant assessment measures are appropriate and set at the correct level for determining candidacy, the future analyses will determine whether the speech perception cut-off point for candidacy should be adjusted and whether other more challenging measures should be used in the candidacy evaluation.

  17. Preliminary Validation of a Parent-Child Relational Framework for Teaching Developmental Assessment to Pediatric Residents.

    Science.gov (United States)

    Regalado, Michael; Schneiderman, Janet U; Duan, Lei; Ragusa, Gisele

    A parent-child relational framework was used as a method to train pediatric residents in basic knowledge and observation skills for the assessment of child development. Components of the training framework and its preliminary validation as an alternative to milestone-based approaches are described. Pediatric residents were trained during a 4-week clinical rotation to use a semistructured interview and observe parent-child behavior during health visits using clinical criteria for historical information and observed behavior that reflect developmental change in the parent-child relationship. Clinical impressions of concern versus no concern for developmental delay were derived from parent-child relational criteria and the physical examination. A chart review yielded 330 preterm infants evaluated using this methodology at 4 and 15 months corrected age who also had standardized developmental testing at 6 and 18 months corrected age. Sensitivities and specificities were computed to examine the validity of the clinical assessment compared with standardized testing. A subset of residents who completed 50 or more assessments during the rotation was timed at the end of 4 weeks. Parent-child behavioral markers elicited from the history and/or observed during the health visit correlated highly with standardized developmental assessment. Sensitivities and specificities were 0.72/0.98 and 0.87/0.96 at 4 to 6 and 15 to 18 months, respectively. Residents completed their assessments parent-child relational framework is a potentially efficient and effective approach to training residents in the clinical knowledge and skills of child development assessment. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  18. Preliminary assessment of adjuster system performance in CANDU-6 RUFIC core

    International Nuclear Information System (INIS)

    Kim, Soon Young; Suk, Ho Chun

    2002-07-01

    Four operational transients in CANDU-6 RUFIC core have been simulated to assess the adjuster system performance. These transients included startup after a short shutdown, startup after a poison-out shutdown, shim mode operation, and a stepback to 60% full power. Also, an alternative adjuster-banking scheme has been assessed in this report. The alternative adjuster-banking scheme involves rods in Bank 1 and Bank 7 being re-distributed within the two banks. In the alternative adjuster-banking scheme, Bank 1 becomes the heaviest one. The results of the preliminary assessment indicated that the adjuster system as currently designed and installed in the NU core will adequately meet the functional requirements in the RUFIC core. Comparing to the adjuster system performance in the NU core, the total worth of the adjuster in the RUFIC core is reduced, leading to less xenon override capability and shimming capability. However, the overall performance is expected to still be satisfactory. The overall results from the transient studied indicated that the alternative banking scheme does show some better performance characteristics and merits further detailed studies

  19. Preliminary risk assessment database and risk ranking of pharmaceuticals in the environment

    International Nuclear Information System (INIS)

    Cooper, Emily R.; Siewicki, Thomas C.; Phillips, Karl

    2008-01-01

    There is increasing concern about pharmaceuticals entering surface waters and the impacts these compounds may have on aquatic organisms. Many contaminants, including pharmaceuticals, are not completely removed by wastewater treatment. Discharge of effluent into surface waters results in chronic low-concentration exposure of aquatic organisms to these compounds, with unknown impacts. Exposure of virulent bacteria in wastewater to antibiotic residues may also induce resistance, which could threaten human health. The purpose of this study was to provide information on pharmaceutical threats to the environment. A preliminary risk assessment database for common pharmaceuticals was created and put into a web-accessible database named 'Pharmaceuticals in the Environment, Information for Assessing Risk' (PEIAR) to help others evaluate potential risks of pharmaceutical contaminants in the environment. Information from PEIAR was used to prioritize compounds that may threaten the environment, with a focus on marine and estuarine environments. The pharmaceuticals were ranked using five different combinations of physical-chemical and toxicological data, which emphasized different risks. The results of the ranking methods differed in the compounds identified as high risk; however, drugs from the central nervous system, cardiovascular, and anti-infective classes were heavily represented within the top 100 drugs in all rankings. Anti-infectives may pose the greatest overall risk based upon our results using a combination of factors that measure environmental transport, fate, and aquatic toxicity. The dataset is also useful for highlighting information that is still needed to assuredly assess risk

  20. Positive Psychology Interventions for Patients With Heart Disease: A Preliminary Randomized Trial.

    Science.gov (United States)

    Nikrahan, Gholam Reza; Suarez, Laura; Asgari, Karim; Beach, Scott R; Celano, Christopher M; Kalantari, Mehrdad; Abedi, Mohammad Reza; Etesampour, Ali; Abbas, Rezaei; Huffman, Jeff C

    2016-01-01

    Positive psychologic characteristics have been linked to superior cardiac outcomes. Accordingly, in this exploratory study, we assessed positive psychology interventions in patients who had recently undergone a procedure to treat cardiovascular disease. Participants were randomly assigned to receive 1 of 3 different 6-week face-to-face interventions or a wait-list control condition. We assessed intervention feasibility and compared changes in psychologic outcome measures postintervention (7wk) and at follow-up (15wk) between intervention and control participants. Across the interventions, 74% of assigned sessions were completed. When comparing outcomes between interventions and control participants (N = 55 total), there were no between-group differences post-intervention, but at follow-up intervention participants had greater improvements in happiness (β = 14.43, 95% CI: 8.66-20.2, p psychology intervention for cardiac patients. Copyright © 2016 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

  1. Assessment of the knowledge and attitudes of preliminary school students toward smoking in Baghdad

    Directory of Open Access Journals (Sweden)

    Abbas Jabbar Sahib

    2016-03-01

    Full Text Available Background: Early smoking considered as a major challenge for health promoters, as well it is socially not acceptable, thus interventions must tackle childhood starts of smoking.Aim: Assessing the knowledge and attitude of preliminary students towards tobacco use. Methods: A cross-sectional study conducted among 2195, 5th grade students from 30 preliminary schools in Baghdad (15 from each side Karkh & Rusafa during November 2014. They were selected by multistage sampling technique.Results:  Participated students age ranged between (10-13 years and (51.9% of them were girls, (54.3% of their parents were nonsmoker while the rest reported that both or one of them are smokers, direct and indirect risks of cigarette  smoking were known by (82.4% and (66.2% respectively, and (70.8% of students’ families were found to wear their kids from smoking hazards, while more than (50% of them have received health education massages from their teachers. Sitting near smoker person was not in favor of (86.2% of the participants, as (51.4% considered it religiously inconvenient and (34.6% considered smoking as a sign of no self-confidence. At last, (73.7% of the surveyed students agreed with smoking prohibition in public places while (25.8% opposed that.Conclusion: In spite of the high percentage of students’ parents were smokers; nevertheless, risks of smoking are well known by the surveyed students and they showed positive attitudes toward smoking prohibition in public places. Parental advising for quit smoking and urging teachers to educate their students about smoking hazards are thought to be the right action.

  2. Brain morphometric analysis predicts decline of intelligence quotient in children with sickle cell disease: A preliminary study.

    Science.gov (United States)

    Chen, Rong; Krejza, Jaroslaw; Arkuszewski, Michal; Zimmerman, Robert A; Herskovits, Edward H; Melhem, Elias R

    2017-03-01

    For children with sickle cell disease (SCD) and at low risk category of stroke, we aim to build a predictive model to differentiate those with decline of intelligence-quotient (IQ) from counterparts without decline, based on structural magnetic-resonance (MR) imaging volumetric analysis. This preliminary prospective cohort study included 25 children with SCD, homozygous for hemoglobin S, with no history of stroke and transcranial Doppler mean velocities below 170cm/s at baseline. We administered the Kaufman Brief Intelligence Test (K-BIT) to each child at yearly intervals for 2-4 years. Each child underwent MR examination within 30 days of the baseline K-BIT evaluation date. We calculated K-BIT change rates, and used rate of change in K-BIT to classify children into two groups: a decline group and a non-decline group. We then generated predictive models to predict K-BIT decline/non-decline based on regional gray-matter (GM) volumes computed from structural MR images. We identified six structures (the left median cingulate gyrus, the right middle occipital gyrus, the left inferior occipital gyrus, the right fusiform gyrus, the right middle temporal gyrus, the right inferior temporal gyrus) that, when assessed for volume at baseline, are jointly predictive of whether a child would suffer subsequent K-BIT decline. Based on these six regional GM volumes and the baseline K-BIT, we built a prognostic model using the K * algorithm. The accuracy, sensitivity and specificity were 0.84, 0.78 and 0.86, respectively. GM volumetric analysis predicts subsequent IQ decline for children with SCD. Copyright © 2017 Medical University of Bialystok. Published by Elsevier B.V. All rights reserved.

  3. CT virtual intravascular endoscopy assessment of coronary artery plaques: A preliminary study

    International Nuclear Information System (INIS)

    Sun Zhonghua; Dimpudus, Franky Jacobus; Nugroho, Johanes; Adipranoto, Jeffrey Daniel

    2010-01-01

    Purpose: The purpose of this study was to investigate the potential value of CT virtual intravascular endoscopy (VIE) in the visualization and assessment of coronary plaques in patients suspected of coronary artery disease. Materials and methods: 20 (13 men, 7 women, mean age 54 years) consecutive patients with suspected coronary artery disease undergoing 64-slice CT angiography were included in the study. Four main coronary artery branches were assessed with regard to the presence of coronary plaques based on 2D axial, multiplanar reformation, 3D volume rendering and VIE visualizations. The coronary plaques were characterized into calcified, noncalcified and mixed plaques. The intraluminal appearances of these coronary plaques were demonstrated with VIE images and correlated with 2D and 3D images to determine the diagnostic value of VIE for the assessment of the plaques. Results: VIE was able to identify and demonstrate the intraluminal appearances of coronary plaques in 18 patients involving 32 coronary artery branches which were shown as an irregularly intraluminal protruding sign in extensively calcified plaques and smooth protruding appearance in noncalcified or focally calcified plaques. An irregular intraluminal appearance was also noticed in the presence of mixed plaques due to variable components with different CT attenuations contained within the plaques. VIE accurately confirmed the degree of coronary stenosis or occlusion despite the presence of heavy calcification. Conclusion: VIE could be used as a complementary tool to conventional CT visualizations for the analysis of luminal changes and assessment of disease extent caused by the coronary plaques.

  4. A preliminary assessment of the market coupling arrangement on the Kontek cable

    International Nuclear Information System (INIS)

    Kristiansen, Tarjei

    2007-01-01

    This paper presents a preliminary assessment of the market coupling arrangement on the Kontek (KT) cable between East Denmark and Germany and an assessment of the original auction mechanism. KT, the new spot price area, was introduced in Germany on October 5, 2005 to facilitate a market coupling arrangement on the KT cable between East Denmark and Germany. We would expect the KT price to correlate more with the European Energy Exchange (EEX) price because arbitrage normally levelizes the price. However, spot prices in late 2005 were both high and volatile because congestion management practices in Sweden transferred internal bottlenecks to the cable between Sweden and East Denmark. Since spot prices were equal in East Denmark and the KT area for a substantial time, it implies that some hours had no congestion on the KT cable. Market players valued the previous monthly auctions for transmission capacity more than the daily auctions. Compared to the daily auctions, market players received smaller payoffs on average for the market coupling arrangement, and the smallest payoffs for the monthly auctions

  5. A preliminary economic feasibility assessment of nuclear desalination in Madura Island

    International Nuclear Information System (INIS)

    Kim, S.-H.; Hwang, Y.-D.; Konishi, T.; Hudi Hastowo

    2005-01-01

    A joint study between KAERI and BATAN, which is entitled 'A preliminary economic feasibility assessment of nuclear desalination in Madura Island', is being conducted under the framework of the Interregional Technical Cooperation Project of IAEA, signed on Oct. 10, 2001 at IAEA. The duration of the project is January 2002 to December 2004. An economic feasibility of nuclear desalination using system-integrated modular advanced reactor (SMART), which will provide Madura Island with electricity and potable water and also support industrialisation and tourism, will be assessed during the project. The scope of this joint study includes the analyses for the short- and long-term energy and water demand as well as the supply plan for Madura Island, evaluation of the site characteristics, environmental impacts and health aspects, technical and economic evaluation of SMART and its desalination system, including the feasibility of its being identified on the Madura Island. KAERI and BATAN are cooperating in conducting a joint study, and IAEA provides technical support and a review of the study products. This paper presents the interim results of the joint study by focussing on the technical and economic aspects of nuclear desalination using SMART in Madura Island. (author)

  6. Preliminary engineering assessment of the HCLL and HCPB Neutron Activation System

    Energy Technology Data Exchange (ETDEWEB)

    Calderoni, Pattrick; Leichtle, Dieter [Fusion for Energy, Barcelona, (Spain); Angelone, Maurizio [ENEA, Unita Tecnica Fusione, Frascati, (Italy); Klix, Axel [KIT, Eggenstein-Leopoldshafen, (Germany)

    2015-07-01

    The Neutron Activation System (NAS) is one of the four types of neutronics sensors considered for the testing of the HCLL and HCPB Test Blanket Module (TBM) in ITER. It measures the absolute neutron flux intensity with information on the neutron spectrum in selected positions of the TBM. The working principle of the NAS is as follows: the system moves small activation probes (capsules) into selected positions in the TBM (irradiation ends) by means of pneumatic transport with pressurized helium gas; the capsules are irradiated for a selected period, depending on their materials composition (several tens of seconds up to the full plasma pulse length); immediately after the irradiation they are extracted and transported to a gamma spectrometer by means of the same pneumatic transport system; the gamma spectrometer determines the induced gamma activity; the neutron flux and neutron fluence is calculated from the measured gamma activity and the known activation cross section of the materials in the activation probe; after the measurement the capsule is sent either to a disposal or storage (for later measurement). This paper summarizes the results of the feasibility assessment of the TBM NAS in the conceptual design phase, including design justification, identification of requirements based on the expected operating conditions in ITER and preliminary engineering assessment of the activation materials, irradiation ends integration in the modules design and the counting station. (authors)

  7. Quality and Toxicity Assessments of Foot and Mouth Disease Virus ...

    African Journals Online (AJOL)

    The quality and toxicity assessment of foot and mouth disease virus vaccine was carried out in inoculated guinea pigs. ... could be used for the control and prevention of foot and mouth disease in Nigerian livestock. Keyword: Foot and Mouth Disease ... 2 blended with Incomplete. Seepic Adjuvant (ISA) montanide 206, which.

  8. A preliminary assessment of noise level during Deepawali festival in Balasore, India.

    Science.gov (United States)

    Goswami, Shreerup; Swain, Bijay Kumar; Mohapatra, Hara Prasad; Bal, Kshirod Kumar

    2013-11-01

    A preliminary assessment of noise levels during Deepawali, was made in the present study. In order to assess the situation of noise levels in and around Balasore during two consecutive Deepawali of the year 2010 and 2011; noise monitoring was carried out in three different specified times (4:30-7:00 p.m., 7:00-10:30 p.m., 10:30 p.m.-1:00 a.m.). Noise descriptors such as L10, L50, L90, Leq, noise pollution level and noise climate were assessed to reveal the extent of noise pollution in this festival of crackers. Permissible limit of noise levels (Leq) prescribed by WHO during the festival was 100 dB and Lmax must not exceed 110 dB during such occasion. However, in all the cases Lmax and NPL values exceeded 110 dB, while Leq values ranged from 92.9 to 101.9 dB during 2010 Deepawali and 81.5 to 100.8 dB during 2011 Deepawali. On the other hand, all the noise monitoring sites belonged to residential areas. The assessed noise levels during such festivity are much more than 55/45 dB i.e. prescribed for residential areas for day/night time by CPCB. However, it was observed that the noise of Deepawali (Leq) decreased considerably and was less during 2011 than 2010. These may be due to increased environmental awareness among the public. Subsequently, the people of Balasore prefered to celebrate Deepawali, the festival of lights without sound and smoke. Noise policy should also be worked out for a better understanding of such local, social and cultural festivals in which annoyance arise.

  9. A preliminary strategic environmental impact assessment of mineral and hydrocarbon activities on the Nuussuaq peninsula, West Greenland

    Energy Technology Data Exchange (ETDEWEB)

    Boertmann, D.; Asmund, G.; Glahder, C.; Tamstorf, M.

    2008-01-15

    There is an increasing interest for mineral and hydrocarbon exploration in Greenland and in both regards the Nuussuaq peninsula is in focus. This preliminary strategic environmental impact assessment describes the status of the biological knowledge from the area and designates potential conflicts between activities and the biological environment. Furthermore biological knowledge gaps are identified. These should be filled before specific environmental impacts assessments can be carried out and relevant studies to fill these data gaps are proposed. (au)

  10. Ambulatory motor assessment in Parkinson's disease.

    NARCIS (Netherlands)

    Keijsers, N.L.W.; Horstink, M.W.I.M.; Gielen, S.C.A.M.

    2006-01-01

    We developed an algorithm that distinguishes between on and off states in patients with Parkinson's disease during daily life activities. Twenty-three patients were monitored continuously in a home-like situation for approximately 3 hours while they carried out normal daily-life activities. Behavior

  11. Magnetic resonance (MR) applications in the diagnosis of some congenital and acquired heart diseases. Preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Porta, E; Belfiore, G; Marano, I

    1988-01-01

    The authors describe their personal experience using Magnetic Resonance Imaging (MRI) in the evaluation of cardio-vascular diseases. 55 patients were examined. It was possible to obtain a good definition of the cardiac structure, especially when the cardiac gating was employed. In the 3 ventricular and in the 5 atrial defects, the dimension of the defect and the dilatation of the involved cardiac chambers were precisely assessed. In the 6 aortic coarctations, MRI evaluated the level and the grade of stenosis, with consequent definition of the anatomic type. Moreover collateral circulation and dilatation before and/or after the stenosis were evident. In all the 7 complex cardiopathies examined (3 Fallot tetralogies, 1 Fallot pentalogy, 1 aortic cervical arch, and 2 Ebstein diseases) MRI demonstrated every single anomaly of the malformations, at both cardiac and vascular levels. In 2 patients with atrial fibrillation, MRI visualized endoatrial thrombi. In the 7 patients with previous myocardial infarction, the site of ischemia was depicted as a thinning of the wall, while the remaining myocardium appared hypertrophic. MRI correctly demonstrated all thoracic aorta aneurysms, even in a case where both CT and angiography were negative, due to the aneurysm being thrombosed. Mural thrombi were evident with both MRI and CT, but not always visible with angiography. In the 5 dissected aneurysms, MRI -like CT- assessed the origin of the dissection, and the dimension of the true and false lumen; moreover, it indirectly evaluated the slow and turbolent blood flow within the true lumen, and the presence of thrombi in the false lumen. 25 refs.

  12. Assessment and management of refractory breathlessness in interstitial lung disease.

    Science.gov (United States)

    Speakman, Lucy; Walthall, Helen

    2017-09-02

    Interstitial lung disease (ILD) refers to a cluster of fibroinflammatory conditions. There are limited treatment options and most patients have severe dyspnoea. The prognosis is poor. This study aims to evaluate current literature on the assessment and management of refractory breathlessness in ILD. Few tools are available to assess dyspnoea in advanced respiratory disease. Holistic assessment requires a combination of tools but there are few disease specific tools. The role of opioids is well established in the reduction of breathlessness, but there is insufficient evidence that benzodiazepines are beneficial. Non-pharmcolological breathlessness intervention services can give patients mastery of their disease, reduced distress due to breathlessness and were more cost effective. More research on holistic interventions for use in advanced disease needs to be done. Patient-reported outcome measures could elicit valuable evidence to describe the benefit of breathlessness management services in advanced respiratory disease.

  13. Preliminary assessment of radiological conditions at the Ranger land application area

    International Nuclear Information System (INIS)

    Kavasnicka, J.; Bywater, J.

    1992-01-01

    Some 18 GBq of uranium and 1.5 GBq of 226 Ra were disposed of by land application on the designated disposal area by March 1989. This preliminary study, which is part of a longer-term project, outlines the assessment of external gamma radiation exposures from short-lived gamma-ray emitting decay products of 226 Ra and of internal exposures from inhalation of uranium and 226 Ra resuspended from the soil surface. The effective dose equivalent from these two exposure pathways for an adult member of the public was calculated to be about 0.05 mSv.y -1 (based on a 4 hour per day occupancy of the disposal area). This dose implies a total combined load limit of 490 kBq.m -2 of uranium plus 41 kBq.m -2 of 226 Ra. It is expected that the load limit will be reduced when all pathways and more recent data are taken into the account. 8 refs., 14 tabs., 3 figs

  14. Preliminary Assessment of Spatial Competition in the Market for E85: Presentation Supplement

    Energy Technology Data Exchange (ETDEWEB)

    Clinton, Bentley [National Renewable Energy Lab. (NREL), Golden, CO (United States); Johnson, Caley [National Renewable Energy Lab. (NREL), Golden, CO (United States); Moriarty, Kristi [National Renewable Energy Lab. (NREL), Golden, CO (United States); Newes, Emily [National Renewable Energy Lab. (NREL), Golden, CO (United States); Vimmerstedt, Laura [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2017-02-01

    The Preliminary Assessment of Spatial Competition in the Market for E85 presentation and supplementary report from the U.S. Department of Energy’s National Renewable Energy Laboratory examine how the spacing of E85 fueling stations impacts E85 retail pricing. The analysis finds an inverse correlation between station density and E85 prices, with local competition putting downward pressure on E85 prices. A gas station with E85 whose nearest competitor is within a 0.5 mile radius is associated with a lower E85 price per gallon than an otherwise identical station with E85 whose nearest competitor is farther away. The analysis also finds a higher level of correlation between E85 and both E10 and wholesale gasoline prices than with ethanol costs. This indicates that E85 may, in fact, be priced with respect to its substitute fuel, and not based on the cost of its inputs. These findings help identify key trends and barriers in E85 markets and highlight data gaps that, if addressed, could help enable competitive E85 markets. The analysis was released in February 2017 and uses national and Minnesota-specific price data.

  15. Preliminary assessment of modified borosilicate glasses for chromium and ruthenium immobilization

    Energy Technology Data Exchange (ETDEWEB)

    Farid, Osama M. [Reactors Department, Nuclear Research Center, Atomic Energy Authority of Egypt, P.O. 13759, Inshas, Cairo (Egypt); Centre of Nuclear Engineering (CNE), Department of Materials, Imperial College London, London, SW7 2BP (United Kingdom); Abdel Rahman, R.O., E-mail: alaarehab@yahoo.com [Hot Laboratory Center, Atomic Energy Authority of Egypt, P.O. 13759, Inshas, Cairo (Egypt)

    2017-01-15

    The feasibility of using modified alkali borosilicate glasses for ruthenium and chromium immobilization is preliminary assessed by investigating the immobilization system structure under normal conditions. Within this context, reference alkali borosilicate, and simulated Magnox-modified glasses were prepared and studied. The results indicate that ruthenium is immobilized in the vitreous structure as encapsulated RuO{sub 2} crystallites that act as seeds for heterogeneous nucleation of other crystalline phases. The presence of Zn, as modifier, has contributed to chromium immobilization in zincochromite spinel structure, whereas Ca is accommodated in the vitreous structure. Immobilization performance was evaluated by conducting conservative static leach test and studying the leached glass. Leached glass morphology was altered, where near surface reference glass is leached over 400 nm and simulated Magnox-modified sample is altered over 300 nm. Normalized release rates are within normal range for borosilicate material. For simulated Magnox-modified sample, Ca and alkali structural element, i.e. Na and Li, are leached via ion-exchange reaction. The ion-exchanged fraction equals 1.06 × 10{sup −8} mol/m{sup 2} s and chromium has slightly lower normalized release rate value than ruthenium. - Highlights: • The presence of modifiers and waste oxides led to localized de-vitrification. • Ruthenium is encapsulated within the vitreous glass network as RuO{sub 2} crystals. • Chromium is immobilized within the zincochromite spinel structure. • Pitting and cracks induced by leaching did not affect the immobilization performance.

  16. Preliminary assessment of fluorine-18 fluorodeoxyglucose positron emission tomography in patients with bladder cancer

    International Nuclear Information System (INIS)

    Kosuda, S.; Kison, P.V.; Greenough, R.; Grossman, H.B.; Wahl, R.L.

    1997-01-01

    The purpose of this study was to assess the feasibility of imaging of bladder cancer with fluorine-18 fluorodeoxyglucose positron emission tomography (FDG-PET) scanning. We studied 12 patients with histologically proven bladder cancer who had undergone surgical procedures and/or radiotherapy. Retrograde irrigation of the urinary bladder with 1000-3710 ml saline was performed during nine of the studies. Dynamic and static PET images were obtained, and standardized uptake value images were reconstructed. FDG-PET scanning was true-positive in eight patients (66.7%), but false-negative in four (33.3%). Of 20 organs with tumor mass lesions confirmed pathologically or clinically, 16 (80%) were detected by FDG-PET scanning. FDG-PET scanning detected all of 17 distant metastatic lesions and two of three proven regional lymph node metastases. FDG-PET was also capable of differentiating viable recurrent bladder cancer from radiation-induced alterations in two patients. In conclusion, these preliminary data indicate the feasibility of FDG-PET imaging in patients with bladder cancer, although a major remaining pitfall is intense FDG accumulation in the urine. (orig.). With 3 figs., 1 tab

  17. Preliminary assessment on the competency of technical staff of Atomic Energy Licensing Board

    International Nuclear Information System (INIS)

    Marina Mishar; Redzuwan Yahya

    2010-01-01

    The main purpose of this study is to carry out a preliminary assessment on the competency level of technical staff of Atomic Energy Licensing Board (AELB), the nuclear regulatory body in Malaysia for effectively monitoring and supervising the activities of the first nuclear power plant in Malaysia. The study is conducted out on the whole group of AELB technical staff, comprising 81 personnel from the supporting and professional categories. Findings showed that AELB technical staff who have been in the workforce for more than ten years have the required competency level for legal and regulatory processes competencies, regulatory practices competencies and effectiveness in personal and inter-personal competencies. Regression analysis between competency and working experience (length of service) showed a weak positive correlation, which could be contributed by job not related to the competency parameters for major functions of a regulatory body in controlling nuclear activity of a nuclear power plant. Results obtained could assist AELB in manpower development once Malaysia makes the decision to embark on a nuclear power programme. (author)

  18. Preliminary risk assessment of the Integral Inherently-Safe Light Water Reactor

    International Nuclear Information System (INIS)

    McCarroll, Kellen R.; Lee, John C.; Manera, Annalisa; Memmott, Matthew J.; Ferroni, Paolo

    2017-01-01

    The Integral, Inherently Safe Light Water Reactor (I 2 S-LWR) concept seeks to significantly increase nuclear power plant safety. The project implements a safety-by-design philosophy, eliminating several initiating events and providing novel, passive safety systems at the conceptual phase. Pursuit of unparalleled safety employs an integrated development process linking design with deterministic and probabilistic safety analyses. Unique aspects of the I 2 S-LWR concept and design process present challenges to the probabilistic risk assessment (PRA), particularly regarding overall flexibility, auditability and resolution of results. Useful approaches to initiating events and conditional failures are presented. To exemplify the risk-informed design process using PRA, a trade-off study of two safety system configurations is presented. Although further optimization is required, preliminary results indicate that the I 2 S-LWR can achieve a core damage frequency (CDF) from internal events less than 1.01 × 10 −8 /ry, including reactor vessel ruptures. Containment bypass frequency due to primary heat exchanger rupture is found to be comparable to non-vessel rupture CDF.

  19. Preliminary Assessment of Spatial Competition in the Market for E85

    Energy Technology Data Exchange (ETDEWEB)

    Bentley Clinton

    2017-02-01

    The Preliminary Assessment of Spatial Competition in the Market for E85 presentation and supplementary report from the U.S. Department of Energy’s National Renewable Energy Laboratory examine how the spacing of E85 fueling stations impacts E85 retail pricing. The analysis finds an inverse correlation between station density and E85 prices, with local competition putting downward pressure on E85 prices. A gas station with E85 whose nearest competitor is within a 0.5 mile radius is associated with a lower E85 price per gallon than an otherwise identical station with E85 whose nearest competitor is farther away. The analysis also finds a higher level of correlation between E85 and both E10 and wholesale gasoline prices than with ethanol costs. This indicates that E85 may, in fact, be priced with respect to its substitute fuel, and not based on the cost of its inputs. These findings help identify key trends and barriers in E85 markets and highlight data gaps that, if addressed, could help enable competitive E85 markets. The analysis was released in February 2017 and uses national and Minnesota-specific price data.

  20. A preliminary spatial assessment of risk: Marine birds and chronic oil pollution on Canada's Pacific coast.

    Science.gov (United States)

    Fox, C H; O'Hara, P D; Bertazzon, S; Morgan, K; Underwood, F E; Paquet, P C

    2016-12-15

    Chronic oil pollution poses substantial risks to marine birds and other marine wildlife worldwide. On Canada's Pacific coast, the negative ecological consequences to marine birds and marine ecosystems in general remain poorly understood. Using information relating to oil spill probability of occurrence, areas of overall importance to marine birds, and the at-sea distribution and density of 12 marine bird species and seven bird groups, including multiple Species at Risk, we undertook a spatial assessment of risk. Our results identify two main areas important to marine birds potentially at higher risk of exposure to oil. For individual bird species or species groups, those predicted to have elevated bird densities near the mainland and the northeast coast of Vancouver Island were identified as being at higher potential risk of exposure. Our results, however, should be considered preliminary. As with other anthropogenic stressors, in order to better understand and subsequently mitigate the consequences of chronic oil pollution on marine birds, improved information relating to marine birds and the occurrence of oil spills on Canada's Pacific coast is needed. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. Preliminary assessment of an S.G.H.W. type research reactor

    International Nuclear Information System (INIS)

    Bicevskis, A.; Chapman, A.G.; Hesse, E.W.

    1970-08-01

    A preliminary design study has been made of a research reactor, based on the enriched S.G.H.W.R. concept, to be used for power reactor fuel irradiation, isotope production, basic research, and training in nuclear technology. A reactor physics assessment established a core size which would allow uninterrupted operation for the required irradiation period consistent with low capital and operating costs. A design was selected with 24 channels, a D 2 O calandria diameter of 2.7 m and an overall core height of 4.0 m. The capital cost was estimated as $750,000 for the fuel and $1,600,000 for the moderator, the refuelling cost being $340,000 per annum. A thermal design study showed that the fission heat of 65 MW could be transmitted to pressurised light water at 200 lb/in 2 abs. and rejected to sea water in two conventional U-tube heat exchangers. The basic design is flexible and can be adapted to meet many special requirements. (author)

  2. New Reactor Siting in Finland, Hanhikivi Site in Pyhaejoki - STUK preliminary safety assessment

    International Nuclear Information System (INIS)

    Nevalainen, Janne

    2013-01-01

    STUK has performed a preliminary assessment of the Decision-in-Principle on the Fennovoima application. A variety of factors must be considered in the selection of a site, including effects of the site on the plant design and the effects of the plant on the site environment. These include external hazards, both natural and human-induced. Since this is a new site, an extensive siting process is followed, that can include an EIA. A site survey is performed to identify candidate sites, after investigating a large region and rejecting unsuitable sites. The remaining sites are then screened and compared on the basis of safety and other considerations to select one or more preferred sites. Natural hazards include geology, seismology, hydrology and meteorology. Offshore ice will be a particular hazard for this plant, since the site is on average only 1.5 m above sea level. The design basis earthquake corresponds to a return frequency of 100,000 years, with 50 % confidence. The existing sites in southern Finland used a design peak ground acceleration of 0.1 g with the ground response spectrum maximum at 10 Hz. The candidate sites in northern Finland will require a peak ground acceleration of 0.2 g with the ground response spectrum maximum at 25 Hz

  3. Preliminary assessment of the environmental and health impacts of nuclear and coal fuel cycles

    International Nuclear Information System (INIS)

    Yang Yin; Chen Zhuzhou; Pan Ziqiang

    1992-01-01

    The paper reports on the environmental impacts and health effects of coal and nuclear fuel cycles in China. Data of interest for China are presented in a comparative manner; epidemiological investigations in Shanxi province indicate that the incidences of chronic pulmonary diseases and infant cogenital malformation were apparently increased over the fall-out areas of coal-fired power stations and coal mines. The authors outline the framework of a research project on environmental assessment of nuclear energy and other energy systems. The main features of the project are: environmental and health impacts of coal and nuclear fuel cycles, environmental impact assessment of coal transportation, cost accounting of nuclear and other energy sources, health risk assessment. (author). 24 refs, 4 tabs

  4. Assessing health-related resiliency in HIV+ Latin women: Preliminary psychometric findings.

    Directory of Open Access Journals (Sweden)

    Gladys J Jimenez-Torres

    Full Text Available HIV-associated vulnerabilities-especially those linked to psychological issues-and limited mental health-treatment resources have the potential to adversely affect the health statuses of individuals. The concept of resilience has been introduced in the literature to shift the emphasis from vulnerability to protective factors. Resilience, however, is an evolving construct and is measured in various ways, though rarely among underserved, minority populations. Herein, we present the preliminary psychometric properties of a sample of HIV-seropositive Puerto Rican women, measured using a newly developed health-related resilience scale.The Resilience Scales for Children and Adolescents, an instrument with solid test construction properties, acted as a model in the development (in both English and Spanish of the HRRS, providing the same dimensions and most of the same subscales. The present sample was nested within the Hispanic-Latino longitudinal cohort of women (HLLC, that is part of the NeuroAIDS Research Program at the University of Puerto Rico (UPR, Medical Sciences Campus (MSC. Forty-five consecutively recruited, HIV+ women from the HLLC completed a demographic survey, the HRRS, and the Beck Depression Inventory-I, Spanish version.The results demonstrate excellent overall internal consistency for the total HRRS score (α = 0.95. Each of the dimensional scores also evidenced acceptable internal consistency (α ≥ 0.88. All the dimensional and subscale content validity indices were above the 0.42 cut-off. Analysis revealed a significant negative correlation between the HRRS total score and BDI-I-S (r(45 = -0.453, p < 0.003.Albeit preliminary in nature, the present study provides support for the HRRS as a measure to assess resilience among individuals living with chronic medical conditions. Minority populations, especially non-English speaking ones, are understudied across the field of medicine, and when efforts are made to include these patient

  5. The effectiveness of neurofeedback on cognitive functioning in patients with Alzheimer's disease: Preliminary results.

    Science.gov (United States)

    Luijmes, Robin E; Pouwels, Sjaak; Boonman, Jacko

    2016-06-01

    Alzheimer's disease (AD) is the most common form of dementia. In quantified EEG (qEEG), the AD patients have a greater amount of theta activity compared with normal elderly individuals. Little is known about the effect of neurofeedback in patients with dementia. The objective of this study was to examine whether neurofeedback has a positive effect on cognitive performance in patients with AD. Ten patients with qEEG meeting criteria for AD received neurofeedback training. Participants were aged between 61 and 90 years. All patients underwent the CAMCOG test designed to assess cognitive functioning pre- and post-treatment. The individual results, analyzed with a reliable change index (RCI), showed that patients who received neurofeedback treatment had stable cognitive functions. These patients showed improvement in memory after neurofeedback and other cognitive functions were stable. In addition, an improvement was observed in recall of information and recognition. Patients with AD who received neurofeedback treatment had stable or improved cognitive performance. Future research should focus on the design of high quality randomized controlled trials to assess whether neurofeedback has a place in the treatment of AD. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  6. Radiological assessment of Creutzfeldt-Jakob disease

    Energy Technology Data Exchange (ETDEWEB)

    Tschampa, Henriette J.; Urbach, Horst [University of Bonn, Department of Radiology, Bonn (Germany); Zerr, Inga [University of Goettingen, National Reference Center for TSE Surveillance at the Department of Neurology, Goettingen (Germany)

    2007-05-15

    Creutzfeldt-Jakob disease is a rare fatal neurodegenerative disorder, characterized by rapidly progressive dementia and neurological signs. There is a need for early and accurate clinical diagnosis in order to exclude any treatable disorder. Additionally, it is of public interest to differentiate the sporadic form of the disease from the variant CJD type (vCJD), which is probably transmitted from cattle infected with bovine spongiform encephalopathy (BSE). High signal in the striatum on T2-weighted, FLAIR and diffusion weighted (DW) MRI as well as cortical high signal in FLAIR and DW MRI are the classical findings in sCJD. The ''pulvinar sign'', defined as high signal in the pulvinar thalami that is brighter than potential additional high signal in the basal ganglia, is considered pathognomonic for vCJD. (orig.)

  7. Radiological assessment of Creutzfeldt-Jakob disease

    International Nuclear Information System (INIS)

    Tschampa, Henriette J.; Urbach, Horst; Zerr, Inga

    2007-01-01

    Creutzfeldt-Jakob disease is a rare fatal neurodegenerative disorder, characterized by rapidly progressive dementia and neurological signs. There is a need for early and accurate clinical diagnosis in order to exclude any treatable disorder. Additionally, it is of public interest to differentiate the sporadic form of the disease from the variant CJD type (vCJD), which is probably transmitted from cattle infected with bovine spongiform encephalopathy (BSE). High signal in the striatum on T2-weighted, FLAIR and diffusion weighted (DW) MRI as well as cortical high signal in FLAIR and DW MRI are the classical findings in sCJD. The ''pulvinar sign'', defined as high signal in the pulvinar thalami that is brighter than potential additional high signal in the basal ganglia, is considered pathognomonic for vCJD. (orig.)

  8. Principles for assessing disease management outcomes.

    Science.gov (United States)

    Fitzner, Karen; Sidorov, Jaan; Fetterolf, Don; Wennberg, David; Eisenberg, Edward; Cousins, Michael; Hoffman, Joel; Haughton, John; Charlton, Warwick; Krause, David; Woolf, Allen; Mcdonough, Kenneth; Todd, Warren; Fox, Kathe; Plocher, David; Juster, Iver; Stiefel, Matt; Villagra, Victor; Duncan, Ian

    2004-01-01

    Disease management (DM) is rapidly becoming an important force in the late 20th and early 21st century as a strategy for managing the chronic illness of large populations. Given the increasing visibility of DM programs, the clinical, economic and financial impact of this support are vital to DM program accountability and its acceptance as a solution to the twin challenges of achieving affordable, quality health care. Measuring and reporting outcomes in DM is difficult. DM programs must adapt to local market conditions and customer desires, which in turn limits generalizability, and still account for the overlapping/interlocking/multifaceted nature of the interventions included in any DM program. The Disease Management Association of America convened a Steering Committee to suggest a preferred approach, not a mandated or standardized approach for DM program evaluation. This paper presents the Steering Committee's "Consensus Statement" and "Guiding Principles" for robust evaluation.

  9. Preliminary performance assessment for the Waste Isolation Pilot Plant, December 1992

    International Nuclear Information System (INIS)

    1993-08-01

    Before disposing of transuranic radioactive waste in the Waste Isolation Pilot Plant (WIPP), the United States Department of Energy (DOE) must evaluate compliance with applicable long-term regulations of the United States Environmental Protection Agency (EPA). Sandia National Laboratories is conducting iterative performance assessments (PAs) of the WIPP for the DOE to provide interim guidance while preparing for a final compliance evaluation. This volume of the 1992 PA contains results of uncertainty and sensitivity analyses with respect to migration of gas and brine from the undisturbed repository. Additional information about the 1992 PA is provided in other volumes. Volume 1 contains an overview of WIPP PA and results of a preliminary comparison with 40 CFR 191, Subpart B. Volume 2 describes the technical basis for the performance assessment, including descriptions of the linked computational models used in the Monte Carlo analyses. Volume 3 contains the reference data base and values for input parameters used in consequence and probability modeling. Volume 4 contains uncertainty and sensitivity analyses with respect to the EPA's Environmental Standards for the Management and Disposal of Spent Nuclear Fuel, High-Level and Transuranic Radioactive Wastes (40 CFR 191, Subpart B). Finally, guidance derived from the entire 1992 PA is presented in Volume 6. Results of the 1992 uncertainty and sensitivity analyses indicate that, conditional on the modeling assumptions and the assigned parameter-value distributions, the most important parameters for which uncertainty has the potential to affect gas and brine migration from the undisturbed repository are: initial liquid saturation in the waste, anhydrite permeability, biodegradation-reaction stoichiometry, gas-generation rates for both corrosion and biodegradation under inundated conditions, and the permeability of the long-term shaft seal

  10. Preliminary assessment of partitioning and transmutation as a radioactive waste management concept

    International Nuclear Information System (INIS)

    Croff, A.G.; Tedder, D.W.; Drago, J.P.; Blomeke, J.O.; Perona, J.J.

    1977-09-01

    Partitioning (separating) the actinide elements from nuclear fuel cycle wastes and transmuting (burning) them to fission products in power reactors represents a potentially advanced concept of radioactive waste management which could reduce the long-term (greater than 1000 years) risk associated with geologic isolation of wastes. The greatest uncertainties lie in the chemical separations technology needed to recover greater than 99 percent of the actinides during the reprocessing of spent fuels and their refabrication as fresh fuels or target elements. Preliminary integrated flowsheets based on modifications of the Purex process and supplementary treatment by oxalate precipitation and ion exchange indicate that losses of plutonium in reprocessing wastes might be reduced from about 2.0 percent to 0.1 percent, uranium losses from about 1.7 percent to 0.1 percent, neptunium losses from 100 percent to about 1.2 percent, and americium and curium from 100 percent to about 0.5 percent. Mixed oxide fuel fabrication losses may be reduced from about 0.5 percent to 0.06 percent for plutonium and from 0.5 percent to 0.04 percent for uranium. Americium losses would be about 5.5 percent for the reference system. Transmutation of the partitioned actinides at a rate of 5 to 7 percent per year is feasible in both fast and thermal reactors, but additional studies are needed to determine the most suitable strategy for recycling them to reactors and to assess the major impacts of implementing the concept on fuel cycle operations and costs. It is recommended that the ongoing program to evaluate the feasibility, impacts, costs, and incentives of implementing partitioning-transmutation be continued until a firm assessment of its potentialities can be made. At the present level of effort, achievement of this objective should be possible by 1980. 27 tables, 50 figures

  11. Preliminary Assessment for the Effects of the External Hazard Factors on the Safety of NPPs

    International Nuclear Information System (INIS)

    Jin, So Beom; Hyun, Seung Gyu; Kim, Sang Yun; Lee, Sung Kyu; Hur, Youl

    2010-01-01

    The Ch.etsu Offshore Earthquake(2007.7.16) in Japan caused damage to the Kashiwazaki-Kariwa(K-K) Nuclear Power Plants (NPPs) with seismic ground motion that exceeded the design level. This incident drew the interest of the safety evaluation studies for NPPs subjected to earthquakes exceeding the design basis around the world. Also, the Indian Ocean Tsunami(2004.12.26) tripped the Madras NPP by reason of flooding of the intake pump house and inundated the construction site of a fast breeder reactor site in India. In addition, from the various man-made and natural hazards such as the oil spill accident near Mallipo, Taean, Chungnam (2007.12), the forest fire near the Ulchin NPP site, the several inflows of marine organism into the intake of the Ulchin NPP, it was confirmed that the safety of NPPs may be affected by natural and human induced disasters. Intergovernmental Panel on Climate Change (IPCC) has been warned about global warming; the average temperature rose about 1.5 .deg. C during the 20th century and the damages caused by typhoons and heavy rains have also increased in Korea. Accordingly, a natural disaster prevention research team(hereafter team) ,which have been organized and operated since 2009, has assessed the impact of various hazards such as earthquakes and environmental changes due to global warming on the safety of NPP and has discussed to establish countermeasures. This paper introduces that the preliminary assessment for the effects of the external hazard factors on the safety of NPPs was conducted by the team

  12. Deep repository for long-lived low- and intermediate-level waste. Preliminary safety assessment

    International Nuclear Information System (INIS)

    1999-11-01

    A preliminary safety assessment has been performed of a deep repository for long-lived low- and intermediate-level waste, SFL 3-5. The purpose of the study is to investigate the capacity of the facility to act as a barrier to the release of radionuclides and toxic pollutants, and to shed light on the importance of the location of the repository site. A safety assessment (SR 97) of a deep repository for spent fuel has been carried out at the same time. In SR 97, three hypothetical repository sites have been selected for study. These sites exhibit fairly different conditions in terms of hydrogeology, hydrochemistry and ecosystems. To make use of information and data from the SR 97 study, we have assumed that SFL 3-5 is co-sited with the deep repository for spent fuel. A conceivable alternative is to site SFL 3-5 as a completely separate repository. The focus of the SFL 3-5 study is a quantitative analysis of the environmental impact for a reference scenario, while other scenarios are discussed and analyzed in more general terms. Migration in the repository's near- and far-field has been taken into account in the reference scenario. Environmental impact on the three sites has also been calculated. The calculations are based on an updated forecast of the waste to be disposed of in SFL 3-5. The forecast includes radionuclide content, toxic metals and other substances that have a bearing on a safety assessment. The safety assessment shows how important the site is for safety. Two factors stand out as being particularly important: the water flow at the depth in the rock where the repository is built, and the ecosystem in the areas on the ground surface where releases may take place in the future. Another conclusion is that radionuclides that are highly mobile and long-lived, such as 36 Cl and 93 Mo , are important to take into consideration. Their being long-lived means that barriers and the ecosystems must be regarded with a very long time horizon

  13. Deep repository for long-lived low- and intermediate-level waste. Preliminary safety assessment

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-11-01

    A preliminary safety assessment has been performed of a deep repository for long-lived low- and intermediate-level waste, SFL 3-5. The purpose of the study is to investigate the capacity of the facility to act as a barrier to the release of radionuclides and toxic pollutants, and to shed light on the importance of the location of the repository site. A safety assessment (SR 97) of a deep repository for spent fuel has been carried out at the same time. In SR 97, three hypothetical repository sites have been selected for study. These sites exhibit fairly different conditions in terms of hydrogeology, hydrochemistry and ecosystems. To make use of information and data from the SR 97 study, we have assumed that SFL 3-5 is co-sited with the deep repository for spent fuel. A conceivable alternative is to site SFL 3-5 as a completely separate repository. The focus of the SFL 3-5 study is a quantitative analysis of the environmental impact for a reference scenario, while other scenarios are discussed and analyzed in more general terms. Migration in the repository's near- and far-field has been taken into account in the reference scenario. Environmental impact on the three sites has also been calculated. The calculations are based on an updated forecast of the waste to be disposed of in SFL 3-5. The forecast includes radionuclide content, toxic metals and other substances that have a bearing on a safety assessment. The safety assessment shows how important the site is for safety. Two factors stand out as being particularly important: the water flow at the depth in the rock where the repository is built, and the ecosystem in the areas on the ground surface where releases may take place in the future. Another conclusion is that radionuclides that are highly mobile and long-lived, such as {sup 36}Cl and {sup 93}Mo , are important to take into consideration. Their being long-lived means that barriers and the ecosystems must be regarded with a very long time horizon.

  14. Physician Performance Assessment: Prevention of Cardiovascular Disease

    Science.gov (United States)

    Lipner, Rebecca S.; Weng, Weifeng; Caverzagie, Kelly J.; Hess, Brian J.

    2013-01-01

    Given the rising burden of healthcare costs, both patients and healthcare purchasers are interested in discerning which physicians deliver quality care. We proposed a methodology to assess physician clinical performance in preventive cardiology care, and determined a benchmark for minimally acceptable performance. We used data on eight…

  15. A Preliminary Assessment of Social Vulnerability in Ganga-Brahmaputra-Meghna Delta

    Science.gov (United States)

    Hazra, Sugata; Islam, Nabiul

    2017-04-01

    The Ganga-Brahmaputra-Meghna (GBM) Delta has a high population density and is exposed to rapid environmental changes making it one of the most stressed deltas in the world. The low-lying coastal areas of the Ganga-Brahmaputra-Meghna (GBM) Delta comprise 19 coastal districts of Bangladesh and two districts in India with significant land areas within 5 meters of sea level has a population of more than 50 million people at an average population density of 1100 people/km2. This population is exposed to a range of hazards such as severe cyclones, coastal erosion, and salinization, exacerbated by climate change and subsidence which imply severe stress on the resource dependent community of this region. This situation is further complicated by poverty and limited social well-being such as poor access to education/ health/ drinking water/ sanitation facilities, and lack of food and energy security. Thus assessing social vulnerability can help to understand which communities are susceptible to environmental change and guide adaptation actions to address these threats. This preliminary study aims to construct a socio-economic index by assessing the social vulnerability of coastal communities of GBM Delta taking consistent and common secondary data from the Census of India and the Bangladesh Bureau of Statisticsand applyinga Principle Component Analysis(PCA) methodology. Several statistical tests like Kaiser-Meyer-Olkin (KMO) have also been used to assess the appropriateness of using PCA. Among the selected common indicators, five major components are found to explain majority of the total variation of social vulnerability across the delta: (1) poverty, (2) dependency ratio, (3) agriculture dependency, (4) lack of sanitation and (5) existence of mud houses. The most important observation is the existence of a social vulnerability gradient across the coast. In other words, socially marginalised and vulnerable communities are found on the Delta margin in both India and

  16. A Preliminary Assessment of a Deep Borehole disposal of Spent Fuels

    International Nuclear Information System (INIS)

    Lee, Younmyoung; Jeon, Jongtae

    2014-01-01

    Deep borehole disposal (DBD) of such radioactive waste as spent nuclear fuels (SFs) and other waste forms has been investigating mainly at Sandia National Labs for the US DOE as an alternative option. DBD can give advantages over less deep geological disposal since the disposal of wastes at a great depth where a low degree of permeability in the potentially steady rock condition will be beneficial for nuclide movement. Groundwater in the deep basement rock can even have salinity and less chance to mix with groundwater above. The DBD concept is quite straightforward and even simple: Waste canisters are simply emplaced in the lower 2 km part of the borehole down to 5 km deep. Through this study, a conceptual DBD is assessed for a similar case as the US DOE's approach, in which 400 SF canisters are to be emplaced at a deep bottom between 3km and 5km depths, upon which an additional 1km-thick compacted bentonite is overbuffered, and the remaining upper part of the borehole is backfilled again with a mixture of crushed rock and bentonite. Then, the total 5km-deep borehole has three zones: a disposal zone at the bottom 2km, a buffer zone at the next 1km, and backfill zone at the rest top 2km, as illustrated conceptually in Fig. 1. To demonstrate the feasibility in view of long-term radiological safety, a rough model for a safety assessment of this conceptual deep borehole repository system, providing detailed models for nuclide transport in and around the geosphere and biosphere under normal nuclide release scenarios that can occur after a closure of the repository, has been developed using GoldSim. A simple preliminary result in terms of the dose exposure rate from a safety assessment of the DBD is also presented and compared to the case of direct disposal of SFs in a KBS-3V vertical type repository, carried out in previous studies. For different types and shapes of repositories at each different depth, direct comparison between a DBD and a KBS-3 type disposal of

  17. A Preliminary Assessment of a Deep Borehole disposal of Spent Fuels

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Younmyoung; Jeon, Jongtae [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2014-05-15

    Deep borehole disposal (DBD) of such radioactive waste as spent nuclear fuels (SFs) and other waste forms has been investigating mainly at Sandia National Labs for the US DOE as an alternative option. DBD can give advantages over less deep geological disposal since the disposal of wastes at a great depth where a low degree of permeability in the potentially steady rock condition will be beneficial for nuclide movement. Groundwater in the deep basement rock can even have salinity and less chance to mix with groundwater above. The DBD concept is quite straightforward and even simple: Waste canisters are simply emplaced in the lower 2 km part of the borehole down to 5 km deep. Through this study, a conceptual DBD is assessed for a similar case as the US DOE's approach, in which 400 SF canisters are to be emplaced at a deep bottom between 3km and 5km depths, upon which an additional 1km-thick compacted bentonite is overbuffered, and the remaining upper part of the borehole is backfilled again with a mixture of crushed rock and bentonite. Then, the total 5km-deep borehole has three zones: a disposal zone at the bottom 2km, a buffer zone at the next 1km, and backfill zone at the rest top 2km, as illustrated conceptually in Fig. 1. To demonstrate the feasibility in view of long-term radiological safety, a rough model for a safety assessment of this conceptual deep borehole repository system, providing detailed models for nuclide transport in and around the geosphere and biosphere under normal nuclide release scenarios that can occur after a closure of the repository, has been developed using GoldSim. A simple preliminary result in terms of the dose exposure rate from a safety assessment of the DBD is also presented and compared to the case of direct disposal of SFs in a KBS-3V vertical type repository, carried out in previous studies. For different types and shapes of repositories at each different depth, direct comparison between a DBD and a KBS-3 type disposal of

  18. Preliminary assessment of potential underground stability (wedge and spalling) at Forsmark, Simpevarp and Laxemar sites

    Energy Technology Data Exchange (ETDEWEB)

    Martin, Derek [Univ. of Alberta, Edmonton (Canada). Geotechnical Engineering

    2005-12-15

    In SKB's Underground Design Premises the objective in the early design phase is to estimate if there is sufficient space for the repository at a site. One of the conditions that could limit the space available is stability of the underground openings, i.e., deposition tunnels and deposition boreholes. The purpose of this report is to provide a preliminary assessment of the potential for wedge instability and spalling that may be encountered at the Forsmark, Simpevarp and Laxemar sites based on information from the site investigations program up to July 30, 2004. The rock mass spalling strength was defined using the in-situ results from SKB's Aespoe Pillar Stability Experiment and AECL's Mine-by Experiment. These experiments suggest that the rock mass spalling strength for crystalline rocks can be estimated as 0.57 of the mean laboratory uniaxial compressive strength. A probability-based methodology utilizing this in-situ rock mass spalling strength has been developed for assessing the risk for spalling in a repository at the Forsmark, Simpevarp and Laxemar sites. The in-situ stresses and the uniaxial compressive strength data from these sites were used as the bases for the analyses. Preliminary findings from all sites suggest that, generally, the risk for spalling increases as the depth of the repository increases, simply because the stress magnitudes increase with depth. The depth at which the risk for spalling is significant, depends on the individual sites which are discussed below. The greatest uncertainty in the spalling analyses for Forsmark is related to the uncertainty in the horizontal stress magnitudes and associated stress gradients with depth. The confidence in these analyses can only be increased by increasing the confidence in the stress and geology model for the site. From the analyses completed it appears that spalling in the deposition tunnels can be controlled by orienting the tunnels approximately parallel to the maximum horizontal

  19. The function and morphology of Meibomian glands in patients with thyroid eye disease: a preliminary study.

    Science.gov (United States)

    Wang, Chia-Yu; Ho, Ren-Wen; Fang, Po-Chiung; Yu, Hun-Ju; Chien, Chun-Chih; Hsiao, Chang-Chun; Kuo, Ming-Tse

    2018-04-12

    To investigate function and morphology of the meibomian gland (MG) in patients with thyroid eye disease (TED). In this prospective case series study, patients with unilateral or bilateral TED were consecutively enrolled. The diagnosis of TED was based on the typical orbital findings and/or radiographic evidence. The disease activity of TED was classified according to the clinical activity score (CAS). Degrees of lagophthalmos and exophthalmos, blinking rates, and results of the Schirmer test 1 were also recorded. All patients completed the SPEED questionnaire and underwent MG assessment, including lipid layer thickness (LLT), MG dropout (MGd), and MG expression. In total 31 eyes from 17 patients with unilateral or bilateral TED were included. Patients were divided into inactive TED (CAS 0-1; 20 eyes from 11 patients) and active TED (CAS 2-3, 11 eyes from 6 patients) groups. MGd was significantly more severe in the active TED than the inactive TED group [Median (Inter-quartile region): 3.0 (2.0-3.0) vs. 2.0 (1.0-2.0) degree, P = 0.04]. However, patients with active TED had thicker LLT than those with inactive TED (90.0 [80.0-100.0] vs. 65.0 [47.8-82.5] nm, P = 0.02), and LLT was positively correlated with lagophthalmos (r = 0.37, P = 0.04). Patients with active TED had more severe MGd, but thicker LLT. Active TED may cause periglandular inflammation of MGs, leading to MGd, but compensatory secretion from residual MGs and lagophthalmos-induced forceful blinking might temporarily release more lipids over the tear film.

  20. Preliminary data on a mnemonic instrument with proverbs for tracking Alzheimer's disease

    Directory of Open Access Journals (Sweden)

    Mauricéa Tabósa Ferreira Santos

    Full Text Available Abstract In the differential diagnosis between Alzheimer's disease (AD and normal aging, tests evaluating memory and executive functions are frequently used. The addition of abstraction tests may enhance the effectiveness of screening tests for AD. Objectives: The aim of this study was to compare initial data of a new instrument - The Screening Test for Alzheimer's Disease with Proverbs (STADP - against other screening tests used in AD diagnosis. Methods: Sixty elderly individuals (46 controls and 14 AD subjects with CDR=1, aged ³60 years, with at least one year of schooling, were evaluated using the STADP at outpatient clinic. The STADP assesses short-term memory, episodic memory, executive functions and language, in addition to proverb recognition. The performance of the participants on the Mini-Mental State Examination (MMSE, semantic Verbal Fluency (VF and Clock Drawing Test (CDT were evaluated and the habit of reading, writing and sociodemographic data were also taken into account. Results: There were significant correlations between STADP and the performance on the MMSE (r=0.64, CDT (r=0.50 and VF (r=0.56. Age influenced all sub-items of the STADP, specifically episodic memory (r= -0.54, whereas schooling mainly influenced executive functions and language (r=0.46. The total score, stages A and C and the "proverb recognition" of STADP (p<0.001, as well as the MMSE (p<0.001, CDT (p=0.016, VF (p<0.001 were significantly different in AD versus control groups. Conclusions: The findings point to the potential use of the STADP in AD, warranting the conducting of further studies.

  1. Proton therapy for pediatric cranial tumors: preliminary report on treatment and disease-related morbidities

    International Nuclear Information System (INIS)

    McAllister, Bruce; Archambeau, John O.; Nguyen, M. Connie; Slater, Jerry D.; Loredo, Lilia; Schulte, Reinhard; Alvarez, Ofelia; Bedros, Antranik A.; Kaleita, Thomas; Moyers, Michael; Miller, Daniel; Slater, James M.

    1997-01-01

    Purpose: Accelerated protons were used in an attempt to limit treatment-related morbidity in children with tumors in or near the developing brain, by reducing the integral dose to adjacent normal tissues. Methods and Materials: Children treated with protons at Loma Linda University Medical Center between August 1991 and December 1994 were analyzed retrospectively. Twenty-eight children, aged 1 to 18 years, were identified as at risk for brain injury from treatment. Medical records, physical examinations, and correspondence with patients, their parents, and referring physicians were analyzed. The investigators tabulated post-treatment changes in pre-treatment signs and symptoms and made judgments as to whether improvement, no change, or worsening related to disease or treatment had supervened. Magnetic resonance images were correlated with clinical findings and radiographic impressions were tabulated. Results: Follow-up ranged from 7 to 49 months (median 25 months). Four instances of treatment-related morbidity were identified. Forty-one instances of site-specific, disease-related morbidity were identified: 15 improved or resolved and 26 remained unchanged after treatment. Four patients had radiographic evidence of local failure. Three of these patients, including two with high-grade glioma, have died. Conclusion: Early treatment-related morbidity associated with proton therapy is low. Tumor progression remains a problem when treating certain histologies such as high-grade glioma. Escalating the dose delivered to target volumes may benefit children with tumors associated with poor rates of local control. Long-term follow-up, including neurocognitive testing, is in progress to assess integral-dose effects on cognitive, behavioral and developmental outcomes in children with cranial tumors

  2. Computer-assisted quantification of interstitial lung disease associated with rheumatoid arthritis: Preliminary technical validation

    International Nuclear Information System (INIS)

    Marten, K.; Dicken, V.; Kneitz, C.; Hoehmann, M.; Kenn, W.; Hahn, D.; Engelke, C.

    2009-01-01

    Purpose: To validate a threshold-based prototype software application (MeVis PULMO 3D) for quantification of chronic interstitial lung disease (ILD) in patients with rheumatoid arthritis (RA) using variable threshold settings for segmentation of diseased lung areas. Methods: Twenty-two patients with rheumatoid arthritis were included and underwent thin-section CT (4 x 1.25 mm collimation). CT scans were assessed by two observers for extent of ILD (EoILD), and twice by MeVis PULMO 3D for each protocol. MeVis PULMO 3D used four segmentation threshold (ST) settings (ST = -740, -780, -800 and -840 HU). Pulmonary function tests were obtained in all patients. Statistical evaluation used 95% limits of agreement (LoA) and linear regression analysis. Results: There was total concordance between the software measurements. Interobserver agreement was good (LoA = -28.36 to 17.58%). EoILD by readers correlated strongly with DL CO (r = -0.702, p CO at ST of -800 HU (r = -0.44, -0.49, -0.58 and -0.57 for ST = -740, -780, -800 and -840, respectively; p = 0.007-0.05) and moderately with FVC (r = -0.44, -0.51, -0.59 and -0.45 for ST = -740, -780, -800 and -840), respectively; p = 0.007-0.05). Conclusion: The MeVis PULMO 3D system used holds promise to become a valuable instrument for quantification of chronic ILD in patients with RA when using the threshold value of -800 HU, with evidence of the closest correlations, both with human observers and physiologic impairment.

  3. An assessment of psychiatric disturbances in graves disease in a ...

    African Journals Online (AJOL)

    An assessment of psychiatric disturbances in graves disease in a medical college in eastern India. ... standard error of difference, the chi-square test, and paired Student's T-test. ... The common symptoms were insomnia, irritability, and anxiety.

  4. Distribution and preliminary exposure assessment of bisphenol AF (BPAF) in various environmental matrices around a manufacturing plant in China.

    Science.gov (United States)

    Song, Shanjun; Ruan, Ting; Wang, Thanh; Liu, Runzeng; Jiang, Guibin

    2012-12-18

    Increasing attention has been paid to bisphenol A and bisphenol (BP) analogues due to high production volumes, wide usage and potential adverse effects. Bisphenol AF (BPAF) is considered a new bisphenol analogue which is used as raw material in plastic industry, but little is known about its occurrence in the environment and the potential associated risk. In this work, BPAF levels and environmental distribution were reported in samples collected around a manufacturing plant and a preliminary exposure risk assessment to local residents was conducted. BPAF was detected in most of the samples, with levels in river ranging between environment and organic carbon was the domain factor during the process. The preliminary BPAF exposure assessment based on the CSOIL model suggested that children could have higher intake of BPAF than adults through inhalation of soils, dermal exposure by soils contact and bathing with well water.

  5. Preliminary assessment report for Virginia Army National Guard Army Aviation Support Facility, Richmond International Airport, Installation 51230, Sandston, Virginia

    International Nuclear Information System (INIS)

    Dennis, C.B.

    1993-09-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Virginia Army National Guard (VaARNG) property in Sandston, Virginia. The Army Aviation Support Facility (AASF) is contiguous with the Richmond International Airport. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The PA is designed to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment. The AASF, originally constructed as an active Air Force interceptor base, provides maintenance support for VaARNG aircraft. Hazardous materials used and stored at the facility include JP-4 jet fuel, diesel fuel, gasoline, liquid propane gas, heating oil, and motor oil

  6. Preliminary assessment report for Grubbs/Kyle Training Center, Smyrna/Rutherford County Regional Airport, Installation 47340, Smyrna, Tennessee

    International Nuclear Information System (INIS)

    Dennis, C.; Stefano, J.

    1993-07-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Tennessee Army National Guard (TNARNG) property near Smyrna, Tennessee. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment. This PA satisfies, for the Grubbs/Kyle Training Center property, the requirement of the Department of Defense Installation Restoration Program

  7. Concurrent Multidisciplinary Preliminary Assessment of Space Systems (COMPASS) Final Report: Advanced Long-Life Lander Investigating the Venus Environment (ALIVE)

    Science.gov (United States)

    Oleson, Steven R.

    2018-01-01

    The COncurrent Multidisciplinary Preliminary Assessment of Space Systems (COMPASS) Team partnered with the Applied Research Laboratory to perform a NASA Innovative Advanced Concepts (NIAC) Program study to evaluate chemical based power systems for keeping a Venus lander alive (power and cooling) and functional for a period of days. The mission class targeted was either a Discovery ($500M) or New Frontiers ($750M to $780M) class mission.

  8. Preliminary assessment of the gender aspects of disaster vulnerability and loss of human life in South Africa

    OpenAIRE

    Tandlich, Roman; Chirenda, Tatenda G; Srinivas, Chandra S S

    2013-01-01

    South Africa has reached a medium level of human development and has a heterogeneous situation with respect to disaster risk management. In this article, a preliminary assessment of the gender aspects of disaster vulnerability and fatalities is presented. The United Nations, the Health Systems Trust and Statistics South Africa were used as data sources for the following gender-segregated values: the life expectancy at birth, unemployment rates, the human development index values, the maternal...

  9. Assessing antiquity and turnover of terrestrial ecosystems in eastern North America using fossil pollen data: A preliminary study

    International Nuclear Information System (INIS)

    Liu Yao; Jackson, Stephen T; Brewer, Simon; Williams, John W

    2010-01-01

    We explored formal approaches to identifying and interpreting the antiquity and turnover of terrestrial ecosystems in eastern North America using pollen records. Preliminary results of cluster analyses, receiver-operating characteristic (ROC) analyses, and likelihood estimation of ecosystem analog in a simple Bayesian model allow assessment of modern ecosystem antiquities and past ecosystem turnovers. Approaches discussed in this study thus provide a vehicle for further studies.

  10. Preliminary assessment of the interaction of introduced biological agents with biofilms in water distribution systems.

    Energy Technology Data Exchange (ETDEWEB)

    Sinclair, Michael B.; Caldwell, Sara; Jones, Howland D. T.; Altman, Susan Jeanne; Souza, Caroline Ann; McGrath, Lucas K.

    2005-12-01

    Basic research is needed to better understand the potential risk of dangerous biological agents that are unintentionally or intentionally introduced into a water distribution system. We report on our capabilities to conduct such studies and our preliminary investigations. In 2004, the Biofilms Laboratory was initiated for the purpose of conducting applied research related to biofilms with a focus on application, application testing and system-scale research. Capabilities within the laboratory are the ability to grow biofilms formed from known bacteria or biofilms from drinking water. Biofilms can be grown quickly in drip-flow reactors or under conditions more analogous to drinking-water distribution systems in annular reactors. Biofilms can be assessed through standard microbiological techniques (i .e, aerobic plate counts) or with various visualization techniques including epifluorescent and confocal laser scanning microscopy and confocal fluorescence hyperspectral imaging with multivariate analysis. We have demonstrated the ability to grow reproducible Pseudomonas fluorescens biofilms in the annular reactor with plate counts on the order of 10{sup 5} and 10{sup 6} CFU/cm{sup 2}. Stationary phase growth is typically reached 5 to 10 days after inoculation. We have also conducted a series of pathogen-introduction experiments, where we have observed that both polystyrene microspheres and Bacillus cereus (as a surrogate for B. anthracis) stay incorporated in the biofilms for the duration of our experiments, which lasted as long as 36 days. These results indicated that biofilms may act as a safe harbor for bio-pathogens in drinking water systems, making it difficult to decontaminate the systems.

  11. Preliminary assessment of streamflow characteristics for selected streams at Fort Gordon, Georgia, 1999-2000

    Science.gov (United States)

    Stamey, Timothy C.

    2001-01-01

    In 1999, the U.S. Geological Survey, in cooperation with the U.S. Army Signal Center and Fort Gordon, began collection of periodic streamflow data at four streams on the military base to assess and estimate streamflow characteristics of those streams for potential water-supply sources. Simple and reliable methods of determining streamflow characteristics of selected streams on the military base are needed for the initial implementation of the Fort Gordon Integrated Natural Resources Management Plan. Long-term streamflow data from the Butler Creek streamflow gaging station were used along with several concurrent discharge measurements made at three selected partial-record streamflow stations on Fort Gordon to determine selected low-flow streamflow characteristics. Streamflow data were collected and analyzed using standard U.S. Geological Survey methods and computer application programs to verify the use of simple drainage area to discharge ratios, which were used to estimate the low-flow characteristics for the selected streams. Low-flow data computed based on daily mean streamflow include: mean discharges for consecutive 1-, 3-, 7-, 14-, and 30-day period and low-flow estimates of 7Q10, 30Q2, 60Q2, and 90Q2 recurrence intervals. Flow-duration data also were determined for the 10-, 30-, 50-, 70-, and 90-percent exceedence flows. Preliminary analyses of the streamflow indicate that the flow duration and selected low-flow statistics for the selected streams averages from about 0.15 to 2.27 cubic feet per square mile. The long-term gaged streamflow data indicate that the streamflow conditions for the period analyzed were in the 50- to 90-percent flow range, or in which streamflow would be exceeded about 50 to 90 percent of the time.

  12. Effect of alternative conceptual models in a preliminary performance assessment for the waste isolation pilot plant

    International Nuclear Information System (INIS)

    Helton, J.C.; Bean, J.E.; Berglund, J.W.; Beyeler, W.; Garner, J.W.; Iuzzolino, H.J.; Marietta, M.G.; Rudeen, D.K.; Schreiber, J.D.; Swift, P.N.; Tierney, M.S.; Vaughn, P.

    1995-01-01

    The most appropriate conceptual model for performance assessment (PA) at the waste isolation pilot plant (WIPP) is believed to include gas generation resulting from corrosion and microbial action in the repository, and a dual-porosity (matrix and fracture porosity) representation for the solute transport in the Culebra dolomite member of the Rustler formation. Under these assumptions, complementary cummulative distribution functions (CCDFs) which summarize the radionuclide releases to the accessible environment, resulting from both cutting removal and groundwater transport, fall substantially below the release limits promulgated by the US Environmental Protection Agency (EPA), with the releases being dominated by cuttings removal. To provide additional views, the following alternative conceptual models were considered as part of a preliminary PA for the WIPP: no gas generation in the repository and a dual-porosity transport model in the Culebra; gas generation in the repository and a single-porosity (fracture porosity) transport model in the Culebra; no gas generation in the repository and a single-porosity transport model in the Culebra; gas generation in the repository and a dual-porosity transport model in the Culebra, without chemical retardation; gas generation in the repository, chemical retardation in the Culebra, and extremes of climatic variation. These variations relate to groundwater transport, so do not affect the releases resulting from cuttings removal. Several of these variations substantially increase the importance of releases resulting from groundwater transport relative to releases resulting from cuttings removal. However, the total amount of releases generally remained small, with the CCDFs which summarize the releases to the accessible environment falling below the EPA release limits

  13. Preliminary geological assessment for rare earths at Ombo Area, San Vicente, Northern Palawan

    International Nuclear Information System (INIS)

    Ramos, Angelito F.; Santos, Gabriel Jr.; Magsambol, Wilfred N.; Castillo, Marilyn K.; Tabora, Estrelita U.

    2001-04-01

    A preliminary geological assessment for rare earths was conducted along Ombo beach area, San Vicente, northern Palawan to evaluate the potential geologic reserve and to determine the relative concentration of REE, thorium and uranium. This investigation also aims to establish the distribution of heavy minerals. The study area, covering, about 6500 m 2 is comprised of the undisturbed beach sand deposits confined between the high tide line and the base of the mountains that borders the coastline. The investigation involved the establishment of shallow test pits with depths varying from one meter ot less than three meters. A total of 23 heavy mineral panned concentrates were collected. All the samples were analyzed for REE, Th and U using the portable X-MET 820 x-ray fluorescence and GR-320 gamma ray spectrometer. Radiometric measurements were also taken along the stretch of Ombo beach to establish the natural background radioactivity. The radiometric values vary from 27 cps to 420 cps. The high readings could be attributed to the presence of radioactive rare earth bearing minerals, principally allanite. This initial investigation indicates a positive geologic reserve of approximately 19,000 metric tons beach sand deposits, containing an average grade of 22.19% REE (Ce, La), 0.85% Th and 0.55% U. The average distribution of heavy minerals is 3600 gm heavies per cubic meter. Moreover, a probable geologic reserve of about 41,000 metric tons with an average grade of 22.13% REE (Ce, La), 0.85% Th and 0.55% U was also determined. The average distribution of heavy minerals is about 3300 gm heavies per cubic meter. (Author)

  14. Social skills and executive function among youth with sickle cell disease: a preliminary investigation.

    Science.gov (United States)

    Hensler, Molly; Wolfe, Kelly; Lebensburger, Jeffrey; Nieman, Jilian; Barnes, Margaux; Nolan, William; King, Allison; Madan-Swain, Avi

    2014-06-01

    To explore the relationship between executive function (EF) and social skills in youth with sickle cell disease (SCD).   20 youth with SCD completed objective tests of EF (Tasks of Executive Control; Animal Sorting subtest from the Developmental Neuropsychological Assessment-Second Edition), an IQ screener, and paper-and-pencil measures of social skills (Social Skills Improvement System [SSIS]). Primary caregivers completed paper-and-pencil measures of EF (Behavior Rating Inventory of Executive Function) and social skills (SSIS).   EF scores from the Behavior Rating Inventory of Executive Function related to parent- and child-reported social skills such that EF deficits correlated with poorer overall and domain-specific social skills. Similarly, EF scores from the Animal Sorting test related to child-reported social skills. Worse parent-reported EF predicted worse parent-reported social skills above the variance accounted for by IQ.   EF is related to social skills and may be necessary for successful social interaction among youth with SCD. These results provide rationale and guidance for future larger-scale investigations of EF and social skills among children with SCD. © The Author 2014. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  15. Assessing neuronal networks: understanding Alzheimer's disease.

    LENUS (Irish Health Repository)

    Bokde, Arun L W

    2012-02-01

    Findings derived from neuroimaging of the structural and functional organization of the human brain have led to the widely supported hypothesis that neuronal networks of temporally coordinated brain activity across different regional brain structures underpin cognitive function. Failure of integration within a network leads to cognitive dysfunction. The current discussion on Alzheimer\\'s disease (AD) argues that it presents in part a disconnection syndrome. Studies using functional magnetic resonance imaging, positron emission tomography and electroencephalography demonstrate that synchronicity of brain activity is altered in AD and correlates with cognitive deficits. Moreover, recent advances in diffusion tensor imaging have made it possible to track axonal projections across the brain, revealing substantial regional impairment in fiber-tract integrity in AD. Accumulating evidence points towards a network breakdown reflecting disconnection at both the structural and functional system level. The exact relationship among these multiple mechanistic variables and their contribution to cognitive alterations and ultimately decline is yet unknown. Focused research efforts aimed at the integration of both function and structure hold great promise not only in improving our understanding of cognition but also of its characteristic progressive metamorphosis in complex chronic neurodegenerative disorders such as AD.

  16. Disease assessment and prognosis of liver failure

    Directory of Open Access Journals (Sweden)

    ZHANG Jing

    2016-09-01

    Full Text Available Liver failure has a high fatality rate and greatly threatens human health. Liver transplantation can effectively reduce the fatality rate. However, the problems such as donor shortage and allograft rejection limit the wide application of liver transplantation. An accurate early assessment helps to evaluate patients′ condition and optimize therapeutic strategies. At present, commonly used systems for prognostic evaluation include the King′s College Hospital, MELD, integrated MELD, Child-Pugh score, CLIF-SOFA, CLIF-C ACLFS, and D-MELD, and each system has its own advantages and disadvantages. Among these systems, the MELD scoring system is the most commonly used one, and the D-MELD scoring system is the most innovative one, which can be used for patients on the waiting list for liver transplantation. This article elaborates on the characteristics and predictive value of each scoring system in clinical practice.

  17. Preliminary Assessment of Two Alternative Core Design Concepts for the Special Purpose Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Sterbentz, James W. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Werner, James E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Hummel, Andrew J. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Kennedy, John C. [Idaho National Lab. (INL), Idaho Falls, ID (United States); O' Brien, Robert C. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Dion, Axel M. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Wright, Richard N. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Ananth, Krishnan P. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2017-11-01

    The Special Purpose Reactor (SPR) is a small 5 MWt, heat pipe-cooled, fast reactor based on the Los Alamos National Laboratory (LANL) Mega-Power concept. The LANL concept features a stainless steel monolithic core structure with drilled channels for UO2 pellet stacks and evaporator sections of the heat pipes. Two alternative active core designs are presented here that replace the monolithic core structure with simpler and easier to manufacture fuel elements. The two new core designs are simply referred to as Design A and Design B. In addition to ease of manufacturability, the fuel elements for both Design A and Design B can be individually fabricated, assembled, inspected, tested, and qualified prior to their installation into the reactor core leading to greater reactor system reliability and safety. Design A fuel elements will require the development of a new hexagonally-shaped UO2 fuel pellet. The Design A configuration will consist of an array of hexagonally-shaped fuel elements with each fuel element having a central heat pipe. This hexagonal fuel element configuration results in four radial gaps or thermal resistances per element. Neither the fuel element development, nor the radial gap issue are deemed to be serious and should not impact an aggressive reactor deployment schedule. Design B uses embedded arrays of heat pipes and fuel pins in a double-wall tank filled with liquid metal sodium. Sodium is used to thermally bond the heat pipes to the fuel pins, but its usage may create reactor transportation and regulatory challenges. An independent panel of U.S. manufacturing experts has preliminarily assessed the three SPR core designs and views Design A as simplest to manufacture. Herein are the results of a preliminary neutronic, thermal, mechanical, material, and manufacturing assessment of both Design A and Design B along with comparisons to the LANL concept (monolithic core structure). Despite the active core differences, all three reactor concepts behave

  18. A Critical Assessment of Research on Neurotransmitters in Alzheimer's Disease.

    Science.gov (United States)

    Reddy, P Hemachandra

    2017-01-01

    The purpose of this mini-forum, "Neurotransmitters and Alzheimer's Disease", is to critically assess the current status of neurotransmitters in Alzheimer's disease. Neurotransmitters are essential neurochemicals that maintain synaptic and cognitive functions in mammals, including humans, by sending signals across pre- to post-synaptic neurons. Authorities in the fields of synapses and neurotransmitters of Alzheimer's disease summarize the current status of basic biology of synapses and neurotransmitters, and also update the current status of clinical trials of neurotransmitters in Alzheimer's disease. This article discusses the prevalence, economic impact, and stages of Alzheimer's dementia in humans.

  19. Preliminary assessment report for Army Aviation Support Facility No. 3, Installation 13307, Hunter Army Airfield, Savannah, Georgia

    International Nuclear Information System (INIS)

    Kolpa, R.; Smith, K.

    1993-07-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Georgia Army National Guard property located on Hunter Army Airfield (HAA) near Savannah, Georgia, known as Army Aviation Support Facility (AASF) No. 3. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, types and quantities of hazardous substances utilized, the nature and amounts of wastes generated or stored at the facility, and potential pathways by which contamination could affect public health and the environment. This PA satisfies, for the AASF No. 3 property, requirements of the Department of Defense Installation Restoration Program (IRP). The scope of this assessment is limited to the facilities and past activities contained within the area now occupied by AASF No. 3. However, this assessment report is intended to be read in conjunction with a previous IRP assessment of HAA completed in 1992 (USATHAMA 1992) and to provide comprehensive information on AASF No. 3 for incorporation with information contained in that previous assessment for the entirety of HAA

  20. Preliminary assessment report for Army Aviation Support Facility No. 3, Installation 13307, Hunter Army Airfield, Savannah, Georgia. Installation Restoration Program

    Energy Technology Data Exchange (ETDEWEB)

    Kolpa, R.; Smith, K.

    1993-07-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Georgia Army National Guard property located on Hunter Army Airfield (HAA) near Savannah, Georgia, known as Army Aviation Support Facility (AASF) No. 3. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, types and quantities of hazardous substances utilized, the nature and amounts of wastes generated or stored at the facility, and potential pathways by which contamination could affect public health and the environment. This PA satisfies, for the AASF No. 3 property, requirements of the Department of Defense Installation Restoration Program (IRP). The scope of this assessment is limited to the facilities and past activities contained within the area now occupied by AASF No. 3. However, this assessment report is intended to be read in conjunction with a previous IRP assessment of HAA completed in 1992 (USATHAMA 1992) and to provide comprehensive information on AASF No. 3 for incorporation with information contained in that previous assessment for the entirety of HAA.

  1. A new methodology for assessment of pectus excavatum correction after bar removal in Nuss procedure: Preliminary study.

    Science.gov (United States)

    Gomes-Fonseca, João; Vilaça, João L; Henriques-Coelho, Tiago; Direito-Santos, Bruno; Pinho, António C M; Fonseca, Jaime C; Correia-Pinto, Jorge

    2017-07-01

    The objective is to present a new methodology to assess quantitatively the impact of bar removal on the anterior chest wall, among patients with pectus excavatum who have undergone the Nuss procedure, and present a preliminary study using this methodology. We propose to acquire, for each patient, the surface of the anterior chest wall using a three-dimensional laser scanner at subsequent time points (short term: before and after surgery; long term: follow-up visit, 6months, and 12months after surgery). After surfaces postprocessing, the changes are assessed by overlapping and measuring the distances between surfaces. In this preliminary study, three time points were acquired and two assessments were performed: before vs after bar removal (early) and before vs 2-8weeks after bar removal (interim). In 21 patients, the signed distances and volumes between surfaces were computed and the data analysis was performed. This methodology revealed useful for monitoring changes in the anterior chest wall. On average, the mean, maximum, and volume variations, in the early assessment, were -0.1±0.1cm, -0.6±0.2cm, and 47.8±22.2cm 3 , respectively; and, in the interim assessment, were -0.5±0.2cm, -1.3±0.4cm, and 122.1±47.3cm 3 , respectively (pbar was in situ was inversely and significantly correlated with postretraction and was a relevant predictor of its decrease following surgery (pbar was in situ may be the main determinant of the anterior chest wall retraction following bar removal. Further studies should continue to corroborate and reinforce the preliminary findings, by increasing the sample size and performing long-term assessments. III. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. IMPACT OF A SERIOUS GAME FOR HEALTH ON CHRONIC DISEASE SELF-MANAGEMENT: PRELIMINARY EFFICACY AMONG COMMUNITY DWELLING ADULTS WITH HYPERTENSION.

    Science.gov (United States)

    Hickman, Ronald L; Clochesy, John M; Pinto, Melissa D; Burant, Christopher; Pignatiello, Grant

    2015-01-01

    Most Americans will acquire a chronic disease during their lifetime. One of the most prevalent chronic diseases that affect Americans is hypertension (HTN). Despite the known comorbidities and increased mortality rate associated with uncontrolled HTN, most community dwelling adults with HTN do not have sufficient blood pressure control Therefore, the aim of this article is to report the preliminary efficacy of a serious game for health to enhance blood pressure control among community dwelling adults with HTN. A nonprobability sample of 116 community dwelling adults with HTN participated in this nonblinded, randomized controlled trial. Participants were randomly assigned to: (1) an intervention arm that consisted of four exposures to a serious game for health known as eSMART-HD; or (2) an attentional control arm that compromised of four exposures to screen-based HTN education. The primary outcome measure for this trial was blood pressure reduction over a four month observational period. In this study, baseline characteristics and blood pressure measurements were similar between participants in each study arm. There was no significant between-group difference in blood pressure reduction over time. However, there were significant within-group reductions in systolic and diastolic blood pressures across time among favoring participants exposed to eSMART-HD. This study establishes the preliminary efficacy of eSMART-HD that can be easily administered to community dwelling adults and facilitate clinically significant reductions in systolic and diastolic blood pressures. Future studies should assess the influential components of this promising serious game for health (eSMART-HD) combined with medication management in larger and more diverse samples of community dwelling adults with HTN.

  3. Polyethylene glycol and contrast-enhanced MRI of Crohn's disease in children: preliminary experience.

    Science.gov (United States)

    Magnano, Gianmichele; Granata, Claudio; Barabino, Arrigo; Magnaguagno, Francesca; Rossi, Umberto; Calevo, Maria Grazia; Toma, Paolo

    2003-06-01

    To assess the ability of MRI to detect bowel abnormalities in children affected by Crohn's disease (CD). We studied 22 children (age range 8-18 years) referred to us with a known history of CD. MRI was carried out using a 1.5-T unit with a maximum gradient field strength of 16 mT and a phased-array body coil. The sequences performed were breath-hold coronal and axial T2-weighted, express fat saturation, followed by T1-weighted, spoiled gradient, fast fat saturation after IV injection of gadolinium chelate (0.3 mmol/kg) for contrast enhancement of the bowel wall. Bowel distension was achieved using oral administration of isosmotic polyethylene glycol solution. Ileo-colonoscopy was considered the gold standard for evaluation of superficial abnormalities and stenoses of the colon and terminal ileum. MRI findings of bowel-wall thickening, increased vascularisation and extramural involvement were compared with the findings using B-mode and Doppler US. Concordance between MRI and endoscopy, B-mode US and Doppler US findings was determined by the Kappa statistical method. Superficial lesions were not shown by MRI. MR enteroclysis easily detected stenoses, thickening and hyperaemia of bowel wall. Concordance of findings between MRI and endoscopy was 90% (K=0.79, substantial concordance). Concordance of findings between MRI and US concerning bowel-wall thickening and increased vascularisation was 95% (K=0.875, excellent concordance) and 80% (K=0.6, fairly good concordance), respectively. Our initial results show that MRI can detect intra- and extra-mural lesions of CD. The high concordance observed between MRI, endoscopy, US and Doppler US findings suggests that MRI is at least comparable for diagnostic capability with these techniques offering, thanks to multiplanar projections, an improved visualisation of the bowel without ionising radiation.

  4. Polyethylene glycol and contrast-enhanced MRI of Crohn's disease in children: preliminary experience

    International Nuclear Information System (INIS)

    Magnano, Gianmichele; Granata, Claudio; Magnaguagno, Francesca; Rossi, Umberto; Toma, Paolo; Barabino, Arrigo; Calevo, Maria Grazia

    2003-01-01

    To assess the ability of MRI to detect bowel abnormalities in children affected by Crohn's disease (CD). We studied 22 children (age range 8-18 years) referred to us with a known history of CD. MRI was carried out using a 1.5-T unit with a maximum gradient field strength of 16 mT and a phased-array body coil. The sequences performed were breath-hold coronal and axial T2-weighted, express fat saturation, followed by T1-weighted, spoiled gradient, fast fat saturation after IV injection of gadolinium chelate (0.3 mmol/kg) for contrast enhancement of the bowel wall. Bowel distension was achieved using oral administration of isosmotic polyethylene glycol solution. Ileo-colonoscopy was considered the gold standard for evaluation of superficial abnormalities and stenoses of the colon and terminal ileum. MRI findings of bowel-wall thickening, increased vascularisation and extramural involvement were compared with the findings using B-mode and Doppler US. Concordance between MRI and endoscopy, B-mode US and Doppler US findings was determined by the Kappa statistical method. Superficial lesions were not shown by MRI. MR enteroclysis easily detected stenoses, thickening and hyperaemia of bowel wall. Concordance of findings between MRI and endoscopy was 90% (K=0.79, substantial concordance). Concordance of findings between MRI and US concerning bowel-wall thickening and increased vascularisation was 95% (K=0.875, excellent concordance) and 80% (K=0.6, fairly good concordance), respectively. Our initial results show that MRI can detect intra- and extra-mural lesions of CD. The high concordance observed between MRI, endoscopy, US and Doppler US findings suggests that MRI is at least comparable for diagnostic capability with these techniques offering, thanks to multiplanar projections, an improved visualisation of the bowel without ionising radiation. (orig.)

  5. Transforaminal Percutaneous Endoscopic Discectomy in Parkinson Disease: Preliminary Results and Short Review of the Literature.

    Science.gov (United States)

    Kapetanakis, Stylianos; Giovannopoulou, Eirini; Thomaidis, Triphonas; Charitoudis, George; Pavlidis, Pavlos; Kazakos, Konstantinos

    2016-09-01

    To study the effectiveness of Transforaminal Percutaneous Endoscopic Discectomy (TPED) for lumbar disc herniation in patients with Parkinson disease (PD). Fifteen patients diagnosed with PD and lumbar disc hernia were recruited to the study. All patients underwent TPED. Mean age was 61.27±6 years, with 8 male (53.3%) and 7 female patients (46.7%). Level of operation was L3-4 (33.3%), L4-5 (33.3%) and L5-S1 (33.3%). Visual analogue scale (VAS) for leg pain and Oswestry Disabillity Index (ODI) for back pain, as well as the Medical Outcomes Study Questionnaire Short-Form 36 Health Survey (SF-36) for health-related quality of life (HRQoL) were assessed right before surgery and at 6 weeks, 3, 6, and 12 months after surgery. VAS and ODI showed significant (p<0.005) reduction one year after TPED, with a percentage improvement of 83.9% and 79.4%, respectively. Similarly, all aspects of quality of life (SF-36) were significantly (p<0.005) improved 1 year after the procedure. Bodily pain and role physical demonstrated the highest increase followed by role emotional, physical function, social function, vitality, mental health, and general health. Beneficial impact of TPED on clinical outcome and HRQoL was independent of gender and operated level. TPED is effective in reducing lower limb symptoms and low back pain in patients with lumbar disc hernia, suffering from PD. Positive effect of endoscopy is, also, evident in HRQoL of those patients one year after the procedure.

  6. Preliminary parameter assessments of a spiral FFAG accelerator for proton therapy

    International Nuclear Information System (INIS)

    Smirnov, V.L.; Azaryan, N.S.; Vorozhtsov, S.B.

    2013-01-01

    Fixed-Field Alternating-Gradient (FFAG) accelerator was invented in the 1950-60s but never progressed beyond the model stage. Starting from 2000, new interest in this type of accelerator arose. Given advantages of the FFAG over the synchrotron, cyclotron and linac, there are many possible applications of the accelerator. Among them, we are mostly interested in acceleration of protons and light ions for hadron therapy. In this connection a preliminary set of parameters of the facility was estimated and, in particular, the magnetic sector shape and corresponding dynamical properties of the magnetic field of the accelerator were calculated. In addition, preliminary considerations about the RF system design are given.

  7. The preliminary study of MR diffusion weighted imaging with background body signal suppression on pulmonary diseases

    International Nuclear Information System (INIS)

    Wu Huawei; Cheng Jiejun; Xu Jianrong; Lu Qing; Ge Xin; Li Lei

    2008-01-01

    Objective: To evaluate maximum intensity projection (MIP) images and apparent diffusion coefficient (ADC) values of MR diffusion weighted imaging with background body signal suppression (DWIBS) on pulmonary diseases. Methods: Sixty-one patients with pulmonary diseases underwent DWlBS. The findings in three dimensional(3D) MIP image were observed and the ADC values of diseased region were measured. The diagnostic value of DWIBS on pulmonary diseases was evaluated. Results: Lung cancer and inflammatory disease were all demonstrated as dense intensity area on DWIBS. The mean ADC value of central lung cancer was (1.05±0.23) x 10 -3 mm 2 /s. The mean ADC value of peripheral lung cancer was (1.10 ± 0.17) x 10 -3 mm 2 /s. The mean ADC value of the inflammatory disease was (1.69 ± 0.29) x 10 -3 mm 2 /s. The mean ADC value had significant difference between peripheral lung cancer and the inflammatory disease (P<0.05). The MR sensitivity, specificity and accuracy in diagnosing the pulmonary diseases with DWIBS (86.84%, 82.60%, 85.24%, respectively) was higher than conventional MRI(78.94%, 78.26%, and 78.68%, respectively). Conclusion: DWIBS can demonstrate clearly the lesion's shape with 3D display. The quantitative measurement of ADC values is feasible. DWIBS may be a potential diagnostic method for differentiation on pulmonary diseases. (authors)

  8. Lessons learned from the preliminary performance assessment exercise for the Vienne site strategies for investigating the granodiorite confinement capability

    International Nuclear Information System (INIS)

    Lebon, P.

    1999-01-01

    One of the three sites under study by ANDRA is located on the Poitou shoal in the Vienne Department. The granitic basement rock is overlain by a 160 m thick layer of Jurassic sediments containing two seasonally pumped aquifers. The preliminary hydrogeological model of the granitic basement assumed that regional flow is SE-NW, and circulates in the hecto-metric fractures, and that groundwater flow velocity is very low. A preliminary performance assessment exercise focusing on the geological barrier was carried out based on these assumptions and a disposal concept where radwaste is stored in separate granodiorite 'blocks' delimited by the water-bearing fractures. As regards of the granodioritic blocks, the programme goals include analysing of detailed structure, obtaining uncontaminated samples of interstitial ground water in order to determine its physicochemical properties and evaluating transport and retention parameters. (author)

  9. Preliminary Risk Assessment of the Southwestern Willow Flycatcher (Empidonax traillii extimus) at the Los Alamos National Laboratory

    International Nuclear Information System (INIS)

    Gallegos, A.F.; Gonzales, G.J.; Bennett, K.D.; Mullen, M.A.; Foxx, T.S.

    1998-01-01

    The southwestern willow flycatcher (Empidonax traillii extimus) is the fourth threatened or endangered species to undergo a preliminary assessment for estimating potential risk from environmental contaminants at the Los Alamos National Laboratory. The assessments are being conducted as part of a three-year project to develop a habitat management plan for threatened and endangered species and species of concern at the Laboratory. For the preliminary assessment, estimated doses were compared against toxicity reference values to generate hazard indices (HIs). This assessment included a measure of cumulative effects from multiple contaminants (radionuclides, metals, and organic chemicals) to 100 simulated nest sites located within flycatcher potential habitat. Sources of contaminant values were 10,000-ft 2 grid cells within an Ecological Exposure Unit (EEU). This EEU was estimated around the potential habitat and was based on the maximum home range for the fly catcher identified in the scientific literature. The tools used included a custom FORTRAN program, ECORSK5, and a geographic information system. Food consumption and soil ingestion contaminant pathways were addressed in the assessment. Using a four-category risk evaluation, HI results indicate no appreciable impact is expected to the southwestern willow flycatcher. Information on risk by specific geographical location was generated, which can be used to manage contaminated areas, flycatcher habitat, facility siting, and/or facility operations in order to maintain low levels of risk from contaminants

  10. Preliminary Risk Assessment of the Southwestern Willow Flycatcher (Empidonax traillii extimus) at the Los Alamos National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Gallegos, A.F.; Gonzales, G.J.; Bennett, K.D.; Mullen, M.A.; Foxx, T.S.

    1998-10-01

    The southwestern willow flycatcher (Empidonax traillii extimus) is the fourth threatened or endangered species to undergo a preliminary assessment for estimating potential risk from environmental contaminants at the Los Alamos National Laboratory. The assessments are being conducted as part of a three-year project to develop a habitat management plan for threatened and endangered species and species of concern at the Laboratory. For the preliminary assessment, estimated doses were compared against toxicity reference values to generate hazard indices (HIs). This assessment included a measure of cumulative effects from multiple contaminants (radionuclides, metals, and organic chemicals) to 100 simulated nest sites located within flycatcher potential habitat. Sources of contaminant values were 10,000-ft{sup 2} grid cells within an Ecological Exposure Unit (EEU). This EEU was estimated around the potential habitat and was based on the maximum home range for the fly catcher identified in the scientific literature. The tools used included a custom FORTRAN program, ECORSK5, and a geographic information system. Food consumption and soil ingestion contaminant pathways were addressed in the assessment. Using a four-category risk evaluation, HI results indicate no appreciable impact is expected to the southwestern willow flycatcher. Information on risk by specific geographical location was generated, which can be used to manage contaminated areas, flycatcher habitat, facility siting, and/or facility operations in order to maintain low levels of risk from contaminants.

  11. PRELIMINARY ASSESSMENT OF FAMILIARITY WITH CONCEPTS MATHEMATICAL GEOGRAPHY OF COURSE UNDERGRADUATE

    Directory of Open Access Journals (Sweden)

    Luis Alberto Martins Palhares de Melo

    2015-12-01

    Full Text Available The objective of the work described in this paper was to conduct a preliminary assessment about the familiarity with basic mathematical concepts by undergraduate students of Geography. This work assumed that the domain of basic concepts of mathematics is important for the students for the real understanding of quantification techniques applied to geography, used for better understanding about geographical space. Therefore, it was applied a questionnaire with six questions related to some basic mathematical concepts. 384 questionnaires were applied in undergraduate courses in geography, in six public institutions of higher education and a private college, located in the Federal District, Goias, Tocantins, Mato Grosso do Sul, Paraná and Rio Grande do Sul in May / 2013 June / 2013 August / 2013 and April / 2014. The results showed that the 384 respondents answered correctly on average 2,3 questions of an amount of six questions. This may mean that a priori there is little familiarity of undergraduate Geography students with basic concepts of mathematics. O objetivo do trabalho descrito neste artigo foi realizar uma avaliação preliminar a respeito da familiaridade com conceitos matemáticos em nível de Educação Básica por parte de graduandos de cursos de Geografia. Essa investigação partiu do princípio de que o domínio de conceitos básicos de Matemática é importante para a capacitação em técnicas de quantificação em Geografia, que por sua vez auxiliam o geógrafo, bacharel ou licenciado, a entender melhor o espaço geográfico. Para tanto foi utilizado o instrumento questionário com seis questões versando sobre alguns conceitos matemáticos básicos em nível de Educação Básica. Foram aplicados 384 questionários em cursos de graduação em Geografia, em seis instituições públicas de ensino superior e uma faculdade particular, localizadas no Distrito Federal, Goiás, Tocantins, Mato Grosso do Sul, Paraná e Rio Grande do

  12. Preliminary assessment of bioengineered fringing shoreline reefs in Grand Isle and Breton Sound, Louisiana

    Science.gov (United States)

    La Peyre, Megan K.; Schwarting, Lindsay; Miller, Shea

    2013-01-01

    postconstruction data are available. Data for the latter two sites thus reflect only the 2012 spring/summer seasons, which were further impacted by a direct hit by Hurricane Isaac in August 2012, which resulted in shoreward movement of approximately 14 percent of the bioengineered structures at Lake Fortuna. Given the shortened monitoring timeframe and significant differences in construction schedules, we were not able to provide a full postconstruction assessment of the sites or a full comparison of site success based on local site characteristics. Because many of the impacts that were identified for monitoring reflect long-term processes, results and data presented should be interpreted cautiously. Sustainable oyster reefs require recruitment, growth, and survival at a rate that keeps pace with mortality and shell disarticulation. Although one site failed to recruit (establishment plus survival > 50 millimeters [mm]) over two spawning seasons, two sites only had 6 months postconstruction data available for assessment. Although there are good data on the requirements for oyster growth, there is limited explicit information on the site-specific water quality, hydrodynamic, and biological interaction effects that may determine successful reef establishment. Furthermore, interannual variability can significantly affect reef establishment, and our shortened timeframe of sampling (less than one spawning season for two of the reefs; two spawning seasons for one reef), combined with a lack of prerestoration monitoring data, limit our ability to draw any conclusions about long-term reef sustainability. Bioengineered reefs are thought to provide some benefits to shoreline stabilization through their structure by immediately attenuating wave energies and directly reducing erosion rates at shorelines sheltered by the reefs but also by increasing sediment deposition behind the reefs. Preliminary data indicate differences in reef impact by site; given the short timeframe of postconstruction

  13. Electrical impedance myography for the assessment of children with muscular dystrophy: a preliminary study

    International Nuclear Information System (INIS)

    Rutkove, S B; Darras, B T

    2013-01-01

    Electrical impedance myography (EIM) provides a non-invasive approach for quantifying the severity of neuromuscular disease. Here we determine how well EIM data correlates to functional and ultrasound (US) measures of disease in children with Duchenne muscular dystrophy (DMD) and healthy subjects. Thirteen healthy boys, aged 2–12 years and 14 boys with DMD aged 4–12 years underwent both EIM and US measurements of deltoid, biceps, wrist flexors, quadriceps, tibialis anterior, and medial gastrocnemius. EIM measurements were performed with a custom-designed probe using a commercial multifrequency bioimpedance device. US luminosity data were quantified using a gray-scale analysis approach. Children also underwent the 6-minute walk test, timed tests and strength measurements. EIM and US data were combined across muscles. EIM 50 kHz phase was able to discriminate DMD children from healthy subjects with 98% accuracy. In the DMD patients, average EIM phase measurements also correlated well with standard functional measures. For example the 50 kHz phase correlated with the Northstar Ambulatory Assessment test (R = 0.83, p = 0.02). EIM 50 kHz phase and US correlated as well, with R = −0.79 (p < 0.001). These results show that EIM provides valuable objective measures Duchenne muscular dystrophy severity.

  14. Electrical impedance myography for the assessment of children with muscular dystrophy: a preliminary study

    Science.gov (United States)

    Rutkove, S. B.; Darras, B. T.

    2013-04-01

    Electrical impedance myography (EIM) provides a non-invasive approach for quantifying the severity of neuromuscular disease. Here we determine how well EIM data correlates to functional and ultrasound (US) measures of disease in children with Duchenne muscular dystrophy (DMD) and healthy subjects. Thirteen healthy boys, aged 2-12 years and 14 boys with DMD aged 4-12 years underwent both EIM and US measurements of deltoid, biceps, wrist flexors, quadriceps, tibialis anterior, and medial gastrocnemius. EIM measurements were performed with a custom-designed probe using a commercial multifrequency bioimpedance device. US luminosity data were quantified using a gray-scale analysis approach. Children also underwent the 6-minute walk test, timed tests and strength measurements. EIM and US data were combined across muscles. EIM 50 kHz phase was able to discriminate DMD children from healthy subjects with 98% accuracy. In the DMD patients, average EIM phase measurements also correlated well with standard functional measures. For example the 50 kHz phase correlated with the Northstar Ambulatory Assessment test (R = 0.83, p = 0.02). EIM 50 kHz phase and US correlated as well, with R = -0.79 (p Duchenne muscular dystrophy severity.

  15. A Preliminary Assessment of Buddhism's Contextualisation to the English RE Classroom

    Science.gov (United States)

    Thanissaro, Phra Nicholas

    2011-01-01

    In a preliminary study, 20 "migrant" Buddhist parents and children from England participated in semi-structured interviews to compare their home nurture with classroom presentation of Buddhism. In the home Buddhism received more time allocation and was presented mainly by the mother and monks--the content being that of "perpetuating…

  16. Lyme Disease in West Virginia: An Assessment of Distribution and Clinicians' Knowledge of Disease and Surveillance.

    Science.gov (United States)

    Singh, Sarah; Parker, David; Mark-Carew, Miguella; White, Robert; Fisher, Melanie

    2016-01-01

    Lyme disease case misclassification, a top public health concern, may be attributed to the current disconnect between clinical diagnosis and surveillance. This study examines Lyme disease distribution in West Virginia (WV) and determines clinicians' knowledge of both disease and surveillance. Lyme disease surveillance data for 2013 were obtained from the WV Bureau for Public Health. A validated survey, distributed to clinicians at an academic medical center, assessed clinicians' knowledge of disease diagnosis and surveillance. There were 297 adult Lyme disease cases of which 83 were confirmed. Clinician survey responses resulted in a correct response rate of 70% for Lyme disease knowledge questions. Fewer than half of all clinicians were aware of the surveillance criteria for confirming Lyme disease cases. Neither medical specialty nor previous treatment of patients with Lyme disease were significantly associated with clinicians' knowledge of the disease. Clinicians in WV are familiar with symptoms and clinical management of Lyme disease. However, they are less knowledgeable about diagnosis and public health surveillance comprising reporting and confirming cases of the disease. Clinicians and public health authorities should collaborate more closely to promote education and awareness as a key step to successfully reducing the burden of Lymne disease.

  17. Preliminary assessment of the computer-based Taenia solium educational program 'The Vicious Worm' on knowledge uptake in primary school students in rural areas in eastern Zambia.

    Science.gov (United States)

    Hobbs, Emma C; Mwape, Kabemba Evans; Van Damme, Inge; Berkvens, Dirk; Zulu, Gideon; Mambwe, Moses; Chembensofu, Mwelwa; Phiri, Isaac Khozozo; Masuku, Maxwell; Bottieau, Emmanuel; Devleesschauwer, Brecht; Speybroeck, Niko; Colston, Angela; Dorny, Pierre; Willingham, Arve Lee; Gabriël, Sarah

    2018-03-01

    The zoonotic helminth Taenia solium is endemic in Zambia, causing human (taeniasis and (neuro)cysticercosis) and pig (porcine cysticercosis) diseases with high health, social and economic burdens. We aimed to evaluate the impact of a health educational program intended to lead to powerful and cumulative improvements in knowledge, attitudes and practices that decrease parasite transmission and disease occurrence. Half-day health education workshops were conducted in three primary schools in the highly endemic Eastern Province of Zambia, using the computer-based T. solium educational program 'The Vicious Worm'. Questionnaires were administered before and after the educational component to determine the program's impact on knowledge uptake in primary school students. In total, 99 students participated: 38 males and 61 females, with a median age of 14 years (range 10-18 years). Baseline general knowledge of T. solium, including awareness of the different human and pig disease states, and disease diagnosis, treatment and prevention, was quite high (average score 62%) and consistent across all three study areas. Participants' knowledge had significantly increased after the educational component, particularly regarding parasite transmission and disease prevention. Preliminary assessment of 'The Vicious Worm' indicates it is an effective tool for the short-term T. solium education of primary school students in Zambia. Follow-up studies are planned to assess the longer term impact of the program on knowledge uptake in the study neighbourhoods. Inclusion of tailored 'The Vicious Worm' educational workshops should be considered in integrated cysticercosis control programs in endemic areas of sub-Saharan Africa. © 2018 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  18. Early chronic obstructive pulmonary disease: definition, assessment, and prevention.

    Science.gov (United States)

    Rennard, Stephen I; Drummond, M Bradley

    2015-05-02

    Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide. COPD, however, is a heterogeneous collection of diseases with differing causes, pathogenic mechanisms, and physiological effects. Therefore a comprehensive approach to COPD prevention will need to address the complexity of COPD. Advances in the understanding of the natural history of COPD and the development of strategies to assess COPD in its early stages make prevention a reasonable, if ambitious, goal. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. PRELIMINARY REPORT ON NATIONWIDE STUDY OF DRINKING WATER AND CARDIOVASCULAR DISEASES

    Science.gov (United States)

    This study was designed to further investigate the association(s) of cardiovascular diseases and drinking water constituents. A sample of 4200 adults were randomly selected from 35 geographic areas to represent the civilian noninstitutionalized population of the contiguous United...

  20. A preliminary disease survey in the wild Nile crocodile (Crocodylus niloticus population in the Okavango Delta, Botswana

    Directory of Open Access Journals (Sweden)

    A. J. Leslie

    2011-04-01

    Full Text Available The objective of this study was to conduct a preliminary survey of diseases that might be present in the wild Nile crocodile population in the Okavango Delta, Botswana. Blood samples were collected from crocodiles ranging in size from 34.0cmto 463.0cmtotal length. Samples were examined for blood parasites and underwent a haematological analysis. Before release the crocodiles were examined for various clinical abnormalities. Of the 144 crocodiles examined, none were visibly sick or displayed any signs of disease. No antibodies to Mycoplasma crocodyli were detected. Hepatozoon pettiti was present in 55.3 % of blood smears examined, but there was no significant difference in any of the haematological values between the infected and uninfected crocodiles, and a high prevalence of Hepatozoon infection is not uncommon in other species. Only 7.6 % of the examined crocodiles were infested with leeches. Further research is required for several of the crocodilian diseases, in particular to elucidate the role of wild crocodilians as reservoirs of infection.

  1. Health assessment of environmental pollutants: proliferative and degenerative diseases

    International Nuclear Information System (INIS)

    Stuart, B.O.

    1988-01-01

    In order to achieve a balanced approach to risk assessment between carcinogenic and non-carcinogenic health effects one must examine the risk of disease or death in the general population exposed to a particular air pollutant that can be related quantitatively to intensity and duration of exposures (National Academy of Sciences, 1983). Such risk assessment should be based upon careful evaluation of scientific findings of dose-response relationships in the chronically exposed population. Quantitative assessment of environmentally produced disease in man has proven to be complex and demanding. A variety of factors play important roles in this task. As an example, there are induction-latency periods for chronic diseases, including cancer, which may range from five to twenty-five years. The diseases themselves, whether proliferative or degenerative, may follow several stages of progression. There is only sparse epidemiological data on serious health effects that may be due to environmental as compared to occupational exposures. Exposures to chemical or radiological air contaminants do not occur singly but to a multiplicity of agents, and disease processes are frequently markedly affected by the interaction of a variety of factors, particularly that of cigarette smoking. There is growing recognition of potentially sensitive subpopulations, including the elderly and the very young, but adequate techniques for assessing the magnitude of increased risks to these groups have not yet been developed

  2. [Valvular heart disease: preoperative assessment and postoperative care].

    Science.gov (United States)

    Nägele, Reto; Kaufmann, Beat A

    2013-10-30

    Patients with valvular heart disease or with a prosthetic heart valve replacement are seen with increasing frequency in clinical practice. The medical care and evaluation of patients with valvular heart disease before valve surgery, but also the post-operative treatment is complex and managed by general practitioners, cardiologists and cardiac surgeons. In this mini-review we will first discuss the preoperative assessment of the two most common valvulopathies, aortic stenosis and mitral regurgitation. Then we will discuss the post-operative care, which includes the management of anticoagulation, serial follow up and as well as the diagnostic assessment of complications such as thromboembolism, hemolysis, endocarditis and valve dysfunction.

  3. The role of self-efficacy in inflammatory bowel disease management: preliminary validation of a disease-specific measure.

    Science.gov (United States)

    Keefer, Laurie; Kiebles, Jennifer L; Taft, Tiffany H

    2011-02-01

    Inflammatory bowel diseases (IBDs) require self-management skills that may be influenced by self-efficacy (SE). Self-efficacy represents an individual's perception of his or her ability to organize and execute the behaviors necessary to manage disease. The goal of this study was to develop a valid and reliable measure of IBD-specific SE that can be used in clinical and research contexts. One hundred and twenty-two adults with a verified IBD diagnosis participated in the study. Data were pooled from 2 sources: patients from an outpatient university gastroenterology clinic (n=42) and a sample of online respondents (n=80). All participants (N=122) completed the IBD Self-Efficacy Scale (IBD-SES) and the Inflammatory Bowel Disease Questionnaire. Additionally, online participants completed the Brief Symptom Inventory-18 and the Rosenberg Self-Esteem Scale, whereas those in the clinic sample completed the Perceived Health Competence Scale, the Perceived Stress Questionnaire, and the Short Form Version 2 Health Survey. The IBD-SES was initially constructed to identify 4 distinct theoretical domains of self-efficacy: (1) managing stress and emotions, (2) managing medical care, (3) managing symptoms and disease, and (4) maintaining remission. The 29-item IBD-SES has high internal consistency (r=0.96), high test-retest reliability (r=0.90), and demonstrates strong construct and concurrent validity with established measures. The IBD-SES is a critical first step toward addressing an important psychological construct that could influence treatment outcomes in IBD.

  4. Biomarkers in rheumatic diseases: how can they facilitate diagnosis and assessment of disease activity?

    Science.gov (United States)

    Mohan, Chandra; Assassi, Shervin

    2015-11-26

    Serological and proteomic biomarkers can help clinicians diagnose rheumatic diseases earlier and assess disease activity more accurately. These markers have been incorporated into the recently revised classification criteria of several diseases to enable early diagnosis and timely initiation of treatment. Furthermore, they also facilitate more accurate subclassification and more focused monitoring for the detection of certain disease manifestations, such as lung and renal involvement. These biomarkers can also make the assessment of disease activity and treatment response more reliable. Simultaneously, several new serological and proteomic biomarkers have become available in the routine clinical setting--for example, a protein biomarker panel for rheumatoid arthritis and a myositis antibody panel for dermatomyositis and polymyositis. This review will focus on commercially available antibody and proteomic biomarkers in rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis (scleroderma), dermatomyositis and polymyositis, and axial spondyloarthritis (including ankylosing spondylitis). It will discuss how these markers can facilitate early diagnosis as well as more accurate subclassification and assessment of disease activity in the clinical setting. The ultimate goal of current and future biomarkers in rheumatic diseases is to enable early detection of these diseases and their clinical manifestations, and to provide effective monitoring and treatment regimens that are tailored to each patient's needs and prognosis. © BMJ Publishing Group Ltd 2015.

  5. Preliminary investigations for technology assessment of 99Mo production from LEU [low enriched uranium] targets

    International Nuclear Information System (INIS)

    Vandegrift, G.F.; Chaiko, D.J.; Heinrich, R.R.; Kucera, E.T.; Jensen, K.J.; Poa, D.S.; Varma, R.; Vissers, D.R.

    1986-11-01

    This paper presents the results of preliminary studies on the effects of substituting low enriched uranium (LEU) for highly enriched uranium (HEU) in targets for the production of fission product 99 Mo. Issues that were addressed are: (1) purity and yield of the 99 Mo//sup 99m/Tc product, (2) fabrication of LEU targets and related concerns, and (3) radioactive waste. Laboratory experimentation was part of the efforts for issues (1) and (2); thus far, radioactive waste disposal has only been addressed in a paper study. Although the reported results are still preliminary, there is reason to be optimistic about the feasibility of utilizing LEU targets for 99 Mo production. 37 refs., 1 fig., 5 tabs

  6. A preliminary assessment of the radiological impact of the Chernobyl reactor accident on the population of the European Community

    International Nuclear Information System (INIS)

    Morrey, M.; Brown, J.; Williams, J.A.; Crick, M.J.; Simmonds, J.R.; Hill, M.D.

    1988-01-01

    Following the Chernobyl accident the Commission of the European Communities asked the National Radiological Protection Board to carry out a preliminary assessment of the radiological consequences of the accident on the population of the European Community (EC). The aim of the study was to review information on the environmental contamination measured in member states of the EC; to make a preliminary assessment of individual and population doses for each country; to make an estimate of the resulting health impact and to indicate the effects of the various countermeasures taken by member states in terms of the reductions in both individual and population exposure which they produced. All of the main pathways by which people have been and will be exposed to radiation as a result of the accident were included in the assessment. The impact estimate is based on environmental measurements made during the month after the accident, and on calculations made using mathematical models of radionuclide transfer through the environment. The calculated effective doses to average individuals in EC countries from exposure over the next 50 years range from 0.3 μSv (in Portugal) to between about 300 and 500 μSv (in the FRG, Italy and Greece). The total collective effective dose to the population of EC countries, integrated over all time, is estimated to be about 80 000 man Sv. This may be compared to the collective effective dose from natural background radiation of about 500 000 man Sv every year. In some countries, the restrictions placed on consumption of some foods are estimated to have been effective in reducing doses to the most exposed individuals; the reduction being up to about a factor of 2. The results presented in this paper should therefore be regarded as preliminary

  7. Preliminary assessment of channel stability and bed-material transport along Hunter Creek, southwestern Oregon

    Science.gov (United States)

    Jones, Krista L.; Wallick, J. Rose; O'Connor, Jim E.; Keith, Mackenzie K.; Mangano, Joseph F.; Risley, John C.

    2011-01-01

    This preliminary assessment of (1) bed-material transport in the Hunter Creek basin, (2) historical changes in channel condition, and (3) supplementary data needed to inform permitting decisions regarding instream gravel extraction revealed the following: Along the lower 12.4 km (kilometers) of Hunter Creek from its confluence with the Little South Fork Hunter Creek to its mouth, the river has confined and unconfined segments and is predominately alluvial in its lowermost 11 km. This 12.4-km stretch of river can be divided into two geomorphically distinct study reaches based primarily on valley physiography. In the Upper Study Reach (river kilometer [RKM] 12.4-6), the active channel comprises a mixed bed of bedrock, boulders, and smaller grains. The stream is confined in the upper 1.4 km of the reach by a bedrock canyon and in the lower 2.4 km by its valley. In the Lower Study Reach (RKM 6-0), where the area of gravel bars historically was largest, the stream flows over bed material that is predominately alluvial sediments. The channel alternates between confined and unconfined segments. The primary human activities that likely have affected bed-material transport and the extent and area of gravel bars are (1) historical and ongoing aggregate extraction from gravel bars in the study area and (2) timber harvest and associated road construction throughout the basin. These anthropogenic activities likely have varying effects on sediment transport and deposition throughout the study area and over time. Although assessing the relative effects of these anthropogenic activities on sediment dynamics would be challenging, the Hunter Creek basin may serve as a case study for such an assessment because it is mostly free of other alterations to hydrologic and geomorphic processes such as flow regulation, dredging, and other navigation improvements that are common in many Oregon coastal basins. Several datasets are available that may support a more detailed physical assessment

  8. Application of the preliminary Geosite Assessment Model (GAM: The case of the Bela Crkva municipality (Vojvodina, north Serbia

    Directory of Open Access Journals (Sweden)

    Boškov Jovana

    2015-01-01

    Full Text Available Bela Crkva municipality is located in the northeastern part of Serbia, in the Southeast of the Autonomous Province of Vojvodina. This Municipality has a high concentration of geo sites which are of a great importance, and providing a good basis for the geo tourism development in this area. This paper proposes an inventory of geo sites in the Bela Crkva municipality. One of the aims of the paper is to evaluate different values of geo sites using preliminary Geosite Assessment Model (GAM in order to determine whether this area has the potential for geo tourism development.

  9. Preliminary Assessment of Potential Avian Interactions at Four Proposed Wind Energy Facilities on Vandenberg Air Force Base, California

    Energy Technology Data Exchange (ETDEWEB)

    2004-08-01

    The United States Air Force (USAF) is investigating whether to install wind turbines to provide a supplemental source of electricity at Vandenberg Air Force Base (VAFB) near Lompoc, California. As part of that investigation, VAFB sought assistance from the U.S. Department of Energy's National Renewable Energy Laboratory (NREL) to provide a preliminary characterization of the potential risk to wildlife resources (mainly birds and bats) from wind turbine installations. With wind power development expanding throughout North America and Europe, concerns have surfaced over the number of bird fatalities associated with wind turbines. Guidelines developed for the wind industry by the National Wind Coordinating Committee (NWCC) recommend assessing potential impacts to birds, bats, and other potentially sensitive resources before construction. The primary purpose of an assessment is to identify potential conflicts with sensitive resources, to assist developers with identifying their permitting needs, and to develop strategies to avoid impacts or to mitigate their effects. This report provides a preliminary (Phase I) biological assessment of potential impacts to birds and bats that might result from construction and operation of the proposed wind energy facilities on VAFB.

  10. Assessment of airway lesion in obstructive lung diseases by CT

    International Nuclear Information System (INIS)

    Niimi, Akio; Matsumoto, Hisako; Ueda, Tetsuya; Mishima, Michiaki

    2002-01-01

    Airway lesion in obstructive pulmonary diseases, such as asthma or chronic obstructive pulmonary disease (COPD), has recently been assessed quantitatively. Especially in asthma, wall thickening of central airways, and its relation to the severity of disease or airflow obstruction has been clarified. Pathophysiologic importance of peripheral airway lesion has also been highlighted by pathologic or physiologic studies. However, direct evaluation of peripheral airway lesion is beyond resolutional limitation of CT. To assess airway trapping, an indirect CT finding of peripheral airway disease, by quantitative and semiquantitative measures and compare them with clinical indices such as pulmonary function, airway responsiveness, or airway inflammation. Patients with stable asthma (n=20) were studied. HRCT at 3 levels of both lungs were scanned. Low attenuation area (LAA)% and mean lung density were quantitatively assessed by an automatic method. Distribution of mosaic pattern was visually scored semiquantitatively. LAA% and mean lung density at full expiratory phase correlated with the degree of airflow obstruction. Mosaic score at full inspiratory phase correlated with the severity of disease and airflow obstruction. Expiratory/inspiratory ratio of mean lung density was also associated with airway responsiveness or residual volume/total lung capacity (RV/TLC). These CT findings may be useful as markers of asthma pathophysiology. (author)

  11. Cochlear Implants and Psychiatric Assessments: a Norrie Disease Case Report.

    Science.gov (United States)

    Jacques, Denis; Dubois, Thomas; Zdanowicz, Nicolas; Gilain, Chantal; Garin, Pierre

    2017-09-01

    It is important to perform psychiatric assessments of adult patients who are candidates for cochlear implants both to screen them for psychiatric disorders and to assess their understanding and compliance with the procedure. Deafness is a factor of difficulty for conducting in-depth psychiatric interviews, but concomitant blindness may make it impossible. After a description of Norrie disease, a rare disease in which blindness and deafness may occur together, we propose a case report of a patient suffering from the disease and who consulted in view of a cochlear implant. Early information on cochlear implants appears to be necessary before total deafness occurs in patients suffering from Norrie disease. An inventory of digital communication tools that can be used by the patient is also highly valuable. Research should be supported for a more systematic use of psychiatric assessments prior to cochlear implants. In the special case of Norrie disease, we recommend early screening for mental retardation and related psychotic disorders and, depending on the patient's level of understanding, preventive information on the benefits and limits of cochlear implants before total deafness occurs.

  12. Difficulty in Assessing Quality of Life Outcomes in a Fluctuating Disease: A Hypothesis Based on Gastroparesis

    Directory of Open Access Journals (Sweden)

    Vic Velanovich

    2009-01-01

    Full Text Available An underlying assumption of quality of life outcome research is that after some intervention a “steady-state” of quality of life is reached which can be identified as an endpoint, and, hence, the “outcome.” However, in some disease processes, no so such steady-state is reached. The hypothesis presented is that a disease process with a waxing and waning course will make it difficult to determine a quality of life endpoint. After clinical observation, a pilot study of patients with either diabetic or idiopathic gastroparesis with gastric neurostimulation their records were reviewed to identify the number of clinic visits, the number of clinic visits in which the patients were asymptomatic, much improved, improved, no change, worse, or much worse. These changes were defined as “transitions.” A “transition ratio” was calculated by dividing the number of transitions by the number of clinic visits. Preliminary results showed that of 32 patients, the median number of clinic encounters was 8 (1–35, and the median number of transitions 4 (0–22. The average transition ration was 0.56±0.31. In the case of gastroparesis, over half of all clinical encounters were associated with a transition. The implication of the hypothesis and preliminary finding suggests a difficulty to identify when the symptomatic endpoint was reached. Other methods to assess the effects of treatment in such a disease process are required to fully understand the effects of treatment on quality of life.

  13. Usefulness of CT based SPECT Fusion Image in the lung Disease : Preliminary Study

    International Nuclear Information System (INIS)

    Park, Hoon Hee; Lyu, Kwang Yeul; Kim, Tae Hyung; Shin, Ji Yun

    2012-01-01

    Recently, SPECT/CT system has been applied to many diseases, however, the application is not extensively applied at pulmonary disease. Especially, in case that, the pulmonary embolisms suspect at the CT images, SPECT is performed. For the accurate diagnosis, SPECT/CT tests are subsequently undergoing. However, without SPECT/CT, there are some limitations to apply these procedures. With SPECT/CT, although, most of the examination performed after CT. Moreover, such a test procedures generate unnecessary dual irradiation problem to the patient. In this study, we evaluated the amount of unnecessary irradiation, and the usefulness of fusion images of pulmonary disease, which independently acquired from SPECT and CT. Using NEMA PhantomTM (NU2-2001), SPECT and CT scan were performed for fusion images. From June 2011 to September 2010, 10 patients who didn't have other personal history, except lung disease were selected (male: 7, female: 3, mean age: 65.3±12.7). In both clinical patient and phantom data, the fusion images scored higher than SPECT and CT images. The fusion images, which is combined with pulmonary vessel images from CT and functional images from SPECT, can increase the detection possibility in detecting pulmonary embolism in the resin of lung parenchyma. It is sure that performing SPECT and CT in integral SPECT/CT system were better. However, we believe this protocol can give more informative data to have more accurate diagnosis in the hospital without integral SPECT/CT system.

  14. Assessment of disease activity in large-vessel vasculitis

    DEFF Research Database (Denmark)

    Aydin, Sibel Z.; Direskeneli, Haner; Merkel, Peter A.

    2017-01-01

    Objective. To arrive at consensus for candidate outcomes for disease activity assessment in largevessel vasculitis (LVV) in clinical trials. Methods.A Delphi survey including 99 items was circulated among international experts for 3 rounds. Results. Fifty-seven items were accepted for both giant ...

  15. Systematic review: questionnaires for assessment of gastroesophageal reflux disease

    NARCIS (Netherlands)

    Bolier, E. A.; Kessing, B. F.; Smout, A. J.; Bredenoord, A. J.

    2015-01-01

    Numerous questionnaires with a wide variety of characteristics have been developed for the assessment of gastroesophageal reflux disease (GERD). Four well-defined dimensions are noticeable in these GERD questionnaires, which are symptoms, response to treatment, diagnosis, and burden on the quality

  16. Assessing arthropod pests and disease occurrence in cassava ...

    African Journals Online (AJOL)

    On-station trials were conducted at CSIR-Crops Research Institute's research farms at Kwadaso and Ejura, Ashanti Region, Ghana, during 2010/2011 cropping season, to assess the pests and disease occurrence in cassava-cowpea intercrop farming systems and their effect on yield of produce. Three improved cassava ...

  17. Dealing with uncertainties in environmental burden of disease assessment

    Directory of Open Access Journals (Sweden)

    van der Sluijs Jeroen P

    2009-04-01

    Full Text Available Abstract Disability Adjusted Life Years (DALYs combine the number of people affected by disease or mortality in a population and the duration and severity of their condition into one number. The environmental burden of disease is the number of DALYs that can be attributed to environmental factors. Environmental burden of disease estimates enable policy makers to evaluate, compare and prioritize dissimilar environmental health problems or interventions. These estimates often have various uncertainties and assumptions which are not always made explicit. Besides statistical uncertainty in input data and parameters – which is commonly addressed – a variety of other types of uncertainties may substantially influence the results of the assessment. We have reviewed how different types of uncertainties affect environmental burden of disease assessments, and we give suggestions as to how researchers could address these uncertainties. We propose the use of an uncertainty typology to identify and characterize uncertainties. Finally, we argue that uncertainties need to be identified, assessed, reported and interpreted in order for assessment results to adequately support decision making.

  18. CT perfusion technique for assessment of early kidney allograft dysfunction: preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Helck, A.; Notohamiprodjo, M.; Schoen, F.; Nikolaou, K.; Clevert, D.A.; Reiser, M.; Becker, C. [Ludwig-Maximilians-University of Munich, Department of Clinical Radiology, University Hospitals Grosshadern, Munich (Germany); Wessely, M.; Schoenermarck, U.; Fischereder, M. [Ludwig-Maximilians-University of Munich, Department of Internal Medicine IV, Nephrology, University Hospitals Grosshadern, Munich (Germany); Klotz, E. [Siemens Healthcare, Computed Tomography, Forchheim (Germany)

    2013-09-15

    To assess the benefit of quantitative computed tomography (CT) perfusion for differentiating acute tubular necrosis (ATN) and acute rejection (AR) in kidney allografts. Twenty-two patients with acute kidney allograft dysfunction caused by either AR (n = 6) or ATN (n = 16) were retrospectively included in the study. All patients initially underwent a multiphase CT angiography (CTA) protocol (12 phases, one phase every 3.5 s) covering the whole graft to exclude acute postoperative complications. Multiphase CT dataset and dedicated software were used to calculate renal blood flow. Renal biopsy or clinical course of disease served as the standard of reference. Mean effective radiation dose and mean amount of contrast media were calculated. Renal blood flow values were significantly lower (P = 0.001) in allografts undergoing AR (48.3 {+-} 21 ml/100 ml/min) compared with those with ATN (77.5 {+-} 21 ml/100 ml/min). No significant difference (P = 0.71) was observed regarding creatinine level with 5.65 {+-} 3.1 mg/dl in AR and 5.3 {+-} 1.9 mg/dl in ATN. The mean effective radiation dose of the CT perfusion protocol was 13.6 {+-} 5.2 mSv; the mean amount of contrast media applied was 34.5 {+-} 5.1 ml. All examinations were performed without complications. CT perfusion of kidney allografts may help to differentiate between ATN and rejection. (orig.)

  19. Natriuretic peptides and integrated risk assessment for cardiovascular disease

    DEFF Research Database (Denmark)

    Willeit, Peter; Kaptoge, S; Welsh, P.

    2016-01-01

    samples and collection of data from studies identified through a systematic search of the literature (PubMed, Scientific Citation Index Expanded, and Embase) for articles published up to Sept 4, 2014, using search terms related to natriuretic peptide family members and the primary outcomes......BACKGROUND: Guidelines for primary prevention of cardiovascular diseases focus on prediction of coronary heart disease and stroke. We assessed whether or not measurement of N-terminal-pro-B-type natriuretic peptide (NT-proBNP) concentration could enable a more integrated approach than at present...... by predicting heart failure and enhancing coronary heart disease and stroke risk assessment. METHODS: In this individual-participant-data meta-analysis, we generated and harmonised individual-participant data from relevant prospective studies via both de-novo NT-proBNP concentration measurement of stored...

  20. The clinical significance of brain microbleeds in patients with Alzheimer′s disease: Preliminary study

    Directory of Open Access Journals (Sweden)

    Jae-Hyeok Heo

    2016-01-01

    Full Text Available Background: Microbleeds (MBs are observed frequently in Alzheimer′s disease (AD and suggested to play a crucial role in the pathophysiology, but their clinical significance remains unclear. Materials and Methods: The study recruited 100 patients with AD who were diagnosed at the memory clinic in Seoul Medical Center in 2014. For each patient, baseline characteristics, neuropsychological tests, cerebrovascular risk factors, medial temporal lobe atrophy (MTLA, and severity of small vessel disease (SVD according to the existence of MBs were evaluated. Results: The prevalence of MBs in patients with AD was 33%. The percentage of male gender, the severity of SVD and MTLA were significantly increased in MB(+ group. The MB(+ group showed more severe MTLA and SVD than MB(− group. Conclusions: These results suggested that MBs might reflect the burden of amyloid and ischemic vascular pathology.

  1. Systematic review: questionnaires for assessment of gastroesophageal reflux disease.

    Science.gov (United States)

    Bolier, E A; Kessing, B F; Smout, A J; Bredenoord, A J

    2015-01-01

    Numerous questionnaires with a wide variety of characteristics have been developed for the assessment of gastroesophageal reflux disease (GERD). Four well-defined dimensions are noticeable in these GERD questionnaires, which are symptoms, response to treatment, diagnosis, and burden on the quality of life of GERD patients. The aim of this review is to develop a complete overview of all available questionnaires, categorized per dimension of the assessment of GERD. A systematic search of the literature up to January 2013 using the Pubmed database and the Embase database, and search of references and conference abstract books were conducted. A total number of 65 questionnaires were extracted and evaluated. Thirty-nine questionnaires were found applicable for the assessment of GERD symptoms, three of which are generic gastrointestinal questionnaires. For the assessment of response to treatment, 14 questionnaires were considered applicable. Seven questionnaires with diagnostic purposes were found. In the assessment of quality of life in GERD patients, 18 questionnaires were found and evaluated. Twenty questionnaires were found to be used for more than one assessment dimension, and eight questionnaires were found for GERD assessment in infants and/or children. A wide variety of GERD questionnaires is available, of which the majority is used for assessment of GERD symptoms. Questionnaires differ in aspects such as design, validation and translations. Also, numerous multidimensional questionnaires are available, of which the Reflux Disease Questionnaire is widely applicable. We provided an overview of GERD questionnaires to aid investigators and clinicians in their search for the most appropriate questionnaire for their specific purposes. © 2013 International Society for Diseases of the Esophagus.

  2. Angio-CT in congenital heart disease and kidney pathology in children, preliminary report

    International Nuclear Information System (INIS)

    Biejat, A.; Zielinski, T.; Tarnowska, A.

    2004-01-01

    Due to recent development in computer tomography technique especially in the field of spiral CT, additional computer programming support for 3D reconstruction and automatic contrast media syringe systems, CT is a useful diagnostic tool in pediatric radiology in patients with congenital heart disease and kidneys pathology. Between July 2001 and June 2003 in our CT department 31 angio CT examinations were performed (19 in congenital heart disease and 12 in patients with kidneys pathology). The most important group consists patients after surgical correction of aortic coarctation (CoA)-13 cases. In the kidney pathology group the most common indication for the CT was arterial hypertension - 7 cases. CT examinations were performed using Toshiba ASTEION single - detector system with modified Rogalla et al. protocols. Regular CT scans were complemented with additional multiplane presentations and 3D and MIP reconstructions of the vessels. Original protocols were modified mostly in reduction of contrast media administration (up to 1ml/kg) and pitch increase to 1.2-1.7. Patients with heart disease in contrary to kidney pathology patients were also diagnosed with invasive procedures. In congenital heart disease group recoarctation was diagnosed in angio CT in 7 cases and in 5 cases in angiography. In remaining group CT confirmed angiography results in 3 cases (complex heart anomaly). In 2 cases of anomalous pulmonary venosus return and double aortic arch angiography confirmed CT results. In 7 cases with arterial hypertension Angio-CT revealed: nephrosclerosis in 1 case and IVC thrombosis in another. In remaining 5 cases CT results were normal. Angio-CT in pediatric patients should be performed with automatic syringes proper contrast media administration and physical parameters (mAs, kV) and can limit the indications for invasive procedures. (author)

  3. Effects of robotic treadmill training on functional mobility, walking capacity, motor symptoms and quality of life in ambulatory patients with Parkinson's disease: a preliminary prospective longitudinal study.

    Science.gov (United States)

    Paker, Nurdan; Bugdayci, Derya; Goksenoglu, Goksen; Sen, Aysu; Kesiktas, Nur

    2013-01-01

    Decreased mobility and walking capacity occur frequently in Parkinson's disease (PD). Robotic treadmill training is a novel method to improve the walking capacity in rehabilitation. The primary aim of this study was to investigate the effects of robotic treadmill training on functional mobility and walking capacity in PD. Secondly, we aimed to assess the effects of the robotic treadmill training the motor symptoms and quality of life in patients with PD. Seventy patients with idiopathic Parkinson's disease who admitted to the outpatient clinic of the rehabilitation hospital were screened and 12 ambulatory volenteers who met the study criteria were included in this study. Patients were evaluated by Hoehn Yahr (HY) scale clinically. Two sessions robotic treadmill training per week during 5 weeks was planned for every patient. Patients were evaluated by the Timed Up and Go (TUG) test, 10 meter walking test (10 MWT), Unified Parkinson's Disease Rating Scale (UPDRS) motor section and Parkinson's Disease Questionnaire-39 (PDQ-39) at the baseline, at the 5 and 12 weeks. Cognitive and emotional states of the patients were assessed by Mini Mental State Examination (MMSE) test and Hospital Anxiety and Depression Scale (HADS) at the baseline. All patients were under medical treatment for the PD in this study and drug treatment was not changed during the study. Ten patients completed the study. The mean age was 65.6 ± 6.6 years. Five patients (50%) were women. Disease severity was between the HY stage 1-3. Two patients did not continue the robotic treadmill training after 7 sessions. They also did not want to come for control visits. TUG test, 10 MWT and UPDRS motor subscale scores showed statistically significant improvement after robotic treadmill training (p = 0.02, p = 0.001, p = 0.016). PDQ-39 scores improved significantly after robotic treadmill training (p = 0.03), however, the scores turned back to the baseline level at the 12. week control. As a result of this

  4. Utilization of cellulosic materials through enzymic hydrolysis. 11. Preliminary assessment of an integrated processing scheme

    Energy Technology Data Exchange (ETDEWEB)

    Wilke, C R; Cysewski, G R; Yang, R D

    1976-01-01

    An integrated processing scheme is described for the conversion of a cellulose waste (newsprint) to sugars by enzymic hydrolysis and then to ethanol and yeast by fermentation. The unconverted solids are burned to produce process energy requirements and surplus electric power. With the preliminary design at an estimate total capital investment of $33.4 x 10/sup 6/, 95% ethanol may be produced FOB (free on board) the plant for approx.61 cents/gal, assuming zero cost for cellulosic feed; taking into account interest rates and taxes and a cellulose feed cost of $20/ton the figure becomes $1.67/gal.

  5. Preliminary Experiments for the Assessment of VW-Band Links for Space-Earth Communications

    Science.gov (United States)

    Nessel, James A.; Acosta, Roberto J.; Miranda, Felix A.

    2013-01-01

    Since September 2012, NASA Glenn Research Center has deployed a microwave profiling radiometer at White Sands, NM, to estimate atmospheric propagation effects on communications links in the V and W bands (71-86GHz). Estimates of attenuation statistics in the millimeter wave due to gaseous and cloud components of the atmosphere show good agreement with current ITU-R models, but fail to predict link performance in the presence of moderate to heavy rain rates, due to the inherent limitations of passive radiometry. Herein, we discuss the preliminary results of these measurements and describe a design for a terrestrial link experiment to validaterefine existing rain attenuation models in the VW-bands.

  6. Preliminary assessment of the activation of the IFMIF accelerator structure by deuterons and neutrons

    Energy Technology Data Exchange (ETDEWEB)

    Gomes, Itacil C. [Argonne National Lab., IL (United States); Bruhwiler, David L. [Northrop Grumman Corp., Princeton, NJ (United States). Advanced Systems and Technology

    1997-12-01

    This paper presents a preliminary analysis of the IFMF (International Fusion Materials Irradiation Facility) accelerator structure activation by deuterons and neutrons. The main objective of this study is to identify the source terms and to quantify the radioactivity levels at different positions in the accelerator vault. The MCNP code is used to perform radiation transport analysis, the RACC activation code is used for neutron activation analysis, and the cross section library of the LAHET code is used to generate the cross section for the deuteron interaction with the inside surfaces of the accelerator. (author). 10 refs., 5 figs.

  7. Preliminary post-closure safety assessment of repository concepts for low level radioactive waste at the Bruce Site, Ontario

    International Nuclear Information System (INIS)

    Little, R.H.; Penfold, J.S.S.; Egan, M.J.; Leung, H.

    2005-01-01

    The preliminary post-closure safety assessment of permanent repository concepts for low-level radioactive waste (LLW) at the Ontario Power Generation (OPG) Bruce Site is described. The study considered the disposal of both short and long-lived LLW. Four geotechnically feasible repository concepts were considered (two near-surface and two deep repositories). An approach consistent with best international practice was used to provide a reasoned and comprehensive analysis of post-closure impacts of the repository concepts. The results demonstrated that the deep repository concepts in shale and in limestone, and the surface repository concept on sand should meet radiological protection criteria. For the surface repository concept on glacial till, it appears that increased engineering such as grouting of waste and voids should be considered to meet the relevant dose constraint. Should the project to develop a permanent repository for LLW proceed, it is expected that this preliminary safety assessment would need to be updated to take account of future site-specific investigations and design updates. (author)

  8. Assessment of electromagnetic fields intensity emitted by cellular phone base stations in surrounding flats - a preliminary study

    International Nuclear Information System (INIS)

    Zmyslony, M.; Politanski, P.; Mamrot, P.; Bortkiewicz, A.

    2006-01-01

    A rapid development of mobile telecommunications (MT) has resulted in an increased concern about possible detrimental health effects of electromagnetic fields (EMFs) emitted by MT systems, and by MT base stations in particular. Research into EMFs effects on the health of inhabitants living in their vicinity requires first of all a solid assessment of the exposure level. Up to now, the reports in this field have been rather scant. This article presents the results of preliminary measurements of EMFs fields in selected flats around selected base stations in the city of Lodz. Measurements of electric field strength, E, to assess EMF exposure were based on the standard procedures currently in force in Poland. As the study is regarded as a preliminary one, the measurements were conducted in buildings with the expected largest radiation. The measurements show that in the flats located up to 500 m from the base station, EMFs are within the limits specified by relevant Polish regulations on the general public and environmental protection. It was also observed that in a few (less than 10%) flats the field with E exceeded 0.8 V/m. The results show that there are no correlations between electric field strength and distance between the flat and the base station. Therefore, the distance from the base station cannot be used to represent the exposure rate; to determine the latter, EMF measurements are necessary. (author)

  9. Development of the Music Therapy Assessment Tool for Advanced Huntington's Disease: A Pilot Validation Study.

    Science.gov (United States)

    O'Kelly, Julian; Bodak, Rebeka

    2016-01-01

    Case studies of people with Huntington's disease (HD) report that music therapy provides a range of benefits that may improve quality of life; however, no robust music therapy assessment tools exist for this population. Develop and conduct preliminary psychometric testing of a music therapy assessment tool for patients with advanced HD. First, we established content and face validity of the Music Therapy Assessment Tool for Advanced HD (MATA-HD) through focus groups and field testing. Second, we examined psychometric properties of the resulting MATA-HD in terms of its construct validity, internal consistency, and inter-rater and intra-rater reliability over 10 group music therapy sessions with 19 patients. The resulting MATA-HD included a total of 15 items across six subscales (Arousal/Attention, Physical Presentation, Communication, Musical, Cognition, and Psychological/Behavioral). We found good construct validity (r ≥ 0.7) for Mood, Communication Level, Communication Effectiveness, Choice, Social Behavior, Arousal, and Attention items. Cronbach's α of 0.825 indicated good internal consistency across 11 items with a common focus of engagement in therapy. The inter-rater reliability (IRR) Intra-Class Coefficient (ICC) scores averaged 0.65, and a mean intra-rater ICC reliability of 0.68 was obtained. Further training and retesting provided a mean of IRR ICC of 0.7. Preliminary data indicate that the MATA-HD is a promising tool for measuring patient responses to music therapy interventions across psychological, physical, social, and communication domains of functioning in patients with advanced HD. © the American Music Therapy Association 2016. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  10. The preliminary study of 18F-FDG brain PET in diagnosis of alzheimer's disease

    International Nuclear Information System (INIS)

    Ma Yunchuan; Zhang Xinqing; Li Depeng; Shang Jianwen; Su Yusheng; Zhang Linying; Peng Cheng; Pan Zhongyun

    2000-01-01

    Objective: To investigate the imaging characteristics and diagnostic criteria of 18 F-FDG brain PET in diagnosis of Alzheimer's disease (AD). Methods: The sutdy included 12 normal subjects, 12 patients with AD and 11 patients with non-AD dementia. 40 min after intravenous administration of 18 F-FDG, brain scan was performed using Siemens ECAT47 scanner. The transaxial, coronal and sagittal images were then reconstructed by computer. At the same time, semiquantitative analysis was also applied to help evaluation using the ratio of mean radioactivity of cerebral lobe to cerebellum (R cl/cb ). Results: In normal subjects PET scan showed clear images of cerebral cortex, basal ganglia, thalamus and cerebellum with symmetrical distribution of radioactivity. PET images from Alzheimer's disease patients were classified into 3 patterns: bilateral parietal hypometabolism in 5 cases, bilateral temporo-parietal hypometabolism in 4 cases and unilateral temporo-parietal hypometabolism in 3 cases. The R cl/cb of AD patients in parietal and temporal lobe was significantly decreased than normal subjects (P cl/cb was also reflecting thedementia degree. Compared with MRI imaging , 12 patients with AD had cerebral hypometabolism but only 10 had hippocampus atrophy. 10 patients with non-AD dementia had local structural foci seen in MRI, including old hemorrhage, infarction and encephalomalacia, but these lesions were not found in AD. Conclusions: Based on excluding cerebral structural lesions which are better detected by MRI, bilateral or unilateral parietal or temporo-parietal hypometabolism found in FDG PET can be considered indicative of Alzheimer's disease. Semiquantitative analysis of the images yielded can help to evaluate the dementia degree

  11. Adult congenital heart disease in Greece: Preliminary data from the CHALLENGE registry.

    Science.gov (United States)

    Giannakoulas, G; Vasiliadis, K; Frogoudaki, A; Ntellos, C; Tzifa, A; Brili, S; Manginas, A; Papaphylactou, M; Parcharidou, D; Kampouridis, N; Pitsis, A; Chamaidi, A; Kolios, M; Papadopoulos, G; Douras, A; Davlouros, P; Ntiloudi, D; Karvounis, H; Kalangos, A; Tsioufis, C; Rammos, S

    2017-10-15

    The majority of patients with congenital heart disease (CHD), nowadays, survives into adulthood and is faced with long-term complications. We aimed to study the basic demographic and clinical characteristics of adult patients with congenital heart disease (ACHD) in Greece. A registry named CHALLENGE (Adult Congenital Heart Disease Registry. A registry from Hellenic Cardiology Society) was initiated in January 2012. Patients with structural CHD older than 16years old were enrolled by 16 specialized centers nationwide. Out of a population of 2115 patients with ACHD, who have been registered, (mean age 38years (SD 16), 52% women), 47% were classified as suffering from mild, 37% from moderate and 15% from severe ACHD. Atrial septal defect (ASD) was the most prevalent diagnosis (33%). The vast majority of ACHD patients (92%) was asymptomatic or mildly symptomatic (NYHA class I/II). The most symptomatic patients were suffering from an ASD, most often the elderly or those under targeted therapy for pulmonary arterial hypertension. Elderly patients (>60years old) accounted for 12% of the ACHD population. Half of patients had undergone at least one open-heart surgery, while 39% were under cardiac medications (15% under antiarrhythmic drugs, 16% under anticoagulants, 16% under medications for heart failure and 4% under targeted therapy for pulmonary arterial hypertension). ACHD patients are an emerging patient population and national prospective registries such as CHALLENGE are of unique importance in order to identify the ongoing needs of these patients and match them with the appropriate resource allocation. Copyright © 2017 Elsevier B.V. All rights reserved.

  12. Multimodal Imaging of Brain Connectivity Using the MIBCA Toolbox: Preliminary Application to Alzheimer's Disease

    Science.gov (United States)

    Ribeiro, André Santos; Lacerda, Luís Miguel; Silva, Nuno André da; Ferreira, Hugo Alexandre

    2015-06-01

    The Multimodal Imaging Brain Connectivity Analysis (MIBCA) toolbox is a fully automated all-in-one connectivity analysis toolbox that offers both pre-processing, connectivity, and graph theory analysis of multimodal images such as anatomical, diffusion, and functional MRI, and PET. In this work, the MIBCA functionalities were used to study Alzheimer's Disease (AD) in a multimodal MR/PET approach. Materials and Methods: Data from 12 healthy controls, and 36 patients with EMCI, LMCI and AD (12 patients for each group) were obtained from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database (adni.loni.usc.edu), including T1-weighted (T1-w), Diffusion Tensor Imaging (DTI) data, and 18F-AV-45 (florbetapir) dynamic PET data from 40-60 min post injection (4x5 min). Both MR and PET data were automatically pre-processed for all subjects using MIBCA. T1-w data was parcellated into cortical and subcortical regions-of-interest (ROIs), and the corresponding thicknesses and volumes were calculated. DTI data was used to compute structural connectivity matrices based on fibers connecting pairs of ROIs. Lastly, dynamic PET images were summed, and the relative Standard Uptake Values calculated for each ROI. Results: An overall higher uptake of 18F-AV-45, consistent with an increased deposition of beta-amyloid, was observed for the AD group. Additionally, patients showed significant cortical atrophy (thickness and volume) especially in the entorhinal cortex and temporal areas, and a significant increase in Mean Diffusivity (MD) in the hippocampus, amygdala and temporal areas. Furthermore, patients showed a reduction of fiber connectivity with the progression of the disease, especially for intra-hemispherical connections. Conclusion: This work shows the potential of the MIBCA toolbox for the study of AD, as findings were shown to be in agreement with the literature. Here, only structural changes and beta-amyloid accumulation were considered. Yet, MIBCA is further able to

  13. The preliminary study of 18F-FDG PET in diagnosis of Alzheimer's disease

    International Nuclear Information System (INIS)

    Ma, Y.; Zhang, X.; Le, D.

    2000-01-01

    To investigate the imaging characteristic and diagnostic criteria of 18F-FDG brain PET in detecting Alzheimer's disease (AD). The study included in 12 normal subject, 12 patients with AD, 6 patients with vascular dementia, 3 patients with Lewy body disease (LBD) and 2 patients with mixed dementia. The dementia severity was measured by ESD and MMSE. 12 cases had mild, 7 moderate and 4 severe dementia. 23 patients and 6 normal subjects underwent MR imaging of the brain. All participants fasted for at least 6 hours. 40 minutes after intravenous administration of 185-370 MBq 18F-FDG, 2D brain scan in 25 cases and 3D scan in 10 cases were performed using SIEMENS ECAT 47 scanner. The transaxial, coronal and sagittal images were then reconstructed by computer. At the same time, semiquantitative analysis was also applied to help evaluation using the ratio of mean radioactivity between cerebral lobe to cerebellum (Rcl/cb). In normal subjects PET scan showed clear images of cerebral cortex, basal ganglia, thalamus and cerebellum with symmetrical distribution of radioactivity. 22 of 23 patients were found to have decreased uptake of FDG in the brain. 20 patients had cerebral atrophy and it also appeared in 6 normal elder people. PET images for Alzheimer's disease were classified in 6 normal elder people. PET image for Alzheimer's 3 patterns: bilateral parietal hypo metabolism in 5 cases, bilateral temporo-parietal hypo metabolism in 4 cases and unilateral temporo-parietal hypo metabolism in 3 cases. The Rcl/cb of AD patents in parietal and temporal was significantly decreased than normal subjects (p<0.05). PET images for non-AD dementia were also classified 3 patterns: multiple and asymmetrical patch foci with decreased radioactivity in 8 cases, bilateral temporo-parietal with diffuse cortical hypo metabolism in 2 cases, and normal imaging in 1 case. The hypo metabolic involvement was accorded with severity of dementia. The more dementia had, the bigger hypometabloic region

  14. Preliminary assessment of safeguardability on the concepture design of advanced spent fuel conditioning process

    International Nuclear Information System (INIS)

    Lee, Sang Yoon; Ha, Jang Ho; Ko, Won Il; Song, Dae Yong; Kim, Ho Dong

    2003-04-01

    In this report, a preliminary study on the safeguardability of ACP (Advanced spent fuel Conditioning Process) was conducted with Los Alamos National Laboratory. The proposed ACP concept is an electrometallurgical treatment technique to convert oxide-type spent nuclear fuels into metal forms, which can achieve significant reduction of the volume and heat load of spent fuel to be stored and disposed of. For the safeguardability analysis of the ACP facility, sub-processes and their KMPs (Key Measurement Points) were defined first, and then their material flows were analyzed. Finally, the standard deviation of the Inventory Difference (ID) value of the facility was estimated with assumption by assuming international target values for the uncertainty of measurement methods and their uncertainty. From the preliminary calculation, we concluded that if the assumptions regarding measurement instruments can be achieved in a safeguards system for the ACP facility, the safeguards goals of International Atomic Energy Agency (IAEA) could be met. In the second phase of this study, further study on sensitivity analyses considering various factors such as measurement errors, facility capacities, MBA periods etc. may be needed

  15. Preliminary assessment of safeguardability on the concepture design of advanced spent fuel conditioning process

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Sang Yoon; Ha, Jang Ho; Ko, Won Il; Song, Dae Yong; Kim, Ho Dong

    2003-04-01

    In this report, a preliminary study on the safeguardability of ACP (Advanced spent fuel Conditioning Process) was conducted with Los Alamos National Laboratory. The proposed ACP concept is an electrometallurgical treatment technique to convert oxide-type spent nuclear fuels into metal forms, which can achieve significant reduction of the volume and heat load of spent fuel to be stored and disposed of. For the safeguardability analysis of the ACP facility, sub-processes and their KMPs (Key Measurement Points) were defined first, and then their material flows were analyzed. Finally, the standard deviation of the Inventory Difference (ID) value of the facility was estimated with assumption by assuming international target values for the uncertainty of measurement methods and their uncertainty. From the preliminary calculation, we concluded that if the assumptions regarding measurement instruments can be achieved in a safeguards system for the ACP facility, the safeguards goals of International Atomic Energy Agency (IAEA) could be met. In the second phase of this study, further study on sensitivity analyses considering various factors such as measurement errors, facility capacities, MBA periods etc. may be needed.

  16. Nuclear Reactor Component Code CUPID-I: Numerical Scheme and Preliminary Assessment Results

    International Nuclear Information System (INIS)

    Cho, Hyoung Kyu; Jeong, Jae Jun; Park, Ik Kyu; Kim, Jong Tae; Yoon, Han Young

    2007-12-01

    A component scale thermal hydraulic analysis code, CUPID (Component Unstructured Program for Interfacial Dynamics), is being developed for the analysis of components of a nuclear reactor, such as reactor vessel, steam generator, containment, etc. It adopted three-dimensional, transient, two phase and three-field model. In order to develop the numerical schemes for the three-field model, various numerical schemes have been examined including the SMAC, semi-implicit ICE, SIMPLE, Row Scheme and so on. Among them, the ICE scheme for the three-field model was presented in the present report. The CUPID code is utilizing unstructured mesh for the simulation of complicated geometries of the nuclear reactor components. The conventional ICE scheme that was applied to RELAP5 and COBRA-TF, therefore, were modified for the application to the unstructured mesh. Preliminary calculations for the unstructured semi-implicit ICE scheme have been conducted for a verification of the numerical method from a qualitative point of view. The preliminary calculation results showed that the present numerical scheme is robust and efficient for the prediction of phase changes and flow transitions due to a boiling and a flashing. These calculation results also showed the strong coupling between the pressure and void fraction changes. Thus, it is believed that the semi-implicit ICE scheme can be utilized for transient two-phase flows in a component of a nuclear reactor

  17. Nuclear Reactor Component Code CUPID-I: Numerical Scheme and Preliminary Assessment Results

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Hyoung Kyu; Jeong, Jae Jun; Park, Ik Kyu; Kim, Jong Tae; Yoon, Han Young

    2007-12-15

    A component scale thermal hydraulic analysis code, CUPID (Component Unstructured Program for Interfacial Dynamics), is being developed for the analysis of components of a nuclear reactor, such as reactor vessel, steam generator, containment, etc. It adopted three-dimensional, transient, two phase and three-field model. In order to develop the numerical schemes for the three-field model, various numerical schemes have been examined including the SMAC, semi-implicit ICE, SIMPLE, Row Scheme and so on. Among them, the ICE scheme for the three-field model was presented in the present report. The CUPID code is utilizing unstructured mesh for the simulation of complicated geometries of the nuclear reactor components. The conventional ICE scheme that was applied to RELAP5 and COBRA-TF, therefore, were modified for the application to the unstructured mesh. Preliminary calculations for the unstructured semi-implicit ICE scheme have been conducted for a verification of the numerical method from a qualitative point of view. The preliminary calculation results showed that the present numerical scheme is robust and efficient for the prediction of phase changes and flow transitions due to a boiling and a flashing. These calculation results also showed the strong coupling between the pressure and void fraction changes. Thus, it is believed that the semi-implicit ICE scheme can be utilized for transient two-phase flows in a component of a nuclear reactor.

  18. Preliminary structural assessment of DEMO vacuum vessel against a vertical displacement event

    International Nuclear Information System (INIS)

    Mozzillo, Rocco; Tarallo, Andrea; Marzullo, Domenico; Bachmann, Christian; Di Gironimo, Giuseppe; Mazzone, Giuseppe

    2016-01-01

    Highlights: • The paper focuses on a preliminary structural analysis of the current concept design of DEMO vacuum vessel. • The Vacuum Vessel was checked against the VDE in combinations with the weight force of all components that the vessel shall bear. • Different configurations for the vacuum vessel supports are considered, showing that the best solution is VV supported at the lower port. • The analyses evaluated the “P damage” according to RCC-MRx code. - Abstract: This paper focuses on a preliminary structural analysis of the current concept design of DEMO vacuum vessel (VV). The VV structure is checked against a vertical load due to a Vertical Displacement Event in combination with the weight force of all components that the main vessel shall bear. Different configurations for the supports are considered. Results show that the greatest safety margins are reached when the tokamak is supported through the lower ports rather than the equatorial ports, though all analyzed configurations are compliant with RCC-MRx design rules.

  19. Preliminary assessment of the Louisiana Home Energy Rebate Offer program using IPMVP guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Kaiser, Mark J.; Pulsipher, Allan G. [Center for Energy Studies, Louisiana State University, Energy Coast and Environment Building, Nicholson Extension Drive, Baton Rouge, LA 70803 (United States)

    2010-02-15

    The Louisiana Home Energy Rebate Offer (HERO) is a residential energy conservation program established in 1999 to provide rebates for qualified applicants to build new homes that are more energy efficient or improve the energy efficiency of existing homes. Energy conservation programs require careful evaluation because of the high cost to implement the measures and the expectation that they will reduce energy use. The purpose of this paper is to demonstrate that residential energy conservation measures in a hot and humid climate can be evaluated using the International Performance Measurement and Verification Protocol (IPMVP), a best practice methodology commonly used in industrial and commercial performance-based contracts, but rarely, if ever, applied to residential programs. Using a random sample of 60 HERO participants, we were able to construct statistically significant electricity consumption baseline models for 90% of households. We determined that more than half of the sample participants consumed more electricity after their efficiency improvement, with an average net household savings of 172 kWh/yr, about 1% pre-retrofit consumption. A description of the baseline model construction, preliminary program evaluation, and recommendations are provided. All program conclusions are considered preliminary until a larger and more comprehensive study is conducted. (author)

  20. Preliminary structural assessment of DEMO vacuum vessel against a vertical displacement event

    Energy Technology Data Exchange (ETDEWEB)

    Mozzillo, Rocco, E-mail: rocco.mozzillo@unina.it [CREATE, University of Naples Federico II, DII, P.le Tecchio 80, 80125, Naples (Italy); Tarallo, Andrea; Marzullo, Domenico [CREATE, University of Naples Federico II, DII, P.le Tecchio 80, 80125, Naples (Italy); Bachmann, Christian [EUROfusion PMU, Boltzmannstraße 2, 85748 Garching (Germany); Di Gironimo, Giuseppe [CREATE, University of Naples Federico II, DII, P.le Tecchio 80, 80125, Naples (Italy); Mazzone, Giuseppe [Unità Tecnica Fusione - ENEA C.R. Frascati, Via E. Fermi 45, 00044 Frascati (Italy)

    2016-11-15

    Highlights: • The paper focuses on a preliminary structural analysis of the current concept design of DEMO vacuum vessel. • The Vacuum Vessel was checked against the VDE in combinations with the weight force of all components that the vessel shall bear. • Different configurations for the vacuum vessel supports are considered, showing that the best solution is VV supported at the lower port. • The analyses evaluated the “P damage” according to RCC-MRx code. - Abstract: This paper focuses on a preliminary structural analysis of the current concept design of DEMO vacuum vessel (VV). The VV structure is checked against a vertical load due to a Vertical Displacement Event in combination with the weight force of all components that the main vessel shall bear. Different configurations for the supports are considered. Results show that the greatest safety margins are reached when the tokamak is supported through the lower ports rather than the equatorial ports, though all analyzed configurations are compliant with RCC-MRx design rules.

  1. Preliminary assessment of the Louisiana Home Energy Rebate Offer program using IPMVP guidelines

    International Nuclear Information System (INIS)

    Kaiser, Mark J.; Pulsipher, Allan G.

    2010-01-01

    The Louisiana Home Energy Rebate Offer (HERO) is a residential energy conservation program established in 1999 to provide rebates for qualified applicants to build new homes that are more energy efficient or improve the energy efficiency of existing homes. Energy conservation programs require careful evaluation because of the high cost to implement the measures and the expectation that they will reduce energy use. The purpose of this paper is to demonstrate that residential energy conservation measures in a hot and humid climate can be evaluated using the International Performance Measurement and Verification Protocol (IPMVP), a best practice methodology commonly used in industrial and commercial performance-based contracts, but rarely, if ever, applied to residential programs. Using a random sample of 60 HERO participants, we were able to construct statistically significant electricity consumption baseline models for 90% of households. We determined that more than half of the sample participants consumed more electricity after their efficiency improvement, with an average net household savings of 172 kWh/yr, about 1% pre-retrofit consumption. A description of the baseline model construction, preliminary program evaluation, and recommendations are provided. All program conclusions are considered preliminary until a larger and more comprehensive study is conducted.

  2. A preliminary assessment of individual doses in the environs of Berkeley, Gloucestershire, following the Chernobyl nuclear reactor accident

    International Nuclear Information System (INIS)

    Nair, S.; Darley, P.J.

    1986-06-01

    A preliminary assessment has been made of the individual doses to critical group members of the public in the environs of Berkeley arising from fallout resulting from the Chernobyl accident. The assessment was based on measurements of airborne radionuclide concentrations, ground deposition and nuclide concentrations in rainwater, tapwater, grass, milk and green vegetables. The committed effective dose-equivalent was found to be as follows:- Adult - 200 μSv, 1 year old child - 500 μSv, the 10 year old child receiving a dose intermediate between these two values. The estimate accounts only for the nuclides measured and the specific exposure routes considered namely ingestion of milk and vegetables, inhalation and external exposure. However, it is believed that the inclusion of a range of other nuclides of potential significance, which may have been present but not measured, and potential intakes from additional routes is unlikely to increase the above estimates by more than a factor of 2. (author)

  3. Assessing peridomestic entomological factors as predictors for Lyme disease

    Science.gov (United States)

    Connally, N.P.; Ginsberg, H.S.; Mather, T.N.

    2006-01-01

    The roles of entomologic risk factors, including density of nymphal blacklegged ticks (Ixodes scapularis), prevalence of nymphal infection with the etiologic agent (Borrelia burgdorferi), and density of infected nymphs, in determining the risk of human Lyme disease were assessed at residences in the endemic community of South Kingstown, RI. Nymphs were sampled between May and July from the wooded edge around 51 and 47 residential properties in 2002 and 2003, respectively. Nymphs were collected from all residences sampled. Tick densities, infection rates, and densities of infected nymphs were all significantly higher around homes reporting Lyme disease histories in 2003, while only infection rates were significantly higher in 2002. However, densities of infected nymphs did not significantly predict the probability of Lyme disease at a residence (by logistic regression) in either year. There were no significant differences in entomologic risk factors between homes with state-confirmed Lyme disease histories and homes with self-reported cases (not reported to the state health department). Therefore, although entomologic risk factors tended to be higher at residences with cases of Lyme disease, entomological indices, in the absence of human behavior measures, were not useful predictors of Lyme disease at the scale of individual residences in a tick-endemic community.

  4. A Preliminary Report on Disordered Speech with Deep Brain Stimulation in Individuals with Parkinson's Disease

    Directory of Open Access Journals (Sweden)

    Christopher Dromey

    2011-01-01

    Full Text Available Deep brain stimulation (DBS of the subthalamic nucleus (STN has proven effective in treating the major motor symptoms of advanced Parkinson's disease (PD. The aim of this study was to learn which laryngeal and articulatory acoustic features changed in patients who were reported to have worse speech with stimulation. Six volunteers with PD who had bilateral STN electrodes were recorded with DBS turned on or off. Perceptual ratings reflected poorer speech performance with DBS on. Acoustic measures of articulation (corner vowel formants, diphthong slopes, and a spirantization index and phonation (perturbation, long-term average spectrum as well as verbal fluency scores showed mixed results with DBS. Some speakers improved while others became worse on individual measures. The magnitude of DBS effects was not predictable based on the patients' demographic characteristics. Future research involving adjustments to stimulator settings or electrode placement may be beneficial in limiting the negative effects of DBS on speech.

  5. Preliminary report on digitalization of renal microangiograms used in analysing renal parenchymal diseases.

    Science.gov (United States)

    Takahashi, M; Kaneko, M

    1983-01-01

    Glomerulography is a useful method for the angiographic diagnosis of various renal parenchymal diseases. A new system for digitalization of the glomerulogram has been developed using a high resolution television camera and a CT computer. We describe the fundamental procedures involved in the clinical application of digital glomerulography by applying this method to a renal microangiogram of a cow. This new method aids a clearer understanding of the detailed microvasculatures by providing better magnification and storage and allowing for further processing of the original analogue images. With a computer printout of any part of the glomerulogram also possible, an estimation of the glomerular counts and their distribution can now be given for any unit of cross-sectional area of the renal cortex.

  6. A critical assessment of adverse pregnancy outcome and periodontal disease.

    Science.gov (United States)

    Wimmer, Gernot; Pihlstrom, Bruce L

    2008-09-01

    Pre-term birth is a major cause of infant mortality and morbidity that has considerable societal, medical, and economic costs. The rate of pre-term birth appears to be increasing world-wide and efforts to prevent or reduce its prevalence have been largely unsuccessful. To review the literature for studies investigating periodontal disease as a possible risk factor for pre-term birth and adverse pregnancy outcomes. Variability among studies in definitions of periodontal disease and adverse pregnancy outcomes as well as widespread inadequate control for confounding factors and possible effect modification make it difficult to base meaningful conclusions on published data. However, while there are indications of an association between periodontal disease and increased risk of adverse pregnancy outcome in some populations, there is no conclusive evidence that treating periodontal disease improves birth outcome. Based on a critical qualitative review, available evidence from clinical trials indicates that, although non-surgical mechanical periodontal treatment in the second trimester of pregnancy is safe and effective in reducing signs of maternal periodontal disease, it does not reduce the rate of pre-term birth. Clinical trials currently underway will further clarify the potential role of periodontal therapy in preventing adverse birth outcomes. Regardless of the outcomes of these trials, it is recommended that large, prospective cohort studies be conducted to assess risk for adverse pregnancy outcome in populations with periodontal disease. It is critical that periodontal exposure and adverse birth outcomes be clearly defined and the many potential confounding factors and possible effect modifiers for adverse pregnancy outcome be controlled in these studies. If periodontal disease is associated with higher risk of adverse pregnancy outcome in these specific populations, large multicenter randomized-controlled trials will be needed to determine if prevention or

  7. Assessing nutritional status in children with chronic liver disease.

    Science.gov (United States)

    Taylor, Rachel M; Dhawan, Anil

    2005-12-01

    The metabolic changes compounded by anorexia associated with chronic liver disease adversely affect growth in children. In many cases, this requires the administration of artificial nutritional support. It is important in this group of patients that those who are becoming nutritionally depleted are identified quickly and in those receiving artificial nutritional support, the effectiveness is monitored. The current review is an examination of methods available to assess nutritional status. These include anthropometry, methods available in the laboratory and a selection of less commonly used methods undergoing evaluation at research level. A brief discussion accompanies each technique, outlining the limitations of its use in children with chronic liver disease. The review concludes with an outline of how nutritional status should be assessed in this group of children, and suggests further research.

  8. Preliminary results of consequence assessment of a hypothetical severe accident using Thai meteorological data

    Science.gov (United States)

    Silva, K.; Lawawirojwong, S.; Promping, J.

    2017-06-01

    Consequence assessment of a hypothetical severe accident is one of the important elements of the risk assessment of a nuclear power plant. It is widely known that the meteorological conditions can significantly influence the outcomes of such assessment, since it determines the results of the calculation of the radionuclide environmental transport. This study aims to assess the impacts of the meteorological conditions to the results of the consequence assessment. The consequence assessment code, OSCAAR, of Japan Atomic Energy Agency (JAEA) is used for the assessment. The results of the consequence assessment using Thai meteorological data are compared with those using Japanese meteorological data. The Thai case has following characteristics. Low wind speed made the radionuclides concentrate at the center comparing to the Japanese case. The squalls induced the peaks in the ground concentration distribution. The evacuated land is larger than the Japanese case though the relocated land is smaller, which is attributed to the concentration of the radionuclides near the release point.

  9. Synthesis of LTA zeolite on corundum supports: Preliminary assessment for heavy metal removal from waste water

    International Nuclear Information System (INIS)

    Jacas, A.; Ortega, P.; Velasco, M. J.; Camblor, M. A.; Rodriguez, M. A.

    2012-01-01

    The effectiveness of materials based on LTA Zeolite as active phase, for their incorporation into systems aimed at the removal of heavy metals on waste water is evaluated in a preliminary way. This type of Zeolite with the main channel of a minimum free diameter of 0,41 nm and a low SiO 2 /Al 2 O 3 ratio is an interesting molecular sieve, which in turn display a high ion exchange capacity. From this point of view, LTA Zeolite crystals were obtained in situ by hydrothermal synthesis and characterized by x ray diffraction (XRD) and scanning electron microscopy (SEM). We have studied the effect of hydrothermal synthesis time at 378 K. Likewise, the removal capacity of heavy metal from the active phase was evaluated in as a first step on diluted solutions of cooper salts at slightly acidic pH (∼ 4,7). (Author) 28 refs.

  10. Preliminary Experiments for the Assessment of V/W-band Links for Space-Earth Communications

    Science.gov (United States)

    Nessel, James A.; Acosta, Roberto J.; Miranda, Felix A.

    2013-01-01

    Since September 2012, NASA Glenn Research Center has deployed a microwave profiling radiometer at White Sands, NM, to estimate atmospheric propagation effects on communications links in the V and W bands (71-86GHz). Estimates of attenuation statistics in the millimeter wave due to gaseous and cloud components of the atmosphere show good agreement with current ITU-R models, but fail to predict link performance in the presence of moderate to heavy rain rates, due to the inherent limitations of passive radiometry. Herein, we discuss the preliminary results of these measurements and describe a design for a terrestrial link experiment to validate/refine existing rain attenuation models in the V/Wbands.

  11. Preliminary Assessment of Heavy-Water Thorium Reactors in the Brazilian Nuclear Programme

    Energy Technology Data Exchange (ETDEWEB)

    Salvo Brito, S. de; Lepecki, W. P.S. [Instituto de Pesquisas Radioativas, Belo Horizonte (Brazil)

    1968-04-15

    Since December 1965, the Instituto de Pesquisas Radioativas has been studying for the Brazilian Nuclear Energy Commission the feasibility of a thorium reactor programme in Brazil; since June 1966, the programme has been developed in close co-operation with the French Atomic Energy Commission. A reference conceptual design of a heavy-water-cooled and -moderated thorium converter reactor has been developed. The main features of that concept are the use of a prestressed-concrete pressure vessel, integrated arrangement of the primary circuit and the possibility of on-load fuel management. Economic competitiveness could be the result of high compactness, low capital costs and low fuel consumption. The technology involved is not very sophisticated; intensive engineering development work must be done in areas like fuel charge machine, concrete vessel insulation, and proper design of heat exchangers, but it is the feeling of the Group that these problems could be solved without seriously compromising the economic feasibility of the concept. Preliminary studies were made on the alternative use of enriched uranium or plutonium as a feed for the programme; in the latter case, plutonium could be produced in natural uranium reactors of the same type. The general conditions favouring each of these approaches to the thorium cycle have been determined, in particular those related to the costs of the fissile materials in the world market and to the country's policy related to nuclear fuel imports. The results of the preliminary studies are very encouraging and could justify the beginning of a research and development programme leading to the construction of a prototype in the 1970's. (author)

  12. Assessment of diet in chronic kidney disease female predialysis patients

    OpenAIRE

    Dariusz Włodarek; Dominika Głąbska; Jadwiga Rojek-Trębicka

    2014-01-01

    [b]introduction and objective[/b]. Nutrition is important in the therapy of predialysis patients. The aim of the presented single-centre descriptive study was to assess the diet in chronic kidney disease female predialysis patients with no previous dietary intervention, in comparison with recommendations, as well as the analysis of the energy, protein and phosphate intake in correlation with chosen laboratory measurements. [b]materials and methods.[/b] The research was carried out in 31...

  13. [Nutritional Assessment and Management for Patients with Chronic Liver Disease].

    Science.gov (United States)

    Lee, Tae Hee

    2018-04-25

    When liver disease is severe, the prognosis can be worse if the patient is malnourished. Adequate nutritional support for patients with liver diseases can improve the patient's condition and prognosis. In the case of liver cirrhosis, malnutrition can occur due to a variety of causes, including poor oral intake, maldigestion, malabsorption, associated renal disease, and metabolic abnormalities. For a nutritional assessment, it is important to check the dietary intake, change in body composition, including anthropometry, and a functional assessment of muscle. Counselling and oral or enteral nutrition is preferred over parenteral nutrition as in other diseases. If esophageal varices are present, care should be taken when installing a feeding tube, but if there are ascites, percutaneous endoscopic gastrostomy is contraindicated because of the risk of complications. Calories of 30-35 kcal/kg/day and protein from 1.2 to 1.5 g/kg/day are appropriate. Protein restriction is unnecessary unless the hepatic encephalopathy is severe. A late evening snack and branched chain amino acids can be helpful. In the case of cholestasis, the supply of manganese and copper should be restricted. Sarcopenia in patients with liver cirrhosis is also prevalent and associated with the prognosis.

  14. Parthenium dermatitis severity score to assess clinical severity of disease

    Directory of Open Access Journals (Sweden)

    Kaushal K Verma

    2017-01-01

    Full Text Available Background: Parthenium dermatitis is the most common type of airborne contact dermatitis in India. It is a chronic disease of a remitting and relapsing course with significant morbidity and distress, but there is no scoring system to assess its severity. Aim: To design a scoring system for the assessment of clinical severity of disease in Parthenium dermatitis and to use this scoring system in various studies to determine its sensitivity, specificity, and reproducibility. Methods and Results: In our first few studies on Parthenium dermatitis, we designed and used a basic clinical severity scoring system based on itching, morphology of the lesions, and areas involved. However, in subsequent studies, we modified it to the present scoring system as Parthenium dermatitis severity score (PDSS. Our studies showed the high sensitivity of PDSS in characterization of the disease severity at the given point of time, as well as to determine the efficacy of a prescribed treatment modality which was reliable and reproducible. Conclusion: Thus, PDSS may be used by clinicians for appropriate scoring of the clinical severity of Parthenium dermatitis and in monitoring the disease response to therapy.

  15. Utility analysis and calibration of QOL assessment in disease management.

    Science.gov (United States)

    Liu, Mo

    2018-05-02

    In clinical trials, the assessment of health-related quality of life (QOL) (or patient-reported outcome [PRO] measure) has become very popular especially for clinical studies conducted for evaluating clinical benefits of patients with chronic, severe, and/or life threatening diseases. Health-related QOL information and PRO measures are useful for disease management for achieving best clinical practice. In this article, we will focus on health-related QOL assessment. The concept, design, and analysis of health-related QOL in clinical trials are reviewed. Validation of the use of health-related QOL instrument in terms of some key performance characteristics such as accuracy, reliability, sensitivity, and responsibility for assuring quality, integrity, and validity of collected QOL data are discussed. The concept of utility analysis and calibration (e.g., with respect to life events) for achieving the optimization of disease management are proposed. The change of the QOL could be translated into different life events for effective disease management. These translations could evaluate the treatment effect by more directly displaying the change of the QOL.

  16. Development and preliminary evaluation of a music-based attention assessment for patients with traumatic brain injury.

    Science.gov (United States)

    Jeong, Eunju; Lesiuk, Teresa L

    2011-01-01

    Impairments in attention are commonly seen in individuals with traumatic brain injury (TBI). While visual attention assessment measurements have been rigorously developed and frequently used in cognitive neurorehabilitation, there is a paucity of auditory attention assessment measurements for patients with TBI. The purpose of this study was to field test a researcher-developed Music-based Attention Assessment (MAA), a melodic contour identification test designed to assess three different types of attention (i.e., sustained attention, selective attention, and divided attention), for patients with TBI. Additionally, this study aimed to evaluate the readability and comprehensibility of the test items and to examine the preliminary psychometric properties of the scale and test items. Fifteen patients diagnosed with TBI completed 3 different series of tasks in which they were required to identify melodic contours. The resulting data showed that (a) test items in each of the 3 subtests were found to have an easy to moderate level of item difficulty and an acceptable to high level of item discrimination, and (b) the musical characteristics (i.e., contour, congruence, and pitch interference) were found to be associated with the level of item difficulty, and (c) the internal consistency of the MAA as computed by Cronbach's alpha was .95. Subsequent studies using a larger sample of typical participants, along with individuals with TBI, are needed to confirm construct validity and internal consistency of the MAA. In addition, the authors recommend examination of criterion validity of the MAA as correlated with current neuropsychological attention assessment measurements.

  17. Risk assessment in the recovery of food for social solidarity purposes: preliminary data

    Directory of Open Access Journals (Sweden)

    Vesna Milicevic

    2016-11-01

    Full Text Available The most recent study, conducted by Politecnico of Milan, on food surplus management in Italy shows that in the Italian food supply chain the food surplus is around 5.5 million tons/year, and the amount of food wasted is around 5.1 million tons/year. During 2015, the charitable organizations (COs belonging to the Italian Food Bank Network, active in recovering and distributing food for social solidarity’s purposes, reused 381,345 tons of food from 2292 donors. The main supplying sources of the Banco Alimentare Network are: food industries, organized large-scale retail trade and collective catering service. The aim of this study was to analyze several aspects of the food surplus recovery thanks to the collaboration with the Banco Alimentare Foundation Onlus and Caritas Italiana. In particular, two main features were analyzed in the food recovery chain: the microbiological profiles of specific food categories recovered from catering service with the aim to evaluate their conformity in relation to food safety and process criteria. For this purpose 11 samples were analyzed in four different moments: T0, same day of the collection; T1, after four hours of storage at 4°C; T2, 24 hours from the collection (storage at 4°C; T3, after four days at frozen storage (-18°C. For all samples several microbiological parameters were investigated: enumeration of mesophilic aerobic bacteria (AFNOR 3M 01/1-09/89, enumeration of Enterobacteriaceae (AFNOR 3M 01/06-09/97, enumeration of E. coli (AFNOR 3M 01/08-06/01, enumeration of coagulase-positive Staphylococci AFNOR 3M 01/9-04/03 A, enumeration of Bacillus cereus (UNI EN ISO 7932:2005, research of Salmonella spp. [UNI EN ISO 6579 (2008b], and research of Listeria monocytogenes [AFNOR BRD 07/4-09/98 (AFNOR, 2010a]. Furthermore, the volunteer’s knowledge on the correct hygienic procedures during the recovery was evaluated by the 71 questionnaires with the aim to prevent foodborne diseases. The results show

  18. Risk Assessment in the Recovery of Food for Social Solidarity Purposes: Preliminary Data.

    Science.gov (United States)

    Milicevic, Vesna; Colavita, Giampaolo; Castrica, Marta; Ratti, Sabrina; Baldi, Antonella; Balzaretti, Claudia M

    2016-09-20

    The most recent study, conducted by Politecnico of Milan, on food surplus management in Italy shows that in the Italian food supply chain the food surplus is around 5.5 million tons/year, and the amount of food wasted is around 5.1 million tons/year. During 2015, the charitable organizations (COs) belonging to the Italian Food Bank Network, active in recovering and distributing food for social solidarity's purposes, reused 381,345 tons of food from 2292 donors. The main supplying sources of the Banco Alimentare Network are: food industries, organized large-scale retail trade and collective catering service. The aim of this study was to analyze several aspects of the food surplus recovery thanks to the collaboration with the Banco Alimentare Foundation Onlus and Caritas Italiana. In particular, two main features were analyzed in the food recovery chain: the microbiological profiles of specific food categories recovered from catering service with the aim to evaluate their conformity in relation to food safety and process criteria. For this purpose 11 samples were analyzed in four different moments: T0, same day of the collection; T1, after four hours of storage at 4°C; T2, 24 hours from the collection (storage at 4°C); T3, after four days at frozen storage (-18°C). For all samples several microbiological parameters were investigated: enumeration of mesophilic aerobic bacteria (AFNOR 3M 01/1-09/89), enumeration of Enterobacteriaceae (AFNOR 3M 01/06-09/97), enumeration of E. coli (AFNOR 3M 01/08-06/01), enumeration of coagulase-positive Staphylococci AFNOR 3M 01/9-04/03 A), enumeration of Bacillus cereus (UNI EN ISO 7932:2005), research of Salmonella spp. [UNI EN ISO 6579 (2008b)], and research of Listeria monocytogenes [AFNOR BRD 07/4-09/98 (AFNOR, 2010a)]. Furthermore, the volunteer's knowledge on the correct hygienic procedures during the recovery was evaluated by the 71 questionnaires with the aim to prevent foodborne diseases. The results show that the recovery

  19. Preconception risk assessment for thalassaemia, sickle cell disease, cystic fibrosis and Tay-Sachs disease.

    Science.gov (United States)

    Hussein, Norita; Weng, Stephen F; Kai, Joe; Kleijnen, Jos; Qureshi, Nadeem

    2018-03-14

    Globally, about five per cent of children are born with congenital or genetic disorders. The most common autosomal recessive conditions are thalassaemia, sickle cell disease, cystic fibrosis and Tay-Sachs disease, with higher carrier rates in specific patient populations. Identifying and counselling couples at genetic risk of the conditions before pregnancy enables them to make fully informed reproductive decisions, with some of these choices not being available if genetic counselling is only offered in an antenatal setting. This is an update of a previously published review. To assess the effectiveness of systematic preconception genetic risk assessment to improve reproductive outcomes in women and their partners who are identified as carriers of thalassaemia, sickle cell disease, cystic fibrosis and Tay-Sachs disease in healthcare settings when compared to usual care. We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group's Trials Registers. In addition, we searched for all relevant trials from 1970 (or the date at which the database was first available if after 1970) to date using electronic databases (MEDLINE, Embase, CINAHL, PsycINFO), clinical trial databases (National Institutes of Health, Clinical Trials Search portal of the World Health Organization, metaRegister of controlled clinical trials), and hand searching of key journals and conference abstract books from 1998 to date (European Journal of Human Genetics, Genetics in Medicine, Journal of Community Genetics). We also searched the reference lists of relevant articles, reviews and guidelines and also contacted subject experts in the field to request any unpublished or other published trials.Date of latest search of the registers: 20 June 2017.Date of latest search of all other sources: 16 November 2017. Any randomised or quasi-randomised controlled trials (published or unpublished) comparing reproductive outcomes of systematic preconception genetic risk assessment for thalassaemia, sickle

  20. Preliminary study of Alzheimer's Disease diagnosis based on brain electrical signals using wireless EEG

    Science.gov (United States)

    Handayani, N.; Akbar, Y.; Khotimah, S. N.; Haryanto, F.; Arif, I.; Taruno, W. P.

    2016-03-01

    This research aims to study brain's electrical signals recorded using EEG as a basis for the diagnosis of patients with Alzheimer's Disease (AD). The subjects consisted of patients with AD, and normal subjects are used as the control. Brain signals are recorded for 3 minutes in a relaxed condition and with eyes closed. The data is processed using power spectral analysis, brain mapping and chaos test to observe the level of complexity of EEG's data. The results show a shift in the power spectral in the low frequency band (delta and theta) in AD patients. The increase of delta and theta occurs in lobus frontal area and lobus parietal respectively. However, there is a decrease of alpha activity in AD patients where in the case of normal subjects with relaxed condition, brain alpha wave dominates the posterior area. This is confirmed by the results of brain mapping. While the results of chaos analysis show that the average value of MMLE is lower in AD patients than in normal subjects. The level of chaos associated with neural complexity in AD patients with lower neural complexity is due to neuronal damage caused by the beta amyloid plaques and tau protein in neurons.

  1. Stem Cell Ophthalmology Treatment Study (SCOTS for retinal and optic nerve diseases: a preliminary report

    Directory of Open Access Journals (Sweden)

    Jeffrey N Weiss

    2015-01-01

    Full Text Available In this report, we present the results of a single patient with optic neuropathy treated within the Stem Cell Ophthalmology Treatment Study (SCOTS. SCOTS is an Institutional Review Board approved clinical trial and is the largest ophthalmology stem cell study registered at the National Institutes of Health to date- www.clinicaltrials.gov Identifier NCT 01920867. SCOTS utilizes autologous bone marrow-derived stem cells in the treatment of optic nerve and retinal diseases. Pre- and post-treatment comprehensive eye exams were independently performed at the Wilmer Eye Institute at the Johns Hopkins Hospital, USA. A 27 year old female patient had lost vision approximately 5 years prior to enrollment in SCOTS. Pre-treatment best-corrected visual acuity at the Wilmer Eye Institute was 20/800 Right Eye (OD and 20/4,000 Left Eye (OS. Four months following treatment in SCOTS, the central visual acuity had improved to 20/100 OD and 20/40 OS.

  2. Coronary heart disease mortality among Seventh-Day Adventists with differing dietary habits: a preliminary report.

    Science.gov (United States)

    Phillips, R L; Lemon, F R; Beeson, W L; Kuzma, J W

    1978-10-01

    Seventh-Day Adventists (SDAs) are a conservative religious denomination who abstain from tobacco and alcohol; approximately one-half follow a lacto-ovo-vegetarian diet. In this 6-year prospective study of 24,044 California SDAs age 35 and over, coronary heart disease (CHD) mortality rates for ages 35 to 64 and 65+ are 28% and 50% respectively, of the rates for the same age groups of the total California population. This reduced risk of CHD mortality among SDAs is partially due to abstinence from smoking; however, at least half the low risk among SDAs is likely attributable to other characteristics of the SDA lifestyle. The risk of fatal CHD among nonvegetarian SDA males, ages 35 to 64, is three times greater than vegetarian SDA males of comparable age (P less than 0.01), suggesting that the SDA diet may account for a large share of their low risk. This differential was much smaller for older SDA males and SDA females. Although the differential in risk of fatal CHD for male nonvegetarians versus vegetarians may be partially accounted for by other CHD risk factors, which are more frequent among nonvegetarians, a significant differential persists after adjustment for each of six other CHD risk factors.

  3. Home Palliative Care for Patients with Advanced Chronic Kidney Disease: Preliminary Results

    Directory of Open Access Journals (Sweden)

    José L. Teruel

    2015-10-01

    Full Text Available Healthcare for patients with advanced chronic kidney disease (ACKD on conservative treatment very often poses healthcare problems that are difficult to solve. At the end of 2011, we began a program based on the care and monitoring of these patients by Primary Care Teams. ACKD patients who opted for conservative treatment were offered the chance to be cared for mainly at home by the Primary Care doctor and nurse, under the coordination of the Palliative Care Unit and the Nephrology Department. During 2012, 2013, and 2014, 76 patients received treatment in this program (mean age: 81 years; mean Charlson age-comorbidity index: 10, and mean glomerular filtration rate: 12.4 mL/min/1.73 m2. The median patient follow-up time (until death or until 31 December 2014 was 165 days. During this period, 51% of patients did not have to visit the hospital’s emergency department and 58% did not require hospitalization. Forty-eight of the 76 patients died after a median time of 135 days in the program; 24 (50% died at home. Our experience indicates that with the support of the Palliative Care Unit and the Nephrology Department, ACKD patients who are not dialysis candidates may be monitored at home by Primary Care Teams.

  4. Home Palliative Care for Patients with Advanced Chronic Kidney Disease: Preliminary Results

    Science.gov (United States)

    Teruel, José L.; Rexach, Lourdes; Burguera, Victor; Gomis, Antonio; Fernandez-Lucas, Milagros; Rivera, Maite; Diaz, Alicia; Collazo, Sergio; Liaño, Fernando

    2015-01-01

    Healthcare for patients with advanced chronic kidney disease (ACKD) on conservative treatment very often poses healthcare problems that are difficult to solve. At the end of 2011, we began a program based on the care and monitoring of these patients by Primary Care Teams. ACKD patients who opted for conservative treatment were offered the chance to be cared for mainly at home by the Primary Care doctor and nurse, under the coordination of the Palliative Care Unit and the Nephrology Department. During 2012, 2013, and 2014, 76 patients received treatment in this program (mean age: 81 years; mean Charlson age-comorbidity index: 10, and mean glomerular filtration rate: 12.4 mL/min/1.73 m2). The median patient follow-up time (until death or until 31 December 2014) was 165 days. During this period, 51% of patients did not have to visit the hospital’s emergency department and 58% did not require hospitalization. Forty-eight of the 76 patients died after a median time of 135 days in the program; 24 (50%) died at home. Our experience indicates that with the support of the Palliative Care Unit and the Nephrology Department, ACKD patients who are not dialysis candidates may be monitored at home by Primary Care Teams. PMID:27417813

  5. A Delphic consensus assessment: imaging and biomarkers in gastroenteropancreatic neuroendocrine tumor disease management

    Directory of Open Access Journals (Sweden)

    Kjell Oberg

    2016-09-01

    Full Text Available The complexity of the clinical management of neuroendocrine neoplasia (NEN is exacerbated by limitations in imaging modalities and a paucity of clinically useful biomarkers. Limitations in currently available imaging modalities reflect difficulties in measuring an intrinsically indolent disease, resolution inadequacies and inter-/intra-facility device variability and that RECIST (Response Evaluation Criteria in Solid Tumors criteria are not optimal for NEN. Limitations of currently used biomarkers are that they are secretory biomarkers (chromogranin A, serotonin, neuron-specific enolase and pancreastatin; monoanalyte measurements; and lack sensitivity, specificity and predictive capacity. None of them meet the NIH metrics for clinical usage. A multinational, multidisciplinary Delphi consensus meeting of NEN experts (n = 33 assessed current imaging strategies and biomarkers in NEN management. Consensus (>75% was achieved for 78% of the 142 questions. The panel concluded that morphological imaging has a diagnostic value. However, both imaging and current single-analyte biomarkers exhibit substantial limitations in measuring the disease status and predicting the therapeutic efficacy. RECIST remains suboptimal as a metric. A critical unmet need is the development of a clinico-biological tool to provide enhanced information regarding precise disease status and treatment response. The group considered that circulating RNA was better than current general NEN biomarkers and preliminary clinical data were considered promising. It was resolved that circulating multianalyte mRNA (NETest had clinical utility in both diagnosis and monitoring disease status and therapeutic efficacy. Overall, it was concluded that a combination of tumor spatial and functional imaging with circulating transcripts (mRNA would represent the future strategy for real-time monitoring of disease progress and therapeutic efficacy.

  6. Hyperpolarized {sup 3}He magnetic resonance imaging: Preliminary evaluation of phenotyping potential in chronic obstructive pulmonary disease

    Energy Technology Data Exchange (ETDEWEB)

    Mathew, Lindsay, E-mail: lmathew@imaging.robarts.ca [Imaging Research Laboratories, Robarts Research Institute, London (Canada); Department of Medical Biophysics, University of Western Ontario, London (Canada); Kirby, Miranda, E-mail: mkirby@imaging.robarts.ca [Imaging Research Laboratories, Robarts Research Institute, London (Canada); Department of Medical Biophysics, University of Western Ontario, London (Canada); Etemad-Rezai, Roya, E-mail: Roya.EtemadRezai@lhsc.on.ca [Department of Medical Imaging, University of Western Ontario (Canada); Wheatley, Andrew, E-mail: awheat@imaging.robarts.ca [Imaging Research Laboratories, Robarts Research Institute, London (Canada); McCormack, David G., E-mail: David.McCormack@lhsc.on.ca [Imaging Research Laboratories, Robarts Research Institute, London (Canada); Division of Respirology, Department of Medicine, University of Western Ontario, London (Canada); Lawson Health Research Institute, London (Canada); Parraga, Grace, E-mail: gep@imaging.robarts.ca [Imaging Research Laboratories, Robarts Research Institute, London (Canada); Department of Medical Biophysics, University of Western Ontario, London (Canada); Department of Medical Imaging, University of Western Ontario (Canada); Lawson Health Research Institute, London (Canada)

    2011-07-15

    Rationale and objectives: Emphysema and small airway obstruction are the pathological hallmarks of chronic obstructive pulmonary disease (COPD). The aim of this pilot study in a small group of chronic obstructive pulmonary disease (COPD) patients was to quantify hyperpolarized helium-3 ({sup 3}He) magnetic resonance imaging (MRI) functional and structural measurements and to explore the potential role for {sup 3}He MRI in detecting the lung structural and functional COPD phenotypes. Materials and methods: We evaluated 20 ex-smokers with stage I (n = 1), stage II (n = 9) and stage III COPD (n = 10). All subjects underwent same-day plethysmography, spirometry, {sup 1}H MRI and hyperpolarized {sup 3}He MRI at 3.0 T. {sup 3}He ventilation defect percent (VDP) was generated from {sup 3}He static ventilation images and {sup 1}H thoracic images and the {sup 3}He apparent diffusion coefficient (ADC) was derived from diffusion-weighted MRI. Results: Based on the relative contribution of normalized ADC and VDP, there was evidence of a predominant {sup 3}He MRI measurement in seven patients (n = 3 mainly ventilation defects or VDP dominant (VD), n = 4 mainly increased ADC or ADC dominant (AD)). Analysis of variance (ANOVA) showed significantly lower ADC for subjects with predominantly elevated VDP (p = 0.02 compared to subjects with predominantly elevated ADC; p = 0.008 compared to mixed group) and significantly decreased VDP for subjects with predominantly elevated ADC (p = 0.003, compared to mixed group). Conclusion: In this small pilot study, a preliminary analysis shows the potential for {sup 3}He MRI to categorize or phenotype COPD ex-smokers, providing good evidence of feasibility for larger prospective studies.

  7. Non-surgical periodontal treatment of peri-implant diseases with the adjunctive use of diode laser: preliminary clinical study.

    Science.gov (United States)

    Lerario, Francesco; Roncati, Marisa; Gariffo, Annalisa; Attorresi, Enrica; Lucchese, Alessandra; Galanakis, Alexandros; Palaia, Gaspare; Romeo, Umberto

    2016-01-01

    Peri-implant diseases present in two forms: peri-implant mucositis and peri-implantitis. The prevalence of peri-implant complications is significantly rising. The aim of this study was to compare conventional treatment of inflamed peri-implant tissues with conventional treatment together with diode laser application. Twenty-seven patients (age 36 to 67, 15 women and 12 men, 12 smokers and 15 non-smokers) requiring treatment for mucositis or peri-implantitis were taken into account for this preliminary study. Plaque index (PI), pocket depth (PD), and bleeding on probing (BoP) were recorded at baseline evaluation. Patients in control group (CG) received conventional non-surgical periodontal treatment. Patients in test group received conventional non-surgical periodontal treatment together with diode laser application (810 nm, 30 s, 1 W, 50 Hz, t on = 100 ms, t off = 100 ms, energy density = 24.87 J/cm(2)). Paired t test was used to evaluate the difference in repeated measurements of considered indexes at T 0 and T 1 (1 year) in both groups. A total of 606 sites were taken into account in the test group (TG) and 144 in the CG. PD mean variation in the TG was 2.66 mm ± 1.07, while mean PD variation in the CG was 0.94 ± 1.13 mm. Paired t testing of the variation in PD in CG and TG revealed a statistically significant difference between the two groups (p diode laser seems to be an additional valuable tool for peri-implant disease treatment.

  8. A web-based team-oriented medical error communication assessment tool: development, preliminary reliability, validity, and user ratings.

    Science.gov (United States)

    Kim, Sara; Brock, Doug; Prouty, Carolyn D; Odegard, Peggy Soule; Shannon, Sarah E; Robins, Lynne; Boggs, Jim G; Clark, Fiona J; Gallagher, Thomas

    2011-01-01

    Multiple-choice exams are not well suited for assessing communication skills. Standardized patient assessments are costly and patient and peer assessments are often biased. Web-based assessment using video content offers the possibility of reliable, valid, and cost-efficient means for measuring complex communication skills, including interprofessional communication. We report development of the Web-based Team-Oriented Medical Error Communication Assessment Tool, which uses videotaped cases for assessing skills in error disclosure and team communication. Steps in development included (a) defining communication behaviors, (b) creating scenarios, (c) developing scripts, (d) filming video with professional actors, and (e) writing assessment questions targeting team communication during planning and error disclosure. Using valid data from 78 participants in the intervention group, coefficient alpha estimates of internal consistency were calculated based on the Likert-scale questions and ranged from α=.79 to α=.89 for each set of 7 Likert-type discussion/planning items and from α=.70 to α=.86 for each set of 8 Likert-type disclosure items. The preliminary test-retest Pearson correlation based on the scores of the intervention group was r=.59 for discussion/planning and r=.25 for error disclosure sections, respectively. Content validity was established through reliance on empirically driven published principles of effective disclosure as well as integration of expert views across all aspects of the development process. In addition, data from 122 medicine and surgical physicians and nurses showed high ratings for video quality (4.3 of 5.0), acting (4.3), and case content (4.5). Web assessment of communication skills appears promising. Physicians and nurses across specialties respond favorably to the tool.

  9. ASSESSMENT OF LENS THICKNESS IN ANGLE CLOSURE DISEASE

    Directory of Open Access Journals (Sweden)

    Nishat Sultana Khayoom

    2016-08-01

    Full Text Available BACKGROUND Anterior chamber depth and lens thickness have been considered as important biometric determinants in primary angle-closure glaucoma. Patients with primary narrow angle may be classified as a primary angle closure suspect (PACS, or as having primary angle closure (PAC or primary angle closure glaucoma (PACG. 23.9% of patients with primary angle closure disease are in India, which highlights the importance of understanding the disease, its natural history, and its underlying pathophysiology, so that we may try to establish effective methods of treatment and preventative measures to delay, or even arrest, disease progression, thereby reducing visual morbidity. AIM To determine the lens thickness using A-scan biometry and its significance in various stages of angle closure disease. MATERIALS AND METHODS Patients attending outpatient department at Minto Ophthalmic Hospital between October 2013 to May 2015 were screened for angle closure disease and subsequently evaluated at glaucoma department. In our study, lens thickness showed a direct correlation with shallowing of the anterior chamber by determining the LT/ ACD ratio. A decrease in anterior chamber depth is proportional to the narrowing of the angle which contributes to the progression of the angle closure disease from just apposition to occlusion enhancing the risk for optic nerve damage and visual field loss. Hence, if the lens thickness values are assessed earlier in the disease process, appropriate intervention can be planned. CONCLUSION Determination of lens changes along with anterior chamber depth and axial length morphometrically can aid in early detection of angle closure. The role of lens extraction for PACG is a subject of increased interest. Lens extraction promotes the benefits of anatomical opening of the angle, IOP reduction and improved vision. This potential intervention may be one among the armamentarium of approaches for PACG. Among the current treatment modalities

  10. [Preliminary analysis of the relationship between peripheral arterial disease and other atherosclerosis markers and diabetic nephropathy].

    Science.gov (United States)

    Rioja, José; Moreno, Tamara; Coca, Inmaculada; Jiménez-Villodres, Manuel; Rodríguez-Morata, Alejandro; Valdivielso, Pedro

    2014-01-01

    To determine lipid serum levels, lipoproteins and other markers related to nephropathy and peripheral arterial disease (PAD) in a type 2 diabetes population stratified according to their level of renal dysfunction. A cross-sectional study was conducted on 72 type 2 diabetic patients followed-up in outpatient clinics. Patients were divided into 4 groups according to their estimated glomerular filtration rate (eGFR, mL/min) and albumin/creatinine ratio (ACR, mg/g) (eGFR > 60 and ACR 60 and ACR > 30 [n = 12], eGFR30-60 [n = 23] and eGFR < 30 [n = 14]). Clinical and anthropometric characteristic of all patients were recorded. Fasting lipids and apolipoproteins, as well as renal and hematology parameters were measured. Finally, a multivariate Wald stepwise logistic regression statistic analysis was performed to determine variables independently associated with the presence of renal dysfunction. The univariate statistical analysis showed that the higher renal dysfunction, the higher the prevalence of hypertension, smoking habit and triglycerides levels, and the lower hemoglobin levels (P < .05). The multivariate statistical analysis showed that only triglycerides levels (OR: 1.019, 95% CI: 1.004-1.034) and hemoglobin levels (OR: 0.516 95% CI: 0.292-0.914) were independently associated to the presence of renal dysfunction (eGFR < 60 mL/min.). The further inclusion of the presence of PAD in the statistical model did not modify those associations. The results confirm the relationship between triglycerides levels and diabetic nephropathy, independently of the presence of PAD. Copyright © 2013 Sociedad Española de Arteriosclerosis. Published by Elsevier España. All rights reserved.

  11. H MR spectroscopy in Parkinson's disease and progressive supranuclear palsy : preliminary study

    International Nuclear Information System (INIS)

    Chang, Kee Hyun; Jeon, Beom Seok; Song, In Chan; Kim, Dong Sung; Min, Kwan Hong; Han, Moon Hee; Kang, Sa Ouk; Min, Byoung Goo; Han, Man Chung

    1996-01-01

    To determine whether h magnetic resonance spectroscopy (MRS) is useful in differentiating idiopathic Parkinson's disease (IPD) from progressive supranuclear palsy (PSP), based on metabolite ratios. Using a 1.5 T MR Unit, single voxel H MRS using STEAM with a TR of 2000 ms and a TE of 135ms was performed in seven PD and eight PSP patients. Five age-matched volunteers(mean age, 63 years) and another five younger healthy volunteers(mean age, 30 tears) were studied as normal controls. The regions of interest were the putamen and pallidum, with a size of 2X2X2 cm. After measuring the spectral intensities of each metabolite (N-acetylaspartate=NAA, choline=Cho, creatine=Cr and lactate), relative peak height ratios of NAA/Cr, Cho/Cr and NAA/ Cho, and lactate levels among four groups were compared. NAA/ Cho and NAA/ Cr ratios were statistically lower in the PSP group than the IPD group (1.21 ± 0.26 versus 1.45 ± 0.20, and 1.26 ± 0.23 versus 1.38 ± 0.19, respectively : p 0.05). Cho/Cr ratios were not different among four groups. Lactate was not detected in any patients. NAA/Cho and NAA/Cr ratios in the corpus stratum were significantly lower in the PSP group than in the age-matched control and IPD groups. These results suggest that loss of neuron cells in the corpus stratum is more prominent in PSP than in IPD, and that NAA/Cho and NAA/Cr ratios may help in differential diagnosis of IPD and PSP

  12. Preliminary study on a polymer carrier containing ginger extract with possible applications in cardiovascular disease

    Directory of Open Access Journals (Sweden)

    Livia-Cristina Borcan

    2016-12-01

    Full Text Available OBJECTIVES AND BACKGROUND The aim of the study was to synthesize and characterize a polyurethane drug delivery system used for a ginger extract with possible applications in cardiovascular disease. MATERIALS AND METHODS The obtained procedure is based on a poly-addition reaction between a diisocyanate and a mixture of polyols and a spontaneous emulsification in the presence of a surfactant. Only aliphatic compounds were used as raw materials and no other chemicals were added as reaction catalyst or promoters. RESULTS Nanostructures sized between 92 and 128 nm, with a medium tendency of agglomeration and very stable to thermal degradation between 30 and 300oC were obtained. We observed the fact that nanostructures’ diluted aqueous solution presents a pH around 6.7 and no evidence of any irritation potential was found after using different assays. CONCLUSIONS The obtained nanostructures can be used as a polymer carrier for ginger extract based on our results. Graphical abstract: Chemical structures of: (a gingerol, (b eucalyptol, (c borneol. REFERENCES 1. Prasad EM, Mopuri R, Islam MS, Kodidhela LD. Cardioprotective effect of Vitex negundo on isoproterenol-induced myocardial necrosis in wistar rats: A dual approach study. Biomed Pharmacother. 2016 [epub ahead of print]. 2. Abdel-Naeem HH, Mohamed HM. Improving the physico-chemical and sensory characteristics of camel meat burger patties using ginger extract and papain. Meat Sci. 2016;118:52-60. 3. Shirpoor A, Rezaei F, Fard AA, Afshari AT, Gharalari FH, Rasmi Y. Ginger extract protects rat’s kidneys against oxidative damage after chronic ethanol administration. Biomed Pharmacother. 2016;84:698-704.

  13. (1'23I)DaTSCAN and SPET imaging of dopamine carrier in Parkinson's disease (preliminary report)

    International Nuclear Information System (INIS)

    Chmielowski, K.; Szalus, N.; Pakszys, W.; Kulinski, W.; Skrobowska, E.

    2003-01-01

    The authors present own experience in dopamine carrier imaging by means of SPET and ( 123I ) DaTSCAN in Parkinson's disease. The aim of study was an assessment of the functional status of presynaptic dopaminergic system. The material consisted of three patients including one with spontaneous tremor and two with Parkinson's disease. The study was conducted according to EANM quidelines. The thyroid was blocked with sodium perchlorate administered orally (400 mg). ( 123I )DaTSCAN was injected intravenously. After three hours cerebral SPET was carried out using Varicam gamma camera. Reconstruction of SPET images was performed by the method of filtered retrograde projection using a Butterworth filter. SPET images of the brain were assessed visually and semiquantitatively through fusion and superimposing of SPET and MRI images together with marked templates (ROIs) for the corpus striatum.The obtained cerebral SPET results in three patients confirmed the diagnosis of spontaneous tremor in one case and Parkinson's disease in the remaining two subject. No adverse effects of ( 123I )DaTSCAN administration were found. Cocaine analogue, (sI)DaTSCAN, is an easy, safe and useful diagnostic test in SPET imaging of dopamine carrier in Parkinson's diseases and in spontaneous tremor. (author)

  14. Preliminary Experience with Anterior Interbody Titanium Cage Fusion for Treatment of Cervical Disc Disease

    Directory of Open Access Journals (Sweden)

    Chung-Nan Lin

    2003-05-01

    Full Text Available This study evaluated the efficacy and safety of titanium cage implants in cervical reconstruction to treat cervical spondylosis. Surgical data covered a 4-year period from January 1999 to December 2002 and included 34 consecutive patients, 20 men and 14 women, with ages ranging from 27 to 84 years (mean, 57 years. Patients underwent anterior cervical microdiscectomy followed by interbody fusion with a titanium cage implant (rather than an autogenous iliac crest bone graft at a single level ranging from C3 to C7. Twenty-one patients had a herniated intervertebral disc, nine had degenerative disc disease, and four had previous failed autograft fusion surgery that required revision. At clinical presentation, 26 patients had neck pain, 23 had radiculopathy, and nine had myelopathy. Diagnostic imaging studies included spinal dynamic roentgenography, computerized tomography, and magnetic resonance imaging. Lesions were located at C3-4 in seven cases, C4-5 in 14 cases, C5-6 in nine cases, and C6-7 in four cases. The follow-up period ranged from 7 to 48 months (mean, 26 months. Results revealed that the procedure was technically feasible. There were no intra- or postoperative complications. The most commonly used cage was 9 mm high. Imaging studies showed no cage instability, migration, or pseudarthrosis. Although mild subsidence (< 5 mm was observed in three cases, these patients preserved adequate postoperative cervical lordosis and the subsidence did not preclude a good clinical result. The advantages of this procedure over a similar operation using traditional tricorticate bone graft are: no graft morbidity; shorter operation time (mean time saved, 35 minutes; reduced blood loss (average blood loss, 75 mL; and early postoperative ambulation (mean, 4.7 hospital days. Nearly all patients rapidly lost their neck pain (92%, 24/26 and radicular symptoms (87%, 20/23 after surgery. The recovery rate from myelopathy was 44% (4/9. Progressive bony shield

  15. Preliminary assessment of the risk linked to furan ingestion by babies consuming only ready-to-eat food.

    Science.gov (United States)

    Scholl, Georges; Humblet, Marie-France; Scippo, Marie-Louise; De Pauw, Edwin; Eppe, Gauthier; Saegerman, Claude

    2013-01-01

    The risk linked to furan ingestion has been assessed in previous papers for Belgian adults and children. The present paper focuses on infants consuming only ready-to-eat baby food. As there is no Belgian baby dietary database, the furan exposure assessment was carried out by using an Italian infant consumption database and Belgian contamination data. The estimated daily intake (EDI) was calculated according to a deterministic methodology. It involved 42 commercially available ready-to-eat baby food and 36 baby consumption records. The mean EDI was 1460 ng*(kg(bw)*day)⁻¹ which is 3.8 times higher than the 381 ng*(kg(bw)*day)⁻¹ reported for Belgian adults, and 3.5 times higher than the 419 ng*(kg(bw)*day)⁻¹ measured for Belgian children. To assess and characterise the risk for babies' exposure, the margin of exposure (MoE) was calculated. It highlighted that 74% of infants have a MoE < 1000, with a minimum of 140. However, these are only preliminary results as they were calculated from a very small dataset and the infant cytochrome P450 activity is significantly different compared with the adult's. Therefore, the risk linked to furan ingestion by babies should be assessed in a different manner. To this end, additional data regarding a baby diet as well as a better understanding of furan toxicity for babies are needed to characterise more accurately the risk for infants.

  16. Human Papillomavirus and students in Brazil: an assessment of knowledge of a common infection - preliminary report

    Directory of Open Access Journals (Sweden)

    João Cesar Frizzo Burlamaqui

    Full Text Available Abstract Introduction: Human Papillomavirus (HPV infection is the most prevalent sexually transmitted disease worldwide. One of the barriers to the implementation of prevention programs against the disease is the limited knowledge possessed by most populations regarding the virus and its possible consequences. Objective: The purpose of this study was to evaluate the knowledge of Brazilian college students on transmission, clinical manifestations, and diseases correlated with HPV, highlighting the poor knowledge of a very common infection. Methods: A total of 194 students answered a questionnaire about transmission, clinical features and the possible consequences of persistent HPV infection. The questionnaire was self-applied under the supervision of the authors. Results: The clinical manifestations of HPV infection were not clear to most students. Incorrect assumptions of the clinical manifestations of HPV infection included: bleeding (25%, pain (37% and rashes (22%. Twelve per cent of respondents did not recognize warts as an HPV-related disease. Regarding potential consequences of persistent infection, students did not recognize a relationship between HPV and laryngeal carcinoma (80.9%, pharyngeal carcinoma (78.9%, anal carcinoma (73.2%, vulvar carcinoma (65.4% and vaginal carcinoma (54.6%. Large portions of the population evaluated were unaware of modes of HPV transmission beyond genital contact. Conclusion: Knowledge of HPV by the population evaluated in this study is partial and fragmented. Lack of knowledge may contribute to the further spread of the disease. Public health policies for education and guidance of the population should be implemented in Brazil.

  17. Preliminary Assessment of Detection Efficiency for the Geostationary Lightning Mapper Using Intercomparisons with Ground-Based Systems

    Science.gov (United States)

    Bateman, Monte; Mach, Douglas; Blakeslee, Richard J.; Koshak, William

    2018-01-01

    As part of the calibration/validation (cal/val) effort for the Geostationary Lightning Mapper (GLM) on GOES-16, we need to assess instrument performance (detection efficiency and accuracy). One major effort is to calculate the detection efficiency of GLM by comparing to multiple ground-based systems. These comparisons will be done pair-wise between GLM and each other source. A complication in this process is that the ground-based systems sense different properties of the lightning signal than does GLM (e.g., RF vs. optical). Also, each system has a different time and space resolution and accuracy. Preliminary results indicate that GLM is performing at or above its specification.

  18. An assessment of the preliminary microbiological studies on clay cores from Elstow conducted by the Universities of Leicester and Warwick

    International Nuclear Information System (INIS)

    Rushbrook, P.E.

    1987-04-01

    Two preliminary studies were conducted to establish the presence or absence of micro-organisms in samples of Oxford Clay from Elstow. Bacterial colonies were the dominant organisms found. In addition, a limited series of tests was performed to assess the tolerance of specific bacterial sub-cultures to variations in two environmental parameters; pH and temperature. It was found that micro-organisms can survive and colonise at depth in Oxford Clay strata, but at an abundance of between two and four orders of magnitude below that of typical garden soil. Therefore, in the ''after closure'' phase of a repository where an environment of pH greater than 9 will probably exist, some localised micro-biological action may take place. However, from the data obtained, degradation by this mechanism is likely to be slower when compared to deterioration from physical and chemical mechanisms. (author)

  19. An assistive controller for a lower-limb exoskeleton for rehabilitation after stroke, and preliminary assessment thereof.

    Science.gov (United States)

    Murray, Spencer A; Ha, Kevin H; Goldfarb, Michael

    2014-01-01

    This paper describes a novel controller, intended for use in a lower-limb exoskeleton, to aid gait rehabilitation in patients with hemiparesis after stroke. The controller makes use of gravity compensation, feedforward movement assistance, and reinforcement of isometric joint torques to achieve assistance without dictating the spatiotemporal nature of joint movement. The patient is allowed to self-select walking speed and is able to make trajectory adaptations to maintain balance without interference from the controller. The governing equations and the finite state machine which comprise the system are described herein. The control architecture was implemented in a lower-limb exoskeleton and a preliminary experimental assessment was conducted in which a patient with hemiparesis resulting from stroke walked with assistance from the exoskeleton. The patient exhibited improvements in fast gait speed, step length asymmetry, and stride length in each session, as measured before and after exoskeleton training, presumably as a result of using the exoskeleton.

  20. A preliminary assessment of the potential for 'team science' in DOE Energy Innovation Hubs and Energy Frontier Research Centers

    International Nuclear Information System (INIS)

    Boardman, Craig; Ponomariov, Branco

    2011-01-01

    President Obama has called for the development of new energy technologies to address our national energy needs and restore US economic competitiveness. In response, the Department of Energy has established new R and D modalities for energy research and development designed to facilitate collaboration across disciplinary, institutional, and sectoral boundaries. In this research note, we provide a preliminary assessment of the potential for essential mechanisms for coordinated problem solving among diverse actors within two new modalities at the DOE: Energy Innovation Hubs and Energy Frontier Research Centers. - Highlights: → Energy Frontier Research Centers may lack the basic mechanisms for coordinating diverse actors. → Divergent goals across diverse actors may hinder coordination in Energy Innovation Hubs. → The implementation of these and similar energy policies require further investigation.

  1. [Quality assessment of microscopic examination in tuberculosis diagnostic laboratories: a preliminary study].

    Science.gov (United States)

    Simşek, Hülya; Ceyhan, Ismail; Tarhan, Gülnur; Güner, Uğur

    2010-10-01

    Recently, the diagnosis of pulmonary tuberculosis (TB) has based on smear microscopy in the Direct Observed Treatment Strategy (DOTS) programme which provides the basis of treatment worldwide. Microscopic detection of AFB (Acid-Fast Bacilli) is one of the main components in the National TB Control Programmes (NTCP). Precision level in microscopy procedures and evaluations are the most important steps for accurate diagnosis of the disease and to initiate proper treatment. Therefore, the external quality assessment (EQA) is the most important implement to provide the reliability and validity of tests. In countries where NTCP are performed, this task is fulfilled by the National Reference Laboratories (NRL) according to the guidelines of the World Health Organization (WHO). For this purpose a pilot study was initiated by the central NRL of Turkey for EQA of AFB smear microscopy as part of the NTCP on January 1, 2005. A total of 5 laboratories of which 2 were district TB laboratories (A, B), 2 were tuberculosis control dispensaries (C, D), 1 was a national reference laboratory (E), participated in this study. Blind re-checking method (re-examination of randomly selected slides) was used for the evaluation, and the slides were sent to the central NRL with 3 months interval, four times a year, selected according to LQAS (Lot Quality Assurance Sampling) guides. In the re-evaluation of the slides, false positivity (FP), false negativity (FN) and quantification errors (QE) were noted. Laboratory A, sent totally 525 slides between January 1, 2005 and April 1, 2008. In the result of re-checking, 514 (97.9%) slides were found concordant, and 11 (2.1%) were discordant (10 FP, 1 FN). Laboratory B, participated in the study between October 1, 2005 and July 1, 2006 and of the 67 re-examined slides, 60 (89.5%) were concordant and 7 (10.5%) were discordant (2 FP, 0 FN, 5 QE). Laboratory C, sent 235 slides between January 1, 2005 and April 1, 2006; of them 218 (92.8%) were detected

  2. Assessing Critical Thinking in Higher Education: The HEIghten™ Approach and Preliminary Validity Evidence

    Science.gov (United States)

    Liu, Ou Lydia; Mao, Liyang; Frankel, Lois; Xu, Jun

    2016-01-01

    Critical thinking is a learning outcome highly valued by higher education institutions and the workforce. The Educational Testing Service (ETS) has designed a next generation assessment, the HEIghten™ critical thinking assessment, to measure students' critical thinking skills in analytical and synthetic dimensions. This paper introduces the…

  3. A preliminary assessment of the health status of feral populations of ...

    African Journals Online (AJOL)

    A 'snapshot' evaluation of the health status of feral populations of the brackish water catfish, Chrysichthys nigrodigitatus, was carried out in 2006 at four locations in the Lagos lagoon complex, with varying levels of anthropogenic impacts, using a modified Health Assessment Index (HAI) protocol. Fish health was assessed ...

  4. Risk assessments for energy systems and role of preliminary degree-of-hazard evaluations

    International Nuclear Information System (INIS)

    Habegger, L.J.; Fingleton, D.J.

    1985-11-01

    The appropriate approach to risk or hazard assessment can vary considerably, depending on various factors, including the intended application of the results and the time other resources available to conduct the assessment. This paper illustrates three types of interrelated assessments. Although they can be mutually supportive, they have fundamentally different objectives, which require major differences in approach. The example of the overall risk assessment of alternative major energy technologies illustrates the compilation of a wide range of available risk data applicable to these systems. However, major uncertainties exist in the assessments, and public perception of their importance could play an important role in final system evaluations. A more narrowly defined risk assessment, often focusing on an individual component of a larger system, is the most commonly used approach in regulatory applications. The narrow scope allows in-depth analysis of risks and associated uncertainties, but it may also contribute to a loss of perspective on the magnitude of the assessed risk relative to that of the unassessed risks. In some applications, it is useful to conduct semiquantitative degree-of-hazard evaluations as a means of setting priorities for detailed risk assessment. The MAHAS procedure described in this paper provides a means of rapidly ranking relative hazards from various sources using easily accessible data. However, these rankings should not be used as definitive input for selecting technology alternatives or developing regulations. 25 refs., 6 tabs

  5. Assessment of Primary Representational Systems with Neurolinguistic Programming: Examination of Preliminary Literature.

    Science.gov (United States)

    Dorn, Fred J.; And Others

    1983-01-01

    Reviews the inconsistent findings of studies on neurolinguistic programing and recommends some areas that should be examined to verify various claims. Discusses methods of assessing client's primary representational systems, including predicate usage and eye movements, and suggests that more reliable methods of assessing PRS must be found. (JAC)

  6. A Preliminary Assessment of Daily Weather Conditions in Nuclear Site for Development of Effective Emergency Plan

    International Nuclear Information System (INIS)

    Han, Seok Jung; Ahn, Kwang Il

    2012-01-01

    A radiological emergency preparedness for nuclear sites is recognized as an important measure against anticipated severe accidents with environmental releases of radioactive materials. While there are many individual means in the emergency preparedness for nuclear accidents, one of most important means is to make a decision of evacuation or shelter of the public residents with the emergency plan zone (EPZ) of a nuclear site. In order to prepare an effective strategy for the evacuation as a basis of the emergency preparedness, it may need the understanding of atmospheric dispersion characteristics of radiation releases to the environment, mainly depending upon the weather conditions of a radiation releases location, i.e., a nuclear site. As a preliminary study for the development of an effective emergency plan, the basic features of the weather conditions of a specific site were investigated. A main interest of this study is to identify whether or not the site weather conditions have specific features helpful for a decision making of evacuation of the public residents

  7. A preliminary assessment of the consequences for inhabitants of the UK of the Chernobyl accident

    International Nuclear Information System (INIS)

    Baverstock, K.F.

    1986-01-01

    The Chernobyl accident resulted in the release of substantial quantities of radioactive material and subsequent increases in environmental radioactivity in many countries. This paper considers the U.K. situation, and from preliminary monitoring measurements, major routes of population exposure are identified and quantified. U.K. exposures are mostly within variations in natural background radiation levels to be found in Europe, except for the thyroid dose likely to have been received by young people in the north of the U.K. From reported measurements of 131 I in milk, it is predicted that thyroid doses up to 10-20 times the annual doses received from 'normal' natural background radiation might have affected young children drinking fresh cows' milk. Ways in which this exposure component could have been reduced and criteria governing decisions as to whether or not to implement counter-measures are discussed. The importance of 131 I in milk as a population exposure route is a common feature with Chernobyl and the 1957 Windscale accident and underlines the importance of milk-producing regions in relation to reactor-siting policy. (UK)

  8. Preliminary Assessment of PHTS Pump Piping Break Accident of DSFR-600

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Andong; Bae, Moohoon; Choi, Yongwon; Suh, Namduk [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2013-05-15

    KINS is evaluating the applicability of TRACE code for safety analysis of SFR Since 2012. Based on the steady-state input deck for Demonstration Sodium Cooled Fast Reactor 600MW (DSFR-600) component-wise specific modeling is developed for DSFR-600. Preliminary analysis was performed with TRACE code for DSFR-600 PHTS pump piping break accident. The calculation result showed that the calculated safety parameters are conforms to the design criteria for DBA accidents. RHRS design of DSFR-600 and its performance during transient was also reviewed by sensitivity study on the effect of sodium condition to the transient decay heat removal capability of RHRS. Following insights are identified. These should be considered in improving the design also in licensing review of SFR safety analysis. The transient performance of RHRS might differ from the component's design capacity. RHRS's transient performance also should be included in the design documents and validated with reasonable test and/or analysis with consideration of the variation of coolant conditions during transient. The analytic model used for safety analysis should consider 3-D effect of vessel pool and its uncertainty with reasonable conservatism.

  9. Preliminary assessments for disposal of high-level waste within small islets

    International Nuclear Information System (INIS)

    Chen, F.L.; Li, S.H.; Yu, G.P.

    1991-01-01

    This paper analyzes, for the final disposal of high-level waste (HLW), the possibility of a repository sited below the fresh/saline groundwater interface within islet rock formations. Because of their relatively stable tectonics, the offshore islets of some countries (such as those of Taiwan) are worthy of being considered as potential repository sites. Before the emplacement of radwastes in such a repository, however, the mass exchange across the fresh/saline groundwater interface must be limited and the horizontal movement of advective saline ground-water must be extremely low. Theoretical equations for the location and shape of the interface are derived. When radwastes are buried in rock formations, the temperature effect of the decay heat could cause buoyant convection flow of saline groundwater upward across the groundwater interface. This could carry released radionuclides across the groundwater interface to upper formation layers where fresh groundwater flows. The radionuclides could then be carried by the fresh groundwater to the sea. Although basic HLW repository designs should eliminate the significance of this temperature effect, it is incorporated into this preliminary analysis for the purpose of conservative estimations

  10. A preliminary assessment of thorium as a fuel for thermal reactors

    International Nuclear Information System (INIS)

    Duret, M.F.; Halsall, M.J.

    1965-08-01

    This report presents a preliminary survey of the contributing factors to total fuel cost, for a variety of potentially economic fuel cycles. U 238 and Th 232 are considered as fertile materials with enrichments of U 235 , U 233 and plutonium. The total fuel cost comprises: (a) a fuel supply cost which is derived from a manufacturing cost and the fuel burnup, (b) as spent fuel credit, and (c) inventory charges. The interrelation of these three factors and their dependence on reactor flux, fuel burnup, the heat rating of the fuel and the interest rate are considered for each combination of fertile and fissile material. Results show inventory charges, spent fuel credit (hence processing costs) and fabrication costs have an important effect on the fuelling cost. In addition, using highly rated thorium-based fuels will affect reactor capital costs. Further, more detailed studies of reactor design, fuel design and fuel management schemes are now required to verify the attraction of using thorium as a reactor fuel. (author)

  11. Non destructive examination of UN / U-Si fuel pellets using neutrons (preliminary assessment)

    Energy Technology Data Exchange (ETDEWEB)

    Bourke, Mark Andrew [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Vogel, Sven C. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Voit, Stewart Lancaster [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Mcclellan, Kenneth James [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Losko, Adrian S. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Tremsin, Anton [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-03-31

    Tomographic imaging and diffraction measurements were performed on nine pellets; four UN/ U Si composite formulations (two enrichment levels), three pure U3Si5 reference formulations (two enrichment levels) and two reject pellets with visible flaws (to qualify the technique). The U-235 enrichments ranged from 0.2 to 8.8 wt.%. The nitride/silicide composites are candidate compositions for use as Accident Tolerant Fuel (ATF). The monophase U3Si5 material was included as a reference. Pellets from the same fabrication batches will be inserted in the Advanced Test Reactor at Idaho during 2016. The goal of the Advanced Non-destructive Fuel Examination work package is the development and application of non-destructive neutron imaging and scattering techniques to ceramic and metallic nuclear fuels. Data reported in this report were collected in the LANSCE run cycle that started in September 2015 and ended in March 2016. Data analysis is ongoing; thus, this report provides a preliminary review of the measurements and provides an overview of the characterized samples.

  12. Preliminary assessment of the Velocity Pump Reaction Turbine as a geothermal total-flow expander

    Energy Technology Data Exchange (ETDEWEB)

    Demuth, O.J.

    1985-01-01

    A preliminary evaluation was made of the Velocity Pump Reaction Turbine (VPRT) as a total flow expander in a geothermal-electric conversion cycle. Values of geofluid effectiveness of VPRT systems were estimated for conditions consisting of: a 360/sup 0/F geothermal resource, 60/sup 0/F wet-bulb ambient temperature, zero and 0.003 mass concentrations of dissolved noncondensible gas in the geofluid, 100 and 120/sup 0/F condensing temperature, and engine efficiencies ranging from 0.4 to 1.0. Achievable engine efficiencies were estimated to range from 0.47 to 0.77, with plant geofluid effectivenss values ranging as high as 9.5 Watt hr/lbm geofluid. This value is competitive with magnitudes of geofluid effectiveness projected for advanced binary plants, and is on the order of 40% higher than estimates for dual-flash steam systems and other total flow systems reviewed. Because of its potentially high performance and relative simplicity, the VPRT system appears to warrant further investigation toward its use in a well-head geothermal plant. 13 refs., 5 figs.

  13. Progress in static fourier transform infrared spectroscopy: assessment of sifti preliminary performances

    Science.gov (United States)

    Hébert, Philippe; Pierangelo, Clémence; Rosak, Alain; Cansot, Elodie; Bernard, Frédéric; Camy-Peyret, Claude

    2017-11-01

    The concept of static Fourier transform interferometry at thermal infrared wavelengths is well suited in the case of narrow spectral bands that are looked at for targeted molecular species as CO and O3 for pollution and air quality monitoring, or H20 and CO2 for weather forecast, down to the troposphere. It permits a high spectral resolution and a very good radiometric performance, with the advantage of a static interferometer, including no moving part. Along with other molecules sounded in the UV-VIS domain, as for instance in the TRAQ mission, SIFTI will provide scientists with a complete set for pollution measurements and air quality survey. Our paper presents the principles of static Fourier transform spectrometry, the work led on the instrument performance model and our study of the SIFTI instrument. We describe the instrument, its main dimensions and characteristics, and its architecture and major subsystems. We eventually make a preliminary survey of the SIFTI performance budget items. As a conclusion, we introduce the future CNES phase A study of this instrument that is started in 2006

  14. Seasonal occurrence, removal efficiencies and preliminary risk assessment of multiple classes of organic UV filters in wastewater treatment plants.

    Science.gov (United States)

    Tsui, Mirabelle M P; Leung, H W; Lam, Paul K S; Murphy, Margaret B

    2014-04-15

    Organic ultraviolet (UV) filters are applied widely in personal care products (PCPs), but the distribution and risks of these compounds in the marine environment are not well known. In this study, the occurrence and removal efficiencies of 12 organic UV filters in five wastewater treatment plants (WWTPs) equipped with different treatment levels in Hong Kong, South China, were investigated during one year and a preliminary environmental risk assessment was carried out. Using a newly developed simultaneous multiclass quantification liquid chromatography-tandem mass spectrometry (LC-MS/MS) method, butyl methoxydibenzoylmethane (BMDM), 2,4-dihydroxybenzophenone (BP-1), benzophenone-3 (BP-3), benzophenone-4 (BP-4) and 2-ethyl-hexyl-4-trimethoxycinnamate (EHMC) were frequently (≥80%) detected in both influent and effluent with mean concentrations ranging from 23 to 1290 ng/L and 18-1018 ng/L, respectively; less than 2% of samples contained levels greater than 1000 ng/L. Higher concentrations of these frequently detected compounds were found during the wet/summer season, except for BP-4, which was the most abundant compound detected in all samples in terms of total mass. The target compounds behaved differently depending on the treatment level in WWTPs; overall, removal efficiencies were greater after secondary treatment when compared to primary treatment with >55% and compounds showing high removal (defined as >70% removal), respectively. Reverse osmosis was found to effectively eliminate UV filters from effluent (>99% removal). A preliminary risk assessment indicated that BP-3 and EHMC discharged from WWTPs may pose high risk to fishes in the local environment. Copyright © 2014 Elsevier Ltd. All rights reserved.

  15. Electromagnetic fields: risk assessment and occupational diseases in Italy

    Energy Technology Data Exchange (ETDEWEB)

    Filosa, L.; Frusteri, L. [Risk Assessment and Prevention, Technical Advisory Dept., Italian Workers Compensation Authority, Rome (Italy)

    2006-07-01

    Every year about 8000 occupational diseases are accepted in Italy by I.N.A.I.L., the Italian Workers' Compensation Authority. The occupational diseases are caused by different agents (chemical, biological, physical) but only a very little percentage resulted to be caused by non ionizing radiations. In this paper the Authors report an analysis of occupational diseases caused by non ionising radiations denounced to I.N.A.I.L. and compensated. It is discussed the Italian situation in light of the controversial studies related to the link between exposure and health effects. Because of the uncertainty about an E.M.F. - health link, the main effort is to determine the probability and seriousness of E.M.F. hazard and to realize an accurate risk assessment at workplace, which is one of the main objectives pursued by I.N.A.I.L. Technical Advisory Department for Risk Assessment and Prevention. Moreover, in this paper it is also reported the state of advancement of Italian legislation on health protection against non ionizing radiations at workplace in view of the new European Directive (2004/40/C.E.). (authors)

  16. Electromagnetic fields: risk assessment and occupational diseases in Italy

    International Nuclear Information System (INIS)

    Filosa, L.; Frusteri, L.

    2006-01-01

    Every year about 8000 occupational diseases are accepted in Italy by I.N.A.I.L., the Italian Workers' Compensation Authority. The occupational diseases are caused by different agents (chemical, biological, physical) but only a very little percentage resulted to be caused by non ionizing radiations. In this paper the Authors report an analysis of occupational diseases caused by non ionising radiations denounced to I.N.A.I.L. and compensated. It is discussed the Italian situation in light of the controversial studies related to the link between exposure and health effects. Because of the uncertainty about an E.M.F. - health link, the main effort is to determine the probability and seriousness of E.M.F. hazard and to realize an accurate risk assessment at workplace, which is one of the main objectives pursued by I.N.A.I.L. Technical Advisory Department for Risk Assessment and Prevention. Moreover, in this paper it is also reported the state of advancement of Italian legislation on health protection against non ionizing radiations at workplace in view of the new European Directive (2004/40/C.E.). (authors)

  17. An ethical assessment model for digital disease detection technologies.

    Science.gov (United States)

    Denecke, Kerstin

    2017-09-20

    Digital epidemiology, also referred to as digital disease detection (DDD), successfully provided methods and strategies for using information technology to support infectious disease monitoring and surveillance or understand attitudes and concerns about infectious diseases. However, Internet-based research and social media usage in epidemiology and healthcare pose new technical, functional and formal challenges. The focus of this paper is on the ethical issues to be considered when integrating digital epidemiology with existing practices. Taking existing ethical guidelines and the results from the EU project M-Eco and SORMAS as starting point, we develop an ethical assessment model aiming at providing support in identifying relevant ethical concerns in future DDD projects. The assessment model has four dimensions: user, application area, data source and methodology. The model supports in becoming aware, identifying and describing the ethical dimensions of DDD technology or use case and in identifying the ethical issues on the technology use from different perspectives. It can be applied in an interdisciplinary meeting to collect different viewpoints on a DDD system even before the implementation starts and aims at triggering discussions and finding solutions for risks that might not be acceptable even in the development phase. From the answers, ethical issues concerning confidence, privacy, data and patient security or justice may be judged and weighted.

  18. Non-invasive brain stimulation to assess and modulate neuroplasticity in Alzheimer's disease.

    Science.gov (United States)

    Boggio, Paulo Sérgio; Valasek, Claudia Aparecida; Campanhã, Camila; Giglio, Ana Carolina Alem; Baptista, Nathalia Ishikawa; Lapenta, Olivia Morgan; Fregni, Felipe

    2011-10-01

    Alzheimer's disease (AD) is a neurodegenerative and progressive disease related to a gradual decline in cognitive functions such as memory, attention, perceptual-spatial abilities, language, and executive functions. Recent evidence has suggested that interventions promoting neural plasticity can induce significant cognitive gains especially in subjects at risk of or with mild AD. Transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) are non-invasive techniques that can induce significant and long-lasting changes in focal and non-focal neuroplasticity. In this review, we present initial preliminary evidence that TMS and tDCS can enhance performance in cognitive functions typically impaired in AD. Also, we reviewed the initial six studies on AD that presented early findings showing cognitive gains such as in recognition memory and language associated with TMS and tDCS treatment. In addition, we showed that TMS has also been used to assess neuroplasticity changes in AD supporting the notion that cortical excitability is changed in AD due to the neurodegenerative process. Due to the safe profile, cost of these tools, and initial clinical trials results, further studies are warranted in order to replicate and extend the initial findings of rTMS and tDCS as cognitive enhancers in AD. Further trials should explore different targets of stimulation along with different paradigms of stimulation including combination with behavioural interventions.

  19. Technologies Assessing Limb Bradykinesia in Parkinson’s Disease

    Science.gov (United States)

    Hasan, Hasan; Athauda, Dilan S.; Foltynie, Thomas; Noyce, Alastair J.

    2017-01-01

    Background: The MDS-UPDRS (Movement Disorders Society – Unified Parkinson’s Disease Rating Scale) is the most widely used scale for rating impairment in PD. Subscores measuring bradykinesia have low reliability that can be subject to rater variability. Novel technological tools can be used to overcome such issues. Objective: To systematically explore and describe the available technologies for measuring limb bradykinesia in PD that were published between 2006 and 2016. Methods: A systematic literature search using PubMed (MEDLINE), IEEE Xplore, Web of Science, Scopus and Engineering Village (Compendex and Inspec) databases was performed to identify relevant technologies published until 18 October 2016. Results: 47 technologies assessing bradykinesia in PD were identified, 17 of which offered home and clinic-based assessment whilst 30 provided clinic-based assessment only. Of the eligible studies, 7 were validated in a PD patient population only, whilst 40 were tested in both PD and healthy control groups. 19 of the 47 technologies assessed bradykinesia only, whereas 28 assessed other parkinsonian features as well. 33 technologies have been described in additional PD-related studies, whereas 14 are not known to have been tested beyond the pilot phase. Conclusion: Technology based tools offer advantages including objective motor assessment and home monitoring of symptoms, and can be used to assess response to intervention in clinical trials or routine care. This review provides an up-to-date repository and synthesis of the current literature regarding technology used for assessing limb bradykinesia in PD. The review also discusses the current trends with regards to technology and discusses future directions in development. PMID:28222539

  20. Preliminary Validation of a Readiness-to-Fly Assessment Tool for Use in Naval Aviation

    Science.gov (United States)

    2010-05-25

    circulatory disease) Yes No Have you ever been diagnosed with any neurological syndrome, disorder, or injury? (e.g., migraines, epilepsy , or...sufficient? Yes No Females: Are you currently pregnant or lactating ? Yes No REPORT DOCUMENTATION PAGE The public reporting burden for

  1. Assessing the burden of medical impoverishment by cause: a systematic breakdown by disease in Ethiopia.

    Science.gov (United States)

    Verguet, Stéphane; Memirie, Solomon Tessema; Norheim, Ole Frithjof

    2016-10-21

    Out-of-pocket (OOP) medical expenses often lead to catastrophic expenditure and impoverishment in low- and middle-income countries. Yet, there has been no systematic examination of which specific diseases and conditions (e.g., tuberculosis, cardiovascular disease) drive medical impoverishment, defined as OOP direct medical costs pushing households into poverty. We used a cost and epidemiological model to propose an assessment of the burden of medical impoverishment in Ethiopia, i.e., the number of households crossing a poverty line due to excessive OOP direct medical expenses. We utilized disease-specific mortality estimates from the Global Burden of Disease study, epidemiological and cost inputs from surveys, and secondary data from the literature to produce a count of poverty cases due to OOP direct medical costs per specific condition. In Ethiopia, in 2013, and among 20 leading causes of mortality, we estimated the burden of impoverishment due to OOP direct medical costs to be of about 350,000 poverty cases. The top three causes of medical impoverishment were diarrhea, lower respiratory infections, and road injury, accounting for 75 % of all poverty cases. We present a preliminary attempt for the estimation of the burden of medical impoverishment by cause for high mortality conditions. In Ethiopia, medical impoverishment was notably associated with illness occurrence and health services utilization. Although currently used estimates are sensitive to health services utilization, a systematic breakdown of impoverishment due to OOP direct medical costs by cause can provide important information for the promotion of financial risk protection and equity, and subsequent design of health policies toward universal health coverage, reduction of direct OOP payments, and poverty alleviation.

  2. Assessing the influence of consanguinity on congenital heart disease

    Directory of Open Access Journals (Sweden)

    Alan H Bittles

    2011-01-01

    Full Text Available Numerous articles have been published linking consanguineous marriage to an elevated prevalence of congenital heart disease, with ventricular septal defects and atrial septal defects the most commonly cited disorders. While initially persuasive, on closer examination many of these studies have fundamental shortcomings in their design and in the recruitment of study subjects and controls. Improved matching of cases and controls, to include recognition of the long-established community boundaries within which most marriages are contracted, and the assessment of consanguinity within specific levels and types of marital union would improve and help to focus the study outcomes. At the same time, major discrepancies between studies in their reported prevalence and types of congenital heart disease suggest an urgent need for greater standardization in the classification and reporting of these disorders.

  3. Digital subtraction angiography in the assessment of cardiovascular disease

    International Nuclear Information System (INIS)

    Harrington, D.P.; Boxt, L.M.

    1985-01-01

    Digital subtraction angiography (DSA) is a new radiographic method for evaluating the cardiovascular system. It represents another in a continuing series of computer-assisted diagnostic imaging modalities. The advantages of this technique are its relatively noninvasive nature combined with diagnostically acceptable angiographic images of a variety of cardiovascular structures. Major clinical applications of DSA include its use in imaging of localized regions of peripheral arterial disease and as a screening procedure in evaluating extracranial carotid and vertebral artery disease and renovascular hypertension. Cardiac applications of DSA include assessment of ventricular function, recognition and quantification of intracardiac shunts, visualization of coronary artery bypass grafts, and the study of complex congenital cardiac malformations. Digital subtraction angiography may also be used to evaluate intracranial aneurysms and vascular tumors

  4. Assessing the influence of consanguinity on congenital heart disease

    International Nuclear Information System (INIS)

    Bittles, Alan H.

    2011-01-01

    Numerous articles have been published linking consanguineous marriage to an elevated prevalence of congenital heart disease, with ventricular septal defects and atrial septal defects the most commonly cited disorders. While initially persuasive, on closer examination many of these studies have fundamental shortcomings in their design and in the recruitment of study subjects and controls. Improved matching of cases and controls, to include recognition of the long-established community boundaries within which most marriages are contracted, and the assessment of consanguinity within specific levels and types of marital union would improve and help to focus the study outcomes. At the same time, major discrepancies between studies in their reported prevalence and types of congenital heart disease suggest an urgent need for greater standardization in the classification and reporting of these disorders

  5. Assessing internet addiction using the parsimonious internet addiction components model—A preliminary study.

    NARCIS (Netherlands)

    Kuss, D.J.; Shorter, G.W.; Rooij, A.J. van; Griffiths, M.D.; Schoenmakers, T.M.

    2014-01-01

    Internet usage has grown exponentially over the last decade. Research indicates that excessive Internet use can lead to symptoms associated with addiction. To date, assessment of potential Internet addiction has varied regarding populations studied and instruments used, making reliable prevalence

  6. Assessment of statistical education in Indonesia: Preliminary results and initiation to simulation-based inference

    Science.gov (United States)

    Saputra, K. V. I.; Cahyadi, L.; Sembiring, U. A.

    2018-01-01

    Start in this paper, we assess our traditional elementary statistics education and also we introduce elementary statistics with simulation-based inference. To assess our statistical class, we adapt the well-known CAOS (Comprehensive Assessment of Outcomes in Statistics) test that serves as an external measure to assess the student’s basic statistical literacy. This test generally represents as an accepted measure of statistical literacy. We also introduce a new teaching method on elementary statistics class. Different from the traditional elementary statistics course, we will introduce a simulation-based inference method to conduct hypothesis testing. From the literature, it has shown that this new teaching method works very well in increasing student’s understanding of statistics.

  7. A preliminary assessment of the assignment of Intermediate Level Waste streams to designs of transport containers

    International Nuclear Information System (INIS)

    Mairs, J.H.

    1984-08-01

    This paper considers the assignment of ILW to designs of transport container. Estimates are made of the radiation levels penetrating the transport containers and assesses the duration of any storage required prior to transportation. (author)

  8. An appraisal of the 1992 preliminary performance assessment for the Waste Isolation Pilot Plant

    International Nuclear Information System (INIS)

    Lee, W.W.L.; Chaturvedi, L.; Silva, M.K.; Weiner, R.; Neill, R.H.

    1994-09-01

    The purpose of the New Mexico Environmental Evaluation Group is to conduct an independent technical evaluation of the Waste Isolation Pilot Plant (WIPP) Project to ensure the protection of the public health and safety and the environment. The WIPP Project, located in southeastern New Mexico, is being constructed as a repository for the disposal of transuranic (TRU) radioactive wastes generated by the national defense programs. The Environmental Evaluation Group (EEG) has reviewed the WIPP 1992 Performance Assessment (Sandia WIPP Performance Assessment Department, 1992). Although this performance assessment was released after the October 1992 passage of the WIPP Land Withdrawal Act (PL 102-579), the work preceded the Act. For individual and ground-water protection, calculations have been done for 1000 years post closure, whereas the US Environmental Protection Agency's Standards (40 CFR 191) issued in 1993 require calculations for 10,000 years. The 1992 Performance Assessment continues to assimilate improved understanding of the geology and hydrogeology of the site, and evolving conceptual models of natural barriers. Progress has been made towards assessing WIPP's compliance with the US Environmental Protection Agency's Standards (40 CFR 191). The 1992 Performance Assessment has addressed several items of major concern to EEG, outlined in the July 1992 review of the 1991 performance assessment (Neill et al., 1992). In particular, the authors are pleased that some key results in this performance assessment deal with sensitivity of the calculated complementary cumulative distribution functions (CCDF) to alterative conceptual models proposed by EEG -- that flow in the Culebra be treated as single-porosity fracture-flow; with no sorption retardation unless substantiated by experimental data

  9. Development and validation of trauma surgical skills metrics: Preliminary assessment of performance after training.

    Science.gov (United States)

    Shackelford, Stacy; Garofalo, Evan; Shalin, Valerie; Pugh, Kristy; Chen, Hegang; Pasley, Jason; Sarani, Babak; Henry, Sharon; Bowyer, Mark; Mackenzie, Colin F

    2015-07-01

    Maintaining trauma-specific surgical skills is an ongoing challenge for surgical training programs. An objective assessment of surgical skills is needed. We hypothesized that a validated surgical performance assessment tool could detect differences following a training intervention. We developed surgical performance assessment metrics based on discussion with expert trauma surgeons, video review of 10 experts and 10 novice surgeons performing three vascular exposure procedures and lower extremity fasciotomy on cadavers, and validated the metrics with interrater reliability testing by five reviewers blinded to level of expertise and a consensus conference. We tested these performance metrics in 12 surgical residents (Year 3-7) before and 2 weeks after vascular exposure skills training in the Advanced Surgical Skills for Exposure in Trauma (ASSET) course. Performance was assessed in three areas as follows: knowledge (anatomic, management), procedure steps, and technical skills. Time to completion of procedures was recorded, and these metrics were combined into a single performance score, the Trauma Readiness Index (TRI). Wilcoxon matched-pairs signed-ranks test compared pretraining/posttraining effects. Mean time to complete procedures decreased by 4.3 minutes (from 13.4 minutes to 9.1 minutes). The performance component most improved by the 1-day skills training was procedure steps, completion of which increased by 21%. Technical skill scores improved by 12%. Overall knowledge improved by 3%, with 18% improvement in anatomic knowledge. TRI increased significantly from 50% to 64% with ASSET training. Interrater reliability of the surgical performance assessment metrics was validated with single intraclass correlation coefficient of 0.7 to 0.98. A trauma-relevant surgical performance assessment detected improvements in specific procedure steps and anatomic knowledge taught during a 1-day course, quantified by the TRI. ASSET training reduced time to complete vascular

  10. Potential for Conservation Agriculture in the Dry Marginal Zone of Central Syria: A Preliminary Assessment

    Directory of Open Access Journals (Sweden)

    Baqir Lalani

    2018-02-01

    Full Text Available This paper reports on early soil related outcomes from conservation agriculture (CA benchmark sites located within the marginal rainfed environment of agro-ecological zone 4 (annual rainfall: 200–250 mm in pre-conflict central Syria. The outcomes reported are specifically those that relate to beneficial soil quality and water retention attributes relative to conventional tillage-based soil management practices applied to the fodder barley–livestock system, the dominant system in the zone. On-farm operational research was established to examine the impact of a barley (Hordeum vulgare and vetch (Vicia sativa rotation intercropped with atriplex (Atriplex halimus and salsola (Salsola collina, under CA and conventional tillage agriculture, on the soil quality parameters and crop productivity. Preliminary results showed that CA had a positive effect on the soil quality parameters and crop performance. The soil moisture and hydraulic conductivity were higher under CA (p < 0.05, combined with improved productivity (grain and above-ground biomass under specific crop mixes. The results suggest that despite the marginal nature of the zone, the use of CA is a viable option for the future of farmers’ livelihoods within similar localities and agro-climates, given the benefits for soil moisture and grain and straw productivity. In addition, it is likely to positively impact those in marginal environments where both pastoralism and agro-pastoralism production systems co-exist and compete for crop biomass as a main source of livestock feed. The increase in grain and straw yields vis-à-vis improvements in biophysical parameters in the CA system relative to tillage agriculture does suggest, however, that the competition with livestock for biomass is likely to reduce over time, and farmers would be able to return increased levels of straw (as stubble and residue as mulch, given improved biomass yields.

  11. Preliminary assessment of RTR and visual characterization for selected waste categories

    International Nuclear Information System (INIS)

    Ziegler, D.L.

    1992-01-01

    The first transuranic (TRU) waste shipped to the Waste Isolation Pilot Plant (WIPP) will be for the WIPP Experimental Program. The purpose of the Experimental Program is to determine the gas generation rates and potential for gas generation by the waste after it has been permanently stored at the WIPP. The first phase of these tests will be performed at WIPP with test bins that have been filled and sealed in accordance with the test plan for bin scale tests. A second phase of the testing, the Alcove Test, will involve drummed waste placed in sealed rooms within WIPP. A preliminary test was conducted at the Rocky Flats Plant (RFP) to evaluate potential methods for use in the characterization of waste. The waste material types to be identified were as defined in the bin-scale test plan -- Cellulosics, Plastic, Rubber, Corroding Metal/Steel, Corroding Metal/Aluminum, Non-corroding Metal, Solid Inorganic, Inorganic Sludges, other organics and Cements. A total of 19 drums representing eleven different waste types (Rocky Flats Plant -- Identification Description Codes (IDC)) and seven different TRUCON Code materials were evaluated. They included Dry Combustibles, Wet Combustibles, Plastic, light Metal, Glass (Non-Raschig Ring). Raschig Rings, M g O crucibles, HEPA Filters, Insulation, Leaded Dry Box Gloves, and Graphite. These Identification Description Codes were chosen because of their abundance on plant, as well as the variability in drum loading techniques. The goal of this test was to evaluate the effectiveness of RTR inspection and visual inspection as characterization methods for waste. In addition, gas analysis of the head space was conducted to provide an indication of the types of gas generated

  12. Secondary biogenic coal seam gas reservoirs in New Zealand: A preliminary assessment of gas contents

    Energy Technology Data Exchange (ETDEWEB)

    Butland, Carol I. [Department of Geological Sciences, University of Canterbury, Private Bag 4800, Christchurch (New Zealand); Moore, Tim A. [Department of Geological Sciences, University of Canterbury, Private Bag 4800, Christchurch (New Zealand); Solid Energy NZ Ltd., P.O. Box 1303, Christchurch (New Zealand)

    2008-10-02

    Four coal cores, one from the Huntly (Eocene), two from the Ohai (Cretaceous) and one from the Greymouth (Cretaceous) coalfields, were sampled and analysed in terms of gas content and coal properties. The coals vary in rank from subbituminous B-A (Huntly) to subbituminous C-A (Ohai), and high volatile A bituminous (Greymouth). Average gas contents were 1.60 m{sup 3}/t (s 0.2) in the Huntly core, 4.80 m{sup 3}/t (s = 0.8) in the Ohai cores, and 2.39 m{sup 3}/t (s = 0.8) in the Greymouth core. The Ohai core not only contained more gas but also had the highest saturation (75%) compared with the Huntly (33%) and Greymouth (45%) cores. Carbon isotopes indicate that the Ohai gas is more mature, containing higher {delta}{sup 13}C isotopes values than either the Huntly or Greymouth gas samples. This may indicate that the gas was derived from a mixed biogenic and thermogenic source. The Huntly and Greymouth gases appear to be derived solely from a secondary biogenic (by CO{sub 2} reduction) source. Although the data set is limited, preliminary analysis indicates that ash yield is the dominant control on gas volume in all samples where the ash yield was above 10%. Below 10%, the amount of gas variation is unrelated to ash yield. Although organic content has some influence on gas volume, associations are basin and/or rank dependent. In the Huntly core total gas content and structured vitrinite increase together. Although this relationship does not appear for the other core data for the Ohai SC3 core, lost gas and fusinite are associated whereas gelovitrinite (unstructured vitrinite) correlates positively with residual gas for the Greymouth data. (author)

  13. A preliminary assessment of temperature distributions associated with a radioactive waste vault

    International Nuclear Information System (INIS)

    Tammemagi, H.Y.

    1978-09-01

    The temperature distributions of models which simulated radioactive waste vaults were determined, using a finite difference computer code to solve the transient heat conduction equation. Input parameters to the code included thermal properties for granitic rock and heat generation decay data for wastes that would be separated from CANDU fuel if it were recycled. Due to the preliminary nature of the study, only simple models were analysed. A disc source was utilized to approximate a one-level repository. Various parameters were investigated such as depth of disc, thermal properties of rock, and long-term effects. It was shown that, for a vault at 500 m depth with an initial areal heat flux of 31 W/m 2 , a maximum temperature increase of about 80 deg C occurs at the vault level about 30 years after waste emplacement; maximum increases near the earth's surface occur after about 1000 years and are less than 1 deg C. Modelling the vault by a number of vertical waste boreholes on one horizontal level, instead of by a disc, with the gross areal heat flux again 31 W/m 2 , did not cause serious local temperature increases as long as the initial heat generation rate of each container was less than about 750 W. It was also shown that, by using the vertical dimension available in granitic plutons and constructing either multiple-level vaults or very deep boreholes, initial areal heat fluxes greater than 31 W/m 2 can be utilized without exceeding the 80 deg C maximum temperature increase anywhere in the vault. (author)

  14. Bladder symptoms assessed with overactive bladder questionnaire in Parkinson's disease.

    Science.gov (United States)

    Iacovelli, Elisa; Gilio, Francesca; Meco, Giuseppe; Fattapposta, Francesco; Vanacore, Nicola; Brusa, Livia; Giacomelli, Elena; Gabriele, Maria; Rubino, Alfonso; Locuratolo, Nicoletta; Iani, Cesare; Pichiorri, Floriana; Colosimo, Carlo; Carbone, Antonio; Palleschi, Giovanni; Inghilleri, Maurizio

    2010-07-15

    In Parkinson's disease (PD) the urinary dysfunction manifests primarily with symptoms of overactive bladder (OAB). The OAB questionnaire (OAB-q) is a measure designed to assess the impact of OAB symptoms on health-related quality of life. In this study, we quantified the urinary symptoms in a large cohort of PD patients by using the OAB-q short form. Possible correlations between the OAB-q and clinical features were tested. Three hundred and two PD patients were enrolled in the study. Correlations between the OAB-q and sex, age, Unified Parkinson's Disease Rating Scale part III (UPDRS-III), Hoehn-Yahr (H-Y) staging, disease duration, and treatment were analyzed. Data were compared with a large cohort of 303 age-matched healthy subjects. The OAB-q yielded significantly higher scores in PD patients than in healthy subjects. In the group of PD patients, all the variables tested were similar between men and women. Pearson's coefficient showed a significant correlation between mean age, disease duration, mean OAB-q scores, UPDRS-III scores, and H-Y staging. A multiple linear regression analysis showed that OAB-q values were significantly influenced by age and UPDRS-III. No statistical correlations were found between OAB-q scores and drug therapy or the equivalent levodopa dose, whilst the items relating to the nocturia symptoms were significantly associated with the equivalent levodopa dose. Our findings suggest that bladder dysfunction assessed by OAB-q mainly correlates with UPDRS-III scores for severity of motor impairment, possibly reflecting the known role of the decline in nigrostriatal dopaminergic function in bladder dysfunction associated with PD and patients' age. Our study also suggests that the OAB-q is a simple, easily administered test that can objectively evaluate bladder function in patients with PD.

  15. Initial development and preliminary validation of a new negative symptom measure: the Clinical Assessment Interview for Negative Symptoms (CAINS).

    Science.gov (United States)

    Forbes, Courtney; Blanchard, Jack J; Bennett, Melanie; Horan, William P; Kring, Ann; Gur, Raquel

    2010-12-01

    As part of an ongoing scale development process, this study provides an initial examination of the psychometric properties and validity of a new interview-based negative symptom instrument, the Clinical Assessment Interview for Negative Symptoms (CAINS), in outpatients with schizophrenia or schizoaffective disorder (N = 37). The scale was designed to address limitations of existing measures and to comprehensively assess five consensus-based negative symptoms: asociality, avolition, anhedonia (consummatory and anticipatory), affective flattening, and alogia. Results indicated satisfactory internal consistency reliability for the total CAINS scale score and promising inter-rater agreement, with clear areas identified in need of improvement. Convergent validity was evident in general agreement between the CAINS and alternative negative symptom measures. Further, CAINS subscales significantly correlated with relevant self-report emotional experience measures as well as with social functioning. Discriminant validity of the CAINS was strongly supported by its small, non-significant relations with positive symptoms, general psychiatric symptoms, and depression. These preliminary data on an early beta-version of the CAINS provide initial support for this new assessment approach to negative symptoms and suggest directions for further scale development. Copyright © 2010 Elsevier B.V. All rights reserved.

  16. A preliminary assessment of financial stability, efficiency, health systems and health outcomes using performance-based contracts in Belize.

    Science.gov (United States)

    Bowser, Diana M; Figueroa, Ramon; Natiq, Laila; Okunogbe, Adeyemi

    2013-01-01

    Over the last 10 years, Belize has implemented a National Health Insurance (NHI) program that uses performance-based contracts with both public and private facilities to improve financial sustainability, efficiency and service provision. Data were collected at the facility, district and national levels in order to assess trends in financial sustainability, efficiency payments, year-end bonuses and health system and health outcomes. A difference-in-difference approach was used to assess the difference in technical efficiency between private and public facilities. The results show that per capita spending on services provided by the NHI program has decreased over the period 2006-2009 from BZ$177 to BZ$136. The private sector has achieved higher levels of technical efficiency, but lower percentages of efficiency and year-end bonus payments. Districts with contracts through the NHI program showed greater improvements in facility births, nurse density, reducing maternal mortality, diabetes deaths and morbidity from bronchitis, emphysema and asthma than districts without contracts over the period 2006-2010. This preliminary assessment of Belize's pay-for-performance system provides some positive results, however further research is needed to use the lessons learned from Belize to implement similar reforms in other systems.

  17. A longitudinal assessment of periodontal disease in 52 Miniature Schnauzers.

    Science.gov (United States)

    Marshall, Mark D; Wallis, Corrin V; Milella, Lisa; Colyer, Alison; Tweedie, Andrew D; Harris, Stephen

    2014-09-01

    Periodontal disease (PD) is the most widespread oral disease in dogs and has been associated with serious systemic diseases. The disease is more prevalent in small breeds compared to large breeds and incidence increases with advancing age. In prevalence studies 84% of Beagles over the age of 3 and 100% of Poodles over the age of 4 were diagnosed with PD. Current knowledge of the rate of progression of PD is limited. The objective of this study was to determine the rate of PD progression in Miniature Schnauzers, an at risk small breed of dog. Dogs (n = 52, age 1.3-6.9 years) who had received a regular oral care regime prior to this study were assessed for levels of gingivitis and periodontitis around the whole gingival margin in every tooth under general anaesthetic. Assessments were conducted approximately every six weeks for up to 60 weeks following the cessation of the oral care regime. All of the 2155 teeth assessed entered the study with some level of gingivitis. 23 teeth entered the study with periodontitis, observed across 12 dogs aged between 1.3 and 6.9 years. 35 dogs had at least 12 teeth progress to periodontitis within 60 weeks. Of the teeth that progressed to periodontitis, 54% were incisors. The lingual aspect of the incisors was significantly more likely to be affected (p periodontitis-affected teeth was variable with 24% of the aspects affected having very mild gingivitis, 36% mild gingivitis and 40% moderate gingivitis. Periodontitis progression rate was significantly faster in older dogs. Only one dog (age 3.5) did not have any teeth progress to periodontitis after 60 weeks. This is the first study to have assessed the progression rate of periodontitis in Miniature Schnauzers and highlights that with no oral care regime, the early stages of periodontitis develop rapidly in this breed. An oral care regime and twice yearly veterinary dental health checks should be provided from an early age for this breed and other breeds with similar

  18. Disease Risk Assessments Involving Companion Animals: an Overview for 15 Selected Pathogens Taking a European Perspective.

    Science.gov (United States)

    Rijks, J M; Cito, F; Cunningham, A A; Rantsios, A T; Giovannini, A

    2016-07-01

    , indicating a clear knowledge gap. There were not enough assessments for any of the 15 diseases to allow meta-analyses, whether these assessments dealt with companion animal disease risk or companion animal-associated human disease risk. Important method and technology gaps were the lack of harmonization in the case definitions used for a given disease and the lack of good diagnostics allowing pathogen identification to taxonomic levels that are meaningful for risk analysis. Molecular epidemiology studies on zoonotic pathogens, which included companion animals among the potential human risk factors, were not found, although such studies would provide good preliminary insights without requiring any tracing of people or any interviews. In addition to performing further risk studies that take into account these issues, there is a need for responsible pet ownership and continued education of professionals in companion animal zoonoses. Additional risk assessment studies should allow more targeted actions to reduce the risk of zoonotic diseases transferred via companion animals and provide information that will promote risk-awareness in healthy human-animal relationships. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  19. myTREEHOUSE Self-Concept Assessment: preliminary psychometric analysis of a new self-concept assessment for children with cerebral palsy.

    Science.gov (United States)

    Cheong, Sau Kuan; Lang, Cathryne P; Hemphill, Sheryl A; Johnston, Leanne M

    2017-06-01

    To evaluate the preliminary validity and reliability of the myTREEHOUSE Self-Concept Assessment for children with cerebral palsy (CP) aged 8 to 12 years. The myTREEHOUSE Self-Concept Assessment includes 26 items divided into eight domains, assessed across three Performance Perspectives (Personal, Social, and Perceived) and an additional Importance Rating. Face and content validity was assessed by semi-structured interviews with seven expert professionals regarding the assessment construct, content, and clinical utility. Reliability was assessed with 50 children aged 8 to 12 years with CP (29 males, 21 females; mean age 10y 2mo; Gross Motor Function Classification System [GMFCS] level I=35, II=8, III=5, IV=1; mean Wechsler Intelligence Scale for Children - Fourth Edition [WISC-IV]=104), whose data was used to calculate internal consistency of the scale, and a subset of 35 children (20 males, 15 females; mean age 10y 5mo; GMFCS level I=26, II=4, III=4, IV=1; mean WISC-IV=103) who participated in test-retest reliability within 14 to 28 days. Face and content validity was supported by positive expert feedback, with only minor adjustments suggested to clarify the wording of some items. After these amendments, strong internal consistency (Cronbach's α 0.84-0.91) and moderate to good test-retest reliability (intraclass correlation coefficient 0.64-0.75) was found for each component. The myTREEHOUSE Self-Concept Assessment is a valid and reliable assessment of self-concept for children with CP aged 8 to 12 years. © 2017 Mac Keith Press.

  20. Assessment of thoracic aortic elasticity: a preliminary study using electrocardiographically gated dual-source CT

    International Nuclear Information System (INIS)

    Li, Ning; Guo, Lijun; Sun, Haitao; Gao, Fei; Liu, Cheng; Beck, Thomas; Chen, Jiuhong; Biermann, Christina

    2011-01-01

    To gain a new insight into the elastic properties of the thoracic aorta in patients without aortic diseases using electrocardiographically (ECG)-gated dual-source (DS) CT. 56 subjects with no cardiovascular disease, selected from 2,700 people undergoing ECG-gated DSCT examination, were divided into three groups according to their age. CT data were reconstructed in 5% step throughout the RR interval. Diameter and area were measured at the curve of the ascending aorta (AA) and at the same level of the descending aorta (DA). The pulsation and elasticity of the aorta were evaluated. Aortic diameter changes were noted throughout the cardiac cycle. The maximum average diameter was seen at an RR interval of 24.02 ± 4.99% for the AA and 25.63 ± 4.77% for the DA. The minimum was at 93.5 ± 4.04% for the AA and 96.6 ± 4.58% for the DA. There was an age-dependent decrease in elasticity, while different correlation coefficients were found between various age groups and different elastic parameters. The properties of aortic pulsation and wall elasticity could be well shown by ECG-gated DSCT. The new findings regarding segment difference and age relevance were significant and should be taken into account in clinical trials and treatments for the elasticity related cardiovascular diseases. (orig.)

  1. Establishing Normative Values for the Barnett Balance Assessment Tool: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Monica L. Cercone MSOTS

    2014-04-01

    Full Text Available The purpose of this study was to establish normative data for the Barnett Balance Assessment (BBA for individuals ages 18-70+ years. The BBA is a newly developed assessment tool that may address limitations present in other assessments currently used to detect balance deficits. The BBA was administered to 141 participants who had no history of medical issues that could impact balance. A review of the normative data collected indicated little variation in total assessment scores in the age categories of 18-29, 30-39, and 40-49, due to the presence of a ceiling effect. Variations existed in scores among participants in the remaining age categories (50-59, 60-69, and 70+. These findings may imply that the BBA has its greatest discriminative power in assessing individuals with impaired balance, and/or that the BBA is not sensitive enough to detect differences in individuals with mild balance impairments. The researchers suggest future studies be conducted with the BBA to establish norms with populations with known orthopedic or neurological conditions that may impair balance. Results of these studies could then be compared with the baseline data gathered in this study to determine the BBA’s usefulness in detecting balance impairments with clinical populations.

  2. Preliminary Assessment of Non-Fuel Mineral Resources of Afghanistan, 2007

    Science.gov (United States)

    ,

    2007-01-01

    Introduction Afghanistan has abundant mineral resources, including known deposits of copper, iron, barite, sulfur, talc, chromium, magnesium, salt, mica, marble, rubies, emeralds, lapis lazuli, asbestos, nickel, mercury, gold and silver, lead, zinc, fluorspar, bauxite, beryllium, and lithium (fig. 1). Between 2005 and 2007, the U.S. Agency for International Development (USAID) funded a cooperative study by the U.S. Geological Survey (USGS) and the Afghanistan Geological Survey (AGS) to assess the non-fuel mineral resources of Afghanistan as part of the effort to aid in the reconstruction of that country. An assessment is an estimation or evaluation, in this instance of undiscovered non-fuel mineral resources. Mineral resources are materials that are in such form that economic extraction of a commodity is currently or potentially feasible. In this assessment, teams of scientists from the USGS and the AGS compiled information about known mineral deposits and then evaluated the possible occurrence of undiscovered deposits of all types. Quantitative probabilistic estimates were made for undiscovered deposits of copper, mercury, rare-earth elements, sulfur, chromite, asbestos, potash, graphite, and sand and gravel. These estimates were made for undiscovered deposits at depths less than a kilometer. Other deposit types were considered and discussed in the assessment, but quantitative estimates of numbers of undiscovered deposits were not made. In addition, the assessment resulted in the delineation of 20 mineralized areas for further study, of which several may contain resources amenable to rapid development.

  3. Assessment of personality functioning in the transition from adolescent to adult life: preliminary findings.

    Science.gov (United States)

    Naughton, M; Oppenheim, A; Hill, J

    1996-01-01

    The Adolescent to Adult Personality Functioning Assessment (ADAPFA) a modification of the Adult Personality Functioning Assessment (APFA) is described. It may be used to assess specific and general social dysfunction in the transition from childhood to adult life. Two raters independently rated 38 audiotaped interviews to test the interrater reliability of the instrument. The relationship between dysfunction in specific domains and overall psychosocial dysfunction was examined. Interrater reliabilities for the total ADAPFA score and for the majority of the domains were high. Agreement on type of dysfunction and on categorical ratings indicating the presence of personality disorder were good. The ADAPFA is a useful measure of interpersonal and social role performance in the transition between adolescent and adult life.

  4. Assessing traumatic event exposure: general issues and preliminary findings for the Stressful Life Events Screening Questionnaire.

    Science.gov (United States)

    Goodman, L A; Corcoran, C; Turner, K; Yuan, N; Green, B L

    1998-07-01

    This article reviews the psychometric properties of the Stressful Life Events Screening Questionnaire (SLESQ), a recently developed trauma history screening measure, and discusses the complexities involved in assessing trauma exposure. There are relatively few general measures of exposure to a variety of types of traumatic events, and most of those that exist have not been subjected to rigorous psychometric evaluation. The SLESQ showed good test-retest reliability, with a median kappa of .73, adequate convergent validity (with a lengthier interview) with a median kappa of .64, and good discrimination between Criterion A and non-Criterion A events. The discussion addresses some of the challenges of assessing traumatic event exposure along the dimensions of defining traumatic events, assessment methodologies, reporting consistency, and incident validation.

  5. A preliminary study for an engineering assessment of a shallow land burial facility in clay

    International Nuclear Information System (INIS)

    Fitzpatrick, J.; Murray, N.

    1987-02-01

    This study characterises a notional low-level waste repository site within the Oxford clay belt, provides a conceptual design for a shallow, engineered repository at the site, and presents a rationale of the multiple-barrier design basis in sufficient detail to enable BRE to rehearse an engineering assessment. Parameters are identified which describe the repository's structural integrity, permeability and effectiveness in physical and chemical containment of nuclides by resistance to diffusive and advective transport. Such parameters may be used by the DoE as input for the mathematical modelling of the repository's post-closure performance under various release scenarios, as part of a full radiological assessment. Limitations in the analytical methods and experience base available for such assessments are identified and suggestions are made for future research activities. (author)

  6. Implementation of a formal in-training assessment programme in anaesthesiology and preliminary results of acceptability

    DEFF Research Database (Denmark)

    Ringsted, C; Østergaard, D; van der Vleuten, C P M

    2003-01-01

    BACKGROUND: A new reform on postgraduate education in Denmark requires a formal in-training assessment in all specialties. The aim of this study was to survey the implementation and acceptability of the first example of a nation-wide in-training assessment programme for first-year trainees...... in anaesthesiology developed by a working group under the Danish Society of Anaesthesiology and Intensive Care Medicine. METHODS: A questionnaire about the implementation of the programme in practice and the characteristics of the trainees was sent to the educational responsible consultant (ERC) in each of the 26...... anaesthetic departments in the country with first-year trainees in anaesthesiology. Standard evaluations of the assessment programme were regularly collected from trainees. RESULTS: Twenty-five (96%) departments returned the questionnaire. In total the departments reported on 100 trainees and 83 of these had...

  7. Dental students' self-assessment of operative preparations using CAD/CAM: a preliminary analysis.

    Science.gov (United States)

    Mays, Keith A; Levine, Eric

    2014-12-01

    The Commission on Dental Accreditation (CODA)'s accreditation standards for dental schools state that "graduates must demonstrate the ability to self-assess." Therefore, dental schools have developed preclinical and clinical self-assessment (SA) protocols aimed at fostering a reflective process. This study comparing students' visual SA with students' digital SA and with faculty assessment was designed to test the hypothesis that higher agreement would occur when utilizing a digital evaluation. Twenty-five first-year dental students at one dental school participated by preparing a mesial occlusal preparation on tooth #30 and performing both types of SAs. A faculty evaluation was then performed both visually and digitally using the same evaluation criteria. The Kappa statistic was used to measure agreement between evaluators. The results showed statistically significant moderate agreement between the faculty visual and faculty digital modes of evaluation for occlusal shape (K=0.507, p=0.002), proximal shape (K=0.564, p=0.001), orientation (K=0.425, p=0.001), and definition (K=0.480, p=0.001). There was slight to poor agreement between the student visual and faculty visual assessment, except for preparation orientation occlusal shape (K=0.164, p=0.022), proximal shape (K=-0.227, p=0.032), orientation (K=0.253, p=0.041), and definition (K=-0.027, p=0.824). This study showed that the students had challenges in self-assessing even when using CAD/CAM and the digital assessment did not improve the amount of student/faculty agreement.

  8. The usefulness of magnetic resonance imaging (MRI) in cervical carcinoma assessment - a preliminary report

    International Nuclear Information System (INIS)

    Tacikowska, M.; Grzesiakowska, U.; Tacikowski, T.; Sobiczewski, P.

    2002-01-01

    The aim of diagnostic imaging is not so much the detection of cervical carcinoma, but the evaluation of its stage. In view of this the aim of this study included: 1) comparison of MR results with the results of histological examinations after operations with reference to the dimensions of cervical carcinoma; 2) assessment of the sensitivity and specificity of MRl in the evaluation of parametrium infiltration; 3) analysis of the sensitivity and specificity of MRI in the evaluation of infiltration of the vagina and uterus; 4) assessment of the usefulness of this method in the detection of metastases to lymph nodes.The material consisted of pelvic MRI, obtained with 2T Elscint unit in 15 patients with cervical carcinoma, aged 37 to 73 years. All patients underwent surgical treatment within 30 days after MR. During the MR examination the following sequences were performed: SE (spin echo) T1 (longitudinal relaxation time) in axial projection before administration of gadolinium (Gd-DTPA); SE T1 in axial, frontal and sagittal projections after contrast injection and FSE (fast spin echo) T2 (transversal relaxation time) in axial, frontal and sagittal projections.1) in the assessment of cervical carcinoma dimensions MRI results are highly concordant with the results of postoperative histological examination (p = 0. 9389); 2) in the assessment of parametrium infiltration sensitivity and specificity of MRI are 75% and 100%, respectively; 3) in the assessment of the infiltration of the vagina and uterine corpus the sensitivity and specificity of MRI imaging were respectively 100% and 85%; 100% and 100%; 4) in the detection of lymph node metastases MRI sensitivity was 67% and its specificity 100%. In patients with cervical carcinoma MRI is a valuable method for the assessment of tumour dimensions, parametrium infiltration, infiltration of the vagina and uterine corpus.(author)

  9. Preliminary assessment of interactions between the FMIT deuteron beam and liquid-lithium target

    International Nuclear Information System (INIS)

    Hassberger, J.A.

    1983-03-01

    Scoping calculations were performed to assess the limit of response of the FMIT lithium target to the deuteron-beam interactions. Results indicate that most response modes have acceptably minor impacts on the lithium-target behavior. Individual modes of response were studied separately to assess sensitivity of the target to various phenomena and to identify those needing detailed evaluation. A few responses are of sufficient magnitude to warrant further investigation. Potential for several different responses combining additively is identified as the major area requiring further consideration

  10. Site descriptions for preliminary radiological assessments of low-level waste repositories

    International Nuclear Information System (INIS)

    Burgess, W.E.; Jones, C.H.; Sumerling, T.J.; Ashton, J.

    1988-07-01

    The environmental contexts of four sites, previously under investigation by UK Nirex Ltd. as potential locations for low-level waste disposal facilities, are described. Information on geographical setting, climate, surface hydrology, land use, agriculture, fisheries, geology and hydrogeology is presented. The geological and hydrogeological data are interpreted with the support of deterministic modelling of groundwater conditions. The routes by which radionuclides may migrate from the site are identified and reduced to 1D statistical descriptions suitable for use in probabilistic risk assessments. Additional data required to improve the assessment of the performance of the site are identified. (author)

  11. Licensing assessment of the Candu Pressurized Heavy Water Reactor. Preliminary safety information document. Volume II

    International Nuclear Information System (INIS)

    1977-06-01

    ERDA has requested United Engineers and Constructors (UE and C) to evaluate the design of the Canadian natural uranium fueled, heavy water moderated (CANDU) nuclear reactor power plant to assess its conformance with the licensing criteria and guidelines of the U.S. Nuclear Regulatory Commission (USNRC) for light water reactors. This assessment was used to identify cost significant items of nonconformance and to provide a basis for developing a detailed cost estimate for a 1140 MWe, 3-loop Pressurized Heavy Water Reactor (PHWR) located at the Middletown, USA Site

  12. Family resilience – definition of construct and preliminary results of the Polish adaptation of the Family Resilience Assessment Scale (FRAS

    Directory of Open Access Journals (Sweden)

    Natalia Nadrowska

    2017-05-01

    Full Text Available Background The article describes construct of family resilience with the main focus on the model Walsh. The aim of this article is to present preliminary results: adaptation, reliability, statistical analyses of the Family Resilience Assessment Scale (FRAS for the Polish population. Participants and procedure Participants (n = 329, aged 18-35, completed experimental Polish version of the FRAS (SPR – Skala Prężności Rodzinnej. In the procedure of adaptation, scale was translated and modified into Polish. Scale consists of the following subscales: Family Communication and Problem Solving, Utilizing Social and Economic Resources, Maintaining a Positive Outlook, Family Connectedness, Family Spirituality and Ability to Make Meaning of Adversity. Results The reliability of the experimental Polish version of the FRAS for the entire scale and five subscales are satisfactory. Only subscale Ability to Make Meaning of Adversity obtained reliability of less than 0.7. Taking into account the diversity of gender and declaring the passage through the difficult events were observed significant differences in the three scales: Family Communication and Problem Solving, Family Connectedness, Ability to Make Meaning of Adversity and total scale of FRAS. Conclusions The work on the questionnaire is still in progress and the results presented here should be considered as preliminary. In the next steps, the number of men should be increased in order to perform confirmatory factor analysis. Future studies should take into account a number of factors and contexts (e.g. family structure, social and cultural context and the type of stressful event.

  13. Technical and clinical view on ambulatory assessment in Parkinson's disease.

    Science.gov (United States)

    Hobert, M A; Maetzler, W; Aminian, K; Chiari, L

    2014-09-01

    With the progress of technologies of recent years, methods have become available that use wearable sensors and ambulatory systems to measure aspects of--particular axial--motor function. As Parkinson's disease (PD) can be considered a model disorder for motor impairment, a significant number of studies have already been performed with these patients using such techniques. In general, motion sensors such as accelerometers and gyroscopes are used, in combination with lightweight electronics that do not interfere with normal human motion. A fundamental advantage in comparison with usual clinical assessment is that these sensors allow a more quantitative, objective, and reliable evaluation of symptoms; they have also significant advantages compared to in-lab technologies (e.g., optoelectronic motion capture) as they allow long-term monitoring under real-life conditions. In addition, based on recent findings particularly from studies using functional imaging, we learned that non-motor symptoms, specifically cognitive aspects, may be at least indirectly assessable. It is hypothesized that ambulatory quantitative assessment strategies will allow users, clinicians, and scientists in the future to gain more quantitative, unobtrusive, and everyday relevant data out of their clinical evaluation and can also be designed as pervasive (everywhere) and intensive (anytime) tools for ambulatory assessment and even rehabilitation of motor and (partly) non-motor symptoms in PD. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  14. Neurobehavioural assessment and diagnosis in disorders of consciousness: a preliminary study of the Sensory Tool to Assess Responsiveness (STAR).

    Science.gov (United States)

    Stokes, Verity; Gunn, Sarah; Schouwenaars, Katie; Badwan, Derar

    2018-09-01

    The Sensory Tool to Assess Responsiveness (STAR) is an interdisciplinary neurobehavioural diagnostic tool for individuals with prolonged disorders of consciousness. It utilises current diagnostic criteria and is intended to improve upon the high misdiagnosis rate in this population. This study assesses the inter-rater reliability of the STAR and its diagnostic validity in comparison with the Coma Recovery Scale-Revised (CRS-R) and the Wessex Head Injury Matrix (WHIM). Participants were patients with severe acquired brain injury resulting in a disorder of consciousness, who were admitted to the Royal Leamington Spa Rehabilitation Hospital between 1999 and 2009. Patients underwent sensory stimulation sessions during their period of admission, which were recorded on video. Using this footage, patients were re-assessed for this study using the STAR, WHIM and CRS-R criteria. The STAR demonstrated "moderate" inter-rater reliability, "substantial" diagnostic agreement with the CRS-R, and "moderate" agreement with the WHIM. There were no significant differences between diagnoses assigned by the different assessments. The STAR demonstrated a good degree of inter-rater reliability in identification of diagnoses for patients with disorders of consciousness. The diagnostic outcomes of the STAR agreed at a good level with the CRS-R, moderately with the WHIM, and did not significantly differ from either. This demonstrates the reliability and validity of the STAR, showing its appropriateness for clinical use. Future longitudinal studies and research into the STAR's applicability in long-stay rehabilitation are indicated.

  15. Preliminary assessment of the environmental impacts of the Satellite Power System (SPS)

    International Nuclear Information System (INIS)

    Halverson, S.L.; Rote, D.M.; Rush, C.M.; Davis, K.; White, M.; Cahill, D.F.

    1978-01-01

    The impact of the Satellite Power System (SPS) Microwave Power Transmission System (MPTS) as well as impacts related to other elements of the total SPS on the environment are being determined. The goal of these programs is to advance the state of knowledge by the year 1980 to the point where an assessment can be made of the probability and severity of the impacts of the SPS. Assessments will be made of the effects on the health and safety of the public, and occupationally involved personnel, and the ecology; the upper and lower atmosphere including climatological impacts; and on communications systems including electromagnetic compatibility, the effects of microwave heating of the ionosphere and magnetosphere, and the effects of F-layer depletion by launch vehicle and transport vehicle effluents. If the assessment indicates that the impacts are acceptable or that feasible mitigating strategies can be implemented and if other related assessments (the impact on society and a competitive comparison of the SPS with other energy alternatives) are favorable, a decision may be made to implement the development of the SPS related technologies. This paper identifies postulated effects and summarizes the research efforts to determine whether or not these effects will occur

  16. Preliminary Assessment of Road Mortality in Chilabothrus exsul, the Northern Bahamas Boa.

    NARCIS (Netherlands)

    Reynolds, R. Graham; Giery, Sean T.; Jesse, W.A.M.; Quach, Quynh H.

    2016-01-01

    The Northern Bahamas Boa (Chilabothrus exsul) is a secretive species of boid snake that occupies a relatively small range on the Northern Bahamas Bank. Little is known regarding the natural history of this species or its conservation status. As a component of conducting an IUCN Red List Assessment

  17. IRIS Toxicological Review of Hexavalent Chromium Part 1: Experimental Animal Studies (Preliminary Assessment Materials)

    Science.gov (United States)

    In April 2014, EPA released the draft literature searches and associated search strategies, evidence tables, and exposure response arrays for Cr(VI) to obtain input from stakeholders and the public prior to developing the draft IRIS assessment. Specifically, EPA was interested in...

  18. IRIS Toxicological Review of Hexavalent Chromium Part 2: Human, Toxicokinetic, and Mechanistic Studies (Preliminary Assessment Materials)

    Science.gov (United States)

    In August 2014, EPA released the second part of draft literature searches and associated search strategies, evidence tables, and exposure response arrays for Cr(VI) to obtain input from stakeholders and the public prior to developing the draft IRIS assessment. Specifically, EPA w...

  19. Development and Assessment of a Preliminary Randomization-Based Introductory Statistics Curriculum

    Science.gov (United States)

    Tintle, Nathan; VanderStoep, Jill; Holmes, Vicki-Lynn; Quisenberry, Brooke; Swanson, Todd

    2011-01-01

    The algebra-based introductory statistics course is the most popular undergraduate course in statistics. While there is a general consensus for the content of the curriculum, the recent Guidelines for Assessment and Instruction in Statistics Education (GAISE) have challenged the pedagogy of this course. Additionally, some arguments have been made…

  20. Preliminary Assessment of Transient of Over Power Accident for DSFR-600

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Andong; Bae, Moohoon; Suh, Namduk [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2013-10-15

    TRACE code was selected as one of candidates for audit code, so sodium properties and heat transfer model in the code was verified first. On the basis of MARS-LMR code input, DSFR-600 TRACE model was developed and applied to PHTS tube rupture case, one of design base events (DBE) of DSFR-600. In this study, Transients of Over Power (TOP) event is assessed using TRACE code as one another case of DBEs of DSFR-600 for preparation of audit calculation of PGSFR.One of the design base events, transients of over power of Demonstration Sodium cooled Fast Reactor was simulated using TRACE code. Predicted fuel temperature showed that the peak fuel temperature occurs when the reactor scrammed and predicted temperature was similar to the MARS-LMRs assessment by KAERI. In this study, it is found that the second peak of fuel temperature is influenced by the inventory of steam generator and the natural circulation characteristic of the reactor vessel pool. Pre-calculation of the unprotected transients of over power with conservative reactivity assumption showed that this assumption is conservative in design base even assessment. However the method of measurement and applying the core radial, fuel and control rod axial expansion reactivity feedback is crucial in BDBE assessment of SFR.

  1. IRIS Toxicological Review of Ethyl Tertiary Butyl Ether (ETBE) (Preliminary Assessment Materials)

    Science.gov (United States)

    In August 2013, EPA released the draft literature searches and associated search strategies, evidence tables, and exposure response arrays for ETBE to obtain input from stakeholders and the public prior to developing the draft IRIS assessment. Specifically, EPA was interested in ...

  2. IRIS Toxicological Review of Tert-Butyl Alcohol (Tert-Butanol) (Preliminary Assessment Materials)

    Science.gov (United States)

    In August 2013, EPA released the draft literature searches and associated search strategies, evidence tables, and exposure response arrays for TBA to obtain input from stakeholders and the public prior to developing the draft IRIS assessment. Specifically, EPA was interested in c...

  3. Brief Antecedent Assessment and Treatment of Tics in the General Education Classroom: A Preliminary Investigation

    Science.gov (United States)

    Watson, T.; Dufrene, Brad; Weaver, Adam; Butler, Tonya; Meeks, Caroline

    2005-01-01

    The purpose of this study was to determine if specific classroom antecedents were associated with motor and vocal tics in two males diagnosed with Tourette's syndrome. A functional assessment consisting of teacher and student interviews, direct observations, brief functional analysis, and confirmatory naturalistic observations indicated that…

  4. Preliminary Analysis of Assessment Instrument Design to Reveal Science Generic Skill and Chemistry Literacy

    Science.gov (United States)

    Sumarni, Woro; Sudarmin; Supartono, Wiyanto

    2016-01-01

    The purpose of this research is to design assessment instrument to evaluate science generic skill (SGS) achievement and chemistry literacy in ethnoscience-integrated chemistry learning. The steps of tool designing refers to Plomp models including 1) Investigation Phase (Prelimenary Investigation); 2) Designing Phase (Design); 3)…

  5. Functional near infrared spectroscopy as a potential biological assessment of addiction recovery: preliminary findings.

    Science.gov (United States)

    Dempsey, Jared P; Harris, Kitty S; Shumway, Sterling T; Kimball, Thomas G; Herrera, J Caleb; Dsauza, Cynthia M; Bradshaw, Spencer D

    2015-03-01

    Addiction science has primarily utilized self-report, continued substance use, and relapse factors to explore the process of recovery. However, the entry into successful abstinence substantially reduces our assessment abilities. Advances in neuroscience may be the key to objective understanding, treating, and monitoring long-term success in addiction recovery. To explore functional near infrared spectroscopy (fNIR) as a viable technique in the assessment of addiction-cue reactivity. Specifically, prefrontal cortex (PFC) activation to alcohol cues was explored among formally alcohol-dependent individuals, across varying levels of successful abstinence. The aim of the investigation was to identify patterns of PFC activation change consistent with duration of abstinence. A total of 15 formally alcohol-dependent individuals, with abstinence durations ranging from 1 month to 10 years, viewed alcohol images during fNIR PFC assessment. Participants also subjectively rated the same images for affect and arousal level. Subjective ratings of alcohol cues did not significantly correlate with duration of abstinence. As expected, days of abstinence did not significantly correlate with neutral cue fNIR reactivity. However, for alcohol cues, fNIR results showed increased days of abstinence was associated with decreased activation within the dorsolateral and dorsomedial prefrontal cortex regions. The present results suggest that fNIR may be a viable tool in the assessment of addiction-cue reactivity. RESULTS also support previous findings on the importance of dorsolateral and dorsomedial PFC in alcohol-cue activation. The findings build upon these past results suggesting that fNIR-assessed activation may represent a robust biological marker of successful addiction recovery.

  6. Assessement of rheumatic diseases with computational radiology: current status and future potential

    DEFF Research Database (Denmark)

    Peloschek, Philipp; Boesen, Mikael; Donner, Rene

    2009-01-01

    In recent years, several computational image analysis methods to assess disease progression in rheumatic diseases were presented. This review article explains the basics of these methods as well as their potential application in rheumatic disease monitoring, it covers radiography, sonography...

  7. Role of ultrasound in the assessment of nodular thyroid disease

    International Nuclear Information System (INIS)

    Bastin, S.; Bolland, M. J.; Croxson, M. S.

    2009-01-01

    Full text: The role for ultrasound (US) in the assessment of nodular thyroid disease has increased in recent years. This expanded role has been highlighted in recent consensus guidelines on the management of nodular thyroid disease. In this review, we address the potential roles for US in assessing thyroid nodules and review these recent guidelines. In particular, we review the evidence that US characteristics of thyroid nodules can predict the risk of malignancy. A predominantly solid nodule, hypoechogenicity, microcalcification, macrocalcification, ill-defined margins, intranodular vascularity, and taller-than-wide shape have all been associated with increased risk of malignancy, but no single US characteristic is sufficiently sensitive or specific to exclude or diagnose malignancy by itself. However, the use of combinations of US characteristics to stratify nodules into high and low risk for malignancy appears a promising strategy. Unselected nodules without any suspicious US features have a low risk of malignancy (<2%), whereas malignancy rates are much higher in nodules with at least two suspicious features. Recent guidelines endorse this approach of using combinations of US features to guide nodule selection for fine needle aspiration.

  8. Assessment of postural instability in patients with Parkinson's disease.

    Science.gov (United States)

    Błaszczyk, J W; Orawiec, R; Duda-Kłodowska, D; Opala, G

    2007-10-01

    Postural instability is one of the most disabling features of idiopathic Parkinson's disease (PD). In this study, we focused on postural instability as the main factor predisposing parkinsonians to falls. For this purpose, changes in sway characteristics during quiet stance due to visual feedback exclusion were studied. We searched for postural sway measures that could be potential discriminators for an increased fall risk. A group of 110 subjects: 55 parkinsonians (Hoehn and Yahr: 1-3), and 55 age-matched healthy volunteers participated in the experiment. Their spontaneous sway characteristics while standing quiet with eyes open and eyes closed were analyzed. We found that an increased mediolateral sway and sway area while standing with eyes closed are characteristic of parkinsonian postural instability and may serve to quantify well a tendency to fall. These sway indices significantly correlated with disease severity rated both by the Hoehn and Yahr scale as well as by the Motor Section of the UPDRS. A forward shift of a mean COP position in parkinsonians which reflects their flexed posture was also significantly greater to compare with the elderly subjects and exhibited a high sensitivity to visual conditions. Both groups of postural sway abnormalities identified here may be used as accessible and reliable measures which allow for quantitative assessment of postural instability in Parkinson's disease.

  9. Assessment of Knowledge on Hypertension among Hypertensive Patients in Bandung City: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Rano K. Sinuraya

    2017-12-01

    Full Text Available Hypertension is a common health problems that can increase the mortality and mobility rate in the community. As a silent killer, the prevalence of this disease is increasing worldwide. The prevalence of hypertension in Indonesia is 25.8% and West Java is ranked at top four with prevalence of 29.4%. This study aimed to measure the level of knowledge of hypertensive patients about their disease. This study was an observational study using cross-sectional design in June–October 2017 at Apotek Pendidikan Universitas Padjadjaran, Bandung City. A total of one hundred and fifty respondents completed a validated questionnaire after signing informed consent. The results showed that 56.7% of respondents have “good” level of knowledge, 40% of respondents have “moderate” level of knowledge, and 3.3% of respondents have “poor” level of knowledge. Data were analyzed statistically, the results showed that there was no significant difference (p>0.05 between each group of respondents to sociodemographic and clinical characteristics of the patients. Only fifty percent of respondents have “good” level of knowledge, patients who have “moderate” and “poor” level of knowledge generally are patients with low levels of education and suffer from hypertension less than five years.

  10. Preliminary assessment of framework conditions for release of genetically modified mosquitoes in Burkina Faso.

    Science.gov (United States)

    De Freece, Chenoa; Paré Toé, Léa; Esposito, Fulvio; Diabaté, Abdoulaye; Favia, Guido

    2014-09-01

    Genetically modified mosquitoes (GMMs) are emerging as a measure to control mosquito-borne diseases, but before any genetically modified organisms (GMOs) are released into the environment, it is imperative to establish regulatory standards incorporating public engagement. A previous project in Burkina Faso introduced a type of genetically modified cotton [Bacillus thuringiensis (Bt)] cotton) that produces insecticide, and incorporated policies on public engagement. We explored the perspectives of Burkinabè (citizens of Burkina Faso) on bio-agricultural exposure to GMOs and their receptiveness to the use of GMOs. Interviews were conducted in a village (Bondoukuy) and with representatives from stakeholder organizations. The population may be very receptive to the use of GMMs against malaria, but may voice unfounded concerns that GMMs can transmit other diseases. It is important to constantly supply the population with correct and factual information. Investigating the application of Burkina Faso's biotechnology policies with regard to Bt cotton has shown that it may be conceivable in the future to have open discussions about the merits of GMM release. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. Comprehensive development plans for the low- and intermediate-level radioactive waste disposal facility in Korea and preliminary safety assessment

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Kang Il; Kim, Jin Hyeong; Kwon, Mi Jin; Jeong, Mi Seon; Hong, Sung Wook; Park, Jin Beak [Korea Radioactive Waste Agency, Daejeon (Korea, Republic of)

    2016-12-15

    The disposal facility in Gyeongju is planning to dispose of 800,000 packages of low- and intermediate- level radioactive waste. This facility will be developed as a complex disposal facility that has various types of disposal facilities and accompanying management. In this study, based on the comprehensive development plan of the disposal facility, a preliminary post-closure safety assessment is performed to predict the phase development of the total capacity for the 800,000 packages to be disposed of at the site. The results for each scenario meet the performance target of the disposal facility. The assessment revealed that there is a significant impact of the inventory of intermediate-level radionuclide waste on the safety evaluation. Due to this finding, we introduce a disposal limit value for intermediate-level radioactive waste. With stepwise development of safety case, this development plan will increase the safety of disposal facilities by reducing uncertainties within the future development of the underground silo disposal facilities.

  12. Site 300 hazardous-waste-assessment project. Interim report: December 1981. Preliminary site reconnaissance and project work plan

    International Nuclear Information System (INIS)

    Raber, E.; Helm, D.; Carpenter, D.; Peifer, D.; Sweeney, J.

    1982-01-01

    This document was prepared to outline the scope and objectives of the Hazardous Waste Assessment Project (HWAP) at Site 300. This project was initiated in October, 1981, to investigate the existing solid waste landfills in an effort to satisfy regulatory guidelines and assess the potential for ground-water contamination. This involves a site-specific investigation (utilizing geology, hydrology, geophysics and geochemistry) with the goal of developing an effective ground-water quality monitoring network. Initial site reconnaissance work has begun and we report the results, to date, of our geologic hydrogeologic studies. All known solid waste disposal locations are underlain by rocks of either the Late Miocene Neroly Formation or the Cierbo Formation, both of which are dominantly sandstones interbedded with shale and claystone. The existence of a regional confined (artesian) aquifer, as well as a regional water-table aquifer is postulated for Site 300. Preliminary analysis has led to an understanding of directions and depths of regional ground-water flow

  13. Rejoinder to commentary on Palmatier and Rovner (2015): credibility assessment: Preliminary Process Theory, the polygraph process, and construct validity.

    Science.gov (United States)

    Palmatier, John J; Rovner, Louis

    2015-01-01

    We briefly review comments submitted in response to the target article in this series (Palmatier & Rovner, 2015) arguing that a scientifically defensible construct for the instrumental assessment of credibility (i.e. polygraph) may be found in Barry's Preliminary Process Theory (PPT). Our review of the relevant scientific literature discovered a growing body of converging evidence, particularly from the neurosciences that focus not only on deception, but more broadly on memory, emotion, and the orienting response (OR), leading to this conclusion. After reviewing the submitted comments, we are further convinced, especially as applied scientists, that at this time the most viable direction forward is in the context of the PPT. Concurrently, we candidly acknowledge that research must be conducted to address not only commentator concerns but, if warranted, modification of existing theory. Although disagreement continues to exist regarding the order in which questions are asked, the most significant finding, is perhaps that not a single commentator argues against this growing, and vital applied science (i.e., the instrumental assessment of credibility - polygraph). Copyright © 2014 Elsevier B.V. All rights reserved.

  14. Ultrastructural and histopathologic findings after pars plana vitrectomy with a new hypersonic vitrector system. Qualitative preliminary assessment.

    Directory of Open Access Journals (Sweden)

    Salvador Pastor-Idoate

    Full Text Available Preliminary assessment of a new prototype ultrasound-based hypersonic vitrector (HV by qualitatively examining the histopathological changes in the retina and vitreous body after pars plana vitrectomy (PPV and its ability to fragment vitreous collagen.Fourteen porcine cadaveric eyes, 20 eyes in live swine and six human cadaveric eyes underwent PPV using the HV or a pneumatic guillotine vitrector (GV. An additional 4 porcine crystalline lenses were touched with either the HV or GV for 1 minute. Following PPV, human vitreous was removed and processed for electron microscopy (EM. Eyes and lenses were fixed and sectioned for light microscopy (LM.There were no macroscopic retinal or optic nerve defects associated with either HV or GV PPVs. Cadaveric retinal specimens showed separation of the inner limiting membrane (ILM and vacuolization and fragmentation at the nerve fiber layer (NFL and the ganglion cell layer (GCL. ILM fragmentation and separation were found after PPV in live swine with both vitrectors. Small disruptions of the posterior capsule or structural lens defects were found after HV touch. The EM analysis revealed more fragmentation of human vitreous collagen fibrils after HV compared to GV PPV.LM and EM analysis of retina, vitreous, and crystalline lens after PPV showed similar morphological changes using the HV or the GV. Vitreous fragmentation appeared more effective with the HV. Overall this study suggests that the HV may be a promising new technology. More work is needed to quantitatively assess its safety and efficacy.

  15. Longitudinal diffusion MRI for treatment response assessment: Preliminary experience using an MRI-guided tri-cobalt 60 radiotherapy system.

    Science.gov (United States)

    Yang, Yingli; Cao, Minsong; Sheng, Ke; Gao, Yu; Chen, Allen; Kamrava, Mitch; Lee, Percy; Agazaryan, Nzhde; Lamb, James; Thomas, David; Low, Daniel; Hu, Peng

    2016-03-01

    To demonstrate the preliminary feasibility of a longitudinal diffusion magnetic resonance imaging (MRI) strategy for assessing patient response to radiotherapy at 0.35 T using an MRI-guided radiotherapy system (ViewRay). Six patients (three head and neck cancer, three sarcoma) who underwent fractionated radiotherapy were enrolled in this study. A 2D multislice spin echo single-shot echo planar imaging diffusion pulse sequence was implemented on the ViewRay system and tested in phantom studies. The same pulse sequence was used to acquire longitudinal diffusion data (every 2-5 fractions) on the six patients throughout the entire course of radiotherapy. The reproducibility of the apparent diffusion coefficient (ADC) measurements was assessed using reference regions and the temporal variations of the tumor ADC values were evaluated. In diffusion phantom studies, the ADC values measured on the ViewRay system matched well with reference ADC values with ViewRay MRI. Larger patient cohort studies are warranted to correlate the longitudinal diffusion measurements to patient outcomes. Such an approach may enable response-guided adaptive radiotherapy.

  16. Preliminary assessment of the ecological risks to wide-ranging wildlife species on the Oak Ridge Reservation. 1996 update

    Energy Technology Data Exchange (ETDEWEB)

    Sample, B.E.; Hinzman, R.L.; Jackson, B.L.; Baron, L.

    1996-09-01

    More than approximately 50 years of operations, storage, and disposal of wastes generated by the three facilities on the Oak Ridge Reservation (ORR) (the Oak Ridge K-25 Site, Oak Ridge National Laboratory, and the Oak Ridge Y-12 Plant) has resulted in a mosaic of uncontaminated property and lands that are contaminated to varying degrees. This contaminated property includes source areas and the terrestrial and aquatic habitats down gradient from these source areas. Although the integrator OUs generally contain considerable habitat for biota, the source OUs provide little or no suitable habitat. Historically, ecological risk assessment at Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) sites has focused on species that may be definitively associated with a contaminated area or source OU. Endpoints considered in source OUs include plants, soil/litter invertebrates and processes, aquatic biota found in on-OU sediments and surface waters, and small herbivorous, omnivorous, and vermivorous (i.e., feeding on ground, litter, or soil invertebrates) wildlife. All of these endpoints have limited spatial distributions or home ranges such that numerous individuals or a distinct population can be expected to reside within the boundaries of the source OU. Most analyses are not adequate for large sites with multiple, spatially separated contaminated areas such as the ORR that provide habitat for wide-ranging wildlife species. This report is a preliminary response to a plan for assessing risks to wide-ranging species.

  17. Sleep-Related Disorders in Children with Attention-Deficit Hyperactivity Disorder: Preliminary Results of a Full Sleep Assessment Study.

    Science.gov (United States)

    Miano, Silvia; Esposito, Maria; Foderaro, Giuseppe; Ramelli, Gian Paolo; Pezzoli, Valdo; Manconi, Mauro

    2016-11-01

    We present the preliminary results of a prospective case-control sleep study in children with a diagnosis of attention-deficit hyperactivity disorder (ADHD). A deep sleep assessment including sleep questionnaires, sleep habits, a video-polysomnographic recording with full high-density electroencephalography (EEG) and cardiorespiratory polygraphy, multiple sleep latency test, and 1-week actigraphic recording were performed to verify whether children with ADHD may be classified into one of the following five phenotypes: (1) hypoarousal state, resembling narcolepsy, which may be considered a "primary" form of ADHD; (2) delayed sleep onset insomnia; (3) sleep-disordered breathing; (4) restless legs syndrome and/or periodic limb movements; and (5) sleep epilepsy and/or EEG interictal epileptiform discharges. Fifteen consecutive outpatients with ADHD were recruited (two female, mean age 10.6 ± 2.2, age range 8-13.7 years) over 6 months. The narcolepsy-like sleep phenotype was observed in three children, the sleep onset insomnia phenotype was observed in one child, mild obstructive sleep apnea was observed in three children, sleep hyperkinesia and/or PLMs were observed in five children, while IEDs and or nocturnal epilepsy were observed in three children. Depending on the sleep phenotype, children received melatonin, iron supplementation, antiepileptic drugs, or stimulants. Our study further highlights the need to design an efficient sleep diagnostic algorithm for children with ADHD, thereby more accurately identifying cases in which a full sleep assessment is indicated. © 2016 John Wiley & Sons Ltd.

  18. Preliminary Assessment of Radiofrequency Radiation Exposure Level, From Mobile Base Stations in Ajaokuta and Environs, Kogi State, Nigeria

    International Nuclear Information System (INIS)

    Ushie, P. O.; Nwankwo, U.J.V.; Osahun, O. D.; Ayinmode, B.

    2013-01-01

    We present the result of a preliminary assessment of radio-frequency radiation exposure from selected mobile base stations in Ajaokuta environs using radio frequency (RF) meter (electromoge meter). The Power density of RF radiation within a radial distance of 125m was measured. Although values fluctuated due to the influence of unavoidable factors suspected to be interferences from other electromagnetic sources around reference base stations, we show from analysis that radiation exposure level is far below the standard limit (10W/cm 2 or 10 7 μW/m 2 ) set by the International Commission on Non-ionizing Radiation Protection (ICNIRP) regulatory agencies. The assessment was done in about ten (10) base stations in Ajaokuta, Kogi state. The position and elevation of the base stations were noted using a global positioning system (GPS) to ascertain the position of such stations on the world map. It was discovered that the limit of exposure to radio frequency radiation set by International Commission on Non-ionizing, Radiation Protection (ICNIRP) of 900MHz band expressed in the same unit as 10W/cm 2 or 10 7 μW/m 2 was not exceeded, the values were also influenced by some inevitable factors. Positions of most of the stations are sited close to homes.

  19. Preliminary assessment of the ecological risks to wide-ranging wildlife species on the Oak Ridge Reservation. 1996 update

    International Nuclear Information System (INIS)

    Sample, B.E.; Hinzman, R.L.; Jackson, B.L.; Baron, L.

    1996-09-01

    More than approximately 50 years of operations, storage, and disposal of wastes generated by the three facilities on the Oak Ridge Reservation (ORR) (the Oak Ridge K-25 Site, Oak Ridge National Laboratory, and the Oak Ridge Y-12 Plant) has resulted in a mosaic of uncontaminated property and lands that are contaminated to varying degrees. This contaminated property includes source areas and the terrestrial and aquatic habitats down gradient from these source areas. Although the integrator OUs generally contain considerable habitat for biota, the source OUs provide little or no suitable habitat. Historically, ecological risk assessment at Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) sites has focused on species that may be definitively associated with a contaminated area or source OU. Endpoints considered in source OUs include plants, soil/litter invertebrates and processes, aquatic biota found in on-OU sediments and surface waters, and small herbivorous, omnivorous, and vermivorous (i.e., feeding on ground, litter, or soil invertebrates) wildlife. All of these endpoints have limited spatial distributions or home ranges such that numerous individuals or a distinct population can be expected to reside within the boundaries of the source OU. Most analyses are not adequate for large sites with multiple, spatially separated contaminated areas such as the ORR that provide habitat for wide-ranging wildlife species. This report is a preliminary response to a plan for assessing risks to wide-ranging species

  20. West Texas geothermal resource assessment. Part II. Preliminary utilization assessment of the Trans-Pecos geothermal resource. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Gilliland, M.W.; Fenner, L.B.

    1980-01-01

    The utilization potential of geothermal resources in Trans-Pecos, Texas was assessed. The potential for both direct use and electric power generation were examined. As with the resource assessment work, the focus was on the Hueco Tanks area in northeastern El Paso County and the Presidio Bolson area in Presidio County. Suitable users of the Hueco Tanks and Presidio Bolson resource areas were identified by matching postulated temperature characteristics of the geothermal resource to the need characteristics of existing users in each resource area. The amount of geothermal energy required and the amount of fossil fuel that geothermal energy would replace were calculated for each of the users identified as suitable. Current data indicate that temperatures in the Hueco Tanks resource area are not high enough for electric power generation, but in at least part of the Presidio Bolson resource area, they may be high enough for electric power generation.

  1. A Person-Centered Approach to Financial Capacity Assessment: Preliminary Development of a New Rating Scale.

    Science.gov (United States)

    Lichtenberg, Peter A; Stoltman, Jonathan; Ficker, Lisa J; Iris, Madelyn; Mast, Benjamin

    2015-01-01

    Financial exploitation and financial capacity issues often overlap when a gerontologist assesses whether an older adult's financial decision is an autonomous, capable choice. Our goal is to describe a new conceptual model for assessing financial decisions using principles of person-centered approaches and to introduce a new instrument, the Lichtenberg Financial Decision Rating Scale (LFDRS). We created a conceptual model, convened meetings of experts from various disciplines to critique the model and provide input on content and structure, and select final items. We then videotaped administration of the LFDRS to five older adults and had 10 experts provide independent ratings. The LFDRS demonstrated good to excellent inter-rater agreement. The LFDRS is a new tool that allows gerontologists to systematically gather information about a specific financial decision and the decisional abilities in question.

  2. Preliminary Assessment of Operational Hazards and Safety Requirements for Airborne Trajectory Management (ABTM) Roadmap Applications

    Science.gov (United States)

    Cotton, William B.; Hilb, Robert; Koczo, Stefan, Jr.; Wing, David J.

    2016-01-01

    A set of five developmental steps building from the NASA TASAR (Traffic Aware Strategic Aircrew Requests) concept are described, each providing incrementally more efficiency and capacity benefits to airspace system users and service providers, culminating in a Full Airborne Trajectory Management capability. For each of these steps, the incremental Operational Hazards and Safety Requirements are identified for later use in future formal safety assessments intended to lead to certification and operational approval of the equipment and the associated procedures. Two established safety assessment methodologies that are compliant with the FAA's Safety Management System were used leading to Failure Effects Classifications (FEC) for each of the steps. The most likely FEC for the first three steps, Basic TASAR, Digital TASAR, and 4D TASAR, is "No effect". For step four, Strategic Airborne Trajectory Management, the likely FEC is "Minor". For Full Airborne Trajectory Management (Step 5), the most likely FEC is "Major".

  3. PRELIMINARY ASSESSMENT OF THE LOW-TEMPERATURE WASTE FORM TECHNOLOGY COUPLED WITH TECHNETIUM REMOVAL

    Energy Technology Data Exchange (ETDEWEB)

    Fox, K.

    2014-05-13

    The U.S. Department of Energy Office of Environmental Management (EM) is engaging the national laboratories to provide the scientific and technological rigor to support EM program and project planning, technology development and deployment, project execution, and assessment of program outcomes. As an early demonstration of this new responsibility, Pacific Northwest National Laboratory (PNNL) and Savannah River National Laboratory (SRNL) have been chartered to implement a science and technology program addressing low-temperature waste forms for immobilization of DOE aqueous waste streams, including technetium removal as an implementing technology. As a first step, the laboratories examined the technical risks and uncertainties associated with the Cast Stone waste immobilization projects at Hanford. Science and technology needs were identified for work associated with 1) conducting performance assessments and risk assessments of waste form and disposal system performance, and 2) technetium chemistry in tank wastes and separations of technetium from waste processing streams. Technical approaches to address the science and technology needs were identified and an initial sequencing priority was suggested. The following table summarizes the most significant science and technology needs and associated approaches to address those needs. These approaches and priorities will be further refined and developed as strong integrated teams of researchers from national laboratories, contractors, industry, and academia are brought together to provide the best science and technology solutions. Implementation of a science and technology program that addresses these needs by pursuing the identified approaches will have immediate benefits to DOE in reducing risks and uncertainties associated with near-term decisions regarding supplemental immobilization at Hanford. Longer term, the work has the potential for cost savings and for providing a strong technical foundation for future

  4. Evaluation of the Effectiveness of Machine-based Situation Assessment - Preliminary Work

    Science.gov (United States)

    2008-08-01

    consumers . 5. In nature, food webs can be described using networks. 6. An organisation is a network of people. 7. In the social domain there are...examine 6 DSTO-TN-0836 the linguistic affinity between concepts [16, 14, 17]. For example, if Concept A is drink and Concept B is beverage , they...of convergence behaviour they exhibit. A further extension to the methodology described above for comparing the situation assessment with the

  5. Assessment of disease activity in juvenile idiopathic arthritis. The number and the size of joints matter

    DEFF Research Database (Denmark)

    Berntson, Lillemor; Wernroth, Lisa; Fasth, Anders

    2007-01-01

    Variables for assessment of disease activity of juvenile idiopathic arthritis (JIA) were studied, in order to develop a disease activity score for children with JIA.......Variables for assessment of disease activity of juvenile idiopathic arthritis (JIA) were studied, in order to develop a disease activity score for children with JIA....

  6. Preliminary assessment of alternative dry storage methods for the storage of commercial spent nuclear fuel

    International Nuclear Information System (INIS)

    1981-11-01

    This report presents the results of an assessment of the (1) state of technology, (2) licensability, (3) implementation schedule, and (4) costs of alternative dry methods for storage of spent fuel at a reactor location when used to supplement reactor pool storage facilities. The methods of storage that were considered included storage in casks, drywells, concrete silos and air-cooled vaults. The impact of disassembly of spent fuel and storage of consolidated fuel rods was also determined. The economic assessments were made based on the current projected storage requirements of Virginia Electric and Power Company's Surry Station for the period 1985 to 2009, which has two operating pressurized water reactors (824 MWe each). It was estimated that the unit cost for storage of spent fuel in casks would amount to $117/kgU and that such costs for storage in drywells would amount to $137/kgU. However, based on the overall assessment it was concluded both storage methods were equal in merit. Modular methods of storage were generally found to be more economic than those requiring all or most of the facilities to be constructed prior to commencement of storage operations

  7. Preliminary neutronic assessment for ATF (Accident Tolerant Fuel) based on iron alloy

    International Nuclear Information System (INIS)

    Abe, Alfredo; Carluccio, Thiago; Piovezan, Pamela; Giovedi, Claudia; Martins, Marcelo R.

    2015-01-01

    After Fukushima Daiichi nuclear accident in 2011, the nuclear fuel performance under accident condition became a very important issue and currently different research and development program are in progress toward to reliability and withstand under accident condition. These initiatives are known as ATF (Accident Tolerant Fuel) R and D program, which many countries with different research institutes, fuel vendors and others are nowadays involved. Accident Tolerant Fuel (ATF) can be defined as enhanced fuel which can tolerate loss of active cooling system capability for a considerably longer time period and the fuel/cladding system can be maintained without significant degradation and can also improve the fuel performance during normal operations and transients, as well as design-basis accident (DBA) and beyond design-basis (BDBA) accident. Different materials have being proposed as fuel cladding candidates considering thermo-mechanical properties and lower reaction kinetic with steam and slower hydrogen production. The aim of this work is to perform a neutronic assessment for several cladding candidates based on iron alloy considering a standard PWR fuel rod (fuel pellet and dimension). The purpose of the assessment is to address different parameters that might contribute for possible neutronic reactivity gain in order to overcome the penalty due to increase of neutron absorption in the cladding materials. All the neutronic assessment is performed using MCNP, Monte Carlo code. (author)

  8. 'Choosing shoes': a preliminary study into the challenges facing clinicians in assessing footwear for rheumatoid patients

    Science.gov (United States)

    2010-01-01

    Background Footwear has been accepted as a therapeutic intervention for the foot affected by rheumatoid arthritis (RA). Evidence relating to the objective assessment of footwear in patients with RA is limited. The aims of this study were to identify current footwear styles, footwear characteristics, and factors that influence footwear choice experienced by patients with RA. Methods Eighty patients with RA were recruited from rheumatology clinics during the summer months. Clinical characteristics, global function, and foot impairment and disability measures were recorded. Current footwear, footwear characteristics and the factors associated with choice of footwear were identified. Suitability of footwear was recorded using pre-determined criteria for assessing footwear type, based on a previous study of foot pain. Results The patients had longstanding RA with moderate-to severe disability and impairment. The foot and ankle assessment demonstrated a low-arch profile with both forefoot and rearfoot structural deformities. Over 50% of shoes worn by patients were open-type footwear. More than 70% of patients' footwear was defined as being poor. Poor footwear characteristics such as heel rigidity and sole hardness were observed. Patients reported comfort (17%) and fit (14%) as important factors in choosing their own footwear. Only five percent (5%) of patients wore therapeutic footwear. Conclusions The majority of patients with RA wear footwear that has been previously described as poor. Future work needs to aim to define and justify the specific features of footwear that may be of benefit to foot health for people with RA. PMID:20959016

  9. Assessment of Behavioural Markers of Autonoetic Consciousness during Episodic Autobiographical Memory Retrieval: A Preliminary Analysis

    Directory of Open Access Journals (Sweden)

    M. Irish

    2008-01-01

    Full Text Available There is ongoing theoretical debate regarding episodic memory and how it can be accurately measured, in particular if the focus should be content-based recall of episodic details or something more experiential involving the subjective capacity to mentally travel back in time and “re-live” aspects of the original event. The autonoetic subscale of the Episodic Autobiographical Memory Interview (EAMI is presented here as a new test instrument that attempts to redress theoretical and methodological shortcomings in autobiographical memory assessment. The EAMI merges a phenomenological detail-based approach with an assessment of autonoetic consciousness, departing considerably from traditional Remember/Know paradigms used within this field. We present findings from an initial pilot study investigating the potential markers of autonoetic consciousness that may accompany episodic retrieval. Key behavioural indices of autonoetic consciousness, notably those of viewer perspective, visual imagery, and emotional re-experiencing, emerged as being inextricably bound with the level of phenomenological detail recalled and the overall re-living judgment. The autonoetic subscale of the EAMI permits conceptually refined assessment of episodic personal memories and the accompanying subjective experience of mental re-living, characteristic of episodic memory.

  10. Preliminary environmental impact assessment for the final disposal of vanadium hazardous wastes

    International Nuclear Information System (INIS)

    Leyva Bombuse, D.; Peralta, J.L.; Gil Castillo, R.

    2006-01-01

    The aim of the present paper is the environmental impact assessment for the final management of vanadium wastes. The assessed practice is proposed as a final solution for a real problem in Cuba, related with the combustion fossil fuel burn in the electric generation. The study case, embrace the interim storage of hazardous wastes with high vanadium contents (5.08 T) and other heavy metals traces (Cr, Zn). According to the Cuban conditions (tacking into account the environmental regulations and infrastructure lack for the hazardous wastes disposal), it was decided the terrestrial dilution as a final disposal way. The environmental impact assessment methodology used, take into account, in the analyzed management practice, the actions, factors and environmental impacts. The positives and more relevant impacts were obtained for the socioeconomic means. The negative and irrelevant impacts were associated to the biotic and abiotic means. Socioeconomic factors were the most affected and the biotic and abiotic factors were less affected. The waste handling was the most relevant environmental action. According to the evaluated conditions, the obtained results showed that is feasible the terrestrial dilution as a sustainability way for the final disposal of vanadium hazardous wastes

  11. The Brief Early Childhood Screening Assessment: Preliminary Validity in Pediatric Primary Care.

    Science.gov (United States)

    Fallucco, Elise M; Wysocki, Tim; James, Lauren; Kozikowski, Chelsea; Williams, Andre; Gleason, Mary M

    Brief, well-validated instruments are needed to facilitate screening for early childhood behavioral and emotional problems (BEPs). The objectives of this study were to empirically reduce the length of the Early Childhood Screening Assessment (ECSA) and to assess the validity and reliability of this shorter tool. Using caregiver ECSA responses for 2467 children aged 36 to 60 months seen in primary care, individual ECSA items were ranked on a scale ranging from "absolutely retain" to "absolutely delete." Items were deleted sequentially beginning with "absolutely delete" and going up the item prioritization list, resulting in 35 shorter versions of the ECSA. A separate primary care sample (n = 69) of mothers of children aged 18 to 60 months was used to determine the sensitivity and specificity of each shorter ECSA version using psychiatric diagnosis on the Diagnostic Infant and Preschool Assessment as the gold standard. The version with the optimal balance of sensitivity, specificity, and length was selected as the Brief ECSA. Associations between Brief ECSA scores and other pertinent measures were evaluated to estimate reliability and validity. A 22-item measure reflected the best combination of brevity, sensitivity and specificity. A cutoff score of 9 or higher on the 22-item Brief ECSA demonstrated acceptable sensitivity (89%) and specificity (85%) for predicting a psychiatric diagnosis. Brief ECSA scores correlated significantly and in expected directions with scores on pertinent measures and with demographic variables. The results indicate that the Brief ECSA has sound psychometric properties for identifying young children with BEPs in primary care.

  12. Preliminary assessment for dust contamination of ITER In-Vessel Transporter

    Energy Technology Data Exchange (ETDEWEB)

    Saito, Makiko, E-mail: saito.makiko@jaea.go.jp [Japan Atomic Energy Agency, Fusion Research and Development Directorate, Naka, Ibaraki-ken 311-0193 (Japan); Ueno, Kenichi; Maruyama, Takahito; Murakami, Shin; Takeda, Nobukazu; Kakudate, Satoshi [Japan Atomic Energy Agency, Fusion Research and Development Directorate, Naka, Ibaraki-ken 311-0193 (Japan); Nakahira, Masataka; Tesini, Alessandro [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul Lez Durance (France)

    2014-10-15

    Highlights: •To assess the exposure to the maintenance workers, we calculated the effective dose rate. •To reduce the effective dose rate, the IVT was decontaminated and underwent a design change. •The effective dose rate at each maintenance point was also calculated. -- Abstract: After plasma operations of ITER, radioactive dust will have accumulated in the vacuum vessel (VV). The In-Vessel Transporter (IVT) will be introduced into the VV to remove the shield blanket modules for maintenance or replacement and later reinstall them. The IVT itself also needs to undergo regular maintenance in the Hot Cell Facility (HCF). It is assumed that maintenance workers will be exposed to radioactive dust that has adhered to the surfaces of the IVT. In this study, the areas of the IVT that may be contaminated by dust are evaluated to assess the level of exposure to workers during maintenance work in the HCF. Decontamination processes for the IVT, such as a combination of vacuuming and brushing, were investigated and the dose rate after these processes was evaluated. Even though dust was removed from surfaces where decontamination was possible, the dose rate was very high at some assessment points. To decrease the dose rate in accordance with ALARA policy, a decontamination plan and a maintenance plan, which includes the removal of dust, a radiation shield system, and a reduction in working time are proposed.

  13. Bilateral mammographic density asymmetry and breast cancer risk: A preliminary assessment

    International Nuclear Information System (INIS)

    Zheng, Bin; Sumkin, Jules H.; Zuley, Margarita L.; Wang, Xingwei; Klym, Amy H.; Gur, David

    2012-01-01

    To improve efficacy of breast cancer screening and prevention programs, it requires a risk assessment model with high discriminatory power. This study aimed to assess classification performance of using computed bilateral mammographic density asymmetry to predict risk of individual women developing breast cancer in near-term. The database includes 451 cases with multiple screening mammography examinations. The first (baseline) examinations of all case were interpreted negative. In the next sequential examinations, 187 cases developed cancer or surgically excised high-risk lesions, 155 remained negative (not-recalled), and 109 were recalled benign cases. From each of two bilateral cranio-caudal view images acquired from the baseline examination, we computed two features of average pixel value and local pixel value fluctuation. We then computed mean and difference of each feature computed from two images. When applying the computed features and other two risk factors (woman's age and subjectively rated mammographic density) to predict risk of cancer development, areas under receiver operating characteristic curves (AUC) were computed to evaluate the discriminatory/classification performance. The AUCs are 0.633 ± 0.030, 0.535 ± 0.036, 0.567 ± 0.031, and 0.719 ± 0.027 when using woman's age, subjectively rated, computed mean and asymmetry of mammographic density, to classify between two groups of cancer-verified and negative cases, respectively. When using an equal-weighted fusion method to combine woman's age and computed density asymmetry, AUC increased to 0.761 ± 0.025 (p < 0.05). The study demonstrated that bilateral mammographic density asymmetry could be a significantly stronger risk factor associated to the risk of women developing breast cancer in near-term than woman's age and assessed mean mammographic density.

  14. Bilateral mammographic density asymmetry and breast cancer risk: A preliminary assessment

    Energy Technology Data Exchange (ETDEWEB)

    Zheng, Bin, E-mail: zhengb@upmc.edu [Department of Radiology, University of Pittsburgh, 3362 Fifth Ave, Pittsburgh, PA 15213 (United States); Sumkin, Jules H., E-mail: jsumkin@mail.magee.edu [Department of Radiology, Magee Womens Hospital, 300 Halket Street, Pittsburgh, PA 15213 (United States); Zuley, Margarita L., E-mail: zuleyml@upmc.edu [Department of Radiology, Magee Womens Hospital, 300 Halket Street, Pittsburgh, PA 15213 (United States); Wang, Xingwei, E-mail: wangx6@upmc.edu [Department of Radiology, University of Pittsburgh, 3362 Fifth Ave, Pittsburgh, PA 15213 (United States); Klym, Amy H., E-mail: klymah@upmc.edu [Department of Radiology, University of Pittsburgh, 3362 Fifth Ave, Pittsburgh, PA 15213 (United States); Gur, David, E-mail: gurd@upmc.edu [Department of Radiology, University of Pittsburgh, 3362 Fifth Ave, Pittsburgh, PA 15213 (United States)

    2012-11-15

    To improve efficacy of breast cancer screening and prevention programs, it requires a risk assessment model with high discriminatory power. This study aimed to assess classification performance of using computed bilateral mammographic density asymmetry to predict risk of individual women developing breast cancer in near-term. The database includes 451 cases with multiple screening mammography examinations. The first (baseline) examinations of all case were interpreted negative. In the next sequential examinations, 187 cases developed cancer or surgically excised high-risk lesions, 155 remained negative (not-recalled), and 109 were recalled benign cases. From each of two bilateral cranio-caudal view images acquired from the baseline examination, we computed two features of average pixel value and local pixel value fluctuation. We then computed mean and difference of each feature computed from two images. When applying the computed features and other two risk factors (woman's age and subjectively rated mammographic density) to predict risk of cancer development, areas under receiver operating characteristic curves (AUC) were computed to evaluate the discriminatory/classification performance. The AUCs are 0.633 {+-} 0.030, 0.535 {+-} 0.036, 0.567 {+-} 0.031, and 0.719 {+-} 0.027 when using woman's age, subjectively rated, computed mean and asymmetry of mammographic density, to classify between two groups of cancer-verified and negative cases, respectively. When using an equal-weighted fusion method to combine woman's age and computed density asymmetry, AUC increased to 0.761 {+-} 0.025 (p < 0.05). The study demonstrated that bilateral mammographic density asymmetry could be a significantly stronger risk factor associated to the risk of women developing breast cancer in near-term than woman's age and assessed mean mammographic density.

  15. A preliminary psychometric evaluation of Music in Dementia Assessment Scales (MiDAS)

    DEFF Research Database (Denmark)

    McDermott, Orii; Orgeta, Vasiliki; Ridder, Hanne Mette Ochsner

    2014-01-01

    despite the small sample size. Future research with a larger sample size could provide a more in-depth psychometric evaluation, including further exploration of the underlying factors. MiDAS provides a measure of engagement with musical experience and offers insight into who is likely to benefit on other......Background: Music in Dementia Assessment Scales (MiDAS), an observational outcome measure for music therapy with people with moderate to severe dementia, was developed from qualitative data of focus groups and interviews. Expert and peer consultations were conducted at each stage of the scale...

  16. Modeling and preliminary assessment of crude oil contaminated soil in Ogoni (Nigeria)

    Energy Technology Data Exchange (ETDEWEB)

    Thiergaertner, Hannes [Free Univ. Berlin (Germany). Faculty of Geosciences; Holtzmann, Kay

    2014-07-01

    In 2010, a severe contamination of soil and groundwater caused by the production and transportation of crude oil were detected in the Ogoni area, Federal Republic of Nigeria. A linear correlation between aliphatics and aromatics and the missing link between the degree of contamination and the depth of the soil samples indicate incomplete earlier remediation activities. 665 analyzed samples were mathematically reduced to 28 contamination patterns that can be distinguished by type and degree of pollution, environmentally assessed and visualized by a quasi 3-D model. Case studies taken from the Local Government Areas Eleme, Gokana, Khana, and Tai show the methodology and results.

  17. A Preliminary Assessment of the SURF Reactive Burn Model Implementation in FLAG

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Carl Edward [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); McCombe, Ryan Patrick [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Carver, Kyle [United States Air Force, Washington, DC (United States)

    2017-09-18

    Properly validated and calibrated reactive burn models (RBM) can be useful engineering tools for assessing high explosive performance and safety. Experiments with high explosives are expensive. Inexpensive RBM calculations are increasingly relied on for predictive analysis for performance and safety. This report discusses the validation of Menikoff and Shaw’s SURF reactive burn model, which has recently been implemented in the FLAG code. The LANL Gapstick experiment is discussed as is its’ utility in reactive burn model validation. Data obtained from pRad for the LT-63 series is also presented along with FLAG simulations using SURF for both PBX 9501 and PBX 9502. Calibration parameters for both explosives are presented.

  18. Gastric Emptying Assessment in Frequency and Time Domain Using Bio-impedance: Preliminary Results

    Science.gov (United States)

    Huerta-Franco, R.; Vargas-Luna, M.; Hernández, E.; Córdova, T.; Sosa, M.; Gutiérrez, G.; Reyes, P.; Mendiola, C.

    2006-09-01

    The impedance assessment to measure gastric emptying and in general gastric activity has been reported since 1985. The physiological interpretation of these measurements, is still under research. This technique usually uses a single frequency, and the conductivity parameter. The frequency domain and the Fourier analysis of the time domain behavior of the gastric impedance in different gastric conditions (fasting state, and after food administration) has not been explored in detail. This work presents some insights of the potentiality of these alternative methodologies to measure gastric activity.

  19. Exponential Decay Nonlinear Regression Analysis of Patient Survival Curves: Preliminary Assessment in Non-Small Cell Lung Cancer

    Science.gov (United States)

    Stewart, David J.; Behrens, Carmen; Roth, Jack; Wistuba, Ignacio I.

    2010-01-01

    Background For processes that follow first order kinetics, exponential decay nonlinear regression analysis (EDNRA) may delineate curve characteristics and suggest processes affecting curve shape. We conducted a preliminary feasibility assessment of EDNRA of patient survival curves. Methods EDNRA was performed on Kaplan-Meier overall survival (OS) and time-to-relapse (TTR) curves for 323 patients with resected NSCLC and on OS and progression-free survival (PFS) curves from selected publications. Results and Conclusions In our resected patients, TTR curves were triphasic with a “cured” fraction of 60.7% (half-life [t1/2] >100,000 months), a rapidly-relapsing group (7.4%, t1/2=5.9 months) and a slowly-relapsing group (31.9%, t1/2=23.6 months). OS was uniphasic (t1/2=74.3 months), suggesting an impact of co-morbidities; hence, tumor molecular characteristics would more likely predict TTR than OS. Of 172 published curves analyzed, 72 (42%) were uniphasic, 92 (53%) were biphasic, 8 (5%) were triphasic. With first-line chemotherapy in advanced NSCLC, 87.5% of curves from 2-3 drug regimens were uniphasic vs only 20% of those with best supportive care or 1 drug (p<0.001). 54% of curves from 2-3 drug regimens had convex rapid-decay phases vs 0% with fewer agents (p<0.001). Curve convexities suggest that discontinuing chemotherapy after 3-6 cycles “synchronizes” patient progression and death. With postoperative adjuvant chemotherapy, the PFS rapid-decay phase accounted for a smaller proportion of the population than in controls (p=0.02) with no significant difference in rapid-decay t1/2, suggesting adjuvant chemotherapy may move a subpopulation of patients with sensitive tumors from the relapsing group to the cured group, with minimal impact on time to relapse for a larger group of patients with resistant tumors. In untreated patients, the proportion of patients in the rapid-decay phase increased (p=0.04) while rapid-decay t1/2 decreased (p=0.0004) with increasing

  20. The effects of radioiodine therapy on peripheral blood lymphocyte subpopulations in patients with Graves' disease. Preliminary report

    International Nuclear Information System (INIS)

    Turowska, M.D.; Rogowski, F.; Turowski, D.; Wysocka, J.

    2002-01-01

    Treatment of Graves' disease patients with radioactive iodide ( 131 I) is becoming the standard therapy in an increasing group of cases but can induce alterations in immune response, like increasing levels of thyroid autoantibodies, and, in part, exacerbation of ophthalmopathy. The aim of this study was to assess the changes in peripheral blood (PB) lymphocyte subpopulations after 131 I treatment of patients with Graves' disease. The study was carried out in a group of 30 patients with Graves' disease (23 f; 7 m) 49.5±10.0 years of age, 26 with different subjective ocular signs like gritty sensation, increased lacrimation, orbital pain, and exophthalmos. PB lymphocyte subsets were analysed by cytofluorometry, serum concentration of TSH and fT4 were evaluated before and 6 weeks after radioiodine treatment. After 131 I treatment a significant increase in CD3+, CD4+, CD3+HLA-DR+ and a decrease in CD19+ percentages of lymphocyte subsets were found in comparison with the initial evaluation. No significant changes in percentage of CD8+ and NK (CD3-CD16+ CD56+) cells were observed during this study. A significant increase in TSH and a slight decrease in fT4 concentration concentration took place in the 6th week after 131 I application. The patients without subjective improvement of ocular signs during the therapy initially had a percentage of CD3+, CD8+ lymphocytes which was significantly lower compared with those with regression of ocular signs observed after 131 I treatment. The changes in PB lymphocyte subsets caused by 131 I treatment of Graves' disease confirm the involvement of acquired cellular immunity after radiation damage of the thyroid gland. The decreased initial percentage of CD8+ and CD3+ lymphocytes could help make a prediction of ocular symptoms persisting after radioiodine treatment in some patients with ophthalmopathy. (author)

  1. Conceptual overview and preliminary risk assessment of cryogen use in deep underground mine production

    Science.gov (United States)

    Sivret, J.; Millar, D. L.; Lyle, G.

    2017-12-01

    This research conducts a formal risk assessment for cryogenic fueled equipment in underground environments. These include fans, load haul dump units, and trucks. The motivating advantage is zero-emissions production in the subsurface and simultaneous provision of cooling for ultra deep mine workings. The driving force of the engine is the expansion of the reboiled cryogen following flash evaporation using ambient temperature heat. The cold exhaust mixes with warm mine air and cools the latter further. The use of cryogens as ‘fuel’ leads to much increased fuel transport volumes and motivates special considerations for distribution infrastructure and process including: cryogenic storage, distribution, handling, and transfer systems. Detailed specification of parts and equipment, numerical modelling and preparation of design drawings are used to articulate the concept. The conceptual design process reveals new hazards and risks that the mining industry has not yet encountered, which may yet stymie execution. The major unwanted events include the potential for asphyxiation due to oxygen deficient atmospheres, or physical damage to workers due to exposure to sub-cooled liquids and cryogenic gases. The Global Minerals Industry Risk Management (GMIRM) framework incorporates WRAC and Bow-Tie techniques and is used to identify, assess and mitigate risks. These processes operate upon the competing conceptual designs to identify and eliminate high risk options and improve the safety of the lower risk designs.

  2. Development and preliminary assessment of the wall condensation heat transfer models for the SPACE code

    International Nuclear Information System (INIS)

    Park, Hyun Sik; Choi, Ki Yong; Moon, Sang Ki; Kim, Jung Woo; Kim, Kyung Doo

    2009-01-01

    The wall condensation heat transfer models are developed for the SPACE code and are assessed for various condensation conditions. Both default and alternative models were selected through an extensive literature survey. For a pure steam condensation, a maximum value among the Nusselt, Chato, and Shah's correlations is used in order to consider the geometric and turbulent effects. In the presence of non-condensable gases, the Colburn-Hougen's diffusion model was used as a default model and a non-iterative condensation model proposed by No and Park was selected as an alternative model. The wall condensation heat transfer models were assessed preliminarily by using arbitrary test conditions. Both wall condensation models could simulate the heat transfer coefficients and heat fluxes in the vertical, horizontal and turbulent conditions quite reasonably for a pure steam condensation. Both the default and alternative wall condensation models were also verified for the condensation heat transfer coefficient and heat flux in the presence of noncondensable gas. However, some improvements and further detailed verification are necessary for the condensation phenomena in the presence of noncondensable gas

  3. Preliminary Geophysical Survey for Assessing the Geotechnical Conditions and Geohazards at Huaca de La Luna, Peru

    Science.gov (United States)

    Zavala, G. J.; Lopez, S.; Ebinger, C. J.; Pando, M. A.; Lambert, C.; Morales, R.; Uceda, S.; Perucchio, R.; Castaneda, B.; Aguilar, R.

    2014-12-01

    This paper presents results of near surface geophysical tests to help assess the geotechnical conditions of the archaeological complex of Huaca de la Luna located near the coastal city of Trujillo, Peru. This area of Peru has experienced damaging earthquakes and tsunamis in historic time. The huaca complex is a massive adobe temple progressively built by the Moche civilization from 100 AD to 650 AD. The geophysical tests carried out included Ground Penetrating Radar (GPR), magnetic gradiometer, and Multichannel Analysis of Surface Waves (MASW) to help assess geotechnical conditions such as buried cavities and hallways, thickness and elastic properties of sand sediments, and the depth to the underlying granitic bedrock. The tests were performed to help with the investigation of structural damage observed along a massive adobe wall (north façade) which has shown signs of distress including fissures, settlements, and other damage. The geophysical results together with detailed Lidar surveying are being used as part of this investigation and highlight the usefulness of these non-destructive techniques for archaeological and historical sites.

  4. Preliminary assessment of contaminants in the sediment and organisms of the Swartkops Estuary, South Africa.

    Science.gov (United States)

    Nel, L; Strydom, N A; Bouwman, H

    2015-12-30

    Urban estuaries are susceptible to metal and organic pollution, yet most remain understudied in South Africa with respect to the presence, concentrations and distribution of contaminants. Metal and organic chemical concentrations were assessed in sediment and organisms from different trophic levels in the lower reaches of the Swartkops Estuary. Species sampled included Upogebia africana (Malacostraca: Upogebiidae), Gilchristella aestuaria (Clupeidae), Psammogobius knysnaensis (Gobiidae), Mugil cephalus (Mugilidae), Lichia amia (Carangidae), Argyrosomus japonicus (Sciaenidae), Pomadasys commersonnii (Haemulidae) and Larus dominicanus (Avis: Laridae). This study is one of the most comprehensive studies to date assessing pollution levels in a food web in estuaries in South Africa. Due to biomagnification, higher concentrations of Arsenic, Lead, Mercury and Cadmium were found in the juveniles stages of popular angling fishes. High concentrations of Cadmium and Arsenic were recorded in the liver of L. amia, A. japonicus and P. commersonnii which exceed international quality food guidelines. Eggs from the gull, L. dominicanus, showed detectable concentrations of PCBs. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. Preliminary Performance Assessment for the Waste Management Area C at the Hanford Site in Southeast Washington

    International Nuclear Information System (INIS)

    Bergeron, Marcel P.; Singleton, Kristin M.; Eberlein, Susan J.

    2015-01-01

    A performance assessment (PA) of Single-Shell Tank (SST) Waste Management Area C (WMA C) located at the U.S. Department of Energy's (DOE) Hanford Site in southeastern Washington is being conducted to satisfy the requirements of the Hanford Federal Facility Agreement and Consent Order (HFFACO), as well as other Federal requirements and State-approved closure plans and permits. The WMP C PA assesses the fate, transport, and impacts of radionuclides and hazardous chemicals within residual wastes left in tanks and ancillary equipment and facilities in their assumed closed configuration and the subsequent risks to humans into the far future. The part of the PA focused on radiological impacts is being developed to meet the requirements for a closure authorization under DOE Order 435.1 that includes a waste incidental to reprocessing determination for residual wastes remaining in tanks, ancillary equipment, and facilities. An additional part of the PA will evaluate human health and environmental impacts from hazardous chemical inventories in residual wastes remaining in WMA C tanks, ancillary equipment, and facilities needed to meet the requirements for permitted closure under RCRA.

  6. Landscape Diversity as a Screening Tool to Assess Agroecosystems Sustainability; Preliminary Study in Central Italy

    Directory of Open Access Journals (Sweden)

    Francesco Visicchio

    2007-06-01

    Full Text Available Modernization of agricultural activities has strongly modified agricultural landscapes. Intensive agriculture, with the increased use of inorganic fertiliser and density of livestock, affects water quality discharging nutrients such as nitrogen and phosphorus in water bodies. Nutrients in rivers, subsequently, are excellent indicators to assess sustainability/ land-use intensity in agroecosystems. Landscape, however, is a dynamic system and is the product of interaction amongst the natural environment and human activities, including farming which is a main driving force. At present not much has been investigated on the predictive role of landscape on land-use intensity. Aim of this study is to determine if, in Italian agroecosystem, landscape complexity can be related to land-use intensity. Indexes of landscape complexity (i.e. edge density, number of patches, Shannon’s diversity index, Interspersion-Juxtaposition index derived by processing Corine Land Cover data (level IV, 1:25.000 of Lazio Region, were related with landuse intensity (values of compounds of nitrogen and phosphorus and other parameters found in rivers monitored in accordance to European Directives on Waste Water. Results demonstrate that some landscape indexes were related to some environment parameters. Consequently landscape complexity, with further investigation, could be an efficient screening tool, at large scale, to assess water quality and ultimately agroecosystems sustainability in the absence of monitoring stations.

  7. Preliminary study towards the development of copying skill assessment on dyslexic children in Jawi handwriting

    Science.gov (United States)

    Rahim, Kartini Abdul; Kahar, Rosmila Abdul; Khalid, Halimi Mohd.; Salleh, Rohayu Mohd; Hashim, Rathiah

    2015-05-01

    Recognition of Arabic handwritten and its variants such as Farsi (Persian) and Urdu had been receiving considerable attention in recent years. Being contrast to Arabic handwritten, Jawi, as a second method of Malay handwritten, has not been studied yet, but if any, there were a few references on it. The recent transformation in Malaysian education, the Special Education is one of the priorities in the Malaysia Blueprint. One of the special needs quoted in Malaysia education is dyslexia. A dyslexic student is considered as student with learning disability. Concluding a student is truly dyslexia might be incorrect for they were only assessed through Roman alphabet, without considering assessment via Jawi handwriting. A study was conducted on dyslexic students attending a special class for dyslexia in Malay Language to determine whether they are also dyslexia in Jawi handwriting. The focus of the study is to test the copying skills in relation to word reading and writing in Malay Language with and without dyslexia through both characters. A total of 10 dyslexic children and 10 normal children were recruited. In conclusion for future