WorldWideScience

Sample records for preliminary operating procedures

  1. Preliminary Guidelines and Standard Operating Procedure for Drainage and Erosion Control at McMurdo Station

    Science.gov (United States)

    2014-12-01

    NSF National Science Foundation O&M Operations and Maintenance PAH Polycyclic Aromatic Hydrocarbons PLR Division of Polar Programs SOP Standard...merges downstream into WQB. Sub-basin 5 drains the area around the dorm, along the road towards the bay, and below the Wa- ter Treatment Plant . Sub...included heavy metals, polycyclic aromatic hydrocarbons ( PAHs ), total hydrocarbons, and volatile organic compounds. Sources of these contaminants are

  2. Standard Operating Procedure

    Science.gov (United States)

    1997-01-01

    l^m .:#,"■• y’’:>’£l’S ABO GROUP CONFIRMED |[ Rh OF .NEGATIVE UNITS CONFIRMED fe^/w’H’o’^Ä^ ■ •:.■.■:•• •■’ .Tv-v^l^.>’-V.^^V’ir;i-.^K-V.^’vV-i...using 0.02 ml of whole blood diluted with 5.98 ml of Drabkin’s reagent (1:251 dilution). 51 I. Measure the supernatant hemoglobin concentration...34NcUiod fef*ɜ 17-0? STANDARD OPERATING PROCEDURE Red Blood Cells Collected in the CPDA-1 800 ml Primary PVC Plastic Bag Collection System and

  3. Electronic Procedures for Medical Operations

    Science.gov (United States)

    2015-01-01

    Electronic procedures are replacing text-based documents for recording the steps in performing medical operations aboard the International Space Station. S&K Aerospace, LLC, has developed a content-based electronic system-based on the Extensible Markup Language (XML) standard-that separates text from formatting standards and tags items contained in procedures so they can be recognized by other electronic systems. For example, to change a standard format, electronic procedures are changed in a single batch process, and the entire body of procedures will have the new format. Procedures can be quickly searched to determine which are affected by software and hardware changes. Similarly, procedures are easily shared with other electronic systems. The system also enables real-time data capture and automatic bookmarking of current procedure steps. In Phase II of the project, S&K Aerospace developed a Procedure Representation Language (PRL) and tools to support the creation and maintenance of electronic procedures for medical operations. The goal is to develop these tools in such a way that new advances can be inserted easily, leading to an eventual medical decision support system.

  4. Military Publications, Index of Test Operations Procedures

    Science.gov (United States)

    1981-10-01

    checkout equipmerit subtest and an MBGC assembly operacion subtest. Static performance subtests determine accuracy, sensitivity, dead band, drift, cross...opera- tional and functional -erformaice characteristics. Discusses preliminary operacions , facilities, and equipment required. Proviies procedures for

  5. FFTF operations procedures preparation guide. Revision 2

    Energy Technology Data Exchange (ETDEWEB)

    1976-12-01

    The Guide is intended to provide guidelines for the initial preparation of FFTF Operating Procedures. The Procedures Preparation Guide was developed from the plan presented and approved in the FFTF Reactor Plant Procedures Plan, PC-1, Revision 3.

  6. National Ignition Facility (NIF) operations procedures plan

    Energy Technology Data Exchange (ETDEWEB)

    Mantrom, D.

    1998-05-06

    The purpose of this Operations Procedures Plan is to establish a standard procedure which outlines how NIF Operations procedures will be developed (i.e , written, edited, reviewed, approved, published, revised) and accessed by the NIF Operations staff who must use procedures in order to accomplish their tasks. In addition, this Plan is designed to provide a guide to the NIF Project staff to assist them in planning and writing procedures. Also, resource and scheduling information is provided.

  7. Electronic Procedures for Medical Operations Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Electronic procedures are currently being used to document the steps in performing medical operations for the Space Shuttle and/or the International Space Station...

  8. Operator use of procedures during simulated emergencies

    Energy Technology Data Exchange (ETDEWEB)

    Roth, E.M.; Mumaw, R.J.; Lewis, P.M.

    1995-04-01

    This paper summarizes the results of an empirical study of nuclear power plant operator performance in cognitively demanding simulated emergencies. During emergencies operators follow highly prescriptive written procedures. The objectives of the study were to understand and document what role higher-level cognitive activities such as diagnosis, or more generally {open_quotes}situation assessment,{close_quotes} play in guiding operator performance, given that operators utilize procedures in responding to the events. The study examined crew performance in variants of two simulated emergencies: (1) an Interfacing System Loss of Coolant Accident and (2) a Loss of Heat Sink scenario. Data on operator performance were collected using training simulators at two plant sites. Up to 11 crews from each plant participated in each of two simulated emergencies for a total of 38 cases analyzed. Crew performance was videotaped and partial transcripts were produced and analyzed. The results revealed a number of instances where higher-level cognitive activities such as situation assessment and response planning enabled operators to handle aspects of the situation that were not fully addressed by the procedures. The paper summarizes these cases and their implications for the development and evaluation of training and control room aids, as well as for human reliability analyses. The full report of the study is published as NUREG/CR-6208.

  9. 49 CFR 193.2503 - Operating procedures.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Operating procedures. 193.2503 Section 193.2503 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY LIQUEFIED NATURAL GAS FACILITIES...

  10. HIPAA: SOP: HIPAA as standard operating procedures.

    Science.gov (United States)

    Kiel, Joan M

    2010-01-01

    Upon the debut of the Health Insurance Portability and Accountability Act (HIPAA), many health care managers felt that the implementation process would be too expensive, arduous, and time-consuming. Now, several years later, it is clear that the way to manage HIPAA is to make it a part of one's standard operating procedures. Using this approach, HIPAA is cost-effective, manageable, and efficient. Health care managers can utilize the step-by-step procedures presented here to efficaciously implement and manage HIPAA.

  11. PRELIMINARY CHAMBER, A NEW INSTITUTION IN THE ROMANIAN PROCEDURE LAW

    Directory of Open Access Journals (Sweden)

    Alexandru MARIAN

    2016-05-01

    Full Text Available The Prosecutor, in charge with the criminal prosecution, informs the Court through the indictment drawn up by him. Given its importance, as Court informing document, the law provides special treatment for its content and form. Both the end of the criminal prosecution and the arraignment, as distinct moments of the procedure, are parts of the criminal prosecution, considered criminal trial phase. The New Criminal Procedure Code introduced this new phase, the preliminary chamber, with the purpose to verify the lawfulness of arraignment. Thus, incorrectly drawn up files are stopped from being presented before the Court.

  12. RTOD-photo operations and procedures manual

    Energy Technology Data Exchange (ETDEWEB)

    1966-03-15

    This document presents a survey of the EG&G NRDS photographic operation in four major sections and includes the work scope, procedures, some technical backgrounding and operational information. Two sections, Instrumentation and Photo Systems, include the areas of direct responsibilities while a section on Film Handling and Coordination and a section covering special information, pertinent to the project, are included to adequately complete this survey. The photographic group is housed in two trailers within the control point area at NRDS and from these trailers provides photographic support at a number of locations. Four camera bunkers, three camera towers, a kinescope system, a microfilm system and remote camera controls comprise the facilities that the group maintains and operates outside these trailers. The work load includes major items such as: motion picture coverage of the nuclear rocket engine tests, data record microfilming, kinescope recording, and documentary coverage of the company related operational responsibilities. In addition, a number of minor photographic services are extended, when required. The nature of the work, because of its importance within the research and development efforts at NRDS, requires optimum quality and efficiency throughout. The many procedures outlined here have been designed to satisfy these requirements.

  13. Standard operating procedure to prepare agar phantoms

    Science.gov (United States)

    Souza, R. M.; Santos, T. Q.; Oliveira, D. P.; Souza, R. M.; Alvarenga, A. V.; Costa-Felix, R. P. B.

    2016-07-01

    Agar phantoms are widely used as soft tissue mimics and some preparation techniques are described in the literature. There are also standards that describe the recipe of a soft tissue mimicking material (TMM). However some details of manufacture process are not clearly defined. The standardization of the phantom's preparation can produce a metrological impact on the results of the acoustic properties measured. In this direction, this paper presents a standard operating procedure (SOP) to prepare the agar TMM described on the IEC 60601-237.

  14. Standard operating procedures for clinical research departments.

    Science.gov (United States)

    Kee, Ashley Nichole

    2011-01-01

    A set of standard operating procedures (SOPs) provides a clinical research department with clear roles, responsibilities, and processes to ensure compliance, accuracy, and timeliness of data. SOPs also serve as a standardized training program for new employees. A practice may have an employee that can assist in the development of SOPs. There are also consultants that specialize in working with a practice to develop and write practice-specific SOPs. Making SOPs a priority will save a practice time and money in the long run and make the research practice more attractive to corporate study sponsors.

  15. 40 CFR 792.81 - Standard operating procedures.

    Science.gov (United States)

    2010-07-01

    ... operating procedures. (a) A testing facility shall have standard operating procedures in writing, setting... in established standard operating procedures shall be properly authorized in writing by management... relative to the laboratory or field procedures being performed. Published literature may be used as a...

  16. 40 CFR 160.81 - Standard operating procedures.

    Science.gov (United States)

    2010-07-01

    .... (a) A testing facility shall have standard operating procedures in writing setting forth study... standard operating procedures shall be properly authorized in writing by management. (b) Standard operating... field procedures being performed. Published literature may be used as a supplement to standard operating...

  17. 46 CFR 130.480 - Test procedure and operations manual.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Test procedure and operations manual. 130.480 Section....480 Test procedure and operations manual. (a) A procedure for tests to be conducted on automated... detailed operations manual that describes the operation and indicates the location of each system...

  18. Automated operator procedure prompting for startup of Experimental Breeder Reactor-2

    Energy Technology Data Exchange (ETDEWEB)

    Renshaw, A.W.; Ball, S.J.; Ford, C.E.

    1990-11-01

    This report describes the development of an operator procedure prompting aid for startup of a nuclear reactor. This operator aid is a preliminary design for a similar aid that eventually will be used with the Advanced Liquid Metal Reactor (ALMR) presently in the design stage. Two approaches were used to develop this operator procedure prompting aid. One method uses an expert system software shell, and the other method uses database software. The preliminary requirements strongly pointed toward features traditionally associated with both database and expert systems software. Database software usually provides data manipulation flexibility and user interface tools, and expert systems tools offer sophisticated data representation and reasoning capabilities. Both methods, including software and associated hardware, are described in this report. Proposals for future enhancements to improve the expert system approach to procedure prompting and for developing other operator aids are also offered. 25 refs., 14 figs.

  19. 21 CFR 120.6 - Sanitation standard operating procedures.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 2 2010-04-01 2010-04-01 false Sanitation standard operating procedures. 120.6... Provisions § 120.6 Sanitation standard operating procedures. (a) Sanitation controls. Each processor shall have and implement a sanitation standard operating procedure (SSOP) that addresses...

  20. Electronic Procedures for Medical Operations Project

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose an alternative to using Microsoft Word for representing medical procedures that will make the procedures easier to construct and maintain, particularly...

  1. Managing Operating Procedures in Distributed Collaborative Projects

    Science.gov (United States)

    Hool, A.; Beuzelin Ollivier, M.-G.; Roubert, F.

    2013-04-01

    In recent years, large distributed collaborative projects have become very prominent in scientific research, allowing exchanges between laboratories located in different institutions and countries and between various domains of competence. Particularly the work on nanotoxicity - a field which has only been under investigation for a few years and is still lacking regulatory framework - highlighted the need for well-controlled methods, as well as rules for the handling and disposal of used materials. To obtain comparable and reproducible results of experiments conducted in a distributed context, the standardisation and proper documentation of the applied methods is crucial. The European project NanoDiaRA, whose aim is to develop nanoparticles and biomarkers for the early diagnosis of inflammatory disease, faces this situation as it involves 15 European partners and brings together different scientific cultures and professional backgrounds. Protocols especially developed for Superparamagnetic Iron Oxide Nanoparticles and a management system were designed and implemented within the NanoDiaRA project to fulfil those needs. The main goals were the establishment of standardised Standard Operating Procedures assuring transparency and reproducibility and the provision of access to these protocols to every project partner, as well as their clear allocation to carry out precise measurements and production steps.

  2. Emergency Support Function 15 Standard Operating Procedures

    Science.gov (United States)

    2013-08-01

    pharmaceutical countermeasures, such as potassium iodide (KI). It also includes advice on long-term measures, such as restriction of food, temporary...procedures, weapon recovery, stabilization and packaging for final disposition) 3.3 Technical support requirements (attribution, weapons effects...controlled monitoring and assessment data to the lead Federal agency involved in the incident response. Once the immediate emergency is stabilized , DOE

  3. Braking, Wheeled Vehicles. Test Operations Procedure (TOP)

    Science.gov (United States)

    2008-05-20

    shields removed, inspect the internal brake components, perform a camshaft rotation test and record the measurement obtained. c. If with non-removable...preceding 24 months, perform a camshaft rotation test and record the measurement. (2) When proof of wheel removal is not provided, remove brake drum(s...adjustment. Reject the vehicle if: • The adjustment is not within the manufacturer’s specifications. 15. Brake Camshafts Procedure: With

  4. Design procedure for optimizing CMOS low noise operational amplifiers

    Institute of Scientific and Technical Information of China (English)

    Li Zhiyuan; Ye Yizheng; Ma Jianguo

    2009-01-01

    This paper presents and experimentally verifies an optimized design procedure for a CMOS low noise operational amplifier.The design procedure focuses on the noise performance,which is the key requirement for low noise operational amplifiers.Based on the noise level and other specifications such as bandwidth,signal swing,slew rate,and power consumption,the device sizes and the biasing conditions are derived.In order to verify the proposed design procedure,a three-stage operational amplifier has been designed.The device parameters obtained from the proposed design procedure closely agree with the simulated results obtained by using HSPICE.

  5. Operator coil monitoring Acceptance Test Procedure

    Energy Technology Data Exchange (ETDEWEB)

    Erhart, M.F.

    1995-05-16

    The readiness of the Data Acquisition and Control System (DACS) to provide monitoring and control of the Programmable Logic Controller (PLC) abort coils from the Master and RSS stations will be systematically tested during performance of this procedure. It should be noted that these are not physical abort coils but software coils controlled by the software`s ladder logic. The readiness of the DACS to properly interface with the ENRAF wire level gauge installed in the SY-101 storage tank will also be tested. During this test, a verification of all abort coil indications will be conducted at the DACS Development Facility in the 306E Building by injecting an input signal for each DACS sensor that has an associated abort coil until the abort coil actuates, and then ensuring that the status of the abort coil indicated at the Master and RSS stations is correct. Each abort coil will also be tested to ensure that the ``ENABLE`` and ``DISABLE`` controls from the Master and RSS stations function correctly, and only with the use of proper passwords.

  6. Vector operations for modelling data-conversion procedures

    Energy Technology Data Exchange (ETDEWEB)

    Rivkin, M.N.

    1992-03-01

    This article presents a set of vector operations that permit effective modelling of operations from extended relational algebra for implementations of variable-construction procedures in data-conversion processors. Vector operations are classified, and test results are given for the ARIUS UP and other popular database management systems for PC`s. 10 refs., 5 figs.

  7. Preliminary Analysis of Helicopter Options to Support Tunisian Counterterrorism Operations

    Science.gov (United States)

    2016-04-27

    results of the current analysis and in Mouton et al., 2015, is the relative cost -effectiveness between the CH-47D and the Mi-17v5. In the previous...helicopters from Sikorsky to fulfill a number of roles in counterterrorism operations. Rising costs and delays in delivery raised the question of...whether other cost -effective options exist to meet Tunisia’s helicopter requirement. Approach Our team conducted a preliminary assessment of

  8. Standard Operating Procedures, MCSP Monarch and Plant Monitoring, 2016

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This record contains the six Standard Operating Procedure (SOP) of the initial survey instructions (ISI) developed and followed for surveys conducted as part of the...

  9. A critical investigation of dangerous goods procedures in logistics operations.

    OpenAIRE

    Wojtczuk, Kamil

    2012-01-01

    University of Nottingham “A critical investigation of dangerous goods procedures in logistics operations.” Kamil Wojtczuk MSc Logistics and Supply Chain Management   “A critical investigation of dangerous goods procedures in logistics operations.” by Kamil Wojtczuk 2011   Summary of dissertation This dissertation comprises five chapters and three appendixes. The dissertation starts with an introduction where all research objectives are placed. In the first...

  10. The operational procedure of an electron beam accelerator

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Byung Cheol; Choi, Hwa Lim; Yang, Ki Ho; Han, Young Hwan; Kim, Sung Chan

    2008-12-15

    The KAERI(Korea Atomic Energy of Research Institute) high-power electron beam irradiation facility, operating at the energies between 0.3 MeV and 10 MeV, has provided irradiation services to users in industries, universities, and institute in various fields. This manual is for the operation of an electron beam which is established in KAERI, and describes elementary operation procedures of electron beam between 0.3 Mev and 10 MeV. KAERI Electron Accelerator facility(Daejeon, Korea) consists of two irradiators: one is a low-energy electron beam irradiator operated by normal conducting RF accelerator, the other is medium-energy irradiator operated by superconducting RF accelerator. We explain the check points of prior to operation, operation procedure of this facility and the essential parts of electron beam accelerator.

  11. Analytical Chemistry Laboratory (ACL) procedure compendium. Volume 7, Safety operation procedure for hot cell

    Energy Technology Data Exchange (ETDEWEB)

    1993-08-01

    This volume contains the interim change notice for the safety operation procedure for hot cell. It covers the master-slave manipulators, dry waste removal, cell transfers, hoists, cask handling, liquid waste system, and physical characterization of fluids.

  12. Examining the Implicit Relational Assessment Procedure: Four Preliminary Studies

    Science.gov (United States)

    Drake, Chad E.; Kellum, Karen Kate; Wilson, Kelly G.; Luoma, Jason B.; Weinstein, Jonathan H.; Adams, Catherine H.

    2010-01-01

    The Implicit Relational Assessment Procedure (IRAP) is a relatively new measure of implicit cognition that tests cognition as relational behavior instead of an associative activity and thus may provide a more specific measure of cognitive repertoires, including those for social biases, than better known implicit measures such as the Implicit…

  13. Environmental Quality Information Analysis Center (EQIAC) operating procedures handbook

    Energy Technology Data Exchange (ETDEWEB)

    Walsh, T.E. (Florida Univ., Gainesville, FL (United States)); Das, S. (Oak Ridge National Lab., TN (United States))

    1992-08-01

    The Operating Procedures Handbook of the Environmental Quality Information Analysis Center (EQIAC) is intended to be kept current as EQIAC develops and evolves. Its purpose is to provide a comprehensive guide to the mission, infrastructure, functions, and operational procedures of EQIAC. The handbook is a training tool for new personnel and a reference manual for existing personnel. The handbook will be distributed throughout EQIAC and maintained in binders containing current dated editions of the individual sections. The handbook will be revised at least annually to reflect the current structure and operational procedures of EQIAC. The EQIAC provides information on environmental issues such as compliance, restoration, and environmental monitoring do the Air Force and DOD contractors.

  14. A simplified procedure of linear regression in a preliminary analysis

    Directory of Open Access Journals (Sweden)

    Silvia Facchinetti

    2013-05-01

    Full Text Available The analysis of a statistical large data-set can be led by the study of a particularly interesting variable Y – regressed – and an explicative variable X, chosen among the remained variables, conjointly observed. The study gives a simplified procedure to obtain the functional link of the variables y=y(x by a partition of the data-set into m subsets, in which the observations are synthesized by location indices (mean or median of X and Y. Polynomial models for y(x of order r are considered to verify the characteristics of the given procedure, in particular we assume r= 1 and 2. The distributions of the parameter estimators are obtained by simulation, when the fitting is done for m= r + 1. Comparisons of the results, in terms of distribution and efficiency, are made with the results obtained by the ordinary least square methods. The study also gives some considerations on the consistency of the estimated parameters obtained by the given procedure.

  15. ARM Operations and Engineering Procedure Mobile Facility Site Startup

    Energy Technology Data Exchange (ETDEWEB)

    Voyles, Jimmy W

    2015-05-01

    This procedure exists to define the key milestones, necessary steps, and process rules required to commission and operate an Atmospheric Radiation Measurement (ARM) Mobile Facility (AMF), with a specific focus toward on-time product delivery to the ARM Data Archive. The overall objective is to have the physical infrastructure, networking and communications, and instrument calibration, grooming, and alignment (CG&A) completed with data products available from the ARM Data Archive by the Operational Start Date milestone.

  16. Posthysterectomy vault prolapse of vaginal walls: Choice of operating procedure

    Directory of Open Access Journals (Sweden)

    Argirović Rajka

    2012-01-01

    Full Text Available Post-hysterectomy vaginal vault prolapse is a common complication following different types of hysterectomy with a negative impact on the woman’s quality of life due to associated urinary, anorectal and sexual dysfunction. A clear understanding of the supporting mechanisms for the uterus and vagina is important in order to make the right choice of the corrective procedure and also to minimize the risk of posthysterectomy occurrence of vault prolapse. Preexisting pelvic floor defect prior to hysterectomy is the single most important risk factor for vault prolapse. Various surgical techniques have been advanced in hysterectomy to prevent vault prolapse. Vaginal vault repair can be carried out abdominally or vaginally. Sacrospinous fixation and abdominal sacrocolpopexy are the commonly performed procedures. The vaginal approach for vault prolapse is superior to the abdominal approach in terms of complication rates, blood loss, postoperative discomfort, length of hospital stay and costeffectiveness. Moreover, it allows the simultaneous repair of all coexistent pelvic floor defects, such as cystocele, enterocele and rectocele. Abdominal sacrocolpopexy is associated with a lower rate of recurrent vault prolapse and dyspareunia than the vaginal sacrospinous colpopexy. Other less commonly performed procedures include uterosacral ligament suspension and illeococcygeal fixation with a high risk of ureteric injury. Surgical mesh of non-absorbent material is gaining in popularity and preliminary data from vaginal mesh procedures is encouraging.

  17. Deep Attack Map Exercise (DAME) Game Rules and Operating Procedures

    Science.gov (United States)

    1983-02-01

    wargame for use in the Close Combat (Heavy) Mission Area Analysis. Using a map board, a set of computer algorithms , and manual rules, the wargame...logistics, and command and control. This report documents the rules, operating procedures, and computer algorithms which were used in the map game. The

  18. 14 CFR 93.71 - General operating procedures.

    Science.gov (United States)

    2010-01-01

    ... of Niagara Falls, New York § 93.71 General operating procedures. (a) Flight restrictions are in effect below 3,500 feet MSL in the airspace above Niagara Falls, New York, west of a line from latitude... orbit of the Niagara Falls area below 3,500 feet MSL over the Niagara River. (d) The minimum...

  19. Surgical site infections in paediatric otolaryngology operative procedures.

    Science.gov (United States)

    Ifeacho, S N; Bajaj, Y; Jephson, C G; Albert, D M

    2012-07-01

    An assessment of the rate of surgical site infections associated with elective paediatric otolaryngology surgical procedures. Prospective data was collected for a 3-week period for all children undergoing surgery where either mucosa or skin was breached. The parents of the children were requested to complete a questionnaire at 30 days after the operation. Data was collected on 80 consecutive cases. The majority of cases were admitted on the day of the procedure. The procedures included adenotonsillectomy (24), grommets (12), cochlear implantation (6), bone-anchored hearing aid (2), submandibular gland excision (1), branchial sinus excision (1), cystic hygroma excision (3), nasal glioma excision (1), microlaryngobronchoscopy (13), tracheostomy (3) and other procedures (14). Nearly half the cases had more than one operation done at the same time. 26/80 (32.5%) patients had a temporary or permanent implant inserted at the time of operation (grommet, bone-anchored hearing aid, cochlear implant). 25/80 (31%) operative fields were classed as clean and 55/80 (68.7%) as clean contaminated operations. The duration of the operation varied from 6 min to 142 min. Hospital antibiotic protocol was adhered to in 69/80 (86.3%) cases but not in 11/80 cases. In our series, 3/80 (3.7%) patients had an infection in the postoperative period. Surgical site infections do occur at an appreciable rate in paediatric otolaryngology. With the potential for serious consequences, reduction in the risk of surgical site infections is important. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  20. Reversal of Hartmann's procedure: a high-risk operation?

    Science.gov (United States)

    Schmelzer, Thomas M; Mostafa, Gamal; Norton, H James; Newcomb, William L; Hope, William W; Lincourt, Amy E; Kercher, Kent W; Kuwada, Timothy S; Gersin, Keith S; Heniford, B Todd

    2007-10-01

    Patients who undergo Hartmann's procedure often do not have their colostomy closed based on the perceived risk of the operation. This study evaluated the outcome of reversal of Hartmann's procedure based on preoperative risk factors. We retrospectively reviewed adult patients who underwent reversal of Hartmann's procedure at our tertiary referral institution. Patient outcomes were compared based on identified risk factors (age >60 years, American Society of Anesthesiologists [ASA] score >2, and >2 preoperative comorbidities). One-hundred thirteen patients were included. Forty-four patients (39%) had an ASA score of >or=3. The mean hospital duration of stay was 6.8 days. There were 28 (25%) postoperative complications and no mortality. Patients >60 years old had significantly longer LOS compared with the rest of the group (P = .02). There were no differences in outcomes between groups based on ASA score or the presence of multiple preoperative comorbidities. An albumin level of <3.5 was the only significant predictor of postoperative complications (P = .04). The reversal of Hartmann's operation appears to be a safe operation with acceptable morbidity rates and can be considered in patients, including those with significant operative risk factors.

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

    Science.gov (United States)

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

    1985-01-01

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

  2. Operative findings in recurrent hernia after a Lichtenstein procedure

    DEFF Research Database (Denmark)

    Bay-Nielsen, M; Nordin, P; Nilsson, E;

    2001-01-01

    at the pubic tubercle. METHODS: A review was made of 87 records from operations for recurrence after a previous Lichtenstein procedure, based upon national and large area data bases, recording 95% (Denmark) and 50% (Sweden) of all inguinal hernia operations. RESULTS: Direct recurrences were found in 62......%, whereas the remaining recurrences were either indirect (17%), femoral (13%), or other/unclassified (8%). CONCLUSION: The most plausible explanation for the development of the direct recurrences is an insufficient medial mesh fixation and overlap over the pubic tubercle. Avoidance of more than half...

  3. Real Interest Rates and Central Bank Operating Procedures

    OpenAIRE

    Matthew B. Canzoneri; Dellas, Harris

    1995-01-01

    In the years following the influential article of Poole (1970), many central banks reoriented their operating procedures to focus more on interest rates and less on monetary aggregates. The rapid restructuring of global financial markets was thought to have led to instability in standard monetary relationships, and Poole's basic insight suggested that a central bank would have better control of the price level if it targeted nominal interest rates instead of monetary aggregates. At the same t...

  4. EDRN Standard Operating Procedures (SOP) — EDRN Public Portal

    Science.gov (United States)

    The NCI’s Early Detection Research Network is developing a number of standard operating procedures for assays, methods, and protocols for collection and processing of biological samples, and other reference materials to assist investigators to conduct experiments in a consistent, reliable manner. These SOPs are established by the investigators of the Early Detection Research Network to maintain constancy throughout the Network. These SOPs represent neither a consensus, nor are the recommendations of NCI.

  5. An operational procedure for rapid flood risk assessment in Europe

    Science.gov (United States)

    Dottori, Francesco; Kalas, Milan; Salamon, Peter; Bianchi, Alessandra; Alfieri, Lorenzo; Feyen, Luc

    2017-07-01

    The development of methods for rapid flood mapping and risk assessment is a key step to increase the usefulness of flood early warning systems and is crucial for effective emergency response and flood impact mitigation. Currently, flood early warning systems rarely include real-time components to assess potential impacts generated by forecasted flood events. To overcome this limitation, this study describes the benchmarking of an operational procedure for rapid flood risk assessment based on predictions issued by the European Flood Awareness System (EFAS). Daily streamflow forecasts produced for major European river networks are translated into event-based flood hazard maps using a large map catalogue derived from high-resolution hydrodynamic simulations. Flood hazard maps are then combined with exposure and vulnerability information, and the impacts of the forecasted flood events are evaluated in terms of flood-prone areas, economic damage and affected population, infrastructures and cities.An extensive testing of the operational procedure has been carried out by analysing the catastrophic floods of May 2014 in Bosnia-Herzegovina, Croatia and Serbia. The reliability of the flood mapping methodology is tested against satellite-based and report-based flood extent data, while modelled estimates of economic damage and affected population are compared against ground-based estimations. Finally, we evaluate the skill of risk estimates derived from EFAS flood forecasts with different lead times and combinations of probabilistic forecasts. Results highlight the potential of the real-time operational procedure in helping emergency response and management.

  6. Treatment of ruptured Achilles tendon: Operative or non-operative procedure?

    Science.gov (United States)

    Cukelj, Fabijan; Bandalovic, Ante; Knezevic, Josip; Pavic, Arsen; Pivalica, Bozen; Bakota, Bore

    2015-11-01

    The aim of this study was to compare the efficiency of non-operative and surgical procedures in the treatment of ruptured Achilles tendon in athletes (professional and amateur). Ninety professional or amateur athletes with rupture of the Achilles tendon were included in the study between 1998 and 2013. The athletes were aged between 25 and 40 years (mean 34.83±4.65). A total of 30 athletes underwent an open procedure, 30 were treated with a percutaneous method and 30 were treated non-operatively. All operated patients were tested one year after the surgical procedure. An isokinetic dynamometer was used to compare the open and percutaneous methods. The results for the patients who were treated using the percutaneous method were 15% better than those for the patients who underwent the open procedure; the results for the group treated conservatively were 20% better than those for the group treated percutaneously. The percutaneous method was easier technically than the open method. Time spent in hospital was 14.5 times shorter with the percutaneous procedure compared with the open procedure (percutaneous procedure: range 0.5-2 days, mean 0.79±0.36; open procedure: range 10-24 days, mean 11.46±2.70; pAchilles tendon in the group treated with the percutaneous procedure. One patient in the group treated with the open procedure had postoperative infection (4.2%). In the non-surgical (conservatively treated) group, there were three reruptures of the Achilles tendon within one year, and one patient developed adhesions that resulted in loss of function and had to undergo an operation. The percutaneous method is the best method of surgical treatment for Achilles tendon rupture. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Failure of Magnetic Fluid Seals Operating in Water: Preliminary Conclusions

    Directory of Open Access Journals (Sweden)

    Matuszewski Leszek

    2017-06-01

    Full Text Available The article analyses properties of magnetic fluid seals installed in rotary sealing nodes which operate in the utility water environment. Seals of this type have been examined as a possible solution to the problem with ship manoeuvring propulsion sealing. The present analysis bases on laboratory durability tests of magnetic fluid seals exposed to longterm utility water loads, at different water pressures and shaft revolutions. The basic seal durability criterion was the number of revolutions made by the sealing node shaft until the appearance of water tightness loss (leakage. It was found that the main factor leading to the wear of the seal is the relative speed of the magnetic fluid with respect to that of the utility water, and this process is heavily affected by the pressure acting on the seal. The reported test results are presented in the form of diagrams showing the seal durability (time until water tightness loss as a function of rotational speed. The curves shown in the diagrams are regular, with two different rotational speed ranges: the highspeed range, when the tightness loss is relatively fast, and the low-speed range, with a clear tendency to prolong the seal lifetime. These diagrams were given the name of durability curves of the MF seal operating in water. The results of the performed tests suggest formal similarity between the experimental data distribution concerning tightness loss processes occurring in magnetic fluid seals operating in water environment and metal fatigue processes. The article proposes a preliminary simplified durability model to describe the examined phenomenon.

  8. Measurement of spatial dose distribution for evaluation operator dose during nero-interventional procedures

    Energy Technology Data Exchange (ETDEWEB)

    Han, Su Chul [Division of Medical Radiation Equipment, Korea Institute of Radiological and Medical Sciences, Seoul (Korea, Republic of); Hong, Dong Hee [Dept. of Radiology Science, Far East University, Eumseong (Korea, Republic of)

    2016-09-15

    The spatial dose distribution was measured with ionization chamber as preliminary study to evaluate operator dose and to study dose reduction during neuro-interventional procedures. The zone of operators was divided into four area (45, 135, 225, and 315 degree).We supposed that operator exist on the four area and indicated location of critical organs(eyes, breast, gonad). The spatial doses were measured depending on distance( 80, 100, 120, and 140 cm) and location of critical organs. The spatial doses of area of 225 degree were 114.5 mR/h (eyes location), 143.1 mR/h (breast location) and 147 mR/h (gonad location) in 80 cm. When changed location of x-ray generator, spatial dose increased in 18.1±10.5%, averagely. We certified spatial dose in the operator locations, Using the results of this study, It is feasible to protect operator from radiation in neuro-interventional procedures.

  9. Loss on Ignition Furnace Acceptance and Operability Test Procedure

    Energy Technology Data Exchange (ETDEWEB)

    JOHNSON, D.C.

    2000-06-01

    The purpose of this Acceptance Test Procedure and Operability Test Procedure (ATP/OTP)is to verify the operability of newly installed LOI equipment, including a model 1608FL CM{trademark} Furnace, a dessicator, and balance. The operability of the furnace will be verified. The arrangement of the equipment placed in Glovebox 157-3/4 to perform Loss on Ignition (LOI) testing on samples supplied from the Thermal Stabilization line will be verified. In addition to verifying proper operation of the furnace, this ATP/OTP will also verify the air flow through the filters, verify a damper setting to establish and maintain the required differential pressure between the glovebox and the room pressure, and test the integrity of the newly installed HEPA filter. In order to provide objective evidence of proper performance of the furnace, the furnace must heat 15 crucibles, mounted on a crucible rack, to 1000 C, according to a program entered into the furnace controller located outside the glovebox. The glovebox differential pressure will be set to provide the 0.5 to 2.0 inches of water (gauge) negative pressure inside the glovebox with an airflow of 100 to 125 cubic feet per minute (cfm) through the inlet filter. The glovebox inlet Glfilter will he flow tested to ensure the integrity of the filter connections and the efficiency of the filter medium. The newly installed windows and glovebox extension, as well as all disturbed joints, will be sonically tested via ultra probe to verify no leaks are present. The procedure for DOS testing of the filter is found in Appendix A.

  10. [Patient safety recommendations for out of operating room procedure sedation].

    Science.gov (United States)

    Arnal Velasco, D; Romero García, E; Martínez Palli, G; Muñoz Corsini, L; Rey Martínez, M; Postigo Morales, S

    There is an increasing and more complex demand for sedation for procedures out of the operating room. For different reasons, nowadays the administration of sedation varies considerably. We believe that a patient safety approach rather an approach out of corporate or economic interests is desirable. We created a working group of experts within the Spanish Anaesthesia and Reanimation Incident Reporting System (SENSAR) to prepare a series of recommendations through a non-systematic review. These recommendations were validated by an expert panel of 31 anaesthesiologists through two rounds of an adaptation of the Delphi Method where more than 70% agreement was required. The resulting recommendations include previous evaluation, material and staffing needs for sedation for procedures, post-sedation recommendations and activity and quality control advice. We present patient centred recommendations for the safe use of sedation for out of the operating room procedures from the point of view of the professionals with the most experience in its administration. We believe that these can be used as a guide to reduce variability and increase patient safety in the organisation of healthcare. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. Patient safety recommendations for out of operating room procedure sedation.

    Science.gov (United States)

    Arnal Velasco, D; Romero García, E; Martínez Palli, G; Muñoz Corsini, L; Rey Martínez, M; Postigo Morales, S

    2016-12-01

    There is an increasing and more complex demand for sedation for procedures out of the operating room. For different reasons, nowadays the administration of sedation varies considerably. We believe that a patient safety approach rather an approach out of corporate or economic interests is desirable. We created a working group of experts within the Spanish Anaesthesia and Reanimation Incident Reporting System (SENSAR) to prepare a series of recommendations through a non-systematic review. These recommendations were validated by an expert panel of 31 anaesthesiologists through two rounds of an adaptation of the Delphi Method where more than 70% agreement was required. The resulting recommendations include previous evaluation, material and staffing needs for sedation for procedures, post-sedation recommendations and activity and quality control advice. We present patient centred recommendations for the safe use of sedation for out of the operating room procedures from the point of view of the professionals with the most experience in its administration. We believe that these can be used as a guide to reduce variability and increase patient safety in the organisation of healthcare. Copyright © 2016 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  12. 76 FR 63628 - Preliminary Damage Assessment for Individual Assistance Operations Manual (9327.2-PR)

    Science.gov (United States)

    2011-10-13

    ... [Docket ID FEMA-2011-0022] Preliminary Damage Assessment for Individual Assistance Operations Manual (9327... Preliminary Damage Assessment for Individual Assistance Operations Manual (9327.2-PR). DATES: Comments must be... . Follow the instructions for submitting comments. Please note that this proposed manual is not...

  13. Environmental Sciences Division Toxicology Laboratory standard operating procedures

    Energy Technology Data Exchange (ETDEWEB)

    Kszos, L.A.; Stewart, A.J.; Wicker, L.F.; Logsdon, G.M.

    1989-09-01

    This document was developed to provide the personnel working in the Environmental Sciences Division's Toxicology Laboratory with documented methods for conducting toxicity tests. The document consists of two parts. The first part includes the standard operating procedures (SOPs) that are used by the laboratory in conducting toxicity tests. The second part includes reference procedures from the US Environmental Protection Agency document entitled Short-Term Methods for Estimating the Chronic Toxicity of Effluents and Receiving Waters to Freshwater Organisms, upon which the Toxicology Laboratory's SOPs are based. Five of the SOPs include procedures for preparing Ceriodaphnia survival and reproduction test. These SOPs include procedures for preparing Ceriodaphnia food (SOP-3), maintaining Ceriodaphnia cultures (SOP-4), conducting the toxicity test (SOP-13), analyzing the test data (SOP-13), and conducting a Ceriodaphnia reference test (SOP-15). Five additional SOPs relate specifically to the fathead minnow (Pimephales promelas) larval survival and growth test: methods for preparing fathead minnow larvae food (SOP-5), maintaining fathead minnow cultures (SOP-6), conducting the toxicity test (SOP-9), analyzing the test data (SOP-12), and conducting a fathead minnow reference test (DOP-14). The six remaining SOPs describe methods that are used with either or both tests: preparation of control/dilution water (SOP-1), washing of glassware (SOP-2), collection and handling of samples (SOP-7), preparation of samples (SOP-8), performance of chemical analyses (SOP-11), and data logging and care of technical notebooks (SOP-16).

  14. Review of the IEEE Standard for Computerized Operating Procedure Systems

    Energy Technology Data Exchange (ETDEWEB)

    O' Hara, J.; Higgins, J.

    2010-02-26

    Increasingly nuclear power plant procedures, such as emergency operating procedures, are being presented in computer form with functionality to support operator use and management of the procedures. The U.S. Nuclear Regulatory Commission (NRC) currently has guidance for the review of computer-based procedures (CBPs); however, there remain CBP functions and human performance issues for which up-to-date guidance is lacking. The Institute of Electrical and Electronics Engineers (IEEE) has initiated a standard development effort to address the human factors engineering (HFE) aspects of CBP systems. When completed, it may provide guidance to supplement the NRC staff's review criteria. The purpose of our study was to evaluate the suitability of the IEEE Standard for use in the NRC's HFE safety reviews of CBP systems and to ensure that the guidance meets the NRC's standard for scientific and engineering rigor used in its own guidance development efforts. We established the following criteria with which to evaluate the Standard: (1) it should meet an existing need of NRC reviewers, (2) it should be based in sound HFE principles, (3) it should be thoroughly peer-reviewed, and (4) it should address CBP-related human performance issues identified in the literature. This report describes the methodology we used to evaluate each criterion. Our evaluation concluded that the Standard generally does meet these criteria, however several areas were identified for which additional clarifications are needed. Thus consideration of the Standard's use by the NRC is supported. The standard evaluation methodology developed in this study can be generally applied to the review of other HFE standards being considered for possible use or endorsement by the NRC.

  15. The European Stroke Organisation Guidelines: a standard operating procedure.

    Science.gov (United States)

    Ntaios, George; Bornstein, Natan M; Caso, Valeria; Christensen, Hanne; De Keyser, Jacques; Diener, Hans-Christoph; Diez-Tejedor, Exuperio; Ferro, Jose M; Ford, Gary A; Grau, Armin; Keller, Emanuella; Leys, Didier; Russell, David; Toni, Danilo; Turc, Guillaume; Van der Worp, Bart; Wahlgren, Nils; Steiner, Thorsten

    2015-10-01

    In 2008, the recently founded European Stroke Organisation published its guidelines for the management of ischemic stroke and transient ischemic attack. This highly cited document was translated in several languages and was updated in 2009. Since then, the European Stroke Organisation has published guidelines for the management of intracranial aneurysms and subarachnoidal hemorrhage, for the establishment of stroke units and stroke centers, and recently for the management of intracerebral hemorrhage. In recent years, the methodology for the development of guidelines has evolved significantly. To keep pace with this progress and driven by the strong determination of the European Stroke Organisation to further promote stroke management, education, and research, the European Stroke Organisation decided to delineate a detailed standard operating procedure for its guidelines. There are two important cornerstones in this standard operating procedure: The first is the implementation of the Grading of Recommendations Assessment, Development, and Evaluation methodology for the development of its Guideline Documents. The second one is the decision of the European Stroke Organisation to move from the classical model of a single Guideline Document about a major topic (e.g. management of ischemic stroke) to focused modules (i.e. subdivisions of a major topic). This will enable the European Stroke Organisation to react faster when new developments in a specific stroke field occur and update its recommendations on the related module rather swiftly; with the previous approach of a single large Guideline Document, its entire revision had to be completed before an updated publication, delaying the production of up-to-date guidelines. After discussion within the European Stroke Organisation Guidelines Committee and significant input from European Stroke Organisation members as well as methodologists and analysts, this document presents the official standard operating procedure for

  16. Exposure of the surgery room during procedures for the per operative detection after administration to the patient of a radiopharmaceutical: preliminary results; Exposition du personnel de bloc operatoire lors des procedures de detection peroperatoire apres administration au patient d'un radiopharmecautique: resultats preliminaires

    Energy Technology Data Exchange (ETDEWEB)

    Ricard, M.; Lamon, A.; Aubert, B. [Institut Gustave Roussy, 94 - Villejuif (France)

    1999-07-01

    The per operative detection consists in administrating to the patient a radiopharmaceutical that will be localised during a surgical operation with a small detector handled by the surgeon. For the thyroid cancers the measurements have been made for four operations, long of three hours, practiced five days after administration of 4 GBq of iodine 131. The measure gave the following results: (right handed surgeon) right hand extremity 40 mSv, left hand 70 mSv, eyes 13 mSv and thyroid 15 mSv. In the case of injection of 40 MBq of indium 111, the dosemeters wore during respectively eight and five hours, the surgeon exposure was 30 mSv and his assistant exposure, situated a little further, was 5 mSv. (N.C.)

  17. A Preliminary Evaluation of Supersonic Transport Category Vehicle Operations in the National Airspace System

    Science.gov (United States)

    Underwood, Matthew C.; Guminsky, Michael D.

    2015-01-01

    Several public sector businesses and government agencies, including the National Aeronautics and Space Administration are currently working on solving key technological barriers that must be overcome in order to realize the vision of low-boom supersonic flights conducted over land. However, once these challenges are met, the manner in which this class of aircraft is integrated in the National Airspace System may become a potential constraint due to the significant environmental, efficiency, and economic repercussions that their integration may cause. Background research was performed on historic supersonic operations in the National Airspace System, including both flight deck procedures and air traffic controller procedures. Using this information, an experiment was created to test some of these historic procedures in a current-day, emerging Next Generation Air Transportation System (NextGen) environment and observe the interactions between commercial supersonic transport aircraft and modern-day air traffic. Data was gathered through batch simulations of supersonic commercial transport category aircraft operating in present-day traffic scenarios as a base-lining study to identify the magnitude of the integration problems and begin the exploration of new air traffic management technologies and architectures which will be needed to seamlessly integrate subsonic and supersonic transport aircraft operations. The data gathered include information about encounters between subsonic and supersonic aircraft that may occur when supersonic commercial transport aircraft are integrated into the National Airspace System, as well as flight time data. This initial investigation is being used to inform the creation and refinement of a preliminary Concept of Operations and for the subsequent development of technologies that will enable overland supersonic flight.

  18. Evaluations of Generic ABWR ATWS Emergency Operation Procedures Using MAAP

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Ying-Ting; Ferng, Yuh-Ming; Peir, Jinn-Jer; Shih, Chunkuan [Department of Engineering and System Science, National Tsing Hua University, Hsinchu, Taiwan (China)

    2008-07-01

    Lungmen NPP, the fourth one in Taiwan is under construction and the EOP (Emergency Operation Procedures) for Lungmen NPP, originally provided by GE (General Electric) is currently under review and verification. In this paper, a specific sequence of transients including LOTDRFP (Loss of Turbine Driven Feedwater Pump), ATWS (Anticipated Transients Without Scram) and LOCA (Loss of Coolant Accident) were considered in order to ensure that the operator could bring the NPP to a safe condition by following the directions of EOP in this particular transient scenario. MAAP (Modular Accident Analysis Program), version 4.05 that is fast-running while producing credible results was used for transient simulations. The results of simulation indicated that the NPP indeed could be brought to a safe condition by following the EOP. It is also found that the transient sequence would evolve into an entirely different way due to the operator's action, and the time delay between each step would greatly affect the transient sequence too. (authors)

  19. Standard Operating Procedures for Female Genital Sexual Pain

    DEFF Research Database (Denmark)

    Fugl-Meyer, Kerstin S; Bohm-Starke, Nina; Damsted Petersen, Christina

    2012-01-01

    Introduction.  Female genital sexual pain (GSP) is a common, distressing complaint in women of all ages that is underrecognized and undertreated. Definitions and terminology for female GSP are currently being debated. While some authors have suggested that GSP is not per se a sexual dysfunction......, but rather a localized genial pain syndrome, others adhere to using clearly sexually related terms such as dyspareunia and vaginismus. Aim.  The aims of this brief review are to present definitions of the different types of female GSP. Their etiology, incidence, prevalence, and comorbidity with somatic...... and psychological disorders are highlighted, and different somatic and psychological assessment and treatment modalities are discussed. Methods.  The Standard Operating Procedures (SOP) committee was composed of a chair and five additional experts. No corporate funding or remuneration was received. The authors...

  20. Quality assurance: Importance of systems and standard operating procedures.

    Science.gov (United States)

    Manghani, Kishu

    2011-01-01

    It is mandatory for sponsors of clinical trials and contract research organizations alike to establish, manage and monitor their quality control and quality assurance systems and their integral standard operating procedures and other quality documents to provide high-quality products and services to fully satisfy customer needs and expectations. Quality control and quality assurance systems together constitute the key quality systems. Quality control and quality assurance are parts of quality management. Quality control is focused on fulfilling quality requirements, whereas quality assurance is focused on providing confidence that quality requirements are fulfilled. The quality systems must be commensurate with the Company business objectives and business model. Top management commitment and its active involvement are critical in order to ensure at all times the adequacy, suitability, effectiveness and efficiency of the quality systems. Effective and efficient quality systems can promote timely registration of drugs by eliminating waste and the need for rework with overall financial and social benefits to the Company.

  1. Operating room waste: disposable supply utilization in neurosurgical procedures.

    Science.gov (United States)

    Zygourakis, Corinna C; Yoon, Seungwon; Valencia, Victoria; Boscardin, Christy; Moriates, Christopher; Gonzales, Ralph; Lawton, Michael T

    2017-02-01

    OBJECTIVE Disposable supplies constitute a large portion of operating room (OR) costs and are often left over at the end of a surgical case. Despite financial and environmental implications of such waste, there has been little evaluation of OR supply utilization. The goal of this study was to quantify the utilization of disposable supplies and the costs associated with opened but unused items (i.e., "waste") in neurosurgical procedures. METHODS Every disposable supply that was unused at the end of surgery was quantified through direct observation of 58 neurosurgical cases at the University of California, San Francisco, in August 2015. Item costs (in US dollars) were determined from the authors' supply catalog, and statistical analyses were performed. RESULTS Across 58 procedures (36 cranial, 22 spinal), the average cost of unused supplies was $653 (range $89-$3640, median $448, interquartile range $230-$810), or 13.1% of total surgical supply cost. Univariate analyses revealed that case type (cranial versus spinal), case category (vascular, tumor, functional, instrumented, and noninstrumented spine), and surgeon were important predictors of the percentage of unused surgical supply cost. Case length and years of surgical training did not affect the percentage of unused supply cost. Accounting for the different case distribution in the 58 selected cases, the authors estimate approximately $968 of OR waste per case, $242,968 per month, and $2.9 million per year, for their neurosurgical department. CONCLUSIONS This study shows a large variation and significant magnitude of OR waste in neurosurgical procedures. At the authors' institution, they recommend price transparency, education about OR waste to surgeons and nurses, preference card reviews, and clarification of supplies that should be opened versus available as needed to reduce waste.

  2. Improved Design of Crew Operation in Computerized Procedure System of APR1400

    Energy Technology Data Exchange (ETDEWEB)

    Seong, No Kyu; Jung, Yeon Sub; Sung, Chan Ho [KHNP, Daejeon (Korea, Republic of)

    2016-05-15

    The operators perform the paper-based procedures in analog-based conventional main control room (MCR) depending on only communications between operators except a procedure controller such as a Shift Supervisor (SS), however in digital-based MCR the operators can confirm the procedures simultaneously in own console when the procedure controller of computerized procedure (CP) opens the CP. The synchronization and a synchronization function between procedure controller and other operators has to be considered to support the function of crew operation. This paper suggests the improved design of crew operation in computerized procedure system of APR1400. This paper suggests the improved design of APR1400 CPS. These improvements can help operators perform the crew procedures more efficiently. And they reduce a burden of communication and misunderstanding of computerized procedures. These improvements can be applied to CPS after human factors engineering verification and validation.

  3. 78 FR 26103 - Proposed Standard Operating Procedure (SOP) of the Aircraft Certification Service (AIR) Project...

    Science.gov (United States)

    2013-05-03

    ... Federal Aviation Administration Proposed Standard Operating Procedure (SOP) of the Aircraft Certification... comments on, the Aircraft Certification Service (AIR) standard operating procedure (SOP) describing the... comments on the SOP to: Federal Aviation Administration (FAA) Aircraft Certification Service,...

  4. HEMP emergency planning and operating procedures for electric power systems

    Energy Technology Data Exchange (ETDEWEB)

    Reddoch, T.W.; Markel, L.C. (Electrotek Concepts, Inc., Knoxville, TN (United States))

    1991-01-01

    Investigations of the impact of high-altitude electromagnetic pulse (HEMP) on electric power systems and electrical equipment have revealed that HEMP creates both misoperation and failures. These events result from both the early time E[sub 1] (steep-front pulse) component and the late time E[sub 3] (geomagnetic perturbations) component of HEMP. In this report a HEMP event is viewed in terms of its marginal impact over classical power system disturbances by considering the unique properties and consequences of HEMP. This report focuses on system-wide electrical component failures and their potential consequences from HEMP. In particular, the effectiveness of planning and operating procedures for electric systems is evaluated while under the influence of HEMP. This assessment relies on published data and characterizes utilities using the North American Electric Reliability Council's regions and guidelines to model electric power system planning and operations. Key issues addressed by the report include how electric power systems are affected by HEMP and what actions electric utilities can initiate to reduce the consequences of HEMP. The report also reviews the salient features of earlier HEMP studies and projects, examines technology trends in the electric power industry which are affected by HEMP, characterizes the vulnerability of power systems to HEMP, and explores the capability of electric systems to recover from a HEMP event.

  5. HEMP emergency planning and operating procedures for electric power systems

    Energy Technology Data Exchange (ETDEWEB)

    Reddoch, T.W.; Markel, L.C. (Electrotek Concepts, Inc., Knoxville, TN (United States))

    1991-01-01

    Investigations of the impact of high-altitude electromagnetic pulse (HEMP) on electric power systems and electrical equipment have revealed that HEMP creates both misoperation and failures. These events result from both the early time E[sub 1] (steep-front pulse) component and the late time E[sub 3] (geomagnetic perturbations) component of HEMP. In this report a HEMP event is viewed in terms of its marginal impact over classical power system disturbances by considering the unique properties and consequences of HEMP. This report focuses on system-wide electrical component failures and their potential consequences from HEMP. In particular, the effectiveness of planning and operating procedures for electric systems is evaluated while under the influence of HEMP. This assessment relies on published data and characterizes utilities using the North American Electric Reliability Council's regions and guidelines to model electric power system planning and operations. Key issues addressed by the report include how electric power systems are affected by HEMP and what actions electric utilities can initiate to reduce the consequences of HEMP. The report also reviews the salient features of earlier HEMP studies and projects, examines technology trends in the electric power industry which are affected by HEMP, characterizes the vulnerability of power systems to HEMP, and explores the capability of electric systems to recover from a HEMP event.

  6. Effect of adipose tissue processing procedures in culture result: a study preliminary

    Directory of Open Access Journals (Sweden)

    Jeanne A. Pawitan

    2011-02-01

    Full Text Available Background: There are various methods of processing adipose tissue before culture, depending on the adipose tissue samples. The aim of this study is to compare several modifications of culturing and sub-culturing procedures of adipose tissue to fit the condition in our laboratory.Method: This is a descriptive study that was done in the Immunology and Endocrinology Integrated Laboratory, University of Indonesia, from  October 2009 to April 2010. Three adipose tissue processing procedures, various amount of seeding and two subculture methods were compared in term of cell yield and time needed. In the first procedure, collagenase-1 digestion was done in 30minutes, cell seeding were 24,000 and 36,000 per flask; in the second procedure, collagenase-1 digestion was done in 60minutes, cell seeding were 24,000, 48,000, and 72,000 per flask; and in the third procedure, the adipose tissue remnants from the first  procedure were again digested for another 45 minutes, cell seeding were 74,000, and 148,000 per flask. Difference in subculture methods were the presence or absence of washing step.Result: Procedure 1 yielded the lowest amount of cell, and after culture, the cells grew very slow, and was contaminated before harvest of primary culture. Procedure-2 and -3 succeeded to yield primary cultures. Some of the cultures were contaminated, so that further subculture was not  applicable, and only one tissue processing procedure (procedure 2: 60 minute collagenase-1 digestion, without lysis buffer, cell seeding 48,000 and 72,000 could complete the three subcultures. Though some of the procedures could not be completed, final result could be concluded.Conclusion: In this preliminary study, 60 minute colagenase-1 digestion with intermittent shaking every 5 minutes and cell seeding around 50,000 or more, followed by subculture method without washing step gave the best result. (Med J Indones 2011; 20:15-9Keywords: collagenase-1, primary culture, subculture

  7. Involving service users in trials: developing a standard operating procedure.

    Science.gov (United States)

    Evans, Bridie Angela; Bedson, Emma; Bell, Philip; Hutchings, Hayley; Lowes, Lesley; Rea, David; Seagrove, Anne; Siebert, Stefan; Smith, Graham; Snooks, Helen; Thomas, Marie; Thorne, Kym; Russell, Ian

    2013-07-17

    Many funding bodies require researchers to actively involve service users in research to improve relevance, accountability and quality. Current guidance to researchers mainly discusses general principles. Formal guidance about how to involve service users operationally in the conduct of trials is lacking. We aimed to develop a standard operating procedure (SOP) to support researchers to involve service users in trials and rigorous studies. Researchers with experience of involving service users and service users who were contributing to trials collaborated with the West Wales Organisation for Rigorous Trials in Health, a registered clinical trials unit, to develop the SOP. Drafts were prepared in a Task and Finish Group, reviewed by all co-authors and amendments made. We articulated core principles, which defined equality of service users with all other research team members and collaborative processes underpinning the SOP, plus guidance on how to achieve these. We developed a framework for involving service users in research that defined minimum levels of collaboration plus additional consultation and decision-making opportunities. We recommended service users be involved throughout the life of a trial, including planning and development, data collection, analysis and dissemination, and listed tasks for collaboration. We listed people responsible for involving service users in studies and promoting an inclusive culture. We advocate actively involving service users as early as possible in the research process, with a minimum of two on all formal trial groups and committees. We propose that researchers protect at least 1% of their total research budget as a minimum resource to involve service users and allow enough time to facilitate active involvement. This SOP provides guidance to researchers to involve service users successfully in developing and conducting clinical trials and creating a culture of actively involving service users in research at all stages. The UK

  8. A Multiscale Enrichment Procedure for Nonlinear Monotone Operators

    KAUST Repository

    Efendiev, Yalchin R.

    2014-03-11

    In this paper, multiscale finite element methods (MsFEMs) and domain decomposition techniques are developed for a class of nonlinear elliptic problems with high-contrast coefficients. In the process, existing work on linear problems [Y. Efendiev, J. Galvis, R. Lazarov, S. Margenov and J. Ren, Robust two-level domain decomposition preconditioners for high-contrast anisotropic flows in multiscale media. Submitted.; Y. Efendiev, J. Galvis and X. Wu, J. Comput. Phys. 230 (2011) 937–955; J. Galvis and Y. Efendiev, SIAM Multiscale Model. Simul. 8 (2010) 1461–1483.] is extended to treat a class of nonlinear elliptic operators. The proposed method requires the solutions of (small dimension and local) nonlinear eigenvalue problems in order to systematically enrich the coarse solution space. Convergence of the method is shown to relate to the dimension of the coarse space (due to the enrichment procedure) as well as the coarse mesh size. In addition, it is shown that the coarse mesh spaces can be effectively used in two-level domain decomposition preconditioners. A number of numerical results are presented to complement the analysis.

  9. New Procedure for Account Operations at the CERN Service Desk

    CERN Document Server

    The Computer Security Team

    2011-01-01

    Who can activate your computing account? Who can unblock it? And who can reset your password if you've forgotten it? Until recently, users who addressed such problems to the Service Desk were asked a set of questions...   The corresponding answers were designed to properly verify the requestor’s identity such that only the real owner could activate/unblock/reset his computing account. However, it turned out that the answers were easily obtainable (and that there is no better set of questions to ask). Therefore, in order to ensure optimal protection of your account, this procedure will be replaced on 28 November 2011. From that date on, users will be asked to produce a physical ID when requesting the Service Desk to perform operations like computer account activation, account unblocking or password resets. This physical ID can either be a passport/ID card or the CERN access card. If you need to activate/unblock/reset your computing account, you will either have to produ...

  10. Quality assurance: Importance of systems and standard operating procedures

    Directory of Open Access Journals (Sweden)

    Kishu Manghani

    2011-01-01

    Full Text Available It is mandatory for sponsors of clinical trials and contract research organizations alike to establish, manage and monitor their quality control and quality assurance systems and their integral standard operating procedures and other quality documents to provide high-quality products and services to fully satisfy customer needs and expectations. Quality control and quality assurance systems together constitute the key quality systems. Quality control and quality assurance are parts of quality management. Quality control is focused on fulfilling quality requirements, whereas quality assurance is focused on providing confidence that quality requirements are fulfilled. The quality systems must be commensurate with the Company business objectives and business model. Top management commitment and its active involvement are critical in order to ensure at all times the adequacy, suitability, effectiveness and efficiency of the quality systems. Effective and efficient quality systems can promote timely registration of drugs by eliminating waste and the need for rework with overall financial and social benefits to the Company.

  11. Preliminary experience with dexmedetomidine for monitored anesthesia care during ENT surgical procedures.

    Science.gov (United States)

    Busick, Tamra; Kussman, Mary; Scheidt, Troy; Tobias, Joseph D

    2008-01-01

    Dexmedetomidine is an alpha2-adrenergic agonist that produces anxiolysis, amnesia, sedation, potentiation of opioid analgesia, and sympatholysis. It is currently approved by the U.S. Food & Drug Administration for the sedation of adults in the intensive care setting for up to 24 hours during mechanical ventilation. Given its beneficial sedative and anxiolytic properties and limited adverse effect profile, it has been used in several other clinical scenarios. The authors present their experience using dexmedetomidine for monitored anesthesia care (MAC) during "awake" ENT procedures such as thyroplasty, a procedure requiring a patient to verbalize when requested but to otherwise remain immobile to allow for completion of the procedure, and in a patient with post-polio syndrome with poor pulmonary reserve requiring esophagoscopy with dilation and botulinum toxin injection for cricopharyngeal dysfunction. Our preliminary experience suggests that dexmedetomidine provides effective sedation as the primary agent for MAC during such procedures in adult patients. The end-organ effects of dexmedetomidine and previous reports of its use during MAC are reviewed.

  12. In-office vs. operating room procedures for recurrent respiratory papillomatosis.

    Science.gov (United States)

    Miller, Anya J; Gardner, Glendon M

    2017-01-01

    We conducted a study to analyze hospital and patient costs, outcomes, and patient satisfaction among adults undergoing in-office and operating room procedures for the treatment of recurrent respiratory papillomatosis. Our final study population was made up of 17 patients-1 man and 16 women, aged 30 to 86 years (mean: 62). The mean number of in-office laser procedures per patient was 4.2, and the mean interval between procedures was 5.4 months (although 10 patients underwent only 1 office procedure); the mean number of operating room procedures was 13.5, and the mean interval between procedures was 14.3 months. An equal number of patients reported complications or adverse events with the two types of procedures-5 each. The difference in cost between the office procedure (mean: $3,413.00) and the operating room procedure (mean: $12,382.59) was almost $9,000, but these savings were offset by the fact that the office procedures needed to be performed three times as often. Patients reported slightly more anxiety and discomfort during the office procedures and, overall, they appeared to prefer the operating room procedure. We conclude that office procedures are significantly more cost-effective than operating room procedures, but their use may be limited by patient tolerance and the increased frequency of the procedure.

  13. Quantifying the step following level of an operator in proceduralized scenarios

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yoc Han; Jung, Wondea [KAERI, Daejeon (Korea, Republic of)

    2012-10-15

    In nuclear power plants, operators of the main control rooms cope with abnormal or emergency situations using relevant procedures. However, there exist several features that challenge step by step following of the procedures: ambiguous descriptions of procedures, dynamic situations of power plants, operational tendencies of operators, and so on. To identify and manage the features, it is useful to quantifying how compliantly an operator follows the steps of the procedures. There was little research that measures the step following level of an operator. Kim et al. presented a measure, VPP (variability of procedure progression), to estimate a variability of ways to follow a given procedure. However, VPP has some characteristics to be evaluated. First, VPP score is related with the number of step in each procedure progression. Second, VPP score is also affected by the number of progressions. In addition, VPP score implies a variability of procedure progressions, not a compliance of a progression with the given procedure. If all operators do not follow a sequence of steps in a procedure but show similar procedure progressions, the VPP score of the progressions will be low. Therefore, it is necessary to develop another measure that is capable to explain more closely the step following level. In this light, we propose a new measure, PCL (procedure compliance level) to estimate how a procedure progression is similar to the standard progressions. This paper introduces the algorithm of this measure and shows its applicability by presenting a result that is applied to a digitalized control room.

  14. THE ASSESSMENT PROCEDURE OF THE OPERATIONAL RISK EVENTS

    OpenAIRE

    2009-01-01

    A credit institution must establish a management framework of the operational risk.This framework must cover the appetite and tolerance to the operational risk of a credit institution,in accordance with the management policies of this risk, including the measure and method inwhich the operational risk is transferred outside the credit institution.The management framework of the operational risk should include policies and processes for theidentification, assessment, monitoring and control/dim...

  15. 47 CFR 80.103 - Digital selective calling (DSC) operating procedures.

    Science.gov (United States)

    2010-10-01

    ... accordance with 5 U.S.C. 552(a) and 1 CFR part 51. Copies of this standard can be inspected at the Federal... 47 Telecommunication 5 2010-10-01 2010-10-01 false Digital selective calling (DSC) operating... Procedures-General § 80.103 Digital selective calling (DSC) operating procedures. (a) Operating...

  16. 7 CFR 70.110 - Requirements for sanitation, facilities, and operating procedures in official plants.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Requirements for sanitation, facilities, and operating... Requirements for sanitation, facilities, and operating procedures in official plants. (a) The requirements for sanitation, facilities, and operating procedures in official plants shall be the applicable provisions...

  17. Preliminary operational results of the industrial process heat field tests

    Energy Technology Data Exchange (ETDEWEB)

    Kutscher, C.; Davenport, R.

    1980-04-01

    There are currently six DOE-funded solar industrial process heat (IPH) field tests which have been operational for one year or longer. These are all low temperature first generation projects which supply heat at temperatures below 100/sup 0/C - three hot water and three hot air. During the 1979 calendar year, personnel from the Solar Energy Research Institute (SERI) visited all of these sites; the performance and cost results obtained for each project and the operational problems encountered at each site are discussed.

  18. Developing operating procedures for a low-level radioactive waste disposal facility

    Energy Technology Data Exchange (ETDEWEB)

    Sutherland, A.A.; Miner, G.L.; Grahn, K.F.; Pollard, C.G. [Rogers and Associates Engineering Corp., Salt Lake City, UT (United States)

    1993-10-01

    This document is intended to assist persons who are developing operating and emergency procedures for a low-level radioactive waste disposal facility. It provides 25 procedures that are considered to be relatively independent of the characteristics of a disposal facility site, the facility design, and operations at the facility. These generic procedures should form a good starting point for final procedures on their subjects for the disposal facility. In addition, this document provides 55 annotated outlines of other procedures that are common to disposal facilities. The annotated outlines are meant as checklists to assist the developer of new procedures.

  19. General Operational Procedure for Pedestrian Radiation Portal Monitors

    Energy Technology Data Exchange (ETDEWEB)

    Belooussov, Andrei V. [Los Alamos National Laboratory

    2012-08-08

    This document outlines the basic conduct of operation (CONOPS) for a pedestrian radiation portal monitor (RPM), provided that the CONOPS is not facility or RPM specific and that it is based on a general understanding of a pedestrian RPM operation. The described CONOPS for a pedestrian RPM is defined by: (1) RPM design and operational characteristics, (2) type of pedestrian traffic, and (3) goal for RPM installation. Pedestrian RPMs normally are deployed for the continuous monitoring of individuals passing through point of control to detect the unauthorized traffic of radioactive/nuclear materials. RPMs generally are designed to detect gamma- and neutron-emitting materials.

  20. Preliminary Experience with a New Multidirectional Videoendoscope for Neuroendoscopic Surgical Procedures.

    Directory of Open Access Journals (Sweden)

    Luigi Maria Cavallo

    Full Text Available We assessed the applicability of a new multidirectional videoendoscope (digiCAMeleon, Karl Storz GmbH, Tuttlingen, Germany in various neuroendoscopic procedures.A 4-mm-diameter rigid videoendoscope (digiCAMeleon, Karl Storz GmbH, Tuttlingen, Germany with 1 sensor and an internal LED light source was tested. The device offers a resolution of 1920 x 1080 pixels and weighs ≈ 215 g. The prototype was tested on three cadaveric heads using three different approaches: a endoscopic endonasal transsphenoidal; b frontal transcortical intraventricular; c supraorbital.We identified several major benefits of the integrated system as applied to endoscopic endonasal, transcortical intraventricular, and endoscopic supraorbital keyhole approaches. These included improved maneuverability of the scope on account of reduced bulk and integration of the camera and fiberoptic light components, a variable angle of view from 0-70 degrees, and a novel feature that can be activated to maintain orientation of the surgical horizon. Our preliminary report highlights the potential for handling the videoendoscope in one hand, as one would a microsurgical instrument. The videoendoscope harbors all its electronic and lighting data into a unique and thin cable, thus resembling a modern "all-in-one" computer technology. Because of its reduced weight and ergonomic shape, controlling its movements is very easy and comfortable, even in the microsurgical environment. Furthermore, the videoendoscope offers the unique feature of orienting the horizon of vision, thanks to the possibility of offering angled views while working; this helps the surgeons to stay oriented with direct visualization and improved control of the instruments over a specific area of interest.The videoendoscope prototype represents an HD-image quality versatile tool in a neurosurgical environment, thanks to its reduced weight and dimensions; in these preliminary simulations, we have identified optimized visibility

  1. Preliminary Experience with a New Multidirectional Videoendoscope for Neuroendoscopic Surgical Procedures

    Science.gov (United States)

    Cavallo, Luigi Maria; Di Somma, Alberto; Solari, Domenico; de Divitiis, Oreste; Bracale, Umberto Marcello; Cappabianca, Paolo

    2016-01-01

    Purpose We assessed the applicability of a new multidirectional videoendoscope (digiCAMeleon, Karl Storz GmbH, Tuttlingen, Germany) in various neuroendoscopic procedures. Methods A 4-mm-diameter rigid videoendoscope (digiCAMeleon, Karl Storz GmbH, Tuttlingen, Germany) with 1 sensor and an internal LED light source was tested. The device offers a resolution of 1920 x 1080 pixels and weighs ≈ 215 g. The prototype was tested on three cadaveric heads using three different approaches: a) endoscopic endonasal transsphenoidal; b) frontal transcortical intraventricular; c) supraorbital. Results We identified several major benefits of the integrated system as applied to endoscopic endonasal, transcortical intraventricular, and endoscopic supraorbital keyhole approaches. These included improved maneuverability of the scope on account of reduced bulk and integration of the camera and fiberoptic light components, a variable angle of view from 0–70 degrees, and a novel feature that can be activated to maintain orientation of the surgical horizon. Our preliminary report highlights the potential for handling the videoendoscope in one hand, as one would a microsurgical instrument. The videoendoscope harbors all its electronic and lighting data into a unique and thin cable, thus resembling a modern "all-in-one" computer technology. Because of its reduced weight and ergonomic shape, controlling its movements is very easy and comfortable, even in the microsurgical environment. Furthermore, the videoendoscope offers the unique feature of orienting the horizon of vision, thanks to the possibility of offering angled views while working; this helps the surgeons to stay oriented with direct visualization and improved control of the instruments over a specific area of interest. Conclusions The videoendoscope prototype represents an HD-image quality versatile tool in a neurosurgical environment, thanks to its reduced weight and dimensions; in these preliminary simulations, we have

  2. 7 CFR 205.662 - Noncompliance procedure for certified operations.

    Science.gov (United States)

    2010-01-01

    ... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Administrative Compliance § 205.662... of a certified operation by a certifying agent or a State organic program's governing State...

  3. Test Operations Procedure (TOP) 4-2-013 Commodity Engineering Test Procedures, Recoilless Rifle Ammunition

    Science.gov (United States)

    2009-09-22

    External Fire, and Munition Test Procedures. The critical requirements of the STANAG are: (a) The test is done in an enclosed hearth designed...of STANAG 4240. However, the procedures of the STANAG are not amenable to satisfying the TB due to the confinement of the required hearth . c...within the hearth or bonfire. (4) Observations photographs of any reactions such as burning or explosions. TOP 4-2-013 22 September 2009

  4. Preparation, control, and use of standard operating procedures in a space simulation laboratory

    Science.gov (United States)

    Parish, R. P., Jr.

    1975-01-01

    The degree of success in the operation of a space simulation laboratory is a direct function of the role of its standard operating procedures. Their proper use in a thermal vacuum test effects a wellrun test program. Preparation and procedure control are discussed.

  5. 9 CFR 354.210 - Minimum standards for sanitation, facilities, and operating procedures in official plants.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Minimum standards for sanitation, facilities, and operating procedures in official plants. 354.210 Section 354.210 Animals and Animal Products... sanitation, facilities, and operating procedures in official plants. The provisions of §§ 354.210 to...

  6. 76 FR 54528 - Standard Operating Procedures (SOP) of the Aircraft Certification Service (AIR) Process for the...

    Science.gov (United States)

    2011-09-01

    ... Federal Aviation Administration Standard Operating Procedures (SOP) of the Aircraft Certification Service...) standard operating procedure (SOP) describing the process used to sequence certification projects that are... before October 3, 2011. ADDRESSES: Send all comments on the SOP : AIR-100-001; Standard...

  7. Reconstructive microsurgery of the fallopian tube with the carbon dioxide laser - procedures and preliminary results.

    Science.gov (United States)

    Bellina, J H

    1981-01-01

    In 1974 the carbon dioxide laser was adapted to the operating microscope for reconstructive pelvic surgery. A protocol was designed to test the efficacy of this surgical modality and a new study begun. Complete documentation of laparoscopic findings, surgical technique, and pre- and post-operative hysterosalpingograms are kept on videotape. One hundred cases will be entered into this study. Patency and pregnancy failures will be compared with patency and pregnancy successes to determine, if possible, the reasons for failure. In this paper detailed descriptions of the surgical techniques employed in the first 61 cases are presented. PRELIMINARY RESULTS in terms of patency and pregnancy experience to date are reported. Eighty-two couples have been evaluated at the Reproductive Biology Unit. Sixty-one cases have undergone fertility enhancement laser microsurgery and/or interim medical management prior to surgery for infertility. Bilateral patency or patency of the only existing fallopian tube was demonstrated post-treatment in 93% or 57 of the cases. Eliminating those cases who are not at risk of pregnancy due to elective contraception or medical prohibition during Danocrine therapy (28), conception has occurred in 10 of 33 patients. This represents approximately one of every three patients at risk. Considering the limited exposure to pregnancy, these results are very encouraging.

  8. Evaluating the performance of survey-based operational management procedures

    NARCIS (Netherlands)

    Pomarede, M.; Hillary, R.; Ibaibarriaga, L.; Bogaards, J.A.; Apostolaki, P.

    2010-01-01

    The design and evaluation of survey-based management strategies is addressed in this article, using three case-study fisheries: North Sea herring, Bay of Biscay anchovy and North Sea cod, with a brief history and the main management issues with each fishery outlined. A range of operational managemen

  9. Test Operations Procedure (TOP) 06-2-301 Wind Testing

    Science.gov (United States)

    2017-06-14

    presentation of data is often dependent upon how the post-test analysis will be conducted. Data can be presented as contour maps, plots, charts ...distribution is unlimited. 13. SUPPLEMENTARY NOTES Defense Technical Information Center (DTIC), AD No.: 14. ABSTRACT This Test Operations...specific test requirements and wind testing facility capabilities. When testing large structures, such as towers, the structural analysis team should

  10. 50 CFR 260.103 - Operations and operating procedures shall be in accordance with an effective sanitation program.

    Science.gov (United States)

    2010-10-01

    ... be in accordance with an effective sanitation program. 260.103 Section 260.103 Wildlife and Fisheries... Operations and operating procedures shall be in accordance with an effective sanitation program. (a) All..., choppers, and containers which fail to meet appropriate and adequate sanitation requirements will...

  11. The Procedure Execution Manager and Its Application to Advanced Photon Source Accelerator Operation

    Science.gov (United States)

    Saunders, C. W.; Borland, M.

    1997-05-01

    The Procedure Execution Manager (PEM) combines a complete scripting environment for coding accelerator operation procedures with a manager application for executing and monitoring of the procedures. PEM is based on Tcl/Tk, a supporting graphics library, and the dp-tcl extension for distributed processing. A careful design balance has been achieved which meets the flexibility requirements of commissioning physicists and the operations-driven need for automation and a consistent user interface. The scripting environment provides support for distributed, parallel execution of procedures along with join and controlled abort operations. The manager application allows an operator to execute a procedure in automatic, semi-automatic, or manual modes. A number of successful applications of PEM to accelerator operations have been made to date. These include startup, shutdown, and other control of the positron accumulator ring (PAR), low-energy transport lines (LET), and the booster rf systems. The PAR/LET procedures make nested use of PEM's ability to run parallel procedures. There are also a number of procedures to guide and assist tune-up operations, to make accelerator physics measurements, and to diagnose equipment.

  12. 49 CFR 192.605 - Procedural manual for operations, maintenance, and emergencies.

    Science.gov (United States)

    2010-10-01

    ... maintenance activities and for emergency response. For transmission lines, the manual must also include... control room management procedures required by § 192.631. (c) Abnormal operation. For transmission lines... gas distribution operators that are operating transmission lines in connection with their...

  13. [Autologous rib cartilage harvesting: operative procedure and postoperative pain reduction].

    Science.gov (United States)

    Rasp, G; Staudenmaier, R; Ledderose, H; Kastenbauer, E

    2000-03-01

    In reconstructive surgery there is a growing demand for cartilage grafts. For small amounts of autologous tissue, cartilage from the nasal septum or ear concha is a sufficient and reliable tissue, but in cases of extensive defects or higher mechanical load autologous rib cartilage is a commonly used transplant. Nevertheless, a serious donor-site morbidity, especially postoperative pain, has to be taken into consideration. We present a modified technique for harvesting rib cartilage with a consecutive local pain therapy. In contrast to the commonly used incision through all layers of tissue the described technique follows the anatomical structures of skin tension-lines, the fascial and muscle fibers and tissue sliding-planes. Starting with a transversal skin incisions 1.5 cm above the costal arch, longitudinal splitting of the rectus abdominis fascia and muscle, the rib cartilage of the ribs 6 to 8 can be exposed. Grafts in the size of at least 3 to 8 cm can be harvested under preservation of the perichondrium. This technique causes a high degree of stability and good function of the abdominal wall. POSTOPERATIVE PAIN THERAPY: After harvesting rib cartilage most patients complain about extensive postoperative pain. For adequate treatment the local application of a long-lasting anesthetic substance close to the intercostal nerves is helpful. The introduction of a peridural catheter opens the feasibility of continuously applying a local anesthetic for 3 to 4 days directly into the donor-site. This procedure reduces the need for general anesthetics dramatically and prevents further complications. This modified technique for harvesting rib cartilage diminishes the donor-site morbidity by reducing the risk of pneumothorax, hernias and functional deficits. Moreover, the local pain therapy assures postoperative wellness and mobility.

  14. 我国物流园区建设前期程序初探%A Study on the Preliminary Procedures of Logistics Park Construction

    Institute of Scientific and Technical Information of China (English)

    邢虎松

    2015-01-01

    This paper systematically summarizes the preliminary procedures of logistics park planning and construction ,and the purposes and effects of each preliminary procedure .By learning from German experi-ence in the construction of logistics parks ,this study points out the problems in the preliminary procedures of logistics park planning and construction .For example ,the project operators neglect the planning in con-struction projects ;the government ignores the overall planning of the urban logistics and lacks the regulato-ry planning of the project land .T herefore ,the paper raises general ideas to improve the preliminary proce-dures of logistics park planning and construction ,and brings out reasonable proposals in which the govern-ment should play the leading role in planning .T he research also contends that the project operators should improve the planning and test the feasibility of the logistics park construction ,and that the government should strengthen the supervision in the construction processes of specific logistics project .%系统梳理我国目前物流园区建设的前期规划程序步骤以及各个程序的目的和作用,借鉴德国物流园区规划建设的经验,可知目前我国物流园区的规划建设前期程序中存在项目建设主体“重建设、轻规划”、政府“一事一议、缺少总体谋划”和项目用地缺少控制性详细规划的问题。由此,政府应完善物流园区规划建设前期程序的总体思路,并根据总体思路提出物流园区发展中的规划主导,促进园区项目建设主体对总归、可研的重视程度,加强对具体物流项目建设的过程监管。

  15. 33 CFR Appendix D to Part 157 - Example of a Procedure for Dedicated Clean Ballast Tanks Operations

    Science.gov (United States)

    2010-07-01

    ... Dedicated Clean Ballast Tanks Operations D Appendix D to Part 157 Navigation and Navigable Waters COAST... Procedure for Dedicated Clean Ballast Tanks Operations 1. Source. The example procedure for dedicated clean... Protocol. 2. Example Procedure. Dedicated clean ballast tanks operational procedure: (a) Before arrival...

  16. Ultra high temperature diffusion apparatus and operating procedures

    Energy Technology Data Exchange (ETDEWEB)

    Wyrick, S.B.

    1985-11-15

    It is the purpose of this paper to present an experimental apparatus which is capable of measuring diffusion coefficients of interdiffusing gases in the temperature range 300K to 2500K. Because of the high temperatures which will be encountered, a special alloy of tantalum (T-111) is used to house the diffusion process. This T-111 diffusion cell is heated via radiation heat from a tungsten heating element powered by a Saban saturable reactor power supply. The diffusion cell heating element are encased in a nickel-plated copper cooling can. This entire assembly is enclosed in an Ultek vacuum chamber to prevent oxidation of the diffusion cell. This report covers the construction and calibration of the diffusion cell, details of the gas loading and sampling system, and complete information on the components required to operate the vacuum furnace. Thus far, several experiments have been run in the temperature range 600K to 800K and the resulting diffusion coefficients agree fairly well with previously published values. 21 refs., 9 figs., 4 tabs.

  17. Preliminary remediation goals for use at the U.S. Department of Energy Oak Ridge Operations Office

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    This report presents Preliminary Remediation Goals (PRGs) for use in human health risk assessment efforts under the United States Department of Energy, Oak Ridge Operations Office Environmental Restoration (ER) Division. Chemical-specific PRGs are concentration goals for individual chemicals for specific medium and land use combinations. The PRGs are referred to as risk-based because they have been calculated using risk assessment procedures. Risk-based calculations set concentration limits using both carcinogenic or noncarcinogenic toxicity values under specific exposure pathways. The PRG is a concentration that is derived from a specified excess cancer risk level or hazard quotient. This report provides the ER Division with standardized PRGs which are integral to the Remedial Investigation/Feasibility Study process. By managing the assumptions and systems used in PRG derivation, the Environmental Restoration Risk Assessment Program will be able to control the level of quality assurance associated with these risk-based guideline values.

  18. Operation of Oil Burning Equipment and Incinerators. An Air Pollution Control Workbook, Preliminary Edition.

    Science.gov (United States)

    New Jersey State Dept. of Environmental Protection, Trenton. Bureau of Air Pollution Control.

    This workbook has been prepared for use by persons charged with the burning of fuels and waste products in the State of New Jersey. It is written for building superintendents, custodians, porters, handymen and operating engineers of public, apartment, commercial and office buildings. The manual emphasizes operating procedures that will help meet…

  19. STUDY ON PROCEDURES FOR OPERATIONAL OBJECTIVES IN PHYSICAL EDUCATION

    Directory of Open Access Journals (Sweden)

    Cojanu Florin

    2009-03-01

    Full Text Available INTRODUCTIONIn general, educational goals and / or instructional purposes are pursued by the processes of education orteaching activities, such as learning skills and ability to drive the development of cognitive skills (understanding,application, analysis, synthesis emotional (reactions, feelings , will, perseverance, inclinations psihomotric(collection, disposal, automatism, etc. driven side. growing health training driving skills, etc. ..They are a target or purpose teaching subjects to be conducted systematically and rigorously the process ofconducting training or other education-training activities of the human personality.Specifying the correct targets is a fundamental requirement of designing teaching activities. Specifying theobjectives of education, training, information, etc., is achieved through logical operations or judgments,subsidized by the correct and precise answers to four fundamental questions, as follows:1. "What we want to do? 2.2. "What we know and will know what to do?" (Student at the end of one or more units of learning(training assembled systemic3. 3. "What use what you learn, educate, dial"4. 4. "What length of time is required?"Any type of project is being developed "from the end", with the thought and image of the final product youwant to realize it. This purpose may be placed at the end of a cycle of learning (school, school, university.These types of targets determine the contents of various analytical programs of instruction (for the recoveryof knowledge, ownership of new acquisitions and continuous improvement. Largely from physical educationlessons are devoid of quality and efficiency expected, due to errors that are committed in the methodology ofdetermining educational objectives-training or instruction.

  20. User centered design of a digital procedure guidance component for nuclear power plant operation

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, Paulo V.R. de; Santos, Isaac L. dos; Oliveira, Mauro V. de; Grecco, Claudio H.S.; Mol, Antonio C. [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil)]. E-mails: paulov@ien.gov.br; luquetti@ien.gov.br; mvitor@ien.gov.br; grecco@ien.gov.br; mol@ien.gov.br

    2007-07-01

    The use of nuclear power plants to produce electric energy is a safety-critical process where ultimate operational decisions still relies with the control room operators. Thus it is important to provide the best possible decision support through effective supervisory control interfaces. A user centered design approach, based on cognitive task analysis methods, was used to observe the operators training on the nuclear power plant simulator of the Human System Interface Laboratory (LABIHS). We noted deficiencies in the integration between the computerized interfaces and the hardcopy (paper) procedures. An new prototype of digital procedures - the digital procedure component guidance (PCG) - was designed in PowerPoint as an alternative to the current hardcopy procedure manuals. The design improves upon the graphical layout of system information and provides better integration of procedures, automation, and alarm systems. The design was validated by expert opinion and a scenario-based comparison. Future implementation and testing of the redesign is suggested for further validation. (author)

  1. Soil washing physical separations test procedure - 300-FF-1 operable unit

    Energy Technology Data Exchange (ETDEWEB)

    Belden, R.D.

    1993-10-08

    This procedure provides the operations approach, a field sampling plan, and laboratory procedures for a soil washing test to be conducted by Alternative Remedial Technologies, Inc. (ART) in the 300-FF-1 area at the Hanford site. The {open_quotes}Quality Assurance Project Plan for the Soil Washing Physical Separations Test, 300-FF-1 Operable Unit,{close_quotes} Hanford, Washington, Alternative Remedial Technologies, Inc., February 1994 (QAPP) is provided in a separate document that presents the procedural and organizational guidelines for this test. This document describes specifications, responsibilities, and general procedures to be followed to conduct physical separation soil treatability tests in the North Process Pond of the 300-FF-1 Operable Unit (OU) at the Hanford Site. These procedures are based on the {open_quotes}300-FF-1 Physical Separations CERCLA Treatability Test Plan, DOE/RL 92-2l,{close_quotes} (DOE-RL 1993).

  2. Hand washing in operating room: a procedural comparison

    Directory of Open Access Journals (Sweden)

    Alessia Stilo

    2016-09-01

    Full Text Available BACKGROUND Hand washing has been considered a measure of personal hygiene for centuries and it is known that an improper hand hygiene by healthcare workers is responsible for about 40% of nosocomial infections. Therefore, surgical hand preparation is a critical element for healthcare safety in order to reduce microbial contamination of  surgical wound in case of non detected break of the gloves. The aim of our study is to evaluate the efficacy three antiseptics: Povi-iodine scrub; EPG (Ethanol, Hydrogen Peroxide, Glycerol, recommended by WHO, and common marseille soap type in a liquid formulation. METHODS It was designed a randomized, double-blind, single-center study conducted in the University Hospital of Messina, from January to June 2013. We asked operators to put the fingertips of their right hand (if not left-handed for one minute on the PCA medium, before washing with the three types of antiseptics, and after washing and drying. Drying was made using sterile gauzes or disposable wipes. Then, we measured the number of colony forming units per mL (CFU/mL and calculated the percentage of microbial load reduction. RESULTS 211 samples have been considered for statistical analysis: in 42 samples, in fact, initial microbial load was lower than after washing. Washing with EPG reduced CFU/ml from  a mean of 38,9 to 4,1 (86,5% reduction, washing with povi-iodine scrub from 59,55 to 12,9 (75,9% reduction and washing with Marseille soap from 47,26 to 12,7 (64,3% reduction. CONCLUSIONS Our study shows that washing with EPG has superior efficacy in CFU reduction. Antiseptic hand washing, however, cannot be considered the only measure to reduce infections: the anomaly of some results (initial microbial load lower than after washing  demonstrates that drying is an essential phase in the presurgical preparation. Therefore, hand hygiene must be part of a more complex strategy of surveillance and control of nosocomial infections

  3. Preliminary development of flaw evaluation procedures for delayed hydride cracking initiation under hydride non-ratcheting conditions

    Energy Technology Data Exchange (ETDEWEB)

    Xu, S.; Cui, J.; Kawa, D.; Shek, G.K.; Scarth, D.A. [Kinectrics Inc., Toronto, Ontario (Canada)

    2006-07-01

    The flaw evaluation procedure for Delayed Hydride Cracking (DHC) initiation currently provided in the CSA Standard N285.8 was developed for hydride ratcheting conditions, in which flaw-tip hydrides do not completely dissolve at peak temperature. Test results have shown that hydrided regions formed under non-ratcheting conditions, in which flaw-tip hydrides completely dissolve at peak temperature, have significantly higher resistance to cracking than those formed under ratcheting conditions. This paper presents some preliminary work on the development of a procedure for the evaluation of DHC initiation for flaws under hydride non-ratcheting conditions. (author)

  4. Systematic Procedure for Integrated Process Operation: Reverse Electro-Enhanced Dialysis (REED) during Lactic Acid Fermentation

    DEFF Research Database (Denmark)

    Prado Rubio, Oscar Andres; Jørgensen, Sten Bay; Jonsson, Gunnar Eigil

    2011-01-01

    The integration of lactic acid fermentation and Reverse Electro-Enhanced Dialysis (REED) is investigated based upon previously developed mathematical models. A goal driven process and operation design procedure is proposed and partially investigated. The conceptual analysis of the processes...

  5. Guidelines for the preparation of emergency operating procedures. Resolution of comments on NUREG-0799

    Energy Technology Data Exchange (ETDEWEB)

    1982-08-01

    The purpose of this document is to identify the elements necessary for utilities to prepare and implement a program of Emergency Operating Procedures (EOPs) for use by control room personnel to assist in mitigating the consequences of a broad range of accidents and multiple equipment failures. This document applies only to the EOPs so designated; it does not address emergency preparedness or emergency planning. It also represents the resolution of comments on NUREG-0799, Draft Criteria for Preparation of Emergency Operating Procedures.

  6. Reactor operating procedures for startup of continuously-operated chemical plants

    NARCIS (Netherlands)

    Verwijs, J.W.; Kösters, P.H.; Berg, van den H.; Westerterp, K.R.

    1995-01-01

    Rules are presented for the startup of an adiabatic tubular reactor, based on a qualitative analysis of the dynamic behavior of continuously-operated vapor- and liquid-phase processes. The relationships between the process dynamics, operating criteria, and operating constraints are investigated, sin

  7. Safety Precautions and Operating Procedures in an (A)BSL-4 Laboratory: 4. Medical Imaging Procedures.

    Science.gov (United States)

    Byrum, Russell; Keith, Lauren; Bartos, Christopher; St Claire, Marisa; Lackemeyer, Matthew G; Holbrook, Michael R; Janosko, Krisztina; Barr, Jason; Pusl, Daniela; Bollinger, Laura; Wada, Jiro; Coe, Linda; Hensley, Lisa E; Jahrling, Peter B; Kuhn, Jens H; Lentz, Margaret R

    2016-10-03

    Medical imaging using animal models for human diseases has been utilized for decades; however, until recently, medical imaging of diseases induced by high-consequence pathogens has not been possible. In 2014, the National Institutes of Health, National Institute of Allergy and Infectious Diseases, Integrated Research Facility at Fort Detrick opened an Animal Biosafety Level 4 (ABSL-4) facility to assess the clinical course and pathology of infectious diseases in experimentally infected animals. Multiple imaging modalities including computed tomography (CT), magnetic resonance imaging, positron emission tomography, and single photon emission computed tomography are available to researchers for these evaluations. The focus of this article is to describe the workflow for safely obtaining a CT image of a live guinea pig in an ABSL-4 facility. These procedures include animal handling, anesthesia, and preparing and monitoring the animal until recovery from sedation. We will also discuss preparing the imaging equipment, performing quality checks, communication methods from "hot side" (containing pathogens) to "cold side," and moving the animal from the holding room to the imaging suite.

  8. Endoscopy-assisted surgery for the management of benign breast tumors: technique, learning curve, and patient-reported outcome from preliminary 323 procedures.

    Science.gov (United States)

    Lai, Hung-Wen; Lin, Hui-Yu; Chen, Shu-Ling; Chen, Shou-Tung; Chen, Dar-Ren; Kuo, Shou-Jen

    2017-01-11

    Endoscopy-assisted breast surgery (EABS), a technique that optimizes cosmetic outcome because it is performed through small wounds hidden in inconspicuous areas, could be an alternative surgical technique for benign breast tumors. In this study, we report the preliminary results of 323 EABS procedures performed at our institution for the management of benign breast tumors. The medical records of patients who underwent EABS for benign breast lesions during the periods August 2010 to December 2015 were collected from the Changhua Christian Hospital EABS database. Data on clinicopathologic characteristics, type of surgery, hospital stay, and complications were analyzed to determine the effectiveness of the procedure for benign breast tumors. The operating time with the number of procedure performed was analyzed for learning curve evaluation. Patient satisfaction with cosmetic outcome was evaluated with a self-report questionnaire. A total of 323 EABS procedures were performed in 286 patients with benign breast lesions, including 249 (90.5%) patients with unilateral lesions. The mean age was 36 years, the mean tumor size was 2.2 cm, and the mean distance from the nipple to the tumor was 5.2 cm. Most (93.8%, 303/323) of these tumors were excised through a transareolar wound, 2.4% (8/323) through an axillary wound, and 0.3% (1/323) through the infra-mammary fold. Histopathologic analysis revealed that 63.5% (202/318) of the tumors were fibroadenoma-related lesions. The mean operative time was 81.4 min (59~89 min), which was decreased with experience increased. The overall rate of complications was 6.5%, and all were minor and wound-related. Among the 110 patients who participated in the self-report cosmetic outcome evaluation, 85.4% reported being satisfied with the cosmetic result, and almost all were satisfied with breast symmetry. Of the patients interviewed, 92.7% reported that they would choose the same procedure if they had to undergo the operation again. Our

  9. New perspective for third generation percutaneous vertebral augmentation procedures: Preliminary results at 12 months

    Directory of Open Access Journals (Sweden)

    Daniele Vanni

    2012-01-01

    Full Text Available Introduction: The prevalence of osteoporotic vertebral fractures (OVF increased in the last years. Compression fractures promote a progressive spine kyphosis increase, resulting in a weight shift and anterior column overload, with OVF additional risk (domino effect. The aim of this study is to evaluate the OVF treatment outcome using Spine Jack ®, a titanium device for third generation percutaneous vertebral augmentation procedures (PVAPs. Materials and Methods: From February 2010, a prospective randomized study was performed examining 300 patients who underwent PVAP due to OVF type A1 according to Magerl/AO spine classification. Patients enrolled in the study were divided in two homogenous groups with regards to age (65-85 years, sex, and general clinical findings. Group A included 150 patients who underwent PVAP using Spine Jack ® system; the second, group B (control group, included 150 patients treated by conventional balloon kyphoplasty. Patients underwent a clinical (visual analogue scale and Oswestry disability index and radiographic follow-up, with post-operative standing plain radiogram of the spine at 1, 6, and 12 months. The radiographic parameters that were taken into account were: Post-operative anterior vertebral body height, pre-operative anterior vertebral body height, cephalic anterior vertebral body height, and caudal anterior vertebral body height. Results: Compared to the Spine Jack ® group, the kyphoplasty group required a little longer operation time (an average of 40 min-group A vs. 45 min-group B, P < 0.05 and a greater amount of polymethylmethacrylate (4.0 mL-group A vs. 5.0 mL-group B, P < 0.05;. The post-operative increase in vertebral body height was greater in the Spine Jack ® group than in the kyphoplasty group (P < 0.05. Discussion: PVAP are based on the cement injection into the vertebral body. Vertebroplasty does not allow the vertebral body height recovery. Balloon kyphoplasty allows a temporary height

  10. Optical guidance for stereotactic brain tumor biopsy procedures: preliminary clinical evaluation (Conference Presentation)

    Science.gov (United States)

    Haj-Hosseini, Neda; Richter, Johan; Milos, Peter; Hallbeck, Martin; Wârdell, Karin

    2017-02-01

    In the routine of stereotactic biopsy on suspected tumors located deep in the brain or patients with multiple lesions, tissue samples are harvested to determine the type of malignancy. Biopsies are taken from pre-calculated positions based on the preoperative radiologic images susceptible to brain shift. In such cases the biopsy procedure may need to be repeated leading to a longer operation time. To provide guidance for targeting diagnostic tumor tissue and to avoid vessel rupture on the insertion path of the tumor, an application specific fiber optic probe was developed. The setup incorporated spectroscopy for 5-aminolevulinic acid induced protopophyrin IX (PpIX) fluorescence in the tumor and laser Doppler for measuring microvascular blood flow which recorded backscattered light (TLI) at 780 nm and blood perfusion. The recorded signals were compared to the histopathologic diagnosis of the tissue samples (n=16) and to the preoperative radiologic images. All together 146 fluorescence and 276 laser Doppler signals were recorded along 5 trajectories in 4 patients. On all occasions strong PpIX fluorescence peaks were visible during real-time guidance. Comparing the gliotic tumor marginal zone with the tumor, the PpIX (51 vs. 528 a.u., [0-1790], p 0.05) and blood perfusion (8.3 vs. 17 a.u., [0-254], p > 0.05) were not significantly different. In conclusion, the optical guidance probe made real-time tumor detection and vessel tracking possible during the stereotactic biopsy procedures. Moreover, the fluorescence and blood perfusion in the tumor could be studied at controlled positions in the brain and the tumor.

  11. Towards a Library of Standard Operating Procedures (SOPs) for (meta)genomic annotation

    Energy Technology Data Exchange (ETDEWEB)

    Kyrpides, Nikos; Angiuoli, Samuel V.; Cochrane, Guy; Field, Dawn; Garrity, George; Gussman, Aaron; Kodira, Chinnappa D.; Klimke, William; Kyrpides, Nikos; Madupu, Ramana; Markowitz, Victor; Tatusova, Tatiana; Thomson, Nick; White, Owen

    2008-04-01

    Genome annotations describe the features of genomes and accompany sequences in genome databases. The methodologies used to generate genome annotation are diverse and typically vary amongst groups. Descriptions of the annotation procedure are helpful in interpreting genome annotation data. Standard Operating Procedures (SOPs) for genome annotation describe the processes that generate genome annotations. Some groups are currently documenting procedures but standards are lacking for structure and content of annotation SOPs. In addition, there is no central repository to store and disseminate procedures and protocols for genome annotation. We highlight the importance of SOPs for genome annotation and endorse a central online repository of SOPs.

  12. Towards a Library of Standard Operating Procedures (SOPs) for (meta)genomic annotation

    Energy Technology Data Exchange (ETDEWEB)

    Kyrpides, Nikos; Angiuoli, Samuel V.; Cochrane, Guy; Field, Dawn; Garrity, George; Gussman, Aaron; Kodira, Chinnappa D.; Klimke, William; Kyrpides, Nikos; Madupu, Ramana; Markowitz, Victor; Tatusova, Tatiana; Thomson, Nick; White, Owen

    2008-04-01

    Genome annotations describe the features of genomes and accompany sequences in genome databases. The methodologies used to generate genome annotation are diverse and typically vary amongst groups. Descriptions of the annotation procedure are helpful in interpreting genome annotation data. Standard Operating Procedures (SOPs) for genome annotation describe the processes that generate genome annotations. Some groups are currently documenting procedures but standards are lacking for structure and content of annotation SOPs. In addition, there is no central repository to store and disseminate procedures and protocols for genome annotation. We highlight the importance of SOPs for genome annotation and endorse a central online repository of SOPs.

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

    Science.gov (United States)

    Weisburd, Melvin I.

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

  14. Operational Procedures for Successful Vocational-Technical Resource Consortia in Serving Business and Industry in Ohio.

    Science.gov (United States)

    Frasier, James E.; Stanton, William

    The development, organization, and operation of the Vocational-Technical Resource Consortia in Ohio was examined to identify those elements, policies, practices, and procedures that contribute to their effective operation and future growth. Data about individual consortia and general information were gathered by questionnaires completed by…

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

    Science.gov (United States)

    Weisburd, Melvin I.

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

  16. Hanford tank waste operation simulator operational waste volume projection verification and validation procedure

    Energy Technology Data Exchange (ETDEWEB)

    HARMSEN, R.W.

    1999-10-28

    The Hanford Tank Waste Operation Simulator is tested to determine if it can replace the FORTRAN-based Operational Waste Volume Projection computer simulation that has traditionally served to project double-shell tank utilization. Three Test Cases are used to compare the results of the two simulators; one incorporates the cleanup schedule of the Tri Party Agreement.

  17. Automated Kick Control Procedure for an Influx in Managed Pressure Drilling Operations

    Directory of Open Access Journals (Sweden)

    Jing Zhou

    2016-01-01

    Full Text Available Within drilling of oil and gas wells, the Managed Pressure Drilling (MPD method with active control of wellbore pressure during drilling has partly evolved from conventional well control procedures. However, for MPD operations the instrumentation is typically more extensive compared to conventional drilling. Despite this, any influx of formation fluids (commonly known as a kick during MPD operations is typically handled by conventional well control methods, at least if the kick is estimated to be larger than a threshold value. Conventional well control procedures rely on manual control of the blow out preventer, pumps, and choke valves and do not capitalize on the benefits from the instrumentation level associated with MPD. This paper investigates two alternative well control procedures specially adapted to backpressure MPD: the dynamic shut-in (DSI procedure and the automatic kick control (AKC procedure. Both methods capitalize on improvements in Pressure While Drilling (PWD technology. A commercially available PWD tool buffers high-resolution pressure measurements, which can be used in an automated well control procedure. By using backpressure MPD, the choke valve opening is tuned automatically using a feedback-feedforward control method. The two procedures are evaluated using a high fidelity well flow model and cases from a North Sea drilling operation are simulated. The results show that using AKC procedure reduces the time needed to establish control of the well compared to DSI procedure. It also indicates that the AKC procedure reduces the total kick size compared to the DSI procedure, and thereby reduces the risk of lost circulation.

  18. A method for risk informing procedures at operating nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, P. F.; Martin del Campo, C., E-mail: pnelson_007@yahoo.com [UNAM, Facultad de Ingenieria, Departamento de Sistemas Energeticos, Paseo Cuauhnahuac No. 8532, Col. Progreso, 62550 Jiutepec, Morelos (Mexico)

    2012-10-15

    The technical approach presented establishes a framework intended to provide the necessary elements for a deployable human performance monitoring program that incorporates insights from plant specific probabilistic risk assessments, human reliability analysis, as well as the development of plant specific human failure data. A human performance monitoring program of this structure would be used to provide the ability to risk inform procedures (e.g., operations or maintenance) to determine the operational risk significance of procedural performance (i.e., precautions, prerequisites, procedure steps), the likelihood of consequential human error dur the performance of the procedure, and the identification of procedure specific barriers to reduce or eliminate consequential human errors. The program would provide the means to assess procedures prior to execution and the means to record and trend human failure events leading to a plant specific human failure database for human activities characterized as pre-initiator. The technical methods and data processing for each of these areas are developed and presented, as well as an example application of an operational procedure error leading to a plant level event (i.e, plant trip). (Author)

  19. Draft Function Allocation Framework and Preliminary Technical Basis for Advanced SMR Concepts of Operations

    Energy Technology Data Exchange (ETDEWEB)

    Jacques Hugo; John Forester; David Gertman; Jeffrey Joe; Heather Medema; Julius Persensky; April Whaley

    2013-08-01

    This report presents preliminary research results from the investigation into the development of new models and guidance for Concepts of Operations in advanced small modular reactor (AdvSMR) designs. AdvSMRs are nuclear power plants (NPPs), but unlike conventional large NPPs that are constructed on site, AdvSMRs systems and components will be fabricated in a factory and then assembled on site. AdvSMRs will also use advanced digital instrumentation and control systems, and make greater use of automation. Some AdvSMR designs also propose to be operated in a multi-unit configuration with a single central control room as a way to be more cost-competitive with existing NPPs. These differences from conventional NPPs not only pose technical and operational challenges, but they will undoubtedly also have regulatory compliance implications, especially with respect to staffing requirements and safety standards.

  20. Preliminary report on operational guidelines developed for use in emergency preparedness and response to a radiological dispersal device incident.

    Energy Technology Data Exchange (ETDEWEB)

    Yu, C.; Cheng, J.-J.; Kamboj, S.; Domotor, S.; Wallo, A.; Environmental Science Division; DOE

    2006-12-15

    This report presents preliminary operational guidelines and supporting work products developed through the interagency Operational Guidelines Task Group (OGT). The report consolidates preliminary operational guidelines, all ancillary work products, and a companion software tool that facilitates their implementation into one reference source document. The report is intended for interim use and comment and provides the foundation for fostering future reviews of the operational guidelines and their implementation within emergency preparedness and response initiatives in the event of a radiological dispersal device (RDD) incident. The report principally focuses on the technical derivation and presentation of the operational guidelines. End-user guidance providing more details on how to apply these operational guidelines within planning and response settings is being considered and developed elsewhere. The preliminary operational guidelines are categorized into seven groups on the basis of their intended application within early, intermediate, and long-term recovery phases of emergency response. We anticipate that these operational guidelines will be updated and refined by interested government agencies in response to comments and lessons learned from their review, consideration, and trial application. This review, comment, and trial application process will facilitate the selection of a final set of operational guidelines that may be more or less inclusive of the preliminary operational guidelines presented in this report. These and updated versions of the operational guidelines will be made available through the OGT public Web site (http://ogcms.energy.gov) as they become finalized for public distribution and comment.

  1. Preliminary analysis of Alvito-Odivelas reservoir system operation under climate change scenarios

    OpenAIRE

    2008-01-01

    The present study provides a preliminary analysis of the impact of climate change on a water resources system of Alentejo region in the South of Portugal. Regional climate model HadRM3P forced by the Global Circulation Model HadAM3P A2 of the Hadley Centre, is used to derive temperature and precipitation data, which in turn is used as input to hydrological model (SHETRAN) for simulation of future streamflow. Dynamic programming based models are used for operation of reservoir system in order ...

  2. Safety rules during operation in sewage networks; Procedure di sicurezza sul lavoro per interventi in fognatura

    Energy Technology Data Exchange (ETDEWEB)

    Bonvicini, V.; Cervi, G.; Lastrico, G.; Siri, R. [Azienda Municipalizzata Gas e Acqua, A.M.G.A., Genoa (Italy)

    1998-04-01

    The paper describes the risks evaluation and the safety rules for operations of detecting of sewage networks. There are also described the possibility of gas formation in the network and the safety rules in this particularly work conditions. [Italiano] L`articolo espone la valutazione dei rischi e le relative procedure di sicurezza durante le operazioni di ispezione dei condotti fognari. Siconsidera inoltre la possibilita` di formazione di gas pericolosi e le procedure di sicurezza da adottare in questi casi.

  3. Risk of Venous Thromboembolism and Operative Duration in Patients Undergoing Neurosurgical Procedures.

    Science.gov (United States)

    Bekelis, Kimon; Labropoulos, Nicos; Coy, Shannon

    2017-05-01

    The association of operative duration with the risk of venous thromboembolism (VTE) has not been quantified in neurosurgery. To investigate the association of surgical duration for several neurosurgical procedures and the incidence of VTE. We performed a retrospective cohort study involving patients who underwent neurosurgical procedures from 2005 to 2012 and were registered in the American College of Surgeons National Quality Improvement Project registry. In order to control for confounding, we used multivariable regression models, and propensity score conditioning. During the study period, there were 94 747 patients, who underwent neurosurgical procedures, and met the inclusion criteria. Of these, 1358 (1.0%) developed VTE within 30 days postoperatively. Multivariable logistic regression demonstrated an association of longer operative duration with higher 30-day incidence of VTE (odds ratio [OR], 1.22; 95% confidence interval [CI], 1.19-1.25). Compared with procedures of moderate duration (third quintile, 40-60th percentile), patients undergoing the longest procedures (>80th percentile) had higher odds (OR, 3.15; 95% CI, 2.49-3.99) of developing VTE. The shortest procedures (<20th percentile) were associated with a decreased incidence of VTE (OR, 0.51; 95% CI, 0.27-0.76) in comparison to those of moderate duration. The same associations were present in propensity score-adjusted models, and models stratified by subgroups of cranial, spinal, peripheral nerve, and carotid procedures. In a cohort of patients from a national prospective surgical registry, increased operative duration was associated with increased incidence of VTE for neurosurgical procedures. These results can be used by neurosurgeons to inform operative management, and to stratify patients with regard to VTE risk.

  4. Towards Verification of Operational Procedures Using Auto-Generated Diagnostic Trees

    Science.gov (United States)

    Kurtoglu, Tolga; Lutz, Robyn; Patterson-Hine, Ann

    2009-01-01

    The design, development, and operation of complex space, lunar and planetary exploration systems require the development of general procedures that describe a detailed set of instructions capturing how mission tasks are performed. For both crewed and uncrewed NASA systems, mission safety and the accomplishment of the scientific mission objectives are highly dependent on the correctness of procedures. In this paper, we describe how to use the auto-generated diagnostic trees from existing diagnostic models to improve the verification of standard operating procedures. Specifically, we introduce a systematic method, namely the Diagnostic Tree for Verification (DTV), developed with the goal of leveraging the information contained within auto-generated diagnostic trees in order to check the correctness of procedures, to streamline the procedures in terms of reducing the number of steps or use of resources in them, and to propose alternative procedural steps adaptive to changing operational conditions. The application of the DTV method to a spacecraft electrical power system shows the feasibility of the approach and its range of capabilities

  5. Design and evaluation of computerized operating procedures in nuclear power plants.

    Science.gov (United States)

    Hwang, Fei-Hui; Hwang, Sheue-Ling

    2003-01-15

    A small-scale virtual system has been developed in this study to enhance operators' understanding and operating performance. For this, a computerized graphical interface based on Dynamic Work Causality Equation (DWCE) has been designed to transform the operating procedure into a flowchart. Furthermore, the Programmable Logic Controller (PLC) was installed to connect the signboard (proposed system) with the computerized graphical interface. An experiment was conducted to verify the effect of computerized graphic interface, indicating that the computerized system significantly decreases learning time and improves operational performance.

  6. Improving the review of standard operating procedures: a novel electronic system for compounding pharmacies.

    Science.gov (United States)

    Brensel, Robert; Brensel, Scott; Ng, Amy

    2013-01-01

    Since the New England Compounding Center disaster in 2012, the importance of following correct procedures during every phase of customized pharmacy has been a focus of governmental interest and action as well as public scrutiny. Many pharmacies rely on the rote review of standard operating procedures to ensure that staff members understand and follow protocols that ensure the safety and potency of all compounds prepared, but that approach to continuing education can be cumbersome and needlessly time-consuming. In addition, documenting and retrieving evidence of employee competence can be difficult. In this article, we describe our use of online technology to improve our methods of educating staff about the full range of standard operating procedures that must be followed in our pharmacy. The system we devised and implemented has proven to be effective, easy to update and maintain, very inexpensive, and user friendly. Its use has reduced the time previously required for a read-over review of standard operating procedures from 30 or 40 minutes to 5 or 10 minutes in weekly staff meetings, and we can now easily document and access proof of employees' comprehension of that content. It is our hope that other small compounding pharmacies will also find this system of online standard operating procedure review helpful.

  7. Operational circular No. 9 – Principles and procedures governing complaints of harassment

    CERN Multimedia

    HR Department

    2011-01-01

    Operational Circular No. 9 entitled "Principles and Procedures Governing Complaints of Harassment", approved by the Director-General following discussion in the Standing Concertation Committee meeting on 21 March 2011, is available on the intranet site of the Human Resources Department: https://cern.ch/hr-docs/opcirc/opcirc.asp Operational Circular No. 9 is applicable to any person working at or on behalf of CERN. It cancels and replaces Administrative Circular No. 32 entitled "Principles and Procedures Governing Complaints of Harassment” of February 2000. Department Head Office

  8. A hypertext information system for standard operating procedures in haematological intensive care.

    Science.gov (United States)

    Horsch, A; Sokol, R; Heneka, D; Lasic, G

    1997-01-01

    In times of cost reduction efforts the role of standard operating procedures for both medical and nursing procedures gets increasing importance. Such standards are necessary if the quality of patient care shall not suffer but even improve. While some sophisticated approaches are coming up with generation of clinical processes from formal protocol models in connection with documentation systems the clinical practice actually looks quite different: Paper-based "operating standards" are used in day-to-day work, if any. In this paper a simple and powerful WWW-based hypertext information system for easy provision and maintenance of nursing standards is presented.

  9. Preliminary Guideline for the High Temperature Structure Integrity Assessment Procedure Part I. High Temperature Structure Design Guide

    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 preliminary guideline for the design and evaluation of LMR high temperature structure is presented based upon ASME B and PV Code, Section III, Subsection NH. The main contents of this guideline are the materials, general design, vessel, piping, core support structure, pumps, valves, fabrication, examination, and testing for the class 1 components. The ratcheting evaluation, enhanced creep assessment, welds design and evaluation, inelastic analysis approach, piping design alternatives, and bellows design method are described in appendices. A user of this guideline should follow the essential procedures and may refer to other pertinent codes, standards, laws, regulations, or other pertinent documents when this guideline does not lead to proper design of the structure. While this guideline adopts major procedures of Subsection NH, it refers to the RCC-MR and/or DDS in some amount for the items where these codes have excellency to improve this guideline.

  10. 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.

  11. Preliminary Concept of Operations for a Global Cylinder Identification and Monitoring System

    Energy Technology Data Exchange (ETDEWEB)

    Whitaker, J. M. [ORNL; White-Horton, J. L. [ORNL; Morgan, J. B. [InSolves Associates

    2013-08-01

    This report describes a preliminary concept of operations for a Global Cylinder Identification and Monitoring System that could improve the efficiency of the International Atomic Energy Agency (IAEA) in conducting its current inspection activities and could provide a capability to substantially increase its ability to detect credible diversion scenarios and undeclared production pathways involving UF6 cylinders. There exist concerns that a proliferant State with access to enrichment technology could obtain a cylinder containing natural or low-enriched uranium hexafluoride (UF6) and produce a significant quantity (SQ)1 of highly enriched uranium in as little as 30 days. The National Nuclear Security Administration (NNSA) through the Next Generation Safeguards Initiative sponsored a multi-laboratory team to develop an integrated system that provides for detecting scenarios involving 1) diverting an entire declared cylinder for enrichment at a clandestine facility, 2) misusing a declared cylinder at a safeguarded facility, and 3) using an undeclared cylinder at a safeguarded facility. An important objective in developing this integrated system was to improve the timeliness for detecting the cylinder diversion and undeclared production scenarios. Developing this preliminary concept required in-depth analyses of current operational and safeguards practices at conversion, enrichment, and fuel fabrication facilities. The analyses evaluated the processing, movement, and storage of cylinders at the facilities; the movement of cylinders between facilities (including cylinder fabrication); and the misuse of safeguarded facilities.

  12. Operative vaginal delivery and invasive procedures in pregnancy among women living with HIV.

    Science.gov (United States)

    Peters, Helen; Francis, Kate; Harding, Kate; Tookey, Pat A; Thorne, Claire

    2017-03-01

    To describe the use and outcomes of operative delivery and invasive procedures in pregnancy amongst women living with HIV. The National Study of HIV in Pregnancy and Childhood (NSHPC) is a comprehensive population-based surveillance study in the UK and Ireland. The NSHPC has collected data on operative delivery since 2008, and invasive procedures in pregnancy (amniocentesis, cordocentesis, chorionic villus sampling) from 2012. Descriptive analyses were conducted on 278 pregnancies expected to deliver from 1 January 2008 with outcome reported to the NSHPC by 31 March 2016. Among 9372 pregnancies in 2008-2016, there were 9072 livebirths with 251 operative deliveries and 27 invasive procedures in pregnancy reported. Information was available for 3023/3490 vaginal deliveries, and use of forceps or vacuum reported in 251deliveries (8.2%), increasing over calendar time to almost 10% by 2014-16. Forceps were used twice as often as vacuum delivery, and forceps use increased over time. One infant delivered operatively is known to have acquired HIV. From 2012 there were 4063 pregnancies resulting in 3952 livebirths, 83 terminations and 28 stillbirths. 2163/4063 had information on use (or not) of invasive procedures in pregnancy. Amniocentesis was reported in 25/2163 pregnancies, there was one report of chorionic villus sampling and one of cordocentesis. There were no reported transmissions following invasive procedures in pregnancy. This is the largest study to date to report on operative delivery in women living with HIV on combined antiretroviral therapy (cART), and provides an up-to-date picture of invasive procedures during pregnancy in this group. Findings from this comprehensive national study are reassuring but numbers are currently low; on-going monitoring is crucial as obstetric care of women with HIV becomes normalised. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Development of an expert system for abnormal operating procedures in a main control room.

    Science.gov (United States)

    Hsieh, Min-Han; Hwang, Sheue-Ling; Liu, Kang-Hong; Liang, Sheau-Farn Max; Chuang, Chang-Fu

    2012-01-01

    The study was conducted from the perspective of human factors engineering in order to compare the process that operators originally used to diagnose potential and actual faults with a process that included an expert system for diagnosing faults. The results of the study indicated that the existence of an expert system for fault diagnosis makes the task of fault diagnosis easier and reduces errors by quickly suggesting likely Abnormal Operating Procedures (AOPs).

  14. Draft Function Allocation Framework and Preliminary Technical Basis for Advanced SMR Concepts of Operations

    Energy Technology Data Exchange (ETDEWEB)

    Jacques Hugo; John Forester; David Gertman; Jeffrey Joe; Heather Medema; Julius Persensky; April Whaley

    2013-04-01

    This report presents preliminary research results from the investigation in to the development of new models and guidance for concepts of operations (ConOps) in advanced small modular reactor (aSMR) designs. In support of this objective, three important research areas were included: operating principles of multi-modular plants, functional allocation models and strategies that would affect the development of new, non-traditional concept of operations, and the requiremetns for human performance, based upon work domain analysis and current regulatory requirements. As part of the approach for this report, we outline potential functions, including the theoretical and operational foundations for the development of a new functional allocation model and the identification of specific regulatory requirements that will influence the development of future concept of operations. The report also highlights changes in research strategy prompted by confirmationof the importance of applying the work domain analysis methodology to a reference aSMR design. It is described how this methodology will enrich the findings from this phase of the project in the subsequent phases and help in identification of metrics and focused studies for the determination of human performance criteria that can be used to support the design process.

  15. 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 (pmethodology is novel, objective and safe, helping on follow-up of pectus excavatum patients. Moreover, the preliminary study suggests that the time the bar 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.

  16. Computer–Based Procedures for Nuclear Power Plant Field Workers: Preliminary Results from Two Evaluation Studies

    Energy Technology Data Exchange (ETDEWEB)

    Katya L Le Blanc; Johanna H Oxstrand

    2013-10-01

    The Idaho National Laboratory and participants from the U.S. nuclear industry are collaborating on a research effort aimed to augment the existing guidance on computer-based procedure (CBP) design with specific guidance on how to design CBP user interfaces such that they support procedure execution in ways that exceed the capabilities of paper-based procedures (PBPs) without introducing new errors. Researchers are employing an iterative process where the human factors issues and interface design principles related to CBP usage are systematically addressed and evaluated in realistic settings. This paper describes the process of developing a CBP prototype and the two studies conducted to evaluate the prototype. The results indicate that CBPs may improve performance by reducing errors, but may increase the time it takes to complete procedural tasks.

  17. SAFETY AND EFFECTIVENESS OF SINGLE ANASTOMOSIS DUODENAL SWITCH PROCEDURE: PRELIMINARY RESULT FROM A SINGLE INSTITUTION.

    Science.gov (United States)

    Nelson, Lars; Moon, Rena C; Teixeira, Andre F; Galvão, Manoel; Ramos, Almino; Jawad, Muhammad A

    Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) was introduced into bariatric surgery by Sanchez-Pernaute et al. as an advancement of the biliopancreatic diversion with duodenal switch. To evaluate the SADI-S procedure with regard to weight loss, comorbidity resolution, and complication rate in the super obese population. A retrospective chart review was performed on initial 72 patients who underwent laparoscopic or robot-assisted laparoscopic SADI-S between December 17th, 2013 and July 29th, 2015. A total of 48 female and 21 male patients were included with a mean age of 42.4±10.0 years (range, 22-67). The mean body mass index (BMI) at the time of procedure was 58.4±8.3 kg/m2 (range, 42.3-91.8). Mean length of hospital stay was 4.3±2.6 days (range, 3-24). Thirty-day readmission rate was 4.3% (n=3), due to tachycardia (n=1), deep venous thrombosis (n=1), and viral gastroenteritis (n=1). Thirty-day reoperation rate was 5.8% (n=4) for perforation of the small bowel (n=1), leakage (n=1), duodenal stump leakage (n=1), and diagnostic laparoscopy (n=1). Percentage of excess weight loss (%EWL) was 28.5±8.8 % (range, 13.3-45.0) at three months (n=28), 41.7±11.1 % (range, 19.6-69.6) at six months (n=50), and 61.6±12.0 % (range, 40.1-91.2) at 12 months (n=23) after the procedure. A total of 18 patients (26.1%) presented with type II diabetes mellitus at the time of surgery. Of these patients, 9 (50.0%) had their diabetes resolved, and six (33.3%) had it improved by 6-12 months after SADI-S. SADI-S is a feasible operation with a promising weight loss and diabetes resolution in the super-obese population. Anastomose única em bypass duodenoileal com gastrectomia vertical (SADI-S) foi introduzida na cirurgia bariátrica por Sanchez-Pernaute et al. como um avanço da derivação biliopancreática com switch duodenal. Avaliar o procedimento SADI-S no que diz respeito à perda de peso, resolução de comorbidades e taxa de complicações na popula

  18. 34 CFR 602.23 - Operating procedures all agencies must have.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false Operating procedures all agencies must have. 602.23 Section 602.23 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF... agencies must have. (a) The agency must maintain and make available to the public written...

  19. [Low field intra-operative magnetic resonance imaging for brain tumour surgery: preliminary experience].

    Science.gov (United States)

    Roldán, Pedro; García, Sergio; González, Josep; Reyes, Luis Alberto; Torales, Jorge; Valero, Ricard; Oleaga, Laura; Enseñat, Joaquim

    Intra-operative magnetic resonance imaging (iMRI) is a recently introduced tool in the most advanced neurosurgical operating rooms worldwide. We present our preliminary experience in brain tumour surgery with low field PoleStar N30® intraoperative MRI since its introduction in 2013 in the Barcelona Clinic Hospital. A prospective non-randomised study was conducted on cases operated on using iMRI and intention of complete removal up to October 2015. A record was made of the data as regards surgical times, resection rates, histological diagnosis, hospital stay, and survival rates during follow-up. The study included 50 patients, with a mean age of 55 years (±13.7), a preoperative mean Karnofsky of 92 (being 81 post-operatively), and a mean follow-up of 10.5 months (±6.5). There were 26% re-operations due to recurrence. High-grade gliomas were reported in 56%, low-grade gliomas in 24%, and 20% "Other" tumours. Overall hospital stay was 10 days (±4.5). Depending on the histologiacl diagnosis, the "Others" group had a longer hospital stay. Overall, there were 52% complete removal, 18% of maximum removals, and 30% of partial removals. The overall survival rates during follow-up was 84%. iMRI is a safe and effective tool for brain tumour surgery. Its use allows an increase in resection rates, and minimises post-operative complications. Its implementation involves an increase in surgical time, which improves with the characteristic learning curve. More studies are needed to establish its role in the long-term survival of patients. Copyright © 2016 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

  20. PROCEDURAL INDEPENDENCE OF THE INVESTIGATOR AND JUDICIAL REVIEW OF PRELIMINARY INVESTIGATION

    Directory of Open Access Journals (Sweden)

    Betsukhov A. Z.

    2014-11-01

    Full Text Available Judicial review is a necessary and sufficient guarantee of the rights and legitimate interests of participants in criminal proceedings. The only judicial control over the investigation of crimes will expand unreasonably narrowed the boundaries of procedural autonomy and independence of the investigator, will enhance the efficiency, agility pre-trial proceedings. These and other problems were considered by the author from the perspective of theory and practice, as well as in the aggregate of rules of the code of criminal procedure regulating the activities of the investigator

  1. A study on development of the step complexity measure for emergency operating procedures using entropy concepts

    Energy Technology Data Exchange (ETDEWEB)

    Park, J. K.; Jung, W. D.; Kim, J. W.; Ha, J. J

    2001-04-01

    In complex systems, such as nuclear power plants (NPPs) or airplane control systems, human errors play a major role in many accidents. For example, it was reported that about 70% of aviation accidents are due to human errors, and that approximately 28% of accidents in process industries are caused by human errors. According to related studies, written manuals or operating procedures are revealed as one of the most important factors in aviation and manufacturing industries. In case of NPPs, the importance of procedures is more salient than other industries because not only over 50% of human errors were due to procedures but also about 18% of accidents were caused by the failure of following procedures. Thus, the provision of emergency operating procedures (EOPs) that are designed so that the possibility of human errors can be reduced is very important. To accomplish this goal, a quantitative and objective measure that can evaluate EOPs is indispensable. The purpose of this study is the development of a method that can quantify the complexity of a step included in EOPs. In this regard, the step complexity measure (SC) is developed based on three sub-measures such as the SIC (step information complexity), the SLC (step logic complexity) and the SSC (step size complexity). To verify the SC measure, not only quantitative validations (such as comparing SC scores with subjective evaluation results and with averaged step performance time) but also qualitative validations to clarify physical meanings of the SC measure are performed.

  2. Safety testing and operational procedures for self-developed radiofrequency coils.

    Science.gov (United States)

    Hoffmann, Jens; Henning, Anke; Giapitzakis, Ioannis A; Scheffler, Klaus; Shajan, G; Pohmann, Rolf; Avdievich, Nikolai I

    2016-09-01

    The development of novel radiofrequency (RF) coils for human ultrahigh-field (≥7 T), non-proton and body applications is an active field of research in many MR groups. Any RF coil must meet the strict requirements for safe application on humans with respect to mechanical and electrical safety, as well as the specific absorption rate (SAR) limits. For this purpose, regulations such as the International Electrotechnical Commission (IEC) standard for medical electrical equipment, vendor-suggested test specifications for third party coils and custom-developed test procedures exist. However, for higher frequencies and shorter wavelengths in ultrahigh-field MR, the RF fields may become extremely inhomogeneous in biological tissue and the risk of localized areas with elevated power deposition increases, which is usually not considered by existing safety testing and operational procedures. In addition, important aspects, such as risk analysis and comprehensive electrical performance and safety tests, are often neglected. In this article, we describe the guidelines used in our institution for electrical and mechanical safety tests, SAR simulation and verification, risk analysis and operational procedures, including coil documentation, user training and regular quality assurance testing, which help to recognize and eliminate safety issues during coil design and operation. Although the procedure is generally applicable to all field strengths, specific requirements with regard to SAR-related safety and electrical performance at ultrahigh-field are considered. The protocol describes an internal procedure and does not reflect consensus among a large number of research groups, but rather aims to stimulate further discussion related to minimum coil safety standards. Furthermore, it may help other research groups to establish their own procedures. Copyright © 2015 John Wiley & Sons, Ltd.

  3. Characterizing the Experimental Procedure in Science Laboratories: A Preliminary Step towards Students Experimental Design

    Science.gov (United States)

    Girault, Isabelle; d'Ham, Cedric; Ney, Muriel; Sanchez, Eric; Wajeman, Claire

    2012-01-01

    Many studies have stressed students' lack of understanding of experiments in laboratories. Some researchers suggest that if students design all or parts of entire experiment, as part of an inquiry-based approach, it would overcome certain difficulties. It requires that a procedure be written for experimental design. The aim of this paper is to…

  4. Preliminary risks associated with postulated tritium release from production reactor operation

    Energy Technology Data Exchange (ETDEWEB)

    O' Kula, K.R.; Horton, W.H.

    1988-09-01

    The Probabilistic Risk Assessment (PRA) of Savannah River Plant (SRP) reactor operation is evaluating the offsite risk due to tritium releases during postulated full or partial loss of heavy water moderator accidents. Preliminary determination of the frequency of average partial moderator loss (including incidents with leaks as small as 0.5 kg) yields an estimate of --1 per reactor-year. The full moderator loss frequency is conservatively chosen as 5x10/sup -3/ per reactor-year. Conditional consequences, determined with a version of the MACCS code modified to handle tritium, are found to be insignificant. The 95th percentile individual cancer risk is 2x10/sup -8/ per reactor-year within 16 km of the release point. The full moderator loss accident contributes about 80% of the evaluated risks.

  5. Konno procedure using atrioventricular groove patch plasty after arterial switch operation.

    Science.gov (United States)

    Kosaka, Yoshimichi; Kurosawa, Hiromi; Nagatsu, Masayoshi

    2004-11-01

    A patient with transposition of the great arteries accompanied by Shaher type 9 coronary anatomy experienced the development of progressive neoaortic valvular regurgitation with a small annulus, supravalvular stenosis, and neopulmonary valvular and supravalvular stenoses 15 years after an arterial switch operation. To implant a prosthetic valve clinically adequate in size, the Konno procedure was necessary. However, the right coronary anatomy precluded the original Konno procedure. My colleagues and I accomplished neoaortic anterior annular enlargement in this case by using atrioventricular groove patch plasty without jeopardizing the right coronary artery, and this resulted in a satisfactory outcome.

  6. Breast operative technique for single-stage reconstruction after conservative skin sparing and nipple sparing mastectomies: a preliminary study

    Directory of Open Access Journals (Sweden)

    Egidio Riggio

    2012-02-01

    Full Text Available The Authors present a novel technique of immediate breast reconstruction with definite implants after mastectomy conserving the nipple- areola complex and, less frequently, in skin-sparing mastectomy. The increase of indications for both oncologic and prophylactic nipple-sparing mastectomy has induced the research for a single-stage technique that could replace the two-stage reconstruction with expanders and/or autogenous reconstructions with flaps. The new techniques introduce modifications of the pocket coverage for the implants occurring in two ways: i autologous adaptation of muscle-fascia-fat-skin layers, ii application of alloplastic materials as the meshes. A series of 124 immediate reconstructions were performed from 2008 to 2011 using a continuous composite pocket made of pectoralis maior and serratus anterior muscle above, and skin-fat flap below. The innovation is represented by an extended electrosurgical scoring of the lower pole of the mammary pocket at two levels. The first is the deep-fascia and muscle layer; the second is the superfiacial fascial system. This operative technique represents an advancement of a prior procedure described by the Authors in 1998. This preliminary study would primarily describe the technique step by step. Discussion debates about alternative techniques in terms of either surgical details of technique or cosmetic results are still to be reached.

  7. Manual of procedures for the operation of bench-scale anaerobic digesters

    Energy Technology Data Exchange (ETDEWEB)

    Spencer, R.R.

    1978-12-01

    The successful operation of any laboratory-scale biological system is often a difficult and frustrating experience. This is especially true when dealing with the anaerobic digestion process. Because of the stringent environmental requirements associated with anaerobic digesters, efficient operation of bench-scale units requires rigid monitoring and control. The purpose of this manual is to present the methods and procedures which are followed in bench-scale anaerobic digestion studies at Pacific Northwest Laboratory (PNL). Among the topics discussed are operating parameters, a description of the experimental system, typical digestion substrates, operational procedures, analytical techniques, and safety considerations. The document serves as a technical guide to PNL personnel assigned to a U.S. Department of Energy sponsored program evaluating the effect of powdered activated carbon on the anaerobic digestio of sewage sludge. It should be noted that the methods described in this manual do not necessarily represent the best or only means of conducting the research. They are merely procedures that have been found to be successful at PNL. It is hoped that this information may be useful to other researchers who are contemplating or pursuing bench-scale studies of their own.

  8. Preliminary Survey of Icing Conditions Measured During Routine Transcontinental Airline Operation

    Science.gov (United States)

    Perkins, Porter J.

    1952-01-01

    Icing data collected on routine operations by four DC-4-type aircraft equipped with NACA pressure-type icing-rate meters are presented as preliminary information obtained from a statistical icing data program sponsored by the NACA with the cooperation of many airline companies and the United States Air Force. The program is continuing on a much greater scale to provide large quantities of data from many air routes in the United States and overseas. Areas not covered by established air routes are also being included in the survey. The four aircraft which collected the data presented in this report were operated by United Air Lines over a transcontinental route from January through May, 1951. An analysis of the pressure-type icing-rate meter was satisfactory for collecting statistical data during routine operations. Data obtained on routine flight icing encounters from.these four instrumented aircraft, although insufficient for a conclusive statistical analysis, provide a greater quantity and considerably more realistic information than that obtained from random research flights. A summary of statistical data will be published when the information obtained daring the 1951-52 icing season and that to be obtained during the 1952-53 season can be analyzed and assembled. The 1951-52 data already analyzed indicate that the quantity, quality, and range of icing information being provided by this expanded program should afford a sound basis for ice-protection-system design by defining the important meteorological parameters of the icing cloud.

  9. Cold and compression in the management of musculoskeletal injuries and orthopedic operative procedures: a narrative review

    Directory of Open Access Journals (Sweden)

    Jon E Block

    2010-07-01

    Full Text Available Jon E BlockJon E Block, PhD., Incorporated, San Francisco, CA, USAAbstract: Cold and compression are routinely applied immediately after acute injury or ­following surgery to alleviate pain, reduce swelling and speed functional recovery. The objective of this literature review is to describe the published clinical findings regarding combined cold and compression therapy in the management of musculoskeletal injuries and after orthopedic operative procedures. Of 33 potential articles triaged, the findings of 21 randomized controlled trials were assessed and summarized. The findings reported by these 21 studies were largely subjective pain outcomes and, to a lesser degree, swelling and range of motion, and were inconsistent and divergent, making it difficult to recommend the most appropriate, effective clinical application of cold and compression. Further, 18 of the 21 reported studies evaluated cold and static compression, where the extent and duration of the compression was not uniform within or across studies. Operative procedures may offer a more controlled environment for rigorous investigations. However, such studies must be powered sufficiently to account for variations in surgical procedure that could affect outcomes. More uniform operative procedures, such as total knee arthroplasty, represent a well circumscribed intervention for studying the clinical utility of cold compression therapy because the operative technique is standardized, surgical tissue damage is extensive, intraoperative blood loss is high, and post-operative edema and pain are severe. Findings from randomized controlled trials of knee arthroplasty generally showed cold compression therapy provides better outcomes such as pain relief than alternative interventions. While the effects of cold and static compression are clearly better than no treatment, they do not appear to be directly additive.Keywords: cryotherapy, injury

  10. Nuclear Hardness Evaluation Procedures for the Preliminary Assessment of the FLEETSATCOM Attitude and Velocity Control Subsystem.

    Science.gov (United States)

    1979-12-01

    attitude and velocity control subsystem of the FLSATCOM satellite to various nuclear weapon effects. DD1473 E ITION OF INOV 6 IS OBSOLETE...thermomechanical damage and material degradation. These procedures are presented in Section 3. 3) the so-called top-level screen of the AVCS assessment which ETI...bays with cat-a-lac paint, a low Z material , to minimize cavity field coupling. 44 0 use of terminal protection, mostly in the form of zener diodes or

  11. Evaluating North Carolina Food Pantry Food Safety-Related Operating Procedures.

    Science.gov (United States)

    Chaifetz, Ashley; Chapman, Benjamin

    2015-11-01

    Almost one in seven American households were food insecure in 2012, experiencing difficulty in providing enough food for all family members due to a lack of resources. Food pantries assist a food-insecure population through emergency food provision, but there is a paucity of information on the food safety-related operating procedures used in the pantries. Food pantries operate in a variable regulatory landscape; in some jurisdictions, they are treated equivalent to restaurants, while in others, they operate outside of inspection regimes. By using a mixed methods approach to catalog the standard operating procedures related to food in 105 food pantries from 12 North Carolina counties, we evaluated their potential impact on food safety. Data collected through interviews with pantry managers were supplemented with observed food safety practices scored against a modified version of the North Carolina Food Establishment Inspection Report. Pantries partnered with organized food bank networks were compared with those that operated independently. In this exploratory research, additional comparisons were examined for pantries in metropolitan areas versus nonmetropolitan areas and pantries with managers who had received food safety training versus managers who had not. The results provide a snapshot of how North Carolina food pantries operate and document risk mitigation strategies for foodborne illness for the vulnerable populations they serve. Data analysis reveals gaps in food safety knowledge and practice, indicating that pantries would benefit from more effective food safety training, especially focusing on formalizing risk management strategies. In addition, new tools, procedures, or policy interventions might improve information actualization by food pantry personnel.

  12. Integrated Hatchery Operations Team: Policies and Procedures for Columbia Basin Anadromous Salmonid Hatcheries, 1994 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Integrated Hatchery Operations Team (Northwest Power Planning Council, Portland, OR)

    1995-01-01

    This document outlines regional policies and procedures for hatchery operations in the Columbia River Basin. The purpose of these policies is to provide regional guidelines by which all anadromous fish hatcheries will be operated. These policies will be adopted by the fisheries co-managers, and will provide guidance to operate hatcheries in an efficient and biologically sound manner. The hatchery policies presented in this manual are not intended to establish production priorities. Rather, the intent is to guide hatchery operations once production numbers are established. Hatchery operations discussed in this report include broodstock collection, spawning, incubation of eggs, fish rearing and feeding, fish release, equipment maintenance and operations, and personnel training. Decisions regarding production priorities must be provided by fishery managers through a comprehensive plan that addresses both natural and hatchery fish production. The Integrated Hatchery Operations Team is a multi-agency group called for by the Northwest Power Planning Council. This team was directed to develop new basinwide policies for managing and operating all existing and future anadromous fish hatcheries in the Columbia River Basin. The parties pledge to confer with each other and to use their authorities and resources to accomplish these mutually acceptable hatchery practices.

  13. Test and evaluation procedures for Sandia's Teraflops Operating System (TOS) on Janus.

    Energy Technology Data Exchange (ETDEWEB)

    Barnette, Daniel Wayne

    2005-10-01

    This report describes the test and evaluation methods by which the Teraflops Operating System, or TOS, that resides on Sandia's massively-parallel computer Janus is verified for production release. Also discussed are methods used to build TOS before testing and evaluating, miscellaneous utility scripts, a sample test plan, and a proposed post-test method for quickly examining the large number of test results. The purpose of the report is threefold: (1) to provide a guide to T&E procedures, (2) to aid and guide others who will run T&E procedures on the new ASCI Red Storm machine, and (3) to document some of the history of evaluation and testing of TOS. This report is not intended to serve as an exhaustive manual for testers to conduct T&E procedures.

  14. [Hypospadias with chordee one-stage operation. An original procedure (author's transl)].

    Science.gov (United States)

    Babut, J M; Allouis, M; Paul, J L

    1980-01-01

    The common management of hypospadias involves the chordee correction before reconstructing the urethra; then staging of operative cure is so often necessary. This inconvenience is avoided by neglecting some moderate chordees as it was recorded by the authors in their own retrospective series. For the last two years they are performing a one stage procedure with simultaneous correction of chordee and urethroplasty; they briefly review main other one-stage procedures before describing their own using a tubulated and inverted flap. Twenty cases were managed with this procedure and the results were found satisfactory as well as functionally and aesthetically in spite of three transient fistulas and two meatal stenosis. However, definitive conclusion cannot be drawn because of a too short follow-up.

  15. Routine pre-operative focused ultrasonography by anesthesiologists in patients undergoing urgent surgical procedures

    DEFF Research Database (Denmark)

    Bøtker, M T; Vang, M L; Grøfte, T;

    2014-01-01

    with focused ultrasonography in patients undergoing urgent surgical procedures. Methods We performed pre-operative focused cardiopulmonary ultrasonography in patients aged 18 years or above undergoing urgent surgical procedures at pre-defined study days. Known and unexpected cardiopulmonary pathology...... was recorded, and subsequent changes in the anesthesia technique or supportive actions were registered. Results A total of 112 patients scheduled for urgent surgical procedures were included. Their mean age (standard deviation) was 62 (21) years. Of these patients, 24% were American Society....... Unexpected pathology leading to changes in anesthesia technique or supportive actions was only disclosed in a group of patients above the age of 60 years and/or in ASA class ≥ 3. Conclusion Focused cardiopulmonary ultrasonography disclosed unexpected pathology in patients undergoing urgent surgical...

  16. [Modular project of the Picture Archiving and Communication System (PACS). Preliminary operational experience. I].

    Science.gov (United States)

    Dalla Palma, L; Ukovich, W; Stacul, F; Cuttin Zernich, R; Carbi, N; Giribona, P

    1990-01-01

    Since september 1988 a PAC System (Comm View by AT & T and Philips) has been operating in the Radiology Department of the University Hospital, Trieste. A research project is presently in progress aiming at providing factual evidence for the evaluation of this kind of systems as far as operational, technical, clinical and economic aspects are concerned. The general approach to this research consists in implementing and monitoring a PACS in a stepwise way, starting with a small system connected to some digital modalities only, in order to test the feasibility and effectiveness of the system within a Radiology Department, and to test the possibility of matching the PACS to the Radiological System. The present paper describes in detail the present configuration of this entry-level system and its technical features. The planned development (october 1989) is also depicted. Further developments devise at managing in an integrated way all the radiological images of the four hospitals of Trieste. At present, the PACS is currently used to manage and store on optical disks all the images acquired from the connected modalities plus the related reports, and to perform the reporting sessions for CT examinations (brain and abdomen). The present research effort is devoted to two main areas: clinical evaluation and operational analysis. The object of the operational analysis was the assessment of the impact of PACS on the operations of a Radiology Department. The general approach followed for this research consists in analysing the procedures as they are performed in the conventional way (manual operations), and comparing them to the way they are, or could be, performed using a PACS System (automatic operations). This stage of the project is divided into three phases, concerning respectively the analysis of the organization and operations before PACS, the analysis of the impact of PACS in its initial configuration and the forecast of the influence of PACS in its future setting. A

  17. Rubber dam use during routine operative dentistry procedures: findings from the dental PBRN.

    Science.gov (United States)

    Gilbert, Gregg H; Litaker, Mark S; Pihlstrom, Daniel J; Amundson, Craig W; Gordan, Valeria V

    2013-04-01

    Rubber dam use during operative dentistry procedures has been quantified based on questionnaires completed by dentists. However, based on the knowledge of the authors of the current study, there are no reports based on use during actual clinical procedures other than in dental materials studies and none based on routine care. The objectives of the current study were to: 1) quantify how commonly the rubber dam is used during operative dentistry procedures; 2) test the hypothesis that certain dentist, restoration and patient-level factors are associated with its use. A total of 229 dentist practitioner-investigators in The Dental Practice-Based Research Network (DPBRN) participated. DPBRN comprises 5 regions: Alabama/Mississippi, Florida/Georgia, Minnesota, Permanente Dental Associates; and Scandinavia. Practitioner-investigators collected data on 9,890 consecutive restorations done in previously unrestored tooth surfaces from 5,810 patients. Most dentists (63%) did not use a rubber dam for any restoration in this study. A rubber dam was used for only 12% of restorations, 83% of which were used in 1 DPBRN region. With regions accounted for, no other dentist characteristics were significant. A multi-level multiple logistic regression of rubber dam use was done with restoration and patient-level variables modeled simultaneously. In this multi-variable context, these restoration-level characteristics were statistically significant: tooth-arch type, restoration classification and reason for placing the restoration. These patient-level characteristics were statistically significant: ethnicity, dental insurance, and age. These results, obtained fromactual clinical procedures rather than questionnaires, document a low prevalence of usage of the rubber dam during operative dentistry procedures. Usage varied with certain dentist, restoration, and patient level characteristics.

  18. Rubber dam use during routine operative dentistry procedures: findings from the Dental PBRN.

    Science.gov (United States)

    Gilbert, Gregg H; Litaker, Mark S; Pihlstrom, Daniel J; Amundson, Craig W; Gordan, Valeria V

    2010-01-01

    Rubber dam use during operative dentistry procedures has been quantified based on questionnaires completed by dentists. However, based on the knowledge of the authors of the current study, there are no reports based on use during actual clinical procedures other than in dental materials studies and none based on routine care. The objectives of the current study were to: 1) quantify how commonly the rubber dam is used during operative dentistry procedures; 2) test the hypothesis that certain dentist, restoration and patient-level factors are associated with its use. A total of 229 dentist practitioner-investigators in The Dental Practice-Based Research Network (DPBRN) participated. DPBRN comprises five regions of the USA: Alabama/Mississippi, Florida/Georgia, Minnesota, Permanente Dental Associates and Scandinavia. Practitioner-investigators collected data on 9,890 consecutive restorations done in previously unrestored tooth surfaces from 5,810 patients. Most dentists (63%) did not use a rubber dam for any restoration in this study. A rubber dam was used for only 12% of restorations, 83% of which were used in one DPBRN region. With regions accounted for, no other dentist characteristics were significant. A multi-level multiple logistic regression of rubber dam use was done with restoration and patient-level variables modeled simultaneously. In this multi-variable context, these restoration-level characteristics were statistically significant: tooth-arch type, restoration classification and reason for placing the restoration. These patient-level characteristics were statistically significant: ethnicity, dental insurance and age. These results, obtained from actual clinical procedures rather than questionnaires, document a low prevalence of usage of the rubber dam during operative dentistry procedures. Usage varied with certain dentist, restoration and patient-level characteristics.

  19. Diagnostic hysteroscopy in a procedure room setting compared to diagnostic hysteroscopy in the operating room

    Directory of Open Access Journals (Sweden)

    Ayman Oraif

    2016-12-01

    Conclusions: Diagnostic hysteroscopy is currently considered a valuable investigational tool for endometrial abnormalities and abnormal uterine bleeding. Most of these procedures can be performed in a procedure room setting without I.V. sedation or pre-operative narcotics. In our experience, a utero-sacral block using lidocaine is quite effective in controlling discomfort while passing various instruments through the internal cervical os. These techniques result in good visualization of the endometrial cavity, adequate and appropriate endometrial sampling with tolerable discomfort. The patients spend less time in the hospital, experience a much faster recovery and have less pre-operative restrictions. [Int J Reprod Contracept Obstet Gynecol 2016; 5(12.000: 4164-4173

  20. Refractory Metal Heat Pipe Life Test - Test Plan and Standard Operating Procedures

    Science.gov (United States)

    Martin, J. J.; Reid, R. S.

    2010-01-01

    Refractory metal heat pipes developed during this project shall be subjected to various operating conditions to evaluate life-limiting corrosion factors. To accomplish this objective, various parameters shall be investigated, including the effect of temperature and mass fluence on long-term corrosion rate. The test series will begin with a performance test of one module to evaluate its performance and to establish the temperature and power settings for the remaining modules. The performance test will be followed by round-the-clock testing of 16 heat pipes. All heat pipes shall be nondestructively inspected at 6-month intervals. At longer intervals, specific modules will be destructively evaluated. Both the nondestructive and destructive evaluations shall be coordinated with Los Alamos National Laboratory. During the processing, setup, and testing of the heat pipes, standard operating procedures shall be developed. Initial procedures are listed here and, as hardware is developed, will be updated, incorporating findings and lessons learned.

  1. Procedure for estimating nonfuel operation and maintenance costs for large steam-electric power plants

    Energy Technology Data Exchange (ETDEWEB)

    Myers, M.L.; Fuller, L.C.

    1979-01-01

    Revised guidelines are presented for estimating annual nonfuel operation and maintenance costs for large steam-electric power plants, specifically light-water-reactor plants and coal-fired plants. Previous guidelines were published in October 1975 in ERDA 76-37, a Procedure for Estimating Nonfuel Operating and Maintenance Costs for Large Steam-Electric Power Plants. Estimates for coal-fired plants include the option of limestone slurry scrubbing for flue gas desulfurization. A computer program, OMCOST, is also presented which covers all plant options.

  2. What is a Bristow-Latarjet procedure? A review of the described operative techniques and outcomes.

    Science.gov (United States)

    Cowling, P D; Akhtar, M A; Liow, R Y L

    2016-09-01

    A variety of operative techniques have been described as under the term 'Bristow-Latarjet' procedure. This review aims to define the original procedure, and compare the variation in techniques described in the literature, assessing any effect on clinical outcomes. A systematic review of 24 studies was performed to compare specific steps of the technique (coracoid osteotomy site, subscapularis approach, orientation and position of coracoid graft fixation and fixation method, additional labral and capsular repair) and detect any effect this variability had on outcomes. Overall recurrence rate was 5.36% (2.94% to 43%). Half of the studies performed the procedure for recurrent shoulder instability, with only five studies documenting glenoid bone loss as an indication: 12 studies used the procedure as the primary surgical intervention for recurrent instability. No change in outcome was noted when examining variation in the coracoid osteotomy site, the fixation site on the scapular neck, the fixation method or whether a capsular repair was also performed. Performing a horizontal split in subscapularis may preserve external rotation compared with performing a tenotomy. This is the first review to examine various operative techniques of the Bristow-Latarjet procedure, and their effect on outcome. We found that other than the approach through subscapularis, outcome was independent of the surgical technique, and depended more on patient selection. We would commend future publications on this procedure to provide a detailed description of the surgical technique, and as a minimum present rates of recurrence as an outcome measure. Cite this article: Bone Joint J 2016;98-B:1208-14. ©2016 The British Editorial Society of Bone & Joint Surgery.

  3. 2014 Update of the EULAR standardised operating procedures for EULAR-endorsed recommendations.

    Science.gov (United States)

    van der Heijde, Désirée; Aletaha, Daniel; Carmona, Loreto; Edwards, Christopher J; Kvien, Tore K; Kouloumas, Marios; Machado, Pedro; Oliver, Sue; de Wit, Maarten; Dougados, Maxime

    2015-01-01

    In this article, the European League Against Rheumatism (EULAR) standardised operating procedures for the elaboration, evaluation, dissemination and implementation of recommendations endorsed by the EULAR standing committees published in 2004 have been updated. The various steps from the application to implementation have been described in detail. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  4. Cold and compression in the management of musculoskeletal injuries and orthopedic operative procedures: a narrative review

    OpenAIRE

    2010-01-01

    Jon E BlockJon E Block, PhD., Incorporated, San Francisco, CA, USAAbstract: Cold and compression are routinely applied immediately after acute injury or ­following surgery to alleviate pain, reduce swelling and speed functional recovery. The objective of this literature review is to describe the published clinical findings regarding combined cold and compression therapy in the management of musculoskeletal injuries and after orthopedic operative procedures. Of 33 potential articles tr...

  5. Benchmarking an operational procedure for rapid flood mapping and risk assessment in Europe

    Science.gov (United States)

    Dottori, Francesco; Salamon, Peter; Kalas, Milan; Bianchi, Alessandra; Feyen, Luc

    2016-04-01

    The development of real-time methods for rapid flood mapping and risk assessment is crucial to improve emergency response and mitigate flood impacts. This work describes the benchmarking of an operational procedure for rapid flood risk assessment based on the flood predictions issued by the European Flood Awareness System (EFAS). The daily forecasts produced for the major European river networks are translated into event-based flood hazard maps using a large map catalogue derived from high-resolution hydrodynamic simulations, based on the hydro-meteorological dataset of EFAS. Flood hazard maps are then combined with exposure and vulnerability information, and the impacts of the forecasted flood events are evaluated in near real-time in terms of flood prone areas, potential economic damage, affected population, infrastructures and cities. An extensive testing of the operational procedure is carried out using the catastrophic floods of May 2014 in Bosnia-Herzegovina, Croatia and Serbia. The reliability of the flood mapping methodology is tested against satellite-derived flood footprints, while ground-based estimations of economic damage and affected population is compared against modelled estimates. We evaluated the skill of flood hazard and risk estimations derived from EFAS flood forecasts with different lead times and combinations. The assessment includes a comparison of several alternative approaches to produce and present the information content, in order to meet the requests of EFAS users. The tests provided good results and showed the potential of the developed real-time operational procedure in helping emergency response and management.

  6. Short Operative Duration and Surgical Site Infection Risk in Hip and Knee Arthroplasty Procedures.

    Science.gov (United States)

    Dicks, Kristen V; Baker, Arthur W; Durkin, Michael J; Anderson, Deverick J; Moehring, Rebekah W; Chen, Luke F; Sexton, Daniel J; Weber, David J; Lewis, Sarah S

    2015-12-01

    To determine the association (1) between shorter operative duration and surgical site infection (SSI) and (2) between surgeon median operative duration and SSI risk among first-time hip and knee arthroplasties. Retrospective cohort study A total of 43 community hospitals located in the southeastern United States. Adults who developed SSIs according to National Healthcare Safety Network criteria within 365 days of first-time knee or hip arthroplasties performed between January 1, 2008 and December 31, 2012. Log-binomial regression models estimated the association (1) between operative duration and SSI outcome and (2) between surgeon median operative duration and SSI outcome. Hip and knee arthroplasties were evaluated in separate models. Each model was adjusted for American Society of Anesthesiology score and patient age. A total of 25,531 hip arthroplasties and 42,187 knee arthroplasties were included in the study. The risk of SSI in knee arthroplasties with an operative duration shorter than the 25th percentile was 0.40 times the risk of SSI in knee arthroplasties with an operative duration between the 25th and 75th percentile (risk ratio [RR], 0.40; 95% confidence interval [CI], 0.38-0.56; P<.01). Short operative duration did not demonstrate significant association with SSI for hip arthroplasties (RR, 1.04; 95% CI, 0.79-1.37; P=.36). Knee arthroplasty surgeons with shorter median operative durations had a lower risk of SSI than surgeons with typical median operative durations (RR, 0.52; 95% CI, 0.43-0.64; P<.01). Short operative durations were not associated with a higher SSI risk for knee or hip arthroplasty procedures in our analysis.

  7. 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".

  8. Systematic procedure for generating operational policies to achieve target crystal size distribution (CSD) in batch cooling crystallization

    DEFF Research Database (Denmark)

    Abdul Samad, Noor Asma Fazli; Singh, Ravendra; Sin, Gürkan

    2011-01-01

    A systematic procedure to achieve a target crystal size distribution (CSD) under generated operational policies in batch cooling crystallization is presented. An analytical CSD estimator has been employed in the systematic procedure to generate the necessary operational policies to achieve the ta...

  9. Classifier-ensemble incremental-learning procedure for nuclear transient identification at different operational conditions

    Energy Technology Data Exchange (ETDEWEB)

    Baraldi, Piero, E-mail: piero.baraldi@polimi.i [Dipartimento di Energia - Sezione Ingegneria Nucleare, Politecnico di Milano, via Ponzio 34/3, 20133 Milano (Italy); Razavi-Far, Roozbeh [Dipartimento di Energia - Sezione Ingegneria Nucleare, Politecnico di Milano, via Ponzio 34/3, 20133 Milano (Italy); Zio, Enrico [Dipartimento di Energia - Sezione Ingegneria Nucleare, Politecnico di Milano, via Ponzio 34/3, 20133 Milano (Italy); Ecole Centrale Paris-Supelec, Paris (France)

    2011-04-15

    An important requirement for the practical implementation of empirical diagnostic systems is the capability of classifying transients in all plant operational conditions. The present paper proposes an approach based on an ensemble of classifiers for incrementally learning transients under different operational conditions. New classifiers are added to the ensemble where transients occurring in new operational conditions are not satisfactorily classified. The construction of the ensemble is made by bagging; the base classifier is a supervised Fuzzy C Means (FCM) classifier whose outcomes are combined by majority voting. The incremental learning procedure is applied to the identification of simulated transients in the feedwater system of a Boiling Water Reactor (BWR) under different reactor power levels.

  10. OPTIMIZATION PROCEDURE FOR PRELIMINARY DESIGN STAGE OF CAIRO-DAMIETTA SELF-PROPELLED GRAIN BULK SHIPS

    Directory of Open Access Journals (Sweden)

    M.M. Moustafa

    2016-01-01

    Full Text Available The global logistics center for the storage and handling of grain which will be constructed at Damietta port will extremely increase the annual movement of grain through Cairo-Damietta waterway. Therefore, the demand for inland grain bulk ships has increased significantly in the recent years. This paper introduces a procedure to find out the fleet size and optimum characteristics of self-propelled grain bulk ships working between Cairo and Damietta through River Nile. The characteristics of the Cairo–Damietta waterway are investigated to define the constraints on dimensions and speed for such ship type. Also, mathematical model for the objective function was developed considering: powering, voyage, weight, stability and cost calculation. In this research, Specific cost (Sc, cost of transporting one ton of cargo a distance of one kilometre, is considered as the objective function for this optimization process. This optimization problem is handled as a single objective nonlinear constrained optimization problem using a specially developed computer program. Solutions are generated by varying design variables systematically in certain steps. The best of these solutions is then taken as the estimated optimum. Finally, the problem is presented, the main constrains analyzed and the optimum solution shown.

  11. Doses to operators during interventional radiology procedures: focus on eye lens and extremity dosimetry.

    Science.gov (United States)

    Koukorava, C; Carinou, E; Simantirakis, G; Vrachliotis, T G; Archontakis, E; Tierris, C; Dimitriou, P

    2011-03-01

    The present study is focused on the personnel doses during several types of interventional radiology procedures. Apart from the use of the official whole body dosemeters (thermoluminescence dosemeter type), measurements were performed to the extremities and the eyes using thermoluminescent loose pellets. The mean doses per kerma area product were calculated for the monitored anatomic regions and for the most frequent types of procedures. Higher dose values were measured during therapeutic procedures, especially embolisations. The maximum recorded doses during a single procedure were 1.8 mSv to the finger (nephrostomy), 2.1 mSv to the wrist (liver chemoembolisation), 0.6 mSv to the leg (brain embolisation) and 2.4 mSv to the eye (brain embolisation). The annual doses estimated for the operator with the highest workload according to the measurements and the system's log book were 90.4 mSv to the finger, 107.9 mSv to the wrist, 21.6 mSv to the leg and 49.3 mSv to the eye. Finally, the effect of the beam angulation (i.e. projection) and shielding equipment on the personnel doses was evaluated. The measurements were performed within the framework of the ORAMED (Optimization of RAdiation Protection for MEDical staff) project.

  12. Standard operating procedure: implementation, critical analysis, and validation in the Audiology Department at CESTEH/Fiocruz.

    Science.gov (United States)

    Freitas, Anelisse Vasco Mascarenhas de; Quixabeiro, Elinaldo Leite; Luz, Geórgia Rosangela Soares; Franco, Viviane Moreira; Santos, Viviane Fontes Dos

    2016-01-01

    Evaluate three standard operational procedures (SOPs), regarding the application of the brainstem auditory evoked potential (BAEP) test, implemented by the Audiology Department of the Center for Studies in Occupational Health and Human Ecology (CESTEH) through the application of a questionnaire and to verify whether the SOPs are effective and assess the necessity for improvement. The study was conducted in three phases: in the first phase, eight speech-language pathologists and seven physicians, with no experience in BAEP, were instructed to read and perform each SOP, eventually all individuals evaluated the SOPs by responding to a questionnaire; in the second phase, the questionnaires were analyzed and the three SOP texts were reviewed; in the third phase, nine speech-language pathologists and six physicians, also with no experience in BAEP, read and re-evaluated the reviewed SOPs through a questionnaire. In the first phase, difficulties in understanding the texts were found, raising doubts about the procedures; however, every participant was able to perform the procedure as a whole. In the third phase, after the review, all individuals were able to perform the procedures appropriately and continuously without any doubts. The assessment of the SOPs by questionnaires showed the need for adaptation in the texts. After the texts were reviewed according to the suggestions of the health professionals, it was possible to observe that the SOPs assisted in the execution of the task, which was conducted without any difficulties or doubts, being regarded effective and ensuring quality to the service offered.

  13. Experimental Study ofa New Operative Procedure for Non-Ischemic Dilated Cardiomyopathy-Overlapping Cardiac Volume Reduction Operation

    Institute of Scientific and Technical Information of China (English)

    罗滨; 孟春营; 温定国; 松居喜朗; 安田庆秀

    2003-01-01

    Objectives To assess anewly devised procedure of cardiac volume reduction without resection of cardiac muscle and evaluated in experimental settings. Methods Ten beagle dogs underwent a rapid pacing leading to heart failure for 3 weeks and received the left ventricular reduction termed overlapping cardiac volume reduction operation (OLCVR) ,which consisted of a longitudinal incision in left ventricular (LV) free wall, sutures of the left marginal to the septal wall, and the right marginal to LV free wall.A slope of the linear preload recruitable stroke work relationship (Mw) , with a X - intercept (Vo) were calculated as the precise indicators of left ventricular systolic function. The constant of isovolumic pressure decay (Tau) and a peak filling rate (PFR) were also calculated as the indicators of LV diastolic function.Results LV end- diastolic dimensions was significantly reduced by OLCVR (43±2 to 25±1; mm).Fractional shortening was significantly improved by OLCVR (11±2 to 30±4;%). Mw (erg* cm-3* 103)was also significantly improved (21±2 to 33 ±3 (p<0. 001 ) ) , whereas Vo, Tau and PFR did not show significant changes. Conclusions The OLCVR significantly increased in the early LV systolic function without detrimental effects on diastolic function. This procedure may become a therapeutic option for end - stage cardiomyopathy.

  14. A modified procedure for velopharyngeal sphincteroplasty in primary cleft palate repair and secondary velopharyngeal incompetence treatment and its preliminary results.

    Science.gov (United States)

    Cheng, Ningxin; Zhao, Min; Qi, Kemin; Deng, Hui; Fang, Zeng; Song, Ruyao

    2006-01-01

    During cleft repair, velopharyngeal sphincter reconstruction is still a challenge to plastic surgeons. To improve the surgical treatment for cleft palate and secondary velopharyngeal incompetence (VPI), a carefully designed modified procedure for primary palatoplasty and secondary VPI was presented. Fifty-six patients (48 for primary cleft palate repair and eight for secondary VPI of previously repaired clefts) underwent this procedure from 1988 to 2001. The modified procedure is a combination of the tunnelled palatopharyngeus myomucosal flap for dynamic circular reconstruction of the pharyngeal element of the velopharyngeal sphincter and the double-reversing Z-plasty with levator velo palatini muscles reposition in the velar element of the sphincter. The satisfactory velopharyngeal competence (complete velopharyngeal closure and marginal velopharyngeal closure) was achieved in 23 of 25 patients with primary cleft palate repair examined by nasendoscopy and the nasality, speech articulation and intelligibility are also assessed in 25 primary cleft palate repaired patients with 92% satisfactory result (normal speech and speech with mild VPI) in single word test and 88% in continuous speech evaluation. Based on our experience, we believe that this modified procedure is a reasonable choice for primary cleft repair and secondary VPI treatment because it is in accord with normal physiology and anatomy of the velopharyngeal sphincter, can lengthen the soft palate, decrease the enlarged velopharynx, augment the posterior pharyngeal wall, and enhance the relationship between the muscles of velopharyngeal sphincter which results in a dynamic neo-sphincter in palatopharyngoplasty. Further study of the procedure is needed. The theoretical basis, operative highlights, velopharyngeal function, advantages and disadvantages of the modified procedure were discussed.

  15. LIGHTWEIGHT VIGILANT PROCEDURE TO IMPLEMENT SECURITY MEASURES IN HIGHLY ROVING MILITARY OPERATIONS

    Directory of Open Access Journals (Sweden)

    J. Udhayan

    2013-01-01

    Full Text Available The performance of Mobile Ad hoc Network (MANET becomes questionable in highly roving and mission critical application like military operation. Security measures like encryption, authentication, digital signature has been proposed for MANET. However all those mechanisms need some kind of static infrastructure and it is extremely difficult to implement such an infrastructure throughout the military mission. Therefore in this work, various zones in military operation is identified and Zone A is responsible for implementing robust security measures, Zone B and Zone C are identified to be at highly hostile and time critical environment. Therefore usage of highly complex security procedures at zone B & C may delay the operation to the extent of failure of the mission. Hence in this study, a lightweight vigilant procedure that suits the circumstances of Zone B & C is proposed, it has the capability of detecting the malicious entrant in the routing path. Moreover, it works either independently or dependently with the routing protocols like AODV based on the need. The proposed method has been compared with various successful security measures in Ad-hoc network and the results shows that the proposed method is very useful in adapting to the conditions of zone B & C.

  16. Development of manufacturing and operating procedure for fabrication of DUPIC fuel

    Energy Technology Data Exchange (ETDEWEB)

    Park, Geun Il; Lee, J. W.; Kim, S. S. [and others

    2003-01-01

    The manual of Manufacturing and Operating Procedure (MOP) for the fabrication of DUPIC fuel with high quality was developed based on quality assurance program with CAN3-Z299.2-85 to the extent as needed and appropriate. This manual describes a series of fabrication processes that can be applied to fabricate the DUPIC fuel and element, which cover the slitting process, powder fabrication with improved sinterability, milling and sintering processes conducted in DFDF. The qualification tests for establishing the optimal process conditions of DUPIC fuel fabrication were carried out with various process conditions such as pressing pressure. This MOP was revised twice with the support of qualification test results and a specified procedure.

  17. An ergonomics study of computerized emergency operating procedures: Presentation style, task complexity, and training level

    Energy Technology Data Exchange (ETDEWEB)

    Xu Song; Song Fei [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China); Li Zhizhong [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China)], E-mail: zzli@tsinghua.edu.cn; Zhao Qianyi; Luo Wei [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China); He Xuhong [Scanpower Risk Management China Inc., Towercrest International Plaza, No. 3 Maizidian West Road, Chaoyang District, Beijing 100016 (China); Salvendy, Gavriel [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China)

    2008-10-15

    Emergency operating procedures (EOPs) are widely used in nuclear power plants (NPPs). With the development of information technology, computerized EOPs are taking the place of paper-based ones. Unlike paper-based EOPs, the industrial practice of computerized EOPs is still quite limited. Ergonomics issues of computerized EOPs have not been studied adequately. This study focuses on the effects of EOP presentation style, task complexity, and training level on the performance of the operators in the execution of computerized EOPs. One simulated computerized EOP system was developed to present two EOPs, each with different task complexity levels, by two presentation styles (Style A: one- and two-dimensional flowcharts combination; Style B: two-dimensional flowchart and success logic tree combination). Forty subjects participated in the experiment of EOP execution using the simulated system. Statistical analysis of the experimental results indicates that: (1) complexity, presentation style, and training level all can significantly influence the error rate. High-complexity tasks and lack of sufficient training may lead to a higher error rate. Style B caused a significantly higher error rate than style A did in the skilled phase. So the designers of computerized procedures should take the presentation styles of EOPs into account. (2) Task complexity and training level can significantly influence operation time. No significant difference was found in operation time between the two presentation styles. (3) Training level can also significantly influence the subjective workload of EOPs operations. This implies that adequate training is very important for the performance of computerized EOPs even if emergency responses with computerized EOPs are much more simple and easy than that with paper-based EOPs.

  18. [Choice of surgical procedure in operations for chronic pancreatitis--personal experience].

    Science.gov (United States)

    Sváb, J; Pesková, M; Fried, M; Gürlich, R; Krska, Z; Bortlík, M; Lukás, M; Horejs, J

    2002-01-01

    The First Surgical Clinic of the First Medical Faculty of Charles University and General Faculty Hospital in Prague made operations of the pancreas ever since 1971. In the work sooner or later all approaches to surgical treatment pancreatitis were reflected. The authors present a brief review of results and their own experience since 1994 when duodenum-sparing operations were introduced. Indications for surgical treatment were based on the diagnosis by US, CT and ERCP, in exceptional case MR, after evaluation by a pancreatologist, roentgenologist and surgeon. The group of patients with chronic pancreatitis was extended by 21 patients from a group operated because of preoperative suspicion of a malignant pancreatic tumour not confirmed during and after surgery. In those Whipple's operation was preformed. The same operation was performed in three patients with chronic pancreatitis with serious changes in the area of the head of the pancreas. In 123 patients a drainage and duodenum sparing operation was preformed, of these in 57 according to Beger, 19 according to Frey, 37 Partington-Rochelle's procedure. The authors record two sepsis postoperative complications after the classical Beger operation and the hospital stay was on average by five days shorter as compared with the classical method of Whipple. When evaluating postoperative complaints and problems (pain, malnutrition, physical constitution and social position) the authors recorded equally favourable results as after non-complicated duodenopancreatectomy. They varied, depending on the patients co-operation round 84-87% while authors consider Beger's operation logical because of the removal of the main tissue mass of the head of the pancreas, responsible for pain, complications caused by fibrosis in the area round the bile duct and duodenum, responsible for the deteriation of the compartment syndrome in the left half of the gland. Its result is destruction of the remainder of exocrine and endocrine tissue. Of

  19. Preliminary risks associated with postulated tritium release from production reactor operation

    Energy Technology Data Exchange (ETDEWEB)

    O' Kula, K.R.; Horton, W.H.

    1988-01-01

    The Probabilistic Risk Assessment (PRA) of Savannah River Plant (SRP) reactor operation is assessing the off-site risk due to tritium releases during postulated full or partial loss of heavy water moderator accidents. Other sources of tritium in the reactor are less likely to contribute to off-site risk in non-fuel melting accident scenarios. Preliminary determination of the frequency of average partial moderator loss (including incidents with leaks as small as .5 kg) yields an estimate of /approximately/1 per reactor year. The full moderator loss frequency is conservatively chosen as 5 /times/ 10/sup /minus/3/ per reactor year. Conditional consequences, determined with a version of the MACCS code modified to handle tritium, are found to be insignificant. The 95th percentile individual cancer risk is 4 /times/ 10/sup /minus/8/ per reactor year within 16 km of the release point. The full moderator loss accident contributes about 75% of the evaluated risks. 13 refs., 4 figs., 5 tabs.

  20. Preliminary design of a space system operating a ground-penetrating radar

    Science.gov (United States)

    D'Errico, Marco; Ponte, Salvatore; Grassi, Michele; Moccia, Antonio

    2005-12-01

    Ground-penetrating radars (GPR) are currently used only in ground campaigns or in few airborne installations. A feasibility analysis of a space mission operating a GPR for archaeological applications is presented in this work with emphasis on spacecraft critical aspects: antenna dimension and power required for achieving adequate depth and accuracy. Sensor parametric design is performed considering two operating altitudes (250 and 500 km) and user requirements, such as minimum skin depth, vertical and horizontal resolution. A 500-km altitude, 6 a.m.-6 p.m. sun-synchronous orbit is an adequate compromise between atmospheric drag and payload transmitted average power (12 kW) to achieve a 3-m penetration depth. The satellite bus preliminary design is then performed, with focus on critical subsystems and technologies. The payload average power requirement can be kept within feasible limits (1 kW) by using NiH2 batteries to supply the radar transmitter, and with a strong reduction of the mission duty cycle ( 40km×1100km are observed per orbit). As for the electric power subsystem, a dual-voltage strategy is adopted, with the battery charge regulator supplied at 126 V and the bus loads at 50 V. The overall average power (1.9 kW), accounting for both payload and bus needs, can be supplied by a 20m2 GaAs solar panel for a three-year lifetime. Finally, the satellite mass is kept within reasonable limits (1.6 tons) using inflatable-rigidisable structure for both the payload antenna and the solar panels.

  1. Operating Procedure Changes to Improve Antiproton Production at the Fermilab Tevatron Collider

    Energy Technology Data Exchange (ETDEWEB)

    Drendel, B.; Morgan, J.P.; Vander Meulen, D.; /Fermilab

    2009-04-01

    Since the start of Fermilab Collider Run II in 2001, the maximum weekly antiproton accumulation rate has increased from 400 x 10{sup 10} Pbars/week to approximately 3,700 x 10{sup 10} Pbars/week. There are many factors contributing to this increase, one of which involves changes to operational procedures that have streamlined and automated Antiproton Source production. Automation has been added to the beam line orbit control, stochastic cooling power level management, and RF settings. In addition, daily tuning efforts have been streamlined by implementing sequencer driven tuning software.

  2. Test Operations Procedure (TOP) 02-2-820 Tactical Vehicle Climate Control Testing

    Science.gov (United States)

    2017-03-31

    Final 3. DATES COVERED (From - To) 4. TITLE AND SUBTITLE Test Operations Procedure (TOP) 02-2-820 Tactical Vehicle Climate Control Testing 5a...ORGANIZATION NAME(S) AND ADDRESS(ES) U.S. Army Aberdeen Test Center ATTN: TEDT-AT-ADI 400 Colleran Road Aberdeen Proving Ground, MD 21005-5059 8...U.S. Army Test and Evaluation Command 2202 Aberdeen Boulevard Aberdeen Proving Ground, MD 21005-5001 10. SPONSOR/MONITOR’S ACRONYM(S) 11

  3. Operational circular No.10 – Principles and procedures governing investigation of fraud

    CERN Multimedia

    2013-01-01

    Operational Circular No. 10 entitled “Principles and procedures governing investigation of Fraud”, approved by the Director-General following discussion at the Standing Concertation Committee meeting of 4 December 2012 and entering into force on 1 January 2013, is available on the intranet site of the Human Resources Department.   This circular is applicable to all persons working at or on behalf of CERN. The purpose of this new operational circular is to specify the definition of fraud and to lay down the Organization’s fraud investigation process pursuant to the CERN Anti-fraud Policy and in accordance with the principles of due process. Department Head Office HR Department

  4. Behavioral observations and operant procedures using microwaves as a heat source for young chicks

    Energy Technology Data Exchange (ETDEWEB)

    Morrison, W.D.; McMillan, I.; Bate, L.A.; Otten, L.; Pei, D.C.

    1986-08-01

    Four trials, using operant conditioning procedures, were conducted to study the response of chicks, housed at 16 C, to microwave or infrared heat. Microwave power density was 26 mW/cm2 in Trial 1, 13 mW/cm2 in Trial 2, and 10 mW/cm2 in Trials 3 and 4. Chicks voluntarily demanded between 28 and 63% as much heat (min heat/hr) from microwave source as from infrared source at all power densities. There was no correlation, however, between the ratio of heat demanded and the power density used. There were no significant differences in growth between infrared- or microwave-heated chicks. It is evident from these studies that 8-day-old broiler chicks are capable of associating the performance of a task with a thermal reward provided by the microwaves. They are also able to utilize these microwaves through operant conditioning without any visible detrimental effect to their health or behavior.

  5. 40 CFR Appendix K to Part 75 - Quality Assurance and Operating Procedures for Sorbent Trap Monitoring Systems

    Science.gov (United States)

    2010-07-01

    ... Pump. Use a leak-tight, vacuum pump capable of operating within the candidate system's flow range. 5.1... sorbent trap monitoring system typically operates. The gas flow meter shall be equipped with any necessary... system typically operates. You may either follow the procedures in section 10.3.1 of Method 5 in...

  6. Influence of step complexity and presentation style on step performance of computerized emergency operating procedures

    Energy Technology Data Exchange (ETDEWEB)

    Xu Song [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China); Li Zhizhong [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China)], E-mail: zzli@tsinghua.edu.cn; Song Fei; Luo Wei; Zhao Qianyi; Salvendy, Gavriel [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China)

    2009-02-15

    With the development of information technology, computerized emergency operating procedures (EOPs) are taking the place of paper-based ones. However, ergonomics issues of computerized EOPs have not been studied adequately since the industrial practice is quite limited yet. This study examined the influence of step complexity and presentation style of EOPs on step performance. A simulated computerized EOP system was developed in two presentation styles: Style A: one- and two-dimensional flowcharts combination; Style B: two-dimensional flowchart and success logic tree combination. Step complexity was quantified by a complexity measure model based on an entropy concept. Forty subjects participated in the experiment of EOP execution using the simulated system. The results of data analysis on the experiment data indicate that step complexity and presentation style could significantly influence step performance (both step error rate and operation time). Regression models were also developed. The regression analysis results imply that operation time of a step could be well predicted by step complexity while step error rate could only partly predicted by it. The result of a questionnaire investigation implies that step error rate was influenced not only by the operation task itself but also by other human factors. These findings may be useful for the design and assessment of computerized EOPs.

  7. Extension of the preliminary rulings procedure outside the scope of Community law: The Dzodzi line of cases

    Directory of Open Access Journals (Sweden)

    Saulius Lukas Kaleda

    2000-09-01

    Full Text Available The Dzodzi line of cases evidence that the functioning of the preliminary rulings procedure under Article 234 EC is not restricted to the scope of Community law, but extends also to the cases governed by national law referring to certain Community provision or concept. Most controversially in the context of this far-reaching pronouncement, the Court dismissed the views expressed by its Advocates General, actually, in all the cases of this type (recently in Roman Angonese , 6 June 2000. Ten years after the judgment in Dzodzi has been delivered, the future development of the tendency seems to be still open to radically different solutions. A compromise solution may be found in the acceptance of jurisdiction in comparable situations, ascertained on the basis of relationship between the interpretation and the facts of a particular case. This solution should be based on the assessment of the ability to provide helpful interpretation and the possibility to define a legal problem precisely, as a prerequisite for the full exchange of arguments. Then, it could provide a consistent attitude of the Court towards all the cases on the admissibility of references under Article 234 EC. The uncertainty inevitably following such a solution could be outweighed by the need to retain a flexible and cooperative attitude.

  8. Cord Blood Transplantation Study (COBLT): cord blood bank standard operating procedures.

    Science.gov (United States)

    Fraser, J K; Cairo, M S; Wagner, E L; McCurdy, P R; Baxter-Lowe, L A; Carter, S L; Kernan, N A; Lill, M C; Slone, V; Wagner, J E; Wallas, C H; Kurtzberg, J

    1998-12-01

    In 1995, the National Heart Lung and Blood Institute (NHLBI) solicited requests for a proposal (RFP) entitled "Transplant Centers for Clinical Research on Transplantation of Umbilical Cord Stem and Progenitor Cells." Three banks, six transplant centers, and one medical coordinating center (MCC) (Table 1) were funded with the overall goal of banking cord blood units (CBU) using a single manual of operations. Furthermore, the clinical protocols to evaluate the transplant outcome for adult and pediatric recipients of these well-characterized CBU would be analyzed in a uniform fashion. Because of the intense interest of the transplantation community in the policies and procedures for cord blood collection and processing, the principal investigators of the cord blood banks (CBB) and NHLBI elected to submit for publication the rationale and an abridged, but detailed, version of the standard operating procedures (SOP) developed between October 1996 and July 1998 prior to the initiation of the clinical protocols to be performed with these CBU. As the SOP will be refined over time, the complete SOP and subsequent amendments will be published and continually updated on the websites from the MCC-The EMMES Corporation (www.EMMES.com). All forms referred to in this document may be obtained from the EMMES website. It is hoped that the publication of this document will lay down a framework that will not only facilitate the development of other CBB but also help us more rapidly define what constitutes an "acceptable" CBU product.

  9. Task Analysis of Emergency Operating Procedures for Generating Quantitative HRA Data

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yochan; Park, Jinkyun; Kim, Seunghwan; Choi, Sun Yeong; Jung, Wondea; Jang, Inseok [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2015-10-15

    In this paper, the analysis results of the emergency task in the procedures (EOPs; emergency operating procedures) that can be observed from the simulator data are introduced. The task type, component type, system type, and additional information related with the performance of the operators were described. In addition, a prospective application of the analyzed information to HEP quantification process was discussed. In the probabilistic safety analysis (PSA) field, various human reliability analyses (HRAs) have been performed to produce estimates of human error probabilities (HEPs) for significant tasks in complex socio-technical systems. To this end, Many HRA methods have provided basic or nominal HEPs for typical tasks and the quantitative relations describing how a certain performance context or performance shaping factors (PSFs) affects the HEPs. In the HRA community, however, the necessity of appropriate and sufficient human performance data has been recently indicated. This is because a wide range of quantitative estimates in the previous HRA methods are not supported by solid empirical bases. Hence, there have been attempts to collect HRA supporting data. For example, KAERI has started to collect information on both unsafe acts of operators and the relevant PSFs. A characteristic of the database that is being developed at KAERI is that human errors and related PSF surrogates that can be objectively observable are collected from full-scope simulator experiences. In this environment, to produce concretely grounded bases of the HEPs, the traits or attributes of tasks where significant human errors can be observed should be definitely determined. The determined traits should be applicable to compare the HEPs on the traits with the data in previous HRA methods or databases. In this study, task characteristics in a Westinghouse type of EOPs were analyzed with the defining task, component, and system taxonomies.

  10. Investigations into the efficacy of different procedures for surgical hand disinfection between consecutive operations.

    Science.gov (United States)

    Rehork, B; Rüden, H

    1991-10-01

    In order to examine whether thorough surgical hand disinfection (handwashing plus hand disinfection) between consecutive operations is necessary, tests were carried out simulating normal clinical conditions. The tests were performed according to the guidelines for the evaluation of disinfection procedures of the German Society for Hygiene and Microbiology. Surgical hand disinfection was as follows: handwashing with soap without antimicrobial additives and subsequent 5-min disinfection with 60% n-propanol. This was followed by simulated operations of 30 or 120 min duration with a 30-min break between operations, during which half of the test group kept on the surgical gloves, while the other half removed them. The second surgical hand disinfection was done without prior handwashing by 50% of the test group. The disinfection time was reduced from 5 to 1 min by 50% of the test group. The results were evaluated by means of explorative data analysis and inductive statistical methods. Removing the surgical gloves during the interoperative break did not result in significantly higher numbers of colony forming units (cfu) compared with retaining the gloves. This was also the case after a subsequent handwashing. At the second surgical hand disinfection, after a simulated operation of 60 min duration (including break), there was no significant difference in the numbers of cfus between the test group who had washed their hands and those who had not. Reducing the disinfection time from 5 min to 1 min was not associated with a significant increase in the number of cfus. However, after a simulated operating time of 150 min (including the break), the second surgical hand disinfection with handwashing resulted in a significantly lower number of microorganisms than disinfection alone. In half the tests, the numbers of cfu were significantly lower when the test group disinfected their hands for 5 min rather than 1 min.

  11. A statewide consortium of surgical care: a longitudinal investigation of vascular operative procedures at 16 hospitals.

    Science.gov (United States)

    Henke, Peter K; Kubus, Jim; Englesbe, Michael J; Harbaugh, Calista; Campbell, Darrell A

    2010-10-01

    Regional surgical quality improvement consortiums are becoming more common. Herein we have reported the effectiveness of a statewide consortium focusing on open vascular operative procedures. The statewide Michigan Surgical Quality Consortium was established in 2005 with 16 hospitals that report cases of vascular open operative intervention, in a sampling manner consistent with the private sector National Surgical Quality Improvement Program. Data are abstracted by onsite trained nurses using defined and validated pre-, peri-, and postoperative variables with 30-day follow-up. Outpatient and emergent cases were excluded. We compared outcomes over the course of the consortium (era I, April 2005-March 2007; era II, April 2007-March 2008) via univariate and multivariate techniques. Era I (n = 2,453) and era II (n = 3,409) cases were similar in age (mean, 68 years), gender (61% male), relative value units (mean, 21), and distribution of Current Procedural Terminology codes. Duration of stay and operative time decreased by 15% and 11%, respectively, when comparing era I with era II (P cardiac or renal, complications. When evaluating both eras, modifiable variables (able to be altered by the surgeon) for morbidity included increased length of operation (odds ratio [OR], 1.004; 95% confidence interval [CI], 1.003-1.005; P < .0001), hypertension (OR, 1.46; 95% CI, 1.03-2.1; P = .03), and blood transfusion (OR, 2.8; 95% CI, 2.04-3.88; P < .0001). However, anemic patients (11%; hematocrit <30) who were transfused were less likely to suffer morbidity (OR, 56; 95% CI, 0.47-0.67; P < .0001) than those transfused who were not anemic. The absolute 2% reduction in complications led to a $172 cost savings for the payers per patient in era II compared with era I. A statewide quality-of-care consortium with timely feedback of data was associated with decreased morbidity over a relatively short follow-up period in vascular patients. Focusing on best processes in real-world practice

  12. Minor elective surgical procedures using general anesthesia in children with sickle cell anemia without pre-operative blood transfusion.

    Science.gov (United States)

    Fu, Teresa; Corrigan, Nicole J; Quinn, Charles T; Rogers, Zora R; Buchanan, George R

    2005-07-01

    Pre-operative red blood cell (RBC) transfusions are often recommended for patients with sickle cell disease (SCD) who require elective surgery under general anesthesia. However, definitive randomized studies demonstrating the benefit of transfusions in this setting have not been conducted. In particular, the merits of transfusion prior to minor or low-risk surgical procedures in children with SCD have not been demonstrated. We hypothesized that children with sickle cell anemia (Hb SS) who have minor elective surgical procedures develop few complications even without pre-operative transfusion. We accessed our Comprehensive Sickle Cell Program's Database to identify all such procedures performed during a 13-year period. Medical records were reviewed to characterize the surgical procedure, the use of transfusions, and perioperative complications. Twenty-eight children with Hb SS had a total of 38 minor surgical procedures. No perioperative transfusions were given in 34 of the cases (85%). Five of these 34 surgeries (15%) were associated with minor post-operative complications (fever or transient pain). No post-operative acute chest syndrome was encountered. Minor or low-risk elective surgical procedures in children with Hb SS may not routinely require pre-operative transfusion. A randomized clinical trial to compare transfusion with no transfusion for minor surgical procedures is needed.

  13. Acquisition procedures, processing methodologies and preliminary results of magnetic and ROV data collected during the TOMO-ETNA experiment

    Directory of Open Access Journals (Sweden)

    Danilo Cavallaro

    2016-09-01

    Full Text Available The TOMO-ETNA experiment was devised for the investigation of the continental and oceanic crust beneath Mt. Etna volcano and northeastern Sicily up to the Aeolian Islands, through an active source study. In this experiment, a large amount of geophysical data was collected both inland and in the Ionian and Tyrrhenian Seas for identifying the major geological and structural features offshore Mt. Etna and NE Sicily. One of the oceanographic cruises organized within the TOMO-ETNA experiment was carried out on the hydrographic vessel “Galatea” by Italian Navy. During the cruise a detailed magnetic survey and a set of ROV (remotely operated vehicle dives were performed offshore Mt. Etna. The magnetic survey allowed the compilation of a preliminary magnetic map revealing a clear direct relationship between volcanic structures and high frequency magnetic anomalies. Significant positive magnetic anomalies were identified offshore the Timpa area and along the easternmost portion of the Riposto Ridge and correlated to a primitive volcanic edifice and to shallow volcanic bodies, respectively. On the whole, the magnetic anomaly map highlights a clear SW-NE decreasing trend, where high amplitude positive magnetic anomaly pattern of the SW sector passes, northeastwardly, to a main negative one. ROV dives permitted to directly explore the shallowest sectors of the Riposto Ridge and to collect several videos and seafloor samples, allowing us to identify some locally developed volcanic manifestations.

  14. A Heuristic Procedure for the Outbound Container Relocation Problem during Export Loading Operations

    Directory of Open Access Journals (Sweden)

    Roberto Guerra-Olivares

    2015-01-01

    Full Text Available During export ship loading operations, it is often necessary to perform relocation movements with containers that interfere with access to the desired container in the ship loading sequence. This paper presents a real-time heuristic procedure for the container relocation problem employing reachstacker vehicles as container handling equipment. The proposed heuristic searches for good relocation coordinates within a set of nearby bays. The heuristic has a parameter that determines how far from the original bay a container may be relocated. The tradeoff between reducing relocation movements and limiting vehicle travel distances is examined and the performance of the heuristic is compared with a common practice in the smaller container terminals in Chile and Mexico. Finally, a mathematical model for the container relocation problem is presented.

  15. Standardization of the Action Verbs used in Emergency Operating Procedures of NPPs

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Tong Il; Lee, Yong Hee; Park, Jae Chang [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Jeong, Yeon Seop; Chu, Gang Il [Korea Hydro and Nuclear Power, Daejeon (Korea, Republic of)

    2010-05-15

    The action verbs used in Emergency Operating Procedures (EOPs) for each nuclear power plant are translated respectively from the action verbs used in Emergency Recovery Guidelines (ERG) of the reference plants. The action verbs used in each plant are not largely different with one another. There are, however, some cases that the meanings of the same action verbs used in different plants are not consistent with each other and translations are not exact. In this study, the original English expressions of the action verbs and the translated verbs were compared and their accepted meanings analyzed. And then, standardization for the action verbs which are not exactly translated or which are used with different meanings among the plants was proposed

  16. Investigation and analysis of clinical trial research nurse to perform standard operating procedures

    Institute of Scientific and Technical Information of China (English)

    Yan Lin; Yan-Yun Wu; Mei-Hua Wu; Xiu-Yu Yang; Ming Zhou

    2016-01-01

    Objective: The aim of this study was to investigate the situations and factors that cause nurses not to follow standard operating procedures (SOPs) during the clinical trial process. Methods: Five cases involving patients enrolled in a clinical trial were divided into two groups, pre-SOP training and post-SOP training, to compare and observe the process problems and whether nurses fol-lowed SOPs in clinical trials. The causes of problems were analyzed and corrective measures were proposed. Results: Our results indicate significant improvement in compliance with SOPs after training. There were three occurrences of irregular behavior after training compared with 21 occurrences of irregular behavior before training. Conclusions: The quality of clinical trials can be improved if nurses strictly follow SOPs.

  17. Disinfection of aircraft : Appropriate disinfectants and standard operating procedures for highly infectious diseases.

    Science.gov (United States)

    Klaus, Joachim; Gnirs, Peter; Hölterhoff, Sabine; Wirtz, Angela; Jeglitza, Matthias; Gaber, Walter; Gottschalk, Rene

    2016-12-01

    For infectious diseases caused by highly pathogenic agents (e. g., Ebola/Lassa fever virus, SARS-/MERS-CoV, pandemic influenza virus) which have the potential to spread over several continents within only a few days, international Health Protection Authorities have taken appropriate measures to limit the consequences of a possible spread. A crucial point in this context is the disinfection of an aircraft that had a passenger on board who is suspected of being infected with one of the mentioned diseases. Although, basic advice on hygiene and sanitation on board an aircraft is given by the World Health Organization, these guidelines lack details on available and effective substances as well as standardized operating procedures (SOP). The purpose of this paper is to give guidance on the choice of substances that were tested by a laboratory of Lufthansa Technik and found compatible with aircraft components, as well as to describe procedures which ensure a safe and efficient disinfection of civil aircrafts. This guidance and the additional SOPs are made public and are available as mentioned in this paper.

  18. Enhanced Oceanic Operations Human-In-The-Loop In-Trail Procedure Validation Simulation Study

    Science.gov (United States)

    Murdoch, Jennifer L.; Bussink, Frank J. L.; Chamberlain, James P.; Chartrand, Ryan C.; Palmer, Michael T.; Palmer, Susan O.

    2008-01-01

    The Enhanced Oceanic Operations Human-In-The-Loop In-Trail Procedure (ITP) Validation Simulation Study investigated the viability of an ITP designed to enable oceanic flight level changes that would not otherwise be possible. Twelve commercial airline pilots with current oceanic experience flew a series of simulated scenarios involving either standard or ITP flight level change maneuvers and provided subjective workload ratings, assessments of ITP validity and acceptability, and objective performance measures associated with the appropriate selection, request, and execution of ITP flight level change maneuvers. In the majority of scenarios, subject pilots correctly assessed the traffic situation, selected an appropriate response (i.e., either a standard flight level change request, an ITP request, or no request), and executed their selected flight level change procedure, if any, without error. Workload ratings for ITP maneuvers were acceptable and not substantially higher than for standard flight level change maneuvers, and, for the majority of scenarios and subject pilots, subjective acceptability ratings and comments for ITP were generally high and positive. Qualitatively, the ITP was found to be valid and acceptable. However, the error rates for ITP maneuvers were higher than for standard flight level changes, and these errors may have design implications for both the ITP and the study's prototype traffic display. These errors and their implications are discussed.

  19. Overview of the Standing Operating Procedure (SOP) for the development of Provisional Advisory Levels (PALs).

    Science.gov (United States)

    Young, Robert A; Bast, Cheryl B; Wood, Carol S; Adeshina, Femi

    2009-12-01

    Provisional Advisory Levels (PALs) are concentrations in air and drinking water for priority toxic chemicals. This article summarizes the Standing Operating Procedure (SOP) currently in place for the data-driven development of chemical-specific PALs. To provide consistency and transparency, and to avoid faults of arbitrariness, the SOP was developed for guidance in deriving PAL values. Three levels (PAL 1, PAL 2, and PAL 3), distinguished by severity of toxic effects, are developed for 24-hour, 30-day, 90-day, and 2-year durations of potential drinking water and inhalation exposures for the general public. The SOP for PAL development focuses on (1) data acquisition and analysis, (2) identification of a chemical-specific critical effect, (3) selection of a quantitative point-of-departure (POD), (4) uncertainty analysis and adjustments, (5) exposure duration adjustment and extrapolation, (6) identification of special concerns and issues, and (7) verification, documentation, and dissemination of PALs. To avoid uncompromising rigidity in deriving PAL values and to allow for incorporation of new or refined methodologies, the overall procedure is fluid and subject to modification. The purpose of this publication is to provide a summary of this SOP.

  20. Congenital penile curvature: long-term results of operative treatment using the plication procedure

    Institute of Scientific and Technical Information of China (English)

    S.-S.Lee; E.Meng; E-RChuang; C.-Y.Yen; S.-Y.Chang; D.-S.Yu; G.-H.Sun

    2004-01-01

    Aim: To determine the long-term outcome, effectiveness and patient satisfaction of congenital penile curvature correction by plication of tunica albuginea. Methods: From January 1992 to January 2002, 106 young patients underwent surgical correction of congenital penile curvature by corporeal plication. Indications for operation were difficult or impossible vaginal penetration and cosmetic problems. The technique of corporeal plication consists of placing longitudinal plication sutures of 2-zero braided polyester on the convex side of the curvature until the curvature is corrected when erection is artificially induced. Results of this procedure were obtained by retrospective chart reviews and questionnaires via mail. Long-term follow-up ranged from 11 to 132 (mean 69.3) months and data were available for 68 patients. Results: Penile straightening was excellent in 62 patients (91%) and good with less than 15 degree of residual curvature in 6 patients (9 %). Sixty-seven patients reported no change in erectile rigidity or maintenance postoperatively, while 1 described early detumescence. Shortening of the penis without functional problems was noted by 26 patients (38 %). Thirty-Five patients (51%) reported feeling palpable indurations (suture knots) on the penis. Temporary numbness of glans penis was described in 3 patients. Overall, 60 patients were very satisfied, 6 satisfied, 2 unsatisfied. Conclusion: Corporeal plication is an effective and durable procedure with a high rate of patient satisfaction. (Asian J Androl 2004 Sep; 6: 273-276)

  1. Congenital penile curvature: long-term results of operative treatment using the plication procedure.

    Science.gov (United States)

    Lee, S-S; Meng, E; Chuang, F-P; Yen, C-Y; Chang, S-Y; Yu, D-S; Sun, G-H

    2004-09-01

    To determine the long-term outcome, effectiveness and patient satisfaction of congenital penile curvature correction by plication of tunica albuginea. From January 1992 to January 2002, 106 young patients underwent surgical correction of congenital penile curvature by corporeal plication. Indications for operation were difficult or impossible vaginal penetration and cosmetic problems. The technique of corporeal plication consists of placing longitudinal plication sutures of 2-zero braided polyester on the convex side of the curvature until the curvature is corrected when erection is artificially induced. Results of this procedure were obtained by retrospective chart reviews and questionnaires via mail. Long-term follow-up ranged from 11 to 132 (mean 69.3) months and data were available for 68 patients. Penile straightening was excellent in 62 patients (91 %) and good with less than 15 degree of residual curvature in 6 patients (9 %). Sixty-seven patients reported no change in erectile rigidity or maintenance postoperatively, while 1 described early detumescence. Shortening of the penis without functional problems was noted by 26 patients (38 %). Thirty-Five patients (51 %) reported feeling palpable indurations (suture knots) on the penis. Temporary numbness of glans penis was described in 3 patients. Overall, 60 patients were very satisfied, 6 satisfied, 2 unsatisfied. Corporeal plication is an effective and durable procedure with a high rate of patient satisfaction.

  2. Preliminary report of a gas conditioner to improve operational reliability of cryotherapy in developing countries

    Directory of Open Access Journals (Sweden)

    Broekhuizen Fredrik

    2006-02-01

    Full Text Available Abstract Background Cryotherapy is a safe, affordable, and effective method of treatment for cervical intraepithelial neoplasia. In some low-resource settings, environmental conditions or qualities of the refrigerant gas can lead to blockage of cryotherapy equipment, terminating treatment. A prototype of a gas conditioner to prevent operational failure was designed, built, and field tested. Methods The prototype conditioner device consists of an expansion chamber that filters and dries the refrigerant gas. Users in Peru and Kenya reported on their experience with the prototype conditioner. In Ghana, simulated cryotherapy procedures were used to test the effects of the prototype conditioner, as well as the commonly used "cough technique." Results Anecdotal reports from field use of the device were favorable. During simulated cryotherapy, the prevalence of blockage during freezing were 0% (0/25 with the device alone, 23.3% (7/30 with the cough technique alone, 5.9% (1/17 with both, and 55.2% (16/29 with neither (Pearson's Chi square = 26.6, df = 3, p Conclusion This prototype design of a cryotherapy gas conditioner is a potential solution for low-resource settings that are experiencing cryotherapy device malfunction.

  3. CT-discography in the evaluation of the post-operative lumbar spine. Preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Crenier, N.; Greselle, J.F.; Richard, O.; Houang, B.; Pinol-Daubisse, H.; Caille, J.M.; Vital, J.M.; Senegas, J.

    1988-06-01

    Thirty-three patients with recurrent sciatica after lumbar-disk surgery were studied for recurrent herniated nucleus pulposus (HNP) by CT alone and CT-discography (CTD). Twenty-six patients underwent surgical reexploration allowing correlation with CTD. CTD made a correct diagnosis of recurrent HNP in twenty-one patients showing an extravasation of the contrast medium from the disk space into the medullary canal. In two cases CTD was positive for recurrent HNP but surgery showed only fibrosis. The amount of contrast leak was very small in these two cases along the posterior common longitudinal ligament, and the junction with the disk was very narrow. Because of their clinical presentation three patients with negative studies were operated upon. One showed only fibrosis and the two others showed an associated disk fragment. Among the twenty-one true-positive cases, seven showed a combination of recurrent HNP and scarring. Contamination of CSF by the contrast medium through the dura was observed in two patients. Although a prospective comparative study between CTD and IV-contrast-enhanced CT is necessary, CTD appears to be a useful diagnostic procedure for recurrent HNP after surgery of the lumbar spine.

  4. A standard operating procedure for the surgical implantation of transmitters in juvenile salmonids

    Science.gov (United States)

    Liedtke, T.L.; Beeman, J.W.; Gee, L.P.

    2012-01-01

    Biotelemetry is a useful tool to monitor the movements of animals and is widely applied in fisheries research. Radio or acoustic technology can be used, depending on the study design and the environmental conditions in the study area. A broad definition of telemetry also includes the use of Passive Integrated Transponder (PIT) tags, either separately or with a radio or acoustic transmitter. To use telemetry, fish must be equipped with a transmitter. Although there are several attachment procedures available, surgical implantation of transmitters in the abdominal cavity is recognized as the best technique for long-term telemetry studies in general (Stasko and Pincock, 1977; Winter, 1996; Jepsen, 2003), and specifically for juvenile salmonids, Oncorhynchus spp. (Adams and others, 1998a, 1998b; Martinelli and others, 1998; Hall and others, 2009). Studies that use telemetry assume that the processes by which the animals are captured, handled, and tagged, as well as the act of carrying the transmitter, will have minimal effect on their behavior and performance. This assumption, commonly stated as a lack of transmitter effects, must be valid if telemetry studies are to describe accurately the movements and behavior of an entire population of interest, rather than the subset of that population that carries transmitters. This document describes a standard operating procedure (SOP) for surgical implantation of radio or acoustic transmitters in juvenile salmonids. The procedures were developed from a broad base of published information, laboratory experiments, and practical experience in tagging thousands of fish for numerous studies of juvenile salmon movements near Columbia River and Snake River hydroelectric dams. Staff from the Western Fisheries Research Center's Columbia River Research Laboratory (CRRL) frequently have used telemetry studies to evaluate new structures or operations at hydroelectric dams in the Columbia River Basin, and these evaluations typically

  5. An operative gamma camera for sentinel lymph node procedure in case of breast cancer

    CERN Document Server

    Salvador, S; Mathelin, C; Guyonne, J; Huss, D

    2007-01-01

    Large field of view gamma cameras are widely used to perform lymphoscintigraphy in the sentinel lymph nodes (SLN) procedure in case of breast cancer. However, they are not specified for this application and their sizes do not enable their use in the operative room to control the excision of the all SLN. We present the results obtained with a prototype of a new mini gamma camera developed especially for the operative lymphoscintigraphy of the axillary area in case of breast cancer. This prototype is composed of 10 mm thick parallel lead collimator, a 2 mm thick GSO:Ce inorganic scintillating crystal from Hitachi and a Hamamatsu H8500 flat panel multianode (64 channels) photomultiplier tube (MAPMT) equipped with a dedicated electronics. Its actual field of view is 50 × 50mm2. The gamma interaction position in the GSO scintillating plate is obtained by calculating the center of gravity of the fired MAPMT channels. The measurements performed with this prototype demonstrate the usefulness of this mini gamma camer...

  6. HEMP emergency planning and operating procedures for electric power systems. Power Systems Technology Program

    Energy Technology Data Exchange (ETDEWEB)

    Reddoch, T.W.; Markel, L.C. [Electrotek Concepts, Inc., Knoxville, TN (United States)

    1991-12-31

    Investigations of the impact of high-altitude electromagnetic pulse (HEMP) on electric power systems and electrical equipment have revealed that HEMP creates both misoperation and failures. These events result from both the early time E{sub 1} (steep-front pulse) component and the late time E{sub 3} (geomagnetic perturbations) component of HEMP. In this report a HEMP event is viewed in terms of its marginal impact over classical power system disturbances by considering the unique properties and consequences of HEMP. This report focuses on system-wide electrical component failures and their potential consequences from HEMP. In particular, the effectiveness of planning and operating procedures for electric systems is evaluated while under the influence of HEMP. This assessment relies on published data and characterizes utilities using the North American Electric Reliability Council`s regions and guidelines to model electric power system planning and operations. Key issues addressed by the report include how electric power systems are affected by HEMP and what actions electric utilities can initiate to reduce the consequences of HEMP. The report also reviews the salient features of earlier HEMP studies and projects, examines technology trends in the electric power industry which are affected by HEMP, characterizes the vulnerability of power systems to HEMP, and explores the capability of electric systems to recover from a HEMP event.

  7. HEMP emergency planning and operating procedures for electric power systems. Power Systems Technology Program

    Energy Technology Data Exchange (ETDEWEB)

    Reddoch, T.W.; Markel, L.C. [Electrotek Concepts, Inc., Knoxville, TN (United States)

    1991-12-31

    Investigations of the impact of high-altitude electromagnetic pulse (HEMP) on electric power systems and electrical equipment have revealed that HEMP creates both misoperation and failures. These events result from both the early time E{sub 1} (steep-front pulse) component and the late time E{sub 3} (geomagnetic perturbations) component of HEMP. In this report a HEMP event is viewed in terms of its marginal impact over classical power system disturbances by considering the unique properties and consequences of HEMP. This report focuses on system-wide electrical component failures and their potential consequences from HEMP. In particular, the effectiveness of planning and operating procedures for electric systems is evaluated while under the influence of HEMP. This assessment relies on published data and characterizes utilities using the North American Electric Reliability Council`s regions and guidelines to model electric power system planning and operations. Key issues addressed by the report include how electric power systems are affected by HEMP and what actions electric utilities can initiate to reduce the consequences of HEMP. The report also reviews the salient features of earlier HEMP studies and projects, examines technology trends in the electric power industry which are affected by HEMP, characterizes the vulnerability of power systems to HEMP, and explores the capability of electric systems to recover from a HEMP event.

  8. A Guide for Developing Standard Operating Job Procedures for the Tertiary Multimedia Filtration Process Wastewater Treatment Facility. SOJP No. 7.

    Science.gov (United States)

    Petrasek, Al, Jr.

    This guide describes the standard operating job procedures for the tertiary multimedia filtration process of wastewater treatment plants. The major objective of the filtration process is the removal of suspended solids from the reclaimed wastewater. The guide gives step-by-step instructions for pre-start up, start-up, continuous operation, and…

  9. 30 CFR 761.15 - Procedures for waiving the prohibition on surface coal mining operations within the buffer zone...

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Procedures for waiving the prohibition on surface coal mining operations within the buffer zone of an occupied dwelling. 761.15 Section 761.15... surface coal mining operations within the buffer zone of an occupied dwelling. (a) This section does not...

  10. Analysis of the operation of a diffraction-radiation generator with preliminary HF modulation

    Science.gov (United States)

    Pivovarova, A. G.

    1991-05-01

    The excitation conditions and output characteristics of a diffraction-radiation generator with preliminary HF modulation are determined. Attention is given to the effects of the modulation parameter, the phase shift, and the aiming distance on the displacement of the generation zone, variations of the minimum starting current, the frequency shift, the oscillation amplitude, and the efficiency of the generator. It is shown that the efficiency of a generator with preliminary HF modulation can be twice as high as that of a generator without modulation.

  11. Operational Implementation of the ATOVS Processing Procedure in KMA and Its Validation

    Institute of Scientific and Technical Information of China (English)

    Myoung-Hwan AHN; Mee-Ja KIM; Chu-Yong CHUNG; Ae-Sook SUH

    2003-01-01

    The Korea Meteorological Administration (KMA) has processed the data from the advanced TOVS(ATOVS) onboard NOAA-16 satellite since May 2001. The operational production utilizes the AAPP(ATOVS and AVHRR Processing Package) of EUMETSAT and IAPP (International ATOVS ProcessingPackage) of the University of Wisconsin. For the initial guess profiles, the predicted fields (usually 6 to 12hour forecasted fields) from the global aviation model of NOAA/NCEP are used. The average number ofprofiles retrieved from the ATOVS data is about 1,300 for each morning and afternoon orbit at about 18 and06 UTC, respectively. The retrieved temperature and dew point temperatures are provided to forecastersin real time and used for initialization of prediction models. With the advanced microwave sensor (AMSU;Advanced Microwave Sounding Unit), accuracy of the ATOVS products is expected to be better than thatof the TOVS products, especially in cloudy conditions. Indeed, the preliminary results from a validationstudy with the collocated radiosonde data during a 8-month period, from May to December 2001, for theEast Asia region show an improved accuracy of the ATOVS products for cloudy skies versus the TOVS,especially for higher altitudes. The RMS (Root Mean Square) difference between the ATOVS productsand radiosonde data is about 1.3℃ for both clear and cloudy conditions, except for near the ground and athigher altitudes, at around 200 hPa. There is no significant temporal variation of the error statistics at allpressure levels. In case of the water vapor mixing ratio, the largest difference is shown at lower altitudes,while the accuracy is much better for the clear sky cases than the cloudy sky cases. The bias and RMSEat lower altitudes is about 0.557 g kg-1 and 2.5 g kg-1 and decrease significantly with increasing altitude.

  12. Tableau-based decision procedure for the multi-agent epistemic logic with operators of common and distributed knowledge

    CERN Document Server

    Goranko, Valentin

    2008-01-01

    We develop an incremental-tableau-based decision procedure for the multi-agent epistemic logic MAEL(CD) (aka S5_n (CD)), whose language contains operators of individual knowledge for a finite set Ag of agents, as well as operators of distributed and common knowledge among all agents in Ag. Our tableau procedure works in (deterministic) exponential time, thus establishing an upper bound for MAEL(CD)-satisfiability that matches the (implicit) lower-bound known from earlier results, which implies ExpTime-completeness of MAEL(CD)-satisfiability. Therefore, our procedure provides a complexity-optimal algorithm for checking MAEL(CD)-satisfiability, which, however, in most cases is much more efficient. We prove soundness and completeness of the procedure, and illustrate it with an example.

  13. Solution Procedure for Transport Modeling in Effluent Recharge Based on Operator-Splitting Techniques

    Directory of Open Access Journals (Sweden)

    Shutang Zhu

    2008-01-01

    Full Text Available The coupling of groundwater movement and reactive transport during groundwater recharge with wastewater leads to a complicated mathematical model, involving terms to describe convection-dispersion, adsorption/desorption and/or biodegradation, and so forth. It has been found very difficult to solve such a coupled model either analytically or numerically. The present study adopts operator-splitting techniques to decompose the coupled model into two submodels with different intrinsic characteristics. By applying an upwind finite difference scheme to the finite volume integral of the convection flux term, an implicit solution procedure is derived to solve the convection-dominant equation. The dispersion term is discretized in a standard central-difference scheme while the dispersion-dominant equation is solved using either the preconditioned Jacobi conjugate gradient (PJCG method or Thomas method based on local-one-dimensional scheme. The solution method proposed in this study is applied to the demonstration project of groundwater recharge with secondary effluent at Gaobeidian sewage treatment plant (STP successfully.

  14. STUDY OF STANDARD OPERATING PROCEDURE OF NAAG BHASMA IN RELATION TO ITS PHYSICO-CHEMICAL PROPERTIES

    Directory of Open Access Journals (Sweden)

    Lagad C. E.

    2012-03-01

    Full Text Available Standard operating procedures (SOPs should to be designed, implemented and set for all Ayurvedic drugs one by one for globalization Ayurveda. In this study, an attempt has been made to introduce SOP for preparation of Naag Bhasma [NB] & its analytical study. Study was conducted in the Department of Rasa Shastra under the postgraduate research programme is being presented. The pharmaceutical processing of NB was performed by following Samanya Shodhana, Jarana, Marana of Naag [Pb] & its analytical study. Naga Bhasma was prepared in two batches namely Batch A & B. In this method purified Haratala (Orpiment were taken as media. The percentage loss in the Naga Bhasma in Batch A was 63%, while in case of Batch B was 60.5%. Raw drugs, in process materials and the final products were analyzed physico-chemically and comparison was drawn to lay down pharmacopoeial standards. The average percentage purity of Naga decreased from 99.46% to 86.57% after Shodhana. The percentage of (Pb lead in Naga Bhasma was 58.4% and 57.89% respectively in Batch A and B. Both the Bhasmas were in PbS form chemically with other elements like Ca, Si, Fe, Al, K, As, Mg, Ni, Mn, Cd, Zn in trace amount.

  15. Qualitative research within trials: developing a standard operating procedure for a clinical trials unit

    Science.gov (United States)

    2013-01-01

    Background Qualitative research methods are increasingly used within clinical trials to address broader research questions than can be addressed by quantitative methods alone. These methods enable health professionals, service users, and other stakeholders to contribute their views and experiences to evaluation of healthcare treatments, interventions, or policies, and influence the design of trials. Qualitative data often contribute information that is better able to reform policy or influence design. Methods Health services researchers, including trialists, clinicians, and qualitative researchers, worked collaboratively to develop a comprehensive portfolio of standard operating procedures (SOPs) for the West Wales Organisation for Rigorous Trials in Health (WWORTH), a clinical trials unit (CTU) at Swansea University, which has recently achieved registration with the UK Clinical Research Collaboration (UKCRC). Although the UKCRC requires a total of 25 SOPs from registered CTUs, WWORTH chose to add an additional qualitative-methods SOP (QM-SOP). Results The qualitative methods SOP (QM-SOP) defines good practice in designing and implementing qualitative components of trials, while allowing flexibility of approach and method. Its basic principles are that: qualitative researchers should be contributors from the start of trials with qualitative potential; the qualitative component should have clear aims; and the main study publication should report on the qualitative component. Conclusions We recommend that CTUs consider developing a QM-SOP to enhance the conduct of quantitative trials by adding qualitative data and analysis. We judge that this improves the value of quantitative trials, and contributes to the future development of multi-method trials. PMID:23433341

  16. Decentralized operating procedures for orchestrating data and behavior across distributed military systems and assets

    Science.gov (United States)

    Peach, Nicholas

    2011-06-01

    In this paper, we present a method for a highly decentralized yet structured and flexible approach to achieve systems interoperability by orchestrating data and behavior across distributed military systems and assets with security considerations addressed from the beginning. We describe an architecture of a tool-based design of business processes called Decentralized Operating Procedures (DOP) and the deployment of DOPs onto run time nodes, supporting the parallel execution of each DOP at multiple implementation nodes (fixed locations, vehicles, sensors and soldiers) throughout a battlefield to achieve flexible and reliable interoperability. The described method allows the architecture to; a) provide fine grain control of the collection and delivery of data between systems; b) allow the definition of a DOP at a strategic (or doctrine) level by defining required system behavior through process syntax at an abstract level, agnostic of implementation details; c) deploy a DOP into heterogeneous environments by the nomination of actual system interfaces and roles at a tactical level; d) rapidly deploy new DOPs in support of new tactics and systems; e) support multiple instances of a DOP in support of multiple missions; f) dynamically add or remove run-time nodes from a specific DOP instance as missions requirements change; g) model the passage of, and business reasons for the transmission of each data message to a specific DOP instance to support accreditation; h) run on low powered computers with lightweight tactical messaging. This approach is designed to extend the capabilities of existing standards, such as the Generic Vehicle Architecture (GVA).

  17. Operationally efficient propulsion system study (OEPSS) data book. Volume 9; Preliminary Development Plan for an Integrated Booster Propulsion Module (BPM)

    Science.gov (United States)

    DiBlasi, Angelo G.

    1992-01-01

    A preliminary development plan for an integrated propulsion module (IPM) is described. The IPM, similar to the Space Transportation Main engine (STME) engine, is applicable to the Advanced Launch System (ALS) baseline vehicle. The same STME development program ground rules and time schedule were assumed for the IPM. However, the unique advantages of testing an integrated engine element, in terms of reduced number of hardware and number of system and reliability tests, compared to single standalone engine and MPTA, are highlighted. The potential ability of the IPM to meet the ALS program goals for robustness, operability and reliability is emphasized.

  18. SINGLE-SHELL TANK INTEGRITY PROJECT ANALYSIS OF RECORD-PRELIMINARY MODELING PLAN FOR THERMAL AND OPERATING LOADS

    Energy Technology Data Exchange (ETDEWEB)

    RAST RS; RINKER MW; BAPANAALLI SK; DEIBLER JE; GUZMAN-LEONG CE; JOHNSON KI; KARRI NK; PILLI SP; SANBORN SE

    2010-10-22

    This document is a Phase I deliverable for the Single-Shell Tank Analysis of Record effort. This document is not the Analysis of Record. The intent of this document is to guide the Phase II detailed modeling effort. Preliminary finite element models for each of the tank types were developed and different case studies were performed on one or more of these tank types. Case studies evaluated include thermal loading, waste level variation, the sensitivity of boundary effects (soil radial extent), excavation slope or run to rise ratio, soil stratigraphic (property and layer thickness) variation at different farm locations, and concrete material property variation and their degradation under thermal loads. The preliminary analysis document reviews and preliminary modeling analysis results are reported herein. In addition, this report provides recommendations for the next phase of the SST AOR project, SST detailed modeling. Efforts and results discussed in this report do not include seismic modeling as seismic modeling is covered by a separate report. The combined results of both static and seismic models are required to complete this effort. The SST AOR project supports the US Department of Energy's (DOE) Office of River Protection (ORP) mission for obtaining a better understanding of the structural integrity of Hanford's SSTs. The 149 SSTs, with six different geometries, have experienced a range of operating histories which would require a large number of unique analyses to fully characterize their individual structural integrity. Preliminary modeling evaluations were conducted to determine the number of analyses required for adequate bounding of each of the SST tank types in the Detailed Modeling Phase of the SST AOR Project. The preliminary modeling was conducted in conjunction with the Evaluation Criteria report, Johnson et al. (2010). Reviews of existing documents were conducted at the initial stage of preliminary modeling. These reviews guided the topics

  19. Impact of North Atlantic Treaty Organization Policies and Procedures on Combined Medical Operations: Food and Water Safety and Veterinary Support.

    Science.gov (United States)

    Stevenson, Timothy H; Chevalier, Nicole A; Scher, Gregory R; Burke, Ronald L

    2016-01-01

    Effective multilateral military operations such as those conducted by the North Atlantic Treaty Organization (NATO) require close cooperation and standardization between member nations to ensure interoperability. Failure to standardize policies, procedures, and doctrine prior to the commencement of military operations will result in critical interoperability gaps, which jeopardize the health of NATO forces and mission success. To prevent these gaps from occurring, US forces must be actively involved with NATO standardization efforts such as the Committee of the Chiefs of Medical Services to ensure US interests are properly represented when NATO standards are developed and US doctrine and procedures will meet the established NATO requirements.

  20. Preliminary results of Resistive Plate Chambers operated with eco-friendly gas mixtures for application in the CMS experiment

    CERN Document Server

    Abbrescia, M

    2016-01-01

    The operations of Resistive Plate Chambers in LHC experiments require Fluorine based (F-based) gases for optimal performance. Recent European regulations demand the use of environmentally unfriendly F-based gases to be limited or banned. In view of the CMS experiment upgrade, several tests are ongoing to measure the performance of the detector with these new ecological gas mixtures, in terms of efficiency, streamer probability, induced charge and time resolution. Prototype chambers with readout pads and with the standard CMS electronic setup are under test. In this paper preliminary results on performance of RPCs operated with a potential eco-friendly gas candidate 1,3,3,3-Tetrafluoropropene, commercially known as HFO-1234ze, with CO2 and CF3I based gas mixtures are presented and discussed for the possible application in the CMS experiment.

  1. Preliminary results of Resistive Plate Chambers operated with eco-friendly gas mixtures for application in the CMS experiment

    CERN Document Server

    Abbrescia, Marcello; Benussi, Luigi; Bianco, Stefano; Cauwenbergh, Simon Marc D; Ferrini, Mauro; Muhammad, Saleh; Passamontic, L; Pierluigi, Daniele; Piccolo, Davide; Primavera, Federica; Russo, Alessandro; Savianoc, G; Tytgat, Michael

    2016-01-01

    The operations of Resistive Plate Chambers in LHC experiments require F-based gases for optimal performance. Recent regulations demand the use of environmentally unfriendly F-based gases to be limited or banned. In view of the CMS experiment upgrade several tests are ongoing to measure the performance of the detector in terms of efficiency, streamer probability, induced charge and time resolution. Prototype chambers with readout pads and with the standard cms electronic setup are under test. In this talk preliminary results on performance of RPCs operated with a potential eco-friendly gas candidate 1,3,3,3-Tetrafluoropropene, commercially known as HFO-1234ze and with CO2 based gas mixtures are presented and discussed for the possible application in the CMS experiment.

  2. The current status of procedural sedation for pediatric patients in out-of-operating room locations.

    Science.gov (United States)

    Havidich, Jeana E; Cravero, Joseph P

    2012-08-01

    To illustrate the changes that are occurring in the rapidly growing field of pediatric sedation. In the USA and throughout the world, children receive sedation from a multitude of specialists with varying levels of training. The current pediatric sedation literature reflects a growing body of sedation literature by medical specialists other than anesthesiologists. This article will review the controversial use of propofol by nonanesthesiologists and the manner in which this varied group of providers along with government entities, regulatory agencies, and national organizations contribute to the continuing evolution of sedation practices. The number of diagnostic and therapeutic procedures performed on children outside of the operating room continues to increase. The growing body of pediatric sedation literature suggests anesthesiologists are no longer at the forefront of pediatric sedation training, education, and research. Articles published by nonanesthesiologists describe pediatric sedation services, safety, and quality initiatives, drugs, and original sedation research. Medications that were considered under the realm of anesthesiologists are utilized by nonanesthesiologists to provide sedation to children. Regulating and government agencies, including the Joint Commission and the Center for Medicaid and Medicare Services have recently issued statements on the oversight and practice of sedation. The direction of pediatric sedation is no longer solely under the leadership of anesthesiologists. The use of anesthetic agents, including propofol, have been administered by nonanesthesiologists and reported as safe and effective agents. Nonanesthesiologists and governmental and regulatory agencies influence the delivery of sedation services. The future direction of pediatric sedation will ultimately depend upon the ability of anesthesiologists to collaborate with specialists, hospital administrators, credentialing committees, and oversight agencies in order to

  3. EVALUATION OF INJ. CLONIDINE IN MAINTAINING HAEMODYNAMICS DURING LAPAROSCOPIC OPERATIVE PROCEDURES

    Directory of Open Access Journals (Sweden)

    Todkari Kiran

    2016-05-01

    Full Text Available Pneumoperitoneum usually with CO2 insufflations created during laparoscopic operative procedures affects several homeostatic systems leading to adverse effects on cardiovascular and pulmonary physiology and produces stress response. There is increase in pulse rate, systolic blood pressure and decrease in cardiac output and increase in systemic vascular resistance. Clonidine an α2 agonist with its central sympatholytic action attenuates the cardiovascular adverse effects and provide intraoperative as well as postoperative analgesia. In the present study, 60 ASA grade I and II of either sex between age range of 18–60 years and weight range of 45–70 kg were divided into 2 equal groups of 30 each. Group A served as control group A, received inj. Midazolam 0.03 mg/kg and inj. Pentazocine 0.3 mg/kg as premedication 15 minutes prior to induction of anaesthesia and group B received inj. Clonidine 1 µgm/kg as premedication before induction of anaesthesia. Anaesthesia was induced with inj. Thiopentone 5 mg/kg and inj. Vecuronium 0.1 mg/kg in all patients. All patients were maintained on oxygen, nitrous oxide and inj. Propofol infusion on IPPV. Pneumoperitoneum was created with CO2 and intra-abdominal pressure was maintained on 15 mmHg. All patients were observed for changes in pulse rate, systolic blood pressure, EtCO2 throughout intraoperative period. Normocapnia was maintained. It was observed that Clonidine group provided statistically significant cardiovascular stability with less increase in pulse rate and systolic blood pressure. The requirement of additional analgesic drugs was minimum in Clonidine group with minimal sedation. Thus, it was concluded that premedication with inj. Clonidine in dose of 1 µgm/kg prior to induction of anaesthesia provides effective cardiovascular stability and attenuates the increase in pulse rate, systolic blood pressure, decrease in cardiac output and increase in systemic vascular resistance secondary to

  4. Generating a comprehensive set of standard operating procedures for a biorepository network-The CTRNet experience.

    Science.gov (United States)

    Barnes, Rebecca; Albert, Monique; Damaraju, Sambasivarao; de Sousa-Hitzler, Jean; Kodeeswaran, Sugy; Mes-Masson, Anne-Marie; Watson, Peter; Schacter, Brent

    2013-12-01

    Despite the integral role of biorepositories in fueling translational research and the advancement of medicine, there are significant gaps in harmonization of biobanking practices, resulting in variable biospecimen collection, storage, and processing. This significantly impacts accurate downstream analysis and, in particular, creates a problem for biorepository networks or consortia. The Canadian Tumour Repository Network (CTRNet; www.ctrnet.ca ) is a consortium of Canadian tumor biorepositories that aims to enhance biobanking capacity and quality through standardization. To minimize the issue of variable biobanking practices throughout its network, CTRNet has developed and maintained a comprehensive set of 45 standard operating procedures (SOPs). There were four key elements to the CTRNet SOP development process: 1) an SOP development team was formed from members across CTRNet to co-produce each SOP; 2) a principal author was appointed with responsibility for overall coordination of the SOP development process; 3) the CTRNet Management Committee (composed of principal investigators for each member biorepository) reviewed/revised each SOP completed by the development team; and 4) external expert reviewers provided feedback and recommendations on each SOP. Once final Management Committee approval was obtained, the ratified SOP was published on the CTRNet website for public access. Since the SOPs were first published on the CTRNet website (June 2008), there have been approximately 15,000 downloads of one or more CTRNet SOPs/Policies by users from over 60 countries. In accordance with biobanking best practices, CTRNet performs an exhaustive review of its SOPs at set intervals, to coincide with each granting cycle. The last revision was completed in May 2012.

  5. Prediction of post-operative pain after a laparoscopic tubal ligation procedure

    DEFF Research Database (Denmark)

    Rudin, A.; Wolner-Hanssen, P.; Hellbom, M.

    2008-01-01

    BACKGROUND: Pre-operative identification of reliable predictors of post-operative pain may lead to improved pain management strategies. We investigated the correlation between pre-operative pain, psychometric variables, response to heat stimuli and post-operative pain following a laparoscopic tub...

  6. Preliminary Hybrid Modeling of the Panama Canal: Operations and Salinity Diffusion

    Directory of Open Access Journals (Sweden)

    Luis Rabelo

    2012-01-01

    Full Text Available This paper deals with the initial modeling of water salinity and its diffusion into the lakes during lock operation on the Panama Canal. A hybrid operational model was implemented using the AnyLogic software simulation environment. This was accomplished by generating an operational discrete-event simulation model and a continuous simulation model based on differential equations, which modeled the salinity diffusion in the lakes. This paper presents that unique application and includes the effective integration of lock operations and its impact on the environment.

  7. The results of early operation in talipes quino-varus. A preliminary report.

    Science.gov (United States)

    Main, B J; Crider, R J; Polk, M; Lloyd-Roberts, G C; Swann, M; Kamdar, B A

    1977-08-01

    The results of operation performed within the first six months of life upon seventy-seven resistant club feet are presented. The indications for and the rationale of early operation are discussed. Particular attention has been paid to the relationship between the age at operation and the outcome more than four years later; the results were greatly superior when operation was undertaken early. Two surgical techniques are compared, the postero-medial release proving better than a simple posterior release. The relationship between clinical and radiological assessment is discussed, and also the influence of the results reported upon future practice.

  8. [Importance of displacement ventilation for operations and small surgical procedures from the infection preventive point of view].

    Science.gov (United States)

    Kramer, A; Külpmann, R; Wille, F; Christiansen, B; Exner, M; Kohlmann, T; Heidecke, C D; Lippert, H; Oldhafer, K; Schilling, M; Below, H; Harnoss, J C; Assadian, O

    2010-02-01

    Surgical teams need to breathe air that is conducive to their health. An adequate exchange of air ensures oxygen supply, the ventilation of humidity, smells, toxic substances, especially narcotic gases and surgical smoke, pathogens and particles. With regard to the infection risk, DIN 1946 / 4 -differentiates between operation theaters with the highest demand for clean air (operation room class I a), operation theatres with a high demand (operation room class I b) and rooms within the operation theatres without special requirements, meaning that the microbial load in the air is close to or equal to that of normal in-room air quality (room class II). For an operation room class I a, ventilation that displaces the used air is necessary, while a regular ventilation is sufficient for operation room class I b. Because of ambiguous -results in previous studies, the necessity to define a -class I a for operation rooms is being questioned. Therefore, this review focuses on the analysis of the existing publications with respect to this -question. The result of this analysis indicates that so far there is only one surgical procedure, the -implantation of hip endoprosthetics, for which a preventive effect on SSI of a class I a ventilation (displacement of the used air) is documented. One recent study, reviewed critically here, -showed opposite results, but lacks methodological clarity. Thus, it is concluded that evidence for the requirement of operation room classes can only be derived from risk assessment (infection risk by surgical intervention, extent of possible damages), but not from epidemiological studies. Risk assessment must be based on the following criteria: size and depth of the operation field, -duration of the procedure, vascular perfusion of the wound, implantation of alloplastic material and general risk of the patient for an infection. From an infection preventive point of view, no class I a "displacement ventilation" is necessary for small surgical

  9. Factors Surgical Team Members Perceive Influence Choices of Wearing or Not Wearing Personal Protective Equipment during Operative/Invasive Procedures

    Science.gov (United States)

    Cuming, Richard G.

    2009-01-01

    Exposure to certain bloodborne pathogens can prematurely end a person's life. Healthcare workers (HCWs), especially those who are members of surgical teams, are at increased risk of exposure to these pathogens. The proper use of personal protective equipment (PPE) during operative/invasive procedures reduces that risk. Despite this, some HCWs fail…

  10. Tableau-based decision procedure for the multiagent epistemic logic with all coalitional operators for common and distributed knowledge

    DEFF Research Database (Denmark)

    Ajspur, Mai; Goranko, Valentin; Shkatov, Dmitry

    2013-01-01

    We develop a conceptually clear, intuitive and feasible decision procedure for testing satisfiability in the full multiagent epistemic logic CMAEL(CD) with operators for common and distributed knowledge for all coalitions of agents mentioned in the language. To that end, we introduce Hintikka str...

  11. Factors Surgical Team Members Perceive Influence Choices of Wearing or Not Wearing Personal Protective Equipment during Operative/Invasive Procedures

    Science.gov (United States)

    Cuming, Richard G.

    2009-01-01

    Exposure to certain bloodborne pathogens can prematurely end a person's life. Healthcare workers (HCWs), especially those who are members of surgical teams, are at increased risk of exposure to these pathogens. The proper use of personal protective equipment (PPE) during operative/invasive procedures reduces that risk. Despite this, some HCWs fail…

  12. Plastic surgery within the Veterans Affairs Medical System: proposed modified indications for operative procedures.

    Science.gov (United States)

    Erdmann, Detlev; Pradka, Sarah P; Similie, Ernest; Marcus, Jeffrey R; Moyer, Kurtis E; Shelburne, John D; Tyler, Douglas S; Levin, Scott L

    2009-07-01

    Many plastic surgery procedures span the divide between aesthetic ("cosmetic") and reconstructive surgery. However, definitions and guidelines may be inconsistent, which may decrease patients' access to legitimate procedures. The article aims to assist Veterans' Health Administration-affiliated plastic surgeons in continuing to provide optimal care to the Nation's Veterans and family members, and should be regarded as an open discussion.

  13. Impact of operator fatigue on endoscopy performance: implications for procedure scheduling.

    LENUS (Irish Health Repository)

    Harewood, Gavin C

    2009-08-01

    With increasing volumes of endoscopic procedures, endoscopists\\' workload has had to increase to meet this escalating demand. The aim of this study was to characterize the impact of endoscopist fatigue on quality of endoscopy performance by comparing outcomes based on chronological procedure order.

  14. 77 FR 43606 - Preliminary Damage Assessment for Individual Assistance Operations Manual (9327.2-PR)

    Science.gov (United States)

    2012-07-25

    ... Operations Manual (9327.2-PR) AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice of... Assessment for Individual Assistance Operations Manual (9327.2-PR). The Federal Emergency Management Agency..., 2011. DATES: This manual is effective July 18, 2012. ADDRESSES: This final manual is available...

  15. Procedures for using expert judgment to estimate human-error probabilities in nuclear power plant operations. [PWR; BWR

    Energy Technology Data Exchange (ETDEWEB)

    Seaver, D.A.; Stillwell, W.G.

    1983-03-01

    This report describes and evaluates several procedures for using expert judgment to estimate human-error probabilities (HEPs) in nuclear power plant operations. These HEPs are currently needed for several purposes, particularly for probabilistic risk assessments. Data do not exist for estimating these HEPs, so expert judgment can provide these estimates in a timely manner. Five judgmental procedures are described here: paired comparisons, ranking and rating, direct numerical estimation, indirect numerical estimation and multiattribute utility measurement. These procedures are evaluated in terms of several criteria: quality of judgments, difficulty of data collection, empirical support, acceptability, theoretical justification, and data processing. Situational constraints such as the number of experts available, the number of HEPs to be estimated, the time available, the location of the experts, and the resources available are discussed in regard to their implications for selecting a procedure for use.

  16. SURF: Taking Sustainable Remediation from Concept to Standard Operating Procedure (Invited)

    Science.gov (United States)

    Smith, L. M.; Wice, R. B.; Torrens, J.

    2013-12-01

    Over the last decade, many sectors of industrialized society have been rethinking behavior and re-engineering practices to reduce consumption of energy and natural resources. During this time, green and sustainable remediation (GSR) has evolved from conceptual discussions to standard operating procedure for many environmental remediation practitioners. Government agencies and private sector entities have incorporated GSR metrics into their performance criteria and contracting documents. One of the early think tanks for the development of GSR was the Sustainable Remediation Forum (SURF). SURF brings together representatives of government, industry, consultancy, and academia to parse the means and ends of incorporating societal and economic considerations into environmental cleanup projects. Faced with decades-old treatment programs with high energy outputs and no endpoints in sight, a small group of individuals published the institutional knowledge gathered in two years of ad hoc meetings into a 2009 White Paper on sustainable remediation drivers, practices, objectives, and case studies. Since then, SURF has expanded on those introductory topics, publishing its Framework for Integrating Sustainability into Remediation Projects, Guidance for Performing Footprint Analyses and Life-Cycle Assessments for the Remediation Industry, a compendium of metrics, and a call to improve the integration of land remediation and reuse. SURF's research and members have also been instrumental in the development of additional guidance through ASTM International and the Interstate Technology and Regulatory Council. SURF's current efforts focus on water reuse, the international perspective on GSR (continuing the conversations that were the basis of SURF's December 2012 meeting at the National Academy of Sciences in Washington, DC), and ways to capture and evaluate the societal benefits of site remediation. SURF also promotes and supports student chapters at universities across the US

  17. Two simple multivariate procedures for monitoring planetary gearboxes in non-stationary operating conditions

    Science.gov (United States)

    Zimroz, Radoslaw; Bartkowiak, Anna

    2013-07-01

    This paper deals with the diagnostics of planetary gearboxes under nonstationary operating conditions. In most diagnostics applications, energy of vibration signals (calculated directly from time series or extracted from spectral representation of signal) is used. Unfortunately energy based features are sensitive to load conditions and it makes diagnostics difficult. In this paper we used energy based 15D data vectors (namely spectral amplitudes of planetary mesh frequency and its harmonics) in order to investigate if it is possible to improve diagnostics efficiency in comparison to previous, one dimensional, approaches proposed for the same problem. Two multivariate methods, Principal Component Analysis (PCA) and Canonical Discriminant Analysis (CDA), were used as techniques for data analysis. We used these techniques in order to investigate dimensionality of the data and to visualize data in 3D and 2D spaces in order to understand data behavior and assess classification ability. As a case study the data from two planetary gearboxes used in complex mining machines (one in bad condition and the other in good condition) were analyzed. For these two machines more than 2000 15D vectors were acquired. It should be noted that due to non-stationarity of loading conditions, previous diagnostics results obtained using other techniques were moderately good (ca. 80% recognition efficiency); however there is still some need to improve diagnostics classification ability. After application of the proposed approaches it was found that the entire data could be reduced to 2 dimensions whereby data instances became visible and a good discriminant function (characterized by a misclassification rate of .0023, i.e. only 5 erroneous classifications for a total of 2183 instances) could be derived. This paper suggests a novel way for condition monitoring of planetary gearboxes based on multivariate statistics. The emphasis is put on the algebraic and geometric interpretations of the PCA

  18. A Procedure for Building Product Models in Intelligent Agent-based OperationsManagement

    DEFF Research Database (Denmark)

    Hvam, Lars; Riis, Jesper; Malis, Martin;

    2003-01-01

    by product models. The next phase includes an analysis of the product assortment, and the set up of a so-called product master. Finally the product model is designed and implemented by using object oriented modelling. The procedure is developed in order to ensure that the product models constructed are fit......This article presents a procedure for building product models to support the specification processes dealing with sales, design of product variants and production preparation. The procedure includes, as the first phase, an analysis and redesign of the business processes that are to be supported...

  19. US EPA Base Study Standard Operating Procedure for Continuous Monitoring of Outdoor Air

    Science.gov (United States)

    The procedure described is intended for monitoring continuously and simultaneously outdoor air quality parameters that are most commonly associated with indoor air quality: the concentrations of carbon dioxide (CO2) and carbon monoxide (CO), temperature, nd relative humidity (RH).

  20. CTEPP STANDARD OPERATING PROCEDURE FOR PRE-CLEANING FILTERS AND XAD-2 (SOP-5.10)

    Science.gov (United States)

    This SOP summarizes the method for pre-cleaning XAD-2 resin and quartz fiber filters. The procedure provides a cleaning method to help reduce potential background contamination in the resin and filters.

  1. The price of surgery: markup of operative procedures in the United States.

    Science.gov (United States)

    Gani, Faiz; Makary, Martin A; Pawlik, Timothy M

    2017-02-01

    Despite cost containment efforts, the price for surgery is not subject to any regulations. We sought to characterize and compare variability in pricing for commonly performed major surgical procedures across the United States. Medicare claims corresponding to eight major surgical procedures (aortic aneurysm repair, aortic valvuloplasty, carotid endartectomy, coronary artery bypass grafting, esophagectomy, pancreatectomy, liver resection, and colectomy) were identified using the Medicare Provider Utilization and Payment Data Physician and Other Supplier Public Use File for 2013. For each procedure, total charges, Medicare-allowable costs, and total payments were recorded. A procedure-specific markup ratio (MR; ratio of total charges to Medicare-allowable costs) was calculated and compared between procedures and across states. Variation in MR was compared using a coefficient of variation (CoV). Among all providers, the median MR was 3.5 (interquartile range: 3.1-4.0). MR was noted to vary by procedure; ranging from 3.0 following colectomy to 6.0 following carotid endartectomy (P < 0.001). MR also varied for the same procedure; varying the least after liver resection (CoV = 0.24), while coronary artery bypass grafting pricing demonstrated the greatest variation in MR (CoV = 0.53). Compared with the national average, MR varied by 36% between states ranging from 1.8 to 13.0. Variation in MR was also noted within the same state varying by 15% within the state of Arkansas (CoV = 0.15) compared with 51% within the state of Wisconsin (CoV = 0.51). Significant variation was noted for the price of surgery by procedure as well as between and within different geographical regions. Greater scrutiny and transparency in the price of surgery is required to promote cost containment. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Test Operations Procedure (TOP) 01-1-065 Accelerated Corrosion Durability

    Science.gov (United States)

    2013-10-15

    as a general guide. This procedure is focused on metallic corrosion and does not accelerate Microbial Induced Corrosion (MIC) or degradation of non...metallic materials such as plastics or rubbers due to solar exposure or other causes of degradation besides what is identified in this procedure... concentration salt solutions that are present on roadways, typically from road deicing salts. The application includes exposure to fine mists from elevated

  3. Operational requirements for electronic chart display and information systems (ECDIS. Procedural and organizational considerations

    Directory of Open Access Journals (Sweden)

    Adam WEINTRIT

    2008-01-01

    Full Text Available Navigating with ECDIS is fundamentally different from navigating withpaper charts. The paper below lists a range of bridge work-processes that are affected by changing to an ECDIS system, and which may require that procedures are amended or developed. The paper includes some points for analysis and consideration. It is not implied that all items mentioned should result in corresponding written procedures, nor isit implied that the list in any way is conclusive.

  4. Stibine/arsine monitoring during EV operation: summary report on preliminary tests at ANL and at LILCO

    Energy Technology Data Exchange (ETDEWEB)

    Loutfy, R.O.; Graczyk, D.G.; Varma, R.; Hayes, E.R.; Williams, F.L.; Yao, N.P.

    1981-02-01

    A series of tests was performed to monitor the evolution and dispersal of stibine and arsine from the lead-acid propulsion batteries in three different Electra-Van Model 600 vehicles operated by Argonne National Laboratory (ANL) and by the Long Island Lighting Company (LILCO). Ambient air was sampled at several locations inside the vehicles and in the garages where testing was done during charge, equalization charge, and on-the-road discharge operations. In addition, direct sampling of cell off-gases was performed with the ANL van. Interpretation of the individual test results was carried out in the context of vehicle characteristics, sampling protocol, and operating conditions. The test results demonstrated that under the test conditions only small concentrations of stibine and arsine accumulated in occupiable work areas. Measured concentrations in the vehicles and in the garages never exceeded 25% of the Threshold Limit Value-Time Weighted Average (TLV-TWA) standards. A threshold voltage for hydride production, at about 2.45 V per cell, was reflected in the results of the experiments performed during charging of the batteries. Hydride evolution rates were lower during equalization charge than during the overcharge portion of a charge cycle when the on-board charger was used in a normal operating mode. A delayed release of the metal hydrides from the battery cells was observed during on-the-road operation of the vehicles. The implications of these observations for electric vehicle (EV) operation are discussed. An engineering analysis of the generation and dispersal of the metal hydrides is presented, and equations are derived for estimating minimum ventilation requirements for the EV battery compartment and for garages housing EV operations. Recommendations are made regarding safe handling procedures for battery off-gases, procedures for conducting stibine/arsine monitoring tests and future work.

  5. Preliminary evaluation of a virtual reality dental simulation system on drilling operation.

    Science.gov (United States)

    Wang, Dangxiao; Zhao, Siming; Li, Teng; Zhang, Yuru; Wang, Xiaoyan

    2015-01-01

    To evaluate the fidelity of the iDental system and investigate its utility and performance on simulated drilling operations, user studies consisting of objective and subjective evaluations were performed. A voxel-based drilling simulation sub-system in the iDental system was employed for evaluation. Twenty participants were enrolled to take part in the experiments and were divided into two groups: novice and resident. A combined evaluation method including objective and subjective methods was employed. The objective evaluation included two dental drilling tasks: caries removal operation and pulp chamber opening operation. In the subjective method, participants were required to complete a questionnaire to evaluate the fidelity of the system after the operation task. Based on the structured global assessment scales in the questionnaire, the average subjective evaluation scores of the proposed metrics were greater than 4.5, demonstrating that the system operated above medium fidelity. Dentists expressed great interest and positive attitudes toward the potential of the iDental system. The objective evaluation data including time spent and the volume of removed healthy and carious tissue were obtained. Although no significant differences could be found between the two groups, the volume of removed caries and the depth of pulp chamber insertion manifested small standard deviations. Evaluation results illustrated that dentists were willing to use the virtual reality training system. Several future research topics were identified, including increasing the task difficulty, improving the system fidelity and introducing appropriate finger rest points.

  6. [Error prevention through management of complications in urology: standard operating procedures from commercial aviation as a model].

    Science.gov (United States)

    Kranz, J; Sommer, K-J; Steffens, J

    2014-05-01

    Patient safety and risk/complication management rank among the current megatrends in modern medicine, which has undoubtedly become more complex. In time-critical, error-prone and difficult situations, which often occur repeatedly in everyday clinical practice, guidelines are inappropriate for acting rapidly and intelligently. With the establishment and consistent use of standard operating procedures like in commercial aviation, a possible strategic approach is available. These medical aids to decision-making - quick reference cards - are short, optimized instructions that enable a standardized procedure in case of medical claims.

  7. Requirements for Computer Based-Procedures for Nuclear Power Plant Field Operators Results from a Qualitative Study

    Energy Technology Data Exchange (ETDEWEB)

    Katya Le Blanc; Johanna Oxstrand

    2012-05-01

    Although computer-based procedures (CBPs) have been investigated as a way to enhance operator performance on procedural tasks in the nuclear industry for almost thirty years, they are not currently widely deployed at United States utilities. One of the barriers to the wide scale deployment of CBPs is the lack of operational experience with CBPs that could serve as a sound basis for justifying the use of CBPs for nuclear utilities. Utilities are hesitant to adopt CBPs because of concern over potential costs of implementation, and concern over regulatory approval. Regulators require a sound technical basis for the use of any procedure at the utilities; without operating experience to support the use CBPs, it is difficult to establish such a technical basis. In an effort to begin the process of developing a technical basis for CBPs, researchers at Idaho National Laboratory are partnering with industry to explore CBPs with the objective of defining requirements for CBPs and developing an industry-wide vision and path forward for the use of CBPs. This paper describes the results from a qualitative study aimed at defining requirements for CBPs to be used by field operators and maintenance technicians.

  8. DEEP-South: Preliminary Lightcurves of Potentially Hazardous Asteroids from the First Year Operation

    Science.gov (United States)

    Moon, Hong-Kyu; Kim, Myung-Jin; Choi, Young-Jun; Yim, Hong-Suh; Park, Jintae; Roh, Dong-Goo; Lee, Hee-Jae; Oh, Young-Seok; Bae, Young-Ho

    2016-10-01

    Deep Ecliptic Patrol of the Southern Sky (DEEP-South) observation is being made during the off-season for exoplanet search. It started in October 2015, using Korea Microlensing Telescope Network (KMTNet), a network of three identical telescopes with 1.6 m aperture equipped with 18K × 18K CCDs located in Chile (CTIO), South Africa (SAAO), and Australia (SSO). The combination of KMTNet's prime focus optics and the 340 million pixel CCD provides four square degree field of view with 0.4 arcsec/pixel plate scale.Most of the allocated time for DEEP-South is devoted to targeted photometry of PHAs and NEAs to increase the number of those objects with known physical properties. It is efficiently achieved by multiband, time series photometry. This Opposition Census (OC) mode targets objects near their opposition, with km-sized PHAs in early stage and goes down to sub-km objects. Continuous monitoring of the sky with KMTNEt is optimized for spin characterization of various kinds of asteroids, including binaries, slow/fast- and non-principal axis- rotators, and hence expected to facilitate the debiasing of previously reported lightcurve observations. We present the preliminary lightcurves of PHAs from year one of the DEEP-South Project.

  9. Tecuamburro Volcano, Guatemala geothermal gradient core hole drilling, operations, and preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Goff, S.; Heiken, G.; Goff, F.; Gardner, J. (Los Alamos National Lab., NM (USA)); Duffield, W. (Geological Survey, Flagstaff, AZ (USA)); Martinelli, L.; Aycinena, S. (Swissboring Overseas Corp. Ltd., Guatemala City (Guatemala)); Castaneda, O. (Unidad de Desarrollo Geotermico, Guatemala City (Guatemala). Inst. Nacional de Electrificacion)

    1990-01-01

    A geothermal gradient core hole (TCB-1) was drilled to a depth of 700+ m at the Tecuamburro geothermal site, Guatemala during February and March, 1990. The core hole is located low on the northern flank of the Tecuamburro Volcano complex. Preliminary analysis of cores (>98% core recovery) indicates that the hydrothermal system may be centered in the 4-km-diameter Chupadero Crater, which has been proposed as the source of pyroxene pumice deposits in the Tecuamburro area. TCB-1 is located 300 m south of a 300-m-diameter phreatic crater, Laguna Ixpaco; the core hole penetrates the thin edge of a tuff ring surrounding Ixpaco and zones of hydrothermal brecciation within the upper 150 m may be related to the phreatic blast, dated at 2,910 {sup 14}C years. At the time of this writing, the unequilibrated temperature at a depth of 570m was 180{degree}C. Data on fracturing, permeability, hydrothermal alteration, and temperature will be presented. 3 refs., 3 figs.

  10. Preliminary remediation goals for use at the US Department of Energy Oak Ridge Operations Office. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-05-01

    This technical memorandum presents Preliminary Remediation Goals (PRGs) for use in human health risk assessment efforts under the United States Department of Energy, Oak Ridge Operations Office Environmental Restoration (ER) Division. This document provides the ER Division with standardized PRGs which are integral to the Remedial Investigation/Feasibility Study process. They are used during project scooping (Data Quality Objectives development), in screening level risk assessments to support early action or No Further Investigation decisions, and in the baselines risk assessment where they are employed in the selection of chemicals of potential concern. The primary objective of this document is to standardize these values and eliminate any duplication of effort by providing PRGs to all contractors involved in risk activities. In addition, by managing the assumptions and systems used in PRG derivation, the ER Risk Assessment Program will be able to control the level of quality assurance associated with these risk-based guideline values.

  11. Crohn′s disease: Multimodality Imaging of Surgical Indications, Operative Procedures, and Complications

    Directory of Open Access Journals (Sweden)

    B Kolar

    2011-01-01

    Full Text Available Surgical management is considered for specific indications in Crohn′s disease and a wide variety of surgeries is performed. The purpose of this pictorial essay is to depict manifestations of Crohn′s disease that indicates surgery, various surgical procedures that are performed, and the complications arising from these surgical procedures. Surgical indications including obstruction due to strictures or adhesions, fistulae and abscesses, and surgeries for these conditions, such as, ileocecectomy, stricturoplasty, small bowel resection, fecal diversion, segmental colectomy, and lysis of adhesions and their complications will be discussed and their imaging will also be illustrated.

  12. 33 CFR 157.226 - Dedicated Clean Ballast Tanks Operations Manual: Procedures to be followed.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Dedicated Clean Ballast Tanks... ENVIRONMENT RELATING TO TANK VESSELS CARRYING OIL IN BULK Dedicated Clean Ballast Tanks on Tank Vessels Dedicated Clean Ballast Tanks Operations § 157.226 Dedicated Clean Ballast Tanks Operations...

  13. 14 CFR Appendix I to Part 417 - Methodologies for Toxic Release Hazard Analysis and Operational Procedures

    Science.gov (United States)

    2010-01-01

    ... fully loaded propellant storage tanks or pressurized motor segments. (vii) Worst case combustion or... of each accident experienced by the launch operator involving the release of a toxic propellant; and..., including the launch operator's ground safety plan, hazard area surveillance and clearance plan,...

  14. Computerized operating procedures for shearing and dissolution of segments from LWBR (Light Water Breeder Reactor) fuel rods

    Energy Technology Data Exchange (ETDEWEB)

    Osudar, J.; Deeken, P.G.; Graczyk, D.G.; Fagan, J.E.; Martino, F.J.; Parks, J.E.; Levitz, N.M.; Kessie, R.W.; Leddin, J.M.

    1987-05-01

    This report presents two detailed computerized operating procedures developed to assist and control the shearing and dissolution of irradiated fuel rods. The procedures were employed in the destructive analysis of end-of-life fuel rods from the Light Water Breeder Reactor (LWBR) that was designed by the Westinghouse Electric Corporation Bettis Atomic Power Laboratory. Seventeen entire fuel rods from the end-of-life core of the LWBR were sheared into 169 precisely characterized segments, and more than 150 of these segments were dissolved during execution of the LWBR Proof-of-Breeding (LWBR-POB) Analytical Support Project at Argonne National Laboratory. The procedures illustrate our approaches to process monitoring, data reduction, and quality assurance during the LWBR-POB work.

  15. Preliminary study of S-CO{sub 2} cycle control logic for part load operation

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Yoonhan; Lee, Jeong Ik [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of)

    2016-05-15

    The benefits of S-CO{sub 2} cycle are relatively high efficiency under the mild turbine inlet temperature region, simple layout configuration and small foot-print. In addition, the safety of the SFR system can be inherently enhanced as the violent sodium-water reaction can be substituted with the mild sodium-CO{sub 2} reaction. 75MWe S-CO{sub 2} recompression cycle with radial type turbomachineries and PCHE was designed. Under various part load conditions (30-100% thermal load), off-design performance of the designed system was assessed, and different control logics were first tested. It was identified that the inventory control strategy is the most efficient logic for the part load operation. In the system operation, the compressor surge condition is seriously considered and controlled to avoid the system damage.

  16. Impact of Technique-Specific Operative Videos on First-Year Dental Students' Performance of Restorative Procedures.

    Science.gov (United States)

    Patel, Shalizeh A; Barros, Juliana A; Clark, Christina M; Frey, Gary N; Streckfus, Charles F; Quock, Ryan L

    2015-09-01

    The aim of this study was to examine the impact of psychomotor operative video demonstrations on first-year dental students who are performing specific procedures for the first time in a preclinical setting. The class was randomly divided into two groups, and three restorative procedures were selected. On the date on which each procedure was to be performed in the preclinical laboratory for the first time, one group (experimental, n=50) was shown a technique video for that specific procedure immediately before commencing the exercise; the control cohort (n=50) did not view the video. Technical performance on procedures was evaluated by students and two calibrated and blinded examiners. The students' perceptions of the experience were also collected in a survey. All first-year students participated in the study, for a 100% response rate. A Mann-Whitney U test did not show any group differences in technical performance (mean values on preparation: 77.1 vs. 77.8; amalgam: 82.7 vs. 82.8; composite: 79.7 vs. 78.0). A Spearman rho test revealed a significantly higher correlation in 13 out of 25 evaluation categories between student self-assessment and blinded examiner assessment for the experimental group. A chi-square test of questionnaire responses revealed a positive student perception of administering these videos for the preparation (X(2)=4.8, pstudent performance on preclinical operative procedures, but they were well received by students and augmented self-assessment ability. These findings suggest that videos can be a useful teaching aid in a preclinical environment, especially regarding comprehension of concepts.

  17. Preliminary Experimental Results of Integrated Gasification Fuel Cell Operation Using Hardware Simulation

    Energy Technology Data Exchange (ETDEWEB)

    Traverso, Alberto; Tucker, David; Haynes, Comas L.

    2012-07-01

    A newly developed integrated gasification fuel cell (IGFC) hybrid system concept has been tested using the Hybrid Performance (Hyper) project hardware-based simulation facility at the U.S. Department of Energy, National Energy Technology Laboratory. The cathode-loop hardware facility, previously connected to the real-time fuel cell model, was integrated with a real-time model of a gasifier of solid (biomass and fossil) fuel. The fuel cells are operated at the compressor delivery pressure, and they are fueled by an updraft atmospheric gasifier, through the syngas conditioning train for tar removal and syngas compression. The system was brought to steady state; then several perturbations in open loop (variable speed) and closed loop (constant speed) were performed in order to characterize the IGFC behavior. Coupled experiments and computations have shown the feasibility of relatively fast control of the plant as well as a possible mitigation strategy to reduce the thermal stress on the fuel cells as a consequence of load variation and change in gasifier operating conditions. Results also provided an insight into the different features of variable versus constant speed operation of the gas turbine section.

  18. CTEPP STANDARD OPERATING PROCEDURE FOR CONDUCTING INTERNAL FIELD AUDITS AND QUALITY CONTROL (SOP-2.25)

    Science.gov (United States)

    This SOP describes the method for conducting internal field audits and quality control procedures. Internal field audits will be conducted to ensure the collection of high quality data. Internal field audits will be conducted by Field Auditors (the Field QA Officer and the Field...

  19. Intercultural Education Set Forward: Operational Strategies and Procedures in Cypriot Classrooms

    Science.gov (United States)

    Hajisoteriou, Christina

    2012-01-01

    Teachers in Cyprus are being called upon for the first time to teach within culturally diverse educational settings. Given the substantial role, teachers play in the implementation of intercultural education, this paper explores the intercultural strategies and procedures adopted by primary school teachers in Cyprus. Interviews were carried out…

  20. Riding Standards. The Policies and Operating Procedures of the National Riding Committee 1973-74.

    Science.gov (United States)

    Cronin, Paul D., Ed.

    This booklet details the policies and rating procedures of the National Riding Committee. Chapters are devoted to the rating of riders with oral and written tests, the appointment of judges, types of certificates issued, rated rider examination requirements (forward riding section and western section), job placement, and advertising policy and…

  1. CTEPP STANDARD OPERATING PROCEDURE FOR TRANSLATING VIDEOTAPES OF CHILD ACTIVITIES (SOP-4.13)

    Science.gov (United States)

    The EPA will conduct a two-day video translation workshop to demonstrate to coders the procedures for translating the activity patterns of preschool children on videotape. The coders will be required to pass reliability tests to successfully complete the training requirements of ...

  2. CTEPP STANDARD OPERATING PROCEDURE FOR SAMPLE SELECTION (SOP-1.10)

    Science.gov (United States)

    The procedures for selecting CTEPP study subjects are described in the SOP. The primary, county-level stratification is by region and urbanicity. Six sample counties in each of the two states (North Carolina and Ohio) are selected using stratified random sampling and reflect ...

  3. CTEPP STANDARD OPERATING PROCEDURE FOR TELEPHONE SAMPLE SUBJECTS RECRUITMENT (SOP-1.12)

    Science.gov (United States)

    The subject recruitment procedures for the telephone sample component are described in the SOP. A random telephone sample list is ordered from a commercial survey sampling firm. Using this list, introductory letters are sent to targeted homes prior to making initial telephone c...

  4. CTEPP STANDARD OPERATING PROCEDURE FOR CONDUCTING INTERNAL FIELD AUDITS AND QUALITY CONTROL (SOP-2.25)

    Science.gov (United States)

    This SOP describes the method for conducting internal field audits and quality control procedures. Internal field audits will be conducted to ensure the collection of high quality data. Internal field audits will be conducted by Field Auditors (the Field QA Officer and the Field...

  5. SINGLE-SHELL TANK INTEGRITY PROJECT ANALYSIS OF RECORD-PRELIMINARY MODELING PLAN FOR THERMAL AND OPERATING LOADS

    Energy Technology Data Exchange (ETDEWEB)

    RAST RS; RINKER MW; BAPANAALLI SK; DEIBLER JE; GUZMAN-LEONG CE; JOHNSON KI; KARRI NK; PILLI SP; SANBORN SE

    2010-10-22

    This document is a Phase I deliverable for the Single-Shell Tank Analysis of Record effort. This document is not the Analysis of Record. The intent of this document is to guide the Phase II detailed modeling effort. Preliminary finite element models for each of the tank types were developed and different case studies were performed on one or more of these tank types. Case studies evaluated include thermal loading, waste level variation, the sensitivity of boundary effects (soil radial extent), excavation slope or run to rise ratio, soil stratigraphic (property and layer thickness) variation at different farm locations, and concrete material property variation and their degradation under thermal loads. The preliminary analysis document reviews and preliminary modeling analysis results are reported herein. In addition, this report provides recommendations for the next phase of the SST AOR project, SST detailed modeling. Efforts and results discussed in this report do not include seismic modeling as seismic modeling is covered by a separate report. The combined results of both static and seismic models are required to complete this effort. The SST AOR project supports the US Department of Energy's (DOE) Office of River Protection (ORP) mission for obtaining a better understanding of the structural integrity of Hanford's SSTs. The 149 SSTs, with six different geometries, have experienced a range of operating histories which would require a large number of unique analyses to fully characterize their individual structural integrity. Preliminary modeling evaluations were conducted to determine the number of analyses required for adequate bounding of each of the SST tank types in the Detailed Modeling Phase of the SST AOR Project. The preliminary modeling was conducted in conjunction with the Evaluation Criteria report, Johnson et al. (2010). Reviews of existing documents were conducted at the initial stage of preliminary modeling. These reviews guided the topics

  6. Strategy over operation: neural activation in subtraction and multiplication during fact retrieval and procedural strategy use in children.

    Science.gov (United States)

    Polspoel, Brecht; Peters, Lien; Vandermosten, Maaike; De Smedt, Bert

    2017-09-01

    Arithmetic development is characterized by strategy shifts between procedural strategy use and fact retrieval. This study is the first to explicitly investigate children's neural activation associated with the use of these different strategies. Participants were 26 typically developing 4th graders (9- to 10-year-olds), who, in a behavioral session, were asked to verbally report on a trial-by-trial basis how they had solved 100 subtraction and multiplication items. These items were subsequently presented during functional magnetic resonance imaging. An event-related design allowed us to analyze the brain responses during retrieval and procedural trials, based on the children's verbal reports. During procedural strategy use, and more specifically for the decomposition of operands strategy, activation increases were observed in the inferior and superior parietal lobes (intraparietal sulci), inferior to superior frontal gyri, bilateral areas in the occipital lobe, and insular cortex. For retrieval, in comparison to procedural strategy use, we observed increased activity in the bilateral angular and supramarginal gyri, left middle to inferior temporal gyrus, right superior temporal gyrus, and superior medial frontal gyrus. No neural differences were found between the two operations under study. These results are the first in children to provide direct evidence for alternate neural activation when different arithmetic strategies are used and further unravel that previously found effects of operation on brain activity reflect differences in arithmetic strategy use. Hum Brain Mapp 38:4657-4670, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  7. [Clinical relevance of unloading in cartilage therapy of the knee--shoe insoles, knee braces or additional operative procedure?].

    Science.gov (United States)

    Kraus, T M; Imhoff, A B; Ateschrang, A; Stöckle, U; Schröter, S

    2015-02-01

    Restoration of a neutral biomechanical environment and reduction of overload is an important factor contributing to the success of any cartilage repair procedure. Reduction of overload can by achieved by so called unloading procedures in order to reduce intraarticular pressure from the repair zone. Unloading can be achieved via loss of weight, wedged shoe insoles, knee braces or via operations such as osteotomies around the knee joint. The cartilage therapy and the concomitant unloading procedure should be adapted to the individual pathology and realistic aims of the patient. Wedged insoles and braces are the least invasive treatment methods. In comparison, however, beneficial effects of braces outline those of laterally wedged heels. Nevertheless long-term compliance with insoles and braces is poor. Concerning braces either because the positive effects of the braces are too small or because the adverse effects are too large. Unloading in the long run may only be achieved through operative procedures. When an osteotomy seems to be too invasive the arthroscopic release of the posterior oblique ligament might be an option. Patients with an intact contralateral chondral status, medium to slight malalignment who want to remain at high activity levels, remain good candidates for unloading osteotomies.

  8. In-hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedure

    Directory of Open Access Journals (Sweden)

    Starčević Srdjan

    2016-01-01

    Full Text Available Background/Aim. Hip fracture remains the leading cause of death in trauma among elderly population and is a great burden to national health services. In-patient death analysis is important to evaluate risk factors, make appropriate selection and perform adequate treatment of infections for patients to be operated. The aim of this study was to analyze in-hospital mortality in proximal femoral fracture patients operatively treated with hip arthroplasty procedure. Methods. We followed 622 consecutive patients, and collected data about age, gender, the presence of infection preoperatively and postoperatively, American Society of Anesthesiologists (ASA score, diabetes mellitus and the type of surgical procedure. Postoperative infections included pneumonia, urinary tract infections, surgical site infections and sepsis. Results. We found a statistically significant influence of preoperative and postoperative infection presence for in-patient mortality with relative risk for lethal outcome of 4.53 (95% CI: 1.44-14.22 for patients with preoperative infection and 7.5 (95% CI: 1.90-29.48 for patients with postoperative infection. We did not confirm a statistically significant influence of age, gender, ASA score, diabetes mellitus or the type of surgical procedure for increased mortality rate. Conclusion. Adequate preoperative selection, risk evaluation and adequate treatment of infections are of the key importance for lowering the risk of death in patients operated due to proximal femoral fracture and treated by hip arthroplasty procedures. Special attention is to be paid for the presence of preoperative and postoperative infections in patients operatively treated due to the risk for increased in-hospital mortality.

  9. CT-guided percutaneous aspiration of Tarlov cyst as a useful diagnostic procedure prior to operative intervention.

    Science.gov (United States)

    Lee, J-Y; Impekoven, P; Stenzel, W; Löhr, M; Ernestus, R-I; Klug, N

    2004-07-01

    Tarlov or perineural cysts are lesions of the nerve root most often found in the sacral region. Several authors recommend surgical treatment of symptomatic Tarlov cysts. However, successful surgical treatment is dependent on appropriate patient selection. In this article, we report three cases of a sacral perineural cyst, causing sciatic pain, and emphasize the usefulness of CT-guided percutaneous aspiration as an important diagnostic and prognostic procedure prior to definitive operative treatment.

  10. Cost Effective, Ultra Sensitive Groundwater Monitoring for Site Remediation and Management: Standard Operating Procedures with QA/QC

    Science.gov (United States)

    2015-05-01

    GUIDANCE DOCUMENT Cost-Effective, Ultra-Sensitive Groundwater Monitoring for Site Remediation and Management: Standard Operating Procedures... Groundwater Monitoring for Site Remediation and Management 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Halden, R.U., Roll, I.B. 5d...DEPLOYMENT WORK As with any groundwater sampling method, the decision to apply the IS2 technology is based on the site characteristics and the type

  11. Aircraft noise reduction technology. [to show impact on individuals and communities, component noise sources, and operational procedures to reduce impact

    Science.gov (United States)

    1973-01-01

    Aircraft and airport noise reduction technology programs conducted by NASA are presented. The subjects discussed are: (1) effects of aircraft noise on individuals and communities, (2) status of aircraft source noise technology, (3) operational procedures to reduce the impact of aircraft noise, and (4) NASA relations with military services in aircraft noise problems. References to more detailed technical literature on the subjects discussed are included.

  12. Gastric emptying after a new, more physiological anti-obesity operation: the Magenstrasse and Mill procedure

    Energy Technology Data Exchange (ETDEWEB)

    Carmichael, A.R.; Johnston, D.; Barker, M.C.J.; Bury, R.F.; Boyce, J.; Sue-Ling, H. [Leeds General Infirmary (United Kingdom)

    2001-09-01

    The Magenstrasse and Mill (M and M) procedure for obesity is designed to preserve normal gastric emptying mechanisms. The hypothesis investigated in this study was that gastric emptying would be normal after the M and M gastroplasty. Gastric emptying studies were performed using both liquid and solid test meals, in ten morbidly obese patients (MO group) and in 13 patients after the M and M procedure (MM group). Seven people of normal weight served as controls and were matched for age, sex and height to the M and M and MO groups. Three years after the M and M procedure, mean (SD) weight loss was 42 (19) kg, with a mean loss of excess weight of 58% (20%). Gastric emptying half-times (t{sub 1/2}) are expressed in minutes, as median values (25th and 75th percentiles). The t{sub 1/2} for solids was 97 (85-110) min in the control group, 140 (86-220) min in the MO group and 79 (46-150) min in the MM group. Median gastric emptying for solids was 0.7% (0.6%-0.8%) per minute in the control group, 0.5% (0.3%-0.8%) in the MO group and 0.9% (0.4%-1.4%) in the M and M group. There were no statistically significant differences in the emptying times of the three groups. It is concluded that the M and M procedure achieves acceptable weight loss, while preserving gastric emptying mechanisms and thus minimising possible side-effects such as vomiting, dumping and diarrhoea, which are common complications of gastric bypass procedures. (orig.)

  13. Pre-operative diclofenac HPβCD for pain control of needle biopsy in musculoskeletal neoplasm: preliminary results.

    Science.gov (United States)

    D'Arienzo, Antonio; Beltrami, Giovanni; Mancini, Daniele; Scoccianti, Guido; Cuomo, Pierluigi; Muratori, Francesco; Matera, Davide; Ippolito, Massimiliano; Mondanelli, Nicola; Frenos, Filippo; Totti, Francesca; Capanna, Rodolfo

    2015-01-01

    Needle biopsy is the main standard method used for diagnosis of musculoskeletal tumors of the limbs and superficial trunk. Pain control during this procedure is through the use of Local Anaestetic (L.A.). In order to achieve a complete pain control in our cases, recently we started using diclofenac HPβCD 50 mg via s.c. preoperativly. We present the clinical results of a non-randomized study of two eterogeneous groups of patients: "Experimental" Group (1): diclofenac HPβCD 50 mg via s.c. one hour before surgical procedure, local anesthesia and ev. diclofenac HPβCD 50 mg via s.c. 12 hours postoperative; "Conventional" Group (2): local anesthesia and ev. postoperative tramadol 100 mg via oral for pain control. In October 2014, at the Department of Orthopedic Oncology and Reconstructive Surgery of Florence, 37 musculoskeletal biopsies for a bone or a soft tissue lesion were performed. Exclusion criteria for this study were: known allergies to lidocaine, diclofenac, tramadol; known gastric or duodenal ulcers; known gastrointestinal bleed or perforation; refusal of the patients to collaborate. For one or more of these reasons, 6 patients were excluded from this study. In the Group 1, 10 patients (59%) referred no pain during the surgical procedure (8/14 biopsies on soft tissue and 2/3 on bone). In 5 cases (29%) no exacerbation of previous chronic pain, and in 2 cases (12%) a progression of local pain after biopsy (average 1 points higher in the VAS). In Group 2, only 6 patients (42%) did not have any pain during the procedure, 4 (29%) no exacerbation of previous chronic pain and 4 (29%) a progression of local pain (average 2 points higher in the VAS). Despite similar results in both Groups, Group 1 seemed to have a mild better control of perioperative pain. The use of diclofenac HPβCD 50 mg preoperative seems to be a rational approach for minimizing perioperative pain and the preliminary data of our study seem encouraging. Obviously many bias are present in this

  14. Primaer brystrekonstruktion i forbindelse med mastektomi ved mammacancer. Indikation, procedure og umiddelbare operative resultater

    DEFF Research Database (Denmark)

    Elberg, J J; Mollerup, C L; Dahlstrøm, K K;

    2000-01-01

    Mastectomy and immediate reconstruction of 122 breasts were performed in 109 patients in close collaboration between plastic surgeons and general surgeons. In 56 patients reconstruction was performed using tissue expanders including 13 bilateral operations, 29 patients had a latissimus dorsi...

  15. Developmental Dyslexia: A Diagnostic Screening Procedure on Three Characteristic Patterns of Reading and Spelling. A Preliminary Report.

    Science.gov (United States)

    Boder, Elena

    A diagnostic screening procedure for developmental dyslexia which analyzes how a child reads and writes rather than at what level, is outlined. Briefly, the test entails a presentation of a word list at each reading level to determine the child's sight vocabulary and his ability to employ word-attack skills. Following the administration of the…

  16. Aircraft Configuration and Flight Crew Compliance with Procedures While Conducting Flight Deck Based Interval Management (FIM) Operations

    Science.gov (United States)

    Shay, Rick; Swieringa, Kurt A.; Baxley, Brian T.

    2012-01-01

    Flight deck based Interval Management (FIM) applications using ADS-B are being developed to improve both the safety and capacity of the National Airspace System (NAS). FIM is expected to improve the safety and efficiency of the NAS by giving pilots the technology and procedures to precisely achieve an interval behind the preceding aircraft by a specific point. Concurrently but independently, Optimized Profile Descents (OPD) are being developed to help reduce fuel consumption and noise, however, the range of speeds available when flying an OPD results in a decrease in the delivery precision of aircraft to the runway. This requires the addition of a spacing buffer between aircraft, reducing system throughput. FIM addresses this problem by providing pilots with speed guidance to achieve a precise interval behind another aircraft, even while flying optimized descents. The Interval Management with Spacing to Parallel Dependent Runways (IMSPiDR) human-in-the-loop experiment employed 24 commercial pilots to explore the use of FIM equipment to conduct spacing operations behind two aircraft arriving to parallel runways, while flying an OPD during high-density operations. This paper describes the impact of variations in pilot operations; in particular configuring the aircraft, their compliance with FIM operating procedures, and their response to changes of the FIM speed. An example of the displayed FIM speeds used incorrectly by a pilot is also discussed. Finally, this paper examines the relationship between achieving airline operational goals for individual aircraft and the need for ATC to deliver aircraft to the runway with greater precision. The results show that aircraft can fly an OPD and conduct FIM operations to dependent parallel runways, enabling operational goals to be achieved efficiently while maintaining system throughput.

  17. Preliminary CFD Assessment of an Experimental Test Facility Operating with Heavy Liquid Metals

    Directory of Open Access Journals (Sweden)

    Matteo Lizzoli

    2017-01-01

    Full Text Available The CFD analysis of a Venturi nozzle operating in LBE (key component of the CIRCE facility, owned by ENEA is presented in this paper. CIRCE is a facility developed to investigate in detail the fluid-dynamic behavior of ADS and/or LFR reactor plants. The initial CFD simulations have been developed hand in hand with the comparison with experimental data: the test results were used to confirm the reliability of the CFD model, which, in turn, was used to improve the interpretation of the experimental data. The Venturi nozzle is modeled with a 3D CFD code (STAR-CCM+. Later on, the CFD model has been used to assess the performance of the component in conditions different from the ones tested in CIRCE: the performance of the Venturi is presented, in terms of pressure drops, for various operating conditions. Finally, the CFD analysis has been focused on the evaluation of the effects of the injection of an inert gas in the flow of the liquid coolant on the performance of the Venturi nozzle.

  18. Landmine-detection rats: an evaluation of reinforcement procedures under simulated operational conditions.

    Science.gov (United States)

    Mahoney, Amanda; Lalonde, Kate; Edwards, Timothy; Cox, Christophe; Weetjens, Bart; Poling, Alan

    2014-05-01

    Because the location of landmines is initially unknown, it is impossible to arrange differential reinforcement for accurate detection of landmines by pouched rats working on actual minefields. Therefore, provision must be made for maintenance of accurate responses by an alternative reinforcement strategy. The present experiment evaluated a procedure in which a plastic bag containing 2,4,6-trinitrotoluene (TNT), the active ingredient in most landmines, was placed in contact with the ground in a disturbed area, then removed, to establish opportunities for reinforcement. Each of five rats continued to accurately detect landmines when extinction was arranged for landmine-detection responses and detections of TNT-contaminated locations were reinforced under a fixed-ratio 1 schedule. The results of this translational research study suggest that the TNT-contamination procedure is a viable option for arranging reinforcement opportunities for rats engaged in actual landmine-detection activities and the viability of this procedure is currently being evaluated on minefields in Angola and Mozambique.

  19. Post-operative orofacial pain, temporomandibular dysfunction and trigeminal sensitivity after recent pterional craniotomy: preliminary study.

    Science.gov (United States)

    Brazoloto, Thiago Medina; de Siqueira, Silvia Regina Dowgan Tesseroli; Rocha-Filho, Pedro Augusto Sampaio; Figueiredo, Eberval Gadelha; Teixeira, Manoel Jacobsen; de Siqueira, José Tadeu Tesseroli

    2017-05-01

    Surgical trauma at the temporalis muscle is a potential cause of post-craniotomy headache and temporomandibular disorders (TMD). The aim of this study was to evaluate the prevalence of pain, masticatory dysfunction and trigeminal somatosensory abnormalities in patients who acquired aneurysms following pterional craniotomy. Fifteen patients were evaluated before and after the surgical procedure by a trained dentist. The evaluation consisted of the (1) research diagnostic criteria for TMD, (2) a standardized orofacial pain questionnaire and (3) a systematic protocol for quantitative sensory testing (QST) for the trigeminal nerve. After pterional craniotomy, 80% of the subjects, 12 patients, developed orofacial pain triggered by mandibular function. The pain intensity was measured by using the visual analog scale (VAS), and the mean pain intensity was 3.7. The prevalence of masticatory dysfunction was 86.7%, and there was a significant reduction of the maximum mouth opening. The sensory evaluation showed tactile and thermal hypoesthesia in the area of pterional access in all patients. There was a high frequency of temporomandibular dysfunction, postoperative orofacial pain and trigeminal sensory abnormalities. These findings can help to understand several abnormalities that can contribute to postoperative headache or orofacial pain complaints after pterional surgeries.

  20. Preliminary Study of Ideal Operational MHD Beta Limit in HL-2A Tokamak Plasmas

    Institute of Scientific and Technical Information of China (English)

    SHEN Yong; DONG Jiaqi; HE Hongda; A. D. TURNBULL

    2009-01-01

    Magnetohydrodynamic (MHD) n=1 kink mode with n the toroidal mode number is studied and the operational beta limit, constrained by the mode, is calculated for the equilibrium of HL-2A by using the GATO code. Approximately the same beta limit is obtained for configurations with a value of the axial safety factor q0 both larger and less than 1. Without the stabilization of the conducting wall, the beta limit is found to be 0.821% corresponding to a normalized beta value of βcN=2.56 for a typical HL-2A discharge with a plasma current Ip=0.245 MA, and the scaling of βcN~constant is confirmed.

  1. A Guide for Developing Standard Operating Job Procedures for the Tertiary Chemical Treatment - Lime Precipitation Process Wastewater Treatment Facility. SOJP No. 6.

    Science.gov (United States)

    Petrasek, Al, Jr.

    This guide describes the standard operating job procedures for the tertiary chemical treatment - lime precipitation process of wastewater treatment plants. Step-by-step instructions are given for pre-start up, start-up, continuous operation, and shut-down procedures. In addition, some theoretical material is presented along with some relevant…

  2. Methodology of complexity analysis of Emergency Operating Procedures for Nuclear Power Plants; Metodologia de analisis de complejidad de Procedimientos de Operacion de Emergencia de Centrales Nucleares

    Energy Technology Data Exchange (ETDEWEB)

    Martorell, P.; Martorell, S.; Marton, I.; Pelayo, F.; Mendizabal, R.

    2013-07-01

    The Emergency Operating Procedures (SOPs) set out the stages and contain actions to be executed by an operator to respond to an emergency situation. Methodologies are being developed to assess aspects such as complexity, completeness and vulnerability of these procedures. A methodology is presented in this paper to develop a network topology POE and analysis focused on the same complexity as a fundamental attribute.

  3. Congenital pseudoarthrosis of the tibia – results of treatment by free fibular transfer and associated procedurespreliminary study.

    Science.gov (United States)

    Iamaguchi, Raquel B; Fucs, Patricia M M B; Carlos da Costa, Antonio; Chakkour, Ivan; Gomes, Mogar D

    2011-09-01

    We evaluated 16 children with congenital pseudoarthrosis of the tibia treated with contralateral fibular graft, with the aim to report the difficulties and clinical results in the affected limb after consolidation. Sixty-three percent of the children had characteristics of neurofibromatosis. Consolidation was achieved after the main surgery in 37%of patients, and the remainder, after multiple procedures. Consolidation time was longer for male patients. Refracture was observed in six patients and recurrence of the anterior bowing in six; four of these patients were submitted to correction. Four patients presented femur overgrowth. The average shortening of the affected leg was 3.6 cm. The proposed procedure leads to a long treatment course with many reoperations for correction of possible complications.

  4. A Formally Specified Type System and Operational Semantics for Higher-Order Procedural Variables

    CERN Document Server

    Crolard, Tristan

    2009-01-01

    We formally specified the type system and operational semantics of LOOPw with Ott and Isabelle/HOL proof assistant. Moreover, both the type system and the semantics of LOOPw have been tested using Isabelle/HOL program extraction facility for inductively defined relations. In particular, the program that computes the Ackermann function type checks and behaves as expected. The main difference (apart from the choice of an Ada-like concrete syntax) with LOOPw comes from the treatment of parameter passing. Indeed, since Ott does not currently fully support alpha-conversion, we rephrased the operational semantics with explicit aliasing in order to implement the out parameter passing mode.

  5. A general procedure for estimating dynamic displacements using strain measurements and operational modal analysis

    DEFF Research Database (Denmark)

    Skafte, Anders; Aenlle, Manuel L.; Brincker, Rune

    2016-01-01

    measuring the in-plane deformation. This paper proposes a method in which the displacement mode shapes and responses can be predicted using only strain measurements. The method relies on the newly discovered principle of local correspondence, which states that each experimental mode can be expressed....... The method is validated with experimental tests on a scaled model of a two-span bridge installed with strain gauges. Random load was applied to simulate a civil structure under operating condition, and strain mode shapes were identified using operational modal analysis....

  6. New Procedure to Derive the Performance Indices Associated with Reservoir Operation Rule

    Institute of Scientific and Technical Information of China (English)

    WANG Jin-wen; ZHANG Yong-chuan; ZHANG You-quan

    2002-01-01

    Stochastic dynamic programming (SDP) is extensively used in the optimization for long-term reservoir operations. Generally, both of the steady state optimal policy and its associated performance indices (PIs) for multipurpose reservoir are of prime importance. To derive the PIs there are two typical ways: simulation and probability formula. Among the disadvantages, one is that these approaches require the pre-specified operation policy. IHuminated by the convergence of objective function in SDP, a new approach, which has the advantage that its use can be concomitant with the solving of SDP, is proposed to determine the desired PIs. In the case study, its efficiency is also practically tested.

  7. The impact of loop electrosurgical excision procedure (LEEP) for CIN 2,3 on spontaneous preterm delivery in twin pregnancies by assisted reproductive technique: preliminary data.

    Science.gov (United States)

    Ciavattini, Andrea; Stortoni, Piergiorgio; Mancioli, Francesca; Puglia, Danila; Tranquilli, Andrea Luigi; Liverani, Carlo Antonio

    2014-07-01

    The objective of this study was to compare the frequency of spontaneous preterm delivery before 35 weeks in 7 dichorionic twin pregnancies obtained after loop electrosurgical excision procedure (LEEP) for cervical intraepithelial neoplasia (CIN) 2,3 with respect to 21 twin pregnancies without previous cervical treatment. All the pregnancies were obtained after assisted reproduction techniques (ART). Same age at delivery was observed between two groups (p = 0.81) and none of our twin pregnancies after LEEP had a threatened preterm labor while four controls (19%) underwent a spontaneous preterm delivery (p = 0.35). These preliminary data seem to indicate that LEEP may not be responsible of spontaneous preterm delivery in twin pregnancies subsequent to ART.

  8. Preliminary Study on Plant Planting Design Procedure%植物种植设计程序初探

    Institute of Scientific and Technical Information of China (English)

    沈洁; 史童伟

    2009-01-01

    Based on the planting design procedure which mentioned in Landscape Design Elements written by Norman k · booth, combined with the author's own practical experience, four steps planting design procedure were summed up, including "functional analysis-plant layout-plant elevation combination-detailed design", and took an example of a streamside landscape design program in Yantai City, the application of this procedure was briefly discussed.%基于诺曼k·布思在中提及的种植设计程序,结合自身的实践经验,总结了包括"功能分析--植物平面布局--植物立面组合--详细设计"4个步骤的种植设计程序,并结合烟台市某滨河路段绿化景观规划设计项目,对该程序的应用作了简要阐述.

  9. Operation EAGLE CLAW: Pioneer of Modern Aviation Tactics, Techniques and Procedures

    Science.gov (United States)

    2010-03-17

    The Iran Hostage Rescue Mission," Air & Space Power Journal- Espanol , Fall 2006. Kyle, James H., and John Robert Edison. The Guts to Try: The Untold...Kamps, "Operation EAGLE CLAW: The Iran Hostage Rescue Mission," Air & Space Power Journal- Espanol , (Fall 2006), 1. 5 Rapid Ground Refueling is the

  10. Determination of Nanomechanical Properties by Atomic Force Microscopy: Scientific Operating Procedure SOP-C-#

    Science.gov (United States)

    2015-02-01

    aspect of this collection of infor mati on, incl uding suggestions for reducing this burden to Department of Defense, Washington Headquarters Ser...vices , Directorate for Infor mati on Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302

  11. Exploring Mathematical Reasoning of the Order of Operations: Rearranging the Procedural Component PEMDAS

    Science.gov (United States)

    Lee, Jae Ki; Licwinko, Susan; Taylor-Buckner, Nicole

    2013-01-01

    PEMDAS is a mnemonic device to memorize the order in which to calculate an expression that contains more than one operation. However, students frequently make calculation errors with expressions, which have either multiplication and division or addition and subtraction next to each other. This article explores the mathematical reasoning of the…

  12. 46 CFR 281.1 - Information and procedure required under liner operating-differential subsidy agreements.

    Science.gov (United States)

    2010-10-01

    ...) representing interest on vessels shall be allocated to vessels and voyages in the same ratio that depreciation... forward necessary instructions and forms to be used. (f) Current financial reports. Each operator shall prepare current financial reports as specified in this paragraph and shall submit one copy each to...

  13. 40 CFR 63.1104 - Process vents from continuous unit operations: applicability assessment procedures and methods.

    Science.gov (United States)

    2010-07-01

    ... vent. (iv) Design analysis based on accepted chemical engineering principles, measurable process... be monitored to ensure the process vent is operated in conformance with its design or process and... 40 Protection of Environment 10 2010-07-01 2010-07-01 false Process vents from continuous...

  14. Hypersensitivity and pain induced by operative procedures and the "cracked tooth" syndrome.

    Science.gov (United States)

    Seltzer, S; Boston, D

    1997-01-01

    Various dental conditions are responsible for tooth hypersensitivity and pain. They include hypersensitive dentin; the "cracked tooth" syndrome; pulp and periapical irritation, inflammation and/or degeneration; barodontalgia (aerodontalgia); and periodontal pathoses, particularly the pulpal-periodontal syndrome. Each operative condition is reviewed with respect to its etiology, symptomatology, and diagnosis. Some treatment recommendations are made to prevent or reduce symptoms.

  15. Preliminary operational results of the low-temperature solar industrial process heat field tests

    Energy Technology Data Exchange (ETDEWEB)

    Kutscher, C.F.; Davenport, R.L.

    1980-06-01

    Six solar industrial process heat field tests have been in operation for a year or more - three are hot water systems and three are hot air systems. All are low-temperature projects (process heat at temperatures below 212/sup 0/F). Performance results gathered by each contractor's data acquisition system are presented and project costs and problems encountered are summarized. Flat-plate, evacuated-tube, and line-focus collectors are all represented in the program, with collector array areas ranging from 2500 to 21,000 ft/sup 2/. Collector array efficiencies ranged from 12% to 36% with net system efficiencies from 8% to 33%. Low efficiencies are attributable in some cases to high thermal losses and, for the two projects using air collectors, are due in part to high parasitic power consumption. Problems have included industrial effluents on collectors, glazing and absorber surface failures, excessive thermal losses, freezing and overheating, control problems, and data acquisition system failure. With design and data acquisition costs excluded costs of the projects ranged from $25/ft/sup 2/ to $87/ft/sup 2/ and $499/(MBtu/yr) to $1537/(MBtu/yr).

  16. Definition study for an extended manned test of a regenerative life support system, preliminary test plan

    Science.gov (United States)

    1971-01-01

    A preliminary plan and procedure are presented for conducting an extended manned test program for a regenerative life support system. Emphasis will be placed on elements associated with long-term system operation and long-term uninterrupted crew confinement.

  17. Evaluation of the ability of mice to detect VOCs, using a positive operant reinforcement procedure.

    Science.gov (United States)

    Hojo, Rieko

    2015-08-01

    To examine the validity of a newly established "three-odor detection (TOD)" procedure using one of volatile organic compounds (VOCs), limonene, food-restricted male mice were used. Five animals each were assigned to either TOD or single-odor detection (SOD). TOD was composed of two trainings and one test (TEST) session. Mice were trained to discriminate an odor of coffee from no odor and odors of coffee and cheese from no odor in trainings 1 and 2, respectively. In TEST, mice were required to discriminate odors of coffee, cheese, and limonene from no odor. In SOD, mice were required to discriminate an odor of limonene from no odor. Each training or test was conducted once a day until animals achieved a learning criterion (75% correct response rate for 2 consecutive days), or until a maximum number of sessions (20 sessions) was completed. The number of sessions for reaching the learning criterion of animals in TEST (8.2 ± 0.8) was smaller than that of animals in SOD (19.2 ± 0.8). Results indicated that mice in TOD detected low levels of VOCs more rapidly than animals in SOD. I concluded that TOD is a useful procedure for detecting low levels of VOCs.

  18. A preliminary cyber-physical security assessment of the Robot Operating System (ROS)

    Science.gov (United States)

    McClean, Jarrod; Stull, Christopher; Farrar, Charles; Mascareñas, David

    2013-05-01

    Over the course of the last few years, the Robot Operating System (ROS) has become a highly popular software framework for robotics research. ROS has a very active developer community and is widely used for robotics research in both academia and government labs. The prevalence and modularity of ROS cause many people to ask the question: "What prevents ROS from being used in commercial or government applications?" One of the main problems that is preventing this increased use of ROS in these applications is the question of characterizing its security (or lack thereof). In the summer of 2012, a crowd sourced cyber-physical security contest was launched at the cyber security conference DEF CON 20 to begin the process of characterizing the security of ROS. A small-scale, car-like robot was configured as a cyber-physical security "honeypot" running ROS. DEFFCON-20 attendees were invited to find exploits and vulnerabilities in the robot while network traffic was collected. The results of this experiment provided some interesting insights and opened up many security questions pertaining to deployed robotic systems. The Federal Aviation Administration is tasked with opening up the civil airspace to commercial drones by September 2015 and driverless cars are already legal for research purposes in a number of states. Given the integration of these robotic devices into our daily lives, the authors pose the following question: "What security exploits can a motivated person with little-to-no experience in cyber security execute, given the wide availability of free cyber security penetration testing tools such as Metasploit?" This research focuses on applying common, low-cost, low-overhead, cyber-attacks on a robot featuring ROS. This work documents the effectiveness of those attacks.

  19. CONTRIBUTIONS FROM SMOKE ON IMPACT OF WELDING PROCEDURES HEALTH OPERATORS WELDER

    Directory of Open Access Journals (Sweden)

    Gheorghe AMZA

    2012-05-01

    Full Text Available This paper presents research conducted on the contents of fumes resulting from welding processes with emphasis on micro various metallic and nonmetallic elements involved in these fumes. It also presents the main health effects of welders and operators working in the welding stations. Are risks that may occur due to micro chromium, nickel, iron, manganese, silicon, fluorine, zinc, aluminum, copper, cadmium, lead, molybdenum, cobalt, vanadium and others.

  20. Joint Doctrine, Tactics, Techniques, and Procedures for Meteorological and Oceanographic Operations

    Science.gov (United States)

    2007-11-02

    Aerodrome Forecasts Tidal Data Thickness, 1000-500mb Thunderstorms Tropical Storm Advisories Tropopause Heights and/or Winds Upper Air Charts Upper Air...Sigonella, Sicily . The data for these products originate from NAVEURMETOCCEN. b. METOC dial-in systems can also be used for early-in operations or as...studies, and tabular publications. CD-ROM products include selected global station climatic summaries (ISMCS), global tropical atlases, global upper air

  1. Preliminary Two-Phase Terry Turbine Nozzle Models for RCIC Off-Design Operation Conditions

    Energy Technology Data Exchange (ETDEWEB)

    Zhao, Haihua [Idaho National Lab. (INL), Idaho Falls, ID (United States); O' Brien, James [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2017-06-12

    This report presents the effort to extend the single-phase analytical Terry turbine model to cover two-phase off-design conditions. The work includes: (1) adding well-established two-phase choking models – the Isentropic Homogenous Equilibrium Model (IHEM) and Moody’s model, and (2) theoretical development and implementation of a two-phase nozzle expansion model. The two choking models provide bounding cases for the two-phase choking mass flow rate. The new two-phase Terry turbine model uses the choking models to calculate the mass flow rate, the critical pressure at the nozzle throat, and steam quality. In the divergent stage, we only consider the vapor phase with a similar model for the single-phase case by assuming that the liquid phase would slip along the wall with a much slower speed and will not contribute the impulse on the rotor. We also modify the stagnation conditions according to two-phase choking conditions at the throat and the cross-section areas for steam flow at the nozzle throat and at the nozzle exit. The new two-phase Terry turbine model was benchmarked with the same steam nozzle test as for the single-phase model. Better agreement with the experimental data is observed than from the single-phase model. We also repeated the Terry turbine nozzle benchmark work against the Sandia CFD simulation results with the two-phase model for the pure steam inlet nozzle case. The RCIC start-up tests were simulated and compared with the single-phase model. Similar results are obtained. Finally, we designed a new RCIC system test case to simulate the self-regulated Terry turbine behavior observed in Fukushima accidents. In this test, a period inlet condition for the steam quality varying from 1 to 0 is applied. For the high quality inlet period, the RCIC system behaves just like the normal operation condition with a high pump injection flow rate and a nominal steam release rate through the turbine, with the net addition of water to the primary system; for

  2. Standard operating procedure for the good manufacturing practice-compliant production of human bone marrow mesenchymal stem cells.

    Science.gov (United States)

    Roseti, Livia; Serra, Marta; Bassi, Alessandra

    2015-01-01

    According to the European Regulation (EC 1394/2007), Mesenchymal Stem Cells expanded in culture for clinical use are considered as Advanced Therapy Medicinal Products. As a consequence, they must be produced in compliance with Good Manufacturing Practice in order to ensure safety, reproducibility, and efficacy. Here, we report a Standard Operating Procedure describing the Good Manufacturing Practice-compliant production of Bone Marrow-derived Mesenchymal Stem Cells suitable for autologous implantation in humans. This procedure can be considered as a template for the development of investigational medicinal Mesenchymal Stem Cells-based product protocols to be enclosed in the dossier required for a clinical trial approval. Possible clinical applications concern local uses in the regeneration of bone tissue in nonunion fractures or in orthopedic and maxillofacial diseases characterized by a bone loss.

  3. Double Endoscopic Intraluminal Operation (DEILO) for Early Gastric Cancer: Outcome of Novel Procedure for Endoscopic Submucosal Dissection.

    Science.gov (United States)

    Ogata, Kyoichi; Yanai, Mitsuhiro; Kuriyama, Kengo; Suzuki, Masaki; Yanoma, Toru; Kimura, Akiharu; Kogure, Norimichi; Toyomasu, Yoshitaka; Ohno, Tetsuro; Mochiki, Erito; Kuwano, Hiroyuki

    2017-01-01

    Endoscopic submucosal dissection (ESD) has been used to treat patients with early gastric cancer (EGC). Although several endoscopic devices have been developed to ensure easy and safe ESD, this technique still requires an experienced, highly skilled endoscopist, as it is performed through a single gastroscope, thus requiring one-handed surgical techniques. To overcome these limitations, many ESD procedures with counter-traction have been developed, such as the double scope, double channel scope, clip with line, magnetic anchor, percutaneous traction and external grasping forceps methods. We devised a double endoscopic intraluminal operation (DEILO). Two endoscopes were simultaneously inserted into the stomach. One endoscope was used to lift the lesion, and the other was used to excise the lesion. The DEILO procedure was performed on 122 cases of EGC. In this article, we report the efficacy and safety of DEILO in patients with EGC.

  4. Accuracy of axial depth of cut in micromilling operations - Simplified procedure and uncertainty model

    DEFF Research Database (Denmark)

    Bissacco, Giuliano

    2005-01-01

    and their rapid warming and cooling, which prevent the achievement of a steady state. Several other factors, independent on the tool-workpiece interaction, influence the machining accuracy. The cutting parameter most heavily affected is the axial depth of cut which is the most critical when using micro end mills......, due to the easy breakage particularly when milling on hard materials [1]. Typical values for the errors on the control of the axial depth of cut are in the order of 50 microns, while the aimed depth of cut can be as low as 5 microns. The author has developed a machining procedure for optimal control......In order to maintain an optimum cutting speed, the reduction of mill diameters requires machine tools with high rotational speed capabilities. A solution to update existing machine tools is the use of high speed attached spindles. Major drawbacks of these attachments are the high thermal expansion...

  5. Adoption of the hybrid CTO approach by a single non-CTO operator: procedural and clinical outcomes.

    Science.gov (United States)

    Vo, Minh N; McCabe, James M; Lombardi, William L; Ducas, John; Ravandi, Amir; Brilakis, Emmanouil S

    2015-03-01

    The feasibility of adopting the "hybrid" approach by a single operator without prior experience in percutaneous coronary intervention (PCI) of chronic total occlusions (CTOs) has not been described. Consecutive patients who underwent CTO-PCI by a single operator using the "hybrid" approach between 2012 and 2013 formed the analytic cohort. No patient was declined on the basis of angiographic findings. Clinical and angiographic characteristics together with procedural and hospital outcomes are described. During the study period, a total of 48 consecutive patients underwent PCI of 50 CTOs. Mean age was 63.4 ± 9.4 years and most patients (83%) were men. The right coronary artery (RCA) was the most commonly treated CTO vessel (54%) and mean J-CTO score was 2.3 ± 1.1. A primary retrograde approach was chosen for 33% of lesions and 40% required use of an epicardial collateral vessel. The primary strategy was effective in 65% of successful cases, 35% required one change in strategy, and 15% requiring two strategy changes. Procedural success rate was 92%. The median number of stents used was 3 (interquartile range [IQR], 2-4] and the total stent length was 73 mm [IQR, 38-96 mm). Mean contrast volume was 356.4 ± 148.3 mL and the mean air kerma radiation exposure was 3.5 ± 2.0 Gy. No patient experienced a major periprocedural complication. The "hybrid" approach to CTO-PCI can be successfully adopted by a single operator with excellent early procedural success and low complication rates, despite a lack of prior CTO-PCI experience.

  6. Numerical simulation of the transient thermal-hydraulic behaviour of the ITER blanket cooling system under the draining operational procedure

    Energy Technology Data Exchange (ETDEWEB)

    Di Maio, P.A. [Dipartimento di Energia, Ingegneria dell’Informazione e Modelli Matematici, Università di Palermo Viale delle Scienze, 90128 Palermo (Italy); Dell’Orco, G.; Furmanek, A. [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St Paul Lez Durance Cedex (France); Garitta, S. [Dipartimento di Energia, Ingegneria dell’Informazione e Modelli Matematici, Università di Palermo Viale delle Scienze, 90128 Palermo (Italy); Merola, M.; Mitteau, R.; Raffray, R. [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St Paul Lez Durance Cedex (France); Spagnuolo, G.A. [Dipartimento di Energia, Ingegneria dell’Informazione e Modelli Matematici, Università di Palermo Viale delle Scienze, 90128 Palermo (Italy); Vallone, E., E-mail: eug.vallone@gmail.com [Dipartimento di Energia, Ingegneria dell’Informazione e Modelli Matematici, Università di Palermo Viale delle Scienze, 90128 Palermo (Italy)

    2015-10-15

    Highlights: • ITER blanket cooling system hydraulic behaviour is studied under draining transient. • A computational approach based on the finite volume method has been followed. • Draining efficiency has been assessed in term of transient duration and residual water. • Transient duration ranges from ∼40 to 50 s, under the reference draining scenario. • Residual water is predicted to range from few tens of gram up to few kilograms. - Abstract: Within the framework of the research and development activities supported by the ITER Organization on the blanket system issues, an intense analysis campaign has been performed at the University of Palermo with the aim to investigate the thermal-hydraulic behaviour of the cooling system of a standard 20° sector of ITER blanket during the draining transient operational procedure. The analysis has been carried out following a theoretical-computational approach based on the finite volume method and adopting the RELAP5 system code. In a first phase, attention has been focused on the development and validation of the finite volume models of the cooling circuits of the most demanding modules belonging to the standard blanket sector. In later phase, attention has been put to the numerical simulation of the thermal-hydraulic transient behaviour of each cooling circuit during the draining operational procedure. The draining procedure efficiency has been assessed in terms of both transient duration and residual amount of coolant inside the circuit, observing that the former ranges typically between 40 and 120 s and the latter reaches at most ∼8 kg, in the case of the cooling circuit of twinned modules #6–7. Potential variations to operational parameters and/or to circuit lay-out have been proposed and investigated to optimize the circuit draining performances. In this paper, the set-up of the finite volume models is briefly described and the key results are summarized and critically discussed.

  7. Utilizing the ECHO Model in the Veterans Health Affairs System: Guidelines for Setup, Operations and Preliminary Findings

    Directory of Open Access Journals (Sweden)

    Herschel Knapp

    2015-06-01

    Full Text Available Background: In 2011, the Veterans Health Administration (VHA consulted with the Project ECHO (Extension for Community Healthcare Outcomes team at the University of New Mexico, Albuquerque, to reproduce their successful model within the VHA. Methods: The VHA launched SCAN-ECHO (Specialty Care Access Network-Extension for Community Healthcare Outcomes, a multisite videoconferencing system to conduct live clinical consultations between specialists at a VHA Medical Center (hospital and primary care providers stationed at satellite VHA CBOCs (Community-Based Outpatient Clinic. Results: Analysis of the first three years rendered a mean attendee satisfaction of 89.53% and a consultation satisfaction score of 88.10%. About half of the SCAN-ECHO consultations resulted in patients receiving their treatment from their local primary care providers; the remaining half were referred to the VHA Medical Center when the treatment involved equipment or services not available at the CBOCs (e.g., MRI, surgery. Conclusion: This paper details the setup, operation logistics and preliminary findings, suggesting that SCAN-ECHO is a viable model for providing quality specialty clinical consultation service, prompter access to care, reduced commutes and continuing education. Additionally, the use of a secured Internet-based videoconferencing system that supports connectivity to multiple (mobile devices could expand the utilization of this service.

  8. SNOW TEMPERATURE MEASUREMENTS AT VOSTOK STATION FROM AN AUTONOMOUS RECORDING SYSTEM (TAUTO: PRELIMINARY RESULTS FROM THE FIRST YEAR OPERATION

    Directory of Open Access Journals (Sweden)

    E. Lefebvre

    2012-01-01

    Full Text Available Temperature gradients in the upper layers of the snow pack are of importance for studying the emissivity properties of the snow surface with respect to microwaves used in remote sensing as well as for the heat and mass transfer in snow thickness. Gradients drive the initial snow microstructure metamorphisms that probably influence the firn properties in regard to air molecules fractionation and the air bubble enclosure process at close-off depths. As a contribution to investigation of these problems and following J.-M. Barnola initiative, we developed an autonomous recording system to monitor the temperature of the upper layers of the snow pack. The instrument was built to be autonomous and to be continuously operating within environmental conditions of the Antarctic plateau and the polar night. The apparatus which monitors temperature from the first 10 mof snow by 15 sensors of a «temperature grape» was set at Vostok station during 55th Russian Antarctic Expedition within the frame of the French Russian collaboration (GDRI Vostok. From the available hourly measurements over the first year, we present preliminary results on the thermal diffusive properties of the snow pack as well as some character of the temperature variations on the Antarctic plateau.

  9. Design data package and operating procedures for MSFC solar simulator test facility

    Science.gov (United States)

    1981-01-01

    Design and operational data for the solar simulator test facility are reviewed. The primary goal of the facility is to evaluate the performance capacibility and worst case failure modes of collectors, which utilize either air or liquid transport media. The facility simulates environmental parameters such as solar radiation intensity, solar spectrum, collimation, uniformity, and solar attitude. The facility also simulates wind conditions of velocity and direction, solar system conditions imposed on the collector, collector fluid inlet temperature, and geometric factors of collector tilt and azimuth angles. Testing the simulator provides collector efficiency data, collector time constant, incident angle modifier data, and stagnation temperature values.

  10. CCSDS遥控通信操作规程应用%Application of Communications Operation Procedure-1

    Institute of Scientific and Technical Information of China (English)

    刘鑫; 闫春香; 王凤宇

    2012-01-01

    由于遥控通信的重要性,为了在有噪声的链路空间中可靠地传输遥控数据,CCSDS(空间数据系统咨询委员会)提供了遥控COP-1(通信操作规程)建议书.该操作规程使用遥控空间链路协议,规定了空间任务中地—空或空—空通信链路间应用数据的自动重传操作规程,保证了用户业务数据的正确传输.此外,还介绍了CCSDS标准建议书中的遥控通信操作规程的概念、业务类型,并对其中使用的内部规程接口、业务数据传输操作规程以及滑动窗口的应用进行了详细说明.%CCSDS (Consultative Committee for Space Data Systems) provides COP-1 (Communications Operations Procedure-1) technical recommendation for reliable transmission of telecommand data over space communications links with the presence of noise. The procedure used with telecommand space data link protocol provides an automatic retransmission procedure to be used by space missions to transfer space application data over a ground-to-space or space-to-space communications link, and assures correctness of service data delivery. The paper introduces the concept of COP-1, service types, and describes the application of inter-procedure interfaces, service transmission procedures and sliding window used in the recommendation.

  11. A general procedure for estimating dynamic displacements using strain measurements and operational modal analysis

    Science.gov (United States)

    Skafte, Anders; Aenlle, Manuel L.; Brincker, Rune

    2016-02-01

    Measurement systems are being installed in more and more civil structures with the purpose of monitoring the general dynamic behavior of the structure. The instrumentation is typically done with accelerometers, where experimental frequencies and mode shapes can be identified using modal analysis and used in health monitoring algorithms. But the use of accelerometers is not suitable for all structures. Structures like wind turbine blades and wings on airplanes can be exposed to lightning, which can cause the measurement systems to fail. Structures like these are often equipped with fiber sensors measuring the in-plane deformation. This paper proposes a method in which the displacement mode shapes and responses can be predicted using only strain measurements. The method relies on the newly discovered principle of local correspondence, which states that each experimental mode can be expressed as a unique subset of finite element modes. In this paper the technique is further developed to predict the mode shapes in different states of the structure. Once an estimate of the modes is found, responses can be predicted using the superposition of the modal coordinates weighted by the mode shapes. The method is validated with experimental tests on a scaled model of a two-span bridge installed with strain gauges. Random load was applied to simulate a civil structure under operating condition, and strain mode shapes were identified using operational modal analysis.

  12. Primaer brystrekonstruktion i forbindelse med mastektomi ved mammacancer. Indikation, procedure og umiddelbare operative resultater

    DEFF Research Database (Denmark)

    Elberg, J J; Mollerup, C L; Dahlstrøm, K K

    2000-01-01

    Mastectomy and immediate reconstruction of 122 breasts were performed in 109 patients in close collaboration between plastic surgeons and general surgeons. In 56 patients reconstruction was performed using tissue expanders including 13 bilateral operations, 29 patients had a latissimus dorsi...... received systemic treatment and 10 local radiotherapy as well. There was no complication during systemic therapy related to reconstruction. In 10 cases local radiotherapy was performed in full, with a delay of four weeks in one patient and a need for correction of the radiation field during treatment...... myocutaneous flap and 24 a free transverse rectus abdominis myocutaneous flap. There were 27 postoperative local complications in 122 reconstructions (22%), in five the reconstruction was lost. Only patients clinically in stage I were considered for reconstruction. After histopathological staging 27 patients...

  13. Development and application of procedures to evaluate air quality and visibility impacts of low-altitude flying operations

    Energy Technology Data Exchange (ETDEWEB)

    Liebsch, E.J.

    1990-08-01

    This report describes the development and application of procedures to evaluate the effects of low-altitude aircraft flights on air quality and visibility. The work summarized in this report was undertaken as part of the larger task of assessing the various potential environmental impacts associated with low-altitude military airspaces. Accomplishing the air quality/visibility analysis for the GEIS included (1) development and application of an integrated air quality model and aircraft emissions database specifically for Military Training Route (MTR) or similar flight operations, (2) selection and application of an existing air quality model to analyze the more widespread and less concentrated aircraft emissions from military Operations Areas (MOAs) and Restricted Areas (RAs), and (3) development and application of procedures to assess impacts of aircraft emissions on visibility. Existing air quality models were considered to be inadequate for predicting ground-level concentrations of pollutants emitted by aircraft along MTRs; therefore, the Single-Aircraft Instantaneous Line Source (SAILS) and Multiple-Aircraft Instantaneous Line Source (MAILS) models were developed to estimate potential impacts along MTRs. Furthermore, a protocol was developed and then applied in the field to determine the degree of visibility impairment caused by aircraft engine exhaust plumes. 19 refs., 2 figs., 3 tabs.

  14. Effect of the video output of the dental operating microscope on anxiety levels in a pediatric population during restorative procedures.

    Science.gov (United States)

    Sayed, Abrar; Ranna, Vinisha; Padawe, Dimple; Takate, Vilas

    2016-01-01

    Adapting a child to the alien settings of a dental operatory is a major challenge to the dentist. Fear of the unknown and preconceived notions of dental pain causes anxiety in the pediatric patient. This often leads to disruptive and uncooperative behavior in the dental operatory. Many methods of behavior management have been described, of which the Tell-Show-Do (TSD) is an established and time-tested technique of behavior management. To determine if a live visual output of the dental operating microscope (DOM) could be used as an adjunct to the TSD technique, to involve the child more completely in the procedure and reduce the fear of the unknown. The study was a randomized, controlled, crossover, and cross-sectional clinical trial. Data were obtained from two visits. 90 children having carious lesions on both lower first molars, in the 7-9 years age group were selected and divided randomly into two groups. Restorative procedures were performed on one tooth per visit, with visits 1 week apart. Live display of the procedure was shown to the patient using video output of the DOM displayed on a 72 inch LCD monitor, angled for best visibility of the child. Anxiety levels were evaluated using Venhams picture selection test and pulse oximetry. Student's t-test was used to compare the anxiety scores obtained from the two groups. The results showed there was a decrease in the anxiety from the first visit to the second visit. (P = 0.05 for Group A and P = 0.003 for Group B). The patients preferred the visit in which the DOM was used. The operator reported an increased patient compliance and reduced patient movement in the visits in which the DOM was used. There is a reduction in anxiety from the first visit to the second visit for restorative treatment when the DOM is used.

  15. Effect of the video output of the dental operating microscope on anxiety levels in a pediatric population during restorative procedures

    Directory of Open Access Journals (Sweden)

    Abrar Sayed

    2016-01-01

    Full Text Available Background: Adapting a child to the alien settings of a dental operatory is a major challenge to the dentist. Fear of the unknown and preconceived notions of dental pain causes anxiety in the pediatric patient. This often leads to disruptive and uncooperative behavior in the dental operatory. Many methods of behavior management have been described, of which the Tell-Show-Do (TSD is an established and time-tested technique of behavior management. Aim: To determine if a live visual output of the dental operating microscope (DOM could be used as an adjunct to the TSD technique, to involve the child more completely in the procedure and reduce the fear of the unknown. Materials and Methods: The study was a randomized, controlled, crossover, and cross-sectional clinical trial. Data were obtained from two visits. 90 children having carious lesions on both lower first molars, in the 7-9 years age group were selected and divided randomly into two groups. Restorative procedures were performed on one tooth per visit, with visits 1 week apart. Live display of the procedure was shown to the patient using video output of the DOM displayed on a 72 inch LCD monitor, angled for best visibility of the child. Anxiety levels were evaluated using Venhams picture selection test and pulse oximetry. Statistical Analysis: Student′s t-test was used to compare the anxiety scores obtained from the two groups. Results: The results showed there was a decrease in the anxiety from the first visit to the second visit. (P = 0.05 for Group A and P = 0.003 for Group B. The patients preferred the visit in which the DOM was used. The operator reported an increased patient compliance and reduced patient movement in the visits in which the DOM was used. Conclusion: There is a reduction in anxiety from the first visit to the second visit for restorative treatment when the DOM is used.

  16. Colloidal Fouling of Nanofiltration Membranes: Development of a Standard Operating Procedure

    Science.gov (United States)

    Al Mamun, Md Abdullaha; Bhattacharjee, Subir; Pernitsky, David; Sadrzadeh, Mohtada

    2017-01-01

    Fouling of nanofiltration (NF) membranes is the most significant obstacle to the development of a sustainable and energy-efficient NF process. Colloidal fouling and performance decline in NF processes is complex due to the combination of cake formation and salt concentration polarization effects, which are influenced by the properties of the colloids and the membrane, the operating conditions of the test, and the solution chemistry. Although numerous studies have been conducted to investigate the influence of these parameters on the performance of the NF process, the importance of membrane preconditioning (e.g., compaction and equilibrating with salt water), as well as the determination of key parameters (e.g., critical flux and trans-membrane osmotic pressure) before the fouling experiment have not been reported in detail. The aim of this paper is to present a standard experimental and data analysis protocol for NF colloidal fouling experiments. The developed methodology covers preparation and characterization of water samples and colloidal particles, pre-test membrane compaction and critical flux determination, measurement of experimental data during the fouling test, and the analysis of that data to determine the relative importance of various fouling mechanisms. The standard protocol is illustrated with data from a series of flat sheet, bench-scale experiments. PMID:28106775

  17. Soft tissue cell adhesion to titanium abutments after different cleaning procedures: preliminary results of a randomized clinical trial.

    Science.gov (United States)

    Canullo, L; Penarrocha-Oltra, D; Marchionni, S; Bagán, L; Peñarrocha-Diago, M-A; Micarelli, C

    2014-03-01

    A randomized controlled trial was performed to assess soft tissue cell adhesion to implant titanium abutments subjected to different cleaning procedures and test if plasma cleaning can enhance cell adhesion at an early healing time. Eighteen patients with osseointegrated and submerged implants were included. Before re-opening, 18 abutments were divided in 3 groups corresponding to different clinical conditions with different cleaning processes: no treatment (G1), laboratory customization and cleaning by steam (G2), cleaning by plasma of Argon (G3). Abutments were removed after 1 week and scanning electron microscopy was used to analyze cell adhesion to the abutment surface quantitatively (percentage of area occupied by cells) and qualitatively (aspect of adhered cells and presence of contaminants). Mean percentages of area occupied by cells were 17.6 ± 22.7%, 16.5 ± 12.9% and 46.3 ± 27.9% for G1, G2 and G3 respectively. Differences were statistically significant between G1 and G3 (p=0.030), close to significance between G2 and G3 (p=0.056), and non-significant between G1 and G2 (p=0.530). The proportion of samples presenting adhered cells was homogeneous among the 3 groups (p-valor = 1.000). In all cases cells presented a flattened aspect; in 2 cases cells were less efficiently adhered and in 1 case cells presented filipodia. Three cases showed contamination with cocobacteria. Within the limits of the present study, plasma of Argon may enhance cell adhesion to titanium abutments, even at the early stage of soft tissue healing. Further studies with greater samples are necessary to confirm these findings.

  18. The development of a quantitative measure for the complexity of emergency tasks stipulated in emergency operating procedures of nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Park, Jin Kyun; Jung, Won Dea

    2006-11-15

    Previous studies have continuously pointed out that human performance is a decisive factor affecting the safety of complicated process systems. Subsequently, as the result of extensive efforts, it has been revealed that the provision of procedures is one of the most effective countermeasures, especially if human operators have to carry out their tasks under a very stressful environment. That is, since good procedures are helpful to not only enhance the performance of human operators but also the reduction of the possibility of a human error through stipulating detailed tasks to be done by human operators. Ironically, it has been emphasized that the performance of human operators could be impaired due to complicated procedures, because procedures directly govern the physical as well as cognitive behavior of human operators by institutionalizing detailed actions. Therefore, it is a prerequisite to develop a systematic framework that properly evaluate the complexity of tasks described in procedures. For this reason, a measure called TACOM (Task Complexity) that can quantify the complexity of emergency tasks described in the emergency operating procedures (EOPs) of NPPs has been developed. In this report, a technical background as well as practical steps to quantify the complexity of tasks were presented with a series of studies that were conducted to ensure the validity of the TACOM measure. As a result of validation studies, since it is shown that the TACOM measure seem to properly quantify the complexity of emergency tasks, it is desirable that the TACOM measure plays an important role in improving the performance of human operators.

  19. A rail system for circular synthetic aperture sonar imaging and acoustic target strength measurements: design/operation/preliminary results.

    Science.gov (United States)

    Kennedy, J L; Marston, T M; Lee, K; Lopes, J L; Lim, R

    2014-01-01

    A 22 m diameter circular rail, outfitted with a mobile sonar tower trolley, was designed, fabricated, instrumented with underwater acoustic transducers, and assembled on a 1.5 m thick sand layer at the bottom of a large freshwater pool to carry out sonar design and target scattering response studies. The mobile sonar tower translates along the rail via a drive motor controlled by customized LabVIEW software. The rail system is modular and assembly consists of separately deploying eight circular arc sections, measuring a nominal center radius of 11 m and 8.64 m arc length each, and having divers connect them together in the underwater environment. The system enables full scale measurements on targets of interest with 0.1° angular resolution over a complete 360° aperture, without disrupting target setup, and affording a level of control over target environment conditions and noise sources unachievable in standard field measurements. In recent use, the mobile cart carrying an instrumented sonar tower was translated along the rail in 720 equal position increments and acoustic backscatter data were acquired at each position. In addition, this system can accommodate both broadband monostatic and bistatic scattering measurements on targets of interest, allowing capture of target signature phenomena under diverse configurations to address current scientific and technical issues encountered in mine countermeasure and unexploded ordnance applications. In the work discussed here, the circular rail apparatus is used for acoustic backscatter testing, but this system also has the capacity to facilitate the acquisition of magnetic and optical sensor data from targets of interest. A brief description of the system design and operation will be presented along with preliminary processed results for data acquired from acoustic measurements conducted at the Naval Surface Warfare Center, Panama City Division Test Pond Facility. [Work Supported by the U.S. Office of Naval Research and

  20. CTEPP STANDARD OPERATING PROCEDURE FOR PREPARATION OF SURROGATE RECOVERY STANDARD AND INTERNAL STANDARD SOLUTIONS FOR NEUTRAL TARGET ANALYTES (SOP-5.25)

    Science.gov (United States)

    This standard operating procedure describes the method used for preparing internal standard, surrogate recovery standard and calibration standard solutions for neutral analytes used for gas chromatography/mass spectrometry analysis.

  1. CTEPP STANDARD OPERATING PROCEDURE FOR DETECTION AND QUANTIFICATION OF TARGET ANALYTES BY GAS CHROMATOGRAPHY/MASS SPECTROMETRY (GC/MS) (SOP-5.24)

    Science.gov (United States)

    This standard operating procedure describes the method used for the determination of target analytes in sample extracts and related quality assurance/quality control sample extracts generated in the CTEPP study.

  2. Preliminary Polar Sea Trials of Nereid-UI: A Remotely Operated Underwater Vehicle for Oceanographic Access Under Ice

    Science.gov (United States)

    Whitcomb, L. L.; Jakuba, M.; German, C. R.; Bowen, A.; Yoerger, D.; Kinsey, J. C.; Mayer, L.; McFarland, C.; Suman, S.; Bailey, J.; Judge, C.; Elliott, S.; Gomez-Ibanez, D.; Taylor, C. L.; Machado, C.; Howland, J. C.; Kaiser, C.; Heintz, M.; Pontbriand, C.; O'Hara, L.; McDonald, G.; Boetius, A.

    2014-12-01

    We report the development and deployment of a remotely-controlled underwater robotic vehicle capable of being teleoperated under ice under real-time human supervision. The Nereid Under-Ice (Nereid-UI or NUI) vehicle enables exploration and detailed examination of biological and physical environments including the ice-ocean interface in marginal ice zones, in the water column of ice-covered seas, at glacial ice-tongues, and ice-shelf margins, delivering realtime high definition video in addition to survey data from on board acoustic, optical, chemical, and biological sensors. The vehicle employs a novel lightweight fiber-optic tether that will enable it to be deployed from a ship to attain standoff distances of up to 20 km from an ice-edge boundary. We conducted NUI's first under-ice deployments during the July 2014 F/V Polarstern PS86 expedition at 86° N 6 W° in the Arctic Ocean - near the Aurora hydrothermal vent site on the Gakkel Ridge approximately 200 km NE of Greenland. We conducted 4 dives to evaluate and develop NUI's overall functioning and its individual engineered subsystems. On each dive, dead-reckoning (Ice-locked Doppler sonar and north-seeking gyrocompass) complemented by acoustic ranging provided navigation, supporting closed-loop control of heading, depth, and XY position relative to the ice. Science operations included multibeam transects of under-ice topography, precision vertical profiles for the bio-sensor suite and IR/radiance sensor suite, IR/radiance/multibeam transects at constant depth interlaced with vertical profiles and upward-looking digital still-camera surveys of the ice, including areas rich with algal material. The fiber-optic tether remained intact throughout most of all 4 dives. Consistent with the NUI concept of operations, in 3 of 4 dives the fiber-optic tether eventually failed, and the vehicle was then commanded acoustically in a series of short-duration maneuvers to return to Polarstern for recovery. These preliminary

  3. The Kjeldahl method as a primary reference procedure for total protein in certified reference materials used in clinical chemistry. II. Selection of direct Kjeldahl analysis and its preliminary performance parameters.

    Science.gov (United States)

    Vinklárková, Bára; Chromý, Vratislav; Šprongl, Luděk; Bittová, Miroslava; Rikanová, Milena; Ohnútková, Ivana; Žaludová, Lenka

    2015-01-01

    To select a Kjeldahl procedure suitable for the determination of total protein in reference materials used in laboratory medicine, we reviewed in our previous article Kjeldahl methods adopted by clinical chemistry and found an indirect two-step analysis by total Kjeldahl nitrogen corrected for its nonprotein nitrogen and a direct analysis made on isolated protein precipitates. In this article, we compare both procedures on various reference materials. An indirect Kjeldahl method gave falsely lower results than a direct analysis. Preliminary performance parameters qualify the direct Kjeldahl analysis as a suitable primary reference procedure for the certification of total protein in reference laboratories.

  4. Curriculum time compared to clinical procedures in amalgam and composite posterior restorations in U.S. dental schools: a preliminary study.

    Science.gov (United States)

    Rey, Rosalia; Nimmo, Susan; Childs, Gail S; Behar-Horenstein, Linda S

    2015-03-01

    Dental clinicians have an expanding range of biomaterial choices for restoring tooth structure. Scientific developments in cariology, advances in dental biomaterials, and patients' esthetic concerns have led to a reduction in amalgam restorations and an increase in composite restorations. The aim of this study was to compare teaching time with students' clinical procedures in amalgam and composite posterior restorations in dental schools across the United States. Academic deans in 60 schools were invited to complete a survey that asked for the amount of instructional time for amalgam and composite posterior restorations and the number of clinical restorations performed by their Classes of 2009, 2010, and 2011. Of these 60, 12 returned surveys with complete data, for a 20% response rate. Responses from these schools showed little change in lecture and preclinical laboratory instruction from 2009 to 2011. There was a slight increase in two-surface restorations for both amalgam and composites; however, the total number of reported composite and amalgam restorations remained the same. Of 204,864 restorations reported, 53% were composite, and 47% were amalgam. There were twice as many multisurface large or complex amalgam restorations as composites. One-surface composite restorations exceeded amalgams. Among the participating schools, there was little to no change between curriculum time and clinical procedures. Findings from this preliminary study reflect a modest increase in two-surface resin-based restorations placed by dental students from 2009 to 2011 and little change in curricular time devoted to teaching amalgam restorations. The total number of posterior composite restorations placed by students in these schools was slightly higher than amalgams.

  5. Extension of the preliminary rulings procedure outside the scope of Community law: ‘The Dzodzi line of cases’

    Directory of Open Access Journals (Sweden)

    Saulius Lukas Kaleda

    2000-09-01

    Full Text Available ‘The Dzodzi line of cases’ evidence that the functioning of the preliminary rulings procedure under Article 234 EC is not restricted to the scope of Community law, but extends also to the cases governed by national law referring to certain Community provision or concept. Most controversially in the context of this far-reaching pronouncement, the Court dismissed the views expressed by its Advocates General, actually, in all the cases of this type (recently in Roman Angonese , 6 June 2000. Ten years after the judgment in Dzodzi has been delivered, the future development of the tendency seems to be still open to radically different solutions. A compromise solution may be found in the acceptance of jurisdiction in ‘comparable’ situations, ascertained on the basis of relationship between the interpretation and the facts of a particular case. This solution should be based on the assessment of the ‘ability to provide helpful interpretation’ and the possibility to define a legal problem precisely, as a prerequisite for the full exchange of arguments. Then, it could provide a consistent attitude of the Court towards all the cases on the admissibility of references under Article 234 EC. The uncertainty inevitably following such a solution could be outweighed by the need to retain a flexible and cooperative attitude.

  6. Field Laboratory in the Osage Reservation -- Determination of the Status of Oil and Gas Operations: Task 1. Development of Survey Procedures and Protocols

    Energy Technology Data Exchange (ETDEWEB)

    Carroll, Herbert B.; Johnson, William I.

    1999-04-27

    Procedures and protocols were developed for the determination of the status of oil, gas, and other mineral operations on the Osage Mineral Reservation Estate. The strategy for surveying Osage County, Oklahoma, was developed and then tested in the field. Two Osage Tribal Council members and two Native American college students (who are members of the Osage Tribe) were trained in the field as a test of the procedures and protocols developed in Task 1. Active and inactive surface mining operations, industrial sites, and hydrocarbon-producing fields were located on maps of the county, which was divided into four more or less equal areas for future investigation. Field testing of the procedures, protocols, and training was successful. No significant damage was found at petroleum production operations in a relatively new production operation and in a mature waterflood operation.

  7. [The implementation of an independent and differentiated pain management SOP (Standard Operating Procedure) for the interdisciplinary intensive care unit].

    Science.gov (United States)

    Aust, Hansjörg; Wulf, Hinnerk; Vassiliou, Timon

    2013-03-01

    Up to the present day, pain management in the ICU (Intensive Care Units) is a unresolved clinical problem due to patient heterogeneity with complex variation in etiopathology and treatment of the underlying diseases. Therefore, therapeutic strategies in terms of standard operating procedure (SOP) are a necessary to improve the pain management for intensive care patients. Common guidelines for analgosedation are often inadequate to reflect the clinical situation. In particular, for an ICU setting without permanent presence of a physician a missing pain management SOP resulting in delayed pain therapy caused by a therapeutic uncertainty of the nurse staff. In addition to our pre-existing SOP for analgosedation we implemented a pain management SOP for our interdisciplinary, anaesthesiologic ICU. A exploratory survey among the nurse staff was conducted to assess the efficacy of the SOP. The results of the evaluation after a 6 month follow-up indicated a faster onset of pain management and good acceptance by the nursing staff.

  8. Virtual reality, augmented reality, and robotics applied to digestive operative procedures: from in vivo animal preclinical studies to clinical use

    Science.gov (United States)

    Soler, Luc; Marescaux, Jacques

    2006-04-01

    Technological innovations of the 20 th century provided medicine and surgery with new tools, among which virtual reality and robotics belong to the most revolutionary ones. Our work aims at setting up new techniques for detection, 3D delineation and 4D time follow-up of small abdominal lesions from standard mecial images (CT scsan, MRI). It also aims at developing innovative systems making tumor resection or treatment easier with the use of augmented reality and robotized systems, increasing gesture precision. It also permits a realtime great distance connection between practitioners so they can share a same 3D reconstructed patient and interact on a same patient, virtually before the intervention and for real during the surgical procedure thanks to a telesurgical robot. In preclinical studies, our first results obtained from a micro-CT scanner show that these technologies provide an efficient and precise 3D modeling of anatomical and pathological structures of rats and mice. In clinical studies, our first results show the possibility to improve the therapeutic choice thanks to a better detection and and representation of the patient before performing the surgical gesture. They also show the efficiency of augmented reality that provides virtual transparency of the patient in real time during the operative procedure. In the near future, through the exploitation of these systems, surgeons will program and check on the virtual patient clone an optimal procedure without errors, which will be replayed on the real patient by the robot under surgeon control. This medical dream is today about to become reality.

  9. Changes in operational procedures to improve spaceflight experiments in plant biology in the European Modular Cultivation System

    Science.gov (United States)

    Kiss, John Z.; Aanes, Gjert; Schiefloe, Mona; Coelho, Liz H. F.; Millar, Katherine D. L.; Edelmann, Richard E.

    2014-03-01

    The microgravity environment aboard orbiting spacecraft has provided a unique laboratory to explore topics in basic plant biology as well as applied research on the use of plants in bioregenerative life support systems. Our group has utilized the European Modular Cultivation System (EMCS) aboard the International Space Station (ISS) to study plant growth, development, tropisms, and gene expression in a series of spaceflight experiments. The most current project performed on the ISS was termed Seedling Growth-1 (SG-1) which builds on the previous TROPI (for tropisms) experiments performed in 2006 and 2010. Major technical and operational changes in SG-1 (launched in March 2013) compared to the TROPI experiments include: (1) improvements in lighting conditions within the EMCS to optimize the environment for phototropism studies, (2) the use of infrared illumination to provide high-quality images of the seedlings, (3) modifications in procedures used in flight to improve the focus and overall quality of the images, and (4) changes in the atmospheric conditions in the EMCS incubator. In SG-1, a novel red-light-based phototropism in roots and hypocotyls of seedlings that was noted in TROPI was confirmed and now can be more precisely characterized based on the improvements in procedures. The lessons learned from sequential experiments in the TROPI hardware provide insights to other researchers developing space experiments in plant biology.

  10. "The missing LINX" for gastroesophageal reflux disease: Operative techniques video for the Linx magnetic sphincter augmentation procedure.

    Science.gov (United States)

    Kuckelman, John P; Barron, Morgan R; Martin, Matthew J

    2017-05-01

    In 2012 the FDA approved a magnetic sphincter augmentation (MSA) device (LINX, Torax Medical, Inc) for placement around the lower esophageal sphincter as an alternative approach to fundoplication for gastroesophageal reflux disease (GERD). This is a relatively new procedure and there is not widespread familiarization with the standard indications and techniques of device placement. We present two operative videos to highlight the standard surgical technique and technical points needed for successful LINX placement. First will be placement in a standard indications setting of uncomplicated GERD with no hiatal hernia. Second will be placement with complicated anatomy due to alterations from prior gastric surgery and a hiatal hernia. Our experience has revealed that the LINX device can be placed safely in patients with normal or significantly altered anatomy but requires adherence to several key principles and technical points. This procedure offers a new option that is anatomically and physiologically unique compared to standard fundoplication, and that offers highly effective control of GERD with a less invasive approach. Published by Elsevier Inc.

  11. Standard operating procedures approach for the implementation of the evidence-based dentistry concept in dental practice.

    Science.gov (United States)

    Faggion, Clóvis M; Tu, Yu-Kang

    2007-09-01

    Evidence-based dentistry is a concept that when applied to clinical practice may improve the quality of dental treatment. However, dentists' reluctance to change their behavior may be a barrier to the implementation of the process. The main purpose of this study was to demonstrate that standard operating procedures (SOPs) may help dentists to apply scientific evidence to their dental practice. SOPs are written instructions on how to execute some specific tasks. A flowchart model demonstrated how an ordinary clinical procedure (composite restoration) can be performed using evidence-based information to support each executed step. Implementing the model into daily practice is straightforward, and the results are accessible to the whole dental team. In addition, the flowchart can be regularly updated with high-quality dental literature such as systematic reviews of randomized controlled trials and randomized controlled trials. This proposed model may help to bridge the gap between research and clinical dental practice by serving as a practical tool to improve the knowledge of dental practitioners and the quality of treatment.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2011-04-15

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

  13. qPCR standard operating procedure for measuring microorganisms in dust from dwellings in large cohort studies.

    Science.gov (United States)

    Scherer, Emeline; Rocchi, Steffi; Reboux, Gabriel; Vandentorren, Stéphanie; Roussel, Sandrine; Vacheyrou, Mallory; Raherison, Chantal; Millon, Laurence

    2014-01-01

    The aim of the present study was to assess performance, feasibility and relevance of a Standard Operational Procedure (SOP) for large-scale use in the microbial analysis of children's indoor environments. We analyzed dust settled on Electrostatic Dust Fall Collectors (EDCs) by using qPCR which targeted 6 molds, 3 bacteria and 1 mite, chosen for their involvement in allergic or inflammatory processes. Six types of commercialized electrostatic wipes were tested for their releasing capacity of fungal DNA from fungal spores captured by the wipes. Specificity, repeatability and detection limits of the qPCR procedure were tested using calibrated microbial suspensions. The feasibility and relevance of this sampling and analysis method were assessed in a 75-home pilot study. Our result showed that one specific make of wipe was more effective than the others in releasing fungal DNA. qPCR procedure showed good repeatability. The quantification limit was about 5 fg DNA/μL for all species except Penicillium chrysogenum (0.5 fg DNA/μL) and Dermatophagoïdes pteronyssinus (10 fg DNA/μL). No cross-reactivity was observed. DNA concentrations in the 53/75 homes participating in the pilot study were between 0 and 24 625, 0 and 69 738 equivalent cells per cm(2) for the fungi and bacteria, and between 0 and 1 equivalent mites per cm(2) for D. pteronyssinus. Using the SOP described, we were able to classify the 53 dwellings from the least to the most contaminated according to the quantity of DNA measured for each species. Our SOP measured fungi, bacteria and mites using a cost-efficient, discreet and well-accepted sampling method with just one qPCR tool. The whole procedure can be used for microbial analysis in large cohort studies such as the ELFE study ("Etude Longitudinale Française depuis l'Enfance") and could help improve our understanding of the interactions between the environment, allergic diseases and child development.

  14. The Experimental Regional Ensemble Forecast System (ExREF): Its Use in NWS Forecast Operations and Preliminary Verification

    Science.gov (United States)

    Reynolds, David; Rasch, William; Kozlowski, Daniel; Burks, Jason; Zavodsky, Bradley; Bernardet, Ligia; Jankov, Isidora; Albers, Steve

    2014-01-01

    The Experimental Regional Ensemble Forecast (ExREF) system is a tool for the development and testing of new Numerical Weather Prediction (NWP) methodologies. ExREF is run in near-realtime by the Global Systems Division (GSD) of the NOAA Earth System Research Laboratory (ESRL) and its products are made available through a website, an ftp site, and via the Unidata Local Data Manager (LDM). The ExREF domain covers most of North America and has 9-km horizontal grid spacing. The ensemble has eight members, all employing WRF-ARW. The ensemble uses a variety of initial conditions from LAPS and the Global Forecasting System (GFS) and multiple boundary conditions from the GFS ensemble. Additionally, a diversity of physical parameterizations is used to increase ensemble spread and to account for the uncertainty in forecasting extreme precipitation events. ExREF has been a component of the Hydrometeorology Testbed (HMT) NWP suite in the 2012-2013 and 2013-2014 winters. A smaller domain covering just the West Coast was created to minimize band-width consumption for the NWS. This smaller domain has and is being distributed to the National Weather Service (NWS) Weather Forecast Office and California Nevada River Forecast Center in Sacramento, California, where it is ingested into the Advanced Weather Interactive Processing System (AWIPS I and II) to provide guidance on the forecasting of extreme precipitation events. This paper will review the cooperative effort employed by NOAA ESRL, NASA SPoRT (Short-term Prediction Research and Transition Center), and the NWS to facilitate the ingest and display of ExREF data utilizing the AWIPS I and II D2D and GFE (Graphical Software Editor) software. Within GFE is a very useful verification software package called BoiVer that allows the NWS to utilize the River Forecast Center's 4 km gridded QPE to compare with all operational NWP models 6-hr QPF along with the ExREF mean 6-hr QPF so the forecasters can build confidence in the use of the

  15. 28 CFR 48.16 - Procedure for filing of terms of a renewal or amendment to an existing joint newspaper operating...

    Science.gov (United States)

    2010-07-01

    ... renewal or amendment to an existing joint newspaper operating arrangement. 48.16 Section 48.16 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) NEWSPAPER PRESERVATION ACT § 48.16 Procedure for filing of terms of a renewal or amendment to an existing joint newspaper operating arrangement. Within 30 days after...

  16. The use of virtual reality and intelligent database systems for procedure planning, visualisation, and real-time component tracking in remote handling operations

    Energy Technology Data Exchange (ETDEWEB)

    Robbins, Edward [JET-EFDA, Culham Science Centre, OX14 3DB, Abingdon (United Kingdom); Oxford Technologies Ltd., 7 Nuffield Way, Abingdon, Oxon, OX14 1RJ (United Kingdom)], E-mail: edward.robbins@oxfordtechnologies.co.uk; Sanders, Stephen; Williams, Adrian [JET-EFDA, Culham Science Centre, OX14 3DB, Abingdon (United Kingdom); Oxford Technologies Ltd., 7 Nuffield Way, Abingdon, Oxon, OX14 1RJ (United Kingdom); Allan, Peter [JET-EFDA, Culham Science Centre, OX14 3DB, Abingdon (United Kingdom); UKAEA/Euratom Fusion Association, Culham Science Centre, Abingdon, Oxfordshire, Oxon OX14 3DB/3EA (United Kingdom)

    2009-06-15

    The organisation of remote handling (RH) operations in fusion environments is increasingly critical as the number of tasks, components and tooling that RH operations teams must deal with inexorably rises. During the recent JET EP1 RH shutdown the existing virtual reality (VR) and procedural database systems proved essential for visualisation and tracking of operations, particularly due to the increasing complexity of remote tasks. A new task planning system for RH operations is in development, and is expected to be ready for use during the next major shutdown, planned for 2009. The system will make use of information available from the remote operations procedures, the RH equipment human-machine interfaces, the on-line RH equipment control systems and also the virtual reality (VR) system to establish a complete database for the location of plant items and RH equipment as RH operations progress. It is intended that the system be used during both preparation and implementation of shutdowns. In the preparations phase the system can be used to validate procedures and overall logistics by allowing an operator to increment through each operation step and to use the VR system to visualise the location and status of all components, manipulators and RH tools. During task development the RH operations engineers can plan and visualise movement of components and tooling to examine handling concepts and establish storage requirements. In the implementation of operations the daily work schedules information will be integrated with the RH operations procedures tracking records to enable the VR system to provide a visual representation of the status of remote operations in real time. Monitoring of the usage history of items will allow estimates of radiation dosage and contaminant exposure to be made. This paper describes the overall aims, structure and use of the system, discusses its application to JET and also considers potential future developments.

  17. Standard Operating Procedures, ethical and legal regulations in BTB (Brain/Tissue/Bio) banking: what is still missing?

    Science.gov (United States)

    Ravid, Rivka

    2008-09-01

    The use of human biological specimens in scientific research is the focus of current international public and professional concern and a major issue in bioethics in general. Brain/Tissue/Bio banks (BTB-banks) are a rapid developing sector; each of these banks acts locally as a steering unit for the establishment of the local Standard Operating Procedures (SOPs) and the legal regulations and ethical guidelines to be followed in the procurement and dissemination of research specimens. An appropriat Code of Conduct is crucial to a successful operation of the banks and the research application they handle. What are we still missing ? (1) Adequate funding for research BTB-banks. (2) Standard evaluation protocls for audit of BTB-bank performance. (3) Internationally accepted SOP's which will facilitate exchange and sharing of specimens and data with the scientific community. (4) Internationally accepted Code of Conduct. In the present paper we review the most pressing organizational, methodological, medico-legal and ethical issues involved in BTB-banking; funding, auditing, procurement, management/handling, dissemination and sharing of specimens, confidentiality and data protection, genetic testing, "financial gain" and safety measures. Taking into consideration the huge variety of the specimens stored in different repositories and the enormous differences in medico-legal systems and ethics regulations in different countries it is strongly recommend that the health-care systems and institutions who host BTB-Banks will put more efforts in getting adequate funding for the infrastructure and daily activities. The BTB-banks should define evaluation protocols, SOPs and their Code of Conduct. This in turn will enable the banks to share the collected specimens and data with the largest possible number of researchers and aim at a maximal scientific spin-off and advance in public health research.

  18. Evaluasi Penerapan Standard Operating Procedure-Good Agriculture Practice (SOP-GAP pada Usahatani Padi Organik di Kabupaten Bantul

    Directory of Open Access Journals (Sweden)

    Sriyadi Sriyadi

    2016-02-01

    Full Text Available Food security has meaning not only the availability of adequate food, but also providing security for producers and consumers and ensuring environmental sustainability for sustainable production. Organic farming systems are expected to solve the problem for realizing food security and enhancement of people's welfare. The results of research indicated that, (1 The implementation level of Standard Operating Procedure-Good Agriculture Practice (SOP-GAP of Organic Rice Farming in Bantul district was quite high, (2 The implementation level of SOP-GAP of Organic Rice Farming related to the availability of capital, the selling price and the purchase price of inputs (seeds and fertilizers, (3 The level of the farmer's decision related to the implementation level of SOP-GAP of organic rice farming, and (4 development of organic rice farming required availability of sufficient capital. In this regard the government, particularly the agriculture authority and food security agency need to disburse or facilitate capital for farmers in revolving as well as low interest loans.

  19. Quality and operations of portable X-ray examination procedures in the emergency room: queuing theory at work.

    Science.gov (United States)

    Abujudeh, Hani; Vuong, Bill; Baker, Stephen R

    2005-07-01

    The objective of this study was to evaluate the operation of the portable X-ray machine in relation to examinations ordered by the Emergency Department at the University of Medicine and Dentistry of New Jersey, as well as to identify any bottlenecks hindering the performance of the aforementioned system. To do so, the activity of the portable X-ray was monitored in the period from 8 June 2004 to 24 June 2004, as well as from 6 July 2004 to 12 July 2004, yielding 11 days of data and 116 individual X-ray examinations. During observation times was noted for various checkpoints in the procedure. Using the data gathered, the average input, output, processing times, and variance were calculated. In turn, these values were used to calculate the response times for the Ordering Phase (5.502 min), traveling (2.483 min), Examination Phase (4.453 min), returning (3.855 min), Order Processing Phase (2.962 min), and the Development Phase (3.437 min). These phases were combined for a total of 22.721 min from the time the examination was placed to the time the X-ray films were uploaded to the PACS computer network. Based on these calculations, the Ordering Phase was determined to be the single largest bottleneck in the portable X-ray system. The Examination Phase also represented the second largest bottleneck for a combined total of 44% of the total response time.

  20. Safety training and safe operating procedures written for PBFA (Particle Beam Fusion Accelerator) II and applicable to other pulsed power facilities

    Energy Technology Data Exchange (ETDEWEB)

    Donovan, G.L.; Goldstein, S.A.

    1986-12-01

    To ensure that work in advancing pulsed power technology is performed with an acceptably low risk, pulsed power research facilities at Sandia National Laboratories must satisfy general safety guidelines established by the Department of Energy, policies and formats of the Environment, Safety, and Health (ES and H) Department, and detailed procedures formulated by the Pulsed Power Sciences Directorate. The approach to safety training and to writing safe operating procedures, and the procedures presented here are specific to the Particle Beam Fusion Accelerator II (PBFA II) Facility but are applicable as guidelines to other research and development facilities which have similar hazards.

  1. [Conditions for the survival of combat casualties in overseas operations: procedure and experience from the Afghan out-of-hospital theater].

    Science.gov (United States)

    Palmier, Bruno

    2012-01-01

    Recent conflicts have led the French Army Health Service to specify the setting condition for the survival of combat casualties in overseas operations. The majority of them are victims of explosion injuries, and an early and effective control of bleeding is the primary means of improving survival. A procedure called "Combat Rescue" is taught. This chronological procedure favours external haemostasis and led to specific equipment, in particular a tourniquet and a haemostatic bandage of high efficiency. It is applied in recent years on the Afghan out-of-hospital theatre. A very front medical presence, which is systematic during evacuations, is a feature of the French Army Health Service operations support.

  2. Operating Procedures and the Expectations Theory of the Term Structure of Interest Rates: A Note on the New Zealand Experience from 1989 to 2008

    OpenAIRE

    Alfred Guender; Allan G.J. Wu

    2010-01-01

    The operating procedure of a central bank influences in no small measure whether the behavior of interest rates is consistent with the expectations hypothesis. In New Zealand, the predictive content of the term spread improves markedly in the wake of the switch from a quantity-based to a price-based operating procedure in March 1999. The Official Cash Rate system has made it easier for market participants to understand the day-to-day conduct of monetary policy. As a result, market interest ra...

  3. Thermal energy storage in aquifiers: preliminary information

    Energy Technology Data Exchange (ETDEWEB)

    Allen, R.D.

    1979-12-01

    Topics discussed include: conceptual designs; numerical modelling; field experiments; relevant technical information; feasibility studies; preliminary aquifer selection considerations; and preliminary design and operating considerations. (TFD)

  4. Raising the quality of rheumatology management recommendations: lessons from the EULAR process 10 years after provision of standard operating procedures.

    Science.gov (United States)

    Colebatch-Bourn, Alexandra N; Conaghan, Philip G; Arden, Nigel K; Cooper, Cyrus; Dougados, Maxime; Edwards, Christopher J

    2015-08-01

    To increase understanding of how to raise the quality of rheumatology guidelines by reviewing European League Against Rheumatism (EULAR) management recommendations, using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument, 10 years after publication of the EULAR standardized operating procedures (SOP) for the production of recommendations. It was hoped that this work could help inform improvements in guideline development by other societies and organizations. The SOP were published in 2004 to ensure the quality of EULAR-endorsed recommendations. We reviewed 27 published EULAR recommendations for management using the AGREE II tool. This provides a framework to assess the quality of guidelines across six broad domains using 23 specific questions. Overall the EULAR recommendations reviewed have been performed to a high standard. There are particular strengths in the methodology and presentation of the guidelines; however, the results indicate areas for development in future recommendations: in particular, stakeholder involvement and applicability of the recommendations. Improvements in quality were evident in recent years, with patient representation in 9 of 15 (60.0%) recommendations published 2010-14 compared with 4 of 12 (33.3%) published 2000-09. In the last 10 years the overall quality of recommendations was good, with standards improving over the decade following publication of the SOP. However, this review process has identified potential areas for improvement, especially in patient representation and provision of implementation tools. The lessons from this work can be applied to the development of rheumatology guidelines by other societies and organizations. © The Author 2015. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  5. An improved automated procedure for informal and temporary dwellings detection and enumeration, using mathematical morphology operators on VHR satellite data

    Science.gov (United States)

    Jenerowicz, Małgorzata; Kemper, Thomas

    2016-10-01

    Every year thousands of people are displaced by conflicts or natural disasters and often gather in large camps. Knowing how many people have been gathered is crucial for an efficient relief operation. However, it is often difficult to collect exact information on the total number of the population. This paper presents the improved morphological methodology for the estimation of dwellings structures located in several Internally Displaced Persons (IDPs) Camps, based on Very High Resolution (VHR) multispectral satellite imagery with pixel sizes of 1 meter or less including GeoEye-1, WorldView-2, QuickBird-2, Ikonos-2, Pléiades-A and Pléiades-B. The main topic of this paper is the approach enhancement with selection of feature extraction algorithm, the improvement and automation of pre-processing and results verification. For the informal and temporary dwellings extraction purpose the high quality of data has to be ensured. The pre-processing has been extended by including the input data hierarchy level assignment and data fusion method selection and evaluation. The feature extraction algorithm follows the procedure presented in Jenerowicz, M., Kemper, T., 2011. Optical data are analysed in a cyclic approach comprising image segmentation, geometrical, textural and spectral class modeling aiming at camp area identification. The successive steps of morphological processing have been combined in a one stand-alone application for automatic dwellings detection and enumeration. Actively implemented, these approaches can provide a reliable and consistent results, independent of the imaging satellite type and different study sites location, providing decision support in emergency response for the humanitarian community like United Nations, European Union and Non-Governmental relief organizations.

  6. Preliminary volcanic hazards evaluation for Los Alamos National Laboratory Facilities and Operations : current state of knowledge and proposed path forward

    Energy Technology Data Exchange (ETDEWEB)

    Keating, Gordon N.; Schultz-Fellenz, Emily S.; Miller, Elizabeth D.

    2010-09-01

    The integration of available information on the volcanic history of the region surrounding Los Alamos National Laboratory indicates that the Laboratory is at risk from volcanic hazards. Volcanism in the vicinity of the Laboratory is unlikely within the lifetime of the facility (ca. 50–100 years) but cannot be ruled out. This evaluation provides a preliminary estimate of recurrence rates for volcanic activity. If further assessment of the hazard is deemed beneficial to reduce risk uncertainty, the next step would be to convene a formal probabilistic volcanic hazards assessment.

  7. Robotic-assisted transperitoneal nephron-sparing surgery for small renal masses with associated surgical procedures: surgical technique and preliminary experience.

    Science.gov (United States)

    Ceccarelli, Graziano; Codacci-Pisanelli, Massimo; Patriti, Alberto; Ceribelli, Cecilia; Biancafarina, Alessia; Casciola, Luciano

    2013-09-01

    Small renal masses (T1a) are commonly diagnosed incidentally and can be treated with nephron-sparing surgery, preserving renal function and obtaining the same oncological results as radical surgery. Bigger lesions (T1b) may be treated in particular situations with a conservative approach too. We present our surgical technique based on robotic assistance for nephron-sparing surgery. We retrospectively analysed our series of 32 consecutive patients (two with 2 tumours and one with 4 bilateral tumours), for a total of 37 robotic nephron-sparing surgery (RNSS) performed between June 2008 and July 2012 by a single surgeon (G.C.). The technique differs depending on tumour site and size. The mean tumour size was 3.6 cm; according to the R.E.N.A.L. Nephrometry Score 9 procedures were considered of low, 14 of moderate and 9 of hight complexity with no conversion in open surgery. Vascular clamping was performed in 22 cases with a mean warm ischemia time of 21.5 min and the mean total procedure time was 149.2 min. Mean estimated blood loss was 187.1 ml. Mean hospital stay was 4.4 days. Histopathological evaluation confirmed 19 cases of clear cell carcinoma (all the multiple tumours were of this nature), 3 chromophobe tumours, 1 collecting duct carcinoma, 5 oncocytomas, 1 leiomyoma, 1 cavernous haemangioma and 2 benign cysts. Associated surgical procedures were performed in 10 cases (4 cholecystectomies, 3 important lyses of peritoneal adhesions, 1 adnexectomy, 1 right hemicolectomy, 1 hepatic resection). The mean follow-up time was 28.1 months ± 12.3 (range 6-54). Intraoperative complications were 3 cases of important bleeding not requiring conversion to open or transfusions. Regarding post-operative complications, there were a bowel occlusion, 1 pleural effusion, 2 pararenal hematoma, 3 asymptomatic DVT (deep vein thrombosis) and 1 transient increase in creatinine level. There was no evidence of tumour recurrence in the follow-up. RNSS is a safe and feasible technique

  8. Relationships between post operative pain management and short term functional mobility in total knee arthroplasty patients with a femoral nerve catheter: A preliminary study

    Directory of Open Access Journals (Sweden)

    Ward Sarah

    2011-02-01

    Full Text Available Abstract Background Effective pain management following total knee arthroplasty (TKA is fundamental in achieving positive rehabilitation outcomes. The purpose of our study was to investigate post operative pain management in relation to short term functional mobility in an intervention group receiving concomitant use of an IV narcotic PCA and a continuous infusion of local anaesthetic via a femoral nerve catheter (CFNC, compared to a group receiving narcotic PCA alone. This was a preliminary study conducted to establish an appropriate design for a larger investigative study. Methods A prospective design was used to measure the effect of a CFNC on post operative pain management and functional mobility prior to hospital discharge. The amount of fentanyl used, pain and nausea scores, timed up and go (TUG tests and active range of knee movement (AROM were used to compare a CFNC and supplemental narcotic patient controlled analgesia (PCA group (n = 27 with a PCA only group (n = 25. Results The CFNC group used significantly less fentanyl than the PCA only group (p s = .505 p s = .529 p s = .328, p = .034 Conclusions In this small preliminary study improved TUG performance at Day 4 post op was not influenced by the use of a CFNC but was positively correlated with male gender, preoperative performance, time elapsed since last oral analgesia and pain score. However AROM was decreased in the CFNC group suggesting further research on the relationship between CFNCs, local anaesthetic concentration and quadriceps strength should be incorporated in the follow up study's design.

  9. 基于调度倒闸操作流程及标准操作程序的操作安全防误应用%Safety Mistake Preventing Application of Dispatching Operation Based on Scheduling Switching Operation Procedures and Standard Operating Procedures

    Institute of Scientific and Technical Information of China (English)

    樊启俊; 胡伟; 王兴存; 刘军

    2015-01-01

    An analysis is made of the dispatching operation business security mistake prevention management specification requirements and the current mainstream development mode of security anti-false application.It is proposed that the relevant anti-error safety application mode of anti-fault security check be called in different links of the procedures with the scheduling of switching operation procedures and the standard operation procedure (SOP) as the main line.And a detailed description of specific design and implementation is presented.The anti-error management of SOP is seamlessly blended with anti-false technology such as safety checking and calculation,realizing the anti-error safety of the whole procedure of dispatching operation business.%分析了调度操作业务安全防误管理的规范要求和当前主流的安全防误应用建设模式,提出了以调度倒闸操作流程及标准操作程序(SOP)为主线,在流程的不同环节调用相关安全防误校核的安全防误应用模式,并详细阐述了具体设计实现,将 SOP 的管理防误与安全校核计算等技术防误无缝融合,实现了调度操作业务的全过程安全防误。

  10. A Guide for Developing Standard Operating Job Procedures for the Activated Sludge - Aeration & Sedimentation Process Wastewater Treatment Facility. SOJP No. 5.

    Science.gov (United States)

    Mason, George J.

    This guide for developing standard operating job procedures for wastewater treatment facilities is devoted to the activated sludge aeration and sedimentation process. This process is for conversion of nonsettleable and nonfloatable materials in wastewater to settleable, floculated biological groups and separation of the settleable solids from the…

  11. Diagnosis and dosimetry of exposure to sulfur mustard: Development of a standard operating procedure for mass spectrometric analysis of haemoglobin adducts - Exploratory research on albumin and keratin adducts

    NARCIS (Netherlands)

    Noort, D.; Fidder, A.; Hulst, A.G.; Jong, L.P.A. de; Benschop, H.P.

    2000-01-01

    Experiments were carried out to develop a standard operating procedure for analysis of sulfur mustard adducts to the N-terminal valine in haemoglobin and to explore adduct formation with albumin and keratin. In the first approach, gas chromatography-negative chemical ionization/mass spectrometry (GC

  12. General ultrasound screening reduces the rate of first operative procedures for developmental dysplasia of the hip: a case-control study.

    Science.gov (United States)

    von Kries, Rüdiger; Ihme, Nicola; Altenhofen, Lutz; Niethard, Fritz Uwe; Krauspe, Rüdiger; Rückinger, Simon

    2012-02-01

    To assess the effectiveness of general ultrasound screening to prevent first operative procedures of the hip. We conducted a case-control study in a population in which general ultrasound screening supplementing clinical screening is recommended and offered free of charge for all children. Participation in ultrasound screening before week 7 as recommended in Germany was the exposure of interest. Case ascertainment was based on active surveillance in orthopedic hospitals. The case definition was: first operative procedure for developmental dysplasia of the hip (closed reduction, open reduction, or osteotomy) in children >9 weeks old and dysplasia of the hip (n = 446) were compared with 1173 control subjects for ultrasound screening. Effectiveness of ultrasound screening to prevent first operative procedures for developmental dysplasia of the hip was estimated as 52% (95% CI, 32-67). Effectiveness did not vary substantially for closed and open reductions and osteotomy. General ultrasound screening reduces the rate of operative procedures for developmental dysplasia of the hip; the impact on developmental dysplasia of the hip. Treatment rates and avascular necrosis need further assessment to balance the benefit against potential overtreatment and adverse effects. Copyright © 2012 Mosby, Inc. All rights reserved.

  13. A Guide for Developing Standard Operating Job Procedures for the Activated Sludge - Aeration & Sedimentation Process Wastewater Treatment Facility. SOJP No. 5.

    Science.gov (United States)

    Mason, George J.

    This guide for developing standard operating job procedures for wastewater treatment facilities is devoted to the activated sludge aeration and sedimentation process. This process is for conversion of nonsettleable and nonfloatable materials in wastewater to settleable, floculated biological groups and separation of the settleable solids from the…

  14. CTEPP STANDARD OPERATING PROCEDURE FOR EXTRACTING AND PREPARING DERMAL WIPE AND SURFACE WIPE SAMPLES FOR ANALYSIS OF POLAR ORGANIC POLLUTANTS (SOP-5.27)

    Science.gov (United States)

    The method for extracting and preparing a dermal or surface wipe sample for analysis of acidic persistent organic pollutants is summarized in this standard operating procedure. It covers the extraction and concentration of samples that are to be analyzed by gas chromatography/mas...

  15. Diagnosis and dosimetry of exposure to sulfur mustard: Development of a standard operating procedure for hemoglobin adducts: Exploratory research on albumin and keratin adducts

    NARCIS (Netherlands)

    Noort, D.; Fidder, A.; Jong, L.P.A. de; Schans, G.P. van der; Benschop, H.P.

    2000-01-01

    A standard operating procedure (SOP) for determination of the sulfur mustard adduct to the N-terminal valine in hemoglobin was developed. By using this SOP, it was found that the Nterminal valine adduct in globin of hairless guinea pigs and marmosets which had been exposed to sulfur mustard (0.5 LD5

  16. Prediction of patient-specific post-operative outcomes of TAVI procedure: The impact of the positioning strategy on valve performance.

    Science.gov (United States)

    Morganti, S; Brambilla, N; Petronio, A S; Reali, A; Bedogni, F; Auricchio, F

    2016-08-16

    Prosthesis positioning in transcatheter aortic valve implantation procedures represents a crucial aspect for procedure success as demonstrated by many recent studies on this topic. Possible complications, device performance, and, consequently, also long-term durability are highly affected by the adopted prosthesis placement strategy. In the present work, we develop a computational finite element model able to predict device-specific and patient-specific replacement procedure outcomes, which may help medical operators to plan and choose the optimal implantation strategy. We focus in particular on the effects of prosthesis implantation depth and release angle. We start from a real clinical case undergoing Corevalve self-expanding device implantation. Our study confirms the crucial role of positioning in determining valve anchoring, replacement failure due to intra or para-valvular regurgitation, and post-operative device deformation.

  17. Animation program used to encourage patients or family members to take an active role for eliminating wrong-site, wrong-person, wrong-procedure surgeries: preliminary evaluation.

    Science.gov (United States)

    See, Lai-Chu; Chang, Yi-Hua; Chuang, Kai-Lan; Lai, Hui-Ru; Peng, Pei-I; Jean, Wen-Chyi; Wang, Chao-Hui

    2011-01-01

    Wrong-site surgeries (including wrong-site, wrong-person and wrong-procedure errors) remain the number one problem among adverse events of health care delivery. Patients and/or family members should be involved when possible to help prevent such errors. 1) Design an educational animation program about patient safety for patients and/or family members to help eliminate wrong-site surgery errors. 2) Evaluate its educational effect. The animation developed for this study includes an introduction, hypothetical story, and guided information, and was presented at a tertiary medical center in northern Taiwan. A single-group pretest and posttest design was used. Forty-six patients and 48 family members participated in the study. The pre-training score was 3.6 (on a scale of 1-4). After watching the animation, there was no significant increase (0.08 ± 0.5) for the patient group, but the family member group showed significant improvement (0.21 ± 0.6, P = .0309). Most participants (98.9%) were satisfied with the animation. The majority of participants reported good practices for avoiding wrong-site surgery mistakes before an operation. A significant improvement of post-training scores in the family member group was seen. The high satisfaction rating given by the participants after seeing the animation indicates that it was generally acceptable. Copyright © 2010 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

  18. Comparison between local anaesthesia with remifentanil and total intravenous anaesthesia for operative hysteroscopic procedures in day surgery

    DEFF Research Database (Denmark)

    Majholm, B; Bartholdy, J; Clausen, H V;

    2012-01-01

    BACKGROUND: /st>This study aimed at comparing total i.v. anaesthesia (TIVA) with monitored anaesthesia care (MAC) during day-surgery operative hysteroscopy regarding: operation time, time to mobilization and discharge, and patient satisfaction. METHODS: /st>Ninety-one healthy women were randomized.......003). CONCLUSIONS: /st>Paracervical local anaesthesia combined with remifentanil is suitable for operative hysteroscopy in day surgery....

  19. Initial Investigations of Controller Tools and Procedures for Schedule-Based Arrival Operations with Mixed Flight-Deck Interval Management Equipage

    Science.gov (United States)

    Callantine, Todd J.; Cabrall, Christopher; Kupfer, Michael; Omar, Faisal G.; Prevot, Thomas

    2012-01-01

    NASA?s Air Traffic Management Demonstration-1 (ATD-1) is a multi-year effort to demonstrate high-throughput, fuel-efficient arrivals at a major U.S. airport using NASA-developed scheduling automation, controller decision-support tools, and ADS-B-enabled Flight-Deck Interval Management (FIM) avionics. First-year accomplishments include the development of a concept of operations for managing scheduled arrivals flying Optimized Profile Descents with equipped aircraft conducting FIM operations, and the integration of laboratory prototypes of the core ATD-1 technologies. Following each integration phase, a human-in-the-loop simulation was conducted to evaluate and refine controller tools, procedures, and clearance phraseology. From a ground-side perspective, the results indicate the concept is viable and the operations are safe and acceptable. Additional training is required for smooth operations that yield notable benefits, particularly in the areas of FIM operations and clearance phraseology.

  20. U.S. Geological Survey Noble Gas Laboratory’s standard operating procedures for the measurement of dissolved gas in water samples

    Science.gov (United States)

    Hunt, Andrew G.

    2015-08-12

    This report addresses the standard operating procedures used by the U.S. Geological Survey’s Noble Gas Laboratory in Denver, Colorado, U.S.A., for the measurement of dissolved gases (methane, nitrogen, oxygen, and carbon dioxide) and noble gas isotopes (helium-3, helium-4, neon-20, neon-21, neon-22, argon-36, argon-38, argon-40, kryton-84, krypton-86, xenon-103, and xenon-132) dissolved in water. A synopsis of the instrumentation used, procedures followed, calibration practices, standards used, and a quality assurance and quality control program is presented. The report outlines the day-to-day operation of the Residual Gas Analyzer Model 200, Mass Analyzer Products Model 215–50, and ultralow vacuum extraction line along with the sample handling procedures, noble gas extraction and purification, instrument measurement procedures, instrumental data acquisition, and calculations for the conversion of raw data from the mass spectrometer into noble gas concentrations per unit mass of water analyzed. Techniques for the preparation of artificial dissolved gas standards are detailed and coupled to a quality assurance and quality control program to present the accuracy of the procedures used in the laboratory.

  1. Opportunity of objective account of the colorimetric procedure using benzidine indicative at establishing the preliminary presence of blood on the material evidences

    Directory of Open Access Journals (Sweden)

    A. V. Konovalenko

    2015-01-01

    Full Text Available The article presents a modification of the colorimetric method for the preliminary establishment of presence of blood in the stainson the material evidences using benzidine test. The proposed modification is accompanied by photometric accounting and computer processing of the results. Performance, objectivity, as well as other features and advantages of this method when used in forensic practice are described in detail.

  2. Tableau-based decision procedure for the multi-agent epistemic logic with all coalitional operators for common and distributed knowledge

    CERN Document Server

    Ajspur, Mai; Shkatov, Dmitry

    2012-01-01

    We develop a conceptually clear, intuitive, and feasible decision procedure for testing satisfi?ability in the full multi-agent epistemic logic CMAEL(CD) with operators for common and distributed knowledge for all coalitions of agents mentioned in the language. To that end, we introduce Hintikka structures for CMAEL(CD) and prove that satisfiability in such structures is equivalent to satis?fiability in standard models. Using that result, we design an incremental tableau-building procedure that eventually constructs a satisfying Hintikka structure for every satisfi?able input set of formulae of CMAEL(CD) and closes for every unsatisfi?able input set of formulae.

  3. Preliminary assessment of accident-tolerant fuels on LWR performance during normal operation and under DB and BDB accident conditions

    Science.gov (United States)

    Ott, L. J.; Robb, K. R.; Wang, D.

    2014-05-01

    Following the severe accidents at the Japanese Fukushima Daiichi Nuclear Power Station in 2011, the US Department of Energy initiated research and development on the enhancement of the accident tolerance of light water reactors by the development of fuels/cladding that, in comparison with the standard UO2/Zircaloy (Zr) system, can tolerate loss of active cooling in the core for a considerably longer time period while maintaining or improving the fuel performance during normal operations. Analyses are presented that illustrate the impact of these new candidate fuel/cladding materials on the fuel performance at normal operating conditions and on the reactor system under DB and BDB accident conditions.

  4. Content Analysis of Vomit and Diarrhea Cleanup Procedures To Prevent Norovirus Infections in Retail and Food Service Operations.

    Science.gov (United States)

    Chao, Morgan G; Dubé, Anne-Julie; Leone, Cortney M; Moore, Christina M; Fraser, Angela M

    2016-11-01

    Human noroviruses are the leading cause of foodborne disease in the United States, sickening 19 to 21 million Americans each year. Vomit and diarrhea are both highly concentrated sources of norovirus particles. For this reason, establishing appropriate cleanup procedures for these two substances is critical. Food service establishments in states that have adopted the 2009 or 2013 U.S. Food and Drug Administration Food Code are required to have a program detailing specific cleanup procedures. The aim of our study was to determine the alignment of existing vomit and diarrhea cleanup procedures with the 11 elements recommended in Annex 3 of the 2011 Supplement to the 2009 Food Code and to determine their readability and clarity of presentation. In July 2015, we located vomit and diarrhea cleanup procedures by asking Norovirus Collaborative for Outreach, Research, and Education stakeholders for procedures used by their constituency groups and by conducting a Google Advanced Search of the World Wide Web. We performed content analysis to determine alignment with the recommendations in Annex 3. Readability and clarity of presentation were also assessed. A total of 38 artifacts were analyzed. The mean alignment score was 7.0 ± 1.7 of 11 points; the mean clarity score was 6.7 ± 2.5 of 17 points. Only nine artifacts were classified as high clarity, high alignment. Vomit and diarrhea cleanup procedures should align with Annex 3 in the Food Code and should, as well, be clearly presented; yet, none of the artifacts completely met both conditions. To reduce the spread of norovirus infections in food service establishments, editable guidelines are needed that are aligned with Annex 3 and are clearly written, into which authors could insert their facility-specific information.

  5. 核电厂运行规程标准化开发的研究%Research on Operating Procedures Standardized Development for Nuclear Power Plants

    Institute of Scientific and Technical Information of China (English)

    施锦; 薛山虎

    2016-01-01

    While operating procedures documentations are complex and are very important to safe opera⁃tion of nuclear power plants, the development of operating procedures standardizations are required to en⁃sure the correctness and standardization of procedures� Based on the framework analysis of operating pro⁃cedures for CAP series advanced passive plants, the functional requirements of procedures standardization development are analyzed� Through programming and code implementation, some tools for procedures standardized development are designed and established, as well as a software platform� The operating pro⁃cedures developers are able to establish standardized operating procedures through the platform� Meanwhile the important technical contents are informationized� The specific practices show that this platform sup⁃ports operating procedure standardization efficiently, and meets the regulatory requirements for operating limits and conditions� It also benefits the human errors reduction for operators from the start of operating procedures design, which is meaningful to enhance the operational safety of nuclear power plants.%由于运行规程文件体系的复杂性、运行规程对核电厂安全运行的重要性,为了充分保证运行规程的正确性和规范性,实现核电厂运行规程的标准化开发是十分必要的。本文基于规程体系和内容结构的分析,对CAP系列核电厂运行规程标准化开发的需求进行了分析,通过程序设计和代码实现开发了规程标准化开发工具并建立了规程标准化开发平台。规程开发人员能够通过平台应用使开发出的规程文件标准化、规程重要技术内容信息化,并在后台实现数据管理。实践表明,运行规程标准化开发平台能够有效提高规程的质量和开发效率,满足核安全法规对运行限值和条件的跟踪、配置管理要求,能够从设计源头降低主控室操纵员出现人因

  6. 单切口改良Nuss手术矫治儿童漏斗胸%Modified Single-incision Nuss Procedure for Pectus Excavatum in Children: Preliminary Experience

    Institute of Scientific and Technical Information of China (English)

    陶麒麟; 贾兵; 闫宪刚; 张惠锋

    2016-01-01

    41 cases of symmetric type and 24 cases of asymmetric type.The mean preoperative Haller index measured by CT scanning was 4.65 ±1.56, ranged from 3.21 to 12.54.A new type of titanium pectus bar was used in the operation.The front end of the bar was tapered into a round and blunt point which was designed to be an introducer into the substernal and intercostal space.A single 2-cm transverse incision was made on the right chest wall and no incision was required on the left chest wall.The titanium bar and thoracoscope were put through the same incision.The bar was inserted with the convexity facing down, passing from the highest point of right rib bow via the lowest point of the sternum to the highest point of left rib bow, and then it was turned over to raise the sternum to normal position.The front end of the bar was put under the skin of the left chest wall, with 2-3 cm length of the end retained subcutaneously.The stabilizer was connected on the right end of the bar to support the bar and keep it in place.Postoperative operational outcomes were evaluated with Haller index and follow-up results. Results The operations were performed successfully in all the patients.The procedure was performed with the assistance of thoracoscope in 63 cases.The operation time ranged from 19 to 45 min (mean, 26 min).Only one bar was implanted in all the patients.Early postoperative complications included 1 case of pneumothorax, 1 case of pleural effusion and 1 case of wound infection. The Haller index was 2.48 ±0.36 (range, 2.21-3.12) at 3-month postoperatively and 2.45 ±0.32 (range, 2.18-3.24) at 6-month postoperatively, all of which were significantly less than the preoperative level (t=6.286 and 6.487, P=0.000 and 0.000).All the patients were followed up for 9-28 months, during which none of them had recurrence or late postoperative complications, such as bar dislocation, acquired scoliosis, or metal allergy.And no occurrence of the left end of the bar dislocated into the chest

  7. An operational procedure for precipitable and cloud liquid water estimate in non-raining conditions over sea Study on the assessment of the nonlinear physical inversion algorithm

    CERN Document Server

    Nativi, S; Mazzetti, P

    2004-01-01

    In a previous work, an operative procedure to estimate precipitable and liquid water in non-raining conditions over sea was developed and assessed. The procedure is based on a fast non-linear physical inversion scheme and a forward model; it is valid for most of satellite microwave radiometers and it also estimates water effective profiles. This paper presents two improvements of the procedure: first, a refinement to provide modularity of the software components and portability across different computation system architectures; second, the adoption of the CERN MINUIT minimisation package, which addresses the problem of global minimisation but is computationally more demanding. Together with the increased computational performance that allowed to impose stricter requirements on the quality of fit, these refinements improved fitting precision and reliability, and allowed to relax the requirements on the initial guesses for the model parameters. The re-analysis of the same data-set considered in the previous pap...

  8. Classifying breast cancer surgery: a novel, complexity-based system for oncological, oncoplastic and reconstructive procedures, and proof of principle by analysis of 1225 operations in 1166 patients.

    Science.gov (United States)

    Hoffmann, Jürgen; Wallwiener, Diethelm

    2009-04-08

    One of the basic prerequisites for generating evidence-based data is the availability of classification systems. Attempts to date to classify breast cancer operations have focussed on specific problems, e.g. the avoidance of secondary corrective surgery for surgical defects, rather than taking a generic approach. Starting from an existing, simpler empirical scheme based on the complexity of breast surgical procedures, which was used in-house primarily in operative report-writing, a novel classification of ablative and breast-conserving procedures initially needed to be developed and elaborated systematically. To obtain proof of principle, a prospectively planned analysis of patient records for all major breast cancer-related operations performed at our breast centre in 2005 and 2006 was conducted using the new classification. Data were analysed using basic descriptive statistics such as frequency tables. A novel two-type, six-tier classification system comprising 12 main categories, 13 subcategories and 39 sub-subcategories of oncological, oncoplastic and reconstructive breast cancer-related surgery was successfully developed. Our system permitted unequivocal classification, without exception, of all 1225 procedures performed in 1166 breast cancer patients in 2005 and 2006. Breast cancer-related surgical procedures can be generically classified according to their surgical complexity. Analysis of all major procedures performed at our breast centre during the study period provides proof of principle for this novel classification system. We envisage various applications for this classification, including uses in randomised clinical trials, guideline development, specialist surgical training, continuing professional development as well as quality of care and public health research.

  9. Compliance of REE's operational procedure 12.3 regarding fault ride-through capability. The experience of a multi-technology owner

    Energy Technology Data Exchange (ETDEWEB)

    Ruiz Guillen, J.; Giraut Ruso, E.; Quinonez-Varela, G.; Navarrete Pablo-Romero, A.; Rebollo Rico, I.; Hernandez Fernandez de la Pradilla, T. [Acciona Energia, Sarriguren (Spain); Comench, M.P.; Garcia-Gracia, M. [Zaragoza Univ. (Spain). CIRCE

    2009-07-01

    The installed wind power capacity in Spain has rapidly increased over the last years, and consequently, a number of issues associated to the security and reliability of the power system have been prompted. A critical aspect is the fault ride-through capability of wind turbine generators. In 2006, the Spanish TSO published a new Operational Procedure which governs this capability for wind power plants, either new or existing, and was enforced in 2007. This paper describes the requirements that the wind power plants have to fulfil to comply with the Operational Procedure, the multiple technologies that Acciona Energia had to retrofit and the theoretical solutions that were analysed during this process. Also, simulations and field tests are discussed, together with a discussion on the current situation of solutions for old wind power plants, and the lessons learned throughout the retrofit process. (orig.)

  10. Development and evaluation of Standard Operating Procedures (SOPs) for quality control tests and radiological protection activities in a Nuclear Medicine Service

    Energy Technology Data Exchange (ETDEWEB)

    Krempser, Alexandre R., E-mail: krempser@peb.ufrj.br [Universidade Federal do Rio de Janeiro (PEB/COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Biomedica; Soares, Alexandre B. [Universidade Federal do Rio de Janeiro (IF/UFRJ), Rio de Janeiro, RJ (Brazil). Inst. de Fisica; Corbo, Rossana [Universidade Federal do Rio de Janeiro (FM/UFRJ), Rio de Janeiro, RJ (Brazil). Dept. de Radiologia

    2011-07-01

    The quality management in Nuclear Medicine Services is a requirement of national and international standards. The Brazilian regulatory agency in health surveillance, the Agencia Nacional de Vigilancia Sanitaria (ANVISA), in its Resolucao de Diretoria Colegiada (Collegiate Directory Resolution) no. 38, requires the elaboration of documents describing the technical and clinical routine activities. This study aimed to elaborate, implement and evaluate Standard Operating Procedures (SOPs) for quality control tests and radiological protection activities in the Nuclear Medicine Service of a university hospital. Eighteen SOPs were developed, involving tasks related to dose calibrator, gamma camera, Geiger-Muller detectors and radiological protection activities. The performance of its application was evaluated for a period of six months. It was observed a reduction in 75% of reported operational errors and 42% of the number of reported incidents with contamination by radioactive material. The SOPs were adequate and successful in its application. New procedures involving clinical activities will also be developed and evaluated. (author)

  11. Applications for a hybrid operating room in thoracic surgery: from multidisciplinary procedures to ­­image-guided video-assisted thoracoscopic surgery

    Science.gov (United States)

    Terra, Ricardo Mingarini; Andrade, Juliano Ribeiro; Mariani, Alessandro Wasum; Garcia, Rodrigo Gobbo; Succi, Jose Ernesto; Soares, Andrey; Zimmer, Paulo Marcelo

    2016-01-01

    ABSTRACT The concept of a hybrid operating room represents the union of a high-complexity surgical apparatus with state-of-the-art radiological tools (ultrasound, CT, fluoroscopy, or magnetic resonance imaging), in order to perform highly effective, minimally invasive procedures. Although the use of a hybrid operating room is well established in specialties such as neurosurgery and cardiovascular surgery, it has rarely been explored in thoracic surgery. Our objective was to discuss the possible applications of this technology in thoracic surgery, through the reporting of three cases. PMID:27812640

  12. CTEPP STANDARD OPERATING PROCEDURE FOR COLLECTION OF DISLODGEABLE RESIDUES -- PUF ROLLER SAMPLES FOR PERSISTENT ORGANIC POLLUTANTS (SOP-2.18)

    Science.gov (United States)

    This SOP describes the method to collect transferable residues from indoor floor surfaces. The sampling procedures described are applicable to bare floors or covered floor surfaces, e.g., carpeting and vinyl flooring. The samples will be collected only in the day care centers o...

  13. Standard Operating Procedures and Field Methods Used for Conducting Ecological Risk Assessment Case Studies. Naval Construction Battalion Center, Davisville, Rhode Island, and Naval Shipyard, Portsmouth, Kittery, Maine.

    Science.gov (United States)

    1992-05-01

    360 JEL SOP 1.03 Revision 0 UNH, JEL Standard Operating Procedure Seaweed Collection and Population...Nitex plankton netting (500ism) - 400 in - Bronze quick-snap swivel (3.25 in.) - High-impact trawl floats (8 in.) - Hot-dip galvanized chain (0.25...different cleaning frequencies are employed and plotted against phytoplankton numbers. The frequency at which the microcosm plankton community is most

  14. Beach Point Test Site, Aberdeen Proving Ground, Edgewood Area, Maryland. Focused Feasibility Study, Final Quality Assurance Project Plan, Standard Operating Procedures (SOPs). Appendix A

    Science.gov (United States)

    1993-10-01

    Powell, Robert M., Clark, Don A., and Paul , Cynthia J.; 1991, Facilitated Transport of Inorganic Contaminants in Ground Water: Part II Colloidal...Transport In "EPA Environmental Research Brief EPA/600/M-91/040", July 1991 Puls, Robert W., Powell, Robert M., Bledsoe, Bert, Clark, Don A., and Paul ...1 of 2 STANDARD OPERATING PROCEDURE 022 SEDIMENT AND BENTIIIC MACROINVERTEBRATESAMPLING WITH ECKMAN GRAB 1.0 Scope and Application This standard

  15. Canal Creek Study Area, Aberdeen Proving Ground, Edgewood Area, Maryland. Groundwater Monitoring Plan, Final Quality Assurance Project Plan, Standard Operating Procedures (SOPs). Appendix A

    Science.gov (United States)

    1993-10-01

    023", December 1990 Puls, Robert W., Powell, Robert M., Clark, Don A., and Paul , Cynthia J.; 1991, Facilitated Transport of Inorganic Contaminants in...Bledsoe, Bert, Clark, Don A., and Paul , Cynthia J.; 1992, Metals in Ground Water: Sampling Artifacts and Reproducibility In "Hazardous Waste & Hazardous...Revision: 3 Page: 1 of 2 STANDARD OPERATING PROCEDURE 022 SEDIMENT AND BENTHIC MACROINVERTEBRATESAMPLING WITH ECKMAN GRAB * 1.0 Scope and Application

  16. Peri-operative data on the nuss procedure in children with pectus excavatum: independent survey of the first 20 years' data

    OpenAIRE

    Athanasiou Thanos; Protopapas Aristotle D

    2008-01-01

    Abstract Objective To review the literature and assess the cumulative data on the Nuss operation in children on its twenty years' anniversary: The Nuss procedure corrects the pectus excavatum by minimal access semi-permanent insertion of metal bars in order to reduce the deformity and refashion the contour of the growing thorax. The advantage over previous techniques is avoidance of osteochondrotomies and thence allowance for normal growth of the thorax. Study design PubMed search was perform...

  17. 标准作业流程(SOP)在神华煤炭企业的应用%Application of standard operation procedure in Shenhua coal enterprise

    Institute of Scientific and Technical Information of China (English)

    张玉华; 苏慎忠; 田志伟

    2014-01-01

    实施标准作业流程SOP(Standard Operation Procedure)已经成为提高煤炭企业竞争力的重要手段.通过对标准作业流程SOP在煤炭企业应用的探索与研究,探讨煤炭企业实施SOP意义,为企业工艺质量管理做好保障.

  18. NASA Desert RATS 2010: Preliminary Results for Science Operations Conducted in the San Francisco Volcanic Field, Arizona

    Science.gov (United States)

    Gruener, J. E.; Lofgren, G. E.; Bluethmann, W. J.; Bell, E. R.

    2011-01-01

    The National Aeronautics and Space Administration (NASA) is working with international partners to develop the space architectures and mission plans necessary for human spaceflight beyond earth orbit. These mission plans include the exploration of planetary surfaces with significant gravity fields. The Apollo missions to the Moon demonstrated conclusively that surface mobility is a key asset that improves the efficiency of human explorers on a planetary surface. NASA's Desert Research and Technology Studies (Desert RATS) is a multi-year series tests of hardware and operations carried out annually in the high desert of Arizona. Conducted since 1998, these activities are designed to exercise planetary surface hardware and operations in relatively harsh climatic conditions where long-distance, multi-day roving is achievable

  19. Adoption of the hybrid CTO approach by a single non-CTO operator: procedural and clinical outcomes

    National Research Council Canada - National Science Library

    Vo, Minh N; McCabe, James M; Lombardi, William L; Ducas, John; Ravandi, Amir; Brilakis, Emmanouil S

    2015-01-01

    ...) of chronic total occlusions (CTOs) has not been described. Consecutive patients who underwent CTO-PCI by a single operator using the "hybrid" approach between 2012 and 2013 formed the analytic cohort...

  20. Peri-operative data on the nuss procedure in children with pectus excavatum: independent survey of the first 20 years' data

    Directory of Open Access Journals (Sweden)

    Athanasiou Thanos

    2008-07-01

    Full Text Available Abstract Objective To review the literature and assess the cumulative data on the Nuss operation in children on its twenty years' anniversary: The Nuss procedure corrects the pectus excavatum by minimal access semi-permanent insertion of metal bars in order to reduce the deformity and refashion the contour of the growing thorax. The advantage over previous techniques is avoidance of osteochondrotomies and thence allowance for normal growth of the thorax. Study design PubMed search was performed. Primary outcomes were mortality, morbidity and individual complications. Secondary outcomes were procedure time and hospital stay. Results We merged the data from 19 reports comprising 1949 children of mean age 10.6 years. No mortality was observed and the procedure was associated with morbidity of 15.4%. The commonest complications are bar-related adverse events (5.7% and pneumothorax (3.5%. The average procedure time and the average hospital stay were 68 minutes and 5.5 days respectively. Conclusion 20 years of initial evidence suggests that the Nuss group of procedures is a safe minimal access option for correction of pectus excavatum in childhood.

  1. Surface Area Analysis Using the Brunauer-Emmett-Teller (BET) Method: Standard Operating Procedure Series: SOP-C

    Science.gov (United States)

    2016-09-01

    www.erdc.usace.army.mil. To search for other technical reports published by ERDC, visit the ERDC online library at http://acwc.sdp.sirsi.net/client/default...the analysis. DISCLAIMER: The contents of this report are not to be used for advertising , publication, or promotional purposes. Citation of trade...Procedures link to the ERDC NanoGRID (Guidance for Risk Informed Deployment) framework for testing the exposure and hazard of nanotechnology Environmental

  2. Non-thoracoscopic Nuss procedure for correction operation of pectus excavatum%非胸腔镜辅助Nuss手术矫治漏斗胸

    Institute of Scientific and Technical Information of China (English)

    刘文英; 徐冰; 吉毅; 王元祥; 覃道锐

    2008-01-01

    目的 探讨非胸腔镜辅助Nuss手术治疗漏斗胸的手术方法和治疗经验.方法 2005年9月到2007年8月对108例漏斗胸患者行非胸腔镜辅助下Nuss手术,男性91例,女性17例;年龄2岁10个月~25岁,平均年龄7岁9个月;胸廓指数3.6~10.1.结果 108例患者均顺利完成手术,无术中严重并发症发生.平均手术时间40 min,平均术中出血量10 ml.术后患者顺利恢复出院.92例获得随访,随访时间2~21个月,矫形效果满意.结论 非胸腔镜辅助Nuss手术安全可行,并且不用进入胸腔操作,手术创伤更小.%Objective To review the experience in correction operation of pectus excavatum with non-thoracoscopic Nuss procedure. Methods From September 2005 to August 2007 ,108 patients with pectus excavatum were surgically corrected by non-thoracoscopic Nuss procedure. There were 91 male patients and 17 female patients. The age was from 2 years and 10 months old to 25 years old with an average of 7 years and 9 months old. The Haller indexs were from 3.6 to 10.1 before the operation. Results The operation in all patients had been performed successfully without any severe complications. The average time of operation was 40 minutes. The average bleeding volume during procedure was 10 ml. Uneventful recovery was achieved in all the cases. Excellent outcome was obtained in the follow-up of 2 months to 21 months in 92 patients. Conclusions Non-thoracoscopic Nuss procedure for correction of pectus excavatum is safe and effective. It is unnecessary to perform the procedure into thoracic cavity so that there is less trauma and shorter time for the operation.

  3. Evaluating the improvements of the BOLAM meteorological model operational at ISPRA: A case study approach - preliminary results

    Science.gov (United States)

    Mariani, S.; Casaioli, M.; Lastoria, B.; Accadia, C.; Flavoni, S.

    2009-04-01

    The Institute for Environmental Protection and Research - ISPRA (former Agency for Environmental Protection and Technical Services - APAT) runs operationally since 2000 an integrated meteo-marine forecasting chain, named the Hydro-Meteo-Marine Forecasting System (Sistema Idro-Meteo-Mare - SIMM), formed by a cascade of four numerical models, telescoping from the Mediterranean basin to the Venice Lagoon, and initialized by means of analyses and forecasts from the European Centre for Medium-Range Weather Forecasts (ECMWF). The operational integrated system consists of a meteorological model, the parallel verision of BOlogna Limited Area Model (BOLAM), coupled over the Mediterranean sea with a WAve Model (WAM), a high-resolution shallow-water model of the Adriatic and Ionian Sea, namely the Princeton Ocean Model (POM), and a finite-element version of the same model (VL-FEM) on the Venice Lagoon, aimed to forecast the acqua alta events. Recently, the physically based, fully distributed, rainfall-runoff TOPographic Kinematic APproximation and Integration (TOPKAPI) model has been integrated into the system, coupled to BOLAM, over two river basins, located in the central and northeastern part of Italy, respectively. However, at the present time, this latter part of the forecasting chain is not operational and it is used in a research configuration. BOLAM was originally implemented in 2000 onto the Quadrics parallel supercomputer (and for this reason referred to as QBOLAM, as well) and only at the end of 2006 it was ported (together with the other operational marine models of the forecasting chain) onto the Silicon Graphics Inc. (SGI) Altix 8-processor machine. In particular, due to the Quadrics implementation, the Kuo scheme was formerly implemented into QBOLAM for the cumulus convection parameterization. On the contrary, when porting SIMM onto the Altix Linux cluster, it was achievable to implement into QBOLAM the more advanced convection parameterization by Kain and

  4. Continuous adductor-canal-blockade for adjuvant post-operative analgesia after major knee surgery: preliminary results

    DEFF Research Database (Denmark)

    Lund, J; Jenstrup, M T; Jæger, P;

    2011-01-01

    Because both the saphenous nerve and in part the obturator nerve are traversing the adductor canal of the thigh, we hypothesised that repeated administration of a local anaesthetic (LA) into this aponeurotic space could be a useful option for post-operative analgesia after knee replacement surgery....... A systematic search of the literature pertinent to the blockade of the saphenous and/or obturator nerves for pain relief after knee surgery was conducted. Further, pain and opioid requirements were evaluated in eight patients receiving a continuous blockade of the saphenous and obturator nerve (adductor-canal......-blockade) after total knee arthroplasty (TKA). Finally, we performed cross-sectional MR scans of the adductor canal after injection of ropivacaine 30ml in one patient. The systematic literature search revealed only one controlled study, where selective blockade of the saphenous nerve was investigated...

  5. Pre-operative chemoradiation therapy with 5-fluorouracil and low-dose daily cisplatin for esophageal cancer. A preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    Shimoyama, Shouji; Konishi, Toshiro; Kawahara, Masaki; Ito, Akihiko; Hoji, Keiichi; Takeda, Yuichi; Oba, Hiroshi; Shimizu, Seiichiro [Showa General Hospital, Kodaira, Tokyo (Japan); Kaminishi, Michio

    1999-03-01

    A combination of chemotherapy and radiotherapy (chemoradiation therapy; CRT) has recently been developed to improve the survival of esophageal cancer patients. However, the optimal choice of chemotherapeutic agents and their doses, as well as chemotherapy and radiotherapy regimens, remain unclear. Based on recent advances in knowledge on the radiosensitizing and biochemical modulation effects of chemotherapeutic agents, we have recently developed concurrent CRT which consisted of continuous 5-fluorouracil (5FU) administration (600 mg/m{sup 2}/day, days 1-5) combined with a low dose of daily cisplatin administration (10 mg/m{sup 2}/day, days 1-5, and 5 or 10 mg/m{sup 2}/day, days 8-12 and 15-19) before each fraction of radiation (2 Gy each). To evaluate the efficacy and safety of our concurrent CRT, 10 esophageal cancer patients received one or one and a half courses of the CRT. All patients tolerated and completed a full course of the CRT. The effectiveness of the CRT on the primary tumor included pathologically or endoscopically complete responses in three patients (30%), partial response in five (50%), no response in two (20%) and tumoral downstaging (T-classification) in five (50%). Grade 2 and Grade 3 toxicity, seen in six patients, did not affect surgical operation. No patients showed CRT-related deaths. Eight patients (80%) underwent resection with no operative mortality. Of these, two patients (25%) showed pathologically or endoscopically complete responses, and four (50%) showed partial response. Three patients died of cancer after resection. The two inoperable patients showed a pathologically complete response and partial response, respectively. They were relieved of their cancer-related complaints and were living without hospitalization at the time of this analysis. These results suggest that the concurrent CRT based on the theoretical backgrounds is effective and has acceptable toxicities with maintaining its efficacy for the treatment of esophageal

  6. Establishment of safety analysis system for emergency operating procedures of Kori 3 and 4 and YGN 1 and 2 and reference analyses

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Won Jae; Kim, Hee Cheol; Ha, Kwi Seok; Chung, Bub Dong; Jeong, Jae Jun

    1999-02-01

    This report describes the establishment of safety analysis system for emergency operating procedures(EOPs) of Kori 3 and 4 and YGN 1 and 2 and the results of reference analyses. MARS1.3.1 code has been selected as a realistic system analysis tool of the safety analysis system, and the reactor system has been modeled using a fine nodding scheme in order to capture the major thermal-hydraulic phenomena that might occur during the transients. Full power steady state operating conditions are generated based on the plant operation data. Then, the reference analyses have been carried out for the accidents that can represent the typical EOPtransients, that is, a small-break loss-of-coolant-accident,a main steam line break accident and a steam generator tube rupture accident from the full power operation. For the realistic simulation of plant transient responses, reactor control and protection systems and safety systems are modeled based on their realistic performances. Also, the operator actions are modeled based on the current EOP actions. Through the reference analyses, the soundness of the established safety analysis system and the system modeling has been verified and the effectiveness of the current EOP has been partly justified. In conclusion, the safety analysis system established through this study can be used for the generation of technical background in the development and improvement of EOP actions and in the operator training. (Author). 11 refs., 6 tabs., 48 figs.

  7. A novel operant conflict procedure using incrementing shock intensities to assess the anxiolytic and anxiogenic effects of drugs.

    Science.gov (United States)

    Evenden, John; Ross, Laurie; Jonak, Gerald; Zhou, Jin

    2009-05-01

    There is a need for novel anxiolytics, which are effective, but do not cause sedation, tolerance, and rebound anxiety on discontinuation. To investigate a procedure that can be used to assess these characteristics preclinically, rats were initially trained to press a lever at a high rate to obtain food. Once trained, periods of punishment were introduced in which electric shocks were superimposed. The intensity of these electric shocks was increased every 90 s from very low (0.01 mA) to sufficiently high to stop most subjects responding (0.4 mA), so that a complete rate/intensity function was obtained during each punishment period. The benzodiazepine, chlordiazepoxide, and two novel subtype-selective gamma-aminobutyric acid-A agonists, TP003 and TPA023, significantly increased response rates mildly suppressed by intermediate levels of electric shock without any effect on unpunished response rate. Two clinically anxiogenic agents, yohimbine and flumazenil, reduced the rate of punished responding. Aripiprazole and amphetamine reduced both punished and unpunished responding. Repeated treatment with diazepam 2.5 mg/kg daily for 15 days, initially markedly reduced unpunished response rates, but also increased punished response rates, an effect which became greater with repeated treatment. Abrupt cessation of diazepam treatment produced a reduction in punished responding. Diazepam (5 mg/kg daily) produced a greater reduction in unpunished responding, a smaller increase in punished responding, and a larger and longer lasting reduction in punished rates on withdrawal. In conclusion, the procedure detected anxiolytic and anxiogenic effects of drugs, and the sedative side effects, development of tolerance, and rebound-anxiety on discontinuation of a benzodiazepine. This procedure should have utility in the characterization of novel treatments of anxiety.

  8. Systematic Procedure for Generating Operational Policies to Achieve Target Crystal Size Distribution (CSD) in Batch Cooling Crystallization

    DEFF Research Database (Denmark)

    Abdul Samad, Noor Asma Fazli; Singh, Ravendra; Sin, Gürkan

    Batch cooling crystallization is one of the important unit operations involving separation of solid-liquid phases. Usually the most common crystal product qualities are directly related to the crystal size distribution (CSD). However the main difficulty in batch crystallization is to obtain a uni...

  9. Biometrics: Multi-Service Tactics, Techniques, and Procedures for Tactical Employment of Biometrics in Support of Operations

    Science.gov (United States)

    2016-05-01

    Intelligence Activities Biometrics-Enabled Intelligence USCG Biometrics-at-Sea: Business Rules for...Biometrics in Support of Operations Biometrics-at-Sea: Business Rules for South Florida United States...South Florida, USCG Maritime Law Enforcement Manual Department of Defense Dictionary of Military and

  10. Air sampling procedures to evaluate microbial contamination: a comparison between active and passive methods in operating theatres

    Directory of Open Access Journals (Sweden)

    Napoli Christian

    2012-08-01

    Full Text Available Abstract Background Since air can play a central role as a reservoir for microorganisms, in controlled environments such as operating theatres regular microbial monitoring is useful to measure air quality and identify critical situations. The aim of this study is to assess microbial contamination levels in operating theatres using both an active and a passive sampling method and then to assess if there is a correlation between the results of the two different sampling methods. Methods The study was performed in 32 turbulent air flow operating theatres of a University Hospital in Southern Italy. Active sampling was carried out using the Surface Air System and passive sampling with settle plates, in accordance with ISO 14698. The Total Viable Count (TVC was evaluated at rest (in the morning before the beginning of surgical activity and in operational (during surgery. Results The mean TVC at rest was 12.4 CFU/m3 and 722.5 CFU/m2/h for active and passive samplings respectively. The mean in operational TVC was 93.8 CFU/m3 (SD = 52.69; range = 22-256 and 10496.5 CFU/m2/h (SD = 7460.5; range = 1415.5-25479.7 for active and passive samplings respectively. Statistical analysis confirmed that the two methods correlate in a comparable way with the quality of air. Conclusion It is possible to conclude that both methods can be used for general monitoring of air contamination, such as routine surveillance programs. However, the choice must be made between one or the other to obtain specific information.

  11. Procedural Portfolio Planning in Plastic Surgery, Part 1: Strategic Changes in Clinical Practice to Increase Physician Revenue, Improve Operative Throughput, and Maintain Patient Satisfaction.

    Science.gov (United States)

    Hultman, Charles Scott

    2016-06-01

    Portfolio planning in health care represents the strategic prioritization of services that permits an organization to better achieve its goals of margin and mission. Because of recent volatility in the economy, declining reimbursement, and rising costs of providing care, such strategic planning has become increasingly important if physicians want to remain leaders in health care. This project assesses the financial impact of procedural portfolio planning on an academic plastic surgery practice from the physician's perspective. We tracked the top 50 procedures, defined as total charges per CPT code, that were performed in our baseline year, for 6 providers in a stable plastic surgery practice. At the end of the first year, we implemented 3 types of strategic changes: growth of areas with high contribution margin (laser resurfacing of burn scars), curtailment of high-risk procedures with negative contribution margin (panniculectomy in smokers), and improved efficiency of mission-critical services with high resource consumption (free-flap breast reconstruction). During the 2-year study period, we had no turnover in faculty, did not pursue any formal marketing, did not change our surgical fees or billing system, provided care independent of payer mix, and maintained our commitment to indigent care. Outcome measures included procedural charges and revenue, collection rates, work relative value units, operating room times, idle times (room time less case time), receipts/minute in operating room, uncompensated charity care, and patient satisfaction (Press-Gainey scores). Before the study period, annual incremental growth in our practice was 1% to 2%, in terms of charges and receipts. After implementation of the portfolio planning project, the financial position of our division improved significantly, with patient satisfaction rates increasing from 85.5% to 94.1% and charity care remaining constant at US $400,000 per year. Encounters, work relative value units, charges

  12. A general procedure to evaluate many-body spin operator amplitudes from periodic calculations: application to cuprates

    Energy Technology Data Exchange (ETDEWEB)

    Moreira, Iberio de P R [Departament de Quimica Fisica and Institut de Quimica Teorica i Computacional (IQTCUB), Universitat de Barcelona and Parc CientIfic de Barcelona, C/ MartI i Franques 1, E-08028 Barcelona (Spain); Calzado, Carmen J [Departamento de Quimica Fisica, Universidad de Sevilla, C/ Prof. GarcIa Gonzalez s/n, E-41012 Sevilla (Spain); Malrieu, Jean-Paul [IRSAMC, Laboratoire de Physique Quantique, Universite Paul Sabatier, 118 Route de Narbonne, F-31062 Toulouse-Cedex (France); Illas, Francesc [Departament de Quimica Fisica and Institut de Quimica Teorica i Computacional (IQTCUB), Universitat de Barcelona and Parc CientIfic de Barcelona, C/ MartI i Franques 1, E-08028 Barcelona (Spain)

    2007-10-15

    A general procedure is presented which permits the form of an extended spin Hamiltonian to be established for a given magnetic solid and the magnitude of its terms to be evaluated from spin polarized, Hartree-Fock or density functional calculations carried out for periodic models. The computational strategy makes use of a general mapping between the energy of pertinent broken-symmetry solutions and the diagonal terms of the spin Hamiltonian in a local representation. From this mapping it is possible to determine not only the amplitude of the well-known two-body magnetic coupling constants between near-neighbor sites, but also the amplitudes of four-body cyclic exchange terms. A scrutiny of the on-site spin densities provides additional information and control of the many broken-symmetry solutions which can be found. The procedure is applied to the La{sub 2}CuO{sub 4}, Sr{sub 2}CuO{sub 2}F{sub 2}, Sr{sub 2}CuO{sub 2}Cl{sub 2} and Ca{sub 2}CuO{sub 2}Cl{sub 2} square lattices and the SrCu{sub 2}O{sub 3} ladder compound. It is shown that a proper description of the magnetic structure of these compounds requires that two- and four-body terms are explicitly included in the spin Hamiltonian. The implications for the interpretation of recent experiments are discussed.

  13. Material characterisation and preliminary mechanical design for the HL-LHC shielded beam screens operating at cryogenic temperatures

    CERN Document Server

    Garion, C; Koettig, T; Machiocha, W; Morrone, M

    2015-01-01

    The High Luminosity LHC project (HL-LHC) aims at increasing the luminosity (rate of collisions) in the Large Hadron Collider (LHC) experiments by a factor of 10 beyond the original design value (from 300 to 3000 fb-1). It relies on new superconducting magnets, installed close to the interaction points, equipped with new beam screen. This component has to ensure the vacuum performance together with shielding the cold mass from physics debris and screening the cold bore cryogenic system from beam induced heating. The beam screen operates in the range 40-60 K whereas the magnet cold bore temperature is 1.9 K. A tungsten-based material is used to absorb the energy of particles. In this paper, measurements of the mechanical and physical properties of such tungsten material are shown at room and cryogenic temperature. In addition, the design and the thermal mechanical behaviour of the beam screen assembly are presented also. They include the heat transfer from the tungsten absorbers to the cooling pipes and the sup...

  14. Material characterisation and preliminary mechanical design for the HL-LHC shielded beam screens operating at cryogenic temperatures.

    Science.gov (United States)

    Garion, C.; Dufay-Chanat, L.; Koettig, T.; Machiocha, W.; Morrone, M.

    2015-12-01

    The High Luminosity LHC project (HL-LHC) aims at increasing the luminosity (rate of collisions) in the Large Hadron Collider (LHC) experiments by a factor of 10 beyond the original design value (from 300 to 3000 fb-1). It relies on new superconducting magnets, installed close to the interaction points, equipped with new beam screen. This component has to ensure the vacuum performance together with shielding the cold mass from physics debris and screening the cold bore cryogenic system from beam induced heating. The beam screen operates in the range 40-60 K whereas the magnet cold bore temperature is 1.9 K. A tungsten-based material is used to absorb the energy of particles. In this paper, measurements of the mechanical and physical properties of such tungsten material are shown at room and cryogenic temperature. In addition, the design and the thermal mechanical behaviour of the beam screen assembly are presented also. They include the heat transfer from the tungsten absorbers to the cooling pipes and the supporting system that has to minimise the heat inleak into the cold mass. The behaviour during a magnet quench is also presented.

  15. The Vienna comparative cognition technology (VCCT): an innovative operant conditioning system for various species and experimental procedures.

    Science.gov (United States)

    Steurer, Michael Morten; Aust, Ulrike; Huber, Ludwig

    2012-12-01

    This article describes a laboratory system for running learning experiments in operant chambers with various species. It is based on a modern version of a classical learning chamber for operant conditioning, the so-called "Skinner box". Rather than constituting a stand-alone unit, as is usually the case, it is an integrated part of a comprehensive technical solution, thereby eliminating a number of practical problems that are frequently encountered in research on animal learning and behavior. The Vienna comparative cognition technology combines modern computer, stimulus presentation, and reinforcement technology with flexibility and user-friendliness, which allows for efficient, widely automatized across-species experimentation, and thus makes the system appropriate for use in a broad range of learning tasks.

  16. A summary of the test procedures and operational details of an ocean dumping pollution monitoring experiment conducted 7 October 1976

    Science.gov (United States)

    Hypes, W. D.; Wallace, J. W.; Gurganus, E. A.

    1977-01-01

    A remote sensor experiment was conducted at a sewage sludge dump site off the Delaware/Maryland coast. Two aircraft serving as remote sensor platforms flew over the dump site during a sludge dump. One aircraft carried a multispectral scanner and the other aircraft carried a rapid scanning spectrometer. Data from sea-truth stations were collected concurrent with overpasses of the aircraft. All sensors were operational and produced good digital data.

  17. Analysis of operational manning requirements and deployment procedures for unmanned surface vehicles aboard U.S. Navy ships

    OpenAIRE

    2006-01-01

    This research was conducted in association with Naval Warfare Development Command (NWDC) requests to update Unmanned Vehicle Tactical Memorandum TM-3-22- 5-SW. The research identified and discussed significant USV manning considerations such as source ratings and manpower qualities to pilot, operate sensors, support USV electronics, and the manpower implications associated with various weapons systems alternatives. In addition, this research described several existing and notional USV ta...

  18. The effects of slash and stump removal on productivity and quality of forest regeneration operations-preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Saarinen, Veli-Matti [Finnish Forest Research Institute, Suonenjoki Research Station, FIN-77600 Suonenjoki (Finland)

    2006-04-15

    The object of this study was to survey the effects of slash and stump removal on work productivity and work quality, as well as on the technology of forest regeneration operations. Site preparation and planting were studied in different conditions. Slash and stump treatments 'removal' and 'no removal' were established at each site. Time studies were made during site preparation and planting. The quality of mounding and planting was analysed by measurements of the seedlings. After slash removal, the increase of work productivity (E{sub 0}) in mechanized planting was 18 per cent with a Bracke planting machine and 0 per cent with an Ecoplanter planting machine. The quality of mechanized planting was slightly improved by slash removal. After slash removal, the productivity (E{sub 0}) of excavator-mounted mounders was 22 per cent higher with a mounding blade and 53 per cent higher with a ditching bucket. The quality of mounding was the same for both slash treatments. The productivity (E{sub 0}) of three forwarder-mounted mounders was 5 per cent lower after slash removal, but at the same time the quality of the mounding was much better. In combined stump extraction and mounding, the time consumption of the mounding phase was about 40 per cent lower than for separate mounding after stump removal. The results show that slash and stump removal will improve work productivity and quality when using mechanized mounding and planting methods. In addition after slash and/or stump removal it may be possible and cost-effective to use new planting and site preparation methods based on forwarder-mounted mounders. (author)

  19. The Operational MODIS Cloud Optical and Microphysical Property Product: Overview of the Collection 6 Algorithm and Preliminary Results

    Science.gov (United States)

    Platnick, Steven; King, Michael D.; Wind, Galina; Amarasinghe, Nandana; Marchant, Benjamin; Arnold, G. Thomas

    2012-01-01

    Operational Moderate Resolution Imaging Spectroradiometer (MODIS) retrievals of cloud optical and microphysical properties (part of the archived products MOD06 and MYD06, for MODIS Terra and Aqua, respectively) are currently being reprocessed along with other MODIS Atmosphere Team products. The latest "Collection 6" processing stream, which is expected to begin production by summer 2012, includes updates to the previous cloud retrieval algorithm along with new capabilities. The 1 km retrievals, based on well-known solar reflectance techniques, include cloud optical thickness, effective particle radius, and water path, as well as thermodynamic phase derived from a combination of solar and infrared tests. Being both global and of high spatial resolution requires an algorithm that is computationally efficient and can perform over all surface types. Collection 6 additions and enhancements include: (i) absolute effective particle radius retrievals derived separately from the 1.6 and 3.7 !-lm bands (instead of differences relative to the standard 2.1 !-lm retrieval), (ii) comprehensive look-up tables for cloud reflectance and emissivity (no asymptotic theory) with a wind-speed interpolated Cox-Munk BRDF for ocean surfaces, (iii) retrievals for both liquid water and ice phases for each pixel, and a subsequent determination of the phase based, in part, on effective radius retrieval outcomes for the two phases, (iv) new ice cloud radiative models using roughened particles with a specified habit, (v) updated spatially-complete global spectral surface albedo maps derived from MODIS Collection 5, (vi) enhanced pixel-level uncertainty calculations incorporating additional radiative error sources including the MODIS L1 B uncertainty index for assessing band and scene-dependent radiometric uncertainties, (v) and use of a new 1 km cloud top pressure/temperature algorithm (also part of MOD06) for atmospheric corrections and low cloud non-unity emissivity temperature adjustments.

  20. Operative procedures of single-incision laparoscopic repair of pediatric epigastric hernia have become simple and feasible with the use of a novel suture-assisting needle

    Directory of Open Access Journals (Sweden)

    Kyoichi Deie

    2016-01-01

    Full Text Available We describe a simple and feasible procedure for single-incision laparoscopic repair of a pediatric epigastric hernia using a novel suture-assisting needle. A multichannel port was inserted through the umbilical vertical incision. After the orifice of the hernia was identified, a suture-assisting needle, which can hold a suture at its tip, with a 2-0 thread was pierced through the skin into one side of the rectus muscle sheath into the abdominal cavity. Next, after releasing the thread, the needle was pulled out to the subcutis and pierced through another side of the rectus muscle sheath. The needle, grasping the thread again, was subsequently pulled out through the abdominal wall outside, and the thread was tied extracorporeally. This knot was buried subcutaneously. Operative procedures of single-incision laparoscopic repair of an epigastric hernia have become simple and feasible with the use of a novel suture-assisting needle with an excellent cosmetic result.

  1. The Latarjet procedure for the treatment of recurrence of anterior instability of the shoulder after operative repair: a retrospective case series of forty-nine consecutive patients.

    Science.gov (United States)

    Schmid, Samuel L; Farshad, Mazda; Catanzaro, Sabrina; Gerber, Christian

    2012-06-06

    Recurrence of anterior shoulder instability after operative repair is an uncommon but disabling condition for which treatment options have been insufficiently studied. Coracoid transfer as described by Latarjet is a highly successful primary operation for recurrent anterior shoulder instability. The purpose of this study was to verify the hypothesis that this procedure is also effective for treating recurrent glenohumeral instability after previous operative repair. Forty-nine consecutive patients with either one (n = 32), two (n = 12), or at least three (n = 5) previous stabilizations other than a Latarjet procedure and recurrence of anterior glenohumeral instability associated with a lesion of the anterior aspect of the glenoid rim had revision with a coracoid transfer as described by Latarjet. Clinical outcomes at a mean of thirty-eight months postoperatively included the subjective shoulder value, the Constant-Murley score, and glenohumeral stability. Standardized anteroposterior and axial radiographs before and after the Latarjet revision were used to grade the degree of glenohumeral osteoarthritis. The results in all forty-nine patients were reviewed. No shoulder redislocated, subluxations recurred in two patients, and five patients reported slight, unspecified shoulder symptoms. No revision surgery was needed. Forty-three shoulders (88%) were subjectively graded as excellent or good; three, fair; and three, poor. Dissatisfaction was associated with persistent pain, and patients with preoperative pain had a twentyfold higher probability of having postoperative pain. The mean subjective shoulder value increased from 53% preoperatively to 79% at the time of follow-up (p Latarjet can effectively restore anterior glenohumeral shoulder stability if previous operation(s) have failed to do so. If recurrence is associated with chronic pain, the pain is likely to persist and compromise the subjective outcome.

  2. Predominance of Procedural Knowledge and Between-Operation Interference as Deduced from Fraction Errors of Preservice Teachers

    Directory of Open Access Journals (Sweden)

    Amancio L. Cantoria, Jr.

    2016-11-01

    Full Text Available The study of fractions in Philippine mathematics curriculum starts as early as first grade. In spite of the regular rehearsal of this mathematical topic through secondary school level, many students reach college without showing adequate skills in fraction. This study determined the performance and analyzed the errors of preservice teachers in dealing with fractions. Findings revealed that preservice teachers’ performance in solving fractions reached an unacceptable level. Prevalent errors were demonstrated when adding dissimilar fractions, adding a mixed number and a fraction, and multiplying a mixed number by a fraction, because the dominant procedural knowledge in fraction addition interferes with their knowledge of fraction multiplication, and vice versa. Moreover, preservice teachers exhibit low level of content knowledge of fractions as shown in their inability to add common fractions and their failure to translate mixed numbers into equivalent fractions.

  3. The Preliminaries of a Reference

    DEFF Research Database (Denmark)

    Butler, Graham; Sadl, Urska

    2017-01-01

    by the reasons why the Court after an oral hearing held in the presence of the parties and eight intervening Member States, and after hearing the Advocate General did not deliver one. The comment examines the legal framework, as well as the detailed procedural rules and guidelines that govern the cooperation...... of national courts in the preliminary reference procedure. It highlights the fact that preliminary references can only work when the preliminaries of a reference – the culture of sincere cooperation and litigation, efficient communication and flexible procedural rules – are in place....

  4. Analysis of the effect of operator splitting and of the sampling procedure on the accuracy of Glimm's method

    Energy Technology Data Exchange (ETDEWEB)

    Colella, P.

    1978-12-01

    A study is made of Glimm's method, a method for constructing approximate solutions to systems of hyperbolic conservation laws in one space variable by sampling explicit wave solutions. It is extended to several space variables by operator splitting. Two fundamental problems are addressed. A highly accurate form of the sampling procedure, in one space variable, based on the van der Corput sampling sequence is proposed. Error bounds are derived for Glimm's method, with van der Corput sampling, as applied to the inviscid Burgers' equation: for sufficiently small times the error in shock locations, speeds, and strengths is no greater than O(h/sup 1/2/abs. value (log h)), and the error in the continuous part of the solution, away from shocks, is O(h abs. value (log h)). Here h is the spatial increment of the grid, with the estimates holding in the limit of h ..-->.. 0. The improved sampling procedure is tested numerically in the case of inviscid compressible flow in one space dimension; it gives high-resolution results both in the smooth parts of the solution and at discontinuities. The operator splitting procedure by means of which the multidimensional method is constructed is investigated. An O(1) error stemming from the use of this procedure near shocks oblique to the spatial grid is analyzed numerically in the case of the equations for inviscid compressible flow in two space dimensions, and a method for eliminating this error, by the use of suitable artificial viscosity, is proposed and tested. 33 figures.

  5. Performance of the European System for Cardiac Operative Risk Evaluation II: a meta-analysis of 22 studies involving 145,592 cardiac surgery procedures.

    Science.gov (United States)

    Guida, Pietro; Mastro, Florinda; Scrascia, Giuseppe; Whitlock, Richard; Paparella, Domenico

    2014-12-01

    A systematic review of the European System for Cardiac Operative Risk Evaluation (euroSCORE) II performance for prediction of operative mortality after cardiac surgery has not been performed. We conducted a meta-analysis of studies based on the predictive accuracy of the euroSCORE II. We searched the Embase and PubMed databases for all English-only articles reporting performance characteristics of the euroSCORE II. The area under the receiver operating characteristic curve, the observed/expected mortality ratio, and observed-expected mortality difference with their 95% confidence intervals were analyzed. Twenty-two articles were selected, including 145,592 procedures. Operative mortality occurred in 4293 (2.95%), whereas the expected events according to euroSCORE II were 4802 (3.30%). Meta-analysis of these studies provided an area under the receiver operating characteristic curve of 0.792 (95% confidence interval, 0.773-0.811), an estimated observed/expected ratio of 1.019 (95% confidence interval, 0.899-1.139), and observed-expected difference of 0.125 (95% confidence interval, -0.269 to 0.519). Statistical heterogeneity was detected among retrospective studies including less recent procedures. Subgroups analysis confirmed the robustness of combined estimates for isolated valve procedures and those combined with revascularization surgery. A significant overestimation of the euroSCORE II with an observed/expected ratio of 0.829 (95% confidence interval, 0.677-0.982) was observed in isolated coronary artery bypass grafting and a slight underestimation of predictions in high-risk patients (observed/expected ratio 1.253 and observed-expected difference 1.859). Despite the heterogeneity, the results from this meta-analysis show a good overall performance of the euroSCORE II in terms of discrimination and accuracy of model predictions for operative mortality. Validation of the euroSCORE II in prospective populations needs to be further studied for a continuous

  6. The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium.

    Science.gov (United States)

    Cravero, Joseph P; Beach, Michael L; Blike, George T; Gallagher, Susan M; Hertzog, James H

    2009-03-01

    We used a large database of prospectively collected data on pediatric sedation/anesthesia outside the operating room provided by a wide range of pediatric specialists to delineate the nature and frequency of adverse events associated with propofol-based sedation/anesthesia care. Data were collected by the Pediatric Sedation Research Consortium, a collaborative group of institutions dedicated to improving sedation/anesthesia care for children internationally. Members prospectively enrolled consecutive patients receiving sedation or sedation/anesthesia for procedures. The primary inclusion criterion was the need for some form of sedation/anesthesia to perform a diagnostic or therapeutic procedure outside the operating room. There were no exclusion criteria. Data on demographics, primary illness, coexisting illness, procedure performed, medications used, procedure and recovery times, medication doses outcomes of anesthesia, airway interventions and adverse events were collected and reported using web-based data collection tool. For this study, we evaluated all instances where propofol was used as the primary drug in the sedation/anesthesia technique. Thirty-seven locations submitted data on 49,836 propofol sedation/anesthesia encounters during the study period from July 1, 2004 until September 1, 2007. There were no deaths. Cardiopulmonary resuscitation was required twice. Aspiration during sedation/anesthesia occurred four times. Less serious events were more common with O(2) desaturation below 90% for more than 30 s, occurring 154 times per 10,000 sedation/anesthesia administrations. Central apnea or airway obstruction occurred 575 times per 10,000 sedation/anesthesia administrations. Stridor, laryngospasm, excessive secretions, and vomiting had frequencies of 50, 96, 341, and 49 per 10,000 encounters, respectively. Unexpected admissions (increases in levels of care required) occurred at a rate of 7.1 per 10,000 encounters. In an unadjusted analysis, the rate of

  7. A field test of substance use screening devices as part of routine drunk-driving spot detection operating procedures in South Africa.

    Science.gov (United States)

    Matzopoulos, Richard; Lasarow, Avi; Bowman, Brett

    2013-10-01

    This pilot study aimed to test four substance use screening devices developed in Germany under local South African conditions and assess their utility for detecting driving under the influence of drugs (DUID) as part of the standard roadblock operations of local law enforcement agencies. The devices were used to screen a sample of motorists in the Gauteng and Western Cape provinces. The motorists were diverted for screening at roadblocks at the discretion of the law enforcement agencies involved, as per their standard operating procedures. Fieldworkers also administered a questionnaire that described the screening procedure, as well as information about vehicles, demographic information about the motorists and their attitudes to the screening process during testing. Motorists tested positive for breath alcohol in 28% of the 261 cases tested. Oral fluid was screened for drugs as per the standard calibrated cut-offs of all four devices. There were 14 cases where the under-influence drivers tested positive for alcohol and drugs simultaneously, but 14% of the 269 drivers drug-screened tested positive for drugs only. After alcohol, amphetamine, methamphetamine and cocaine were the most common drugs of impairment detected. The results suggest that under normal enforcement procedures only 76% of drivers impaired by alcohol and other drugs would have been detected. In more than 70% of cases the tests were administered within 5 min and this is likely to improve with more regular use. It was clear that the pilot screening process meets global testing standards. Although use of the screening devices alone would not serve as a basis for prosecution and provisions would need to be made for the confirmation of results through laboratory testing, rollout of this screening process would improve operational efficiency in at least two ways. Firstly, the accuracy of the tests will substantially decrease confirmatory test loads. Secondly, laboratory drug testing can be restricted to

  8. A model for the value of a business, some optimization problems in its operating procedures and the valuation of its debt

    Science.gov (United States)

    1997-12-01

    In this paper we present a model for the value of a firm based on observable variables and parameters: the annual turnover, the expenses, interest rates. This value is the solution of a parabolic partial differential equation. We show how the value of the company depends on its legal status such as its liability (that is, whether it is a Limited Company or a sole trader/partnership). We give examples of how the operating procedures can be optimized (for example, whether the firm should close down, relocate etc.). Finally, we show how the model can be used to value the debt issued by the firm.

  9. Scheduling Operative Surgical Services to Recover CHAMPUS Surgical Procedures at Blanchfield Army Community Hospital, Fort Campbell, Kentucky

    Science.gov (United States)

    1993-08-01

    any given date range, the report sub-totals the number of each type of anesthesia used ( general , local , etc.). 68 Ippendiz D Operating Roon Report by...46 5359 UMBILICAL HERNIA REPAIR 33 59:20 1:48 5300 LEFT INGUINAL HERNIA REPAIR 164 294:38 1:48 470 APPENDECTOMY 64 121:03 1:53 3859 LIG/STRIPPING OF...VARCOSE VEINS 21 45:50 2:10 9999 OTHER 277 617:42 2:13 5310 BILAT INGUINAL HERNIA REP 13 29:30 2:16 5421 DIAGNOSTIC LAPAROSCOPY 6 14:40 2:27 5351

  10. Submicron Particles during Macro- and Micro-Weldings Procedures in Industrial Indoor Environments and Health Implications for Welding Operators

    Directory of Open Access Journals (Sweden)

    Pasquale Avino

    2015-06-01

    Full Text Available One of the emerging risks in the engineering and electronic industries is the exposure of workers to ultrafine particles during (micro-welding operations, i.e., processes used for joining two metal parts heated locally, which constitute the base metal, with or without addition of another metal which is the filler metal, melted between the edges to be joined. The process is accompanied by formation of metallic fumes arising from the molten metal as well as by the emission of metal fumes of variable composition depending on the alloys welded and fused. The aim of this paper is to investigate the number, concentration and size distribution of submicron particles produced by (micro-welding processes. Particle number size distribution is continuously measured during (micro-welding operations by means of two instruments, i.e., Fast Mobility Particle Sizer and Nanoparticle Surface Area Monitor. The temporal variation of the particle number size distribution across the peaks evidences the strong and fast-evolving contribution of nucleation mode particles: peak values are maintained for less than 10 s. The implication of such contribution on human health is linked to the high deposition efficiency of submicronic particles in the alveolar interstitial region of the human respiratory system, where gas exchange occurs.

  11. PRELIMINARY IN-SITU X-RAY ABSORPTION FINE STRUCTURE EXAMINATION OF PT/C AND PTCO/C CATHODE CATALYSTS IN AN OPERATIONAL POLYMER ELECTROLYTE FUEL CELL

    Energy Technology Data Exchange (ETDEWEB)

    Phelan, B.T.; Myers, D.J.; Smith, M.C.

    2009-01-01

    State-of-the-art polymer electrolyte fuel cells require a conditioning period to reach optimized cell performance. There is insuffi cient understanding about the behavior of catalysts during this period, especially with regard to the changing environment of the cathode electrocatalyst, which is typically Pt nanoparticles supported on high surface area Vulcan XC-72 carbon (Pt/C). The purpose of this research was to record preliminary observations of the changing environment during the conditioning phase using X-Ray Absorption Fine Structure (XAFS) spectroscopy. XAFS was recorded for a Pt/C cathode at the Pt L3-edge and a PtCo/C cathode at both the Pt L3-edge and Co K-edge. Using precision machined graphite cell-blocks, both transmission and fl uorescence data were recorded at Sector 12-BM-B of Argonne National Laboratory’s Advanced Photon Source. The fl uorescence and transmission edge steps allow for a working description of the changing electrocatalyst environment, especially water concentration, at the anode and cathode as functions of operating parameters. These features are discussed in the context of how future analysis may correlate with potential, current and changing apparent thickness of the membrane electrode assembly through loss of catalyst materials (anode, cathode, carbon support). Such direct knowledge of the effect of the conditioning protocol on the electrocatalyst may lead to better catalyst design. In turn, this may lead to minimizing, or even eliminating, the conditioning period.

  12. Investigations of migratory birds during operation of Horns Rev offshore wind farm: Preliminary note of analysis of data from spring 2004

    Energy Technology Data Exchange (ETDEWEB)

    Kjaer Christensen, T.; Hounisen, J.P. [NERI, Dept. of Wildlife Ecology and Biodiversity, Roskilde (Denmark)

    2004-07-01

    In February 1998, the Ministry of the Environment gave Elsam A/S and Eltra A.m.b.a. approval to erect a wind farm, capable of producing 160 MW of electric power, at Horns Rev, west of Blaevandshuk off the west coast of Jutland. Construction activities at Horns Rev started in September 2001 and were finished in summer 2002. The entire project has been organised as a demonstration project to assess the technical, economic and environmental constraints on the future development of electric power production in Danish offshore environments. Within the framework of the environmental programme, bird investigations have been carried out in relation to the risk of collision between birds and wind turbines since 2002. To provide the latest update on the results from the bird investigations, this note presents results compiled during spring 2004 and deals with a preliminary analysis of effects on birds present at Horns Rev during commercial operation of the Horns Rev wind farm. Due to the remoteness of the area it has not been possible to obtain base-line investigation of bird occurrence and behaviour at the wind farm site. (au)

  13. Understanding text after severe closed-head injury: assessing inferences and memory operations with a think-aloud procedure.

    Science.gov (United States)

    Schmitter-Edgecombe, Maureen; Bales, James W

    2005-09-01

    A think-aloud method was used to examine the content of information available to working memory during narrative comprehension in a CHI population. Twenty severe CHI participants (>1 year post-injury) and 20 controls talked aloud after they read each sentence of story narratives. Trabasso and Magliano's (1996a) verbal protocol analysis was then used to code for the production of inferential and non-inferential clauses and the memory operations that supported inferential clause production. We found that CHI and control groups produced a comparable number of clauses, that inferences dominated narrative comprehension, and that both groups produced more explanatory inferences than predictive or associative inferences. Despite these qualitative similarities, the CHI group demonstrated poorer comprehension, generated proportionately fewer inferences, relied less on retrieval as a memory source for explanatory inferences, and produced more non-inferential clauses and associative inferences.

  14. A Development Method of Mobile Computerized Procedure System for the Cooperation among Field Workers and Main Control Room Operators in Korean Nuclear Power Plants

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Sun Jin; Seong, No Kyu; Jung, Yeon Sub [KHNP ,Daejeon (Korea, Republic of)

    2014-08-15

    Human errors can occur during the test and maintenance of steam generator, safety injection system and other various systems and devices in nuclear power plants (NPPs). Most of human errors can be improved by the human error prevention techniques such as self-check, peer-check, concurrent verification and etc. Another important technique is to share work information among main control room (MCR) operators and field workers. Various field service automation tools have been developed with recent information technology in many countries. APR1400 computerized procedure system (CPS) has been developed for the MCR operators of Shin-Kori 3 and 4 units. Especially, the concurrent verification support design is applied in the construction project of Shin-Hanul 1 and 2 CPS. It is expected that the proposed mobile CPS can enhance the reduction of human errors by supporting human error prevention techniques and information sharing. This paper describes the technical issues of the mobile CPS (mobile CPS) in the initial development stage. Based on the design of APR1400, CRI CPS has been developed and operated for SKN 3 and 4 HFE V and V and license test for the MCR operating staff. Therefore the mobile CPS will be developed by upgrading the CRI CPS with improved features.

  15. Preliminary evaluation of an analog procedure to assess acceptability of intimate partner violence against women: the Partner Violence Acceptability Movie Task.

    Science.gov (United States)

    Gracia, Enrique; Rodriguez, Christina M; Lila, Marisol

    2015-01-01

    Acceptability of partner violence against women is a risk factor linked to its perpetration, and to public, professionals' and victims' responses to this behavior. Research on the acceptability of violence in intimate partner relationships is, however, limited by reliance solely on self-reports that often provide distorted or socially desirable accounts that may misrepresent respondents' attitudes. This study presents data on the development and initial validation of a new analog task assessing respondents' acceptability of physical violence toward women in intimate relationships: the Partner Violence Acceptability Movie Task (PVAM). This new analog task is intended to provide a more implicit measure of the acceptability of partner violence against women. For this analog task, clips were extracted from commercially available films (90-s segments) portraying partner violence. Two independent samples were used to develop and evaluate the PVAM: a sample of 245 undergraduate students and a sample of 94 male intimate partner violence offenders. This new analog task demonstrated acceptable internal consistency. Results also indicated adequate construct validity. Both perpetrators and undergraduates scoring high in the PVAM also scored higher in self-reported justifications of partner abuse. Perpetrators of partner violence scored significantly higher in acceptability of partner violence than the undergraduate sample (both male and female students), and male students scored higher than females. These preliminary results suggest that the PVAM may be a promising tool to assess the acceptability of violence in intimate partner relationships, highlighting the need to consider alternatives to self-report to evaluate potential beliefs about partner violence.

  16. [Advantages and disadvantages of different methods for the implementation and the support of standard operating procedures: From PDF files to an app- and webbased SOP management system].

    Science.gov (United States)

    Bauer, M; Riech, S; Brandes, I; Waeschle, R M

    2015-11-01

    The quality assurance of care and patient safety, with increasing cost pressure and performance levels is of major importance in the high-risk and high cost area of the operating room (OR). Standard operating procedures (SOP) are an established tool for structuring and standardization of the clinical treatment pathways and show multiple benefits for quality assurance and process optimization. An internal project was initiated in the department of anesthesiology and a continuous improvement process was carried out to build up a comprehensive SOP library. In the first step the spectrum of procedures in anesthesiology was transferred to PDF-based SOPs. The further development to an app-based SOP library (Aesculapp) was due to the high resource expenditure for the administration and maintenance of the large PDF-based SOP collection and to deficits in the mobile availability. The next developmental stage, the SOP healthcare information assistant (SOPHIA) included a simplified and advanced update feature, an archive feature previously missing and notably the possibility to share the SOP library with other departments including the option to adapt each SOP to the individual situation. A survey of the personnel showed that the app-based allocation of SOPs (Aesculapp, SOPHIA) had a higher acceptance than the PDF-based developmental stage SOP form. The SOP management system SOPHIA combines the benefits of the forerunner version Aesculapp with improved options for intradepartmental maintenance and administration of the SOPs and the possibility of an export and editing function for interinstitutional exchange of SOPs.

  17. Computerized procedures system

    Science.gov (United States)

    Lipner, Melvin H.; Mundy, Roger A.; Franusich, Michael D.

    2010-10-12

    An online data driven computerized procedures system that guides an operator through a complex process facility's operating procedures. The system monitors plant data, processes the data and then, based upon this processing, presents the status of the current procedure step and/or substep to the operator. The system supports multiple users and a single procedure definition supports several interface formats that can be tailored to the individual user. Layered security controls access privileges and revisions are version controlled. The procedures run on a server that is platform independent of the user workstations that the server interfaces with and the user interface supports diverse procedural views.

  18. Improved operation of district heating consumer installations using a self-learning district heating meter. Preliminary project; Driftsoptimering af fjernvarmebrugerinstallationer vha. selvlaerende fjernvarmemaaler. Forprojekt

    Energy Technology Data Exchange (ETDEWEB)

    Drysdale, A.

    2001-12-01

    In brief, the aim of the project has been to develop a 'self-learning' district heating meter that, after being trained with operational data from a consumer installation, can effectuate optimal control of the installation. As this is judged to be a difficult task for traditional control techniques, a control method based on the use of a neural network has been used. In the project two different neural network solutions have been developed: 1) NN (or NN controller) which is a pure neural network solution consisting of two nets. The nets are trained for predicting the overall demands (NN predictor) and for implementing the best-suited control strategy (NN controller) respectively; 2) NNPIFF (or NNPIFF controller) which combines the NN controller with other control mechanisms. These are a room model, a radiator model, a PI controller and two 'feed-forward' controllers compensating for changes in outdoor temperature and the effects of passive solar heating. The NN solution is based on controlling flow, while NNPIFF is based on controlling heat (this gives the possibility for feed-forward control and thus the of compensating for the effects of passive solar heating and changing outdoor temperatures). The conclusions from this preliminary project are that: 1) The initial results from testing the NN-controller with simulated data were very encouraging. This indicates that neural networks can be used to control heating systems and as a result of this achieve energy savings; 2) Field tests with the MAK controller in a test installation have shown that the PI controller is capable of regulating the meter-valve combination. Whilst the PI-controller is operative, the NN controller is 'rained behind the scenes'. The advantage of this form of operation is that training can take place without affecting the users' comfort. However, the results from the field test have also shown that training of the NN controller has not been sufficient for it

  19. 海事行政处罚听证程序的初步研究%A Preliminary Study on Hearing Procedure of Maritime Administrative Penalty

    Institute of Scientific and Technical Information of China (English)

    李荣珍; 吴一亮

    2013-01-01

    The hearing procedure of maritime administrative penalty displays such characteristics as the mobility of the party, the high cost of hearing time, the professional requirement, and the international involvement and so on. In addition there exist the problems that the scope of applicability is narrow, the third party punished by the maritime administration has no right to apply for the hearing, and the legal force of hearing notes is unclear and so on. Therefore it is suggested to follow the principles of justice, publicity, efficiency and exclusiveness of the file and so on, expanding the applicability scope of hearing in the maritime administration penalty while entit-ling the third party to the right applying to hold or attend the hearing. Meantime establishing the relatively inde-pendent and professional hearing hosts as well as the simple hearing procedure of maritime administration penal-ty , setting the time limit of hearing at different stages, clarifying the legal force of hearing notes are also necessa-ry so as to further perfect the hearing procedure of maritime administration penalty.%海事行政处罚听证程序具有当事人流动性大、听证时间成本高、专业性和涉外性强等特点,同时存在适用范围过窄、海事行政处罚的第三人无权提出听证申请、听证笔录的法律效力不明确等问题。为此,应当遵循公正、公开、效率和案卷排他性等原则,扩大海事行政处罚听证程序的适用范围,赋予第三人申请举行或者参加听证的权利,建立相对独立和专业化的听证主持人队伍以及海事行政处罚听证的简易程序,规定听证各阶段的期限,明确听证笔录的法律效力,以进一步完善海事行政处罚听证程序。

  20. 改良Nuss手术矫治小儿漏斗胸的手术配合%Operation Cooperation in Modified Nuss Procedure for Pectus Excavatum

    Institute of Scientific and Technical Information of China (English)

    陈琨琨; 周琦; 雷英

    2011-01-01

    目的 探讨和分析改良Nuss术的手术配合要点,以提高工作效率和质量.方法 对50例漏斗胸患儿进行术前访视,做好心理护理,认真准备手术物品.术中密切观察手术进程,保持密切配合.结果 所有50例患儿均顺利完成手术,无术中并发症、死亡及复发病例.手术时间40~60 min,平均45 min;术中出血10~25 ml,平均出血10ml;住院时间6~10d,平均住院时间7d.术后伤口皮下淤血2例,矫形板轻度翻转1例.随访1~12个月,平均10个月.患儿活动量明显增加,对矫形效果满意.结论 改良Nuss术矫治小儿漏斗胸具有创伤小、切口小而隐蔽、手术时间短、出血少、术后活动早、矫形效果好等优点.术前对患儿的全面评估、充分的物品准备,术中与医生的默契配合是手术成功的重要保障.%Objective To investigate and analyze the key points of cooperation in the operation of modified Nuss procedure for the pectus excavatum and to improve the efficiency and quality of work. Methods The pre-operative interview and psychological nursing were carried out in 50 children with pectus excavatum. The surgical items were carefully prepared before surgery. According to the process, the closely cooperation with the operator was conducted. Results The operations for all of SO cases of children were accomplished favorably. There were no complications and death or relapse cases. The time of surgery was 40-60 minutes (mean 45 minutes). The volume of hemorrhage was 10-25 ml( mean 10 ml). The time in hospital was 6-10 days( mean 7 days). Two cases were with postoperative skin congestion,and one case with mild flipping of orthopaedic board. Conclusion There are many advantages of modified Nuss procedure,such as slight trauma, small and concealed cut,short time of operation, little hemorrhage,early activity after surgery and good orthoraedic effect. The comprehensive evaluation of children' s condition before operation

  1. The dangers of lithotomy positioning in the operating room: case report of bilateral lower extremity compartment syndrome after a 90-minutes surgical procedure.

    Science.gov (United States)

    Stornelli, Nicole; Wydra, Frank B; Mitchell, Justin J; Stahel, Philip F; Fabbri, Stefka

    2016-01-01

    Lower extremity acute compartment syndrome after gynecologic surgery in the lithotomy position is a rare, yet potentially devastating complication. A high level of suspicion is paramount for early recognition and mitigation of acute compartment syndrome originating from prolonged surgery in lithotomy position. A 23-year-old female, gravida 1, para 0, underwent a laparoscopic salpingectomy for a ruptured ectopic pregnancy. Surgical time was 90 min. Postoperatively, the patient developed acute compartment syndrome of both legs necessitating emergent bilateral four-compartment fasciotomies, with repeated returns to the operating room for 2nd look procedures and delayed wound closures. The patient regained full function within 3 months and returned to an unrestricted baseline activity level. Technical diligence in applying a lithotomy position is paramount for preventing postoperative lower extremity compartment syndrome. A high level of suspicion for this severe complication in conjunction with early recognition and immediate surgical management can mitigate long-term adverse sequelae and improve postoperative outcomes.

  2. The impact of winter 2012 cold outbreak over the Northern Adriatic Sea dynamics: preliminary comparison among data and high resolution operational atmospheric models

    Science.gov (United States)

    Davolio, Silvio; Miglietta, Mario M.; Carniel, Sandro; Benetazzo, Alvise; Buzzi, Andrea; Drofa, Oxana; Falco, Pierpaolo; Fantini, Maurizio; Malguzzi, Piero; Ricchi, Antonio; Russo, Aniello; Paccagnella, Tiziana; Sclavo, Mauro

    2013-04-01

    exceptionally dense water formation, registered during the 2012 winter in the northern Adriatic region. During late January and early February, indeed, the basin was characterized by a persistent and exceptional cold anomaly responsible for large energy losses due to cold and extremely strong winds. Sea waters temperatures dropped to about 6°C and the Venice lagoon got partially covered by ice. In the period of interest, available measurements in the northern Adriatic Sea (temperature, salinity, density, wind speed, direction and inferred heat fluxes) were used, together with satellite measurements, to carry out a first semi-quantitative comparison among existing meteorological models implemented over the region. Namely, the work presents an intercomparison among three state-of-the-art, non-hydrostatic NWP models: COSMO-I7, WRF and MOLOCH. All models are run in operational mode, and their results are used by several Regional authorities and institutions for weather forecasting and support to civil protection decision. Therefore, this evaluation is a useful assessment preliminary to a full coupling of the above mentioned atmospheric models with existing ocean models already implemented in the region (e.g. ROMS in the COAWST system). Preliminary results show also some uncommon mesoscale structures reproduced by the models in the proximity of the central-south Italian coast, and highlight their possible influence on the local surface sea circulation. These effects will be soon explored by means of fully-coupled ocean-atmosphere models within on-going projects.

  3. Standing Operating Procedures Hostage Situations

    Science.gov (United States)

    1977-06-10

    spiritual standards. The hostage must be realistic in his priorities since one must accept treatment in a crisis situation that would be unacceptable...and McCord, Joan. Psychopathy and Delinquency. New York« Grune and Stratton, 1956. "Media and the Taking of Hostages-Netherlands," Algemeen

  4. Applications for a hybrid operating room in thoracic surgery: from multidisciplinary procedures to --image-guided video-assisted thoracoscopic surgery.

    Science.gov (United States)

    Terra, Ricardo Mingarini; Andrade, Juliano Ribeiro; Mariani, Alessandro Wasum; Garcia, Rodrigo Gobbo; Succi, Jose Ernesto; Soares, Andrey; Zimmer, Paulo Marcelo

    2016-01-01

    The concept of a hybrid operating room represents the union of a high-complexity surgical apparatus with state-of-the-art radiological tools (ultrasound, CT, fluoroscopy, or magnetic resonance imaging), in order to perform highly effective, minimally invasive procedures. Although the use of a hybrid operating room is well established in specialties such as neurosurgery and cardiovascular surgery, it has rarely been explored in thoracic surgery. Our objective was to discuss the possible applications of this technology in thoracic surgery, through the reporting of three cases. RESUMO O conceito de sala híbrida traduz a união de um aparato cirúrgico de alta complexidade com recursos radiológicos de última geração (ultrassom, TC, radioscopia e/ou ressonância magnética), visando a realização de procedimentos minimamente invasivos e altamente eficazes. Apesar de bem estabelecido em outras especialidades, como neurocirurgia e cirurgia cardiovascular, o uso da sala hibrida ainda é pouco explorado na cirurgia torácica. Nosso objetivo foi discutir as aplicações e as possibilidades abertas por essa tecnologia na cirurgia torácica através do relato de três casos.

  5. Protection of existing legal positions and procedural succession in operation plan procedures under German mining law. Remarks on the BVerwG decision of December 13, 1991 - 7C 25. 90. Bestandsschutz und Verfahrensstufung im Betriebsplanverfahren. Bemerkungen zum Urteil des BVerwG vom 13. 12. 1991 - 7C 25. 90

    Energy Technology Data Exchange (ETDEWEB)

    Kuehne, G.

    1992-06-01

    The author analyses a judgment of the German Federal Administrative Court that contains fundamental statements on operation plan procedures under German minin law. These statements centre on the meaning and function of framework operation plans, in particular their binding effect upon the authorities with respect to the subsequent principal and special operation plan procedures, and on the protection of existing legal positions in favour of the operator. The ruling moreover upholds the protection of third parties, even in favour of persons external to the operations. The author questions the statements of the Court with regard to its understanding of operation plan procedures in general and framework operation plan procedures in particular. He takes the view that they fail to appreciate the structural bipolarity of the legal relationship between the operator and the authority created by the operation plan permission. The main points of the judgment are published in UPR ('Umwelt- und Planungsrecht', a legal journal) 6/92, p. 236. (orig./HSCH).

  6. 流感病毒感染雪貂的标准化操作程序建立%Standard Operation Procedures of Influenza Virus Infection Model in Ferret

    Institute of Scientific and Technical Information of China (English)

    张涛; 徐娟; 杨凤梅; 秦晓峰; 程根宏; 和占龙

    2014-01-01

    Ferrets play an important role in influenza virus research,and the ferrets are used as an animal model for the study of influenza because they are most susceptible to human influenza viruses and develop some of the symptoms of influenza that are similar with humans.The ferrets are ideal animal models in the research of mechanism,transmission and vaccine evaluation of influenza virus.The correct and standard operations have important influence to the result of the research.Here,we carried on the exploratory re-search of influenza virus infection model in ferrets about grabbing,anesthesia,virus infection,nasal wash and heart blood collection,clinical symptom record and tissue harvest according to reported actual opera-tion and relevant literature,and built the standard laboratory procedures preliminary.The research has strong practicability and manipuility,and important reference value for other researchers.%在流感病毒研究的动物模型中,雪貂(Ferret)是目前最为敏感的实验动物,鼻内接种人流感病毒后出现与人相似的感染症状,广泛用于流感病毒的机制、传播和疫苗评价等研究。对雪貂进行正确和规范的操作是影响试验结果成功与否的关键因素之一,当前国内尚无在流感病毒研究中对雪貂操作的实验技术进行系统详细的报道。论文结合实际操作和文献对流感病毒研究中雪貂的抓取、麻醉、病毒接种、鼻洗液收集、心脏采血、临床症状观察、剖检和组织样品保存等操作流程进行探索性研究,初步建立了标准规范的实验操作程序,具有较强的实用性和可操作性,对后续研究者具有重要的参考和指导意义。

  7. A Probe into the Operation of Judicial Mechanism without Bureaucratic Administrative Procedure%审判权运行机制去行政化路径探索

    Institute of Scientific and Technical Information of China (English)

    杨方程; 沈成燕

    2015-01-01

    The reform of the operation of the judicial mechanism is the focus of a new round of judicial re-form in China.Currently,the administration of the operation of judicial mechanism refers mainly to the adminis-trative examination and approval system for the judicial cases,the administration of the status of the judge,the administration of the relationship between the upper court and the lower one,and the like.The bureaucratic ad-ministrative procedure of the operation of judicial mechanism has reduced the trial efficiency,and affected the in-dependent exercise of judicial power by the judge.It is not conducive to the realization of justice,and not condu-cive to the building of a healthy relationship between trial and supervision.As a result,it will lead to the situa-tion in which “those who render a final decision will not hear the case,and those who hear the case will have no right to judge”.To realize the operation of judicial mechanism without the interference from administrative proce-dure challenges the reform in four aspects:the change of traditional concept,and the raising of the consciousness of “removing bureaucratic administrative procedure”;the perfection of the judicial operation mechanism;the conducting of independent and impartial judicial supervision under the condition of maintaining open justice as a means;and the completion of supporting measures so as to restrict and safeguard the independence of judges.%审判权运行机制改革是我国新一轮司法改革的重点。当前审判权运行机制行政化主要表现在案件审批制度行政化、法官地位行政化、上下级法院关系行政化等方面。审判权运行机制行政化降低了审判效率、影响法官独立行使审判权、不利于司法公正的实现、不利于构建健康的审级监督关系,造成“作出裁判的人不审理案件,审理案件的人无权裁判”。审判权运行机制去行政化要着力于转变思想观念,提高“去

  8. Optimized Standard Operating Procedures for the Analysis of Cerebrospinal Fluid Aβ42 and the Ratios of Aβ Isoforms Using Low Protein Binding Tubes

    Science.gov (United States)

    Vanderstichele, Hugo Marcel Johan; Janelidze, Shorena; Demeyer, Leentje; Coart, Els; Stoops, Erik; Herbst, Victor; Mauroo, Kimberley; Brix, Britta; Hansson, Oskar

    2016-01-01

    Background: Reduced cerebrospinal fluid (CSF) concentration of amyloid-β1-42 (Aβ1-42) reflects the presence of amyloidopathy in brains of subjects with Alzheimer’s disease (AD). Objective: To qualify the use of Aβ1-42/Aβ1-40 for improvement of standard operating procedures (SOP) for measurement of CSF Aβ with a focus on CSF collection, storage, and analysis. Methods: Euroimmun ELISAs for CSF Aβ isoforms were used to set up a SOP with respect to recipient properties (low binding, polypropylene), volume of tubes, freeze/thaw cycles, addition of detergents (Triton X-100, Tween-20) in collection or storage tubes or during CSF analysis. Data were analyzed with linear repeated measures and mixed effects models. Results: Optimization of CSF analysis included a pre-wash of recipients (e.g., tubes, 96-well plates) before sample analysis. Using the Aβ1-42/Aβ1-40 ratio, in contrast to Aβ1-42, eliminated effects of tube type, additional freeze/thaw cycles, or effect of CSF volumes for polypropylene storage tubes. ‘Low binding’ tubes reduced the loss of Aβ when aliquoting CSF or in function of additional freeze/thaw cycles. Addition of detergent in CSF collection tubes resulted in an almost complete absence of variation in function of collection procedures, but affected the concentration of Aβ isoforms in the immunoassay. Conclusion: The ratio of Aβ1-42/Aβ1-40 is a more robust biomarker than Aβ1-42 toward (pre-) analytical interfering factors. Further, ‘low binding’ recipients and addition of detergent in collection tubes are able to remove effects of SOP-related confounding factors. Integration of the Aβ1-42/Aβ1-40 ratio and ‘low-binding tubes’ into guidance criteria may speed up worldwide standardization of CSF biomarker analysis. PMID:27258423

  9. Rapid Identification and Drug Susceptibility Testing of Mycobacterium tuberculosis: Standard Operating Procedure for Non-Commercial Assays: Part 2: Nitrate Reductase Assay v1.3.12

    Directory of Open Access Journals (Sweden)

    Sarman Singh

    2012-01-01

    Full Text Available In the previous part, we presented the standard operating procedure (SOP of the microscopic observation drug susceptibility assay drug susceptibility testing (DST for Mycobacterium tuberculosis. The present SOP is devoted to another non-commercial culture and DST method known as nitrate reductase assay (NRA. As the name implies, the NRA detects the ability of M. tuberculosis to reduce nitrate to nitrite. In the assay, the presence of nitrite is detected by the addition of p-nitrobenzoate into the growth yield. The reaction is detected by the naked eye. The incorporation of drugs in the medium allows to use the test for DST, which can be interpreted with naked eyes. The identification and drug susceptibility results can be obtained in 2-3 weeks. This SOP document has been developed through the culture and DST subgroup of the STOP tuberculosis (TB Partnership New Diagnostic Working Group. It is intended for laboratories that would want to use or already using this rapid non-commercial method for culture identification and DST of M. tuberculosis, notably in resource-constraint settings in Asia and Africa.

  10. Application of Preliminary Hazard Analysis in Operation and Management at Secondary Surveillance Radar Station%预先危险分析方法在航管二次雷达站运行管理中的应用

    Institute of Scientific and Technical Information of China (English)

    舒涛

    2012-01-01

    本文对预先危险分析方法作了简单介绍。重点研究了PHA在航管二次雷达站运行管理中的应用,找出了广汉机场航管二次雷达站运行管理中存在的危险源,采用定性和定量的方法从危险的后果严重程度和发生可能性两方面对风险进行了分析,提出了控制危险性的有效措施。%This paper gives a brief introduction of preliminary hazard analysis and keys the study on application of preliminary hazard analysis in the operation and management at Secondary Surveillance Radar (SSR) Stations. It finds out the dangerous source in the operation and management of SSR Station at Guanghan Airport and analyzes the risks with the qualitative and quantitative meth- ods from the viewpoints of serious corisequences and potential dangers. It proposes effective measures to control the risks, reduce the probability of accidents, ensure the normal operation of the SSR, and secure the flight training of our college.

  11. Standard operating procedures for collection of soil and sediment samples for the Sediment-bound Contaminant Resiliency and Response (SCoRR) strategy pilot study

    Science.gov (United States)

    Fisher, Shawn C.; Reilly, Timothy J.; Jones, Daniel K.; Benzel, William M.; Griffin, Dale W.; Loftin, Keith A.; Iwanowicz, Luke R.; Cohl, Jonathan A.

    2015-12-17

    An understanding of the effects on human and ecological health brought by major coastal storms or flooding events is typically limited because of a lack of regionally consistent baseline and trends data in locations proximal to potential contaminant sources and mitigation activities, sensitive ecosystems, and recreational facilities where exposures are probable. In an attempt to close this gap, the U.S. Geological Survey (USGS) has implemented the Sediment-bound Contaminant Resiliency and Response (SCoRR) strategy pilot study to collect regional sediment-quality data prior to and in response to future coastal storms. The standard operating procedure (SOP) detailed in this document serves as the sample-collection protocol for the SCoRR strategy by providing step-by-step instructions for site preparation, sample collection and processing, and shipping of soil and surficial sediment (for example, bed sediment, marsh sediment, or beach material). The objectives of the SCoRR strategy pilot study are (1) to create a baseline of soil-, sand-, marsh sediment-, and bed-sediment-quality data from sites located in the coastal counties from Maine to Virginia based on their potential risk of being contaminated in the event of a major coastal storm or flooding (defined as Resiliency mode); and (2) respond to major coastal storms and flooding by reoccupying select baseline sites and sampling within days of the event (defined as Response mode). For both modes, samples are collected in a consistent manner to minimize bias and maximize quality control by ensuring that all sampling personnel across the region collect, document, and process soil and sediment samples following the procedures outlined in this SOP. Samples are analyzed using four USGS-developed screening methods—inorganic geochemistry, organic geochemistry, pathogens, and biological assays—which are also outlined in this SOP. Because the SCoRR strategy employs a multi-metric approach for sample analyses, this

  12. ISHIKAWA ITERATION PROCEDURES WITH ERRORS FOR CERTAIN NONLINEAR OPERATOR WITHOUT LIPSCHITZ ASSUMPTION%一类无Lipschitz假设的非线性算子的带误差的Ishikawa迭代程序

    Institute of Scientific and Technical Information of China (English)

    倪仁兴; 叶新涛

    2001-01-01

    Several more general results on the convergence of the Ishikawa iteration procedures with errors for ψ-strong pseudo-contractions and nonlinear operator equations of ψ-strongly accretive type without Lipschitz assumption in Banach spaces are established, as the direct applications, some stability results of the Ishikawa iteration methods for ψ-strong pseudocontractions and nonlinear operator equations of ψ-strongly accretive type are also given. They unify, improve and extend the recent corresponding results.

  13. Maintenance and operation procedure, and feedback controls of the J-PARC RF-driven H{sup −} ion source

    Energy Technology Data Exchange (ETDEWEB)

    Ueno, A., E-mail: akira.ueno@j-parc.jp; Ohkoshi, K.; Ikegami, K.; Takagi, A.; Yamazaki, S.; Oguri, H. [J-PARC Center, Tokai-mura, Naka-gun, Ibaraki-ken 319-1195 (Japan)

    2015-04-08

    In order to satisfy the Japan Proton Accelerator Research Complex (J-PARC) second stage requirements of an H{sup −} ion beam of 60mA within normalized emittances of 1.5πmm•mrad both horizontally and vertically, a flat top beam duty factor of 1.25% (500μs×25Hz) and a life-time of longer than 1month, the J-PARC cesiated RF-driven H{sup −} ion source was developed by using an internal-antenna developed at the Spallation Neutron Source (SNS). The maintenance and operation procedure to minimize the plasma chamber (PCH) replacement time on the beam line, which is very important to maximize the J-PARC beam time especially for an antenna failure, is presented in this paper. The PCH preserved by filling argon (Ar) gas inside after pre-conditioning including pre-cesiation to produce the required beam at a test-stand successfully produced the required beam on the beam line with slight addition of cesium (Cs). The methods of the feedback controls of a 2MHz-RF-matching, an H{sup −} ion beam intensity and the addition of Cs are also presented. The RF-matching feedback by using two vacuum variable capacitors (VVCs) and RF-frequency shift produced the almost perfect matching with negligibly small reflected RF-power. The H{sup −} ion beam intensity was controlled within errors of ±0.1mA by the RF-power feedback. The amount of Cs was also controlled by remotely opening a Cs-valve to keep the RF-power lower than a settled value.

  14. The Vocational-Technical Resource Consortia Serving Business and Industry in Ohio. Digest of Study: Operational Procedures for Successful Vocational-Technical Resource Consortia in Serving Business and Industry in Ohio.

    Science.gov (United States)

    Frasier, James E.; Stanton, William

    This publication reports the development of the vocational-technical resource consortia in Ohio and identifies the operational procedures associated with successful programs. Five exemplary consortia were studied in some depth; however, data were obtained from all of the 23 consortia in the state. The research indicates that the consortium is an…

  15. Avaliação da técnica de epifisiodese temporária com o uso das placas de Sherman: resultados preliminares Evaluation of the temporary epiphysiodesis procedure using the sherman plate: preliminary results

    Directory of Open Access Journals (Sweden)

    José Antonio Pinto

    2010-12-01

    Full Text Available OBJETIVO: Avaliar os resultados preliminares da técnica de epifisiodese temporária utilizando-se as placas de Sherman no tratamento de distúrbios e deformidades dos membros inferiores. MÉTODOS: Foram avaliados, retrospectivamente, 27 pacientes submetidos à epifisiodese temporária do fêmur distal ou tíbia proximal com as placas de Sherman, em um total de 28 procedimentos. A idade média no momento da cirurgia foi de 11,2 anos (3-15 anos. Os implantes de dois furos eram confeccionados em liga de aço e apresentavam um orifício central para ser utilizado como guia. A fixação foi feita com dois parafusos canulados de 3,5mm. As indicações para o tratamento foram os desvios angulares dos membros inferiores em valgo (n = 10, varo (n = 2 e mistos (n = 1; discrepância do comprimento dos membros (n = 9; e contratura em flexo do joelho (n = 5. RESULTADOS: O tempo médio de seguimento foi de 11,78 meses (±4,07. Observamos apenas um evento adverso (migração do implante em um paciente submetido à epifisiodese anterior do fêmur distal para correção de flexo de joelho. Não houve nenhum caso de quebra do material ou fechamento fisário prematuro. CONCLUSÃO: A técnica de epifisiodese temporária com o uso das placas de Sherman mostrou ser de fácil execução e esteve envolvida com um baixo índice de complicações e custo inferior aos implantes similares em titânio. Por ser um procedimento de baixa morbidade, pode ser indicado em uma ampla faixa etária e para uma grande variedade de distúrbios do esqueleto imaturo.OBJECTIVE: To evaluate the preliminary results of a technique using temporary epiphysiodesis plates using a Sherman plate in the treatment of disorders and deformities of the lower limbs. METHODS: We retrospectively reviewed 27 patients who underwent temporary epiphysiodesis of the distal femur or proximal tibia with Sherman plates, comprising 28 procedures. The mean age at surgery was 11.2 years (3-15 years. The two

  16. CTEPP STANDARD OPERATING PROCEDURE FOR EXTRACTING AND PREPARING SOLID FOOD SAMPLES FOR ANALYSIS OF PERSISTENT ORGANIC POLLUTANTS (SOP-5.20)

    Science.gov (United States)

    This SOP describes the procedures for homogenizing, extracting and concentrating solid food samples for persistent organic pollutants such as organochlorine compounds, organophosphate compounds, polycyclic aromatic hydrocarbons, polychlorinated biphenyls, substituted phenols, and...

  17. CTEPP STANDARD OPERATING PROCEDURE FOR EXTRACTING AND PREPARING LIQUID FOOD SAMPLES FOR ANALYSIS OF PERSISTENT ORGANIC POLLUTANTS (SOP-5.19)

    Science.gov (United States)

    This SOP describes the procedures for homogenizing, extracting, and concentrating liquid food samples for neutral persistent organic pollutants such as organochlorine compounds, organophosphate compounds, polycyclic aromatic hydrocarbons, polychlorinated biphenyls, and phenols.

  18. CTEPP STANDARD OPERATING PROCEDURE FOR EXTRACTING AND PREPARING SOLID FOOD SAMPLES FOR ANALYSIS OF PERSISTENT ORGANIC POLLUTANTS (SOP-5.20)

    Science.gov (United States)

    This SOP describes the procedures for homogenizing, extracting and concentrating solid food samples for persistent organic pollutants such as organochlorine compounds, organophosphate compounds, polycyclic aromatic hydrocarbons, polychlorinated biphenyls, substituted phenols, and...

  19. CTEPP STANDARD OPERATING PROCEDURE FOR EXTRACTING AND PREPARING LIQUID FOOD SAMPLES FOR ANALYSIS OF PERSISTENT ORGANIC POLLUTANTS (SOP-5.19)

    Science.gov (United States)

    This SOP describes the procedures for homogenizing, extracting, and concentrating liquid food samples for neutral persistent organic pollutants such as organochlorine compounds, organophosphate compounds, polycyclic aromatic hydrocarbons, polychlorinated biphenyls, and phenols.

  20. Preliminary Results of High-Energy Cosmic Ray Muons as Observed by a Small Multiwire Detector Operated at High Cutoff Rigidity

    Indian Academy of Sciences (India)

    Abdullrahnan Maghrabi; Mohammed Alanazi; A. Aldosari; M. Almuteri

    2017-03-01

    Solar disturbances modulate primary cosmic rays on different time scales. Studying cosmic ray variation is an important subject that attracts scientists from different disciplines. We have constructed and installed (in Riyadh, Saudi Arabia, Rc =14.4 GV) a three-layer small (20 × 20 cm2) MultiWire Chamber (MWC) telescope to study cosmic ray variations and investigate their influence on various atmospheric and environmental processes. Preliminary results obtained from the developed detector are given. The influence of both atmospheric pressure and temperature was studied. Both the temperature and pressure coefficients were calculated and were consistent with those previously obtained. Short-term cosmic ray periodicities, such as the 27-day period, and its two harmonics, have been identified. Sporadic variations caused by some solar activity processes have been inspected. The obtained results from this detector have been compared to the existing 1 m2 scintillator detector, as well as to some of the neutron monitors, showing comparable results.

  1. Durability and Reliability of Electric Vehicle Batteries under Electric Utility Grid Operations. Part 1: Cell-to-Cell Variations and Preliminary Testing

    Directory of Open Access Journals (Sweden)

    Arnaud Devie

    2016-09-01

    Full Text Available Vehicle-to-grid (V2G and grid-to-vehicle (G2V strategies are considered to help stabilize the electric grid but their true impact on battery degradation is still unknown. The intention of this study is to test the impact of such strategies on the degradation of commercial Li-ion batteries. This first part looks into the preliminary testing performed prior to the start of degradation studies to ensure that the selected cells are compatible. Both the thermodynamic and kinetic cell-to-cell variation within the selected batch and the diagnostic-ability of the cells were investigated. The cells were found to have low cell-to-cell variations and are thus consistent. Moreover, the emulation of the full cell from the half-cell data prepared from harvested electrodes was successful and the degradation forecast showed that the main degradation modes can be differentiated.

  2. Model reduction for nonlinear systems based on the differential eigenstructure of Hankel operators

    NARCIS (Netherlands)

    Fujimoto, Kenji; Scherpen, Jacquelien M.A.

    2001-01-01

    This paper offers a new input-normal output-diagonal realization and model reduction procedure for nonlinear systems based on the differential eigenstructure of Hankel operators. Firstly, we refer to the preliminary results on input-normal realizations with original singular value functions and the

  3. Optimisation of a high-resolution whole-body MR angiography protocol with parallel imaging and biphasic administration of a single bolus of Gd-BOPTA: preliminary experience in the systemic evaluation of atherosclerotic burden in patients referred for endovascular procedures.

    Science.gov (United States)

    Napoli, A; Anzidei, M; Marincola, B Cavallo; Zaccagna, F; Geiger, D; Di Paolo, P L; Zini, C; Catalano, C; Passariello, R

    2009-06-01

    This study was performed to validate a high-resolution whole-body magnetic resonance angiography (MRA) protocol with parallel imaging and biphasic administration of a single bolus of contrast agent in the preliminary assessment of systemic atherosclerotic burden in patients referred for endovascular procedures. Forty patients referred for endovascular treatment of atherosclerotic disease of the carotid arteries (n=23), peripheral vessels (n=14) or aorta (n=3) on the basis of previous clinical and diagnostic examinations underwent high-resolution whole-body MRA at 1.5 T with 3D spoiled gradient recalled echo (GRE) sequences, featuring parallel imaging acquisition technique with x2 acceleration factor. Sixty-eight surface coil elements and a four-station imaging protocol were employed. Biphasic intravenous administration of a paramagnetic contrast agent [gadolinium benzyloxyproprionic-tetraacetic acid (Gd-BOPTA)] was performed with the following protocol: 10 ml at a speed of 1 ml/s followed by further 10 ml at a speed of 0.5 ml/s. For image analysis, the arterial system was divided into 42 segments for evaluation. The presence or absence of atherosclerotic lesions was evaluated by two observers in consensus; segments were classified as having clinically significant disease (>or=50% stenosis or an aneurysmal dilatation) or no significant disease (<50% stenosis). The presence of stenoocclusive disease, determined at all segments, was compared with findings on digital subtraction angiography (DSA), which were interpreted by a third independent reader. Sensitivity, specificity and concordance of whole-body MRA findings with DSA were calculated, and receiver operating characteristic (ROC) analysis was performed for all vascular territories. A total of 1,680 arterial segments was evaluated; 138 (8.3%) were affected by atherosclerotic alterations. Carotid lesions were confirmed in 23 patients (34 segments), involvement of peripheral vessels in 14 (57 segments) and abdominal

  4. A web-based remote radiation treatment planning system using the remote desktop function of a computer operating system: a preliminary report.

    Science.gov (United States)

    Suzuki, Keishiro; Hirasawa, Yukinori; Yaegashi, Yuji; Miyamoto, Hideki; Shirato, Hiroki

    2009-01-01

    We developed a web-based, remote radiation treatment planning system which allowed staff at an affiliated hospital to obtain support from a fully staffed central institution. Network security was based on a firewall and a virtual private network (VPN). Client computers were installed at a cancer centre, at a university hospital and at a staff home. We remotely operated the treatment planning computer using the Remote Desktop function built in to the Windows operating system. Except for the initial setup of the VPN router, no special knowledge was needed to operate the remote radiation treatment planning system. There was a time lag that seemed to depend on the volume of data traffic on the Internet, but it did not affect smooth operation. The initial cost and running cost of the system were reasonable.

  5. 人员绩效工具(Hup)在AP1000运行规程执行中的应用%The application of Human Performance Tools for AP1000 operation procedures being executed

    Institute of Scientific and Technical Information of China (English)

    袁辉

    2015-01-01

    Operating personnel implement the task only by operation procedures on-site, and the procedures executed directly result in the status change of systems and equipment, which may also affect safe and stable operation of entire plant final y. Human Performance Tools, as a kind of scientific system, can effectively prevent operating personnel from performing procedures in error, while its good results, more importantly depend on people’s active consciousness for appearance.%运行人员现场执行工作离不开运行规程,规程的执行直接反应到系统设备的状态改变,它们的改变最终也可能影响到整个电厂的安全稳定运行。人员绩效工具作为一种科学体系,能够有效避免运行人员执行规程中出现错误,而它的良好效果,更重要地依赖于人的能动意识才能发挥出来。

  6. Operational Data Reduction Procedure for Determining Density and Vertical Structure of the Martian Upper Atmosphere from Mars Global Surveyor Accelerometer Measurements

    Science.gov (United States)

    Cancro, George J.; Tolson, Robert H.; Keating, Gerald M.

    1998-01-01

    The success of aerobraking by the Mars Global Surveyor (MGS) spacecraft was partly due to the analysis of MGS accelerometer data. Accelerometer data was used to determine the effect of the atmosphere on each orbit, to characterize the nature of the atmosphere, and to predict the atmosphere for future orbits. To interpret the accelerometer data, a data reduction procedure was developed to produce density estimations utilizing inputs from the spacecraft, the Navigation Team, and pre-mission aerothermodynamic studies. This data reduction procedure was based on the calculation of aerodynamic forces from the accelerometer data by considering acceleration due to gravity gradient, solar pressure, angular motion of the MGS, instrument bias, thruster activity, and a vibration component due to the motion of the damaged solar array. Methods were developed to calculate all of the acceleration components including a 4 degree of freedom dynamics model used to gain a greater understanding of the damaged solar array. The total error inherent to the data reduction procedure was calculated as a function of altitude and density considering contributions from ephemeris errors, errors in force coefficient, and instrument errors due to bias and digitization. Comparing the results from this procedure to the data of other MGS Teams has demonstrated that this procedure can quickly and accurately describe the density and vertical structure of the Martian upper atmosphere.

  7. Preliminary AD-Horn Thermomechanical and Electrodynamic Simulations

    CERN Document Server

    AUTHOR|(CDS)2095747; Horvath, David; Calviani, Marco

    2016-01-01

    As part of the Antiproton Decelerator (AD) target area consolidation activities planned for LS2, it has been necessary to perform a comprehensive study of the thermo-structural behaviour of the AD magnetic horn during operation, in order to detail specific requirements for the upgrade projects and testing procedures. The present work illustrates the preliminary results of the finite element analysis carried out to evaluate the thermal and structural behaviour of the device, as well as the methodology used to model and solve the thermomechanical and electrodynamic simulations performed in the AD magnetic horn.

  8. Field Test Report: Preliminary Aquifer Test Characterization Results for Well 299-W15-225: Supporting Phase I of the 200-ZP-1 Groundwater Operable Unit Remedial Design

    Energy Technology Data Exchange (ETDEWEB)

    Spane, Frank A.; Newcomer, Darrell R.

    2009-09-23

    This report examines the hydrologic test results for both local vertical profile characterization and large-scale hydrologic tests associated with a new extraction well (well 299-W15-225) that was constructed during FY2009 for inclusion within the future 200-West Area Groundwater Treatment System that is scheduled to go on-line at the end of FY2011. To facilitate the analysis of the large-scale hydrologic test performed at newly constructed extraction well 299-W15-225 (C7017; also referred to as EW-1 in some planning documents), the existing 200-ZP-1 interim pump-and-treat system was completely shut-down ~1 month before the performance of the large-scale hydrologic test. Specifically, this report 1) applies recently developed methods for removing barometric pressure fluctuations from well water-level measurements to enhance the detection of hydrologic test and pump-and-treat system effects at selected monitor wells, 2) analyzes the barometric-corrected well water-level responses for a preliminary determination of large-scale hydraulic properties, and 3) provides an assessment of the vertical distribution of hydraulic conductivity in the vicinity of newly constructed extraction well 299-W15-225. The hydrologic characterization approach presented in this report is expected to have universal application for meeting the characterization needs at other remedial action sites located within unconfined and confined aquifer systems.

  9. Full Scale Evaluation of How Task-Based Overview Displays Impact Operator Workload and Situation Awareness When in Emergency Procedure Space

    Energy Technology Data Exchange (ETDEWEB)

    Spielman, Zachary; Hill, Racheal; LeBlanc, Katya; Rice, Brandon; Bower, Gordon; Joe, Jeffrey; Powers, David

    2016-07-01

    Control room modernization is critical to extending the life of the 99 operating commercial nuclear power plants (NPP) within the United States. However, due to the lack of evidence demonstrating the efficiency and effectiveness of recent candidate technologies, current NPP control rooms operate without the benefit of various newer technologies now available. As nuclear power plants begin to extend their licenses to continue operating for another 20 years, there is increased interest in modernizing the control room and supplementing the existing control boards with advanced technologies. As part of a series of studies investigating the benefits of advanced control room technologies, the researchers conducted an experimental study to observe the effect of Task-Based Overview Displays (TODs) on operator workload and situation awareness (SA) while completing typical operating scenarios. Researchers employed the Situation Awareness Rating Technique (SART) and the NASA Task Load Index (TLX) as construct measures.

  10. [A preliminary evaluation of mental status and an investigation of occupational health knowledge demand in operating and maintenance personnel in wind power plants].

    Science.gov (United States)

    Hu, S Q; Zhang, Q; Zhu, X H; Sun, K; Chen, S Z; Liu, A G; Luo, G L; Huang, W

    2016-10-20

    Objective: To investigate the mental status, level of occupational health knowledge, health behaviors, and occupational health knowledge demand in operating and maintenance personnel in wind power plants, and to provide a basis for formulating protective measures of occupational health for operating and maintenance personnel in wind power plants. Methods: A cluster sampling was performed in regionally representative wind power plants in the wind power industry from May 2014 to June 2015, and the Symptom Checklist-90 (SCL-90) and a self-made evaluation questionnaire were used to investigate the general status, mental health, and occupational health knowledge demand in 160 operating and maintenance workers. Results: Of all respondents, 26.9% had mental health issues. The awareness rate of infectious disease knowledge and preventive measures was 11.9%. Of all workers, 96.5% wanted to know the occupational hazard factors in the workplace, and 96.3% wanted to get the knowledge of the prevention of related diseases. Conclusion: Mental health issues in operating and maintenance personnel in wind power plants cannot be neglected and there is a high demand for occupational health services and related knowledge. Comprehensive intervention measures for health promotion in the workplace should be adopted to improve working environment, enhance individual mental health education, increase the level of occupational health management, and protect the health of workers.

  11. A preliminary clinical trial using flowable glass-ionomer cement as a liner in proximal-ART restorations: the operator effect

    NARCIS (Netherlands)

    Bonifácio, C.C.; Hesse, D.; Bönecker, M.; van Loveren, C.; van Amerongen, W.E.; Raggio, D.P.

    2013-01-01

    .Objectives: This in vivo study was carried out to assess the influence of the operator experience on the survival rate of proximal-ART restorations using a two-layer technique to insert the glass-ionomer cement (GIC). Study Design: Forty five proximal cavities in primary molars were restored in a s

  12. A preliminary clinical trial using flowable glass-ionomer cement as a liner in proximal-ART restorations: the operator effect

    NARCIS (Netherlands)

    Bonifácio, C.C.; Hesse, D.; Bönecker, M.; van Loveren, C.; van Amerongen, W.E.; Raggio, D.P.

    2013-01-01

    .Objectives: This in vivo study was carried out to assess the influence of the operator experience on the survival rate of proximal-ART restorations using a two-layer technique to insert the glass-ionomer cement (GIC). Study Design: Forty five proximal cavities in primary molars were restored in a s

  13. A preliminary clinical trial using flowable glass-ionomer cement as a liner in proximal-ART restorations: the operator effect

    NARCIS (Netherlands)

    Bonifácio, C.C.; Hesse, D.; Bönecker, M.; van Loveren, C.; van Amerongen, W.E.; Raggio, D.P.

    2013-01-01

    .Objectives: This in vivo study was carried out to assess the influence of the operator experience on the survival rate of proximal-ART restorations using a two-layer technique to insert the glass-ionomer cement (GIC). Study Design: Forty five proximal cavities in primary molars were restored in a

  14. 临床试验标准操作规程管理系统的设计与应用%Design and Application of Standard Operation Procedure Management System of Clinical Trials

    Institute of Scientific and Technical Information of China (English)

    徐帆; 徐贵丽; 杨品; 李皓瑜; 周涛; 简叡

    2011-01-01

    OBJECTIVE: To achieve electronic management of standard operation procedure, and to improve standard implementation of clinical trial. METHODS: The standard operation procedure management system of clinical trials which was based on B/S structure was independently developed and adopted. RESULTS: The modular design was adopted in the system. It included role management, document review, reading and file management, audit trail management and so on. There were clear step of SOP management process, responsibility and authority. Dilatory and evasive style of manual mode had been avoided. CONCLUSION: The application of this system improves the management and implementation of standard operation procedure. It is a new standard operation procedure management system of clinical trials%目的:实现临床试验标准操作规程管理的电子化,以促进药物临床试验各项行为规范实施.方法:自主研发基于浏览器/服务器(B/S)结构的临床试验标准操作规程管理系统并加以应用.结果:该系统采用模块化设计,具有用户权限管理,文件审核、阅读、档案管理.稽查留痕管理等功能.该系统的应用使得整个标准操作规程管理流程清楚,责权明晰,避免了手工管理模式中拖拉、推诿的现象发生.结论:该系统的应用有利于临床试验标准操作规程的管理与落实,是一种新型的临床试验质量控制管理模式.

  15. 40 CFR 60.4244 - What test methods and other procedures must I use if I am an owner or operator of a stationary SI...

    Science.gov (United States)

    2010-07-01

    .../operator chooses to measure VOC emissions using either Method 18 of 40 CFR part 60, appendix A, or Method 320 of 40 CFR part 63, appendix A, then it has the option of correcting the measured VOC emissions...

  16. Installation Restoration Program (IRP) Stage 3. McClellan Air Force Base. Operable Unit B. Preliminary Assessment Summary Report. Volume 3. Appendices C, D & E

    Science.gov (United States)

    1991-10-01

    Types of materials handled: PCBs Acids Bases Radionucleides Specific chemicals handled: ammonium hydroxide hydrochloric acid nitric acid potassium...on the ground at PRL 30, which includes Building 631. Period of operation: 1960 to 1980 Types of materials handled: Radionucleides "Solvents Specific... radionucleides were handled or disposed. The following sites should be considered for radioactivity screening as part of future remedial investigations: o Site

  17. A summary of the test procedures and operational details of a Delaware River and an ocean dumping pollution monitoring experiment conducted 28 August 1975

    Science.gov (United States)

    Hypes, W. D.; Ohlhorst, C. W.

    1977-01-01

    Two remote sensor evaluation experiments are discussed. One experiment was conducted at the DuPont acid-dump site off the Delaware coast. The second was conducted at an organic waste outfall in the Delaware River. The operational objective of obtaining simultaneous sea truth sampling with remote sensors overpasses was met. Descriptions of the test sites, sensors, sensor platforms, flight lines, sea truth data collected, and operational chronology are presented.

  18. Successful administration of venovenous extracorporeal membrane oxygenation through the modified Blalock–Taussig operation in an infant with graft dysfunction after the Norwood procedure

    Directory of Open Access Journals (Sweden)

    Kanao-Kanda M

    2015-10-01

    Full Text Available Megumi Kanao-Kanda, Takayuki Kunisawa, Kunihiko Yamamoto, Hirotsugu Kanda, Hiroshi Iwasaki Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, JapanInsufficient pulmonary blood flow through a right ventricle-to-pulmonary artery conduit following the Norwood procedure is remediable by adding a modified Blalock–Taussig shunt (MBTS.1 First, however, perioperative hypoxemia must be managed. Venovenous extracorporeal membrane oxygenation (VV-ECMO is likely to be a useful method for respiratory support in such cases.2,3 We present the case of a 2-month-old patient with graft dysfunction after the Norwood procedure who underwent MBTS with VV-ECMO support. 

  19. Arianespace streamlines launch procedures

    Science.gov (United States)

    Lenorovitch, Jeffrey M.

    1992-06-01

    Ariane has entered a new operational phase in which launch procedures have been enhanced to reduce the length of launch campaigns, lower mission costs, and increase operational availability/flexibility of the three-stage vehicle. The V50 mission utilized the first vehicle from a 50-launcher production lot ordered by Arianespace, and was the initial flight with a stretched third stage that enhances Ariane's performance. New operational procedures were introduced gradually over more than a year, starting with the V42 launch in January 1991.

  20. Science Support Room Operations During Desert RATS 2009

    Science.gov (United States)

    Lofgren, G. E.; Horz, F.; Bell, M. S.; Cohen, B. A.; Eppler,D. B.; Evans, C. a.; Hodges, K. V.; Hynek, B. M.; Gruener, J. E.; Kring, D. A.; hide

    2010-01-01

    NASA's Desert Research and Technology Studies (D-RATS) field test is a demonstration that combines operations development, technology advances and science in analog planetary surface conditions. The focus is testing preliminary operational concepts for extravehicular activity (EVA) systems by providing hands-on experience with simulated surface operations and EVA hardware and procedures. The DRATS activities also develop technical skills and experience for the engineers, scientists, technicians, and astronauts responsible for realizing the goals of the Lunar Surface Systems Program. The 2009 test is the twelfth for the D-RATS team.

  1. Sample Preparation of Nano-sized Inorganic Materials for Scanning Electron Microscopy or Transmission Electron Microscopy: Scientific Operating Procedure SOP-P-2

    Science.gov (United States)

    2015-07-01

    present other challenges, as destruction of detail structures may occur because this technique involves air drying, which may collapse cell...Procedure SOP-P-2 Charles A. Weiss, Jr., and Robert D. Moser Geotechnical and Structures Laboratory U.S. Army Engineer Research and Development...conductors and may need to be coated to passivate the surface so that electrons from the electron beam are carried from the surface. Certain metal

  2. Measurement of hand dynamics in a microsurgery environment: Preliminary data in the design of a bimanual telemicro-operation test bed

    Science.gov (United States)

    Charles, Steve; Williams, Roy

    1989-01-01

    Data describing the microsurgeon's hand dynamics was recorded and analyzed in order to provide an accurate model for the telemicrosurgery application of the Bimanual Telemicro-operation Test Bed. The model, in turn, will guide the development of algorithms for the control of robotic systems in bimanual telemicro-operation tasks. Measurements were made at the hand-tool interface and include position, acceleration and force between the tool-finger interface. Position information was captured using an orthogonal pulsed magnetic field positioning system resulting in measurements in all six degrees-of-freedom (DOF). Acceleration data at the hands was obtained using accelerometers positioned in a triaxial arrangement on the back of the hand allowing measurements in all three cartesian-coordinate axes. Force data was obtained by using miniature load cells positioned between the tool and the finger and included those forces experienced perpendicular to the tool shaft and those transferred from the tool-tissue site. Position data will provide a minimum/maximum reference frame for the robotic system's work space or envelope. Acceleration data will define the response times needed by the robotic system in order to emulate and subsequently outperform the human operator's tool movements. The force measurements will aid in designing a force-reflective, force-scaling system as well as defining the range of forces the robotic system will encounter. All analog data was acquired by a 16-channel analog-to-digital conversion system residing in a IBM PC/AT-compatible computer at the Center's laboratory. The same system was also used to analyze and present the data.

  3. A Preliminary Shielding Study on the Integrated Operation Verification System in the Head-End Hot-Cell of the Pyro-processing

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jinhwam; Kim, Yewon; Park, Se-Hwan; Ahn, Seong-Kyu; Cho, Gyuseong [KAIST, Daejeon (Korea, Republic of)

    2016-10-15

    Nuclear power accounts for more than 30 percent of power production in Korea. Its significance has annually been increased. Disposal spent fuel containing uranium, transuranic elements, and fission products is unavoidable byproduct of nuclear power production. it is recognized that finding appropriate sites for interim storage of disposal spent fuel is not easy because isolated sites should be required. Pyro-processing technology, Pyro-processing should be operated under high radiation environment in hot-cell structures. Because of this reason, all workers should be unauthorized to access inside the hot-cell areas under any circumstances except for acceptable dose verification and a normal operation should be remotely manipulated. For the reliable normal operation of pyroprocessing, it is noted that an evaluation of the space dose distribution in the hot-cell environments is necessary in advance in order to determine which technologies or instruments can be utilized on or near the process as the Integrated Operation Verification System (IOVS) is measured. Not like the electroreduction and electro-refining hot-cells, the head-end hot-cell equips Camera Radiation Detector (CRD) in which plutonium is securely measured and monitored for the safeguard of the pyro-processing. Results have been obtained using F2 surface tally in order to observe the magnitude of the gamma-ray and neutron flux which pass through the surface of the process cell. Furthermore, T-mesh tally has also been used to obtain the space dose distribution in the headend hot-cell. The hot-cell was divided into 7,668 cells in which each dimension was 1 x 1 x 1m for the T-mesh tally. To determine the position of the CRD and the surveillance camera, divergent approaches were required. Because the purpose of the CRD which contains a gamma-ray detector and a neutron detector is to identify the material composition as the process proceeds, the position in which detectable flux is exposed is required, whereas

  4. The Battle for Leyte Gulf, October 1944. Strategical and Tactical Analysis. Volume I. Preliminary Operations until 0719 October 17th, 1944 Including Battle off Formosa

    Science.gov (United States)

    1953-01-01

    from the mobile forces.* The base air forces included naval -land-based air units and carrier air groups when they operated from shore-bases. Plate " XII ...Mabalaeat and Tablas had estimated capacities of from one hundred to two hundred planes each. The four satellite fields of the Clark Air Base complex...July-Septumber T944, WDC Doc~uentTM-1•Y--A * The Campaigns of the Pacific War USSHS, 1946, Chapter XII , page 280; also USSIOi InterrogationA NAV No. 9

  5. Preliminary analysis of modeling of Pars and steam injectors to support long-term operation of LWR passive ECCS using a best estimate thermal-hydraulics code

    Energy Technology Data Exchange (ETDEWEB)

    Morales S, J. B.; Sanchez J, J. [UNAM, Facultad de Ingenieria, Circuito Interior s/n, Ciudad Universitaria, 04510 Mexico D. F. (Mexico); Espinosa P, G., E-mail: jaimebmoraless@gmail.co [Universidad Autonoma Metropolitana, Unidad Iztapalapa, Av. San Rafael Atlixco No. 186, Col. Vicentina, 09340 Mexico D. F. (Mexico)

    2010-10-15

    In order to control the amount of hydrogen produced, during the chemical reaction of steam and strongly overheated zirconium in a LWR severe accident, several control methos have been proposed. In a considerable number of nuclear power plants the initial preferred solution was either the use of an inert containment atmosphere or the use of igniters. However, the use of Pars (Passive autocatalytic recombiners) has been considered an important addition to this set of H{sub 2} controls. Pars have appealing features such as, low maintenance, do not require active components to start operation, and can initiate the H{sub 2} and O{sub 2} recombination at low concentrations. However, under certain conditions these Pars may trigger H{sub 2} ignition leading to deflagration s with possible containment damages. Combustions, poisons and liquid may inhibit or reduce the Pars operation. Advanced LWR designs (generation III + and IV) are also considering the use of Pars as a supporting system to the long term operation of their passive ECCS (Emergency Core Cooling Systems) because they may transport the energy of containment H{sub 2} and O{sub 2} gases to external sinks. Even when the ECCS of modern nuclear power plants are designed to maintain containment conditions under established limits, there are small amounts of O{sub 2} and H{sub 2} produced mainly by H{sub 2}O radiolysis, and after several days of containment isolation, these gases may accumulate in places where the possibility of a H{sub 2} deflagration increases. Therefore, the use of Pars looks initially as an interesting solution to long-term H{sub 2} control during a Dba. However, the H{sub 2} and O{sub 2} recombination is an exothermic process resulting in additional steam and energy releases to the containment. In order to avoid a direct deposition of the steam and energy (Pars produced) into the containment atmosphere, we propose to use them to operate steam injectors that can bring cold water to replenish ECCS

  6. EVALUATION OF AN ACTIVE PERSONAL DOSIMETRY SYSTEM IN INTERVENTIONAL RADIOLOGY AND NEURORADIOLOGY: PRELIMINARY RESULTS.

    Science.gov (United States)

    Mangiarotti, M; D'Ercole, L; Quaretti, P; Moramarco, L; Lafe, E; Zappoli Thyrion, F

    2016-12-01

    Active personal dosimeters (APD) supply real-time data on radiation dose rates and equivalent doses, enabling reduction of operator exposure to radiation in diagnostic and surgical procedures. Data from the use of the Raysafe i2 APD system in an angiography room are reported. Preliminary characterisation of the APD system was first carried out in terms of angular dependence and of Hp(10) response during the simulation of five typical surgical protocols. Reference measurements, simultaneously obtained from TLDs, were used to obtain a correction factor. APD data for patients and for primary and secondary operators were then recorded over 52 surgical procedures. The correlation between kerma air product (KAP) and reference point air kerma (Kar) and operator dose as a function of position with respect to the source of radiation is reported. The data indicate that the APD system could help operators to optimise behaviours and use of room protection to effectively minimise radiation dose.

  7. Kidney shear wave speed values in subjects with and without renal pathology and inter-operator reproducibility of acoustic radiation force impulse elastography (ARFI--preliminary results.

    Directory of Open Access Journals (Sweden)

    Flaviu Bob

    Full Text Available to assess the inter-operator reproducibility of kidney shear wave speed, evaluated by means of Acoustic Radiation Force Impulse (ARFI elastography, and the factors which influence it.Our prospective pilot study included 107 subjects with or without kidney pathology in which kidney shear wave speed was evaluated by means of ARFI elastography. Intraclass correlation coefficient (ICC was used to assess ARFI elastography reproducibility.A strong agreement was obtained between kidney shear wave speed measurements obtained by the two operators: ICC = 0.71 (right kidney and 0.69 (left kidney. Smaller ICCs were obtained in "healthy subjects", as compared to patients with kidney diseases (0.68 vs. 0.75, in women as compared with men (0.59 vs. 0.78, in subjects younger than 50 years as compared with those aged at least 50 years (0.63 vs. 0.71, in obese as compared with normal weight and overweight subjects (0.36 vs. 0.66 and 0.78 and in case of measurements depth 6 cm as compared with those performed at a depth of 4-6 cm from the skin (0.32 and 0.60 vs. 0.81.ARFI elastography is a reproducible method for kidney shear wave speed assessment.

  8. The quantitative and functional changes of post-operative PB immune cell subsets relate to SAH patients' prognosis: A Preliminary Study.

    Science.gov (United States)

    Jiang, Yugang; Zhou, Yu; Peng, Yong; Zhang, Mingming

    2017-08-30

    It has been suggested that the preoperative (PRE) and postoperative (POST) immune system alteration triggered by aneurysmal subarachnoid hemorrhage (SAH) and surgical treatment itself may affect patients' prognosis and contribute to postoperative complications. The mechanisms maybe attributed to immune-suppression triggered infection or immune-overreaction triggered aseptic inflammation. In this study, we investigated the dynamic changes in peripheral immune cell subsets as well as the alterations of inflammatory cytokines in aneurysmal SAH patients who received craniotomy and clipping surgery. In addition, we studied the association of those changes with postoperative complications and clinical prognosis. We investigated 27 patients who received craniotomy and clipping surgery for the aneurysmal SAH. The operations were all performed within 24h after the occurrence of aneurysm rupture. Detailed immune monitoring (Peripheral blood leukocytes and lymphocyte subsets, inflammatory cytokines) was performed in PRE (on admission), day1, day3 and day 6 after operation. Our data displayed that the percentage of CD3+, CD8+, NKT, CD4+, Tregs cells significantly decreased and the level of IL-4, IFN-γ and IL-2 significantly increased 1 day after surgery as compared to the data in PRE. On the contrary, NK, NKG2D, B cells increased and the level of IL-10 in plasma decreased. In study the relationship between POST fever and the change in immune cell subgroups, it was noted that the fever group had a lower percentage of CD3+, CD4+, NKT, Tregs and B cells in day 1, day 3 and day 6 post surgery as compared to the non-fever patients' , while CD8+, NK, NKG2D subsets showed the opposite trend. Furthermore, we analyzed the association between immune profile changes and the prognosis of those patients. The patients were divided into unfavorable prognosis (n=6) and favorable prognosis (n=21) according to Glasgow score and post-operation (POST) coma. Our results displayed that except for

  9. 40 CFR Appendix 1 to Subpart D of... - Procedure for Determining When Coastal Cook Inlet Operators Qualify for an Exemption From the...

    Science.gov (United States)

    2010-07-01

    ...., operator does not own, competitor will not allow injection); and c. A risk analysis of alternative disposal... disposal interval. This demonstration must include: a. Documentation, including engineering analysis, that... harm or create a substantial risk to safety); and b. A risk analysis of alternative disposal...

  10. Does Fibrin Glue Sealant Used During Pancreaticoduodenectomy Reduce Post-Operative Complication? Audit of 100 Consecutive Patients Undergoing Whipple's Procedure by a Single Surgeon

    Directory of Open Access Journals (Sweden)

    Shafiq Rehman

    2016-03-01

    Full Text Available Introduction This study evaluated the effect of fibrin glue applied as a sandwich film between a two layer pancreatico-jejunostomy anastomosis following pancreaticoduodenectomy. Primary end-points were post-operative pancreatic fistulae, overall complication rates and post-operative length of stay. Methods Pancreaticoduodenectomy was performed by fashioning a two layer pancreatico-jejunostomy with or without a glue sealant which when applied, formed a thin film external to the ductal anastomosis but internal to the seromuscularpancreatic parenchymal layer. Results Following audit of 100 consecutive patients undergoing pancreaticoduodenectomy, patients were separated into two groups; those with glue augmented anastomosis [Glue (G N=50] or those without [No Glue (NG, N=50]. Each group was matched with regard to age [median, G=68 years vs. NG=66 years, (P=0.19] and sex (P=0.84. There were no statistically significant differences between the two groups with respect to overall POPF [G N=7(14% vs. NG N=11(22%, (P=0.42], significant complications (Clavien Grade 3 or more, [G N=4(8% vs. NG N=2(4% (P=0.40], or post-operative length of stay [G 13 days vs. NG 14 days, (P=0.90]. In those patients with the highest fistulae risk score, there were significantly more post-operative pancreatic fistulae in the no glue cohort. There was no mortality in either group. Conclusion This study shows that application of sealant glue significantly reduces post-operative pancreatic fistulae in high-risk patients, but does not reduce overall complications or hospital stay following pancreaticoduodenectomy.

  11. [A comparison of operative invasiveness in minimally invasive anterolateral hip replacement (MIS-AL) and standard hip procedure, using biochemical markers].

    Science.gov (United States)

    Musil, D; Stehlík, J; Verner, M

    2008-02-01

    The aim of this prospective randomized study was to compare, by means of biochemical markers, the operative invasiveness of the standard total hip replacement with that of the minimally invasive anterolateral (MIS-AL) approach. Twenty-six randomly assigned patients with standard and 22 patients with MIS-AL total hip replacement were included in the study. Patients with elevated pre-operative levels of the markers evaluated or patients taking medication that might affect marker levels were not included. Creatine phosphokinase (CPK) and C-reactive protein (CRP) were chosen as markers of muscle damage and post-operative inflammatory changes, respectively. Blood samples were drawn before surgery (less than 24 hours) and after surgery at 24, 48 and 96 hours, which respected biological half-lives of the markers and permitted us to study their dynamics. The results were evaluated and statistically analyzed at the department of biochemistry, using the two sample t-test. Statistically significant differences between the two groups of patients were found for both markers. The average CRP values differed significantly (p MIS-AL total hip replacement by 28% and 44%, respectively. The average CPK values showed the most marked difference at 48 hours after surgery, when the level was higher by 62.5% in the standard than MIS-AL total hip replacement (p MIS-AL results in minimal damage to muscle tissue and, consequently, a lower degree of post-operative inflammation than is recorded in traditional hip replacement surgery. In the patients undergoing MIS-AL total hip replacement, post-operative levels of CPK and CRP were significantly lower than in the patients with standard total hip replacement. The MIS-AL technique evidently provides a more sparing approach to soft tissues.

  12. 23 CFR 645.109 - Preliminary engineering.

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Preliminary engineering. 645.109 Section 645.109 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS UTILITIES Utility Relocations, Adjustments, and Reimbursement § 645.109 Preliminary engineering. (a) As...

  13. Preliminary study on psychosomatic status of nuclear power plant operators%核电厂操纵人员心身健康的初步报告

    Institute of Scientific and Technical Information of China (English)

    毕金玲; 刘玉龙; 李元; 卞华慧; 孙义玲; 邱梦悦; 刘春风

    2011-01-01

    Objective To understand the operators'psychosomatic health status in nuclear power plant;and provide the scientific basis of measures for preventing and reducing mental disorders in operators.Methods The Psychosomatic Health Battery(PSHB) was used to assess the psychosomatic health status in 109 operators who were random selected from Qinshan nuclear power plant,etc.They were tested from lie,emotional stability,liveliness,tension,apprehension,mental health,such as psychopathic deviatesuch 7 personality traits.Results Lie < 8,all inspected groups were normal.Psychopathic deviate:98.2% for normal group 0.9% for both of groups occurred possible mental health problems and confirmed mental health problems ;Mental health:80.7% (88/109) for fine mental health ones,29.4% (32/109) for those with excellent mental health,51.4% (56/109) for good mental health ones,13.8% (15/109) for general mental health ones,5.5% (6/109) for poor mental health ones.Age factor could influence the mean values of the factors of apprehension,tension,mental health and psychopathic deviate.Correlation analysis showed that there was a correlation between tension and psychopathic deviate(r = 0.664 ,P < 0.01),and the other correlation coefficient was between apprehension and mental health(r =-0.789 ,P < 0.01).Conclusions There is an excellent condition of psychosomatic health in most of the operators,however,there are still a very small percentage of psychosomatic disorders among these operators,to improve the quality of their psychosomatic health,psychological counseling should be particularly strengthened to those with problems of psychosomatic health.%目的 了解中国核电厂操纵人员的心身健康状况,为制定预防和减少操纵人员心理障碍发生的干预措施提供科学依据,确保核电厂安全运行.方法 采取整群随机取样法随机抽取在秦山核电基地等5家协作单位的109名操纵人员,采用心身健康成套测验(psychosomatic health battery,PSHB)

  14. Trainee-associated outcomes in laparoscopic colectomy for cancer: propensity score analysis accounting for operative time, procedure complexity and patient comorbidity.

    Science.gov (United States)

    Kasten, Kevin R; Celio, Adam C; Trakimas, Lauren; Manwaring, Mark L; Spaniolas, Konstantinos

    2017-07-19

    Surgical trainee association with operative outcomes is controversial. Studies are conflicting, possibly due to insufficient control of confounding variables such as operative time, case complexity, and heterogeneous patient populations. As operative complications worsen long-term outcomes in oncologic patients, understanding effect of trainee involvement during laparoscopic colectomy for cancer is of utmost importance. Here, we hypothesized that resident involvement was associated with worsened 30-day mortality and 30-day overall morbidity in this patient population. Patients undergoing laparoscopic colectomy for oncologic diagnosis from 2005 to 2012 were assessed using the American College of Surgeons National Surgical Quality Improvement Program dataset. Propensity score matching accounted for demographics, comorbidities, case complexity, and operative time. Attending only cases were compared to junior, middle, chief resident, and fellow level cohorts to assess primary outcomes of 30-day mortality and 30-day overall morbidity. A total of 13,211 patients met inclusion criteria, with 4075 (30.8%) cases lacking trainee involvement and 9136 (69.2%) involving a trainee. Following propensity matching, junior (PGY 1-2) and middle level (PGY 3-4) resident involvement was not associated with worsened outcomes. Chief (PGY 5) resident involvement was associated with worsened 30-day overall morbidity (15.5 vs. 18.6%, p = 0.01). Fellow (PGY > 5) involvement was associated with worsened 30-day overall morbidity (16.0 vs. 21.0%, p < 0.001), serious morbidity (9.3 vs. 13.5%, p < 0.001), minor morbidity (9.8 vs. 13.1%, p = 0.002), and surgical site infection (7.9 vs. 10.5%, p = 0.006). No differences were seen in 30-day mortality for any resident level. Following propensity-matched analysis of cancer patients undergoing laparoscopic colectomy, chief residents, and fellows were associated with worsened operative outcomes compared to attending along cases, while junior

  15. Preliminary Research on Boeing 737 NG Pacific Conditioners RNAV Operation%波音737NG太平洋调机RNAV运行可行性初探

    Institute of Scientific and Technical Information of China (English)

    方学东; 肖真真

    2011-01-01

    Due to early voyage of the property parameters, such as restraint, Boeing 737 aircraft was operated according to Seattle-Hawaii-Marshall islands- Saipan island route. The performance of B737-NG was improved to increase the aircraft flight distance. Without pay load, the MAX Range could be achieved to make Hawaii-Saipan non-stop RNAV operation possibly. Through analysis the premise condition and airborne navigation equipment performance of the RNAV operation.. In the great circle route model , planning on the Hawaiian-Saipan direct route, with B737-800 for example, quantitative calculation the fuel consumption. Hawaii-Saipan direct route than traditional Hawaiian-Marshall islands-Saipan routes shorten 688 kilometers. In the strong dead wind condition , the wind speed is 50 kn/h, oil sailing less than 15 tons. After related training of flight crew and equipped with full-time navigator, the civil aviation Boeing 737-NG has the feasibility of non-stop flight , reduce a take-off and landing and the time will shorter 0. 8 hour.%波音737的早期机型由于受到航程等性能参数的制约,按照西雅图—夏威夷—马绍尔群岛—塞班岛的航路运行.波音737NG对飞机的性能进行了改进,增大了飞机的航程.调机飞行时,波音737NG无业载情况下可达到最大航程,为夏威夷—塞班岛的直飞RNAV运行提供了可能性.通过RNAV运行的前提条件和机载导航设备性能分析,在大圆航线模型下对夏威夷—塞班岛直飞航线进行了航路规划,并以B737-800机型为实例,对耗油量等进行了定量计算.夏威夷—塞班岛直飞航线比传统夏威夷—马绍尔群岛—塞班岛航线缩短688 km,在50 km/h强顶风状态下飞行,航行用油小于15t,说明在机组经过相关培训并配备专职领航员的条件下,波音737NG太平洋调机具有夏威夷—塞班岛直飞的可行性,减少一次起降并缩短约0.8h飞行时间.

  16. Environmental Survey preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    1988-04-01

    This report presents the preliminary findings from the first phase of the Environmental Survey of the United States Department of Energy (DOE) Sandia National Laboratories conducted August 17 through September 4, 1987. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with Sandia National Laboratories-Albuquerque (SNLA). The Survey covers all environmental media and all areas of environmental regulation. It is being performed in accordance with the DOE Environmental Survey Manual. This phase of the Survey involves the review of existing site environmental data, observations of the operations carried on at SNLA, and interviews with site personnel. 85 refs., 49 figs., 48 tabs.

  17. On Preliminary Breakdown

    Science.gov (United States)

    Beasley, W. H.; Petersen, D.

    2013-12-01

    The preliminary breakdown phase of a negative cloud-to-ground lightning flash was observed in detail. Observations were made with a Photron SA1.1 high-speed video camera operating at 9,000 frames per second, fast optical sensors, a flat-plate electric field antenna covering the SLF to MF band, and VHF and UHF radio receivers with bandwidths of 20 MHz. Bright stepwise extensions of a negative leader were observed at an altitude of 8 km during the first few milliseconds of the flash, and were coincident with bipolar electric field pulses called 'characteristic pulses'. The 2-D step lengths of the preliminary processes were in excess of 100 meters, with some 2-D step lengths in excess of 200 meters. Smaller and shorter unipolar electric field pulses were superposed onto the bipolar electric field pulses, and were coincident with VHF and UHF radio pulses. After a few milliseconds, the emerging negative stepped leader system showed a marked decrease in luminosity, step length, and propagation velocity. Details of these events will be discussed, including the possibility that the preliminary breakdown phase consists not of a single developing lightning leader system, but of multiple smaller lightning leader systems that eventually join together into a single system.

  18. Short Nuss bar procedure

    Science.gov (United States)

    2016-01-01

    The Nuss procedure is now the preferred operation for surgical correction of pectus excavatum (PE). It is a minimally invasive technique, whereby one to three curved metal bars are inserted behind the sternum in order to push it into a normal position. The bars are left in situ for three years and then removed. This procedure significantly improves quality of life and, in most cases, also improves cardiac performance. Previously, the modified Ravitch procedure was used with resection of cartilage and the use of posterior support. This article details the new modified Nuss procedure, which requires the use of shorter bars than specified by the original technique. This technique facilitates the operation as the bar may be guided manually through the chest wall and no additional stabilizing sutures are necessary. PMID:27747185

  19. Preliminary FLUKA study of the proposed PSNF installation - A description of the implemented geometry with an analysis of some operational aspects

    CERN Document Server

    Calviani, M; Sala, P; Vlachoudis, V; CERN. Geneva. ATS Department

    2011-01-01

    A recent experimental proposal in the form of a Memorandum has been discussed at the SPSC (SPS and PS experiments Committee) session of April 2011, with the objective of investigating anomalous nu_mu --> nu_e neutrino oscillations; this proposal has followed a letter of intent published in 2009. The proposed experiment would be a short-baseline neutrino experiment with two detectors placed at 120 m and 850 m from the secondary production target. In order to achieve the required beam parameters, it has been proposed to reactivate the discontinued PS neutrino facility, which was operational in the early 80s, located in the TT7 tunnel. The present note describes the implementation of the secondary beam production elements of the proposed PS Neutrino Facility within the FLUKA Monte Carlo code as well as the complete infrastructure of the TT7 tunnel; the note also contains a respective analysis of some critical aspects related to energy deposition in the beam line, of the ambient dose rate equivalent in public a...

  20. Automated performance check of PV system operation based on satellite data. Evaluation of the PVSAT-2 procedure; Automatische Ertragsueberwachung von Photovoltaikanlagen auf der Basis von Satellitendaten. Evaluierung des PVSAT-2 Verfahrens

    Energy Technology Data Exchange (ETDEWEB)

    Lorenz, E.; Betcke, J.; Drews, A.; Heinemann, D. [Oldenburg Univ. (Germany); Heilscher, G.; Schneider, M. [Meteocontrol GmbH, Augsburg (Germany); Toggweiler, P. [Enecolo AG, Moenchaltorf (Switzerland); Sark, W. van [Universiteit Utrecht, Utrecht (Netherlands); Wiemken, E. [Fraunhofer-Institut fuer Solare Energiesysteme (ISE), Freiburg im Breisgau (Germany); Beyer, H.G. [Hochschule Magdeburg-Stendal (Germany)

    2005-07-01

    A procedure for an automated performance check of PV system operation was developed within the EC funded project PVSAT-2. Early detection of failures in grid connected PV systems increases efficiency, reliability and cost-effectiveness of these systems. Due to the variability of the solar irradiation and therefore of the energy yield, most system failures are difficult to detect. Besides an continuous recording of the actual energy yield, additional information on the available solar irradiance is necessary to calculate reference values of the expected yield. For small systems local data acquisition is usually too expensive, therefore irradiance values are derived from satellite data. For the early detection of system failures the system performance is analysed daily on a central server and a failure detection routine identifies possible causes for system failures. This paper provides an overview on the PVSAT-2 procedure and presents results of the different components of the service. (orig.)

  1. Elaboration and implementation of standard operational procedure for quality assurance of cone beam CT image in radiotherapy; Elaboracao e implementacao de procedimentos operacionais padrao para controle de qualidade da imagem CBCT em radioterapia

    Energy Technology Data Exchange (ETDEWEB)

    Bonatto, Larisse N.; Estacio, Daniela R.; Lopes, Juliane S.; Sansson, Angela; Duarte, Lucas O.; Sbaraini, Patricia; Silva, Ana M. Marques da; Streck, Elaine E., E-mail: larisse.neumann@pucrs.br [Pontificia Universidade Catolica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS (Brazil)

    2016-07-01

    The objective of this article is to present the implementation of the quality Control of Cone Beam Computed Tomography (CBCT) image, generated by the On-Board Imager, integrated with the linear accelerator Trilogy. Standard operating procedures (POPs) have been developed based on the literature and manuals of the simulator object Catphan 504 and the On-Board Imager. The following POPs were developed: acquisition of the CBCT image; linearity of CT number; uniformity; spatial resolution; low contrast resolution; spatial linearity; thickness of the cut. The validation of the elaborated procedures was done from an experimental acquisition of the simulator object. The results obtained in the validation of the POPs are in compliance with the parameters established by the manufacturer of the simulator object, as well as those obtained in the acceptance of the On-Board Imager device.

  2. Preliminary Tests of Blowers of Three Designs Operating in Conjunction with a Wing-Duct Cooling System for Radial Engines, Special Report

    Science.gov (United States)

    Biermann, David; Valentine, E. Floyd

    1939-01-01

    This paper is one of several dealing with methods intended to reduce the drag of present-day radial engine installations and improve the cooling at zero and low air speeds, The present paper describes model wind-tunnel tests of blowers of three designs tested in conjunction with a wing-nacelle combination. The principle of operation involved consists of drawing cooling air into ducts located in the wing root at the point of maximum slipstream velocity, passing the air through the engine baffles from rear to front, and exhausting the air through an annular slot located between the propeller and the engine with the aid of a blower mounted on the spinner. The test apparatus consisted essentially of a stub wing having a 5-foot chord and a 15-foot span, an engine nacelle of 20 inches diameter enclosing a 25-horsepower electric motor, and three blowers mounted on propeller spinners. Two of the blowers utilize centrifugal force while the other uses the lift from airfoils to force the air out radially through the exit slot. Maximum efficiencies of over 70 percent were obtained for the system as a whole. Pressures were measured over the entire flight range which were in excess of those necessary to cool present-day engines, The results indicated that blowers mounted on propeller spinners could be built sufficiently powerful and efficient to warrant their use as the only, or chief, means of forcing air through the cooling system, so that cooling would be independent of the speed of the airplane.

  3. Development and Applications of a Stage Stacking Procedure

    Science.gov (United States)

    Kulkarni, Sameer; Celestina, Mark L.; Adamczyk, John J.

    2012-01-01

    The preliminary design of multistage axial compressors in gas turbine engines is typically accomplished with mean-line methods. These methods, which rely on empirical correlations, estimate compressor performance well near the design point, but may become less reliable off-design. For land-based applications of gas turbine engines, off-design performance estimates are becoming increasingly important, as turbine plant operators desire peaking or load-following capabilities and hot-day operability. The current work develops a one-dimensional stage stacking procedure, including a newly defined blockage term, which is used to estimate the off-design performance and operability range of a 13-stage axial compressor used in a power generating gas turbine engine. The new blockage term is defined to give mathematical closure on static pressure, and values of blockage are shown to collapse to curves as a function of stage inlet flow coefficient and corrected shaft speed. In addition to these blockage curves, the stage stacking procedure utilizes stage characteristics of ideal work coefficient and adiabatic efficiency. These curves are constructed using flow information extracted from computational fluid dynamics (CFD) simulations of groups of stages within the compressor. Performance estimates resulting from the stage stacking procedure are shown to match the results of CFD simulations of the entire compressor to within 1.6% in overall total pressure ratio and within 0.3 points in overall adiabatic efficiency. Utility of the stage stacking procedure is demonstrated by estimation of the minimum corrected speed which allows stable operation of the compressor. Further utility of the stage stacking procedure is demonstrated with a bleed sensitivity study, which estimates a bleed schedule to expand the compressors operating range.

  4. Mineral resource management of the Outer Continental Shelf : leasing procedures, evaluation of resources, and supervision of production operations on leased lands of the Outer Continental Shelf

    Science.gov (United States)

    Adams, Maurice V.; John, C.B.; Kelly, R.F.; LaPointe, A.E.; Meurer, R.W.

    1975-01-01

    An important function of the Geological Survey is the evaluation and management of the mineral resources of the Outer Continental Shelf, particularly with respect to oil and gas, salt, and sulfur. Production of oil and gas from the Outer Continental Shelf of the United States has increased substantially over the past 20 years and represents an increasing percentage of total United States production. As discovery of major onshore production of oil and gas has become more difficult, the search has moved into the surrounding waters where submerged sedimentary formations are conducive to the accumulation of oil and gas. Increased energy demands of recent years have accelerated the pace of offshore operations with a corresponding improvement in technology as exploration and development have proceeded farther from shore and into deeper water. While improved technology and enforcement of more stringent regulations have made offshore operations safer, it is unrealistic to believe that completely accident-free operations can ever be achieved. Only slightly more than six percent of the world's continental terrace is adjacent to the United States, but less than one percent has been explored for oil and gas. Since the lead time for the development of offshore oil and gas resources can be as much as a decade, they do not provide an immediate energy supply but should be viewed in the light of a near-term source with a potential of becoming a medium-range source of supply pending the development of alternative energy sources. Revenues from the Outer Continental Shelf are deposited to the general fund of the United States Treasury. A major portion of these funds is allocated to the Land and Water Conservation Fund, the largest Federal grant-in-aid program of assistance to States, counties, and cities for the acquisition and development of public parks, open space, and recreation lands and water.

  5. 美国EPA最新发布农药对居住者健康的风险评估方法%New standard operating procedures for residential pesticide exposure assessment of EPA

    Institute of Scientific and Technical Information of China (English)

    王以燕

    2013-01-01

    2012年10月,美国环境保护局发布了第二版农药对居住者的风险评估方法准则(Standard Operating Procedure 2012)(简称:最新EPA-SOP),笔者主要介绍评估室内卫生用农药的部分.由于部分内容仅适用美国的情况,我国如何评估室内卫生用农药产品,还需探讨和研究.

  6. Mobile Energy Laboratory Procedures

    Energy Technology Data Exchange (ETDEWEB)

    Armstrong, P.R.; Batishko, C.R.; Dittmer, A.L.; Hadley, D.L.; Stoops, J.L.

    1993-09-01

    Pacific Northwest Laboratory (PNL) has been tasked to plan and implement a framework for measuring and analyzing the efficiency of on-site energy conversion, distribution, and end-use application on federal facilities as part of its overall technical support to the US Department of Energy (DOE) Federal Energy Management Program (FEMP). The Mobile Energy Laboratory (MEL) Procedures establish guidelines for specific activities performed by PNL staff. PNL provided sophisticated energy monitoring, auditing, and analysis equipment for on-site evaluation of energy use efficiency. Specially trained engineers and technicians were provided to conduct tests in a safe and efficient manner with the assistance of host facility staff and contractors. Reports were produced to describe test procedures, results, and suggested courses of action. These reports may be used to justify changes in operating procedures, maintenance efforts, system designs, or energy-using equipment. The MEL capabilities can subsequently be used to assess the results of energy conservation projects. These procedures recognize the need for centralized NM administration, test procedure development, operator training, and technical oversight. This need is evidenced by increasing requests fbr MEL use and the economies available by having trained, full-time MEL operators and near continuous MEL operation. DOE will assign new equipment and upgrade existing equipment as new capabilities are developed. The equipment and trained technicians will be made available to federal agencies that provide funding for the direct costs associated with MEL use.

  7. 33 CFR 127.315 - Preliminary transfer inspection.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) WATERFRONT FACILITIES WATERFRONT FACILITIES HANDLING LIQUEFIED NATURAL GAS AND LIQUEFIED HAZARDOUS GAS Waterfront Facilities Handling Liquefied Natural Gas Operations § 127.315 Preliminary...

  8. 先天性心脏病术后漏斗胸行Nuss手术28例%Efficacy of Nuss procedure in treatment of pectus excavatum after congenital heart disease operation: 28cases of report

    Institute of Scientific and Technical Information of China (English)

    李帅; 汤绍涛; 余鋮; 黄欣; 阳历; 王勇; 童强松; 毛永忠; 阮庆兰

    2012-01-01

    Objective To explore the feasibility and efficacy in therapy of pectus excavatum using Nuss procedure after congenital heart disease operation.Methods A retrospective study was carried out for 28 cases of pectus’ excavatum undertaking Nuss procedure after congenital heart disease (CHD) operation.The operative time,hospital stay time,curative efficacy,issues for heart function in pre-and post-operation,as well postoperative complications were targeted for analysis.Children with congenital pectus excavatum were set as control and children in both group had comparable age.Results The average operation time was 61.1 min (ranging 55-75 min),hospital stay time was averagely 9.2 days (ranging from 7 13 days).1 case of children was complicated with hemopericardium and cardiac tamponade,and was effectively managed by pericardial puncture under ultrasound guidance,followed by transfusion of cold precipitation (due to combined coagulation dysfunction); Asymptomatic pneumothorax was found in 2 cases,and recovery in 1 week without intervention.The ejection fraction were improved significantly in comparison of pre-operation (58.4 ± 2.3) and post-operation (61.2 ± 3.6) (P<0.05).Conclusions Nuss procedure is a safe and effective procedure for pectus excavatum after CHD operation in children with satisfactory efficacy.%目的 探讨Nuss手术治疗先天性心脏病(CHD)术后漏斗胸的可行性和疗效.方法 回顾分析Nuss手术治疗CHD术后漏斗胸28例的病例资料.观察其手术时间、住院时间、手术效果、手术前后心功能指标及术后并发症.结果 CHD术后漏斗胸28例患儿行Nuss手术均顺利完成.手术时间55~75 min,平均(61.1±7.6)min;住院时间7~13 d,平均(9.2±1.5)d.术中出现心包积血、心脏压塞1例及时予以B超下心包穿刺同时输注冷沉淀控制了病情(因合并凝血功能障碍);气胸2例,准备出院复查时发现,无明显症状观察1周出院,1个月后复诊完全吸收.术后心脏

  9. Virtual reality in simulation of operational procedures in radioactive waste deposits; Realidade virtual na simulacao de procedimentos operacionais em depositos de rejeitos radioativos

    Energy Technology Data Exchange (ETDEWEB)

    Freitas, Victor Goncalves Gloria

    2016-07-01

    One of the biggest problems in the nuclear area are still the radioactive waste generated in the various applications of this form of energy, all these tailings are stored in warehouses that often are monitored and restructured for better allocation of then. These tailings are stored until it is safe to release into the environment. This work presents a methodology based on virtual reality, for the development of virtual deposits of radioactive waste in order to enable virtual simulations in these deposits. As application will be developed virtually the nuclear waste repository located at the Institute of Nuclear Engineering IEN/CNEN. The development of a virtual warehouse, more specifically, makes it possible to simulate/train the allocation and reallocation of materials with low and medium level of radioactivity, seen the possibility of locomotion of virtual objects and dynamic calculation of the rate of radiation in this environment. Using this methodology it also possible know the accumulated dose, by the virtual character, during the procedures run in the virtual environment. (author)

  10. A Novel Operative Procedure for Pelvic Organ Prolapse Utilizing a MRI-Visible Mesh Implant: Safety and Outcome of Modified Laparoscopic Bilateral Sacropexy

    Directory of Open Access Journals (Sweden)

    Ralf Joukhadar

    2015-01-01

    Full Text Available Introduction. Sacropexy is a generally applied treatment of prolapse, yet there are known possible complications of it. An essential need exists for better alloplastic materials. Methods. Between April 2013 and June 2014, we performed a modified laparoscopic bilateral sacropexy (MLBS in 10 patients using a MRI-visible PVDF mesh implant. Selected patients had prolapse POP-Q stages II-III and concomitant OAB. We studied surgery-related morbidity, anatomical and functional outcome, and mesh-visibility in MRI. Mean follow-up was 7.4 months. Results. Concomitant colporrhaphy was conducted in 1/10 patients. Anatomical success was defined as POP-Q stage 0-I. Apical success rate was 100% and remained stable. A recurrent cystocele was seen in 1/10 patients during follow-up without need for intervention. Out of 6 (6/10 patients with preoperative SUI, 5/6 were healed and 1/6 persisted. De-novo SUI was seen in 1/10 patients. Complications requiring a relaparoscopy were seen in 2/10 patients. 8/10 patients with OAB were relieved postoperatively. The first in-human magnetic resonance visualization of a prolapse mesh implant was performed and showed good quality of visualization. Conclusion. MLBS is a feasible and safe procedure with favorable anatomical and functional outcome and good concomitant healing rates of SUI and OAB. Prospective data and larger samples are required.

  11. The Partition Intervalometer: A Programmable Underwater Timer for Marking Accumulated Sediment Profiles Collected in Anderson Sediment Traps: Development, Operation, Testing Procedures, and Field Results

    Science.gov (United States)

    Rendigs, Richard R.; Anderson, Roger Y.; Xu, Jingping; Davis, Raymond E.; Bergeron, Emile M.

    2009-01-01

    This manual illustrates the development of a programmable instrument designed to deploy a series of wafer-shaped discs (partitions) into the collection tube of a sediment trap in various aquatic environments. These hydrodynamically shaped discs are deployed at discrete time intervals from the Intervalometer and provide markers that delineate time intervals within the sediments that accumulate in the collection tube. The timer and mechanical system are lodged in an air-filled, water-tight pressure housing that is vertically hung within the confines of a cone-shaped sediment trap. The instrumentation has been operationally pressure tested to an equivalent water depth of approximately 1 km. Flaws discovered during extensive laboratory and pressure testing resulted in the implementation of several mechanical modifications (such as a redesign of the rotor and the discs) that improved the operation of the rotor assembly as well as the release of discs through the end cap. These results also identified a preferred azimuth placement of the rotor disc relative to the drop hole of the end cap. In the initial field trial, five sediment traps and coupled Intervalometers were attached to moored arrays and deployed at two sites off the coast of Southern California for approximately 8 months. Each of the instruments released 18 discs at the programmed 10 day intervals, except one unit, which experienced a malfunction after approximately 4 months. Most of the discs oriented in a near-horizontal position upon the surface of the sediment in the collection tubes. Sampling of the sediments for geochemical analyses was improved by these clearly defined markers, which indicated the changes in the flux and nature of sediments accumulated during the deployment period of each sediment trap.

  12. SAFE-P: System for Assurance of Flight Executable Procedures Project

    Data.gov (United States)

    National Aeronautics and Space Administration — NASA operates manned spacecraft according to rigorously-defined standard operating procedures. Unfortunately, operating procedures are often written in different...

  13. Short Nuss bar procedure

    DEFF Research Database (Denmark)

    Pilegaard, Hans Kristian

    2016-01-01

    The Nuss procedure is now the preferred operation for surgical correction of pectus excavatum (PE). It is a minimally invasive technique, whereby one to three curved metal bars are inserted behind the sternum in order to push it into a normal position. The bars are left in situ for three years...

  14. Study on the classification and grading management of operations and procedures with Wiki technology%维基技术应用于手术操作分类及手术分级管理的研究

    Institute of Scientific and Technical Information of China (English)

    赖伏虎; 罗洁樱; 廖小玲; 向其国; 沈洁; 黄日琼; 赖丽文

    2014-01-01

    目的:针对手术操作分类及手术分级管理在医院应用和实施过程中的若干问题,研究和探讨基于维基技术的知识管理方案。方法秉承开放式垂直型专家维基系统的建设思路,利用开源软件HDwiki搭建系统架构,根据分类编码和手术分级的工作需要设计维基模板,批量导入现有的数据库资源,合理配置专家、编码员、医务人员、知识管理员的维基使用权限,建立和推行手术操作分类及手术分级管理维基百科的运作规则和机制。结果开放式垂直型专家维基系统实现了手术分级与手术操作分类编码的动态对应,提高了病案编码员和其他相关人员获取手术操作分类及手术分级知识的效率,节约了专家编码答疑和词条评审的时间。结论维基技术弥补了以往手术操作分类及手术分级管理软件和应用模块的不足,为医院病案编码员和其他有关人员提供了具有权威性、系统性、协作性、开放性、便捷性的手术操作分类及手术分级管理百科全书,促进了病案信息技术“浅知识”向“深知识”传递,“隐性知识”与“显性知识”相互转化。%Objective To focus on the problems of Classification and Grading Management of Operations and Procedures in the hospital application and implementation process, and to research the solution project of the knowledge management based on wiki technology. Methods By the theory of vertical open expert Wiki system, we built the system architecture with open source software HD Wiki, designed wiki template according to the classification and grading management of operations and proce-dures, batch imported ICD-9-CM-3 database into the system, allocated proper access to specialist, coder, medical staff, knowl-edge administrator, and established the rules of the classification and grading management of operations and procedures. Results Vertical open expert Wiki system

  15. Dental Procedures.

    Science.gov (United States)

    Ramponi, Denise R

    2016-01-01

    Dental problems are a common complaint in emergency departments in the United States. There are a wide variety of dental issues addressed in emergency department visits such as dental caries, loose teeth, dental trauma, gingival infections, and dry socket syndrome. Review of the most common dental blocks and dental procedures will allow the practitioner the opportunity to make the patient more comfortable and reduce the amount of analgesia the patient will need upon discharge. Familiarity with the dental equipment, tooth, and mouth anatomy will help prepare the practitioner for to perform these dental procedures.

  16. Occupational dose constraints in interventional cardiology procedures: the DIMOND approach

    Energy Technology Data Exchange (ETDEWEB)

    Tsapaki, Virginia [Medical Physics Department, Konstantopoulio Agia Olga Hospital, Athens (Greece); Kottou, Sophia [Medical Physics Department, Athens University, Medical School, Athens (Greece); Vano, Eliseo [Medical Physics Service and Radiology Department, San Carlos University Hospital and Complutense University, Madrid (Spain); Komppa, Tuomo [Stuk, Radiation and Nuclear Safety Authority, Helsinki (Finland); Padovani, Renato [Servizio di Fisica Medica, Ospedale S Maria della Misericordia, Udine (Italy); Dowling, Annita [Medical Physics and Bioengineering Department, St James' s Hospital and Haughton Institute, Dublin (Ireland); Molfetas, Michael [Medical Physics Department, ' Evangelismos' Hospital, Athens (Greece); Neofotistou, Vassiliki [Medical Physics Department, Regional Athens General Hospital ' G Gennimatas' , Athens (Greece)

    2004-03-21

    Radiation fields involved in angiographic suites are most uneven with intensity and gradient varying widely with projection geometry. The European Commission DIMOND III project addressed among others, the issues regarding optimization of staff doses with an attempt to propose preliminary occupational dose constraints. Two thermoluminescent dosemeters (TLD) were used to assess operators' extremity doses (left shoulder and left foot) during 20 coronary angiographies (CAs) and 20 percutaneous transluminal coronary angioplasties (PTCAs) in five European centres. X-ray equipment, radiation protection measures used and the dose delivered to the patient in terms of dose-area product (DAP) were recorded so as to subsequently associate them with operator's dose. The range of staff doses noted for the same TLD position, centre and procedure type emphasizes the importance of protective measures and technical characteristics of x-ray equipment. Correlation of patient's DAP with staff shoulder dose is moderate whereas correlation of patient's DAP with staff foot dose is poor in both CA and PTCA. Therefore, it is difficult to predict operator's dose from patient's DAP mainly due to the different use of protective measures. A preliminary occupational dose constraint value was defined by calculating cardiologists' annual effective dose and found to be 0.6 mSv.

  17. THE EFFECTS OF PRELIMINARY RULINGS

    Directory of Open Access Journals (Sweden)

    Iuliana-Mădălina LARION

    2015-07-01

    Full Text Available The study analyses the effects of the preliminary rulings rendered by the Court of Justice for the judicial body that made the reference and for other bodies dealing with similar cases, for the member states, for the European Union’ s institutions and for EU legal order. Starting from the binding effect of the preliminary judgment for national judicial bodies, which requires them to follow the ruling or make a new reference, to the lack of precedent doctrine in EU law, continuing with the possibility to indirectly verify the compatibility of national law of the member states with EU law and ending with the administrative or legislative measures that can or must be taken by the member states, the study intends to highlight the limits, nuances and consequences of the binding effect. It mentions the contribution of the national courts and of the Court of Justice of the European Union to the development of EU law, such as clarifying autonomous notions and it emphasizes the preliminary procedure's attributes of being a form of judicial protection of individual rights, as well as a means to review the legality of acts of EU institutions. The paper is meant to be a useful instrument for practitioners. Therefor, it also deals with the possibility and limits of asking new questions, in order to obtain reconsideration or a refinement of the legal issue and with the problem of judicial control over the interpretation and application of the preliminary ruling by the lower court.

  18. Analysis of minor incidents in the operation of nuclear power plants: a case study on the use of procedures in organizations dealing with hazardous technologies; Analise de microincidentes na operacao de usinas nucleares: estudo de caso sobre o uso de procedimentos em organizacoes que lidam com tecnologias perigosas

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, Paulo Victor Rodrigues de [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil)], e-mail: paulov@ien.gov.br; Vidal, Mario Cesar Rodriguea [Coordenacao dos Programas de Pos-graduacao de Engenharia (COPPE/UFRJ), Rio de Janeiro, RJ (Brazil). Grupo de Ergonomia e Novas Tecnologias (GENTE); Carvalho, Eduardo Ferro de [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Dept. de Engenharia de Producao

    2005-05-15

    Organizations that work with hazardous materials, such as nuclear power plants, offshore installations, and chemical and petrochemical plants, have risk management systems involving accident control and mitigation to ensure the safety of their facilities. These systems are based on physical devices, such as protective barriers, equipment and systems aimed at preventing the occurrence and propagation of accidents, and on human aspects such as regulations and procedures. This paper analyzes the use of a variety of procedures by nuclear power plant control room operators. The methodology consisted of analyzing the work of control room operators during the normal operations, shutdown, and startup of a nuclear power plant, and in full scale simulator training. This survey revealed that routine noncompliance to procedures was considered normal according to the operating rationale, which is based on technical, organizational and cultural factors. These findings indicate that the competencies nuclear power plant operators must possess far exceed proper technical training and the ability to follow written instructions. (author)

  19. Abusive behaviour of grid operators within concession procedures and grid acquisitions with respect to paragraph paragraph 30, 32 EnWG; Missbraeuchliches Verhalten von Netzbetreibern bei Konzessionierungsverfahren und Netzuebernahmen nach paragraph paragraph 30, 32 EnWG

    Energy Technology Data Exchange (ETDEWEB)

    Becker, Peter [ZNER (Germany); Humboldt-Univ. zu Berlin (Germany). Energierecht; Becker Buettner Held, Berlin (Germany); Templin, Wolf [Kanzlei Boos Hummel und Wegerich, Berlin (Germany)

    2013-02-15

    The competition for the power distribution systems has inflamed all over in the Federal Republic of Germany due to the fact that concession contracts have a running time of only twenty years and end not later than 31st December, 1994. Those concession contracts will end currently. Thus the old affiliated companies have to fear for their market position. Under this aspect, the authors of the contribution under consideration report on the abusive behaviour of grid operators at licensing procedures and grid acquisitions with respect to paragraph paragraph 30, 32 Energy Economy Law. The authors report on the unilateral monopole consideration of the authorities and court as well as on the abusive behaviour of the old concessionaires from the standpoint of energy law and cartel law.

  20. Efecto de la emoción sobre la memoria prospectiva: un nuevo enfoque basado en procedimientos operantes (The effect of emotion on prospective memory: a new approachbased on operant procedures

    Directory of Open Access Journals (Sweden)

    Fernando Gordillo León

    2010-12-01

    Full Text Available Prospective memory denotes the ability to remember to perform actions in the future, and may be affected in different ways by the emotional content of the elements determining it. In the laboratory context, this situation can be reproduced through the induction of emotions during the performance of prospective memory tasks. We investigated whether by inducing a negative or positive emotion after the performance of a programmed task we were respectively “punishing” or “rewarding” such responses. If this proved to be the case, we further studied whether this would have an effect on remembering to perform it again in the future. We discuss this issue by analysing recent related work and we propose the use of operant procedures to analyze the effect of emotion on prospective memory.