End-preparation assessments and tests for compounded sterile preparations.

Science.gov (United States)

McElhiney, Linda F

2013-01-01

Outsourcing has become a necessity to obtain sterile products that are currently on backorder. Because of the expense of outsourcing sterile compounding, pharmacy leadership in health systems are now considering the option of insourcing and batch preparing compounded sterile preparations, which can be a viable option for a health system. It can significantly decrease drug-spending costs, and the pharmacy has a complete record of the compounding process. The key to preparing high-quality, safe, sterile preparations and meeting United States Pharmacopeia standards is end-preparation assessments and tests.

Assessment of Competence in EVAR Procedures

DEFF Research Database (Denmark)

Strøm, M; Lönn, L; Bech, B

2017-01-01

OBJECTIVE/BACKGROUND: To develop a procedure specific global rating scale for assessment of operator competence in endovascular aortic repair (EVAR). METHODS: A Delphi approach was used to achieve expert consensus. A panel of 32 international experts (median 300 EVAR procedures, range 200...... suggested by the panel and reduced to seven pivotal assessment items that reached consensus, Cronbach's alpha = 0.82. The seven item rating scale covers key elements of competence in EVAR stent placement and deployment. Each item has well defined grades with explicit anchors at unacceptable, acceptable......, and superior performance on a 5 point Likert scale. CONCLUSION: The Delphi methodology allowed for international consensus on a new procedure specific global rating scale for assessment of competence in EVAR. The resulting scale, EndoVascular Aortic Repair Assessment of Technical Expertise (EVARATE...

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

International Nuclear Information System (INIS)

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

9 CFR 147.8 - Procedures for preparing egg yolk samples for diagnostic tests.

Science.gov (United States)

2010-01-01

... samples for diagnostic tests. 147.8 Section 147.8 Animals and Animal Products ANIMAL AND PLANT HEALTH... IMPROVEMENT PLAN Blood Testing Procedures § 147.8 Procedures for preparing egg yolk samples for diagnostic... for diagnostic testing. (b) The authorized laboratory must identify each egg as to the breeding flock...

A comparative assessment of alternative waste management procedures for selected reprocessing wastes

International Nuclear Information System (INIS)

Hickford, G.E.; Plews, M.J.

1983-07-01

This report, which has been prepared by Associated Nuclear Services for the Department of the Environment, presents the results of a study and comparative assessment of management procedures for low and intermediate level solid waste streams arising from current and future fuel reprocessing operations on the Sellafield site. The characteristics and origins of the wastes under study are discussed and a reference waste inventory is presented, based on published information. Waste management strategy in the UK and its implications for waste conditioning, packaging and disposal are discussed. Wastes currently arising which are not suitable for Drigg burial or sea dumping are stored in an untreated form. Work is in hand to provide additional and improved disposal facilities which will accommodate all the waste streams under study. For each waste stream viable procedures are identified for further assessment. The procedures comprise a series of on-site operations-recovery from storage, pre-treatment, treatment, encapsulation, and packaging, prior to storage or disposal of the conditioned waste form. Assessments and comparisons of each procedure for each waste are presented. These address various process, operational, economic, radiological and general safety factors. The results are presented in a series of tables with supporting text. For the majority of wastes direct encapsulation with minimal treatment appears to be a viable procedure. Occupational exposure and general safety are not identified as significant factors governing the choice of procedures. The conditioned wastes meet the general requirements for safe handling during storage and transportation. The less active wastes suitable for disposal by currently available routes meet the appropriate disposal criteria. It is not possible to consider in detail the suitability for disposal of the more active wastes for which disposal facilities are not yet available. (Author)

Comparison of two sample preparation procedures for HPLC determination of ochratoxin A

Directory of Open Access Journals (Sweden)

Vuković Gorica L.

2009-01-01

Full Text Available In preparation of samples for chromatographic determination of ochratoxin A, two types of columns were used for sample cleanup (SPE and immunoaffinity columns. The first method consisted of liquid-liquid extraction with a mixture of chloroform and phosphoric acid, followed by ion-exchange cleanup on Waters Oasis MAX columns. The sec­ond method consisted of extraction with a mixture of water and methanol, followed by LCTech OtaCLEAN immunoaf­finity column cleanup. Recoveries of the methods were determined at three levels in three repetitions for maize flour, and they were 84% (%RSD = 19.2 for the first method of sample preparation and 101% (%RSD = 2.2 for the second method. Values of LOQ for OTA were 0.25 and 1.00 μg/kg for the IAC and SPE clean-up procedures, respectively. Both methods comply with present regulations, but the MAX sample clean-up procedure should be used as an alternative, since the immunoaffinity column clean-up procedure is characterized by better reproducibility, accuracy, and efficiency.

Standard Operating Procedures for Preparing and Handling Sterile Male Tsetse flies for Release

International Nuclear Information System (INIS)

Argiles-Herrero, Rafa; Leak, Stephen G.A.

2016-01-01

The purpose of this SOP is to describe the procedures involved in preparing tsetse flies reared in a breeding facility for release in the field for the sterile insect technique (SIT) as a component of Area-Wide Insect pest Management (AW-IPM). Following the procedures which are outlined will help to ensure that the released sterile male tsetse flies are of optimal quality.

[Preparation of sedation-analgesia procedures in spanish paediatric emergency departments: A descriptive study].

Science.gov (United States)

Míguez Navarro, Concepción; Oikonomopoulou, Niki; Lorente Romero, Jorge; Vázquez López, Paula

2017-07-24

The objective of this study was to describe the current practice regarding the preparation of the sedation-analgesia (SA) procedures performed in the paediatric emergency centres in Spain. A multicentre, observational and prospective analytical study was carried out on the SA procedures that were performed on children under 18 years-old in 18 paediatric emergency departments between February 2015 and January 2016. A total of 658 SA procedures were registered in 18 hospitals of Spain, most of them to children older than 24 months. The type of the procedure was: simple analgesia in 57 (8.6%), sedation in 44 (6.7%), SA for a not very painful procedure in 275 (41.8%), and SA for a very painful procedure in 282 (42.9%). Informed consent was requested in 98.6% of the cases. The written form was more frequently preferred in the group of patients that received SA for a very painful procedure (76.6%) in comparison to a painful procedure or to simple analgesia (62.9% and 54.4%, respectively, P<.001). The staff that most frequently performed the SA procedures were the paediatricians of the emergency departments (64.3%), followed by Paediatrics Residents (30.7%). The most frequent reasons for the SA were traumatological (35.9%) and surgical (28.4%). Fasting was observed in 81% of the cases. More than two-thirds (67.3%, n=480) children were monitored, the majority (95.8%) of them using pulse oximetry. The pharmacological strategy used was the administration of one drug in 443 (67.3%) of the cases, mostly nitrous oxide, and a combination of drugs in 215 (32.7%), especially midazolam/ketamine (46.9%). The majority of the SA procedures analysed in this study have been carried out correctly and prepared in accordance with the current guidelines. Copyright © 2017. Publicado por Elsevier España, S.L.U.

An Efficient and Green Procedure for the Preparation of Acylals from ...

African Journals Online (AJOL)

An Efficient and Green Procedure for the Preparation of Acylals from Aldehydes Catalyzed by Alum [KAl(SO 4 ) 2 .12H 2 O] ... South African Journal of Chemistry ... mild reaction conditions, short reaction times and excellent yields, and offers a green synthetic solution by avoiding toxic catalysts and hazardous solvents.

Chapter 8. Medical procedures. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

NARCIS (Netherlands)

Zimmerman, Janice L.; Sprung, Charles L.; Christian, Michael D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce

2010-01-01

To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on ensuring that adequate resources are available and appropriate protocols are developed to safely perform procedures in

Sample preparation procedure for PIXE elemental analysis on soft tissues

International Nuclear Information System (INIS)

Kubica, B.; Kwiatek, W.M.; Dutkiewicz, E.M.; Lekka, M.

1997-01-01

Trace element analysis is one of the most important field in analytical chemistry. There are several instrumental techniques which are applied for determinations of microscopic elemental content. The PIXE (Proton Induced X-ray Emission) technique is one of the nuclear techniques that is commonly applied for such purpose due to its multielemental analysis possibilities. The aim of this study was to establish the optimal conditions for target preparation procedure. In this paper two different approaches to the topic are presented and widely discussed. The first approach was the traditional pellet technique and the second one was mineralization procedure. For the analysis soft tissue such as liver was used. Some results are also presented on water samples. (author)

15 CFR 990.27 - Use of assessment procedures.

Science.gov (United States)

2010-01-01

...) NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE OIL POLLUTION ACT REGULATIONS NATURAL RESOURCE DAMAGE ASSESSMENTS Authorities § 990.27 Use of assessment procedures. (a) Standards for... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Use of assessment procedures. 990.27...

Defect assessment procedures at high temperature

International Nuclear Information System (INIS)

Ainsworth, R.A.

1991-01-01

A comprehensive assessment procedure for the high-temperature response of structures is being produced. The procedure is referred to as R5 and is written as a series of step-by-step instructions in a number of volumes. This paper considers in detail those parts of R5 which address the behaviour of defects. The defect assessment procedures may be applied to defects found in service, postulated defects, or defects formed during operation as a result of creep-fatigue loading. In the last case, a method is described for deducing from endurance data the number of cycles to initiate a crack of a specified size. Under steady loading, the creep crack tip parameter C * is used to assess crack growth. Under cyclic loading, the creep crack growth during dwell periods is stiell governed by C * but crack growth due to cyclic excursions must also be included. This cyclic crack growth is described by an effective stress intensity factor range. A feature of the R5 defect assessment procedures in that they are based on simplified methods and approximate reference stress methods are described which enable C * in a component to be evaluated. It is shown by comparison with theoretical calculations and experimental data that reliable estimates of C * and the associated crack growth are obtained provided realistic creep strain rate date are used in the reference stress approximation. (orig./HP)

Influence of rice sample preparation and milling procedures on milling quality appraisals

Science.gov (United States)

The objective of this research was to investigate the effect of sample preparation and milling procedure on milling quality appraisals of rough rice. Samples of freshly harvested medium-grain rice (M202) with different initial moisture contents (MCs) ranging from 20.2% to 25.1% (w.b.) were used for...

Developments in the preparation of operating procedures for emergency conditions of nuclear power plants

International Nuclear Information System (INIS)

1985-06-01

In recent years a substantial effort has been devoted by the nuclear community to extend Emergency Operating Procedures (EOPs) to cover all conceivable events and to develop procedure formats that transmit the essential guidance to operators in an optimum way. The information given in this report is based upon the most recent developments in formulating and applying EOPs. It should therefore provide guidance to those involved in preparing or reviewing EOPs on the scope, technical basis, organization and format of such procedures. It also outlines the actions required to validate the adequacy and applicability of these procedures so that the correct operator actions are achieved. Examples are given to illustrate the developments in some Member States

A procedure for the preparation of radioactive thymidine labelled with 14C

International Nuclear Information System (INIS)

Nejedly, Z.; Skodova, H.; Culik, K.; Filip, J.; Kolina, J.; Skoda, J.

1990-01-01

14 C-Labelled thymidine can be prepared by conversion of labelled or unlabelled thymine. The preparation is carried out in the presence of labelled or unlabelled 2-deoxycytidine, of a surfactant and a of reaction stimulator in a buffer at a temperature of 3 to 38 degC, under the catalytic effect of biocatalysts prepared from Escherichia coli B bacterial cells which are immobilized by embedding into an inert carrier. Sodium dodecyl sulfate can serve as the surfactant, D-glucose as the reaction-stimulating substrate, and sodium alginate as the inert cell carrier. In the procedure suggested, catalytic properties of enzymes are utilized without the need to isolate the enzymes from the bacterial cells beforehand or to purify them. The bacterial cells can be applied repeatedly in several production batches and stored in physiological solution at 5 degC. (M.D.)

From analogue to apps--developing an app to prepare children for medical imaging procedures.

Science.gov (United States)

Williams, Gigi; Greene, Siobhan

2015-01-01

The Royal Children's Hospital (RCH) in Melbourne has launched a world-first app for children that will help reduce anxiety and the need for anesthesia during medical imaging procedures. The free, game-based app, "Okee in Medical Imaging", helps children aged from four to eight years to prepare for all medical imaging procedures--X-ray, CT, MRI, ultrasound, nuclear medicine, and fluoroscopy. The app is designed to reduce anticipatory fear of imaging procedures, while helping to ensure that children attend imaging appointments equipped with the skills required for efficient and effective scans to be performed. This paper describes how the app was developed.

A reproducible and scalable procedure for preparing bacterial extracts for cell-free protein synthesis.

Science.gov (United States)

Katsura, Kazushige; Matsuda, Takayoshi; Tomabechi, Yuri; Yonemochi, Mayumi; Hanada, Kazuharu; Ohsawa, Noboru; Sakamoto, Kensaku; Takemoto, Chie; Shirouzu, Mikako

2017-11-01

Cell-free protein synthesis is a useful method for preparing proteins for functional or structural analyses. However, batch-to-batch variability with regard to protein synthesis activity remains a problem for large-scale production of cell extract in the laboratory. To address this issue, we have developed a novel procedure for large-scale preparation of bacterial cell extract with high protein synthesis activity. The developed procedure comprises cell cultivation using a fermentor, harvesting and washing of cells by tangential flow filtration, cell disruption with high-pressure homogenizer and continuous diafiltration. By optimizing and combining these methods, ∼100 ml of the cell extract was prepared from 150 g of Escherichia coli cells. The protein synthesis activities, defined as the yield of protein per unit of absorbance at 260 nm of the cell extract, were shown to be reproducible, and the average activity of several batches was twice that obtained using a previously reported method. In addition, combinatorial use of the high-pressure homogenizer and diafiltration increased the scalability, indicating that the cell concentration at disruption varies from 0.04 to 1 g/ml. Furthermore, addition of Gam protein and examinations of the N-terminal sequence rendered the extract prepared here useful for rapid screening with linear DNA templates. © The Authors 2017. Published by Oxford University Press on behalf of the Japanese Biochemical Society. All rights reserved.

Exploring procedures for the rapid assessment of optically stimulated luminescence range-finder ages

International Nuclear Information System (INIS)

Roberts, Helen M.; Durcan, Julie A.; Duller, Geoff A.T.

2009-01-01

Optically stimulated luminescence (OSL) dating of sediments is a lengthy, labour-intensive, and time-consuming procedure. However, in some situations a rough approximation of the OSL age is all that is necessary e.g. for a pilot field campaign, to plan a sampling strategy, or to determine the resolution required for a dating campaign. Thus, it would be useful to establish an approximate OSL age without the lengthy and involved processes normally used. This paper explores how the standard procedures involved in OSL age determinations can be simplified to yield range-finder ages. Three areas are examined, namely, laboratory preparation, D e estimation, and dose-rate determination. The consequences of circumventing some of the preparation and measurement steps of conventional OSL dating are examined for a variety of sediments, by comparing the OSL range-finder ages to those obtained using full quartz OSL preparation and measurement procedures.

A low-volume polyethylene glycol solution was associated with an increased suboptimal bowel preparation rate but had similar recommendations for an early repeat colonoscopy, procedure times, and adenoma detection rates.

Directory of Open Access Journals (Sweden)

Sam C Hankins

Full Text Available Low-volume polyethylene glycol (PEG bowel preparations are better tolerated by patients than high-volume preparations and may achieve similar preparation quality. However, there is little data comparing their effects on a recommendation for an early repeat colonoscopy (because of a suboptimal preparation, procedure times, adenoma detection rate (ADR, and advanced adenoma detection rate (AADR.This is a retrospective cohort study of outpatient colonoscopies performed during a one-year period at a single academic medical center in which low-volume MoviPrep® (n = 1841 or high-volume Colyte® (n = 1337 was used. All preparations were split-dosed. Appropriate covariates were included in regression models assessing suboptimal preparation quality (fair, poor, or inadequate, procedure times, recommendation for an early repeat colonoscopy, ADR, and AADR.MoviPrep® was associated with an increase in having a suboptimal bowel preparation (OR 1.36; 95% CI: 1.06-1.76, but it was not associated with differences in insertion (p = 0.43, withdrawal (p = 0.22, or total procedure times (p = 0.10. The adjusted percentage with a suboptimal preparation was 11.7% for patients using MoviPrep® and 8.8% for patients using Colyte®. MoviPrep® was not associated with a significant difference in overall ADR (OR 0.93; 95% CI: 0.78-1.11, AADR (OR 1.18; 95% CI: 0.87-1.62, or recommendation for early repeat colonoscopy (OR 1.16; 95% CI: 0.72-1.88.MoviPrep® was associated with a small absolute increase in having a suboptimal preparation, but did not affect recommendations for an early repeat colonoscopy, procedure times, or adenoma detection rates. Mechanisms to reduce financial barriers limiting low-volume preparations should be considered because of their favorable tolerability profile.

Patients exposure assessment for radiographic procedures in diagnostic radiology

International Nuclear Information System (INIS)

Arandjic, D.; Ciraj-Bjelac, O.; Stankovic, K.; Lazarevic, Dj.; Ciraj-Bjelac, O.)

2007-01-01

In this work the results of dose assessment for the most frequent radiographic procedures in diagnostic radiology are shown. Entrance surface doses were assessed for 7 radiographic procedures. Three hospitals, six x-ray units in total, were enrolled in investigation. Patient doses were estimated based on results of x-ray tube output measurements. Finally, doses were compared with Diagnostic reference level. Higher dose values were observed for chest examinations. In comparison with results from other countries, doses from this procedure in Serbia are significantly higher. Estimated doses for other procedures were well below Diagnostic reference levels [sr

Preschooler test or procedure preparation

Science.gov (United States)

... your child during and after the procedure with books, songs, counting, deep breathing, or blowing bubbles. PLAY ... can be present during the procedure. Ask if anesthesia can be used to reduce your child's discomfort. ...

Toddler test or procedure preparation

Science.gov (United States)

... a test or procedure: Explain the procedure in language your child understands, using plain words. Avoid abstract terms. Make sure your child understands the exact body part involved in the test, and that the ...

Preparation and validation of gross alpha/beta samples used in EML's quality assessment program

International Nuclear Information System (INIS)

Scarpitta, S.C.

1997-10-01

A set of water and filter samples have been incorporated into the existing Environmental Measurements Laboratory's (EML) Quality Assessment Program (QAP) for gross alpha/beta determinations by participating DOE laboratories. The participating laboratories are evaluated by comparing their results with the EML value. The preferred EML method for measuring water and filter samples, described in this report, uses gas flow proportional counters with 2 in. detectors. Procedures for sample preparation, quality control and instrument calibration are presented. Liquid scintillation (LS) counting is an alternative technique that is suitable for quantifying both the alpha ( 241 Am, 230 Th and 238 Pu) and beta ( 90 Sr/ 90 Y) activity concentrations in the solutions used to prepare the QAP water and air filter samples. Three LS counting techniques (Cerenkov, dual dpm and full spectrum analysis) are compared. These techniques may be used to validate the activity concentrations of each component in the alpha/beta solution before the QAP samples are actually prepared

45 CFR 640.5 - Responsibilities and procedures for preparation of an environmental impact statement.

Science.gov (United States)

2010-10-01

... an environmental impact statement. 640.5 Section 640.5 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION COMPLIANCE WITH THE NATIONAL ENVIRONMENTAL POLICY ACT § 640.5 Responsibilities and procedures for preparation of an environmental impact statement. (a) If...

Software quality assurance procedures for radioactive waste risk assessment codes

International Nuclear Information System (INIS)

Hill, I.; Mayer, J.

1990-01-01

This support study for the evaluation of the safety of geological disposal systems is aimed at identifying the requirements for software quality assurance procedures for radioactive waste risk assessment codes, and to recommend appropriate procedures. The research covers: (i) the analysis of existing procedures and definition of requirements; (ii) a case study of the use of some existing procedures; (iii) the definition and the implementation of procedures. The report is supported by appendices that give more detail on the procedures recommended. It is intended to provide ideas on the steps that should be taken to ensure the quality of the programs used for assessment of the safety case for radioactive waste repositories, and does not represent the introduction of wholly new ideas or techniques. The emphasis throughout is on procedures that will be easily implemented, rather than on the fully rigorous procedures that are required for some application areas. The study has concentrated on measures that will increase the confidence in repository performance assessments among the wider scientific/engineering community, and the lay public

Assessment in Counseling: A Guide to the Use of Psychological Assessment Procedures. Third Edition.

Science.gov (United States)

Hood, Albert B.; Johnson, Richard W.

This book presents information about various psychological assessment procedures that are specifically relevant for practicing counselors. It deals with the use of assessment procedures in the counseling process and emphasizes the selection, interpretation, and communication of psychological test results. The importance of integrating test results…

Improving L2 Reading Comprehension through Emotionalized Dynamic Assessment Procedures.

Science.gov (United States)

Abdolrezapour, Parisa

2017-06-01

The paper reports a study on an emotionally-loaded dynamic assessment procedure used with Iranian EFL learners. It focuses on the effect of using emotional intelligence characteristics (based on Goleman's framework) as a tool for motivating learners while performing reading tasks. The study with 50 intermediate learners aged 12-15 used three modalities: a control group, which was taught under institute's normal procedures; a comparison group, which received dynamic assessment (DA); and an experimental group, which received emotionalized dynamic assessment (EDA) procedures, in the form of an intervention focusing on characteristics of Goleman's emotional intelligence framework with the express purpose of inducing them to work with their emotions. Results showed that applying EDA procedures to reading assessment tasks made a difference in learners' level of performance in comparison to those who went through pure DA procedures who in turn performed significantly better than those who did not received DA in any form.

A procedure for the assessment of low frequency noise complaints.

Science.gov (United States)

Moorhouse, Andy T; Waddington, David C; Adams, Mags D

2009-09-01

The development and application of a procedure for the assessment of low frequency noise (LFN) complaints are described. The development of the assessment method included laboratory tests addressing low frequency hearing threshold and the effect on acceptability of fluctuation, and field measurements complemented with interview-based questionnaires. Environmental health departments then conducted a series of six trials with genuine "live" LFN complaints to test the workability and usefulness of the procedure. The procedure includes guidance notes and a pro-forma report with step-by-step instructions. It does not provide a prescriptive indicator of nuisance but rather gives a systematic procedure to help environmental health practitioners to form their own opinion. Examples of field measurements and application of the procedure are presented. The procedure and examples are likely to be of particular interest to environmental health practitioners involved in the assessment of LFN complaints.

Procedure for the preparation of tritium-labelled insulins. Verfahren zur Herstellung von Tritium-markierten Insulinen

Energy Technology Data Exchange (ETDEWEB)

Bienert, M; Haensicke, A; Beyermann, M; Kaufmann, K D; Oehlke, J; Klauschenz, E; Bespalowa, S; Titov, M; Pleiss, U

1986-12-17

This invention is concerned with a procedure for the preparation of specific /sup 3/H-labelled insulins with sequences of human, bovine or porcine insulins and without simultaneous chemical modifications of the insulin. On the basis of this procedure a /sup 3/H/sub 2/-Typ (B26)-insulin can be obtained in good yield and purity with a specific radioactivity appropriate to biopharmaceutical and pharmacokinetic purposes in medicine and pharmaceutical industry, resp.

An efficient preparative procedure for main flavonoids from the peel of Trichosanthes kirilowii Maxim. using polyamide resin followed by semi-preparative high performance liquid chromatography.

Science.gov (United States)

Li, Aifeng; Sun, Ailing; Liu, Renmin; Zhang, Yongqing; Cui, Jichun

2014-08-15

In this study, a simple and efficient preparative procedure was developed for preparation of seven flavonoids from the peel of Trichosanthes kirilowii Maxim. using polyamide resin followed by semi-preparative high performance liquid chromatography (SPHPLC). First, the ethyl acetate fraction from the peel of T. kirilowii Maxim. obtained "prefractionation" using polyamide resin, which yielded two subfractions. And then the two subfractions were isolated by SPHPLC with an isocratic elution of methanol-water. Finally, seven known flavonoids were purified from 35 g of ethyl acetate extract including quercetin-3-O-[α-l-rhamnose (1→2)-β-d-glucopyranosyl]-5-O-β-d-glucopyranoside (19 mg), quercetin-3-O-rutinoside (24 mg), apigenin-7-O-β-d-glucopyranoside (10mg), diosmetin-7-O-β-d-glucopyranoside (45 mg), luteolin (21 mg), apigenin (15 mg), and diosmetin (56 mg). The purities of the compounds were determined by HPLC and the chemical structures were confirmed by UV and NMR analysis. In the present study, a simple, effective, and rapid procedure was established for preparative separation of multiple components from the peel of T. kirilowii Maxim. Furthermore, it was scalable and economical, so it was a promising basis for large-scale preparation of flavonoids from other plant extracts. Copyright © 2014. Published by Elsevier B.V.

Sampling, storage and sample preparation procedures for X ray fluorescence analysis of environmental materials

International Nuclear Information System (INIS)

1997-06-01

X ray fluorescence (XRF) method is one of the most commonly used nuclear analytical technique because of its multielement and non-destructive character, speed, economy and ease of operation. From the point of view of quality assurance practices, sampling and sample preparation procedures are the most crucial steps in all analytical techniques, (including X ray fluorescence) applied for the analysis of heterogeneous materials. This technical document covers recent modes of the X ray fluorescence method and recent developments in sample preparation techniques for the analysis of environmental materials. Refs, figs, tabs

The effectiveness of drama therapy on preparation for diagnostic and therapeutic procedures in children suffering from cancer

Directory of Open Access Journals (Sweden)

Ľubica Ilievová

2015-10-01

Full Text Available Introduction: The integral part of the treatment of pediatric oncological patients is a range of diagnostic and therapeutic procedures. These procedures are often associated with the fear and anxiety of the suffering child. We investigated whether a psychological preparation through drama therapy and the therapeutic puppet may reduce the anxiety related to diagnostic and therapeutic procedures in the preschool or early school children suffering from cancer.Methods: Twenty consecutive pediatric patients of preschool and early school age, with the diagnosis of lymphoblastic leukemia, were included in the study. The patients were alternatingly assigned to experimental or control group, and subjected or not subjected to drama therapy, respectively. We measured the changes in heart rate, blood pressure and respiratory rate as indicators of anxiety and fear, before and after the diagnostic or therapeutic procedures.Results: Heart rate, blood pressure, and respiratory rate in pediatric oncological patients before and after the diagnostic or therapeutic procedure were significantly lower in the experimental group of patients.Conclusion: Our results show that psychological preparation using drama therapy and therapeutic puppet reduced the fear and anxiety related to diagnostic or therapeutic procedures in pediatric oncological patients.Key words: drama therapy; therapeutic puppet; children; oncology; psychology 

Residual stress effects in LMFBR fracture assessment procedures

International Nuclear Information System (INIS)

Hooton, D.G.

1984-01-01

Two post-yield fracture mechanics methods, which have been developed into fully detailed failure assessment procedures for ferritic structures, have been reviewed from the point of view of the manner in which as-welded residual stress effects are incorporated, and comparisons then made with finite element and theoretical models of centre-cracked plates containing residual/thermal stresses in the form of crack-driving force curves. Applying the procedures to austenitic structures, comparisons are made in terms of failure assessment curves and it is recommended that the preferred method for the prediction of critical crack sizes in LMFBR austenitic structures containing as-welded residual stresses is the CEGB-R6 procedure based on a flow stress defined at 3% strain in the parent plate. When the prediction of failure loads in such structures is required, it is suggested that the CEGB-R6 procedure be used with residual/thermal stresses factored to give a maximum total stress of flow stress magnitude

Evaluation of cell wall preparations for proteomics: a new procedure for purifying cell walls from Arabidopsis hypocotyls

Directory of Open Access Journals (Sweden)

Canut Hervé

2006-05-01

Full Text Available Abstract Background The ultimate goal of proteomic analysis of a cell compartment should be the exhaustive identification of resident proteins; excluding proteins from other cell compartments. Reaching such a goal closely depends on the reliability of the isolation procedure for the cell compartment of interest. Plant cell walls possess specific difficulties: (i the lack of a surrounding membrane may result in the loss of cell wall proteins (CWP during the isolation procedure, (ii polysaccharide networks of cellulose, hemicelluloses and pectins form potential traps for contaminants such as intracellular proteins. Several reported procedures to isolate cell walls for proteomic analyses led to the isolation of a high proportion (more than 50% of predicted intracellular proteins. Since isolated cell walls should hold secreted proteins, one can imagine alternative procedures to prepare cell walls containing a lower proportion of contaminant proteins. Results The rationales of several published procedures to isolate cell walls for proteomics were analyzed, with regard to the bioinformatic-predicted subcellular localization of the identified proteins. Critical steps were revealed: (i homogenization in low ionic strength acid buffer to retain CWP, (ii purification through increasing density cushions, (iii extensive washes with a low ionic strength acid buffer to retain CWP while removing as many cytosolic proteins as possible, and (iv absence of detergents. A new procedure was developed to prepare cell walls from etiolated hypocotyls of Arabidopsis thaliana. After salt extraction, a high proportion of proteins predicted to be secreted was released (73%, belonging to the same functional classes as proteins identified using previously described protocols. Finally, removal of intracellular proteins was obtained using detergents, but their amount represented less than 3% in mass of the total protein extract, based on protein quantification. Conclusion The

A procedure for safety assessment of components with cracks - Handbook

International Nuclear Information System (INIS)

Andersson, P.; Bergman, M.; Brickstad, B.; Dahlberg, L.; Nilsson, F.; Sattari-Far, I.

1996-01-01

In this handbook a procedure is described which can be used both for assessment of detected cracks or crack like defects or for defect tolerance analysis. The procedure can be used to calculate possible crack growth due to fatigue or stress corrosion and to calculate the reserve margin for failure due to fracture and plastic collapse. For ductile materials, the procedure gives the reserve margin for initiation of stable crack growth. Thus, an extra reserve margin, unknown to size, exists for failure in components made of ductile materials. The procedure was developed for operative use with the following objectives in mind: The procedure should be able to handle both linear and non-linear problems without any a priori division; The procedure shall ensure uniqueness of the safety assessment; The procedure should be well defined and easy to use; The conservatism of the procedure should be well validated; The handbook that documents the procedure should be so complete that for most assessments access to any other fracture mechanics literature should not be necessary. The method utilized is based on the R6-method developed at Nuclear Electric plc. This method can in principle be used for all metallic materials. It is, however, more extensively verified for steel alloys only. The method is not intended for use in temperatures where creep deformation is of importance. The first edition of the handbook was released in 1990 and the second in 1991. This third edition has been extensively revised. A Windows-based program (SACC) has been developed which can perform the assessments described in the book including calculation of crack growth due to stress corrosion and fatigue. 52 refs., 27 figs., 35 tabs

Experience in treatment of hyperthyroidism with I-131 diagnosis, patient preparation and therapeutic procedure

International Nuclear Information System (INIS)

Zhongyun, Pan

2003-01-01

Treatment of hyperthyroidism with I-131 diagnosis is being performed after clinical diagnosis of thyrotoxicosis based on clinical manifestations of hypermetabolic state, serumT3 and T4 determination; medical preparation of patients and therapeutic procedure is obtained for better efficacy, relieve symptoms and prevent aggravation of thyrotoxicosis after I-131 treatment

Structured Assessment Approach: a procedure for the assessment of fuel cycle safeguard systems

International Nuclear Information System (INIS)

Parziale, A.A.; Patenaude, C.J.; Renard, P.A.; Sacks, I.J.

1980-01-01

Lawrence Livermore National Laboratory has developed and tested for the United States Nuclear Regulatory Commission a procedure for the evaluation of Material Control and Accounting (MC and A) Systems at Nuclear Fuel Facilities. This procedure, called the Structured Assessment Approach, SAA, subjects the MC and A system at a facility to a series of increasingly sophisticated adversaries and strategies. A fully integrated version of the computer codes which assist the analyst in this assessment was made available in October, 1979. The concepts of the SAA and the results of the assessment of a hypothetical but typical facility are presented

Patient Evaluation and Preparation in Vascular and Interventional Radiology: What Every Interventional Radiologist Should Know (Part 2: Patient Preparation and Medications)

Energy Technology Data Exchange (ETDEWEB)

Taslakian, Bedros, E-mail: btaslakian@gmail.com [NYU Langone Medical Center, Department of Radiology (United States); Sebaaly, Mikhael Georges, E-mail: ms246@aub.edu.lb; Al-Kutoubi, Aghiad, E-mail: mk00@aub.edu.lb [American University of Beirut Medical Center, Department of Diagnostic Radiology (Lebanon)

2016-04-15

Performing an interventional procedure imposes a commitment on interventional radiologists to conduct the initial patient assessment, determine the best course of therapy, and provide long-term care. Patient care before and after an interventional procedure, identification, and management of early and delayed complications of various procedures are equal in importance to the procedure itself. In this second part, we complete the comprehensive, methodical review of pre-procedural care and patient preparation before vascular and interventional radiology procedures.

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

Science.gov (United States)

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

2012-05-01

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

Validity, reliability and support for implementation of independence-scaled procedural assessment in laparoscopic surgery.

Science.gov (United States)

Kramp, Kelvin H; van Det, Marc J; Veeger, Nic J G M; Pierie, Jean-Pierre E N

2016-06-01

There is no widely used method to evaluate procedure-specific laparoscopic skills. The first aim of this study was to develop a procedure-based assessment method. The second aim was to compare its validity, reliability and feasibility with currently available global rating scales (GRSs). An independence-scaled procedural assessment was created by linking the procedural key steps of the laparoscopic cholecystectomy to an independence scale. Subtitled and blinded videos of a novice, an intermediate and an almost competent trainee, were evaluated with GRSs (OSATS and GOALS) and the independence-scaled procedural assessment by seven surgeons, three senior trainees and six scrub nurses. Participants received a short introduction to the GRSs and independence-scaled procedural assessment before assessment. The validity was estimated with the Friedman and Wilcoxon test and the reliability with the intra-class correlation coefficient (ICC). A questionnaire was used to evaluate user opinion. Independence-scaled procedural assessment and GRS scores improved significantly with surgical experience (OSATS p = 0.001, GOALS p < 0.001, independence-scaled procedural assessment p < 0.001). The ICCs of the OSATS, GOALS and independence-scaled procedural assessment were 0.78, 0.74 and 0.84, respectively, among surgeons. The ICCs increased when the ratings of scrub nurses were added to those of the surgeons. The independence-scaled procedural assessment was not considered more of an administrative burden than the GRSs (p = 0.692). A procedural assessment created by combining procedural key steps to an independence scale is a valid, reliable and acceptable assessment instrument in surgery. In contrast to the GRSs, the reliability of the independence-scaled procedural assessment exceeded the threshold of 0.8, indicating that it can also be used for summative assessment. It furthermore seems that scrub nurses can assess the operative competence of surgical trainees.

Comparison of different procedures to prepare platelet-rich plasma for studies of platelet aggregation by light transmission aggregometry.

Science.gov (United States)

Femia, Eti Alessandra; Pugliano, Mariateresa; Podda, Gianmarco; Cattaneo, Marco

2012-01-01

Light transmission aggregometry (LTA), the gold standard for the study of patients with defects of platelet function, is a poorly standardized technique. The guidelines that have been produced so far are largely based on consensus of experts, due to the absence of studies directly comparing different procedures. Therefore, ad hoc studies are needed to gather scientific evidence on how to choose the most appropriate procedures for LTA measurement. In this study, we aimed at evaluating the most appropriate conditions for preparing samples of platelet-rich plasma (PRP) for studies of platelet aggregation by LTA. Citrate-anticoagulated blood from 32 individuals was centrifuged at 150, 200, 250 or 300×g at room temperature for 10 min. Red blood cells contamination was highest in PRP prepared at 150×g; mean platelet volume (MPV) was lowest in PRP prepared at 300×g. The extent of platelet aggregation measured by LTA was lower and more variable in PRP prepared at 300×g. Therefore, centrifugation of blood at 200×g or 250×g for 10 min appears to be the best condition for preparing PRP for LTA studies.

Efficiency enhancement of perovskite solar cells by fabricating as-prepared film before sequential spin-coating procedure

International Nuclear Information System (INIS)

Jiang, Jiajia; Tao, Hai jun; Chen, Shanlong; Tan, Bin; Zhou, Ning; Zhu, Lumin; Zhao, Yuan; Wang, Yuqiao; Tao, Jie

2016-01-01

Graphical abstract: Schematic illustration of modified two-step spin-coating procedure for MAPbI 3 perovskite thin films. - Highlights: • An as-prepared CH 3 NH 3 PbI 3 and PbI 2 film was introduced before the traditional two-step process. • Smooth morphology and trace amount of remaining PbI 2 benefit the performance of solar cell. • The optimal as-prepared film introduced improves the efficiency of CH 3 NH 3 PbI 3 solar cells from 9.11% to 11.16%. - Abstract: Sequential spin-coating procedure is a widely adopted strategy to prepare CH 3 NH 3 PbI 3 on mesostructured TiO 2 electrode for organolead halide perovskite-based solar cells. However, this method suffers from the rough surface and excessively residual PbI 2 in the resulting perovskite film, deteriorating the device performance seriously. Herein, a facial modified sequential solution deposition method, by introducing an as-prepared CH 3 NH 3 PbI 3 and PbI 2 film before the traditional two-step process, was proposed to fabricate the perovskite-based solar cell with smooth morphology and trace amount of remaining PbI 2 . The optimal as-prepared film introduced improves the efficiency of CH 3 NH 3 PbI 3 solar cells from 9.11% to 11.16%. The enhancement of device performance can be attributed to the increased light absorption ability and decreased recombination rate of carriers in CH 3 NH 3 PbI 3 absorber.

Development of assessment procedures at the CEGB's nuclear power training centre

International Nuclear Information System (INIS)

Chapman, C.R.; Harris, N.D.C.

1986-01-01

The work of a power station engineer can be considered under four aspects: technology, diagnosis action and communication. The development, validation and use of assessment procedures can successfully incorporate the same aspects. The purposes of assessment are reporting training achievement and giving feedback to course members and tutorial staff. The development of standardized procedures to produce, evaluate and mark assessments and to optimize feedback ensures objectivity and uniformity. This has been achieved at the Central Electricity Generating Board's Nuclear Power Training Centre by enlisting an educational consultant to provide guidance and assist in training the resident tutors in assessment procedures. (author)

Crowd-sourced assessment of surgical skills in cricothyrotomy procedure.

Science.gov (United States)

Aghdasi, Nava; Bly, Randall; White, Lee W; Hannaford, Blake; Moe, Kris; Lendvay, Thomas S

2015-06-15

Objective assessment of surgical skills is resource intensive and requires valuable time of expert surgeons. The goal of this study was to assess the ability of a large group of laypersons using a crowd-sourcing tool to grade a surgical procedure (cricothyrotomy) performed on a simulator. The grading included an assessment of the entire procedure by completing an objective assessment of technical skills survey. Two groups of graders were recruited as follows: (1) Amazon Mechanical Turk users and (2) three expert surgeons from University of Washington Department of Otolaryngology. Graders were presented with a video of participants performing the procedure on the simulator and were asked to grade the video using the objective assessment of technical skills questions. Mechanical Turk users were paid $0.50 for each completed survey. It took 10 h to obtain all responses from 30 Mechanical Turk users for 26 training participants (26 videos/tasks), whereas it took 60 d for three expert surgeons to complete the same 26 tasks. The assessment of surgical performance by a group (n = 30) of laypersons matched the assessment by a group (n = 3) of expert surgeons with a good level of agreement determined by Cronbach alpha coefficient = 0.83. We found crowd sourcing was an efficient, accurate, and inexpensive method for skills assessment with a good level of agreement to experts' grading. Copyright © 2015 Elsevier Inc. All rights reserved.

DEA radial measurement for environmental assessment and planning: Desirable procedures to evaluate fossil fuel power plants

International Nuclear Information System (INIS)

Sueyoshi, Toshiyuki; Goto, Mika

2012-01-01

Energy policy depends on a proper use of methodology in guiding a large energy issue such as the global warming and climate change. DEA is one of such methodologies that are often used for preparing environmental policy, which is closely linked to various energy issues. Unfortunately, the use of DEA applied to environmental policy is insufficient, often misguiding policy makers and other individuals who are involved in energy issues. This study provides three guidelines for a use of DEA in preparing environmental assessment. First, it is important to prepare both primal and dual formulations to confirm whether information regarding all production factors (i.e., inputs, desirable and undesirable outputs) is fully utilized in DEA assessment. Second, DEA has model variations in radial and non-radial measurements. It is necessary for us to examine environmental issues by different models in order to avoid a methodological bias existing in those empirical studies. Finally, DEA environmental assessment needs to incorporate the concept of natural and managerial disposability. The natural disposability indicates that a firm negatively adapts a regulation change on undesirable outputs. In contrast, the managerial disposability indicates that a firm positively adapts the regulation change because the firm considers the regulation change as a new business opportunity. - Highlights: ► This study proposes three disable procedures. ► The disposability is separated into natural and managerial disposability. ► All extensions have large applicability in energy policy.

Medical student use of Facebook to support preparation for anatomy assessments.

Science.gov (United States)

Pickering, James D; Bickerdike, Suzanne R

2017-06-01

The use of Facebook to support students is an emerging area of educational research. This study explored how a Facebook Page could support Year 2 medical (MBChB) students in preparation for summative anatomy assessments and alleviate test anxiety. Overall, Facebook analytics revealed that in total 49 (19.8% of entire cohort) students posted a comment in preparation for either the first (33 students) or second (34) summative anatomy assessments. 18 students commented in preparation for both. In total, 155 comments were posted, with 83 for the first and 72 for the second. Of the 83 comments, 45 related to checking anatomical information, 30 were requiring assessment information and 8 wanted general course information. For the second assessment this was 52, 14 and 6, respectively. Student perceptions on usage, and impact on learning and assessment preparation were obtained via a five-point Likert-style questionnaire, with 119 students confirming they accessed the Page. Generally, students believed the Page was an effective way to support their learning, and provided information which supported their preparation with increases in perceived confidence and reductions in anxiety. There was no difference between gender, except for males who appeared to be significantly less likely to ask a question as they may be perceived to lack knowledge (P Facebook can play an important role in supporting students in preparation for anatomy assessments. Anat Sci Educ 10: 205-214. © 2016 American Association of Anatomists. © 2016 American Association of Anatomists.

Evaluation and assessment methodology, standards, and procedures manual of the United States Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Kerns, K.C.; Burson, Z.G.; Smith, J.M.; Blanchard, R.L.

2000-01-01

In the event of a major radiological emergency, the U.S. Federal Radiological Emergency Response Plan authorises the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC). The FRMAC is established to co-ordinate the Federal off-site monitoring and assessment activities, and is comprised of representatives from several Federal agencies and Department of Energy contractors who provide assistance to the state(s) and Lead Federal Agency. The Evaluation and Assessment (E and A) Division of the FRMAC is responsible for receiving, storing, and interpreting environmental surveillance data to estimate the potential health consequences to the population in the vicinity of the accident site. The E and A Division has commissioned the preparation of a methodology and procedures manual which will result in a consistent approach by Division members in carrying out their duties. The first edition of this manual is nearing completion. In this paper, a brief review of the structure of the FRMAC is presented, with emphasis on the E and A Division. The contents of the E and A manual are briefly described, as are future plans for its expansion. (author)

The impact of changing antiseptic skin preparation agent used for cardiac implantable electronic device (CIED) procedures on the risk of infection.

Science.gov (United States)

Qintar, Mohammed; Zardkoohi, Omeed; Hammadah, Muhammad; Hsu, Amy; Wazni, Oussama; Wilkoff, Bruce L; Tarakji, Khaldoun G

2015-02-01

Cardiac implantable electronic device (CIED) infection is a major complication that is associated with increased morbidity and mortality. Recent data suggested a relationship between the antiseptic agent used for skin preparation at time of CIED procedure and risk for infection. On April 30, 2011, we changed the antiseptic agent used for skin preparation at our tertiary care facility from chlorhexidine-alcohol to povidone-iodine for all CIED procedures. We retrospectively reviewed records of all patients who underwent CIED procedure 1 year before and after the change. CIED infection was defined as pocket or endovascular systemic infection that required removal within 1 year of the index procedure. We examined if the change affected the risk of CIED infection. A total of 2,792 patients underwent 2,840 CIED procedures; 1,748 (61.5%) had implantable cardioverter defibrillator procedures and 1,092 (38.4%) had permanent pacemaker procedures. Chlorhexidine-alcohol agent was used in 1,450 (51.1%) procedures, and povidone-iodine agent was used in 1,390 (48.9%). After 1 year of follow-up, 31 patients (1.09%) developed CIED infection that required system removal. The 1-year infection rate was 1.1% among both antiseptic agent groups and there were no significant differences in the infection presentations among both groups (P = 0.950). Multivariate Cox proportional hazards regression model showed that risk factors for infection within 1 year included age, diabetes, and African American race. In one large cohort of patients undergoing CIED procedures, the antiseptic agent used for skin preparation (chlorhexidine-alcohol vs povidone-iodine) was not associated with increased risk of developing CIED infection. ©2014 Wiley Periodicals, Inc.

Assessment of the MPACT Resonance Data Generation Procedure

Energy Technology Data Exchange (ETDEWEB)

Kim, Kang Seog [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Williams, Mark L. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

2016-12-26

Currently, heterogeneous models are being used to generate resonance self-shielded cross-section tables as a function of background cross sections for important nuclides such as ²³⁵U and ²³⁸U by performing the CENTRM (Continuous Energy Transport Model) slowing down calculation with the MOC (Method of Characteristics) spatial discretization and ESSM (Embedded Self-Shielding Method) calculations to obtain background cross sections. And then the resonance self-shielded cross section tables are converted into subgroup data which are to be used in estimating problem-dependent self-shielded cross sections in MPACT (Michigan Parallel Characteristics Transport Code). Although this procedure has been developed and thus resonance data have been generated and validated by benchmark calculations, assessment has never been performed to review if the resonance data are properly generated by the procedure and utilized in MPACT. This study focuses on assessing the procedure and a proper use in MPACT.

Procedures for health risk assessment in Europe

NARCIS (Netherlands)

Seeley, M.R.; Tonner-Navarro, L.E.; Beck, B.D.; Deskin, R.; Feron, V.J.; Johanson, G.; Bolt, H.M.

2001-01-01

This report compares cancer classification systems, health risk assessment approaches, and procedures used for establishing occupational exposure limits (OELs), in various European countries and scientific organizations. The objectives were to highlight and compare key aspects of these processes and

Effects of different preparation procedures during tooth whitening on enamel bonding.

Science.gov (United States)

Wilson, Dustin; Xu, Changqi; Hong, Liang; Wang, Yong

2009-04-01

The objective of this study was to assess effects of some clinically related preparation procedures during tooth whitening on enamel bonding properties. Sixty-two extracted human teeth were cleaned and divided into four groups. Forty-two of the teeth were left with their natural surface intact while 20 teeth were polished to form a flat surface. Half of the tooth served as the experimental side and received one of the two whitening products: Opalescence (10% carbamide peroxide) and Crest Whitestrips (6.5% hydrogen peroxide), for 2 weeks. Post-bleaching intervals included: 1 day, 1 week, and 2 weeks. On these days, tooth (10 mm x 1.5 mm x 1.5 mm) sections were evaluated using Raman spectroscopy, scanning electron microscopy and tensile bond strength tests. T-test, ANOVA test, and mixed model regression analysis were used to assess the differences. No significant difference existed between natural surface and polished surface teeth for all groups at both Day One and Week Two (P > 0.05). On Day One, both treated groups had significant lower bond strength than the control group (P = 0.002). After 2 weeks, no significant difference existed between any group (P = 0.381). SEM indicated that resin-enamel interfaces in bleached enamel exhibited more defects in granular formations when compared to the control. Raman results indicated a lower degree of polymerization (DP) of adhesive at the interface for treated teeth surfaces. In summary, pre-bleaching surface treatments such as polish or non-polish, had no effect on bond strength. Bleaching significantly decreased bond strength initially, but after 2 weeks, bleaching had no significant effect on bond strength. Storage time had significant effect on Opalescence treated enamel, but not on control and Whitestrip treated enamel. The decrease of bond strength may be related to interfacial defects and low DP due to oxygen release after bleaching.

Using the Entrustable Professional Activities Framework in the Assessment of Procedural Skills.

Science.gov (United States)

Pugh, Debra; Cavalcanti, Rodrigo B; Halman, Samantha; Ma, Irene W Y; Mylopoulos, Maria; Shanks, David; Stroud, Lynfa

2017-04-01

The entrustable professional activity (EPA) framework has been identified as a useful approach to assessment in competency-based education. To apply an EPA framework for assessment, essential skills necessary for entrustment to occur must first be identified. Using an EPA framework, our study sought to (1) define the essential skills required for entrustment for 7 bedside procedures expected of graduates of Canadian internal medicine (IM) residency programs, and (2) develop rubrics for the assessment of these procedural skills. An initial list of essential skills was defined for each procedural EPA by focus groups of experts at 4 academic centers using the nominal group technique. These lists were subsequently vetted by representatives from all Canadian IM training programs through a web-based survey. Consensus (more than 80% agreement) about inclusion of each item was sought using a modified Delphi exercise. Qualitative survey data were analyzed using a framework approach to inform final assessment rubrics for each procedure. Initial lists of essential skills for procedural EPAs ranged from 10 to 24 items. A total of 111 experts completed the national survey. After 2 iterations, consensus was reached on all items. Following qualitative analysis, final rubrics were created, which included 6 to 10 items per procedure. These EPA-based assessment rubrics represent a national consensus by Canadian IM clinician educators. They provide a practical guide for the assessment of procedural skills in a competency-based education model, and a robust foundation for future research on their implementation and evaluation.

A procedure for NEPA assessment of selenium hazards associated with mining.

Science.gov (United States)

Lemly, A Dennis

2007-02-01

This paper gives step-by-step instructions for assessing aquatic selenium hazards associated with mining. The procedure was developed to provide the U.S. Forest Service with a proactive capability for determining the risk of selenium pollution when it reviews mine permit applications in accordance with the National Environmental Policy Act (NEPA). The procedural framework is constructed in a decision-tree format in order to guide users through the various steps, provide a logical sequence for completing individual tasks, and identify key decision points. There are five major components designed to gather information on operational parameters of the proposed mine as well as key aspects of the physical, chemical, and biological environment surrounding it--geological assessment, mine operation assessment, hydrological assessment, biological assessment, and hazard assessment. Validation tests conducted at three mines where selenium pollution has occurred confirmed that the procedure will accurately predict ecological risks. In each case, it correctly identified and quantified selenium hazard, and indicated the steps needed to reduce this hazard to an acceptable level. By utilizing the procedure, NEPA workers can be confident in their ability to understand the risk of aquatic selenium pollution and take appropriate action. Although the procedure was developed for the Forest Service it should also be useful to other federal land management agencies that conduct NEPA assessments, as well as regulatory agencies responsible for issuing coal mining permits under the authority of the Surface Mining Control and Reclamation Act (SMCRA) and associated Section 401 water quality certification under the Clean Water Act. Mining companies will also benefit from the application of this procedure because priority selenium sources can be identified in relation to specific mine operating parameters. The procedure will reveal the point(s) at which there is a need to modify operating

Impact assessment procedures for sustainable development: A complexity theory perspective

International Nuclear Information System (INIS)

Nooteboom, Sibout

2007-01-01

The author assumes that effective Impact Assessment procedures should somehow contribute to sustainable development. There is no widely agreed framework for evaluating such effectiveness. The author suggests that complexity theories may offer criteria. The relevant question is 'do Impact Assessment Procedures contribute to the 'requisite variety' of a social system for it to deal with changing circumstances?' Requisite variety theoretically relates to the capability of a system to deal with changes in its environment. The author reconstructs how thinking about achieving sustainable development has developed in a sequence of discourses in The Netherlands since the 1970s. Each new discourse built on the previous ones, and is supposed to have added to 'requisite variety'. The author asserts that Impact Assessment procedures may be a necessary component in such sequences and derives possible criteria for effectiveness

Consensus guidelines for the use of bowel preparation prior to colonic diagnostic procedures: colonoscopy and small bowel video capsule endoscopy

NARCIS (Netherlands)

Mathus-Vliegen, Elisabeth; Pellisé, Maria; Heresbach, Denis; Fischbach, Wolfgang; Dixon, Tricia; Belsey, Jonathan; Parente, Fabrizio; Rio-Tinto, Ricardo; Brown, Alistair; Toth, Ervin; Crosta, Cristiano; Layer, Peter; Epstein, Owen; Boustiere, Christian

2013-01-01

Adequate bowel preparation prior to colonic diagnostic procedures is essential to ensure adequate visualisation. This consensus aims to provide guidance as to the appropriate use of bowel preparation for a range of defined clinical circumstances. A consensus group from across Europe was convened and

Determining procedures for simulation-based training in radiology: a nationwide needs assessment.

Science.gov (United States)

Nayahangan, Leizl Joy; Nielsen, Kristina Rue; Albrecht-Beste, Elisabeth; Bachmann Nielsen, Michael; Paltved, Charlotte; Lindorff-Larsen, Karen Gilboe; Nielsen, Bjørn Ulrik; Konge, Lars

2018-01-09

New training modalities such as simulation are widely accepted in radiology; however, development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The study objective was to perform a nationwide needs assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum. A needs assessment using the Delphi method was completed among 91 key leaders in radiology. Round 1 identified technical procedures that radiologists should learn. Round 2 explored frequency of procedure, number of radiologists performing the procedure, risk and/or discomfort for patients, and feasibility for simulation. Round 3 was elimination and prioritization of procedures. Response rates were 67 %, 70 % and 66 %, respectively. In Round 1, 22 technical procedures were included. Round 2 resulted in pre-prioritization of procedures. In round 3, 13 procedures were included in the final prioritized list. The three highly prioritized procedures were ultrasound-guided (US) histological biopsy and fine-needle aspiration, US-guided needle puncture and catheter drainage, and basic abdominal ultrasound. A needs assessment identified and prioritized 13 technical procedures to include in a simulation-based curriculum. The list may be used as guide for development of training programs. • Simulation-based training can supplement training on patients in radiology. • Development of simulation-based training should follow a structured approach. • The CAMES Needs Assessment Formula explores needs for simulation training. • A national Delphi study identified and prioritized procedures suitable for simulation training. • The prioritized list serves as guide for development of courses in radiology.

High-temperature flaw assessment procedure

International Nuclear Information System (INIS)

Ruggles, M.B.; Takahashi, Y.; Ainsworth, R.A.

1991-08-01

Described is the background work performed jointly by the Electric Power Research Institute in the United States, the Central Research Institute of Electric Power Industry in Japan and Nuclear Electric plc in the United Kingdom with the purpose of developing a high-temperature flaw assessment procedure for reactor components. Existing creep-fatigue crack-growth models are reviewed, and the most promising methods are identified. Sources of material data are outlined, and results of the fundamental deformation and crack-growth tests are discussed. Results of subcritical crack-growth exploratory tests, creep-fatigue crack-growth tests under repeated thermal transient conditions, and exploratory failure tests are presented and contrasted with the analytical modeling. Crack-growth assessment methods are presented and applied to a typical liquid-metal reactor component. The research activities presented herein served as a foundation for the Flaw Assessment Guide for High-Temperature Reactor Components Subjected to Creep-Fatigue Loading published separately. 30 refs., 108 figs., 13 tabs

Reliability and validity of procedure-based assessments in otolaryngology training.

Science.gov (United States)

Awad, Zaid; Hayden, Lindsay; Robson, Andrew K; Muthuswamy, Keerthini; Tolley, Neil S

2015-06-01

To investigate the reliability and construct validity of procedure-based assessment (PBA) in assessing performance and progress in otolaryngology training. Retrospective database analysis using a national electronic database. We analyzed PBAs of otolaryngology trainees in North London from core trainees (CTs) to specialty trainees (STs). The tool contains six multi-item domains: consent, planning, preparation, exposure/closure, technique, and postoperative care, rated as "satisfactory" or "development required," in addition to an overall performance rating (pS) of 1 to 4. Individual domain score, overall calculated score (cS), and number of "development-required" items were calculated for each PBA. Receiver operating characteristic analysis helped determine sensitivity and specificity. There were 3,152 otolaryngology PBAs from 46 otolaryngology trainees analyzed. PBA reliability was high (Cronbach's α 0.899), and sensitivity approached 99%. cS correlated positively with pS and level in training (rs : +0.681 and +0.324, respectively). ST had higher cS and pS than CT (93% ± 0.6 and 3.2 ± 0.03 vs. 71% ± 3.1 and 2.3 ± 0.08, respectively; P reliable and valid for assessing otolaryngology trainees' performance and progress at all levels. It is highly sensitive in identifying competent trainees. The tool is used in a formative and feedback capacity. The technical domain is the best predictor and should be given close attention. NA. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

DMM assessments of attachment and adaptation: Procedures, validity and utility.

Science.gov (United States)

Farnfield, Steve; Hautamäki, Airi; Nørbech, Peder; Sahhar, Nicola

2010-07-01

This article gives a brief over view of the Dynamic-Maturational Model of attachment and adaptation (DMM; Crittenden, 2008) together with the various DMM assessments of attachment that have been developed for specific stages of development. Each assessment is discussed in terms of procedure, outcomes, validity, advantages and limitations, comparable procedures and areas for further research and validation. The aims are twofold: to provide an introduction to DMM theory and its application that underlie the articles in this issue of CCPP; and to provide researchers and clinicians with a guide to DMM assessments.

Procedure for the assessment of material control and accounting systems

International Nuclear Information System (INIS)

Parziale, A.A.; Sacks, I.J.

1979-01-01

For the United States Nuclear Regulatory Commission, a procedure was developed and tested for the evaluation of Material Control and Accounting (MC and A) Systems at nuclear fuel facilities. This procedure, called the Structured Assessment Approach, SAA, subjects the MC and A system at a facility to a series of increasingly sophisticated adversaries and strategies. A fully integrated version of the computer codes which assist the analyst in this assessment will become available in October 1979. The concepts of the SAA and the results of the assessment of a hypothetical but typical facility are presented

Efficiency enhancement of perovskite solar cells by fabricating as-prepared film before sequential spin-coating procedure

Energy Technology Data Exchange (ETDEWEB)

Jiang, Jiajia [Jiangsu Key Laboratory of Materials and Technology for Energy Conversion, College of material science and technology, Nanjing University of Aeronautics and Astronautics, Nanjing 211100 (China); Tao, Hai jun, E-mail: taohaijun@nuaa.edu.cn [Jiangsu Key Laboratory of Materials and Technology for Energy Conversion, College of material science and technology, Nanjing University of Aeronautics and Astronautics, Nanjing 211100 (China); Jiangsu Collaborative Innovation Center of Photovolatic Science and Engineering, Changzhou University, Changzhou 213164, Jiangsu (China); Chen, Shanlong; Tan, Bin [Jiangsu Key Laboratory of Materials and Technology for Energy Conversion, College of material science and technology, Nanjing University of Aeronautics and Astronautics, Nanjing 211100 (China); Zhou, Ning [Shanghai Electrochemical Energy Devices Research Center, School of Chemistry and Chemical Engineering, Shanghai Jiao Tong University, Shanghai 200240 (China); Zhu, Lumin; Zhao, Yuan [Jiangsu Key Laboratory of Materials and Technology for Energy Conversion, College of material science and technology, Nanjing University of Aeronautics and Astronautics, Nanjing 211100 (China); Wang, Yuqiao [Jiangsu Optoelectronic Functional Materials and Engineering Laboratory, School of Chemistry and Chemical Engineering, Southeast University, Nanjing 211189 (China); Tao, Jie [Jiangsu Key Laboratory of Materials and Technology for Energy Conversion, College of material science and technology, Nanjing University of Aeronautics and Astronautics, Nanjing 211100 (China)

2016-05-15

Graphical abstract: Schematic illustration of modified two-step spin-coating procedure for MAPbI{sub 3} perovskite thin films. - Highlights: • An as-prepared CH{sub 3}NH{sub 3}PbI{sub 3} and PbI{sub 2} film was introduced before the traditional two-step process. • Smooth morphology and trace amount of remaining PbI{sub 2} benefit the performance of solar cell. • The optimal as-prepared film introduced improves the efficiency of CH{sub 3}NH{sub 3}PbI{sub 3} solar cells from 9.11% to 11.16%. - Abstract: Sequential spin-coating procedure is a widely adopted strategy to prepare CH{sub 3}NH{sub 3}PbI{sub 3} on mesostructured TiO{sub 2} electrode for organolead halide perovskite-based solar cells. However, this method suffers from the rough surface and excessively residual PbI{sub 2} in the resulting perovskite film, deteriorating the device performance seriously. Herein, a facial modified sequential solution deposition method, by introducing an as-prepared CH{sub 3}NH{sub 3}PbI{sub 3} and PbI{sub 2} film before the traditional two-step process, was proposed to fabricate the perovskite-based solar cell with smooth morphology and trace amount of remaining PbI{sub 2}. The optimal as-prepared film introduced improves the efficiency of CH{sub 3}NH{sub 3}PbI{sub 3} solar cells from 9.11% to 11.16%. The enhancement of device performance can be attributed to the increased light absorption ability and decreased recombination rate of carriers in CH{sub 3}NH{sub 3}PbI{sub 3} absorber.

Assessment of radiological properties of wastes from urban decontamination procedures

International Nuclear Information System (INIS)

Da Silva, D.N.G.; Guimarães, J.R.D.; Rochedo, E.R.R.; Rochedo, P.R.R.; De Luca, C.

2015-01-01

One important activity associated to urban areas contaminated from accidental releases to the atmosphere of nuclear power plants is the management of radioactive wastes generated from decontamination procedures. This include the collection, conditioning, packing, transport and temporary/final disposition. The final destination is defined usually through a political decision. Thus, transport of packed radioactive wastes shall depend on decisions not just under the scope of radiological protection issues. However, the simulations performed to assess doses for the public and decontamination workers allows the estimate of radiological aspects related to the waste generated and these characteristics may be included in a multi-criteria decision tool aiming to support, under the radiological protection point of view, the decision-making process on post-emergency procedures. Important information to decision makers are the type, amount and activity concentration of wastes. This work describes the procedures to be included in the urban area model to account for the assessment of qualitative and quantitative description of wastes. The results will allow the classification of different procedures according to predefined criteria that shall then feed the multi-criteria assessment tool, currently under development, considering basic radiological protection aspects of wastes generated by the different available cleanup procedures on typical tropical urban environments. (authors)

Ruthenium oxide/carbon composites with microporous or mesoporous carbon as support and prepared by two procedures. A comparative study as supercapacitor electrodes

International Nuclear Information System (INIS)

Pico, F.; Morales, E.; Fernandez, J.A.; Centeno, T.A.; Ibanez, J.; Rojas, R.M.; Amarilla, J.M.; Rojo, J.M.

2009-01-01

Composites are prepared by deposition of nanoparticles of RuO 2 .xH 2 O (1-4 nm) on two carbons: microporous carbon (1.3 nm of average micropore size) and mesoporous carbon (11 nm of average mesopore size). Two-preparation procedures are used: (i) procedure A consisting of repetitive impregnations of the carbons with RuCl 3 .0.5H 2 O solutions, and (ii) procedure B based on impregnation of the carbons with Ru(acac) 3 vapour. The procedure B leads to supported RuO 2 .xH 2 O particles that appear more crystalline than those obtained by the procedure A. Specific capacitance and specific surface area of the composites are discussed as functions of the RuO 2 content, and different dependences for the composites derived from the two carbons are found. Mesoporous carbon is better support than microporous carbon. Procedure A leads to supported RuO 2 .xH 2 O particles with higher specific capacitance than the particles deposited by procedure B

Ruthenium oxide/carbon composites with microporous or mesoporous carbon as support and prepared by two procedures. A comparative study as supercapacitor electrodes

Energy Technology Data Exchange (ETDEWEB)

Pico, F. [Instituto de Ciencia de Materiales de Madrid (ICMM), Consejo Superior de Investigaciones Cientificas (CSIC), Sor Juana Ines de la Cruz 3, Cantoblanco, E-28049-Madrid (Spain); Morales, E. [Instituto de Ciencia y Tecnologia de Polimeros (ICTP), CSIC, Juan de la Cierva 3, E-28006-Madrid (Spain); Fernandez, J.A.; Centeno, T.A. [Instituto Nacional del Carbon (INCAR), CSIC, Francisco Pintado Fe 26, E-33011-Oviedo (Spain); Ibanez, J. [Centro Nacional de Investigaciones Metalurgicas (CENIM), CSIC, Avda. Gregorio del Amo 8, E-28040-Madrid (Spain); Rojas, R.M.; Amarilla, J.M. [Instituto de Ciencia de Materiales de Madrid (ICMM), Consejo Superior de Investigaciones Cientificas (CSIC), Sor Juana Ines de la Cruz 3, Cantoblanco, E-28049-Madrid (Spain); Rojo, J.M. [Instituto de Ciencia de Materiales de Madrid (ICMM), Consejo Superior de Investigaciones Cientificas (CSIC), Sor Juana Ines de la Cruz 3, Cantoblanco, E-28049-Madrid (Spain)], E-mail: jmrojo@icmm.csic.es

2009-03-01

Composites are prepared by deposition of nanoparticles of RuO{sub 2}.xH{sub 2}O (1-4 nm) on two carbons: microporous carbon (1.3 nm of average micropore size) and mesoporous carbon (11 nm of average mesopore size). Two-preparation procedures are used: (i) procedure A consisting of repetitive impregnations of the carbons with RuCl{sub 3}.0.5H{sub 2}O solutions, and (ii) procedure B based on impregnation of the carbons with Ru(acac){sub 3} vapour. The procedure B leads to supported RuO{sub 2}.xH{sub 2}O particles that appear more crystalline than those obtained by the procedure A. Specific capacitance and specific surface area of the composites are discussed as functions of the RuO{sub 2} content, and different dependences for the composites derived from the two carbons are found. Mesoporous carbon is better support than microporous carbon. Procedure A leads to supported RuO{sub 2}.xH{sub 2}O particles with higher specific capacitance than the particles deposited by procedure B.

Preoperative testing and risk assessment: perspectives on patient selection in ambulatory anesthetic procedures

Directory of Open Access Journals (Sweden)

Stierer TL

2015-08-01

Full Text Available Tracey L Stierer,1,2 Nancy A Collop3,41Department of Anesthesiology, 2Department of Critical Care Medicine, Otolaryngology Head and Neck Surgery, Johns Hopkins Medicine, Baltimore, MD, USA; 3Department of Medicine, 4Department of Neurology, Emory University, Emory Sleep Center, Wesley Woods Center, Atlanta, GA, USAAbstract: With recent advances in surgical and anesthetic technique, there has been a growing emphasis on the delivery of care to patients undergoing ambulatory procedures of increasing complexity. Appropriate patient selection and meticulous preparation are vital to the provision of a safe, quality perioperative experience. It is not unusual for patients with complex medical histories and substantial systemic disease to be scheduled for discharge on the same day as their surgical procedure. The trend to “push the envelope” by triaging progressively sicker patients to ambulatory surgical facilities has resulted in a number of challenges for the anesthesia provider who will assume their care. It is well known that certain patient diseases are associated with increased perioperative risk. It is therefore important to define clinical factors that warrant more extensive testing of the patient and medical conditions that present a prohibitive risk for an adverse outcome. The preoperative assessment is an opportunity for the anesthesia provider to determine the status and stability of the patient’s health, provide preoperative education and instructions, and offer support and reassurance to the patient and the patient’s family members. Communication between the surgeon/proceduralist and the anesthesia provider is critical in achieving optimal outcome. A multifaceted approach is required when considering whether a specific patient will be best served having their procedure on an outpatient basis. Not only should the patient's comorbidities be stable and optimized, but details regarding the planned procedure and the resources available

Procedure for the assessment of material control and accounting systems

International Nuclear Information System (INIS)

Maimoni, A.; Sacks, I.; Cleland, L.

1978-01-01

The current status of the LLL program for MC and A system assessment is reviewed. Particular emphasis is given to the assessment procedure and results. The integrated approach we have taken includes many of the functions normally assigned to physical security. Deceit and tampering are explicitly considered. The results of such a detailed assessment include a systematic identification of adversary targets; the most vulnerable portions of the safeguards system; the number and type of adversaries required, in collusion, to fail the system; and the conditional probabilities of safeguard system failure for a variety of assumptions. The assessment procedure was demonstrated by analyzing a prototype fuel cycle facility, the Test Bed. We believe our methodology will be useful to the NRC as a means of performing detailed, objective assessments. The nuclear industry also should find it valuable as a design tool

Adolescent test or procedure preparation

Science.gov (United States)

... someone else) during the procedure Playing hand-held video games Using guided imagery Trying other distractions, such as ... effects the test may cause. Older teens may benefit from videos that show adolescents of the same age explaining ...

Construct validation of teacher portfolio assessment : Procedures for improving teacher competence assessment illustrated by teaching students research skills

NARCIS (Netherlands)

Schaaf, M.F. van der

2005-01-01

The study aims to design and test procedures for teacher portfolio assessments. What are suitable procedures to assess teachers' competencies in developing students' research skills? We first searched into the tasks teachers have in teaching students research skills and the competencies needed to

Contextualized personality: traditional and new assessment procedures.

Science.gov (United States)

Heller, Daniel; Watson, David; Komar, Jennifer; Min, Ji-A; Perunovic, Wei Qi Elaine

2007-12-01

We describe our ongoing program of research related to the assessment of contextualized personality, focusing on social roles and cultural cues as contextual factors. First, we present our research employing the traditional assessment approach, wherein participants are asked to rate explicitly their personality across several different roles. We argue that this hypothetical approach is potentially susceptible to the influence of stereotypes, social desirability, and demand characteristics. We therefore describe the development of three novel and subtle assessment procedures that are based on obtaining online self-representations that are activated while occupying a specific context. Finally, the strengths and limitations of all four approaches, as well as directions for future research in the study of contextualized personality, are discussed.

Evaluation of accuracy in implant site preparation performed in single- or multi-step drilling procedures.

Science.gov (United States)

Marheineke, Nadine; Scherer, Uta; Rücker, Martin; von See, Constantin; Rahlf, Björn; Gellrich, Nils-Claudius; Stoetzer, Marcus

2018-06-01

Dental implant failure and insufficient osseointegration are proven results of mechanical and thermal damage during the surgery process. We herein performed a comparative study of a less invasive single-step drilling preparation protocol and a conventional multiple drilling sequence. Accuracy of drilling holes was precisely analyzed and the influence of different levels of expertise of the handlers and additional use of drill template guidance was evaluated. Six experimental groups, deployed in an osseous study model, were representing template-guided and freehanded drilling actions in a stepwise drilling procedure in comparison to a single-drill protocol. Each experimental condition was studied by the drilling actions of respectively three persons without surgical knowledge as well as three highly experienced oral surgeons. Drilling actions were performed and diameters were recorded with a precision measuring instrument. Less experienced operators were able to significantly increase the drilling accuracy using a guiding template, especially when multi-step preparations are performed. Improved accuracy without template guidance was observed when experienced operators were executing single-step versus multi-step technique. Single-step drilling protocols have shown to produce more accurate results than multi-step procedures. The outcome of any protocol can be further improved by use of guiding templates. Operator experience can be a contributing factor. Single-step preparations are less invasive and are promoting osseointegration. Even highly experienced surgeons are achieving higher levels of accuracy by combining this technique with template guidance. Hereby template guidance enables a reduction of hands-on time and side effects during surgery and lead to a more predictable clinical diameter.

Efficacy of a children’s procedural preparation and distraction device on healing in acute burn wound care procedures: study protocol for a randomized controlled trial

Directory of Open Access Journals (Sweden)

Brown Nadia J

2012-12-01

Full Text Available Abstract Background The intense pain and anxiety triggered by burns and their associated wound care procedures are well established in the literature. Non-pharmacological intervention is a critical component of total pain management protocols and is used as an adjunct to pharmacological analgesia. An example is virtual reality, which has been used effectively to dampen pain intensity and unpleasantness. Possible links or causal relationships between pain/anxiety/stress and burn wound healing have previously not been investigated. The purpose of this study is to investigate these relationships, specifically by determining if a newly developed multi-modal procedural preparation and distraction device (Ditto™ used during acute burn wound care procedures will reduce the pain and anxiety of a child and increase the rate of re-epithelialization. Methods/design Children (4 to 12 years with acute burn injuries presenting for their first dressing change will be randomly assigned to either the (1 Control group (standard distraction or (2 Ditto™ intervention group (receiving Ditto™, procedural preparation and Ditto™ distraction. It is intended that a minimum of 29 participants will be recruited for each treatment group. Repeated measures of pain intensity, anxiety, stress and healing will be taken at every dressing change until complete wound re-epithelialization. Further data collection will aid in determining patient satisfaction and cost effectiveness of the Ditto™ intervention, as well as its effect on speed of wound re-epithelialization. Discussion Results of this study will provide data on whether the disease process can be altered by reducing stress, pain and anxiety in the context of acute burn wounds. Trial registration ACTRN12611000913976

Environmental impact assessment: Process and implementation

International Nuclear Information System (INIS)

Chen, S.Y.; Tsai, S.Y.

1989-01-01

In this paper, the procedures and issues regarding the preparation of an environmental impact assessment in accordance with the National Environmental Policy Act (NEPA) as promulgated by the US Congress in 1969 are discussed. NEPA procedures and requirements are covered in general, while particular attention is given to the preparation of the environmental impact assessment. Also included is a discussion of the social impact assessment. The aim of the social impact assessment is to address the social issues involved in enhancing public understanding of the hazardous risks, thereby mitigating any conflicts that may arise in the NEPA process. 3 refs., 1 fig., 1 tab

Assessment of the safety of injection practices and injection-related procedures in family health units and centers in Alexandria.

Science.gov (United States)

Elhoseeny, Taghareed A; Mourad, Juidan K

2014-08-01

The Safe Injection Global Network (SIGN) developed an intervention strategy for reducing overuse of injections and promoting the administration of safe injections. Tool C--Revised is designed to assess the safety of the most common procedures that puncture the skin within health services. The aim of the study was to assess injection safety within the primary healthcare facilities in Alexandria using Tool C--Revised. A total of 45 family health units and centers in Alexandria were selected by proportional allocation from the eight regions of Alexandria. The Tool C--Revised of the WHO was used for observation of the entire facility, injection practices and injection-related procedures, and sterilization practices. Interview of different health providers and immediate supervisor of injections was carried out. Indicators that reflect risk included: deficiency of alcohol-based hand rub for cleansing hands (13.3%), compliance with hand wash before preparing a procedure (56.9% before injection practices, 61.3% before phlebotomy, and 67.6% before lancet puncture), and wearing a new pair of gloves before new procedures (48.6% before injection practices, 9.7% for phlebotomy, 11.8% for lancet puncture, and 80% for both intravenous injections and infusions). Enough disposable equipment in all facilities for at least 2 weeks dependent on the statement of the average numbers of procedures per week was shown. Only 38% of the providers had received training regarding injection safety in the last 2 years and 62.5% had completed their three doses of hepatitis B vaccine. Only 42.2% of staffs who handled healthcare waste had access to heavy gloves. Indicators related to injection and injection-related practices that reflect risk to patients include deficiency of alcohol-based hand rub tools, nonadherence to hand hygiene before preparing an injection, and inadequate adherence to using a clean barrier when opening a glass ampule and use of gloves. Indicators that may reflect risk to

High-temperature flaw assessment procedure

International Nuclear Information System (INIS)

Ruggles, M.B.; Takahashi, Y.; Ainsworth, R.A.

1989-08-01

The current program represents a joint effort between the Electric Power Research Institute (EPRI) in the USA, the Central Research Institute of Electric Power Industry (CRIEPI) in Japan, and the Central Electricity Generating Board (CEGB) in the UK. The goal is to develop an interim high-temperature flaw assessment procedure for high-temperature reactor components. This is to be accomplished through exploratory experimental and analytical studies of high-temperature crack growth. The state-of-the-art assessment and the fracture mechanics database for both types 304 and 316 stainless steels, completed in 1988, serve as a foundation for the present work. Work in the three participating organizations is progressing roughly on schedule. Results to-date are presented in this document. Fundamental tests results are discussed in Section 2. Section 3 focuses on results of exploratory subcritical crack growth tests. Progress in subcritical crack growth modeling is reported in Section 4. Exploratory failure tests are outlined in Section 5. 21 refs., 70 figs., 7 tabs

Structural assessment procedure of corroding submarine gas pipelines using on-line inspection data

International Nuclear Information System (INIS)

Nordin Yahaya

2000-01-01

This paper presents 'the alternative approach of overall procedure in the assessment of corroded pipelines using data gathered by the on-line inspection device. The methodology adopts a generalised approach of analysing pipeline inspection data and a prediction of the structural reliability due to the deteriorating corrosion environment. The whole assessment methodology is divided into four separate stages; 1 to IV. Stages 1 and 11 are the initial procedure prior to the actual analysis of the inspection data. The scope of this paper is concerted into the procedure to be taken in Stage 111 where the stage is sub-divided into 3 major steps; Part A, B and C. These procedures are Part A (statistical and probabilistic analysis of the inspection data) and Part B (the application of extreme value statistics) and C (reliability assessment). Stage IV (risk assessment) is the final step in the procedure where the consequences of failure are evaluated. The proposed risk-based assessment procedure is more systematic and reliable to account for a huge amount of collected data usually obtained in an on-line inspection using the intelligent devices. The outcomes of this risk-based methodology can be very useful in the decision-making process by the operation management. This in turn will produce an efficient inspection, repair and maintenance program and enhanced the optimised return in investment. (author)

Guideline for the procedure of preparing and executing of maintenance and modifications in nuclear power plants (dated May 10th, 1978)

International Nuclear Information System (INIS)

1978-01-01

Based on the terms defined for this guideline and on legal provisions, it is the purpose of this guideline to render a contribution to the guaranteeing of safe operation and to foster the safety of work while taking the safety of the plant into account by means of a uniform procedure for the preparation and execution of maintenance and modifications carried out in nuclear power plants. The criteria to be taken into account and the procedural steps necessary, organisational measures and controls, technical aspects to be taken into account and determinations to be made are given. Matters concerning plant safety (protection of objects) are pointed out, if they are to be taken into account as marginal conditions when determining measures for the safety of work and the safety of the plant. The guideline serves as a basis for the set-up and assessment of a maintenance-regulation adapted to the resp. organisation of the plant and for the elaboration and check-up of the detailed complementary documents as e.g. accident report blanks, cut-off blanks and safety certificates. (orig.) [de

Development of a tool to support holistic generic assessment of clinical procedure skills.

Science.gov (United States)

McKinley, Robert K; Strand, Janice; Gray, Tracey; Schuwirth, Lambert; Alun-Jones, Tom; Miller, Helen

2008-06-01

The challenges of maintaining comprehensive banks of valid checklists make context-specific checklists for assessment of clinical procedural skills problematic. This paper reports the development of a tool which supports generic holistic assessment of clinical procedural skills. We carried out a literature review, focus groups and non-participant observation of assessments with interview of participants, participant evaluation of a pilot objective structured clinical examination (OSCE), a national modified Delphi study with prior definitions of consensus and an OSCE. Participants were volunteers from a large acute teaching trust, a teaching primary care trust and a national sample of National Health Service staff. Results In total, 86 students, trainees and staff took part in the focus groups, observation of assessments and pilot OSCE, 252 in the Delphi study and 46 candidates and 50 assessors in the final OSCE. We developed a prototype tool with 5 broad categories amongst which were distributed 38 component competencies. There was > 70% agreement (our prior definition of consensus) at the first round of the Delphi study for inclusion of all categories and themes and no consensus for inclusion of additional categories or themes. Generalisability was 0.76. An OSCE based on the instrument has a predicted reliability of 0.79 with 12 stations and 1 assessor per station or 10 stations and 2 assessors per station. This clinical procedural skills assessment tool enables reliable assessment and has content and face validity for the assessment of clinical procedural skills. We have designated it the Leicester Clinical Procedure Assessment Tool (LCAT).

Youth Reactions to Participation in Psychological Assessment Procedures

Science.gov (United States)

Saldana, Lisa; DuBois, David L.

2006-01-01

This study investigates self-reported positive and negative reactions of youth to psychological assessment procedures. A community sample (COM) reported reactions to completing a self-report questionnaire of negative emotional states. A clinical sample (CL) reported reactions both to completion of the questionnaire and to a clinical intake.…

Proposal of organisation and ALARA procedures for maintenance site: application to replacement of steam generator; Propositions d'organisation et procedures ALARA pour la preparation des chantiers de maintenance: application au RGV

Energy Technology Data Exchange (ETDEWEB)

Lochard, J; Lefaure, C

1989-08-01

This report proposes generic organization and ALARA procedures for preparing a maintenance site at a NPP. After a short description of the ALARA principle, it describes the proposition for French sites. They are grouped according to the following: motivation, organisation, means. They are illustrated by the example of steam generator replacement. Three special points concerning preparation of the site are developed: education; training of operators; review of the project.

Raised Anxiety Levels Among Outpatients Preparing to Undergo a Medical Imaging Procedure: Prevalence and Correlates.

Science.gov (United States)

Forshaw, Kristy L; Boyes, Allison W; Carey, Mariko L; Hall, Alix E; Symonds, Michael; Brown, Sandy; Sanson-Fisher, Rob W

2018-04-01

To examine the percentage of patients with raised state anxiety levels before undergoing a medical imaging procedure; their attribution of procedural-related anxiety or worry; and sociodemographic, health, and procedural characteristics associated with raised state anxiety levels. This prospective cross-sectional study was undertaken in the outpatient medical imaging department at a major public hospital in Australia, with institutional board approval. Adult outpatients undergoing a medical imaging procedure (CT, x-ray, MRI, ultrasound, angiography, or fluoroscopy) completed a preprocedural survey. Anxiety was measured by the short-form state scale of the six-item State-Trait Anxiety Inventory (STAI: Y-6). The number and percentage of participants who reported raised anxiety levels (defined as a STAI: Y-6 score ≥ 33.16) and their attribution of procedural-related anxiety or worry were calculated. Characteristics associated with raised anxiety were examined using multiple logistic regression analysis. Of the 548 (86%) patients who consented to participate, 488 (77%) completed all STAI: Y-6 items. Half of the participants (n = 240; 49%) experienced raised anxiety, and of these, 48% (n = 114) reported feeling most anxious or worried about the possible results. Female gender, imaging modality, medical condition, first time having the procedure, and lower patient-perceived health status were statistically significantly associated with raised anxiety levels. Raised anxiety is common before medical imaging procedures and is mostly attributed to the possible results. Providing increased psychological preparation, particularly to patients with circulatory conditions or neoplasms or those that do not know their medical condition, may help reduce preprocedural anxiety among these subgroups. Copyright © 2018 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Guidelines and procedures for the International Code Assessment and Applications Program

International Nuclear Information System (INIS)

1987-04-01

This document presents the guidelines and procedures by which the International Code Assessment and Applications Program (ICAP) will be conducted. The document summarizes the management structure of the program and the relationships between and responsibilities of the United States Nuclear Regulatory Commission (USNRC) and the international participants. The procedures for code maintenance and necessary documentation are described. Guidelines for the performance and documentation of code assessment studies are presented. An overview of an effort to quantify code uncertainty, which the ICAP supports, is included

Assessment of the changes in the stress-related salivary cortisol levels to the various dental procedures in children

Directory of Open Access Journals (Sweden)

Sharmila J Patil

2015-01-01

Full Text Available Background: Fear and pain are the factors producing stress and there is evidence that dental fear acquired in childhood may persist to influence adult behavior. Dental treatment is often considered as anxiety producing and stressful. Aim: To assess the levels of stress displayed by the healthy children undergoing routine dental procedures like oral examination, restoration, and extraction by analyzing salivary levels of cortisol before, during, and after the procedures. Materials and Methods: Twenty healthy children aged between 4 and 8 years having their first dental visit and requiring at least one restoration and one extraction were selected. In each patient, three procedures were carried out: (i Routine dental examination, (ii restoration, and (iii extraction. Unstimulated salivary samples were collected 10 min before, during the procedure, and 30 min after each procedure at three different visits for comparison of cortisol production in response to anxiety and stress over time. Total 180 samples were collected to determine salivary cortisol levels using UBI-MAGIWEL TM kit and the readings were noted. Statistical Analysis Used: Statistical Package for Social Sciences (SPSS software with paired t-test, two independent sample t-tests, and analysis of variance (ANOVA were used to analyze the findings. Results: A correlation between salivary cortisol and stress in dental procedure was noticed. Cavity preparation is more stressful procedure in children, so alternative methods can be used in anxious children. Stress associated with extraction persists to a postoperative period. No correlation exists in between Corah′s anxiety scale and salivary cortisol.

IAEA-NULIFE VERLIFE - Procedure for integrity and lifetime assessment of components and piping in WWER NPPs during operation - Tool for LTO

International Nuclear Information System (INIS)

Brumovsky, M.

2012-01-01

VERLIFE - 'Unified Procedure for Lifetime Assessment of Components and Piping in WWER NPPs during Operation' was developed within the 5th Framework Programme of the European Union in 2003 and later upgraded within the 6th Framework Programme 'COVERS - Safety of WWER NPPs' of the European Union in 2008. This Procedure had to fill the gap in original Soviet/Russian Codes and Rules for WWER type NPPs, as these codes were developed only for design and manufacture and were not changed since their second edition in 1989. VERLIFE Procedure is based on these Russian codes but incorporates also new developments in research, mainly in fracture mechanics, and also some principal approaches used in PWR codes. To assure that VERLIFE Procedure will remain a living document, new 3-years IAEA project (in close cooperation with another project of the 6th Framework Programme of the European Union 'NULIFE - Plant Life Management of NPPs') has started in 2009. Final document, was approved by expert groups of the IAEA and NULIFE in June 28-30, 2011, and will be issued as 'IAEA/NULIFE Guidelines for Integrity and Lifetime Assessment of Components and Piping in WWER NPPs during Operation'. This document represents a necessary part for any integrity and lifetime assessment during operation that is a bases for further decision about safe and potential long term operation. To prepare documents like TLAA, it is necessary to have a tool that is able to evaluate lifetime of the main NPP components taking into account existing past operation as well as proposal for the future. (author)

A probabilistic seismic risk assessment procedure for nuclear power plants: (I) Methodology

Science.gov (United States)

Huang, Y.-N.; Whittaker, A.S.; Luco, N.

2011-01-01

A new procedure for probabilistic seismic risk assessment of nuclear power plants (NPPs) is proposed. This procedure modifies the current procedures using tools developed recently for performance-based earthquake engineering of buildings. The proposed procedure uses (a) response-based fragility curves to represent the capacity of structural and nonstructural components of NPPs, (b) nonlinear response-history analysis to characterize the demands on those components, and (c) Monte Carlo simulations to determine the damage state of the components. The use of response-rather than ground-motion-based fragility curves enables the curves to be independent of seismic hazard and closely related to component capacity. The use of Monte Carlo procedure enables the correlation in the responses of components to be directly included in the risk assessment. An example of the methodology is presented in a companion paper to demonstrate its use and provide the technical basis for aspects of the methodology. ?? 2011 Published by Elsevier B.V.

School age test or procedure preparation

Science.gov (United States)

... your child with books, bubbles, games, hand-held video games, or other activities. PLAY PREPARATION Children often avoid ... using this type of communication. Older children may benefit from videos that show children of the same age explaining, ...

What Teacher Preparation Programs Teach about K-12 Assessment: A Review of Coursework on K-12 Assessment from a Sample of Teacher Preparation Programs

Science.gov (United States)

National Council on Teacher Quality, 2012

2012-01-01

Over the past several decades, federal and state governments, school districts and education leaders have invested significant resources to develop assessments and data systems to track student performance. Yet little attention has been paid to the importance of building the capacity of teachers in assessment so that they are prepared to use data…

Radioactive preparations. Determination of radiochemical purity by thin-layer chromatography

International Nuclear Information System (INIS)

1986-01-01

The standard sets the data which must be attached to every sample, and the equipment, chemicals and auxiliary substances used in the determination of radiochemical purity of substances by chromatography. Described are preparation of the sample, the procedure of sample deposition, the development, drying and detection of the radioactive preparation. The qualitative and quantitative assessment of the radiochromatogram is described as are the calculation of radiochemical purity and the determination of the reproducibility of measurement of radiochemical purity of radioactive preparations. (E.S.)

Comparison of apical leakage between immediate versus delayed post space preparation using two resin sealers

Directory of Open Access Journals (Sweden)

Priyanka Kaushal Kalra

2009-01-01

Full Text Available Post & Core Procedures have became an integral part of a dentist′s arsenal. This study was carried out in order to assess the microleakage when immediate and delayed post space preparations were done using resin sealers. Immediate post space preparations showed lesser apical leakage as opposed to delayed post space preparation.

Clinical and Radiographic Evaluation of Procedural Errors during Preparation of Curved Root Canals with Hand and Rotary Instruments: A Randomized Clinical Study

Science.gov (United States)

Khanna, Rajesh; Handa, Aashish; Virk, Rupam Kaur; Ghai, Deepika; Handa, Rajni Sharma; Goel, Asim

2017-01-01

Background: The process of cleaning and shaping the canal is not an easy goal to obtain, as canal curvature played a significant role during the instrumentation of the curved canals. Aim: The present in vivo study was conducted to evaluate procedural errors during the preparation of curved root canals using hand Nitiflex and rotary K3XF instruments. Materials and Methods: Procedural errors such as ledge formation, instrument separation, and perforation (apical, furcal, strip) were determined in sixty patients, divided into two groups. In Group I, thirty teeth in thirty patients were prepared using hand Nitiflex system, and in Group II, thirty teeth in thirty patients were prepared using K3XF rotary system. The evaluation was done clinically as well as radiographically. The results recorded from both groups were compiled and put to statistical analysis. Statistical Analysis: Chi-square test was used to compare the procedural errors (instrument separation, ledge formation, and perforation). Results: In the present study, both hand Nitiflex and rotary K3XF showed ledge formation and instrument separation. Although ledge formation and instrument separation by rotary K3XF file system was less as compared to hand Nitiflex. No perforation was seen in both the instrument groups. Conclusion: Canal curvature played a significant role during the instrumentation of the curved canals. Procedural errors such as ledge formation and instrument separation by rotary K3XF file system were less as compared to hand Nitiflex. PMID:29042727

Research on risk assessment for maritime transport of radioactive materials. Preparation of maritime accident data for risk assessment

International Nuclear Information System (INIS)

Odano, Naoteru; Sawada, Ken-ichi; Mochiduki, Hiromitsu; Hirao, Yoshihiro; Asami, Mitsufumi

2010-01-01

Maritime transport of radioactive materials has been playing an important role in the nuclear fuel cycle in Japan. Due to recent increase of transported radioactive materials and diversification of transport packages with enlargement of nuclear research, development and utilization, safety securement for maritime transport of radioactive materials is one of important issues in the nuclear fuel cycle. Based squarely on the current circumstances, this paper summarizes discussion on importance of utilization of results of risk assessment for maritime transport of radioactive materials. A plan for development of comprehensive methodology to assess risks in maritime transport of radioactive materials is also described. Preparations of database of maritime accident to be necessary for risk assessment are also summarized. The prepared data could be utilized for future quantitative risk assessment, such as the event trees and fault trees analyses, for maritime transport of radioactive materials. The frequency of severe accident that the package might be damaged is also estimated using prepared data. (author)

Preparation and management of complications in prostate biopsies

Directory of Open Access Journals (Sweden)

Chiang Jeng Tyng

2013-12-01

Full Text Available Transrectal ultrasonography-guided biopsy plays a key role in prostate sampling for cancer detection. Among interventional procedures, it is one of the most frequent procedures performed by radiologists. Despite the safety and low morbidity of such procedure, possible complications should be promptly assessed and treated. The standardization of protocols and of preprocedural preparation is aimed at minimizing complications as well as expediting their management. The authors have made a literature review describing the possible complications related to transrectal ultrasonography-guided prostate biopsy, and discuss their management and guidance to reduce the incidence of such complications.

Optimized pre-thinning procedures of ion-beam thinning for TEM sample preparation by magnetorheological polishing.

Science.gov (United States)

Luo, Hu; Yin, Shaohui; Zhang, Guanhua; Liu, Chunhui; Tang, Qingchun; Guo, Meijian

2017-10-01

Ion-beam-thinning is a well-established sample preparation technique for transmission electron microscopy (TEM), but tedious procedures and labor consuming pre-thinning could seriously reduce its efficiency. In this work, we present a simple pre-thinning technique by using magnetorheological (MR) polishing to replace manual lapping and dimpling, and demonstrate the successful preparation of electron-transparent single crystal silicon samples after MR polishing and single-sided ion milling. Dimples pre-thinned to less than 30 microns and with little mechanical surface damage were repeatedly produced under optimized MR polishing conditions. Samples pre-thinned by both MR polishing and traditional technique were ion-beam thinned from the rear side until perforation, and then observed by optical microscopy and TEM. The results show that the specimen pre-thinned by MR technique was free from dimpling related defects, which were still residual in sample pre-thinned by conventional technique. Nice high-resolution TEM images could be acquired after MR polishing and one side ion-thinning. MR polishing promises to be an adaptable and efficient method for pre-thinning in preparation of TEM specimens, especially for brittle ceramics. Copyright © 2017 Elsevier B.V. All rights reserved.

Knowing the operative game plan: a novel tool for the assessment of surgical procedural knowledge.

Science.gov (United States)

Balayla, Jacques; Bergman, Simon; Ghitulescu, Gabriela; Feldman, Liane S; Fraser, Shannon A

2012-08-01

What is the source of inadequate performance in the operating room? Is it a lack of technical skills, poor judgment or a lack of procedural knowledge? We created a surgical procedural knowledge (SPK) assessment tool and evaluated its use. We interviewed medical students, residents and training program staff on SPK assessment tools developed for 3 different common general surgery procedures: inguinal hernia repair with mesh in men, laparoscopic cholecystectomy and right hemicolectomy. The tools were developed as a step-wise assessment of specific surgical procedures based on techniques described in a current surgical text. We compared novice (medical student to postgraduate year [PGY]-2) and expert group (PGY-3 to program staff) scores using the Mann-Whitney U test. We calculated the total SPK score and defined a cut-off score using receiver operating characteristic analysis. In all, 5 participants in 7 different training groups (n = 35) underwent an interview. Median scores for each procedure and overall SPK scores increased with experience. The median SPK for novices was 54.9 (95% confidence interval [CI] 21.6-58.8) compared with 98.05 (95% CP 94.1-100.0) for experts (p = 0.012). The SPK cut-off score of 93.1 discriminates between novice and expert surgeons. Surgical procedural knowledge can reliably be assessed using our SPK assessment tool. It can discriminate between novice and expert surgeons for common general surgical procedures. Future studies are planned to evaluate its use for more complex procedures.

Assessment of creep-fatigue damage using the UK strain based procedure

International Nuclear Information System (INIS)

Bate, S.K.

1997-01-01

The UK strain based procedures have been developed for the evaluation of damage in structures, arising from fatigue cycles and creep processes. The fatigue damage is assessed on the basis of modelling crack growth from about one grain depth to an allowable limit which represents an engineering definition of crack formation. Creep damage is based up on the exhaustion of available ductility by creep strain accumulation. The procedures are applicable only when level A and B service conditions apply, as defined in RCC-MR or ASME Code Case N47. The procedures require the components of strain to be evaluated separately, thus they may be used with either full inelastic analysis or simplified methods. To support the development of the UK strain based creep-fatigue procedures an experimental program was undertaken by NNC to study creep-fatigue interaction of structures operating at high temperature. These tests, collectively known as the SALTBATH tests considered solid cylinder and tube-plate specimens, manufactured from Type 316 stainless steel. These specimens were subjected to thermal cycles between 250 deg. C and 600 deg. C. In all the cases the thermal cycle produces tensile residual stresses during dwells at 600 deg. C. One of the tube-plate specimens was used as a benchmark for validating the strain based creep fatigue procedures and subsequently as part of a CEC co-operative study. This benchmark work is described in this paper. A thermal and inelastic stress analysis was carried out using the finite element code ABAQUS. The inelastic behaviour of the material was described using the ORNL constitutive equations. A creep fatigue assessment using the strain based procedures has been compared with an assessment using the RCC-MR inelastic rules. The analyses indicated that both the UK strain based procedures and the RCC-MR rules were conservative, but the conservatism was greater for the RCC-MR rules. (author). 8 refs, 8 figs, 4 tabs

Comparative evaluation of the US Environmental Protection Agency's and the Oak Ridge Institute for Science and Education's environmental survey and site assessment program field sampling procedures

International Nuclear Information System (INIS)

Vitkus, T.J.; Bright, T.L.; Roberts, S.A.

1997-10-01

At the request of the U.S. Nuclear Regulatory Commission's (NRC's) Headquarters Office, the Environmental Survey and Site Assessment Program (ESSAP) of the Oak Ridge Institute for Science and Education (ORISE) compared the documented procedures that the U.S. Environmental Protection Agency (EPA) and ESSAP use for collecting environmental samples. The project objectives were to review both organizations' procedures applicable to collecting various sample matrices, compare the procedures for similarities and differences, and then to evaluate the reason for any identified procedural differences and their potential impact on ESSAP's sample data quality. The procedures reviewed included those for sampling surface and subsurface soil, surface and groundwater, vegetation, air, and removable surface contamination. ESSAP obtained copies of relevant EPA documents and reviewed and prepared a tabulated summary of each applicable procedure. The methods for collecting and handling each type of sample were evaluated for differences, and where these were identified, the significance and effect of the differences on analytical quality were determined. The results of the comparison showed that, overall, the procedures and methods that EPA and ESSAP use for sample collection are very similar. The number of minor differences noted were the result of restrictions or procedures necessary to ensure sample integrity and prevent the introduction of interfering compounds when samples are to be analyzed for chemical parameters. For most radio nuclide analyses, these additional procedures are not necessary. Another item noted was EPA's inclusion of steps that reduce the potential for sample cross-contamination by preparing (dressing) a location prior to collecting a sample or removing a portion of a sample prior to containerization

Membrane biofouling characterization: effects of sample preparation procedures on biofilm structure and the microbial community

KAUST Repository

Xue, Zheng

2014-07-15

Ensuring the quality and reproducibility of results from biofilm structure and microbial community analysis is essential to membrane biofouling studies. This study evaluated the impacts of three sample preparation factors (ie number of buffer rinses, storage time at 4°C, and DNA extraction method) on the downstream analysis of nitrifying biofilms grown on ultrafiltration membranes. Both rinse and storage affected biofilm structure, as suggested by their strong correlation with total biovolume, biofilm thickness, roughness and the spatial distribution of EPS. Significant variations in DNA yields and microbial community diversity were also observed among samples treated by different rinses, storage and DNA extraction methods. For the tested biofilms, two rinses, no storage and DNA extraction with both mechanical and chemical cell lysis from attached biofilm were the optimal sample preparation procedures for obtaining accurate information about biofilm structure, EPS distribution and the microbial community. © 2014 © 2014 Taylor & Francis.

Critical Emergency Medicine Procedural Skills: A Comparative Study of Methods for Teaching and Assessment.

Science.gov (United States)

Chapman, Dane M.; And Others

Three critical procedural skills in emergency medicine were evaluated using three assessment modalities--written, computer, and animal model. The effects of computer practice and previous procedure experience on skill competence were also examined in an experimental sequential assessment design. Subjects were six medical students, six residents,…

The impact of preparation and support procedures for children with sickle cell disease undergoing MRI

International Nuclear Information System (INIS)

Cejda, Katherine R.; Smeltzer, Matthew P.; Hansbury, Eileen N.; McCarville, Mary Elizabeth; Helton, Kathleen J.; Hankins, Jane S.

2012-01-01

Children with sickle cell disease (SCD) often undergo MRI studies to assess brain injury or to quantify hepatic iron. MRI requires the child to lie motionless for 30-60 min, thus sedation/anesthesia might be used to facilitate successful completion of exams, but this poses additional risks for SCD patients. To improve children's ability to cope with MRI examinations and avoid sedation, our institution established preparation and support procedures (PSP). To investigate the impact of PSP in reducing the need for sedation during MRI exams among children with SCD. Data on successful completion of MRI testing were compared among 5- to 12-year-olds who underwent brain MRI or liver R2*MRI with or without receiving PSP. Seventy-one children with SCD (median age 9.85 years, range 5.57-12.99 years) underwent a brain MRI (n = 60) or liver R2*MRI (n = 11). Children who received PSP were more likely to complete an interpretable MRI exam than those who did not 30 of 33; 91% vs. 27 of 38; 71%, unadjusted OR = 4.1 (P = 0.04) and OR = 8.5 (P < 0.01) when adjusting for age. PSP can help young children with SCD complete clinically interpretable, nonsedated MRI exams, avoiding the risks of sedation/anesthesia. (orig.)

The impact of preparation and support procedures for children with sickle cell disease undergoing MRI

Energy Technology Data Exchange (ETDEWEB)

Cejda, Katherine R. [St. Jude Children' s Research Hospital, Child Life Program, Memphis, TN (United States); Smeltzer, Matthew P. [St. Jude Children' s Research Hospital, Department of Biostatistics, Memphis, TN (United States); Hansbury, Eileen N. [Baylor International Hematology Center of Excellence and the Texas Children' s Center for Global Health, Houston, TX (United States); McCarville, Mary Elizabeth; Helton, Kathleen J. [St. Jude Children' s Research Hospital, Department of Radiological Sciences, Memphis, TN (United States); Hankins, Jane S. [St. Jude Children' s Research Hospital, Department of Hematology, Memphis, TN (United States)

2012-10-15

Children with sickle cell disease (SCD) often undergo MRI studies to assess brain injury or to quantify hepatic iron. MRI requires the child to lie motionless for 30-60 min, thus sedation/anesthesia might be used to facilitate successful completion of exams, but this poses additional risks for SCD patients. To improve children's ability to cope with MRI examinations and avoid sedation, our institution established preparation and support procedures (PSP). To investigate the impact of PSP in reducing the need for sedation during MRI exams among children with SCD. Data on successful completion of MRI testing were compared among 5- to 12-year-olds who underwent brain MRI or liver R2*MRI with or without receiving PSP. Seventy-one children with SCD (median age 9.85 years, range 5.57-12.99 years) underwent a brain MRI (n = 60) or liver R2*MRI (n = 11). Children who received PSP were more likely to complete an interpretable MRI exam than those who did not 30 of 33; 91% vs. 27 of 38; 71%, unadjusted OR = 4.1 (P = 0.04) and OR = 8.5 (P < 0.01) when adjusting for age. PSP can help young children with SCD complete clinically interpretable, nonsedated MRI exams, avoiding the risks of sedation/anesthesia. (orig.)

CT colonography with limited bowel preparation: prospective assessment of patient experience and preference in comparison to optical colonoscopy with cathartic bowel preparation

International Nuclear Information System (INIS)

Jensch, Sebastiaan; Bipat, Shandra; Vries, Ayso H. de; Heutinck, Anneke; Stoker, Jaap; Peringa, Jan; Montauban van Swijndregt, Alexander D.; Dekker, Evelien; Baak, Lubbertus C.

2010-01-01

The purpose of this study was to prospectively compare participant experience and preference of limited preparation computed tomography colonography (CTC) with full-preparation colonoscopy in a consecutive series of patients at increased risk of colorectal cancer. CTC preparation comprised 180 ml diatrizoate meglumine, 80 ml barium and 30 mg bisacodyl. For the colonoscopy preparation 4 l of polyethylene glycol solution was used. Participants' experience and preference were compared using the Wilcoxon signed rank test and the chi-squared test, respectively. Associations between preference and experience parameters for the 173 participants were determined by logistic regression. Diarrhoea occurred in 94% of participants during CTC preparation. This side effect was perceived as severely or extremely burdensome by 29%. Nonetheless, the total burden was significantly lower for the CTC preparation than for colonoscopy (9% rated the CTC preparation as severely or extremely burdensome compared with 59% for colonoscopy; p<0.001). Participants experienced significantly more pain, discomfort and total burden with the colonoscopy procedure than with CTC (p<0.001). After 5 weeks, 69% preferred CTC, 8% were indifferent and 23% preferred colonoscopy (p<0.001). A burdensome colonoscopy preparation and pain at colonoscopy were associated with CTC preference (p<0.04). In conclusion, participants' experience and preference were rated in favour of CTC with limited bowel preparation compared with full-preparation colonoscopy. (orig.)

Procedure for preparation of a Ausup(195m) containing liquid, procedure for the execution of a radiodiagnostic examination, and a radioisotope generator for generating a Ausup(195m) containing liquid

International Nuclear Information System (INIS)

1980-01-01

A procedure is described for the preparation of an Ausup(195m) containing fluid by adsorbing the parent isotope Hgsup(195m) onto an adsorption material and then eluting the radioactive daughter isotope Ausup(195m). The packing materials for the chromatographic column are silica gel, porous and massive glass beads. The adsorption materials for Hg 195 are hydrated manganese dioxide, silver, and zinc, cadmium, silver or zirconium sulfides. The procedure for depositing these materials in the packing material is outlined and the most suitable eluting fluid for each adsorption material is presented. The procedure has applications in the execution of a radiodiagnostic examination using an Ausup(195m) labelled fluid. (C.F.)

Guideline for the preparation of safe operating procedures

International Nuclear Information System (INIS)

Stinnett, L.; Carroll, M.M.; Crooks, D.L.; Doyle, J.R.; Jeblick, H.G.; Kessel, D.S.; Tippy, M.W.; Stuckey, J.M.

1981-03-01

These procedures are written for activities that involve the use of explosives, dangerous chemicals, radioactive materials, hazardous sytems, and for certain types of operational facilities which present hazards. This guideline presents a suggested Safe Operating Procedures format

Civil Procedure In Denmark

DEFF Research Database (Denmark)

Werlauff, Erik

scientific activities conducted by the author, partly based on the author's experience as a member, through a number of years, of the Danish Standing Committee on Procedural Law (Retsplejeraadet), which on a continuous basis evaluates the need for civil procedural reforms in Denmark, and finally also based......The book contains an up-to-date survey of Danish civil procedure after the profound Danish procedural reforms in 2007. It deals with questions concerning competence and function of Danish courts, commencement and preparation of civil cases, questions of evidence and burden of proof, international...... procedural questions, including relations to the Brussels I Regulation and Denmark's participation in this Regulation via a parallel convention with the EU countries, impact on Danish civil procedure of the convention on human rights, preparation and pronouncement of judgment and verdict, questions of appeal...

A combined deterministic and probabilistic procedure for safety assessment of components with cracks - Handbook.

Energy Technology Data Exchange (ETDEWEB)

Dillstroem, Peter; Bergman, Mats; Brickstad, Bjoern; Weilin Zang; Sattari-Far, Iradj; Andersson, Peder; Sund, Goeran; Dahlberg, Lars; Nilsson, Fred (Inspecta Technology AB, Stockholm (Sweden))

2008-07-01

SSM has supported research work for the further development of a previously developed procedure/handbook (SKI Report 99:49) for assessment of detected cracks and tolerance for defect analysis. During the operative use of the handbook it was identified needs to update the deterministic part of the procedure and to introduce a new probabilistic flaw evaluation procedure. Another identified need was a better description of the theoretical basis to the computer program. The principal aim of the project has been to update the deterministic part of the recently developed procedure and to introduce a new probabilistic flaw evaluation procedure. Other objectives of the project have been to validate the conservatism of the procedure, make the procedure well defined and easy to use and make the handbook that documents the procedure as complete as possible. The procedure/handbook and computer program ProSACC, Probabilistic Safety Assessment of Components with Cracks, has been extensively revised within this project. The major differences compared to the last revision are within the following areas: It is now possible to deal with a combination of deterministic and probabilistic data. It is possible to include J-controlled stable crack growth. The appendices on material data to be used for nuclear applications and on residual stresses are revised. A new deterministic safety evaluation system is included. The conservatism in the method for evaluation of the secondary stresses for ductile materials is reduced. A new geometry, a circular bar with a circumferential surface crack has been introduced. The results of this project will be of use to SSM in safety assessments of components with cracks and in assessments of the interval between the inspections of components in nuclear power plants

Flaw assessment procedure for high temperature reactor components

International Nuclear Information System (INIS)

Ainsworth, R.A.; Takahashi, Y.

1990-01-01

An interim high-temperature flaw assessment procedure is described. This is a result of a collaborative effort between Electric Power Research Institute in the USA, Central Research Institute of Electric Power Industry in Japan, and Nuclear Electric plc in the UK. The procedure addresses preexisting defects subject to creep-fatigue loading conditions. Laws employed to calculate the crack growth per cycle are defined in terms of fracture mechanics parameters and constants related to the component material. The crack growth laws may be integrated to calculate the remaining life of a component or to predict the amount of crack extension in a given period. Fatigue and creep crack growth per cycle are calculated separately, and the total crack extension is taken as the simple sum of the two contributions. An interaction between the two propagation modes is accounted for in the material properties in the separate calculations. In producing the procedure, limitations of the approach have been identified. Some of these limitations are to be addressed in an extension of the current collaborative program. 20 refs

Optimized in vitro procedure for assessing the cytocompatibility of magnesium-based biomaterials.

Science.gov (United States)

Jung, Ole; Smeets, Ralf; Porchetta, Dario; Kopp, Alexander; Ptock, Christoph; Müller, Ute; Heiland, Max; Schwade, Max; Behr, Björn; Kröger, Nadja; Kluwe, Lan; Hanken, Henning; Hartjen, Philip

2015-09-01

Magnesium (Mg) is a promising biomaterial for degradable implant applications that has been extensively studied in vitro and in vivo in recent years. In this study, we developed a procedure that allows an optimized and uniform in vitro assessment of the cytocompatibility of Mg-based materials while respecting the standard protocol DIN EN ISO 10993-5:2009. The mouse fibroblast line L-929 was chosen as the preferred assay cell line and MEM supplemented with 10% FCS, penicillin/streptomycin and 4mM l-glutamine as the favored assay medium. The procedure consists of (1) an indirect assessment of effects of soluble Mg corrosion products in material extracts and (2) a direct assessment of the surface compatibility in terms of cell attachment and cytotoxicity originating from active corrosion processes. The indirect assessment allows the quantification of cell-proliferation (BrdU-assay), viability (XTT-assay) as well as cytotoxicity (LDH-assay) of the mouse fibroblasts incubated with material extracts. Direct assessment visualizes cells attached to the test materials by means of live-dead staining. The colorimetric assays and the visual evaluation complement each other and the combination of both provides an optimized and simple procedure for assessing the cytocompatibility of Mg-based biomaterials in vitro. Copyright © 2015 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

Therapeutic Use of Δ9-THC and Cannabidiol: Evaluation of a New Extraction Procedure for the Preparation of Cannabis-based Olive Oil.

Science.gov (United States)

Morini, Luca; Porro, Giorgio; Liso, Maurizio; Groppi, Angelo

2017-01-01

Since 2013 Cannabis-based preparations, containing the two main cannabinoids of interest, Δ9-tetrahydrocannabinol (THC), and cannabidiol (CBD), can be used for therapeutic purposes, such as palliative care, neurodegenerative disorder treatment and other therapies. The preparations may consist of a drug partition in sachets, capsules or through the extraction in certified olive oil. The aims of the study were: a) to develop and validate a new liquid chromatographictandem mass spectrometric (LC-MS/MS) method for the identification and quantification of THC and CBD in olive oil; b) to evaluate the extraction efficiency and reproducibility of a new commercial extractor on the market. The olive oil was simply diluted three consecutive times, using organic solvents with increasing polarity index (n-hexane → isopropanol → methanol). The sample was then directly injected into LC-MS/MS system, operating in Multiple Reaction Monitoring Mode, in positive polarization. The method was then fully validated. The method assessed to be linear over the range 0.1-10 ng/µL for both THC and CBD. Imprecision and accuracy were within 12.2% and 16.9% respectively; matrix effects proved to be negligible; THC concentration in oil is stable up to two months at room temperature, whenever kept in the dark. CBD provided a degradation of 30% within ten weeks. The method was then applied to olive oil after sample preparation, in order to evaluate the efficiency of extraction of a new generation instrument. Temperature of extraction is the most relevant factor to be optimized. Indeed, a difference of 2°C (from 94.5°C to 96.5°C, the highest temperature reached in the experiments) of the heating phase, increases the percentage of extraction from 54.2% to 64.0% for THC and from 58.2% to 67.0% for CBD. The amount of THC acid and CBD acid that are decarboxylated during the procedure must be check out in the future. The developed method was simple and fast. The extraction procedure proved to be

Acceptability of Functional Behavioral Assessment Procedures to Special Educators and School Psychologists

Science.gov (United States)

O'Neill, Robert E.; Bundock, Kaitlin; Kladis, Kristin; Hawken, Leanne S.

2015-01-01

This survey study assessed the acceptability of a variety of functional behavioral assessment (FBA) procedures (i.e., functional assessment interviews, rating scales/questionnaires, systematic direct observations, functional analysis manipulations) to a national sample of 123 special educators and a state sample of 140 school psychologists.…

Developments in UK defect assessment procedures R6 revision 4 and BS7910

International Nuclear Information System (INIS)

Sharples, J.K.; Ainsworth, R.A.; Budden, P.J.

2003-01-01

The R6 defect assessment procedures have been developed over many years by the UK nuclear power generation industry. The procedures are updated on a regular basis, taking into account the information resulting from the R6 development programme and other available information worldwide. A major revision, Revision 4, of the R6 procedures was released in 2000. Just prior to that release, in 1999, the British Standards flaw assessment procedure BS7910 was issued and combined and updated the previous published documents PD6493 and PD6539, for components operating at temperatures where creep was negligible and important, respectively. BS79l0 is also under constant development. This paper provides a brief overview of the BS7910 and R6 Revision 4 procedures and describes updates to the respective documents since they were first issued. Some ongoing developments which will lead to future revisions to the documents are also described. (author)

A National Needs Assessment to Identify Technical Procedures in Vascular Surgery for Simulation Based Training

DEFF Research Database (Denmark)

Nayahangan, L J; Konge, L; Schroeder, T V

2017-01-01

to identify technical procedures that vascular surgeons should learn. Round 2 was a survey that used a needs assessment formula to explore the frequency of procedures, the number of surgeons performing each procedure, risk and/or discomfort, and feasibility for simulation based training. Round 3 involved...... eliminated, resulting in a final prioritised list of 19 technical procedures. Conclusion A national needs assessment using a standardised Delphi method identified a list of procedures that are highly suitable and may provide the basis for future simulation based training programs for vascular surgeons......Objectives and background Practical skills training in vascular surgery is facing challenges because of an increased number of endovascular procedures and fewer open procedures, as well as a move away from the traditional principle of “learning by doing.” This change has established simulation...

A National Needs Assessment to Identify Technical Procedures in Vascular Surgery for Simulation Based Training.

Science.gov (United States)

Nayahangan, L J; Konge, L; Schroeder, T V; Paltved, C; Lindorff-Larsen, K G; Nielsen, B U; Eiberg, J P

2017-04-01

Practical skills training in vascular surgery is facing challenges because of an increased number of endovascular procedures and fewer open procedures, as well as a move away from the traditional principle of "learning by doing." This change has established simulation as a cornerstone in providing trainees with the necessary skills and competences. However, the development of simulation based programs often evolves based on available resources and equipment, reflecting convenience rather than a systematic educational plan. The objective of the present study was to perform a national needs assessment to identify the technical procedures that should be integrated in a simulation based curriculum. A national needs assessment using a Delphi process was initiated by engaging 33 predefined key persons in vascular surgery. Round 1 was a brainstorming phase to identify technical procedures that vascular surgeons should learn. Round 2 was a survey that used a needs assessment formula to explore the frequency of procedures, the number of surgeons performing each procedure, risk and/or discomfort, and feasibility for simulation based training. Round 3 involved elimination and ranking of procedures. The response rate for round 1 was 70%, with 36 procedures identified. Round 2 had a 76% response rate and resulted in a preliminary prioritised list after exploring the need for simulation based training. Round 3 had an 85% response rate; 17 procedures were eliminated, resulting in a final prioritised list of 19 technical procedures. A national needs assessment using a standardised Delphi method identified a list of procedures that are highly suitable and may provide the basis for future simulation based training programs for vascular surgeons in training. Copyright © 2017 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

The Implicit Relational Assessment Procedure as a Measure of Self-Esteem

Science.gov (United States)

Timko, C. Alix; England, Erica L.; Herbert, James D.; Forman, Evan M.

2010-01-01

Two studies were conducted to pilot the Implicit Relational Assessment Procedure (IRAP) in measuring attitudes toward the self: one related to body image specifically and another assessing the broader construct of self-esteem. Study 1 utilized the IRAP with female college students to examine self-referential beliefs regarding body image. Results…

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.

Assessment of Conventional Teaching Procedures: Implications for Gifted Learners

Science.gov (United States)

Alenizi, Mogbel Aid K.

2016-01-01

The present research aims to assess the conventional teaching procedures in the development of mathematical skills of the students with learning difficulties. The study group was made up of all the children with academic learning disorders in KSA. The research questions have been scrutinized from the averages and the standard deviation of the…

Innovative Approaches to Increasing the Student Assessment Procedures Effectiveness

Science.gov (United States)

Dorozhkin, Evgenij M.; Chelyshkova, Marina B.; Malygin, Alexey A.; Toymentseva, Irina A.; Anopchenko, Tatiana Y.

2016-01-01

The relevance of the investigated problem is determined by the need to improving the evaluation procedures in education and the student assessment in the age of the context of education widening, new modes of study developing (such as blending learning, e-learning, massive open online courses), immediate feedback necessity, reliable and valid…

Guidelines on current good radiopharmacy practice (cGRPP) in the preparation of radiopharmaceuticals

International Nuclear Information System (INIS)

Dumas, Cecile

2010-07-01

Preparation of radiopharmaceuticals for injection involves adherence to regulations on radiation protection as well as to appropriate rules of working under aseptic conditions, which are covered by these guidelines on Good Radiopharmacy Practice (GRPP). The handling of radiopharmaceuticals is potentially hazardous. The level of risk depends in particular upon the types of radiation emitted and the half-lives of the radioactive isotopes. Particular attention must be paid to the prevention of cross-contamination, and to waste disposal. A continuous assessment of the effectiveness of the Quality Assurance system is essential to prove that the procedures applied in the Radiopharmacy Department lead to the expected quality. Clinical trials with new radiopharmaceuticals should follow these regulations on cGRPP as well as the Guideline on Good Clinical Practice. As there is a considerable difference in complexity in preparing 'classical' radiopharmaceuticals in 'kit' procedures and producing radiopharmaceuticals by distinct chemical procedures (Positron Emission Tomography (PET) Radiopharmaceuticals, in house prepared radiopharmaceuticals including in house prepared kits) these guidelines have been divided in two parts (A and B) respecting these differences

Psychomotor skills assessment in practicing surgeons experienced in performing advanced laparoscopic procedures.

Science.gov (United States)

Gallagher, Anthony G; Smith, C Daniel; Bowers, Steven P; Seymour, Neal E; Pearson, Adam; McNatt, Steven; Hananel, David; Satava, Richard M

2003-09-01

Minimally invasive surgery (MIS) has introduced a new and unique set of psychomotor skills for a surgeon to acquire and master. Although assessment technologies have been proposed, precise and objective psychomotor skills assessment of surgeons performing laparoscopic procedures has not been detailed. Two hundred ten surgeons attending the 2001 annual meeting of the American College of Surgeons in New Orleans who reported having completed more than 50 laparoscopic procedures participated. Subjects were required to complete one box-trainer laparoscopic cutting task and a similar virtual reality task. These tasks were specifically designed to test only psychomotor and not cognitive skills. Both tasks were completed twice. Performance of tasks was assessed and analyzed. Demographic and laparoscopic experience data were also collected. Complete data were available on 195 surgeons. In this group, surgeons performed the box-trainer task better with their dominant hand (p psychomotor skills is now possible. Surgeons who had performed more than 50 laparoscopic procedures showed considerable variability in their performance on a simple laparoscopic and virtual reality task. Approximately 10% of surgeons tested performed the task significantly worse than the group's average performance. Studies such as this may form the methodology for establishing criteria levels and performance objectives in objective assessment of the technical skills component of determining surgical competence.

Procedure for the preparation of a radiodiagnostic agent for skeletal scintigraphy

International Nuclear Information System (INIS)

Budsky, F.; Kopecky, P.; Prokop, J.

1997-01-01

The procedure for the preparation of a radiodiagnostic agent based on an aminomethylphosphonic acid and 99m Tc is as follows: One mol of high-purity diethylenetriamine trihydrochloride, which is obtained by precipitating diethylenetriamine in methanol with azeotropic hydrochloric acid, and 5.3 mol of orthophosphoric acid are dissolved in 2 mol of azeotropic hydrochloric acid at 100-110 degC and reacted with a 34%-36% formaldehyde solution (5.6 mol) at the same temperature for a minimum of 60 min. The mixture is purified by repeated extraction with pentanol at 50 degC and evaporated to dryness. The residue is suspended in isopropanol and the suspension is evaporated to dryness again. The residue is boiled consecutively with dimethylformamide and with glacial acetic acid, dissolved in water, and precipitated with methanol to obtain diethylenetriamino-N,N,N',N',N''-pentakis(methylenephosphonic) acid (DTPMP). This product is filtered out, rinsed with methanol, and dried over sulfuric acid at 3 kPa for 3-5 days. The medical form is prepared by dissolving calcium carbonate in 0.1-1M aqueous DTPMP so that the two chemicals are in the molar ratio 1:1, and the solution is neutralized with sodium hydroxide so that the hydroxide-to-DTPMP molar ratio is 3:1. To the solution, freed from dissolved oxygen, a solution of tin dichloride in dilute hydrochloric acid is added so that the tin-to-DTPMP molar ratio is 1:10 to 2:10. Sodium hydroxide is added in order to exactly neutralize the hydrochloric acid, and the solution is subjected to sterile filtration and filled in vials. Each vial will contain 15-25 μmol DTPMP. The medical form is a lyophilisate of the monocalcium-trisodium salt of diethyleneamino-N,N,N',N',N''-pentakis(methylenephosphonic) salt and its complex with divalent tin. The radiodiagnostic agent is prepared by dissolving in the vial the eluate from a 99m Tc generator (0.25-5 ml) at activities of 250-2500 MBq. The Tc complex so obtained will be stable for a minimum

Generic procedures for assessment and response during a radiological emergency

International Nuclear Information System (INIS)

2000-08-01

One of the most important aspects of managing a radiological emergency is the ability to promptly and adequately determine and take actions to protect members of the public and emergency workers. Radiological accident assessment must take account of all critical information available at any time and must be an iterative and dynamic process aimed at reviewing the response as more detailed and complete information becomes available. This manual provides the tools, generic procedures and data needed for an initial response to a non-reactor radiological accident. This manual is one out of a set of IAEA publications on emergency preparedness and response, including Method for the Development of Emergency Response Preparedness for Nuclear or Radiological Accidents (IAEA-TECDOC-953), Generic Assessment Procedures for Determining Protective Actions During a Reactor Accident (IAEA-TECDOC-955) and Intervention Criteria in a Nuclear or Radiation Emergency (Safety Series No. 109)

Procedures and methods of benefit assessments for medicines in Germany.

Science.gov (United States)

Bekkering, Geertruida E; Kleijnen, Jos

2008-11-01

The Federal Joint Committee (FJC; Gemeinsamer Bundesausschuss, G-BA) defines the health-care elements that are to be reimbursed by sickness funds. To define a directive, the FJC can commission benefit assessments, which provide an overview of the scientific evidence regarding the efficacy and benefits of an intervention. This paper describes the operational implementation of the legal requirements with regard to the benefit assessments of medicines. Such benefit assessments are sometimes referred to as "isolated benefit assessments," to distinguish them from benefit assessments as part of a full economic evaluation.The FJC has the freedom to commission these assessments from any agency; however, to date the majority have commissioned the Institute for Quality and Efficiency in Health Care (IQWiG). Nevertheless, the content of this paper applies integrally to any institute commissioned for such assessments. In this report, 'the institute' is used when the text refers to any of these institutes.The legal framework for benefit assessments is laid out in the German Social Code Book version V ( http://www.sozialgesetzbuch.de ), Sects. 35b ( section 1), 139a ( section 4-6) and Sect. 139b ( section 3). It is specified that: The institute must guarantee high transparency. The institute must provide appropriate participation of relevant parties for the commission-related development of assessments, and opportunity for comment on all important segments of the assessment procedure. The institute has to report on the progress and results of the work at regular intervals. The institute is held to giving the commission to external experts. Based on the legal framework, the institute must guarantee a high procedural transparency. Transparency of the whole process should be achieved, which is evidenced by clear reporting of procedures and criteria in all phases undertaken in the benefit assessment. The most important means of enhancing transparency are: 1. To implement a scoping

[Procedures and methods of benefit assessments for medicines in Germany].

Science.gov (United States)

Bekkering, G E; Kleijnen, J

2008-12-01

The Federal Joint Committee (FJC; Gemeinsamer Bundesausschuss, G-BA) defines the health-care elements that are to be reimbursed by sickness funds. To define a directive, the FJC can commission benefit assessments, which provide an overview of the scientific evidence regarding the efficacy and benefits of an intervention. This paper describes the operational implementation of the legal requirements with regard to the benefit assessments of medicines. Such benefit assessments are sometimes referred to as "isolated benefit assessments," to distinguish them from benefit assessments as part of a full economic evaluation. The FJC has the freedom to commission these assessments from any agency; however, to date the majority have commissioned the Institute for Quality and Efficiency in Health Care (IQWiG). Nevertheless, the content of this paper applies integrally to any institute commissioned for such assessments. In this report, "the institute"' is used when the text refers to any of these institutes. The legal framework for benefit assessments is laid out in the German Social Code Book version V (http://www. sozialgesetzbuch.de), Sects. 35b ( section sign 1), 139a ( section sign 4-6) and Sect. 139b ( section sign 3). It is specified that: The institute must guarantee high transparency. The institute must provide appropriate participation of relevant parties for the commission-related development of assessments, and opportunity for comment on all important segments of the assessment procedure. The institute has to report on the progress and results of the work at regular intervals. The institute is held to giving the commission to external experts. Based on the legal framework, the institute must guarantee a high procedural transparency. Transparency of the whole process should be achieved, which is evidenced by clear reporting of procedures and criteria in all phases undertaken in the benefit assessment. The most important means of enhancing transparency are: 1. To

Generic assessment procedures for determining protective actions during a reactor accident

International Nuclear Information System (INIS)

1997-08-01

This manual provides the tools, procedures and data needed to evaluate the consequences of a nuclear accident occurring at a nuclear power plant throughout all phases of the emergency before, during and after a release of radioactive material. It is intended for use by on-site and off-site groups responsible for evaluating the accident consequences and making recommendations for the protection of the plant personnel, the emergency workers and the public. The scope of this manual is restricted to the technical assessment of radiological consequences. It does not address the emergency response infrastructure requirements, nor does it cover the emergency management aspects of accident assessment (e.g. reporting, staff qualification, shift replacement, and procedure implementation). The procedures and methods in this manual were developed based on a number of assumptions concerning the design and operation of the nuclear power plant and national practices. Therefore, this manual must be reviewed as part of the planning process to match the potential accidents, local conditions, national criteria and other unique characteristics of an area or nuclear reactor where it may be used. Refs, figs, tabs

Assessment of eye lens doses for workers during interventional radiology procedures

International Nuclear Information System (INIS)

Urboniene, A.; Sadzeviciene, E.; Ziliukas, J.

2015-01-01

The assessment of eye lens doses for workers during interventional radiology (IR) procedures was performed using a new eye lens dosemeter. In parallel, the results of routine individual monitoring were analysed and compared with the results obtained from measurements with a new eye lens dosemeter. The eye lens doses were assessed using H p (3) measured at the level of the eyes and were compared with H p (10) measured with the whole-body dosemeter above the lead collar. The information about use of protective measures, the number of performed interventional procedures per month and their fluoroscopy time was also collected. The assessment of doses to the lens of the eye was done for 50 IR workers at 9 Lithuanian hospitals for the period of 2012-2013. If the use of lead glasses is not taken into account, the estimated maximum annual dose equivalent to the lens of the eye was 82 mSv. (authors)

A procedure for safety assessment of components with cracks - Handbook. 3rd revised edition

Energy Technology Data Exchange (ETDEWEB)

Andersson, P.; Bergman, M.; Brickstad, B.; Dahlberg, L.; Nilsson, F.; Sattari-Far, I. [SAQ Kontroll AB, Stockholm (Sweden)

1999-12-01

In this handbook a procedure is described which can be used both for assessment of detected cracks or crack-like defects and for defect tolerance analysis. The procedure can be used to calculate possible crack growth due to fatigue or stress corrosion and to calculate the reserve margin for failure due to fracture and plastic collapse. For ductile materials, the procedure gives the reserve margin for initiation of stable crack growth. Thus, an extra reserve margin, unknown to size, exists for failure in components made of ductile materials. The procedure was developed for operative use with the following objectives in mind: a) The procedure should be able to handle both linear and non-linear problems without any a priori division. b) The procedure shall ensure uniqueness of the safety assessment. c) The procedure should be well defined and easy to use. d) The conservatism of the procedure should be well validated. e) The handbook, that documents the procedure, should be so complete that for most assessments, access to any other fracture mechanics literature should not be necessary. The method utilized in the procedure is based on the R6-method developed at Nuclear Electric plc. The basic assumption is that fracture initiated by a crack can be described by the variables K{sub r} and L{sub r}. K{sub r} is the ratio between the stress intensity factor and the fracture toughness of the material. L{sub r} is the ratio between applied load and the plastic limit load of the structure. The pair of calculated values of these variables is plotted in a diagram. If the point is situated within the noncritical region, fracture is assumed not to occur. If the point is situated outside the region, crack growth and fracture may occur. The method can in principal be used for all metallic materials. It is, however, more extensively verified for steel alloys only. The method is not intended for use in temperature regions where creep deformation is of importance. To fulfil the above

A procedure for safety assessment of components with cracks - Handbook. 3rd revised edition

International Nuclear Information System (INIS)

Andersson, P.; Bergman, M.; Brickstad, B.; Dahlberg, L.; Nilsson, F.; Sattari-Far, I.

1999-12-01

In this handbook a procedure is described which can be used both for assessment of detected cracks or crack-like defects and for defect tolerance analysis. The procedure can be used to calculate possible crack growth due to fatigue or stress corrosion and to calculate the reserve margin for failure due to fracture and plastic collapse. For ductile materials, the procedure gives the reserve margin for initiation of stable crack growth. Thus, an extra reserve margin, unknown to size, exists for failure in components made of ductile materials. The procedure was developed for operative use with the following objectives in mind: a) The procedure should be able to handle both linear and non-linear problems without any a priori division. b) The procedure shall ensure uniqueness of the safety assessment. c) The procedure should be well defined and easy to use. d) The conservatism of the procedure should be well validated. e) The handbook, that documents the procedure, should be so complete that for most assessments, access to any other fracture mechanics literature should not be necessary. The method utilized in the procedure is based on the R6-method developed at Nuclear Electric plc. The basic assumption is that fracture initiated by a crack can be described by the variables K r and L r . K r is the ratio between the stress intensity factor and the fracture toughness of the material. L r is the ratio between applied load and the plastic limit load of the structure. The pair of calculated values of these variables is plotted in a diagram. If the point is situated within the noncritical region, fracture is assumed not to occur. If the point is situated outside the region, crack growth and fracture may occur. The method can in principal be used for all metallic materials. It is, however, more extensively verified for steel alloys only. The method is not intended for use in temperature regions where creep deformation is of importance. To fulfil the above given objectives

Advanced structural integrity assessment procedures. Working material

International Nuclear Information System (INIS)

1994-01-01

The purpose of the meeting was to provide an international forum for discussion on recent results in research and utility practice in the field of methodology for the structural integrity assessment of components including relevant non-codified procedures. The scope of the meeting included deterministic and probabilistic approaches. The papers covered the following topics: Leak-before-break concepts; non-destructive examination (NDE) and surveillance results; statistical evaluation of non-destructive examination data; pressurized thermal shock evaluation; fatigue effects (including vibration); and verification qualification. The meeting was attended by 32 specialists from 8 countries. Refs, figs and tabs

Assessment of LANL solid low-level waste management documentation

International Nuclear Information System (INIS)

Klein, R.B.; Jennrich, E.A.; Lund, D.M.; Danna, J.G.; Davis, K.D.; Rutz, A.C.

1991-04-01

DOE Order 5820.2A requires that a system performance assessment be conducted to assure efficient and compliant management of all radioactive waste. The objective of this report is to determine the present status of the Radioactive Waste Operations Section's capabilities regarding preparation and maintenance of appropriate criteria, plans and procedures and identify particular areas where these documents are not presently in existence or being fully implemented. DOE Order 5820.2A, Radioactive Waste Management, Chapter III sets forth the requirements and guidelines for preparation and implementation of criteria, plans and procedures to be utilized in the management of solid low-level waste. The documents being assessed in this report are: Solid Low-Level Waste Acceptance Criteria, Solid Low-Level Waste Characterization Plan, Solid Low-Level Waste Certification Plan, Solid Low-Level Waste Acceptance Procedures, Solid Low-Level Waste Characterization Procedures, Solid Low-Level Waste Certification Procedures, Solid Low-Level Waste Training Procedures, and Solid Low-Level Waste Recordkeeping Procedures. Suggested outlines for these documents are presented as Appendix A

Clinical skills assessment of procedural and advanced communication skills: performance expectations of residency program directors

Science.gov (United States)

Langenau, Erik E.; Zhang, Xiuyuan; Roberts, William L.; DeChamplain, Andre F.; Boulet, John R.

2012-01-01

Background High stakes medical licensing programs are planning to augment and adapt current examinations to be relevant for a two-decision point model for licensure: entry into supervised practice and entry into unsupervised practice. Therefore, identifying which skills should be assessed at each decision point is critical for informing examination development, and gathering input from residency program directors is important. Methods Using data from previously developed surveys and expert panels, a web-delivered survey was distributed to 3,443 residency program directors. For each of the 28 procedural and 18 advanced communication skills, program directors were asked which clinical skills should be assessed, by whom, when, and how. Descriptive statistics were collected, and Intraclass Correlations (ICC) were conducted to determine consistency across different specialties. Results Among 347 respondents, program directors reported that all advanced communication and some procedural tasks are important to assess. The following procedures were considered ‘important’ or ‘extremely important’ to assess: sterile technique (93.8%), advanced cardiovascular life support (ACLS) (91.1%), basic life support (BLS) (90.0%), interpretation of electrocardiogram (89.4%) and blood gas (88.7%). Program directors reported that most clinical skills should be assessed at the end of the first year of residency (or later) and not before graduation from medical school. A minority were considered important to assess prior to the start of residency training: demonstration of respectfulness (64%), sterile technique (67.2%), BLS (68.9%), ACLS (65.9%) and phlebotomy (63.5%). Discussion Results from this study support that assessing procedural skills such as cardiac resuscitation, sterile technique, and phlebotomy would be amenable to assessment at the end of medical school, but most procedural and advanced communications skills would be amenable to assessment at the end of the first

[Preoperative preparation, antibiotic prophylaxis and surgical wound infection in breast surgery].

Science.gov (United States)

Rodríguez-Caravaca, Gil; de las Casas-Cámara, Gonzalo; Pita-López, María José; Robustillo-Rodela, Ana; Díaz-Agero, Cristina; Monge-Jodrá, Vicente; Fereres, José

2011-01-01

The impact of surgical wound infection on public health justifies its surveillance and prevention. Our objectives were to estimate the incidence of surgical wound infection in breast procedures and assess its protocol of antibiotic prophylaxis and preoperative preparation. Observational multicentre prospective cohort study of incidence of surgical wound infection. Incidence was evaluated, stratified by National Nosocomial Infection Surveillance (NNIS) risk index and we calculated the standardized incidence ratio (SIR). The SIR was compared with Spanish rates and U.S. rates. The compliance and performance of the antibiotic prophylaxis and preoperative preparation protocol were assessed and their influence in the incidence of infection with the relative risk. Ten hospitals from the Comunidad de Madrid were included, providing 592 procedures. The cumulative incidence of surgical wound infection was 3.89% (95% CI: 2.3-5.5). The SIR was 1.82 on the Spanish rate and 2.16 on the American. Antibiotic prophylaxis was applied in 97.81% of cases, when indicated. The overall performance of antibiotic prophylaxis was 75%, and 53% for preoperative preparation. No association was found between infection and performance of prophylaxis or preoperative preparation (P>.05). Our incidence is within those seen in the literature although it is somewhat higher than the national surveillance programs. The performance of prophylaxis antibiotic must be improved, as well as the recording of preoperative preparation data. Copyright © 2010 Elsevier España, S.L. All rights reserved.

WHO expert committee on specifications for pharmaceutical preparations.

Science.gov (United States)

2013-01-01

The Expert Committee on Specifications for Pharmaceutical Preparations works towards clear, independent and practical standards and guidelines for the quality assurance of medicines. Standards are developed by the Committee through worldwide consultation and an international consensus-building process. The following new guidelines were adopted and recommended for use: Release procedure for International Chemical Reference Substances; WHO guidelines on quality risk management; WHO guidelines on variations to a prequalified product; and the Collaborative procedure between the World Health Organization Prequalification of Medicines Programme and national medicines regulatory authorities in the assessment and accelerated national registration of WHO-prequalified pharmaceutical products.

Strategic environmental assessment and national development plans in Turkey: Towards legal framework and operational procedure

International Nuclear Information System (INIS)

Say, Nuriye Peker; Yuecel, Muzaffer

2006-01-01

National development plans were started to be prepared in Turkey in 1963. These plans are mandatory for public investments and guiding principles for private investments. They have a quality which guides and sets objectives for other plans in the country. Therefore, they can be evaluated as the main reason of successes and failures of sectoral investments or the problems that they cause directly or indirectly. Turkey is undergoing rapid industrialization, urbanization and population growth, thus environmental problems are on the increase. Although Environmental Impact Assessment (EIA) has been applied to individual investments in Turkey since 1993, natural environment has continued to be affected because of human activities. Today, parallel to the developments in the world, it has been discussed that it is necessary to strengthen project-level Environmental Assessment (EA) and to practice Strategic Environmental Assessment (SEA). The interest in SEA, that is, EA at the level of proposed policies, plans and programs has grown significantly since 2000 in the country. Discussions and preparations have started about regulation which provides the legal and institutional framework for SEA in The Ministry of Environment and Forestry. However, since the scientific approach into the subject is very new in Turkey, it will take time to answer the questions about how and in what fields to practice. This research project aims at analyzing the possible practice opportunities of SEA in Turkey and the practicability of SEA into the National Five-Year Development Plan (FYDP) which is assumed at the highest level of planning hierarchy in the country. The research is conducted on two sections. In the first section, procedural approaches to SEA on national development plans are investigated and a framework for these approaches is adapted at the institutional level. In the second section, SEA form for energy sector in the development plans is developed. In this article, the findings

Probabilistic assessment of flaw evaluation procedures for pressure vessel integrity

International Nuclear Information System (INIS)

Shaffer, D.H.; Bamford, W.H.; Jouris, G.M.

1980-01-01

Prudent design procedures, in order to err in the direction of conservative over-strength rather than risky under-strength, have taken bounding values rather than best estimates for material parameters, and wherever possible, used conservative input for the calculations. The growing data base for this work is now beginning to allow an assessment of the conservatism that has been incorporated into the design procedure. Quantitative estimates of the variability associated with crack growth rates and fracture toughness have been generated in connection with other studies, and it would be useful to incorporate such information into an overall assessment of the design margins that are prescribed. In addition to getting an estimate of the conservatism in the current procedure, this study should provide a useful insight into the relative degree of margin that is introduced at each stage of the flaw evaluation process. Identification of the step by step margins should lead to more effective data collection programs from which information for adequately controlling the design conservatism can be obtained. The study will also provide valuable guidance in fixing revised design reference curves and safety factors so that adequate overall margins can be maintained without excess conservatism. This study is limited to vessel rupture in a brittle mode, and examples for illustration are particularly related to the beltline region of a reactor pressure vessel. The methodology, however, is applicable to all regions for which the required stress analyses, operating history, and material parameters are available. The work being carried out here is in consonance with ASME Section XI on Flaw Evaluation Procedures. It is concerned both with flaws under normal operating conditions and flaws under faulted conditions. (author)

Assessment and decision making for R and D programmes

Energy Technology Data Exchange (ETDEWEB)

Berg, P.; Lindberg, R.

1997-12-31

Tampere University of Technology (TUT) and Technology Development Centre (TEKES) has since 1993 been developing a new method for assessment and decision making for R and D programmes. The method has been adapted in several Finnish technology programmes. The method enables separate parties of R and D programme to specify their projects in relation with the entire programme. It also links objectives with a measurable assessment procedure and produces objective information for decision making. The method has been developed in co-operation with the University of Manchester. The method is divided into the following four parts: (1) preparation of the assessment strategy; (2) implementation of appraisal, (3) monitoring in the implementation phase, and (4) implementation and evaluation. The preparation of assessment strategy is divided into five parts: selection of strategy makers, determination of the scope of the strategy, selection of main assessment criteria, selection of main data collection methods and data sources, and output of assessment strategy. The implementation of appraisal is divided into six parts, which are mapping of the problems, selection of criteria to be assessed, selection of data sources, follow-up procedures, preparing the assessment plan for future, and analysis of results and reporting. The emphasis of the phase is on the appraisal of appropriateness of the goals. Monitoring in the implementation phase follows the same systematic procedure as previous part as well as implementation and evaluation. The emphasis in the last phase is on the evaluation of fulfilled outputs and impacts. (orig.)

[Risk assessment for food preparation, cooking and service].

Science.gov (United States)

Cottica, Danilo; Grignani, Elena

2014-01-01

The restaurant and food preparation, cooking and distribution sector includes hotels, restaurants, catering, fast food, ecc. The restaurant and food preparation, cooking and distribution sector form a significant part of the Italian economy; they provide employment for a large number of people, both direct employees as well as part-time and contract staff. In this sector there are many hazards that can lead to a broad range of injuries and/or diseases to the workers. For the safety these hazards principally are slick floors, open flames, high temperature cooking surfaces, steam, knives and other cutting instruments and machineries. For the health: cleaning and disinfecting chemicals substances, cooking fumes and vapors, biological agents, heavy loads handling, thermal comfort, ecc. The paper presents an overview of the hazards in the sector and then make a focus on chemical risks identification and assessment to evaluate the workers' exposure (by skin adsorption and inhalation).

75 FR 78994 - Notice of Intent To Prepare an Environmental Assessment, Request for Comments on Environmental...

Science.gov (United States)

2010-12-17

... Prepare an Environmental Assessment, Request for Comments on Environmental Issues, and Notice of Public...: Notice of intent to prepare an Environmental Assessment, request for comments on Environmental Issues... and/or special expertise with respect to environmental issues to formally cooperate with GSA in the...

Developing best practices teaching procedures for skinfold assessment: observational examination using the Think Aloud method.

Science.gov (United States)

Holmstrup, Michael E; Verba, Steven D; Lynn, Jeffrey S

2015-12-01

Skinfold assessment is valid and economical; however, it has a steep learning curve, and many programs only include one exposure to the technique. Increasing the number of exposures to skinfold assessment within an undergraduate curriculum would likely increase skill proficiency. The present study combined observational and Think Aloud methodologies to quantify procedural and cognitive characteristics of skinfold assessment. It was hypothesized that 1) increased curricular exposure to skinfold assessment would improve proficiency and 2) the combination of an observational and Think Aloud analysis would provide quantifiable areas of emphasis for instructing skinfold assessment. Seventy-five undergraduates with varied curricular exposure performed a seven-site skinfold assessment on a test subject while expressing their thoughts aloud. A trained practitioner recorded procedural observations, with transcripts generated from audio recordings to capture cognitive information. Skinfold measurements were compared with a criterion value, and bias scores were generated. Participants whose total bias fell within ±3.5% of the criterion value were proficient, with the remainder nonproficient. An independent-samples t-test was used to compare procedural and cognitive observations across experience and proficiency groups. Additional curricular exposure improved performance of skinfold assessment in areas such as the measurement of specific sites (e.g., chest, abdomen, and thigh) and procedural (e.g., landmark identification) and cognitive skills (e.g., complete site explanation). Furthermore, the Think Aloud method is a valuable tool for determining curricular strengths and weaknesses with skinfold assessment and as a pedagogical tool for individual instruction and feedback in the classroom. Copyright © 2015 The American Physiological Society.

Procedures for conducting probabilistic safety assessment for non-reactor nuclear facilities

International Nuclear Information System (INIS)

2002-01-01

A well performed and adequately documented safety assessment of a nuclear facility will serve as a basis to determine whether the facility complies with the safety objectives, principles and criteria as stipulated by the national regulatory body of the country where the facility is in operation. International experience shows that the practices and methodologies used to perform safety assessments and periodic safety re-assessment for non-reactor nuclear facilities differ significantly from county to country. Most developing countries do not have methods and guidance for safety assessment that are prescribed by the regulatory body. Typically the safety evaluation for the facility is based on a case by case assessment. Whilst conservative deterministic analyses are predominantly used as a licensing basis in many countries, recently probabilistic safety assessment (PSA) techniques have been applied as a useful complementary tool to support safety decision making. The main benefit of PSA is to provide insights into the safety aspects of facility design and operation. PSA points up the potential environmental impacts of postulated accidents, including the dominant risk contributors, and enables safety analysts to compare options for reducing risk. In order to advise on how to apply PSA methodology for the safety assessment of non-reactor nuclear facilities, the IAEA organized several consultants meetings, which led to the preparation of this TECDOC. This document is intended as guidance for the conduct of PSA in non-nuclear facilities. The main emphasis here is on the general procedural steps of a PSA that is specific for a non-reactor nuclear facility, rather than the details of the specific methods. The report is directed at technical staff managing or performing such probabilistic assessments and to promote a standardized framework, terminology and form of documentation for these PSAs. It is understood that the level of detail implied in the tasks presented in this

European project for developing general guidelines for harmonising internal dose assessment procedures (IDEAS)

International Nuclear Information System (INIS)

Andrasi, A.; Bailey, M.; Puncher, M.; Berkovski, V.; Eric Blanchardon, E.; Jourdain, J.-R.; Carlo-Maria Castellani, C.-M.; Doerfel, H.; Christian Hurtgen, Ch.; Le Guen, B.

2003-01-01

Several international intercomparison exercises on intake and internal dose assessments from monitoring data led to the conclusion that the results calculated by different participants varied significantly mainly because of the wide variety of methods and assumptions applied in the assessment procedure. Based on these experiences the need for harmonisation of the procedures has been formulated as an EU research project under the 5 th Framework Programme (2001-2005), with the aim of developing general guidelines for standardising assessments of intakes and internal doses. In the IDEAS project eight institutions from seven European countries are participating using inputs also from internal dosimetry professionals from across Europe to ensure broad consensus in the outcome of the project. The IDEAS project is explained

Chapter 1. Introduction. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

NARCIS (Netherlands)

Sprung, Charles L.; Cohen, Robert; Adini, Bruria; Christian, Michael D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Barlavie, Yaron; Benin-Goren, Odeda; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truong, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce; Monrgomery, Hugh

2010-01-01

In December 2007, the European Society of Intensive Care Medicine established a Task Force to develop standard operating procedures (SOPs) for operating intensive care units (ICU) during an influenza epidemic or mass disaster. To provide direction for health care professionals in the preparation and

Impact of patient education on quality of bowel preparation in outpatient colonoscopies.

Science.gov (United States)

Modi, Chintan; Depasquale, Joseph R; Digiacomo, W Scott; Malinowski, Judith E; Engelhardt, Kristen; Shaikh, Sohail N; Kothari, Shivangi T; Kottam, Raghu; Shakov, Rada; Maksoud, Charbel; Baddoura, Walid J; Spira, Robert S

2009-01-01

High-quality bowel preparation is essential for successful outpatient colonoscopy. Currently, the rate of adequate bowel preparation for outpatient colonoscopy in the USA is low. Patients often fail to adhere to recommended preparation instructions. Limited literature exists on evaluating educational intervention as a means of improving the quality of bowel preparation prior to outpatient colonoscopy. Our objective was to determine the effect of an educational intervention on the quality of outpatient colonoscopy preparation. The secondary objective was to determine whether the quality of bowel preparation improves overall colonoscopy outcomes as measured by rate of polyp detection and caecal intubation time. A single-blinded, prospective, randomised, controlled trial was conducted in two inner-city gastroenterology clinics in the USA. One hundred and sixty-four subjects were enrolled and randomly assigned to one of two groups. The control group subjects received verbal and written instructions for colonoscopy. The intervention group subjects received the same instructions and were then asked to answer a questionnaire. The subjects' responses were reviewed and an additional explanation of the preparation process provided. An attending gastroenterologist determined the quality of each bowel preparation at the time of colonoscopy using the Universal Preparation Assessment Scale. The educational intervention had no impact on the overall quality of bowel preparation (P=0.12). However, the type of food (liquid vs solid) consumed during the 24 hours prior to the procedure (P=0.04) and the time since the last solid meal (P=0.03) did have an impact on preparation quality. Other significant factors included elapsed time to first bowel movement from the initiation of bowel preparation (P=0.05) and age younger than 55 (P=0.02). Adequate bowel preparation was associated with shorter total procedure (P=0.001) and caecal intubation (P=0.01) times. Our study failed to demonstrate

Phantoms for quality control procedures in digital breast tomosynthesis: dose assessment

NARCIS (Netherlands)

Bouwman, R. W.; Diaz, O.; van Engen, R. E.; Young, K. C.; den Heeten, G. J.; Broeders, M. J. M.; Veldkamp, W. J. H.; Dance, D. R.

2013-01-01

The recent introduction of digital breast tomosynthesis into clinical practice requires quality control procedures. In this study we have investigated whether the assessment of the average glandular dose for modelled standard breasts can be performed using a combination of polymethyl methacrylate

Incorporating mesh-insensitive structural stress into the fatigue assessment procedure of common structural rules for bulk carriers

Directory of Open Access Journals (Sweden)

Seong-Min Kim

2015-01-01

Full Text Available This study introduces a fatigue assessment procedure using mesh-insensitive structural stress method based on the Common Structural Rules for Bulk Carriers by considering important factors, such as mean stress and thickness effects. The fatigue assessment result of mesh-insensitive structural stress method have been compared with CSR procedure based on equivalent notch stress at major hot spot points in the area near the ballast hold for a 180 K bulk carrier. The possibility of implementing mesh-insensitive structural stress method in the fatigue assessment procedure for ship structures is discussed.

Health and environmental impacts of electricity generation systems: procedures for comparative assessments

International Nuclear Information System (INIS)

Demin, V.F.

2002-01-01

The IAEA technical report involving description of the Manual for procedure of comparison risk assessment (CRA) and external cost (ECA) of environmental and public health effect from nuclear energetics and other power generation is treated. CRA and ECA results depend on national and regional social-economic, geographic, medical and demographic, and other features. When using CRA and ECA procedures developed in concrete countries their adaptation is necessary for conditions of other countries [ru

Chapter 4. Manpower. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

NARCIS (Netherlands)

Sandrock, Christian; Christian, Michael D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Sprung, Charles L.; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce

2010-01-01

To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on manpower. Based on a literature review and expert opinion, a Delphi process was used to define the essential

Income Tax Preparation Assistance Service Learning Program: A Multidimensional Assessment

Science.gov (United States)

Aldridge, Richard; Callahan, Richard A.; Chen, Yining; Wade, Stacy R.

2015-01-01

The authors present a multidimensional assessment of the outcomes and benefits of an income tax preparation assistance (ITPA) service learning program. They measure the perceived proximate benefits at the delivery of the service program, the actual learning outcome benefits prior to graduation, and the perceived long-term benefits from a…

Proposal of organisation and ALARA procedure for preparation, follow-up and experience gained from maintenance: application to replacement of pressure vessel; Proposition d'organisation et procedure ALARA pour la preparation le suivi et le retour d'experience des chantiers de maintenance: application au RGV

Energy Technology Data Exchange (ETDEWEB)

Lochard, Jacques; Lefaure, Christian

1990-01-01

This report proposes the organisation and ALARA procedures for preparation, follow-up and analysis of the lessons learned during maintenance works at a nuclear power plant. After a brief description of the ALARA principle in the first chapter, the following chapters describe proposals for establishing and start-up of a maintenance building site. The proposals are illustrated by the replacement of the pressure vessel as an example.

IRS/TUEV activities during the licensing procedure. Safety assessment and preexamination

International Nuclear Information System (INIS)

Fendler, H.

1976-01-01

Short summary about the IRS/TUEV activities in the licensing procedure for a nuclear power plant: work for assessments, for pre-examination and approval specifications and drawings and for the quality control, time and the manpower necessary for this work. (orig./HP) [de

Development of internal dose assessment procedure for workers in industries using raw materials containing naturally occurring radioactive materials

International Nuclear Information System (INIS)

Choi, Cheol Kyu; KIm, Yong Geon; Ji, Seung Woo; Kim, Kwang Pyo; Koo, Bon Cheol; Chang, Byung Uck

2016-01-01

It is necessary to assess radiation dose to workers due to inhalation of airborne particulates containing naturally occurring radioactive materials (NORM) to ensure radiological safety required by the Natural Radiation Safety Management Act. The objective of this study is to develop an internal dose assessment procedure for workers at industries using raw materials containing natural radionuclides. The dose assessment procedure was developed based on harmonization, accuracy, and proportionality. The procedure includes determination of dose assessment necessity, preliminary dose estimation, airborne particulate sampling and characterization, and detailed assessment of radiation dose. The developed dose assessment procedure is as follows. Radioactivity concentration criteria to determine dose assessment necessity are 10 Bq·g-1 for 40K and 1 Bq·g-1 for the other natural radionuclides. The preliminary dose estimation is performed using annual limit on intake (ALI). The estimated doses are classified into 3 groups (<0.1 mSv, 0.1-0.3 mSv, and >0.3 mSv). Air sampling methods are determined based on the dose estimates. Detailed dose assessment is performed using air sampling and particulate characterization. The final dose results are classified into 4 different levels (<0.1 mSv, 0.1-0.3 mSv, 0.3-1 mSv, and >1 mSv). Proper radiation protection measures are suggested according to the dose level. The developed dose assessment procedure was applied for NORM industries in Korea, including coal combustion, phosphate processing, and monazite handing facilities. The developed procedure provides consistent dose assessment results and contributes to the establishment of optimization of radiological protection in NORM industries

Development of internal dose assessment procedure for workers in industries using raw materials containing naturally occurring radioactive materials

Energy Technology Data Exchange (ETDEWEB)

Choi, Cheol Kyu; KIm, Yong Geon; Ji, Seung Woo; Kim, Kwang Pyo [College of Engineering, Kyung Hee University, Yongin (Korea, Republic of); Koo, Bon Cheol; Chang, Byung Uck [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

2016-09-15

It is necessary to assess radiation dose to workers due to inhalation of airborne particulates containing naturally occurring radioactive materials (NORM) to ensure radiological safety required by the Natural Radiation Safety Management Act. The objective of this study is to develop an internal dose assessment procedure for workers at industries using raw materials containing natural radionuclides. The dose assessment procedure was developed based on harmonization, accuracy, and proportionality. The procedure includes determination of dose assessment necessity, preliminary dose estimation, airborne particulate sampling and characterization, and detailed assessment of radiation dose. The developed dose assessment procedure is as follows. Radioactivity concentration criteria to determine dose assessment necessity are 10 Bq·g-1 for 40K and 1 Bq·g-1 for the other natural radionuclides. The preliminary dose estimation is performed using annual limit on intake (ALI). The estimated doses are classified into 3 groups (<0.1 mSv, 0.1-0.3 mSv, and >0.3 mSv). Air sampling methods are determined based on the dose estimates. Detailed dose assessment is performed using air sampling and particulate characterization. The final dose results are classified into 4 different levels (<0.1 mSv, 0.1-0.3 mSv, 0.3-1 mSv, and >1 mSv). Proper radiation protection measures are suggested according to the dose level. The developed dose assessment procedure was applied for NORM industries in Korea, including coal combustion, phosphate processing, and monazite handing facilities. The developed procedure provides consistent dose assessment results and contributes to the establishment of optimization of radiological protection in NORM industries.

Assessment of Conventional Teaching Procedures: Implications for Gifted Learners

Directory of Open Access Journals (Sweden)

Mogbel Aid K Alenizi

2016-07-01

Full Text Available The present research aims to assess the conventional teaching procedures in the development of mathematical skills of the students with learning difficulties. The study group was made up of all the children with academic learning disorders in KSA. The research questions have been scrutinized from the averages and the standard deviation of the marks scored by the participants in the test and control group. The outcomes of the study show that the conventional teaching procedures have effects on mathematical skill development of the female pupils with learning disorders. The results of the study show that the test group outperformed the control group. Based on the data and the evidences, various recommendations have been proposed for the stakeholders in the area of teaching the gifted children so as to ascertain better training for them. Keywords: Maths skills, Learning difficulties, Saudi Arabia

A cadaveric procedural anatomy simulation course improves video-based assessment of operative performance.

Science.gov (United States)

Sharma, Gaurav; Aycart, Mario A; O'Mara, Lynne; Havens, Joaquim; Nehs, Matthew; Shimizu, Naomi; Smink, Douglas S; Gravereaux, Edwin; Gates, Jonathan D; Askari, Reza

2018-03-01

Inadequate anatomic knowledge has been cited as a major contributor to declining surgical resident operative competence. We analyzed the impact of a comprehensive, procedurally oriented cadaveric procedural anatomy dissection laboratory on the operative performance of surgery residents, hypothesizing that trainees' performance of surgical procedures would improve after such a dissection course. Midlevel general surgery residents (n = 9) participated in an 8 wk, 16-h surgery faculty-led procedurally oriented cadaver simulation course. Both before and after completion of the course, residents participated in a practical examination, in which they were randomized to perform one of nine Surgical Council on Resident Education-designated "essential" procedures. The procedures were recorded using wearable video technology. Videos were deidentified before evaluation by six faculty raters blinded to examinee and whether performances occurred before or after an examinee had taken the course. Raters used the validated Operative Performance Rating System and Objective Structured Assessment of Technical Skill scales. After the course residents had higher procedure-specific scores (median, 4.0 versus 2.4, P 4.0 versus 3.0, P = 0.006), respect for tissue (4.0 versus 3.0, P = 0.0004), time and motion (3.0 versus 2.0, P = 0.0007), operation flow (3.0 versus 2.0, P = 0.0005), procedural knowledge (4.0 versus 2.0, P = 0.0001), and overall performance scores (4.0 versus 2.0, P < 0.0001). Operative Performance Rating System and Objective Structured Assessment of Technical Skill scales averaged by number of items in each were also higher (3.2 versus 2.0, P = 0.0002 and 3.1 versus 2.2, P = 0.002, respectively). A cadaveric procedural anatomy simulation course covering a broad range of open general surgery procedures was associated with significant improvements in trainees' operative performance. Copyright © 2017 Elsevier Inc. All rights reserved.

The hospital preparation of radiopharmaceuticals

International Nuclear Information System (INIS)

The subject is covered in sections: introduction; preparation ((general - sterilization), production areas (laboratories), working methods for injections, working methods for oral preparations and iodination procedures); analytical testing (general, standards common to injections and oral preparations, standards for injections, standards for oral preparations); reliable methods of preparing sup(99m)Tc-radiopharmaceuticals and 51 Cr-red cells; commercial radiopharmaceutical kits. (U.K.)

Chapter 9. Educational process. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

NARCIS (Netherlands)

Richards, Guy A.; Sprung, Charles L.; Christian, Michael D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce

2010-01-01

To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with focus on education of all stakeholders, specifically the emergency executive control groups, ICU staff and staff co-opted to

Financial and testamentary capacity evaluations: procedures and assessment instruments underneath a functional approach.

Science.gov (United States)

Sousa, Liliana B; Simões, Mário R; Firmino, Horácio; Peisah, Carmelle

2014-02-01

Mental health professionals are frequently involved in mental capacity determinations. However, there is a lack of specific measures and well-defined procedures for these evaluations. The main purpose of this paper is to provide a review of financial and testamentary capacity evaluation procedures, including not only the traditional neuropsychological and functional assessment but also the more recently developed forensic assessment instruments (FAIs), which have been developed to provide a specialized answer to legal systems regarding civil competencies. Here the main guidelines, papers, and other references are reviewed in order to achieve a complete and comprehensive selection of instruments used in the assessment of financial and testamentary capacity. Although some specific measures for financial abilities have been developed recently, the same is not true for testamentary capacity. Here are presented several instruments or methodologies for assessing financial and testamentary capacity, including neuropsychological assessment, functional assessment scales, performance based functional assessment instruments, and specific FAIs. FAIs are the only specific instruments intended to provide a specific and direct answer to the assessment of financial capacity based on legal systems. Considering the need to move from a diagnostic to a functional approach in financial and testamentary capacity evaluations, it is essential to consider both general functional examination as well as cognitive functioning.

Dental students' self-assessment of operative preparations using CAD/CAM: a preliminary analysis.

Science.gov (United States)

Mays, Keith A; Levine, Eric

2014-12-01

The Commission on Dental Accreditation (CODA)'s accreditation standards for dental schools state that "graduates must demonstrate the ability to self-assess." Therefore, dental schools have developed preclinical and clinical self-assessment (SA) protocols aimed at fostering a reflective process. This study comparing students' visual SA with students' digital SA and with faculty assessment was designed to test the hypothesis that higher agreement would occur when utilizing a digital evaluation. Twenty-five first-year dental students at one dental school participated by preparing a mesial occlusal preparation on tooth #30 and performing both types of SAs. A faculty evaluation was then performed both visually and digitally using the same evaluation criteria. The Kappa statistic was used to measure agreement between evaluators. The results showed statistically significant moderate agreement between the faculty visual and faculty digital modes of evaluation for occlusal shape (K=0.507, p=0.002), proximal shape (K=0.564, p=0.001), orientation (K=0.425, p=0.001), and definition (K=0.480, p=0.001). There was slight to poor agreement between the student visual and faculty visual assessment, except for preparation orientation occlusal shape (K=0.164, p=0.022), proximal shape (K=-0.227, p=0.032), orientation (K=0.253, p=0.041), and definition (K=-0.027, p=0.824). This study showed that the students had challenges in self-assessing even when using CAD/CAM and the digital assessment did not improve the amount of student/faculty agreement.

Assessment of in vitro antifungal activity of preparation ''fin Candimis'' against Candida strains

Directory of Open Access Journals (Sweden)

Anna Głowacka

2013-12-01

Full Text Available The aim of the study was to assess the antifungal activity of preparation „fin Candimis” (oregano essential oil against yeast-like strains belonging to the genus Candida. During the investigation, there were used up nine Candida albicans strains and ten C. glabrata strains isolated from different clinical material, along with one C. albicans demonstration strain ATCC 90028. The oregano essential oil, utilized in the study, was obtained from fresh leaves of Origanum vulgare L. and bore a trade name „fin Candimis”. According to data yielded by its manufacturer, concentration of pure oregano essential oil in preparation „fin Candimis” totals up to 210 mg/ml. The susceptibility of the Candida strains to preparation „fin Candimis” was assessed by means of the disc-diffusion method, upon the Sabouraud solid medium (after a 24-hour incubation of the cultures at temperature of 37 degrees centigrade; the oregano essential oil had been diluted in 1 ml of DMSO, according to the geometrical progression. A measure of the antifungal activity of preparation „fin Candimis” was the minimal inhibitory concentration (MIC, in terms of the fungus growth. Preparation „fin Candimis” is capable of being applied in the prevention and treatment of candidiasis – alone, or as a natural adjunctive agent. The C. albicans strains are more susceptible to preparation „fin Candimis” in comparison to the C. glabrata ones.

Technical procedures for utilities and solid waste: Environmental Field Program, Deaf Smith County site, Texas: Final draft

International Nuclear Information System (INIS)

1987-08-01

The evaluation of environmental issues and concerns and the addressing of statutory requirements are fundamental parts in the characterization of the site in Deaf Smith County, Texas for the US Department of Energy's Salt Repository Project (SRP). To ensure that the environmental field program comprehensively addresses the issues and requirements of the project, a site study plan (SSP) has been prepared for Utilities and Solid Waste considerations. This technical procedure (TP) has been developed to implement the field program described in the Utilities and Solid Waste Site Study Plan. The purpose and scope of the Utilities and Solid Waste Technical Procedure is to develop and implement a data collection procedure to fulfill the data base needs of the Utilities and Solid Waste SSP. The procedure describes a method of obtaining, assessing and verifying the capabilities of the regional service utilities and disposal contractors. This data base can be used to identify a preferred service source for the engineering contractor. The technical procedure was produced under the guidelines established in Technical Administrative Procedure No. 1.0, Preparation, Review and Approval of Technical Procedures

Video observation of procedural skills for assessment of trabeculectomy performed by residents.

Science.gov (United States)

Hassanpour, Narges; Chen, Rebecca; Baikpour, Masoud; Moghimi, Sasan

2016-06-01

The efficacy and sufficiency of a healthcare system is directly related to the knowledge and skills of graduates working in the system. In this regard, many different assessment methods have been proposed to evaluate various skills of the learners. Video Observation of Procedural Skills (VOPS) is one newly-proposed method. In this study we aimed to compare the results of the VOPS method with the more commonly used Direct Observation of Procedural Skills (DOPS). In this prospective study conducted in 2012, all 10 ophthalmology residents of post graduate year 4 were selected for participation. Three months into training in the glaucoma ward, these residents performed trabeculectomy surgery on patients, and their procedural skills were assessed in real time by an expert via the DOPS method. All surgeries were also recorded and later evaluated via the VOPS method by an expert. Bland-Altman plot also was used to compare the two methods and calculating the mean and 95% limit of agreement. Residents have been done a mean of 14.9 ± 3.5 (range 10-20) independent trabeculectomy before the assessments. DOPS grade was positively associated with number of independent trabeculectomy during glaucoma rotation (β=0.227, p = 0.004). The intra-observer reproducibility of VOPS measurements was 0.847 (95% CI: 0.634, 0.961). The mean VOPS grade was significantly lower than the mean DOPS grade (8.4 vs. 8.9, p = 0.02). However, a good correlation was observed between the grades of VOPS and DOPS (r = 0.89, p = 0.001). Bland-Altman analysis demonstrated that all data points fell within the 95% limits of agreement (-1.46, 0.46). The present study showed that VOPS might be considered a feasible, valid, and reliable assessment method for procedural skills of medical students and residents that can be used as an alternative to the DOPS method. However, VOPS might underestimate DOPS in evaluating surgical skills of residents.

Implementing self sustained quality control procedures in a clinical laboratory.

Science.gov (United States)

Khatri, Roshan; K C, Sanjay; Shrestha, Prabodh; Sinha, J N

2013-01-01

Quality control is an essential component in every clinical laboratory which maintains the excellence of laboratory standards, supplementing to proper disease diagnosis, patient care and resulting in overall strengthening of health care system. Numerous quality control schemes are available, with combinations of procedures, most of which are tedious, time consuming and can be "too technical" whereas commercially available quality control materials can be expensive especially for laboratories in developing nations like Nepal. Here, we present a procedure performed at our centre with self prepared control serum and use of simple statistical tools for quality assurance. The pooled serum was prepared as per guidelines for preparation of stabilized liquid quality control serum from human sera. Internal Quality Assessment was performed on this sample, on a daily basis which included measurement of 12 routine biochemical parameters. The results were plotted on Levey-Jennings charts and analysed with quality control rules, for a period of one month. The mean levels of biochemical analytes in self prepared control serum were within normal physiological range. This serum was evaluated every day along with patients' samples. The results obtained were plotted on control charts and analysed using common quality control rules to identify possible systematic and random errors. Immediate mitigation measures were taken and the dispatch of erroneous reports was avoided. In this study we try to highlight on a simple internal quality control procedure which can be performed by laboratories, with minimum technology, expenditure, and expertise and improve reliability and validity of the test reports.

Procedures for conducting common cause failure analysis in probabilistic safety assessment

International Nuclear Information System (INIS)

1992-05-01

The principal objective of this report is to supplement the procedure developed in Mosleh et al. (1988, 1989) by providing more explicit guidance for a practical approach to common cause failures (CCF) analysis. The detailed CCF analysis following that procedure would be very labour intensive and time consuming. This document identifies a number of options for performing the more labour intensive parts of the analysis in an attempt to achieve a balance between the need for detail, the purpose of the analysis and the resources available. The document is intended to be compatible with the Agency's Procedures for Conducting Probabilistic Safety Assessments for Nuclear Power Plants (IAEA, 1992), but can be regarded as a stand-alone report to be used in conjunction with NUREG/CR-4780 (Mosleh et al., 1988, 1989) to provide additional detail, and discussion of key technical issues

A Procedural Skills OSCE: Assessing Technical and Non-Technical Skills of Internal Medicine Residents

Science.gov (United States)

Pugh, Debra; Hamstra, Stanley J.; Wood, Timothy J.; Humphrey-Murto, Susan; Touchie, Claire; Yudkowsky, Rachel; Bordage, Georges

2015-01-01

Internists are required to perform a number of procedures that require mastery of technical and non-technical skills, however, formal assessment of these skills is often lacking. The purpose of this study was to develop, implement, and gather validity evidence for a procedural skills objective structured clinical examination (PS-OSCE) for internal…

Accident Sequence Evaluation Program: Human reliability analysis procedure

International Nuclear Information System (INIS)

Swain, A.D.

1987-02-01

This document presents a shortened version of the procedure, models, and data for human reliability analysis (HRA) which are presented in the Handbook of Human Reliability Analysis With emphasis on Nuclear Power Plant Applications (NUREG/CR-1278, August 1983). This shortened version was prepared and tried out as part of the Accident Sequence Evaluation Program (ASEP) funded by the US Nuclear Regulatory Commission and managed by Sandia National Laboratories. The intent of this new HRA procedure, called the ''ASEP HRA Procedure,'' is to enable systems analysts, with minimal support from experts in human reliability analysis, to make estimates of human error probabilities and other human performance characteristics which are sufficiently accurate for many probabilistic risk assessments. The ASEP HRA Procedure consists of a Pre-Accident Screening HRA, a Pre-Accident Nominal HRA, a Post-Accident Screening HRA, and a Post-Accident Nominal HRA. The procedure in this document includes changes made after tryout and evaluation of the procedure in four nuclear power plants by four different systems analysts and related personnel, including human reliability specialists. The changes consist of some additional explanatory material (including examples), and more detailed definitions of some of the terms. 42 refs

Operating-procedure system at Savannah River Plant

International Nuclear Information System (INIS)

Tope, C.W.

1981-05-01

Three types of procedures are widely used at SRP: Du Pont Savannah Operating Logsheet, Du Pont Savannah Operating Procedure, and Plant Manual. This document briefly reviews originating of the procedures, their preparation, control, and indexing

Quality assurance and gastrointestinal endoscopy: an audit of 500 colonoscopic procedures.

Science.gov (United States)

Denis, Bernard; Weiss, Anne-Marie; Peter, André; Bottlaender, Jacques; Chiappa, Pascale

2004-12-01

The aim of this study was to assess the quality of colonoscopic procedures in our endoscopy unit with the goal of improving performance. We prospectively audited 500 consecutive colonoscopic procedures and assessed sixty-two process or outcome indicators for each procedure. Most of the measured indicators were within standard limits: cecal intubation rate (92%), inadequate bowel preparations (24%), inappropriate procedures (9.7%), normal procedures (54%), yield for neoplasia (32%), morbidity (0.4%), and overall patient satisfaction (95.8%). Some indicators were outside standard limits suggesting our practices should be modified: endoscopy withdrawal time less than 6 minutes (78%), forceps removal of polyps (31%), resected polyps not recovered for pathological examination (12%), adenomas with villous elements (22%), patients unsatisfied because of time spent waiting for the procedure (19%), patients unsatisfied because of inadequate explanations (10%). There was no standard for a few indicators: patient discomfort (6.9%), diagnostic success (89%), therapeutic success (92%). Three new indicators were proposed: proportion of patients agedadvanced adenoma or cancer, and proportion of colonoscopic procedures causing discomfort. The diagnostic yield of colonoscopy was dependent on age, gender, indication and appropriateness of indication but not on the prescriber. This audit allowed us to evaluate our endoscopic practices and to detect certain shortcomings and deviations from standards. It enabled us to change some of our practices with the goal of improving the quality of our colonoscopic procedures.

Determining the suitability of materials for disposal at sea under the London Convention 1972: A radiological assessment procedure

International Nuclear Information System (INIS)

2003-10-01

The Convention on the Prevention of Marine Pollution by Dumping of Wastes and Other Matter (London Convention 1972) prohibits the disposal at sea of radioactive wastes and other radioactive matter. However natural radionuclides are present in all materials, including natural and inert materials, which can also contain artificial radionuclides from anthropogenic sources such as fallout due to past atmospheric nuclear testing. Therefore, the Contracting Parties to the London Convention 1972 recognized the need to develop definitions and guidelines so that candidate materials (those wastes or other matter not otherwise prohibited from disposal at sea in accordance with Annex I to the Convention) containing less than de minimis levels of specific activity, can be regarded as 'non-radioactive' and may be disposed of at sea subject to the other provisions of the Convention. At the Nineteenth Consultative Meeting in 1997, Contracting Parties to the London Convention 1972 agreed to request the IAEA to develop further the concept of de minimis levels and, in particular, to 'provide guidance for making judgements on whether materials planned to be dumped could be exempted from radiological control or whether a specific assessment was needed' (LC 19/10, paragraph 6.31). This paragraph continues: 'The IAEA would then further be requested to provide guidance to national authorities responsible for conducting specific assessments.' The IAEA presented its advice on de minimis in IAEA-TECDOC-1068, entitled Application of Radiological Exclusion and Exemption Principles to Sea Disposal, to the Twenty-first Consultative Meeting of Contracting Parties to the London Convention 1972 in October 1999. The Contracting Parties accepted these principles and criteria and interpreted them further in the Guidelines for the Application of the De Minimis Concept Under the London Convention 1972 (the Guidelines). At that time, the Contracting Parties asked the IAEA to prepare additional guidance

Preparation of biological samples for transmission X-ray microanalysis: a review of alternative procedures to the use of sectioned material

International Nuclear Information System (INIS)

Sigee, D.C.

1988-01-01

Although transmission X-ray microanalysis of biological material has traditionally been carried out mainly on sectioned preparations, a number of alternative procedures exist. These are considered under three major headings - whole cell preparations, analysis of cell homogenates and biological fluids, and applications of the technique to microsamples of purified biochemicals. These three aspects provide a continuous range of investigative level - from the cellular to the molecular. The use of X-ray microanalysis with whole cell preparations is considered in reference to eukaryote (animal) cells and prokaryotes - where it has particular potential in environmental studies on bacteria. In the case of cell homogenates and biological fluids, the technique has been used mainly with microdroplets of animal material. The use of X-ray microanalysis with purified biochemicals is considered in relation to both particulate and non-particulate samples. In the latter category, the application of this technique for analysis of thin films of metalloprotein is particularly emphasised. It is concluded that wider use could be made of the range of preparative techniques available - both within a particular investigation, and in diverse fields of study. Transmission X-ray microanalysis has implications for environmental, physiological and molecular biology as well as cell biology

Development of residual stress analysis procedure for fitness-for-service assessment of welded structure

International Nuclear Information System (INIS)

Kim, Jong Sung; Jin, Tae Eun; Dong, P.; Prager, M.

2003-01-01

In this study, a state of art review of existing residual stress analysis techniques and representative solutions is presented in order to develop the residual stress analysis procedure for Fitness-For-Service(FFS) assessment of welded structure. Critical issues associated with existing residual stress solutions and their treatments in performing FFS are discussed. It should be recognized that detailed residual stress evolution is an extremely complicated phenomenon that typically involves material-specific thermomechanical/metallurgical response, welding process physics, and structural interactions within a component being welded. As a result, computational procedures can vary significantly from highly complicated numerical techniques intended only to elucidate a small part of the process physics to cost-effective procedures that are deemed adequate for capturing some of the important features in a final residual stress distribution. Residual stress analysis procedure for FFS purposes belongs to the latter category. With this in mind, both residual stress analysis techniques and their adequacy for FFS are assessed based on both literature data and analyses performed in this investigation

Controlling air toxics through advanced coal preparation

Energy Technology Data Exchange (ETDEWEB)

Straszheim, W.E.; Buttermore, W.H.; Pollard, J.L. [Iowa State Univ., Ames, IA (United States)

1995-11-01

This project involves the assessment of advanced coal preparation methods for removing trace elements from coal to reduce the potential for air toxic emissions upon combustion. Scanning electron microscopy-based automated image analysis (SEM-AIA) and advanced washability analyses are being applied with state-of-the-art analytical procedures to predict the removal of elements of concern by advanced column flotation and to confirm the effectiveness of preparation on the quality of quantity of clean coal produced. Specific objectives are to maintain an acceptable recovery of combustible product, while improving the rejection of mineral-associated trace elements. Current work has focused on determining conditions for controlling column flotation system across its operating range and on selection and analysis of samples for determining trace element cleanability.

NASA Safety Standard: Guidelines and Assessment Procedures for Limiting Orbital Debris

Science.gov (United States)

1995-01-01

Collision with orbital debris is a hazard of growing concern as historically accepted practices and procedures have allowed man-made objects to accumulate in orbit. To limit future debris generation, NASA Management Instruction (NMI) 1700.8, 'Policy to Limit Orbital Debris Generation,' was issued in April of 1993. The NMI requires each program to conduct a formal assessment of the potential to generate orbital debris. This document serves as a companion to NMI 1700.08 and provides each NASA program with specific guidelines and assessment methods to assure compliance with the NMI. Each main debris assessment issue (e.g., Post Mission Disposal) is developed in a separate chapter.

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

Science.gov (United States)

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

2016-01-01

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

ATLAS data preparation in run 2

CERN Document Server

AUTHOR|(INSPIRE)INSPIRE-00037318; The ATLAS collaboration; Chelstowska, Magda Anna; Cuhadar Donszelmann, Tulay; Guenther, Jaroslav; Nairz, Armin Michael; Nicolaidou, Rosy; Shabalina, Elizaveta; Strandberg, Jonas; Taffard, Anyes; Wang, Song-Ming

2017-01-01

In this contribution, the data preparation workflows for Run 2 are presented. The challenges posed by the excellent performance and high live time fraction of the LHC are discussed, and the solutions implemented by ATLAS are described. The prompt calibration loop procedures are described and examples are given. Several levels of data quality assessment are used to quickly spot problems in the control room and prevent data loss, and to provide the final selection used for physics analysis. Finally the data quality efficiency for physics analysis is shown.

Procedural advice on self-assessment and task selection in learner-controlled education

NARCIS (Netherlands)

Taminiau, Bettine; Corbalan, Gemma; Kester, Liesbeth; Van Merriënboer, Jeroen; Kirschner, Paul A.

2011-01-01

Taminiau, E. M. C., Corbalan, G., Kester, L., Van Merriënboer, J. J. G., & Kirschner, P. A. (2010, March). Procedural advice on self-assessment and task selection in learner-controlled education. Presentation at the ICO Springschool, Niederalteich, Germany.

System analysis procedures for conducting PSA of nuclear power plants

International Nuclear Information System (INIS)

Lee, Yoon Hwan; Jeong, Won Dae; Kim, Tae Un; Kim, Kil You; Han, Sang Hoon; Chang, Seung Chul; Sung, Tae Yong; Yang, Jun Eon; Kang, Dae Il; Park, Jin Hee; Hwang, Mi Jeong; Jin, Young Ho.

1997-03-01

This document, the Probabilistic Safety Assessment(PSA) procedures guide for system analysis, is intended to provide the guidelines to analyze the target of system consistently and technically in the performance of PSA for nuclear power plants(NPPs). The guide has been prepared in accordance with the procedures and techniques for fault tree analysis(FTA) used in system analysis. Normally the main objective of system analysis is to assess the reliability of system modeled by Event Tree Analysis(ETA). A variety of analytical techniques can be used for the system analysis, however, FTA method is used in this procedures guide. FTA is the method used for representing the failure logic of plant systems deductively using AND, OR or NOT gates. The fault tree should reflect all possible failure modes that may contribute to the system unavailability. This should include contributions due to the mechanical failures of the components, Common Cause Failures (CCFs), human errors and outages for testing and maintenance. After the construction of fault tree is completed, system unavailability is calculated with the CUT module of KIRAP, and the qualitative and quantitative analysis is performed through the process as above stated. As above mentioned, the procedures for system analysis is based on PSA procedures and methods which has been applied to the safety assessments of constructing NPPs in the country. Accordingly, the method of FTA stated in this procedures guide will be applicable to PSA for the NPPs to be constructed in the future. (author). 6 tabs., 11 figs., 7 refs

System analysis procedures for conducting PSA of nuclear power plants

Energy Technology Data Exchange (ETDEWEB)

Lee, Yoon Hwan; Jeong, Won Dae; Kim, Tae Un; Kim, Kil You; Han, Sang Hoon; Chang, Seung Chul; Sung, Tae Yong; Yang, Jun Eon; Kang, Dae Il; Park, Jin Hee; Hwang, Mi Jeong; Jin, Young Ho

1997-03-01

This document, the Probabilistic Safety Assessment(PSA) procedures guide for system analysis, is intended to provide the guidelines to analyze the target of system consistently and technically in the performance of PSA for nuclear power plants(NPPs). The guide has been prepared in accordance with the procedures and techniques for fault tree analysis(FTA) used in system analysis. Normally the main objective of system analysis is to assess the reliability of system modeled by Event Tree Analysis(ETA). A variety of analytical techniques can be used for the system analysis, however, FTA method is used in this procedures guide. FTA is the method used for representing the failure logic of plant systems deductively using AND, OR or NOT gates. The fault tree should reflect all possible failure modes that may contribute to the system unavailability. This should include contributions due to the mechanical failures of the components, Common Cause Failures (CCFs), human errors and outages for testing and maintenance. After the construction of fault tree is completed, system unavailability is calculated with the CUT module of KIRAP, and the qualitative and quantitative analysis is performed through the process as above stated. As above mentioned, the procedures for system analysis is based on PSA procedures and methods which has been applied to the safety assessments of constructing NPPs in the country. Accordingly, the method of FTA stated in this procedures guide will be applicable to PSA for the NPPs to be constructed in the future. (author). 6 tabs., 11 figs., 7 refs.

Survey Procedures Manual for the Environmental Survey and Site Assessment Program (ESSAP). Revision 10

International Nuclear Information System (INIS)

2000-01-01

The Environmental Survey and Site Assessment Program (ESSAP) of the Oak Ridge Institute for Science and Education (ORISE) conducts radiological survey activities under a contract with the U. S. Department of Energy (DOE) and for the U.S. Nuclear Regulatory Commission (NRC). ORISE and its programs are operated by Oak Ridge Associated Universities (ORAU) through a contract with DOE. The purpose of this Procedures Manual is to provide a standardized set of procedures that document activities of the program in an auditable manner. These procedures are applicable to both DOE and NRC operations. Procedures presented in this manual are limited to those associated with site survey activities

Safety assessment of discharge chute isolation barrier preparation and installation

International Nuclear Information System (INIS)

Meichle, R.H.

1994-01-01

This analysis examines activities associated with the installation of isolation barriers in the K Basins at the Hanford Reservation. This revision adds evaluation of barrier drops on stored fuel and basin floor, identifies fuel which will be moved and addresses criticality issues with sludge. The safety assessment is made for the activities for the preparation and installation of the discharge chute isolation barriers. The safety assessment includes a hazard assessment and comparisons of potential accidents/events to those addressed by the current safety basis documentation. No significant hazards were identified. An evaluation against the USQ evaluation questions was made and the determination made that the activities do not represent a USQ. Hazard categorization techniques were used to provide a basis for readiness review classifications

On the assessment of extremely low breakdown probabilities by an inverse sampling procedure [gaseous insulation

DEFF Research Database (Denmark)

Thyregod, Poul; Vibholm, Svend

1991-01-01

the flashover probability function and the corresponding distribution of first breakdown voltages under the inverse sampling procedure, and show how this relation may be utilized to assess the single-shot flashover probability corresponding to the observed average first breakdown voltage. Since the procedure......First breakdown voltages obtained under the inverse sampling procedure assuming a double exponential flashover probability function are discussed. An inverse sampling procedure commences the voltage application at a very low level, followed by applications at stepwise increased levels until...... is based on voltage applications in the neighbourhood of the quantile under investigation, the procedure is found to be insensitive to the underlying distributional assumptions...

Proposal of organisation and ALARA procedure for preparation, follow-up and experience gained from maintenance: application to replacement of pressure vessel

International Nuclear Information System (INIS)

Lochard, Jacques; Lefaure, Christian

1990-01-01

This report proposes the organisation and ALARA procedures for preparation, follow-up and analysis of the lessons learned during maintenance works at a nuclear power plant. After a brief description of the ALARA principle in the first chapter, the following chapters describe proposals for establishing and start-up of a maintenance building site. The proposals are illustrated by the replacement of the pressure vessel as an example

Proposal of organisation and ALARA procedure for preparation, follow-up and experience gained from maintenance: application to replacement of pressure vessel

International Nuclear Information System (INIS)

Lochard, Jacques; Lefaure, Christian

1989-12-01

This report proposes the organisation and ALARA procedures for preparation, follow-up and analysis of the lessons learned during maintenance works at a nuclear power plant. After a brief description of the ALARA principle in the first chapter, the following chapters describe proposals for establishing and start-up of a maintenance building site. The proposals are illustrated by the replacement of the pressure vessel as an example

Scientific Opinion on a Qualified Presumption of Safety (QPS) approach for the safety assessment of botanicals and botanical preparations

DEFF Research Database (Denmark)

Pilegaard, Kirsten

preparation for QPS status, it has been possible to develop a structured assessment scheme that provides a practical method for assessing botanicals and botanical preparations for which an adequate body of knowledge exists and therefore without the need for further testing. Reiterative applications...... in the development of a comprehensive, systematic and transparent methodology. The Scientific Committee recommends its use as an extension of the 2009 EFSA guidance for the safety assessment of botanicals and botanical preparations intended to be used in food supplements....

Preparation of tritium-labelled dextran and inulin

International Nuclear Information System (INIS)

Akulov, G.P.; Kaminski, Ju.L.; Korsakova, N.A.; Kudelin, B.K.

1992-01-01

Tritiated dextran and inulin were prepared by both a catalytic solid state and a liquid phase isotropic exchange with gaseous tritium. The liquid phase procedure is convenient for preparation of the polysaccharides with specific activities up to 5 mCi/g, while the solid state procedure allows specific activities up to 700 mCi/g. (Author)

Guideline for the preparation of safe operating procedures

International Nuclear Information System (INIS)

Stinnett, L.; Armbrust, E.F.; Christy, V.W.; Doyle, J.R.; Kesinger, J.H.

1977-03-01

Sandia Laboratories Safe Operating Procedures (SOP) are written for activities which involve the use of explosives, dangerous chemicals, radioactive materials, hazardous systems, and certain types of operational facilities which present hazards. This guideline presents a suggested SOP format

Preparing to perform an awake fiberoptic intubation.

LENUS (Irish Health Repository)

Walsh, M E

2012-02-03

Fiberoptically guided tracheal intubation represents one of the most important advances in airway management to occur in the past thirty years. Perhaps its most important role is in management of the anticipated difficult airway. This is a situation in which the dangers of encountering the life-threatening "can\\'t intubate, can\\'t ventilate" situation can be avoided by placement of an endotracheal tube while the patient is awake. Although skill at the procedure of endoscopy is obviously necessary in this setting, these authors hold that success or failure of the technique frequently depends on the adequacy of preparation. These measures include 1) pre-operative assessment of the patient; 2) careful explanation of what lies in store; 3) "setting the stage"; 4) preparing the equipment to be used; and 5) preparing the patient (antisialogue, sedation, application of topical anesthesia to the upper airway). If these preparatory measures are carried out meticulously, the likelihood of performing a successful and comfortable awake fiberoptic tracheal intubation is greatly increased.

Development of Procedures to Assess Problem-Solving Competence in Computing Engineering

Science.gov (United States)

Pérez, Jorge; Vizcarro, Carmen; García, Javier; Bermúdez, Aurelio; Cobos, Ruth

2017-01-01

In the context of higher education, a competence may be understood as the combination of skills, knowledge, attitudes, values, and abilities that underpin effective and/or superior performance in a professional area. The aim of the work reported here was to design a set of procedures to assess a transferable competence, i.e., problem solving, that…

Nonspecialist Raters Can Provide Reliable Assessments of Procedural Skills

DEFF Research Database (Denmark)

Mahmood, Oria; Dagnæs, Julia; Bube, Sarah

2018-01-01

was significant (p Pearson's correlation of 0.77 for the nonspecialists and 0.75 for the specialists. The test-retest reliability showed the biggest difference between the 2 groups, 0.59 and 0.38 for the nonspecialist raters and the specialist raters, respectively (p ... was chosen as it is a simple procedural skill that is crucial to master in a resident urology program. RESULTS: The internal consistency of assessments was high, Cronbach's α = 0.93 and 0.95 for nonspecialist and specialist raters, respectively (p correlations). The interrater reliability...

Procedural advice on self-assessment and task selection in learner-controlled education

NARCIS (Netherlands)

Taminiau, Bettine; Kester, Liesbeth; Corbalan, Gemma; Van Merriënboer, Jeroen; Kirschner, Paul A.

2010-01-01

Taminiau, E. M. C., Kester, L., Corbalan, G., Van Merriënboer, J. J. G., & Kirschner, P. A. (2010, July). Procedural advice on self-assessment and task selection in learner-controlled education. Paper presented at the Junior Researchers of EARLI Conference 2010, Frankfurt, Germany.

Chapter 7. Critical care triage. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

NARCIS (Netherlands)

Christian, Michael D.; Joynt, Gavin M.; Hick, John L.; Colvin, John; Danis, Marion; Sprung, Charles L.; Christian, Micahel D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Farmer, Chris; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce

2010-01-01

To provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on critical care triage. Based on a literature review and expert opinion, a Delphi process was used to define the

Application of analytical procedure on system reliability, GO-FLOW

International Nuclear Information System (INIS)

Matsuoka, Takeshi; Fukuto, Junji; Mitomo, Nobuo; Miyazaki, Keiko; Matsukura, Hiroshi; Kobayashi, Michiyuki

2000-01-01

In the Ship Research Institute, research and development of GO-FLOW procedure with various advanced functions as a system reliability analysis method occupying main part of the probabilistic safety assessment (PSA) were promoted. In this study, as an important evaluation technique on executing PSA with lower than level 3, by intending fundamental upgrading of the GO-FLOW procedure, a safety assessment system using the GO-FLOW as well as an analytical function coupling of dynamic behavior analytical function and physical behavior of the system with stochastic phenomenon change were developed. In 1998 fiscal year, preparation and verification of various functions such as dependence addition between the headings, rearrangement in order of time, positioning of same heading to plural positions, calculation of forming frequency with elapsing time were carried out. And, on a simulation analysis function of accident sequence, confirmation on analysis covering all of main accident sequence in the reactor for improved marine reactor, MRX was carried out. In addition, a function near automatically producible on input data for analysis was also prepared. As a result, the conventional analysis not always easy understanding on analytical results except an expert of PSA was solved, and understanding of the accident phenomenon, verification of validity on analysis, feedback to analysis, and feedback to design could be easily carried out. (G.K.)

Accident Sequence Evaluation Program: Human reliability analysis procedure

Energy Technology Data Exchange (ETDEWEB)

Swain, A.D.

1987-02-01

This document presents a shortened version of the procedure, models, and data for human reliability analysis (HRA) which are presented in the Handbook of Human Reliability Analysis With emphasis on Nuclear Power Plant Applications (NUREG/CR-1278, August 1983). This shortened version was prepared and tried out as part of the Accident Sequence Evaluation Program (ASEP) funded by the US Nuclear Regulatory Commission and managed by Sandia National Laboratories. The intent of this new HRA procedure, called the ''ASEP HRA Procedure,'' is to enable systems analysts, with minimal support from experts in human reliability analysis, to make estimates of human error probabilities and other human performance characteristics which are sufficiently accurate for many probabilistic risk assessments. The ASEP HRA Procedure consists of a Pre-Accident Screening HRA, a Pre-Accident Nominal HRA, a Post-Accident Screening HRA, and a Post-Accident Nominal HRA. The procedure in this document includes changes made after tryout and evaluation of the procedure in four nuclear power plants by four different systems analysts and related personnel, including human reliability specialists. The changes consist of some additional explanatory material (including examples), and more detailed definitions of some of the terms. 42 refs.

A limited assessment of the ASEP human reliability analysis procedure using simulator examination results

International Nuclear Information System (INIS)

Gore, B.R.; Dukelow, J.S. Jr.; Mitts, T.M.; Nicholson, W.L.

1995-10-01

This report presents a limited assessment of the conservatism of the Accident Sequence Evaluation Program (ASEP) human reliability analysis (HRA) procedure described in NUREG/CR-4772. In particular, the, ASEP post-accident, post-diagnosis, nominal HRA procedure is assessed within the context of an individual's performance of critical tasks on the simulator portion of requalification examinations administered to nuclear power plant operators. An assessment of the degree to which operator perforn:Lance during simulator examinations is an accurate reflection of operator performance during actual accident conditions was outside the scope of work for this project; therefore, no direct inference can be made from this report about such performance. The data for this study are derived from simulator examination reports from the NRC requalification examination cycle. A total of 4071 critical tasks were identified, of which 45 had been failed. The ASEP procedure was used to estimate human error probability (HEP) values for critical tasks, and the HEP results were compared with the failure rates observed in the examinations. The ASEP procedure was applied by PNL operator license examiners who supplemented the limited information in the examination reports with expert judgment based upon their extensive simulator examination experience. ASEP analyses were performed for a sample of 162 critical tasks selected randomly from the 4071, and the results were used to characterize the entire population. ASEP analyses were also performed for all of the 45 failed critical tasks. Two tests were performed to assess the bias of the ASEP HEPs compared with the data from the requalification examinations. The first compared the average of the ASEP HEP values with the fraction of the population actually failed and it found a statistically significant factor of two bias on the average

EML procedures manual

International Nuclear Information System (INIS)

Volchok, H.L.; de Planque, G.

1982-01-01

This manual contains the procedures that are used currently by the Environmental Measurements Laboratory of the US Department of Energy. In addition a number of analytical methods from other laboratories have been included. These were tested for reliability at the Battelle, Pacific Northwest Laboratory under contract with the Division of Biomedical and Environmental Research of the AEC. These methods are clearly distinguished. The manual is prepared in loose leaf form to facilitate revision of the procedures and inclusion of additional procedures or data sheets. Anyone receiving the manual through EML should receive this additional material automatically. The contents are as follows: (1) general; (2) sampling; (3) field measurements; (4) general analytical chemistry; (5) chemical procedures; (6) data section; (7) specifications

A Generic Procedure for the Assessment of the Effect of Concrete Admixtures on the Sorption of Radionuclides on Cement: Concept and Selected Results

International Nuclear Information System (INIS)

Glaus, M.A.; Laube, A.; Van Loon, L.R.

2004-01-01

A screening procedure is proposed for the assessment of the effect of concrete admixtures on the sorption of radionuclides by cement. The procedure is both broad and generic, and can thus be used as input for the assessment of concrete admixtures which might be used in the future. The experimental feasibility and significance of the screening procedure are tested using selected concrete admixtures: i.e. sulfonated naphthalene-formaldehyde condensates, lignosulfonates, and a plasticiser used at PSI for waste conditioning. The effect of these on the sorption properties of Ni(II), Eu(III) and Th(IV) in cement is investigated using crushed Hardened Cement Paste (HCP), as well as cement pastes prepared in the presence of these admixtures. Strongly adverse effects on the sorption of the radionuclides tested are observed only in single cases, and under extreme conditions: i.e. at high ratios of concrete admixtures to HCP, and at low ratios of HCP to cement pore water. Under realistic conditions, both radionuclide sorption and the sorption of isosaccharinic acid (a strong complexant produced in cement-conditioned wastes containing cellulose) remain unaffected by the presence of concrete admixtures, which can be explained by the sorption of them onto the HCP. The pore-water concentrations of the concrete admixtures tested are thereby reduced to levels at which the formation of radionuclide complexes is no longer of importance. Further, the Langmuir sorption model, proposed for the sorption of concrete admixtures on HCP, suggests that the HCP surface does not become saturated, at least for those concrete admixtures tested. (author)

A Generic Procedure for the Assessment of the Effect of Concrete Admixtures on the Sorption of Radionuclides on Cement: Concept and Selected Results

Energy Technology Data Exchange (ETDEWEB)

Glaus, M.A.; Laube, A.; Van Loon, L.R

2004-03-01

A screening procedure is proposed for the assessment of the effect of concrete admixtures on the sorption of radionuclides by cement. The procedure is both broad and generic, and can thus be used as input for the assessment of concrete admixtures which might be used in the future. The experimental feasibility and significance of the screening procedure are tested using selected concrete admixtures: i.e. sulfonated naphthalene-formaldehyde condensates, lignosulfonates, and a plasticiser used at PSI for waste conditioning. The effect of these on the sorption properties of Ni(II), Eu(III) and Th(IV) in cement is investigated using crushed Hardened Cement Paste (HCP), as well as cement pastes prepared in the presence of these admixtures. Strongly adverse effects on the sorption of the radionuclides tested are observed only in single cases, and under extreme conditions: i.e. at high ratios of concrete admixtures to HCP, and at low ratios of HCP to cement pore water. Under realistic conditions, both radionuclide sorption and the sorption of isosaccharinic acid (a strong complexant produced in cement-conditioned wastes containing cellulose) remain unaffected by the presence of concrete admixtures, which can be explained by the sorption of them onto the HCP. The pore-water concentrations of the concrete admixtures tested are thereby reduced to levels at which the formation of radionuclide complexes is no longer of importance. Further, the Langmuir sorption model, proposed for the sorption of concrete admixtures on HCP, suggests that the HCP surface does not become saturated, at least for those concrete admixtures tested. (author)

Preparing suitable climate scenario data to assess impacts on local food safety

NARCIS (Netherlands)

Liu, C.; Hofstra, N.; Leemans, R.

2015-01-01

Quantification of climate change impacts on food safety requires food safety assessment with different past and future climate scenario data to compare current and future conditions. This study presents a tool to prepare climate and climate change data for local food safety scenario analysis and

Framework and operational procedure for implementing Strategic Environmental Assessment in China

International Nuclear Information System (INIS)

Bao Cunkuan; Lu Yongsen; Shang Jincheng

2004-01-01

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

28 CFR 91.63 - Preparing an Environmental Impact Statement

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Preparing an Environmental Impact... CORRECTIONAL FACILITIES Environmental Impact Review Procedures for VOI/TIS Grant Program Environmental Review Procedures § 91.63 Preparing an Environmental Impact Statement (a) Initial determination. OJP will determine...

Preparation of working calibration and test materials: uranyl nitrate solution

International Nuclear Information System (INIS)

Yamamura, S.S.; Spraktes, F.W.; Baldwin, J.M.; Hand, R.L.; Lash, R.P.

1977-05-01

Reliable working calibration and test materials (WCTMs) are essential to a meaningful analytical measurements quality assurance program. This report describes recommended methods for the preparation of uranyl nitrate solution WCTMs for testing analytical methods, for calibrating methods, and for testing personnel. Uranyl nitrate solution WCTMs can be synthesized from characterized starting materials or prepared from typical plant materials by thorough characterization with reference to primary or secondary reference calibration and test materials (PRCTMs or SRCTMs). Recommended starting materials are described along with detailed procedures for (a) preparing several widely-used types of uranyl nitrate solution WCTMs, (b) packaging the WCTMs, (c) analyzing the WCTMs to establish the reference values or to confirm the synthesis, and (d) statistically evaluating the analytical data to assign reference values and to assess the accuracy of the WCTMs

A probabilistic seismic risk assessment procedure for nuclear power plants: (II) Application

Science.gov (United States)

Huang, Y.-N.; Whittaker, A.S.; Luco, N.

2011-01-01

This paper presents the procedures and results of intensity- and time-based seismic risk assessments of a sample nuclear power plant (NPP) to demonstrate the risk-assessment methodology proposed in its companion paper. The intensity-based assessments include three sets of sensitivity studies to identify the impact of the following factors on the seismic vulnerability of the sample NPP, namely: (1) the description of fragility curves for primary and secondary components of NPPs, (2) the number of simulations of NPP response required for risk assessment, and (3) the correlation in responses between NPP components. The time-based assessment is performed as a series of intensity-based assessments. The studies illustrate the utility of the response-based fragility curves and the inclusion of the correlation in the responses of NPP components directly in the risk computation. ?? 2011 Published by Elsevier B.V.

Teachers' use of a self-assessment procedure : the role of criteria, standards, feedback and reflection

NARCIS (Netherlands)

Diggelen, van M.R.; Brok, den P.J.; Beijaard, D.

2013-01-01

This article reports on the way teachers assess their own coaching competencies regarding the development of vocational education students’ reflection skills. The participating teachers used a self-assessment procedure in which they had to judge themselves with the help of criteria and standards,

Are minimally invasive procedures harder to acquire than conventional surgical procedures?

Science.gov (United States)

Hiemstra, Ellen; Kolkman, Wendela; le Cessie, Saskia; Jansen, Frank Willem

2011-01-01

It is frequently suggested that minimally invasive surgery (MIS) is harder to acquire than conventional surgery. To test this hypothesis, residents' learning curves of both surgical skills are compared. Residents had to be assessed using a general global rating scale of the OSATS (Objective Structured Assessment of Technical Skills) for every procedure they performed as primary surgeon during a 3-month clinical rotation in gynecological surgery. Nine postgraduate-year-4 residents collected a total of 319 OSATS during the 2 years and 3 months investigation period. These assessments concerned 129 MIS (laparoscopic and hysteroscopic) and 190 conventional (open abdominal and vaginal) procedures. Learning curves (in this study defined as OSATS score plotted against procedure-specific caseload) for MIS and conventional surgery were compared using a linear mixed model. The MIS curve revealed to be steeper than the conventional curve (1.77 vs. 0.75 OSATS points per assessed procedure; 95% CI 1.19-2.35 vs. 0.15-1.35, p < 0.01). Basic MIS procedures do not seem harder to acquire during residency than conventional surgical procedures. This may have resulted from the incorporation of structured MIS training programs in residency. Hopefully, this will lead to a more successful implementation of the advanced MIS procedures. Copyright © 2010 S. Karger AG, Basel.

A procedure for the preparation of deoxynucleoside-5'-triphosphates labelled with phosphorus isotopes in the alpha position

International Nuclear Information System (INIS)

Havranek, M.; Vlna, J.

1990-01-01

The procedure concerns preparation of the title compounds labelled in the side chain -CH 2 -O-P * (O)(OH)-O-P(O)(OH)-O-P(O)(OH) 2 . In the first stage, deoxynucleoside with the side chain -CH 2 OH is condensed at 70 to 120 degC with [ 32 P] or [ 33 P]phosphoric acid in a molar ratio of 100:1 to 400:1 using cyanamide or cyanoguanidine as the condensing agent in the presence of optimal humidity, attained by azeotropic distillation. In the second stage, the deoxynucleoside monophosphate is enzymatically converted to the final product, which is purified by column chromatography on PEI cellulose using NH 4 HCO 3 as the eluting agent. (P.A.)

Guidelines for Preparing Psychological Specialists: An Entry-Level Course on Intellectual Assessment

Science.gov (United States)

Oakland, Thomas; Wechsler, Solange Muglia

2016-01-01

This article provides guidelines for an entry-level course that prepares psychology students and practitioners to acquire entry-level skills, abilities, knowledge, and attitudes important to the individual assessment of intellectual abilities of children and youth. The article reviews prominent international, regional, and national policies,…

The Implicit Relational Assessment Procedure (IRAP) as a Measure of Spider Fear

Science.gov (United States)

Nicholson, Emma; Barnes-Holmes, Dermot

2012-01-01

A greater understanding of implicit cognition can provide important information regarding the etiology and maintenance of psychological disorders. The current study sought to determine the utility of the Implicit Relational Assessment Procedure (IRAP) as a measure of implicit aversive bias toward spiders in two groups of known variation, high fear…

28 CFR Appendix E to Part 61 - United States Marshals Service Procedures Relating to the Implementation of the National...

Science.gov (United States)

2010-07-01

... excess pollution and environmental degradation. The USMS' Environmental Assessments (EAs) and... USMS shall, whenever possible, jointly prepare documents with State and local governments and, when... and reduce delay. The USMS will follow the procedures outlined in the CEQ regulations including, (1...

Automated Neuropsychological Assessment Metrics, Version 4 (ANAM4): Examination of Select Psychometric Properties and Administration Procedures

Science.gov (United States)

2018-03-01

301 Minnesota 306 Kentucky 193 Texas 188 Total 1461 14 Task 27 (Months 85-96) Continue data quality control checks and preliminary...research hypotheses – COMPLETED Data management and data quality control checks have been completed with all data collected as part of this effort...summarizing data from Studies 1-3 are being finalized. Data management procedures for Study 4 are completed and analyses and manuscript preparations are

Procedure to select test organisms for environmental risk assessment of genetically modified crops in aquatic systems.

Science.gov (United States)

Hilbeck, Angelika; Bundschuh, Rebecca; Bundschuh, Mirco; Hofmann, Frieder; Oehen, Bernadette; Otto, Mathias; Schulz, Ralf; Trtikova, Miluse

2017-11-01

For a long time, the environmental risk assessment (ERA) of genetically modified (GM) crops focused mainly on terrestrial ecosystems. This changed when it was scientifically established that aquatic ecosystems are exposed to GM crop residues that may negatively affect aquatic species. To assist the risk assessment process, we present a tool to identify ecologically relevant species usable in tiered testing prior to authorization or for biological monitoring in the field. The tool is derived from a selection procedure for terrestrial ecosystems with substantial but necessary changes to adequately consider the differences in the type of ecosystems. By using available information from the Water Framework Directive (2000/60/EC), the procedure can draw upon existing biological data on aquatic systems. The proposed procedure for aquatic ecosystems was tested for the first time during an expert workshop in 2013, using the cultivation of Bacillus thuringiensis (Bt) maize as the GM crop and 1 stream type as the receiving environment in the model system. During this workshop, species executing important ecological functions in aquatic environments were identified in a stepwise procedure according to predefined ecological criteria. By doing so, we demonstrated that the procedure is practicable with regard to its goal: From the initial long list of 141 potentially exposed aquatic species, 7 species and 1 genus were identified as the most suitable candidates for nontarget testing programs. Integr Environ Assess Manag 2017;13:974-979. © 2017 SETAC. © 2017 SETAC.

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.

Emergency Response Capability Baseline Needs Assessment - Compliance Assessment

Energy Technology Data Exchange (ETDEWEB)

Sharry, John A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-09-01

This document was prepared by John A. Sharry, LLNL Fire Marshal and Division Leader for Fire Protection and was reviewed by LLNL Emergency Management Department Head, James Colson. This document is the second of a two-part analysis on Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2016 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2016 BNA, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, fire department training records, and fire department policies and procedures. The 2013 BNA was approved by NNSA’s Livermore Field Office on January 22, 2014.

A methodological approach to assessing alveolar ridge preservation procedures in humans: soft tissue profile.

Science.gov (United States)

Vanhoutte, Vanessa; Rompen, Eric; Lecloux, Geoffrey; Rues, Stefan; Schmitter, Marc; Lambert, France

2014-03-01

The aesthetic results of implant restoration in the anterior maxilla are particularly related to the soft tissue profile. Although socket preservation techniques appear to reduce bone remodelling after tooth extraction, there is still few investigations assessing the external soft tissue profile after such procedures. The goal of this study was to describe an accurate technique to evaluate soft tissue contour changes after performing socket preservation procedures. The secondary objective was to apply the newly developed measuring method to a specific socket preservation using a "saddled" connective tissue graft combined with the insertion of slowly resorbable biomaterials into the socket. A total of 14 patients needing tooth replacement in the aesthetic region were included to receive a socket preservation procedure using a connective tissue graft. Impressions were taken before the tooth extraction (baseline) and at 2, 4, and 12 weeks after the procedure. The corresponding plaster casts were scanned, and the evolution of the soft tissue profile in relation to the baseline situation was assessed using imaging software. The measuring technique allowed assessing the soft tissue profiles accurately at different levels of the alveolar process. The insertion of a saddled connective tissue appeared to compensate for the horizontal and vertical bone remodelling after a socket preservation procedure in most regions of the alveolar crest. After 12 weeks, the only significant change was located in the more cervical and central region of the alveolar process and reached a median drop of 0.62 mm from baseline. Within the limitations of this study, we found that a saddled connective tissue graft combined with a socket preservation procedure could almost completely counteract the bone remodelling in terms of the external soft tissue profile. The minor changes found in the cervical region might disappear with the emergence profile of the prosthodontic components. The described

Stool consistency and stool frequency are excellent clinical markers for adequate colon preparation after polyethylene glycol 3350 cleansing protocol: a prospective clinical study in children.

Science.gov (United States)

Safder, Shaista; Demintieva, Yulia; Rewalt, Mary; Elitsur, Yoram

2008-12-01

Colon preparation for a colonoscopy in children is a difficult task because of the unpalatable taste and large volume of cleansing solution that needs to be consumed to ensure a clean colon. Consequently, an unprepared colon frequently occurs in routine practices, which causes early termination and a repeated procedure. (1) To assess the effectiveness of polyethylene glycol solution (PEG 3350) in preparing the colon of children scheduled for a colonoscopy and (2) to investigate clinical markers associated with an adequate colon preparation before a colonoscopy. A total of 167 children scheduled for a colonoscopy. In a prospective study, children scheduled for a colonoscopy were given PEG 3350 solution (1.5 g/kg per day, up to 100 g/d) over a 4-day preparation period. Each day, a simple questionnaire that documents the amount of liquid consumed, adverse effects, and the number and consistency of stool was completed by the parents. After a colonoscopy procedure, the colon preparation was assigned a number grade. The data were later assessed and were compared to determine the association between the grade of cleansing and the frequency and/or consistency of stool during preparation. Colon preparation was completed in 149 children, 133 of whom were adequately prepared. Inadequate preparation was found in 16 children; the procedure was terminated prematurely in 2 of these patients because of unacceptable conditions. No significant adverse effects were noted. A number of >or=5 stools/d, and liquid stool consistency in the last 2 days of preparation were associated with adequate colon preparation. PEG 3350 solution is safe, efficacious, and tolerable for children. Stool frequency and consistency in the last 2 days of preparation were excellent markers (positive predictive value 91%-95%), which predict an adequately clean colon before a colonoscopy in children.

Chapter 5. Essential equipment, pharmaceuticals and supplies. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

NARCIS (Netherlands)

Sprung, Charles L.; Kesecioglu, Jozef; Christian, Michael D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce

2010-01-01

To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on essential equipment, pharmaceuticals and supplies. Based on a literature review and expert opinion, a Delphi process was

Considering the normative, systemic and procedural dimensions in indicator-based sustainability assessments in agriculture

International Nuclear Information System (INIS)

Binder, Claudia R.; Feola, Giuseppe; Steinberger, Julia K.

2010-01-01

This paper develops a framework for evaluating sustainability assessment methods by separately analyzing their normative, systemic and procedural dimensions as suggested by Wiek and Binder [Wiek, A, Binder, C. Solution spaces for decision-making - a sustainability assessment tool for city-regions. Environ Impact Asses Rev 2005, 25: 589-608.]. The framework is then used to characterize indicator-based sustainability assessment methods in agriculture. For a long time, sustainability assessment in agriculture has focused mostly on environmental and technical issues, thus neglecting the economic and, above all, the social aspects of sustainability, the multi-functionality of agriculture and the applicability of the results. In response to these shortcomings, several integrative sustainability assessment methods have been developed for the agricultural sector. This paper reviews seven of these that represent the diversity of tools developed in this area. The reviewed assessment methods can be categorized into three types: (i) top-down farm assessment methods; (ii) top-down regional assessment methods with some stakeholder participation; (iii) bottom-up, integrated participatory or transdisciplinary methods with stakeholder participation throughout the process. The results readily show the trade-offs encountered when selecting an assessment method. A clear, standardized, top-down procedure allows for potentially benchmarking and comparing results across regions and sites. However, this comes at the cost of system specificity. As the top-down methods often have low stakeholder involvement, the application and implementation of the results might be difficult. Our analysis suggests that to include the aspects mentioned above in agricultural sustainability assessment, the bottom-up, integrated participatory or transdisciplinary methods are the most suitable ones.

The quality of procedures to assess and credit prior learning: Implications for design.

NARCIS (Netherlands)

Joosten-ten Brinke, Desirée; Sluijsmans, Dominique; Brand-Gruwel, Saskia; Jochems, Wim

2008-01-01

Joosten-ten Brinke, D., Sluijsmans, D. M. A., Brand-Gruwel, S., & Jochems, W. M. G. (2008). The quality of procedures to assess and credit prior learning: Implications for design. Educational Research Review, 3, 51-65. doi:10.1016/j.edurev.2007.08.001.

Assessment of bleeding during minor oral surgical procedures and extraction in patients on anticoagulant therapy

Directory of Open Access Journals (Sweden)

S Jimson

2015-01-01

Full Text Available Introduction: The risk of postoperative hemorrhage from oral surgical procedures has been a concern in the treatment of patients who are receiving long-term anticoagulation therapy. A study undertaken in our institution to address questions about the amount and severity of bleeding associated with minor outpatient oral surgery procedures by assessing bleeding in patients who did not alter their anticoagulant regimen. Subjects and Methods: Eighty-three patients receiving long-term anticoagulant therapy visited Department of Oral and Maxillofacial Surgery from May 2010 to October 2011 for extractions and minor oral surgical procedures. Each patient was required to undergo preoperative assessment of prothrombin time (PT and measurement of the international normalized ratio. Fifty-six patients with preoperative PT values within the therapeutic range 3-4 were included in the study. The patients′ age ranged between 30 and 75 years. Application of surgispon was done following the procedure. Extraction of teeth performed with minimal trauma to the surrounding tissues, the socket margins sutured, and sutures removed after 5 days. Results: There was no significant incidence of prolonged or excessive hemorrhage and wound infection and the healing process was normal.

Prospective randomized assessment of single versus double-gloving for general surgical procedures.

Science.gov (United States)

Na'aya, H U; Madziga, A G; Eni, U E

2009-01-01

There is increased tendency towards double-gloving by general surgeons in our practice, due probably to awareness of the risk of contamination with blood or other body fluids during surgery. The aim of the study was to compare the relative frequency of glove puncture in single-glove versus double glove sets in general surgical procedures, and to determine if duration of surgery affects perforation rate. Surgeons at random do single or double gloves at their discretion, for general surgical procedures. All the gloves used by the surgeons were assessed immediately after surgery for perforation. A total of 1120 gloves were tested, of which 880 were double-glove sets and 240 single-glove sets. There was no significant difference in the overall perforation rate between single and double glove sets (18.3% versus 20%). However, only 2.3% had perforations in both the outer and inner gloves in the double glove group. Therefore, there was significantly greater risk for blood-skin exposure in the single glove sets (p < 0.01). The perforation rate was also significantly greater during procedures lasting an hour or more compared to those lasting less than an hour (p < 0.01). Double-gloving reduces the risk of blood-skin contamination in all general surgical procedures, and especially so in procedures lasting an hour or more.

Independent assessment of matrix-assisted laser desorption/ionization mass spectrometry (MALDI-MS) sample preparation quality: Effect of sample preparation on MALDI-MS of synthetic polymers.

Science.gov (United States)

Kooijman, Pieter C; Kok, Sander; Honing, Maarten

2017-02-28

Matrix-assisted laser desorption/ionization mass spectrometry (MALDI-MS) provides detailed and in-depth information about the molecular characteristics of synthetic polymers. To obtain the most accurate results the sample preparation parameters should be chosen to suit the sample and the aim of the experiment. Because the underlying principles of MALDI are still not fully known, a priori determination of optimal sample preparation protocols is often not possible. Employing an automated sample preparation quality assessment method recently presented by us we quantified the sample preparation quality obtained using various sample preparation protocols. Six conventional matrices with and without added potassium as a cationization agent and six ionic liquid matrices (ILMs) were assessed using poly(ethylene glycol) (PEG), polytetrahydrofuran (PTHF) and poly(methyl methacrylate) (PMMA) as samples. All sample preparation protocols were scored and ranked based on predefined quality parameters and spot-to-spot repeatability. Clearly distinctive preferences were observed in matrix identity and cationization agent for PEG, PTHF and PMMA, as the addition of an excess of potassium cationization agent results in an increased score for PMMA and a contrasting matrix-dependent effect for PTHF and PEG. The addition of excess cationization agent to sample mixtures dissipates any overrepresentation of high molecular weight polymer species. Our results show reduced ionization efficiency and similar sample deposit homogeneity for all tested ILMs, compared with well-performing conventional MALDI matrices. The results published here represent a start in the unsupervised quantification of sample preparation quality for MALDI samples. This method can select the best sample preparation parameters for any synthetic polymer sample and the results can be used to formulate hypotheses on MALDI principles. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Environmental Sciences Division Toxicology Laboratory standard operating procedures

International Nuclear Information System (INIS)

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)

Evaluating strategic environmental assessment in the Netherlands: Content, process and procedure as indissoluble criteria for effectiveness

NARCIS (Netherlands)

M.W. van Buuren (Arwin); S.G. Nooteboom (Sibout)

2009-01-01

textabstractTo assess the effectiveness of strategic environmental assessment (SEA) we distinguish between its contribution to the quality of the ultimate policy choice (usefulness, applicability), the procedural quality of the planning process (transparency, timeliness) and the quality of

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.

W-087 Acceptance test procedure. Revision 1

Energy Technology Data Exchange (ETDEWEB)

Joshi, A.W.

1997-06-10

This Acceptance Test Procedure/Operational Test Procedure (ATP/OTP) has been prepared to demonstrate that the Electrical/Instrumentation and Mechanical systems function as required by project criteria and to verify proper operation of the integrated system including the interlocks.

W-087 Acceptance test procedure. Revision 1

International Nuclear Information System (INIS)

Joshi, A.W.

1997-01-01

This Acceptance Test Procedure/Operational Test Procedure (ATP/OTP) has been prepared to demonstrate that the Electrical/Instrumentation and Mechanical systems function as required by project criteria and to verify proper operation of the integrated system including the interlocks

Teachers' Use of a Self-Assessment Procedure: The Role of Criteria, Standards, Feedback and Reflection

Science.gov (United States)

van Diggelen, Migchiel; den Brok, Perry; Beijaard, Douwe

2013-01-01

This article reports on the way teachers assess their own coaching competencies regarding the development of vocational education students' reflection skills. The participating teachers used a self-assessment procedure in which they had to judge themselves with the help of criteria and standards, received feedback from a colleague based on the…

A Multimode Adaptive Pushover Procedure for Seismic Assessment of Integral Bridges

Directory of Open Access Journals (Sweden)

Ehsan Mohtashami

2013-01-01

Full Text Available This paper presents a new adaptive pushover procedure to account for the effect of higher modes in order to accurately estimate the seismic response of bridges. The effect of higher modes is considered by introducing a minimum value for the total effective modal mass. The proposed method employs enough number of modes to ensure that the defined total effective modal mass participates in all increments of the pushover loading. An adaptive demand curve is also developed for assessment of the seismic demand. The efficiency and robustness of the proposed method are demonstrated by conducting a parametric study. The analysis includes 18 four-span integral bridges with various heights of piers. The inelastic response history analysis is employed as reference solution in this study. Numerical results indicate excellent accuracy of the proposed method in assessment of the seismic response. For most bridges investigated in this study, the difference between the estimated response of the proposed method and the inelastic response history analysis is less than 25% for displacements and 10% for internal forces. This indicates a very good accuracy compared to available pushover procedures in the literature. The proposed method is therefore recommended to be applied to the seismic performance evaluation of integral bridges for engineering applications.

Recommendations for the Preparation of Environmental Assessments and Environmental Impact Statements, 2nd edition

Energy Technology Data Exchange (ETDEWEB)

None, None

2004-12-01

This document provides recommendations for the Department of Energy’s (DOE’s) preparation of environmental assessments and environmental impact statements under the National Environmental Policy Act of 1969 (NEPA). The Office of NEPA Policy and Compliance prepared these recommendations in consultation with the Office of the Assistant General Counsel for Environment and following coordination with the DOE NEPA Community. The recommendations should materially aid those responsible for preparing and reviewing NEPA documents to focus on significant environmental issues, adequately analyze environmental impacts, and effectively present the analysis to decisionmakers and the public. The recommendations are not all-encompassing, however; preparers must apply independent judgment to determine the appropriate scope and analytical requirements of NEPA for each proposal. These recommendations do not constitute legal requirements, but are intended to enhance compliance with existing NEPA regulations (40 CFR Parts 1500-1508, 10 CFR Part 1021).

Laboratory manual on sample preparation procedures for x-ray micro-analysis

International Nuclear Information System (INIS)

1997-01-01

X-ray micro fluorescence is a non-destructive and sensitive method for studying the microscopic distribution of different elements in almost all kinds of samples. Since the beginning of this century, x-rays and electrons have been used for the analysis of many different kinds of material. Techniques which rely on electrons are mainly developed for microscopic studies, and are used in conventional Electron Microscopy (EM) or Scanning Electron Microscopy (SEM), while x-rays are widely used for chemical analysis at the microscopic level. The first chemical analysis by fluorescence spectroscopy using small x-ray beams was conducted in 1928 by Glockner and Schreiber. Since then much work has been devoted to developing different types of optical systems for focusing an x-ray beam, but the efficiency of these systems is still inferior to the conventional electron optical systems. However, even with a poor optical efficiency, the x-ray microbeam has many advantages compared with electron or proton induced x-ray emission methods. These include: The analyses are non-destructive, losses of mass are negligible, and due to the low thermal loading of x-rays, materials which may be thermally degraded can be analysed; Samples can be analysed in air, and no vacuum is required, therefore specimens with volatile components such as water in biological samples, can be imaged at normal pressure and temperature; No charging occurs during analysis and therefore coating of the sample with a conductive layer is not necessary; With these advantages, simpler sample preparation procedures including mounting and preservation can be used

Preparation of kits for 99Tcm radiopharmaceuticals

International Nuclear Information System (INIS)

1992-05-01

This publication details preparation under Good Manufacturing Practices (GMP) of thirteen widely used 99 Tc m radiopharmaceuticals and their quality assurance practices. The objective of this document is to present to those who intend to launch a kit preparation programme a set of preparation procedures and other relevant information gathered during kit production over a period of more than a decade, to serve as a good starting point. The manuals and monographs included in the document are based on the experience gained in two major centres. The publication of this material is intended to give a typical example, and not the only possible procedure for preparing the kits. Following the essentials of these kit preparation procedures, it is always possible to make alterations to the composition of the kits. The kits described here concern widely used 99 Tc m radiopharmaceuticals which do not require a Single Photon Emission Computed Tomography (SPECT) camera. These examples of the ''first generation'' of kits are not very intricate to prepare. Although it is advisable to have only one agent for a given intended use, a few agents for each purpose, e.g. EHDP and MDP for bone imagining, have been included in the document so that the reader can have some flexibility in selecting a particular kit. 24 refs, 2 figs

Safety assessment of research reactors and preparation of the safety analysis report

International Nuclear Information System (INIS)

1994-01-01

This Safety Guide presents guidelines, approved by international consensus, for the preparation, review and assessment of safety documentation for research reactors such as the Safety Analysis Report. While the Guide is most applicable to research reactors in the design and construction stage, it is also recommended for use during relicensing or reassessment of existing reactors

High-temperature flaw assessment procedure: A state-of-the-art survey

International Nuclear Information System (INIS)

Ruggles, M.B.; Takahashi, Y.

1989-05-01

High-temperature crack growth under cyclic, static, and combined loading is received with an emphasis on fracture mechanics aspects. Experimental studies of the effects of loading history, microstructure, temperature, and environment on crack growth behavior are described and interpreted. The experimental evidence is used to examine crack growth parameters and theoretical models for fatigue, creep, and creep-fatigue crack propagation at elevated temperatures. The limitations of both elastic and elastic-plastic fracture mechanics for high-temperature subcritical crack growth are assessed. Existing techniques for modeling critical crack growth/ligament instability failure are also presented. Related topics of defect modeling and engineering flaw assessment procedures, nondestructive evaluation methods, and probabilistic failure analysis are briefly discussed. 142 refs., 33 figs

Definition, development, and demonstration of analytical procedures for the structured assessment approach. Final report

International Nuclear Information System (INIS)

1979-01-01

Analytical procedures were refined for the Structural Assessment Approach for assessing the Material Control and Accounting systems at facilities that contain special nuclear material. Requirements were established for an efficient, feasible algorithm to be used in evaluating system performance measures that involve the probability of detection. Algorithm requirements to calculate the probability of detection for a given type of adversary and the target set are described

A comparison of Google Glass and traditional video vantage points for bedside procedural skill assessment.

Science.gov (United States)

Evans, Heather L; O'Shea, Dylan J; Morris, Amy E; Keys, Kari A; Wright, Andrew S; Schaad, Douglas C; Ilgen, Jonathan S

2016-02-01

This pilot study assessed the feasibility of using first person (1P) video recording with Google Glass (GG) to assess procedural skills, as compared with traditional third person (3P) video. We hypothesized that raters reviewing 1P videos would visualize more procedural steps with greater inter-rater reliability than 3P rating vantages. Seven subjects performed simulated internal jugular catheter insertions. Procedures were recorded by both Google Glass and an observer's head-mounted camera. Videos were assessed by 3 expert raters using a task-specific checklist (CL) and both an additive- and summative-global rating scale (GRS). Mean scores were compared by t-tests. Inter-rater reliabilities were calculated using intraclass correlation coefficients. The 1P vantage was associated with a significantly higher mean CL score than the 3P vantage (7.9 vs 6.9, P = .02). Mean GRS scores were not significantly different. Mean inter-rater reliabilities for the CL, additive-GRS, and summative-GRS were similar between vantages. 1P vantage recordings may improve visualization of tasks for behaviorally anchored instruments (eg, CLs), whereas maintaining similar global ratings and inter-rater reliability when compared with conventional 3P vantage recordings. Copyright © 2016 Elsevier Inc. All rights reserved.

Diagnostic flexible pharyngo-laryngoscopy: development of a procedure specific assessment tool using a Delphi methodology.

Science.gov (United States)

Melchiors, Jacob; Henriksen, Mikael Johannes Vuokko; Dikkers, Frederik G; Gavilán, Javier; Noordzij, J Pieter; Fried, Marvin P; Novakovic, Daniel; Fagan, Johannes; Charabi, Birgitte W; Konge, Lars; von Buchwald, Christian

2018-05-01

Proper training and assessment of skill in flexible pharyngo-laryngoscopy are central in the education of otorhinolaryngologists. To facilitate an evidence-based approach to curriculum development in this field, a structured analysis of what constitutes flexible pharyngo-laryngoscopy is necessary. Our aim was to develop an assessment tool based on this analysis. We conducted an international Delphi study involving experts from twelve countries in five continents. Utilizing reiterative assessment, the panel defined the procedure and reached consensus (defined as 80% agreement) on the phrasing of an assessment tool. FIFTY PANELISTS COMPLETED THE DELPHI PROCESS. THE MEDIAN AGE OF THE PANELISTS WAS 44 YEARS (RANGE 33-64 YEARS). MEDIAN EXPERIENCE IN OTORHINOLARYNGOLOGY WAS 15 YEARS (RANGE 6-35 YEARS). TWENTY-FIVE WERE SPECIALIZED IN LARYNGOLOGY, 16 WERE HEAD AND NECK SURGEONS, AND NINE WERE GENERAL OTORHINOLARYNGOLOGISTS. AN ASSESSMENT TOOL WAS CREATED CONSISTING OF TWELVE DISTINCT ITEMS.: Conclusion The gathering of validity evidence for assessment of core procedural skills within Otorhinolaryngology is central to the development of a competence-based education. The use of an international Delphi panel allows for the creation of an assessment tool which is widely applicable and valid. This work allows for an informed approach to technical skills training for flexible pharyngo-laryngoscopy and as further validity evidence is gathered allows for a valid assessment of clinical performance within this important skillset.

Assessment procedures results of training in biology

Directory of Open Access Journals (Sweden)

Elena A. Galkina

2018-04-01

Full Text Available The article describes the procedures for evaluating the results of training in biology. The mechanisms for monitoring the learning outcomes of a biology teacher are presented. Examples of algorithms for procedures for evaluating learning outcomes in biology are demonstrated.

Exfoliative Skin-peeling, Benefits from This Procedure and Our Experience

OpenAIRE

Grajqevci-Kotori, Merita; Kocinaj, Allma

2015-01-01

The peeling procedure is a valuable method for the aged skin, photo aging, acne scars and melasma. It should be performed by dermatologist. Pre peeling preparation of the skin is very important to prepare the skin for this procedure. It can be archived by applying the mask with acids twice a week. The caring of the skin after procedure is also very important for the success of the treatment. Same cases may have complication but managing them is also a challenge for dermatologist.

Exfoliative Skin-peeling, Benefits from This Procedure and Our Experience.

Science.gov (United States)

Grajqevci-Kotori, Merita; Kocinaj, Allma

2015-12-01

The peeling procedure is a valuable method for the aged skin, photo aging, acne scars and melasma. It should be performed by dermatologist. Pre peeling preparation of the skin is very important to prepare the skin for this procedure. It can be archived by applying the mask with acids twice a week. The caring of the skin after procedure is also very important for the success of the treatment. Same cases may have complication but managing them is also a challenge for dermatologist.

"In situ preparation": new surgical procedure indicated for soft-tissue sarcoma of a lower limb in close proximity to major neurovascular structures.

Science.gov (United States)

Matsumoto, Seiichi; Kawaguchi, Noriyoshi; Manabe, Jun; Matsushita, Yasushi

2002-02-01

When soft-tissue sarcomas occur near neurovascular structures, preoperative images cannot always reveal the accurate relationship between the tumor and these structures. Therefore, in some patients, neurovascular structures are sacrificed unnecessarily. In other patients, neurovascular structures are preserved with an inappropriate margin, followed by local recurrence. The objective of this study was to evaluate a new surgical method, "in situ preparation" (ISP), which enables the preparation of neurovascular bundles and the intraoperative evaluation of the surgical margin without contamination by tumor cells. With this method, additional procedures, including pasteurization, alcohol soaking, and distilled water soaking of the preserved neurovascular bundle can also be performed to preserve the continuity of vessels. Between April 1992 and December 1998, 18 patients with soft-tissue sarcoma were operated on using ISP. The tumor and neurovascular structure were lifted en bloc from the surgical bed and separated from the field by the use of a vinyl sheet. The consistency of the neurovascular structures was preserved. The tissue block could be freely turned around and the neurovascular structure was separated from the block through the nearest approach. The margin between the tumor and neurovascular structure was evaluated, and an additional procedure, such as pasteurization, alcohol soaking or distilled water soaking, was performed, according to the safety of the surgical margin. Only one patient showed recurrence after ISP. Complications after ISP were arterial occlusion in two patients and nerve palsy in three patients. The main cause of these complications was the long period of pasteurization; modified additional procedures could prevent such complications. ISP is a useful method with which to ensure a safe surgical margin and good functional results.

Chapter 3. Coordination and collaboration with interface units. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

NARCIS (Netherlands)

Joynt, Gavin M.; Loo, Shi; Taylor, Bruce L.; Margalit, Gila; Christian, Michael D.; Sandrock, Christian; Danis, Marion; Leoniv, Yuval; Sprung, Charles L.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joyng, Gavin M.; Colvin, John; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances

2010-01-01

To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on enhancing coordination and collaboration between the ICU and other key stakeholders. Based on a literature

Simple approach for the preparation of 15-15N2-enriched water for nitrogen fixation assessments: Evaluation, application and recommendations

Directory of Open Access Journals (Sweden)

Isabell eKlawonn

2015-08-01

Full Text Available Recent findings revealed that the commonly used 15N2 tracer assay for the determination of dinitrogen (N2 fixation can underestimate the activity of aquatic N2-fixing organisms. Therefore, a modification to the method using pre-prepared 15-15N2-enriched water was proposed. Here, we present a rigorous assessment and outline a simple procedure for the preparation of 15-15N2-enriched water. We recommend to fill sterile-filtered water into serum bottles and to add 15-15N2 gas to the water in amounts exceeding the standard N2 solubility, followed by vigorous agitation (vortex mixing ≥5 min. Optionally, water can be degassed at low-pressure (≥950 mbar for ten minutes prior to the 15-15N2 gas addition to indirectly facilitate the 15-15N2 dissolution. This preparation of 15-15N2-enriched water can be done within one hour using standard laboratory equipment. The final 15N-atom% excess was 5% after replacing 2–5% of the incubation volume with 15-15N2-enriched water. Notably, the addition of 15-15N2-enriched water can alter levels of trace elements in the incubation water due to the contact of 15-15N2-enriched water with glass, plastic and rubber ware during its preparation. In our tests, levels of trace elements (Fe, P, Mn, Mo, Cu, Zn increased by up to 0.1 nmol L-1 in the final incubation volume, which may bias rate measurements in regions where N2 fixation is limited by trace elements. For these regions, we tested an alternative way to enrich water with 15-15N2. The 15-15N2 was injected as a bubble directly to the incubation water, followed by gentle shaking. Immediately thereafter, the bubble was replaced with water to stop the 15-15N2 equilibration. This method achieved a 15N-atom excess of 6.6±1.7% when adding 2 mL 15-15N2 per liter of incubation water. The herein presented methodological tests offer guidelines for the 15N2 tracer assay and thus, are crucial to circumvent methodological draw-backs for future N2 fixation assessments.

What are the effects of self-assessment preparation in a middle school science classroom?

Science.gov (United States)

Severance, Sara E.

2012-02-01

This research was conducted by an urban middle school science teacher who sought to investigate the effects of self-assessment on student performance. A group of students were asked to give themselves a score on each learning target assessed in class and to provide evidence for their decision. Student self-assessment scores were compared to scores given by the teacher to see if students who accurately assessed their own learning scored higher on final assessments than students who did not. Assessment scores between groups of students who completed the self-assessment preparation and students who did not were also analyzed. The data indicates no correlation between the ability to self-assess and achievement. However, further implications on self-assessment at the secondary level are discussed.

QUALITY OF HEALTH TECHNOLOGY ASSESSMENT REPORTS PREPARED FOR THE MEDICAL SERVICES ADVISORY COMMITTEE.

Science.gov (United States)

Hua, Martin; Boonstra, Tristan; Kelly, Patrick J; Wilson, Andrew; Craig, Jonathan C; Webster, Angela C

2016-01-01

The Medical Services Advisory Committee (MSAC) makes recommendations to the Australian Government for funding health technologies under the Medicare Benefits Schedule (MBS). Differences in public, clinical, commercial, and political opinions on health expenditure emphasize the importance of defensible funding decisions. We aimed to evaluate the quality of health technology assessment (HTA) reports over time and among health technologies assessed for MSAC. A cohort study was performed of HTA reports prepared for MSAC between 1998 and 2013. We measured the quality of HTA reports using reporting guidelines proposed by the European Collaboration for Assessment of Health Interventions. Individual component scores across eleven domains were calculated, and summed for an overall aggregate score. We used linear regression to investigate any change in quality over time and among the types of technologies assessed. We included 110 HTA reports. The safety (80 percent), effectiveness (84 percent), economic (74 percent), and organizational (99 percent) domains were better reported than the psychological, social, and ethical considerations (34 percent). The basic (75 percent), methodological (62 percent), background (82 percent), contextual (46 percent), status quo (54 percent), and technical information (66 percent) that framed each assessment were inconsistently reported. On average, overall quality scores increased by 2 percent (p technologies (p = 0.22). HTA reports prepared for MSAC are a key tool in allocating scarce health resources. The overall quality of these reports has improved, but the reporting of specific domains and subthemes therein could be better addressed.

Emergency Response Capability Baseline Needs Assessment Compliance Assessment

Energy Technology Data Exchange (ETDEWEB)

Sharry, John A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2013-09-16

This document is the second of a two-part analysis of Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2013 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2009 BNA, the 2012 BNA document, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, fire department training records, and fire department policies and procedures.

Safety assessment of discharge chute isolation barrier preparation and installation activities. Revision 3

International Nuclear Information System (INIS)

Meichle, R.H.

1994-01-01

This revision adds a section addressing impacts of dropping surfacing tool and rack cutter on the basin floor, and corrects typographical errors. The safety assessment is made for the activities for the preparation and installation of the discharge chute isolation barriers. The safety assessment includes a hazard assessment and comparisons of potential accidents/events to those addressed by the current safety basis documentation. No significant hazards were identified. An evaluation against the USQ evaluation questions was made and the determination made that the activities do not represent a USQ. Hazard categorization techniques were used to provide a basis for readiness review classifications

Acceptance test procedure for Project W-280

International Nuclear Information System (INIS)

Stites, C.G.

1994-01-01

This Document is the Acceptance Test Procedure for 200 Area C and SY Tank Farm Lighting Upgrade. This Acceptance Test Procedure has been prepared to demonstrate that the Tank Farm Lighting Systems function correctly as required by project criteria and as intended by design

FFTF reactor plant procedures plan

International Nuclear Information System (INIS)

1972-01-01

The document presented defines the plan to be used to coordinate the preparation, review, approval, and issuance of the operating procedure documents required to ensure safe and efficient operation of FFTF

Meeting on Common Ground: Assessing Parent-Child Relationships through the Joint Painting Procedure

Science.gov (United States)

Gavron, Tami

2013-01-01

A basic assumption in psychotherapy with children is that the parent-child relationship is central to the child's development. This article describes the Joint Painting Procedure, an art-based assessment for evaluating relationships with respect to the two main developmental tasks of middle childhood: (a) the parent's ability to monitor and…

Assessing mental workload and situation awareness in the evaluation of computerized procedures in the main control room

Energy Technology Data Exchange (ETDEWEB)

Yang, Chih-Wei, E-mail: yangcw@iner.gov.tw [Institute of Nuclear Energy Research, 1000, Wenhua Rd., Jiaan Village, Longtan Township, Taoyuan County 32546, Taiwan (China); Yang, Li-Chen; Cheng, Tsung-Chieh [Institute of Nuclear Energy Research, 1000, Wenhua Rd., Jiaan Village, Longtan Township, Taoyuan County 32546, Taiwan (China); Jou, Yung-Tsan; Chiou, Shian-Wei [Department of Industrial Engineering, Chung-Yuan Christian University, 200, Chung Pei Rd., Chung-Li 32023, Taiwan (China)

2012-09-15

status and progress through the procedure. Based on a human factors experiment in which each participant monitored and controlled multiple simulated reactors, this study applied the NASA-TLX instrument for assessing mental workload. For the assessment of situation awareness (SA), the present research used the situational awareness rating technique (SART). In support of summarizing the results of user interface evaluation along multiple dimensions (e.g., workload, SA), we propose advantages for the CPs compared to the paper-based procedures.

Assessing mental workload and situation awareness in the evaluation of computerized procedures in the main control room

International Nuclear Information System (INIS)

Yang, Chih-Wei; Yang, Li-Chen; Cheng, Tsung-Chieh; Jou, Yung-Tsan; Chiou, Shian-Wei

2012-01-01

reactors, this study applied the NASA-TLX instrument for assessing mental workload. For the assessment of situation awareness (SA), the present research used the situational awareness rating technique (SART). In support of summarizing the results of user interface evaluation along multiple dimensions (e.g., workload, SA), we propose advantages for the CPs compared to the paper-based procedures.

Measurement procedure to assess exposure to extremely low-frequency fields: A primary school case study

International Nuclear Information System (INIS)

Alonso, A.; Bahillo, A.; De la Rosa, R.; Carrera, A.; Duran, R. J.; Fernandez, P.

2012-01-01

How to correctly measure the exposure of general public to extremely low-frequency (ELF) radiation is a key issue for ELF epidemiological studies. This paper proposes a measurement procedure to accurately assess the exposure of people to electric and magnetic field in the frequency band from 5 Hz to 100 kHz in buildings and their premises. As ELF radiation could be particularly harmful to children, the measurement procedure is focused on exposure to ELF in schools. Thus, the students' exposure to ELF fields can be assessed by correlating the ELF measurements to the hours of school activity. In this paper, the measurement protocol was applied to study the ELF exposure on students from Garcia Quintana primary school in Valladolid, Spain. The campaign of measurements for ELF exposure assessment in this primary school was of great interest for the Regional Council of Public Health because of the social alarm generated by the presence of a significant number cancer cases in children. (authors)

Evaluation of the ISO standard 11063 DNA extraction procedure for assessing soil microbial abundance and community structure.

Directory of Open Access Journals (Sweden)

Pierre Plassart

Full Text Available Soil DNA extraction has become a critical step in describing microbial biodiversity. Historically, ascertaining overarching microbial ecological theories has been hindered as independent studies have used numerous custom and commercial DNA extraction procedures. For that reason, a standardized soil DNA extraction method (ISO-11063 was previously published. However, although this ISO method is suited for molecular tools such as quantitative PCR and community fingerprinting techniques, it has only been optimized for examining soil bacteria. Therefore, the aim of this study was to assess an appropriate soil DNA extraction procedure for examining bacterial, archaeal and fungal diversity in soils of contrasting land-use and physico-chemical properties. Three different procedures were tested: the ISO-11063 standard; a custom procedure (GnS-GII; and a modified ISO procedure (ISOm which includes a different mechanical lysis step (a FastPrep ®-24 lysis step instead of the recommended bead-beating. The efficacy of each method was first assessed by estimating microbial biomass through total DNA quantification. Then, the abundances and community structure of bacteria, archaea and fungi were determined using real-time PCR and terminal restriction fragment length polymorphism approaches. Results showed that DNA yield was improved with the GnS-GII and ISOm procedures, and fungal community patterns were found to be strongly dependent on the extraction method. The main methodological factor responsible for differences between extraction procedure efficiencies was found to be the soil homogenization step. For integrative studies which aim to examine bacteria, archaea and fungi simultaneously, the ISOm procedure results in higher DNA recovery and better represents microbial communities.

SU-F-T-250: What Does It Take to Correctly Assess the High Failure Modes of an Advanced Radiotherapy Procedure Such as Stereotactic Body Radiation Therapy?

Energy Technology Data Exchange (ETDEWEB)

Han, D; Vile, D; Rosu, M; Palta, J [Virginia Commonwealth University, Richmond, VA (United States)

2016-06-15

Purpose: Assess the correct implementation of risk-based methodology of TG 100 to optimize quality management and patient safety procedures for Stereotactic Body Radiation Therapy. Methods: A detailed process map of SBRT treatment procedure was generated by a team of three physicists with varying clinical experience at our institution to assess the potential high-risk failure modes. The probabilities of occurrence (O), severity (S) and detectability (D) for potential failure mode in each step of the process map were assigned by these individuals independently on the scale from1 to 10. The risk priority numbers (RPN) were computed and analyzed. The highest 30 potential modes from each physicist’s analysis were then compared. Results: The RPN values assessed by the three physicists ranged from 30 to 300. The magnitudes of the RPN values from each physicist were different, and there was no concordance in the highest RPN values recorded by three physicists independently. The 10 highest RPN values belonged to sub steps of CT simulation, contouring and delivery in the SBRT process map. For these 10 highest RPN values, at least two physicists, irrespective of their length of experience had concordance but no general conclusions emerged. Conclusion: This study clearly shows that the risk-based assessment of a clinical process map requires great deal of preparation, group discussions, and participation by all stakeholders. One group albeit physicists cannot effectively implement risk-based methodology proposed by TG100. It should be a team effort in which the physicists can certainly play the leading role. This also corroborates TG100 recommendation that risk-based assessment of clinical processes is a multidisciplinary team effort.

SU-F-T-250: What Does It Take to Correctly Assess the High Failure Modes of an Advanced Radiotherapy Procedure Such as Stereotactic Body Radiation Therapy?

International Nuclear Information System (INIS)

Han, D; Vile, D; Rosu, M; Palta, J

2016-01-01

Purpose: Assess the correct implementation of risk-based methodology of TG 100 to optimize quality management and patient safety procedures for Stereotactic Body Radiation Therapy. Methods: A detailed process map of SBRT treatment procedure was generated by a team of three physicists with varying clinical experience at our institution to assess the potential high-risk failure modes. The probabilities of occurrence (O), severity (S) and detectability (D) for potential failure mode in each step of the process map were assigned by these individuals independently on the scale from1 to 10. The risk priority numbers (RPN) were computed and analyzed. The highest 30 potential modes from each physicist’s analysis were then compared. Results: The RPN values assessed by the three physicists ranged from 30 to 300. The magnitudes of the RPN values from each physicist were different, and there was no concordance in the highest RPN values recorded by three physicists independently. The 10 highest RPN values belonged to sub steps of CT simulation, contouring and delivery in the SBRT process map. For these 10 highest RPN values, at least two physicists, irrespective of their length of experience had concordance but no general conclusions emerged. Conclusion: This study clearly shows that the risk-based assessment of a clinical process map requires great deal of preparation, group discussions, and participation by all stakeholders. One group albeit physicists cannot effectively implement risk-based methodology proposed by TG100. It should be a team effort in which the physicists can certainly play the leading role. This also corroborates TG100 recommendation that risk-based assessment of clinical processes is a multidisciplinary team effort.

A Curriculum-Based Vocational Assessment Procedure: Addressing the School-to-Work Transition Needs of Secondary Schools.

Science.gov (United States)

Porter, Mahlone E.; Stodden, Robert A.

1986-01-01

Curriculum-based vocational assessment procedures as implemented in the United States Department of Defense Dependents Schools in Germany are assessing a match of handicapped students' interests and strengths in terms of career and vocational instructional options. The model is described, with emphasis on project planning and design and…

Assessment of LANL solid low-level mixed waste documentation

International Nuclear Information System (INIS)

Jennrich, E.A.; Lund, D.M.; Davis, K.D.; Hoevemeyer, S.S.

1991-04-01

DOE Order 5820.2A requires that a system performance assessment be conducted to assure efficient and compliant management of all radioactive waste. The objective of this report is to determine the present status of the Radioactive Waste Operations Section and the Chemical Waste Operations Section capabilities regarding preparation and maintenance of appropriate criteria, plans, and procedures. Additionally, a comparison is made which identifies areas where these documents are not presently in existence or being fully implemented. The documents being assessed in this report are: Solid Low-Level Mixed Waste Acceptance Criteria, Solid Low-Level Mixed Waste Characterization Plan, Solid Low-Level Mixed waste Certification Plan, Solid Low-Level Mixed Waste Acceptance Procedures, Solid Low-Level Mixed Waste characterization Procedures, Solid Low-Level Mixed Waste Certification Procedures, Solid Low-Level Mixed Waste Training Procedures, and Solid Low-Level Mixed Waste Recordkeeping Requirements. This report compares the current status of preparation and implementation, by the Radioactive Waste Operations Section and the Chemical Waste Operations Section, of these documents to the requirements of DOE 5820.2A,. 40 CFR 260 to 270, and to recommended practice. Chapters 2 through 9 of the report presents the results of the comparison in tabular form for each of the documents being assessed, followed by narrative discussion of all areas which are perceived to be unsatisfactory or out of compliance with respect to the availability and content of the documents. The final subpart of each of the following chapters provides recommendations where documentation practices may be improved to achieve compliance or to follow the recommended practice

Evaluation of sample preparation protocols for spider venom profiling by MALDI-TOF MS.

Science.gov (United States)

Bočánek, Ondřej; Šedo, Ondrej; Pekár, Stano; Zdráhal, Zbyněk

2017-07-01

Spider venoms are highly complex mixtures containing biologically active substances with potential for use in biotechnology or pharmacology. Fingerprinting of venoms by Matrix-Assisted Laser Desorption-Ionization - Time of Flight Mass Spectrometry (MALDI-TOF MS) is a thriving technology, enabling the rapid detection of peptide/protein components that can provide comparative information. In this study, we evaluated the effects of sample preparation procedures on MALDI-TOF mass spectral quality to establish a protocol providing the most reliable analytical outputs. We adopted initial sample preparation conditions from studies already published in this field. Three different MALDI matrixes, three matrix solvents, two sample deposition methods, and different acid concentrations were tested. As a model sample, venom from Brachypelma albopilosa was used. The mass spectra were evaluated on the basis of absolute and relative signal intensities, and signal resolution. By conducting three series of analyses at three weekly intervals, the reproducibility of the mass spectra were assessed as a crucial factor in the selection for optimum conditions. A sample preparation protocol based on the use of an HCCA matrix dissolved in 50% acetonitrile with 2.5% TFA deposited onto the target by the dried-droplet method was found to provide the best results in terms of information yield and repeatability. We propose that this protocol should be followed as a standard procedure, enabling the comparative assessment of MALDI-TOF MS spider venom fingerprints. Copyright © 2017 Elsevier Ltd. All rights reserved.

Assessing Women's Responses to Sexual Threat: Validity of a Virtual Role-Play Procedure

Science.gov (United States)

Jouriles, Ernest N.; Rowe, Lorelei Simpson; McDonald, Renee; Platt, Cora G.; Gomez, Gabriella S.

2011-01-01

This study evaluated the validity of a role-play procedure that uses virtual reality technology to assess women's responses to sexual threat. Forty-eight female undergraduate students were randomly assigned to either a standard, face-to-face role-play (RP) or a virtual role-play (VRP) of a sexually coercive situation. A multimethod assessment…

Framework for technical assessment in JR Maglev

Energy Technology Data Exchange (ETDEWEB)

Seki, Akio [Central Japan Railway Co., Tokyo (Japan); Akahoshi, Toru [Central Japan Railway Co., Tokyo (Japan); Furuki, Tsutomu [Railway Technical Research Inst., Tokyo (Japan)

1995-12-31

In the course of development of JR Maglev, various technical assessments are carried out at each stage of development by a system management group of a project team in order to achieve goals of development. For the purpose, guidelines for practicality assessment were prepared at design stage. It is now striven to make test plans necessary for the practicality assessment. This assessment will serve for those to be ultimately implemented by Ministry of Transport (MOT). This paper presents an overview of concepts, methods and procedures of the technical assessments especially focused on the practicality assessment in the development of JR Maglev. (orig.)

Performing MR-guided biopsies in clinical routine: factors that influence accuracy and procedure time

International Nuclear Information System (INIS)

Hoffmann, Ruediger; Thomas, Christoph; Rempp, Hansjoerg; Schmidt, Diethard; Claussen, Claus D.; Clasen, Stephan; Pereira, Philippe L.

2012-01-01

To assess the accuracy, the duration and factors that influence the duration of MRI-guided liver or soft-tissue biopsies. Nineteen liver biopsies and 19 soft-tissue biopsies performed using 1.5T-MRI guidance were retrospectively analysed. Diagnostic performance and complications were assessed. Intervention time was subdivided into preparation period, puncture period and control period. Correlation between procedure time and target size, skin-to-target-distance, used sequences and interventionalists' experience were analysed. Overall sensitivity, specificity and accuracy were 0.86, 1.0 and 0.92, respectively. Two minor complications occurred. Overall median procedure time was 103.5 min. Liver biopsies lasted longer than soft-tissue biopsies (mean [soft-tissue] : 73.0 min, mean [liver] : 134.1 min, P [liver] = 0.048, P [soft-tissue] = 0.005) was significantly prolonged for longer skin-to-target-distances. Lower numbers of image acquisitions (P [liver] = 0.0007, P [soft-tissue] = 0.0012) and interventionalists' experience reduces the procedure duration significantly (P < 0.05), besides all false-negative results appeared during the first five biopsies of each individual radiologist. The interventionalists' experience, skin-to-target-distances and number of image acquisition influence the procedure time significantly. (orig.)

Optimizing Frozen Sample Preparation for Laser Microdissection: Assessment of CryoJane Tape-Transfer System®.

Directory of Open Access Journals (Sweden)

Yelena G Golubeva

Full Text Available Laser microdissection is an invaluable tool in medical research that facilitates collecting specific cell populations for molecular analysis. Diversity of research targets (e.g., cancerous and precancerous lesions in clinical and animal research, cell pellets, rodent embryos, etc. and varied scientific objectives, however, present challenges toward establishing standard laser microdissection protocols. Sample preparation is crucial for quality RNA, DNA and protein retrieval, where it often determines the feasibility of a laser microdissection project. The majority of microdissection studies in clinical and animal model research are conducted on frozen tissues containing native nucleic acids, unmodified by fixation. However, the variable morphological quality of frozen sections from tissues containing fat, collagen or delicate cell structures can limit or prevent successful harvest of the desired cell population via laser dissection. The CryoJane Tape-Transfer System®, a commercial device that improves cryosectioning outcomes on glass slides has been reported superior for slide preparation and isolation of high quality osteocyte RNA (frozen bone during laser dissection. Considering the reported advantages of CryoJane for laser dissection on glass slides, we asked whether the system could also work with the plastic membrane slides used by UV laser based microdissection instruments, as these are better suited for collection of larger target areas. In an attempt to optimize laser microdissection slide preparation for tissues of different RNA stability and cryosectioning difficulty, we evaluated the CryoJane system for use with both glass (laser capture microdissection and membrane (laser cutting microdissection slides. We have established a sample preparation protocol for glass and membrane slides including manual coating of membrane slides with CryoJane solutions, cryosectioning, slide staining and dissection procedure, lysis and RNA extraction

Use of robotic systems for radiochemical sample changing and for analytical sample preparation

International Nuclear Information System (INIS)

Delmastro, J.R.; Hartenstein, S.D.; Wade, M.A.

1989-01-01

Two uses of the Perkin-Elmer (PE) robotic system will be presented. In the first, a PE robot functions as an automatic sample changer for up to five low energy photon spectrometry (LEPS) detectors operated with a Nuclear Data ND 6700 system. The entire system, including the robot, is controlled by an IBM PC-AT using software written in compiled BASIC. Problems associated with the development of the system and modifications to the robot will be presented. In the second, an evaluation study was performed to assess the abilities of the PE robotic system for performing complex analytical sample preparation procedures. For this study, a robotic system based upon the PE robot and auxiliary devices was constructed and programmed to perform the preparation of final product samples (UO 3 ) for accountability and impurity specification analyses. These procedures require sample dissolution, dilution, and liquid-liquid extraction steps. The results of an in-depth evaluation of all system components will be presented

S100B Protein concentration in milk-formulas for preterm and term infants. Correlation with industrial preparation procedures.

Science.gov (United States)

Nigro, Francesco; Gagliardi, Luigi; Ciotti, Sabina; Galvano, Fabio; Pietri, Amedeo; Tina, Gabriella Lucia; Cavallaro, Daniela; La Fauci, Luca; Iacopino, Leonardo; Bognanno, Matteo; Li Volti, Giovanni; Scacco, Antonio; Michetti, Fabrizio; Gazzolo, Diego

2008-05-01

Human milk S100B protein possesses important neurotrophic properties. However, in some conditions human milk is substituted by milk formulas. The aims of the present study were: to assess S100B concentrations in milk formulas, to verify any differences in S100B levels between preterm and term infant formulas and to evaluate the impact of industrial preparation at predetermined phases on S100B content. Two different set of samples were tested: (i) commercial preterm (n = 36) and term (n = 36) infant milk formulas; ii) milk preterm (n = 10) and term infant (n = 10) formulas sampled at the following predetermined industrial preparation time points: skimmed cow milk (Time 0); after protein sources supplementation (Time 1); after pasteurization (Time 2); after spray-drying (Time 3). Our results showed that S100B concentration in preterm formulas were higher than in term ones (p 0.05) at Time 2, whereas a significant (p pasteurization but not spry-drying. New feeding strategies in preterm and term infants are therefore warranted in order to preserve S100B protein during industrial preparation.

SINTAP: draft of a unified European failure assessment procedure. An introduction; SINTAP: Entwurf einer vereinheitlichten europaeischen Fehlerbewertungsprozedur. Eine Einfuehrung

Energy Technology Data Exchange (ETDEWEB)

Zerbst, U.; Kocak, M. [GKSS-Forschungszentrum Geesthacht GmbH (Germany). Inst. fuer Werkstofforschung; Wiesner, C. [The Welding Institute (TWI), Cambridge (United Kingdom). Structural Integrity Dept.; Hodulak, L. [Fraunhofer-Institut fuer Werkstoffmechanik (IWM), Freiburg im Breisgau (Germany)

1999-07-01

Fracture mechanics based flaw assessment concepts are increasingly used in industrial regulations and standards. A considerable number of different guidelines and procedures are available which are partly based on each other but also exhibit significant differences. At this background, the EU sponsored SINTAP, an interdisciplinary Brite Euram project. SINTAP stands for 'Structural Integrity Assessment Procedures for European Industry'. From 1996 to 1999 seventeen organisations from nine European countries participated in the project the aim of which was to unify the available procedures. The present report is an introduction into the content, the structure and the scientific background of the procedure which was generated within SINTAP. (orig.) [German] Bruchmechanische Bewertungskonzepte werden international in zunehmendem Masse Bestandteil industrieller Regelwerke und Fachbereichsstandards. Bereits heute existiert eine Vielzahl derartiger Vorschriften und Rechnerprogramme, die teilweise aufeinander aufbauen, teilweise aber auch signifikante Unterschiede aufweisen. Vor diesem Hintergrund wurde durch die EU von 1996 bis 1999 SINTAP, ein interdisziplinaeres Brite-Euram-Projekt gefoerdert, dessen Ziel in einer Vereinheitlichung der vorhandenen Ansaetze bestand, und an dem siebzehn Institutionen aus neun europaeischen Laendern beteiligt waren. SINTAP steht fuer 'Structural Integrity Assessment Procedures for European Industry'. Der vorliegende Bericht ist eine Einfuehrung in Inhalt, Struktur und wissenschaftlichen Hintergrund der im Ergebnis des Projektes entstandenen SINTAP-Prozedur. (orig.)

Scanning electron microscopy investigation of canal cleaning after canal preparation with nickel titanium files

Directory of Open Access Journals (Sweden)

Živković Slavoljub

2010-01-01

Full Text Available Introduction. Root canal preparation is the most important phase of endodontic procedure and it consists of adequate canal space cleaning and shaping. In recent years, rotary instruments and techniques have gained importance because of the great efficacy, speed and safety of the preparation procedure. Objective. The aim of this research was to investigate the influence of different NiTi files on the canal wall cleaning quality, residual dentine debris and smear layer. Methods. The research was conducted on extracted human teeth in vitro conditions. Teeth were divided in 7 main groups depending on the kind of instruments used for root canal preparation: ProTaper, GT, ProFile, K-3, FlexMaster, hand ProTaper and hand GT. Root canal preparation was accomplished by crown-down technique. Prepared samples were assessed on scanning electron microscopy JEOL, JSM-6460 LV. The evaluation of dentine debris was done with 500x magnification, and the evaluation of smear layer with 1,000 times magnification. Quantitive assessment of dentine debris and smear layer was done according to the criteria of Hulsmann. Results. The least amount of debris and smear layer has been found in canals shaped with ProFile instruments, and the largest amount in canals shaped with FlexMaster instruments. Canal cleaning efficacy of hand GT and ProTaper files has been similar to cleaning efficacy of rotary NiTi files. Statistic analysis has shown a significant difference in amount of dentine debris and smear layer on the canal walls between sample groups shaped with different instruments. Conclusion. Completely clean canals have not been found in any tested group of instruments. The largest amount of debris and smear layer has been found in the apical third of all canals. The design and the type of endodontic instruments influence the efficacy of the canal cleaning.

Assessment of procedural skills in residents working in a research and training institute: An effort to ensure patient safety and quality control.

Science.gov (United States)

Kumari, Kamlesh; Samra, Tanvir; Naik, B Naveen; Saini, Vikas

2018-01-01

To ensure patient safety, it is important to regularly assess the knowledge and practical skills of anesthesia trainees. This study was conducted to evaluate the competency of the residents and the impact of various corrective measures in the form of didactic lectures and clinical skill demonstrations on the conduct of various procedural skills by the residents. Ninety-five junior residents were enrolled in this study. Assessment of competency of 1 st , 2 nd , and 3 rd year residents in performing various procedure skills of anesthesia was done in two stages using procedure specific checklist (PSC) and Global Rating Scales (GRSs). Preliminary results of the first assessment (Score 1) were discussed with the residents; deficiencies were identified and corrective measures suggested by didactic lectures and clinical skill demonstrations which were followed by a subsequent assessment after 3 months (Score 2). There was a statistically significant improvement in the PSC and GRS scores after corrective measures for all the procedural interventions studied. Percentage increase in scores was maximum in 1 st year (42.98 ± 6.62) followed by 2 nd year (34.62 ± 5.49) and minimum in 3 rd year residents (18.06 ± 3.69). The percentage increase of scores was almost similar for all subset of procedural skills; low, intermediate, and high skill anesthetic procedures. For assessment of procedural skills of residents, use of PSC and GRS scores should be incorporated and the same should be used to monitor the impact of various corrective measures (didactic lectures and clinical skill demonstrations) on the conduct of various procedural skills by the resident.

Standardised Observation Analogue Procedure (SOAP) for Assessing Parent and Child Behaviours in Clinical Trials

Science.gov (United States)

Johnson, Cynthia R.; Butter, Eric M.; Handen, Benjamin L.; Sukhodolsky, Denis G.; Mulick, James; Lecavalier, Luc; Aman, Michael G.; Arnold, Eugene L.; Scahill, Lawrence; Swiezy, Naomi; Sacco, Kelley; Stigler, Kimberly A.; McDougle, Christopher J.

2009-01-01

Background: Observational measures of parent and child behaviours have a long history in child psychiatric and psychological intervention research, including the field of autism and developmental disability. We describe the development of the Standardised Observational Analogue Procedure (SOAP) for the assessment of parent-child behaviour before…

Decomposition of methane over alumina supported Fe and Ni–Fe bimetallic catalyst: Effect of preparation procedure and calcination temperature

Directory of Open Access Journals (Sweden)

A.S. Al-Fatesh

2018-02-01

Full Text Available Catalytic decomposition of methane has been studied extensively as the production of hydrogen and formation of carbon nanotube is proven crucial from the scientific and technological point of view. In that context, variation of catalyst preparation procedure, calcination temperature and use of promoters could significantly alter the methane conversion, hydrogen yield and morphology of carbon nanotubes formed after the reaction. In this work, Ni promoted and unpromoted Fe/Al2O3 catalysts have been prepared by impregnation, sol–gel and co-precipitation method with calcination at two different temperatures. The catalysts were characterized by X-ray diffraction (XRD, N2 physisorption, temperature programmed reduction (TPR and thermogravimetric analysis (TGA techniques. The catalytic activity was tested for methane decomposition reaction. The catalytic activity was high when calcined at 500 °C temperature irrespective of the preparation method. However while calcined at high temperature the catalyst prepared by impregnation method showed a high activity. It is found from XRD and TPR characterization that disordered iron oxides supported on alumina play an important role for dissociative chemisorptions of methane generating molecular hydrogen. The transmission electron microscope technique results of the spent catalysts showed the formation of carbon nanotube which is having length of 32–34 nm. The Fe nanoparticles are present on the tip of the carbon nanotube and nanotube grows by contraction–elongation mechanism. Among three different methodologies impregnation method was more effective to generate adequate active sites in the catalyst surface. The Ni promotion enhances the reducibility of Fe/Al2O3 oxides showing a higher catalytic activity. The catalyst is stable up to six hours on stream as observed in the activity results.

Development and Testing of an Automated 4-Day Text Messaging Guidance as an Aid for Improving Colonoscopy Preparation.

Science.gov (United States)

Walter, Benjamin Michael; Klare, Peter; Neu, Bruno; Schmid, Roland M; von Delius, Stefan

2016-06-21

In gastroenterology a sufficient colon cleansing improves adenoma detection rate and prevents the need for preterm repeat colonoscopies due to invalid preparation. It has been shown that patient education is of major importance for improvement of colon cleansing. Objective of this study was to assess the function of an automated text messaging (short message service, SMS)-supported colonoscopy preparation starting 4 days before colonoscopy appointment. After preevaluation to assess mobile phone usage in the patient population for relevance of this approach, a Web-based, automated SMS text messaging system was developed, following which a single-center feasibility study at a tertiary care center was performed. Patients scheduled for outpatient colonoscopy were invited to participate. Patients enrolled in the study group received automated information about dietary recommendations and bowel cleansing during colonoscopy preparation. Data of outpatient colonoscopies with regular preparation procedure were used for pair matching and served as control. Primary end point was feasibility of SMS text messaging support in colonoscopy preparation assessed as stable and satisfactory function of the system. Secondary end points were quality of bowel preparation according to the Boston Bowel Preparation Scale (BBPS) and patient satisfaction with SMS text messaging-provided information assessed by a questionnaire. Web-based SMS text messaging-supported colonoscopy preparation was successful and feasible in 19 of 20 patients. Mean (standard error of the mean, SEM) total BBPS score was slightly higher in the SMS group than in the control group (7.3, SEM 0.3 vs 6.4, SEM 0.2) and for each colonic region (left, transverse, and right colon). Patient satisfaction regarding SMS text messaging-based information was high. Using SMS for colonoscopy preparation with 4 days' guidance including dietary recommendation is a new approach to improve colonoscopy preparation. Quality of colonoscopy

Patient preparation for nuclear medicine studies

International Nuclear Information System (INIS)

Stathis, V.J.; Cantrell, D.W.; Cantrell, T.J.

1987-01-01

In this chapter are described methods of patient preparation that can favorably affect the outcome of nuclear medicine studies in specific situations. Some of these practices may be considered essential to the success of the nuclear medicine procedure, whereas others may be thought of simply as a means of obtaining more valid or reliable information. Regardless of relative importance, each of the preparatory methods discussed can contribute to the quality of the respective study and can serve as a means of maximizing the value of nuclear medicine procedures. The specific patient preparation techniques discussed in this chapter may not be readily applicable to every practice setting or situation. These or similar procedures can be used or modified as necessary. It is important, however, that when new protocols are developed, the rationale and theoretical basis of each technique be considered

Assessment of different sample preparation routes for mass spectrometric monitoring and imaging of lipids in bone cells via ToF-SIMS

Science.gov (United States)

Schaepe, Kaija; Kokesch-Himmelreich, Julia; Rohnke, Marcus; Wagner, Alena-Svenja; Schaaf, Thimo; Wenisch, Sabine; Janek, Jürgen

2015-01-01

In ToF-SIMS analysis, the experimental outcome from cell experiments is to a great extent influenced by the sample preparation routine. In order to better judge this critical influence in the case of lipid analysis, a detailed comparison of different sample preparation routines is performed—aiming at an optimized preparation routine for systematic lipid imaging of cell cultures. For this purpose, human mesenchymal stem cells were analyzed: (a) as chemically fixed, (b) freeze-dried, and (c) frozen-hydrated. For chemical fixation, different fixatives, i.e., glutaraldehyde, paraformaldehyde, and a mixture of both, were tested with different postfixative handling procedures like storage in phosphate buffered saline, water or critical point drying. Furthermore, secondary lipid fixation via osmium tetroxide was taken into account and the effect of an ascending alcohol series with and without this secondary lipid fixation was evaluated. Concerning freeze-drying, three different postprocessing possibilities were examined. One can be considered as a pure cryofixation technique while the other two routes were based on chemical fixation. Cryofixation methods known from literature, i.e., freeze-fracturing and simple frozen-hydrated preparation, were also evaluated to complete the comparison of sample preparation techniques. Subsequent data evaluation of SIMS spectra in both, positive and negative, ion mode was performed via principal component analysis by use of peak sets representative for lipids. For freeze-fracturing, these experiments revealed poor reproducibility making this preparation route unsuitable for systematic investigations and statistic data evaluation. Freeze-drying after cryofixation showed improved reproducibility and well preserved lipid contents while the other freeze-drying procedures showed drawbacks in one of these criteria. In comparison, chemical fixation techniques via glutar- and/or paraformaldehyde proved most suitable in terms of reproducibility

Parliamentary Pastries: Learning Parliamentary Procedure through Cookies

Science.gov (United States)

Toupence, Rachelle H.

2008-01-01

Parliamentary procedure is an integral part of the business of many recreation organizations, but students often perceive it to be difficult and irrelevant to their professional preparation. The activity uses the creation of a cookie recipe to practice the basic meeting business functions in parliamentary procedure. The cookie meeting is an active…

Electrochemically formed passive layers on titanium - preparation and biocompatibility assessment in Hank's balanced salt solution

International Nuclear Information System (INIS)

Zhao, B.; Jerkiewicz, G.

2006-01-01

Uniform and crack-free passive layers on Ti are prepared using AC voltage in 7.5 wt.% aq. NH 4 ·BF 4 at 25 o C. The passive layers possess coloration (wide spectrum of colors) that depends on the experimental conditions. The biocompatibility of such prepared passive layers is evaluated using corrosion science and analytical techniques. Their corrosion behavior, Ti-ion release, surface roughness, and wettability in Hank's Balanced Salt Solution (HBSS) at 37 o C are the main focus of this work. Open-circuit potential and polarization measurements demonstrate that the corrosion potential (E corr ) of the passive layers becomes more positive than that of the untreated Ti. The value of E corr increases as we increase the AC voltage (VAC). Their corrosion rate (CR) is lower than that of the untreated Ti, and they reduced the Ti-ion release level from 230 to 15 ppb. An increase in the AC voltage frequency (f) leads to a slightly higher level of the Ti-ion release (∼50 ppb). Surface profilometry, optical microscopy, and scanning electron microscopy (SEM) analyses show that prolonged exposure of the passive layers to HBSS results in changes to their surface topography. The passive layers prepared by the application of AC voltage are rougher and more hydrophilic than the untreated Ti. Our methodology of preparing biocompatible passive layers on Ti might be applied as a new surface treatment procedure for Ti implants. (author)

Positive predictive value of abnormal mammographic findings and role of assessment procedures

International Nuclear Information System (INIS)

Menna, S.; Marra, V.; Di Virgilio, M.R.; Macchia, G.; Frigerio, A.

1999-01-01

To investigate the positive predictive value for cancer of abnormal mammographic findings and the role of assessment, the authors reviewed a series of 962 patients recalled and examined in the first breast screening center of Turin (Italy), out of 18996 women aged 50-59 from 1991 to 1995, within a population-based mammography program. The results of this study confirm the accuracy of mammography in the early detection of breast cancer and the different role of assessment procedures in the various abnormal mammographic findings. The improvement in positive predictive value for screening demonstrates the importance of the learning curve within the screening team. Most of this improvement could be referred to refined diagnostic criteria for calcifications [it

Evaluating Referral, Screening, and Assessment Procedures for Middle School Trauma/Grief-Focused Treatment Groups

Science.gov (United States)

Grassetti, Stevie N.; Williamson, Ariel A.; Herres, Joanna; Kobak, Roger; Layne, Christopher M.; Kaplow, Julie B.; Pynoos, Robert S.

2018-01-01

There is a need to delineate best practices for referring, assessing, and retaining students suspected of posttraumatic stress (PTS) and maladaptive grief (MG) in school-based treatment. Evidence-based risk-screening procedures should accurately include students who are appropriate for group treatment and exclude students who do not require…

Development of manual procedures for care of pregnant patients in radiotherapy service

International Nuclear Information System (INIS)

Scarabino, M.L.; Ruggeri, R.M.; Colombo, S.; Mairal, L.; Sardi, M.E.

2013-01-01

The work involves the creation of a manual of procedures for the care of pregnant patients in a radiotherapy center in which each instance of treatment is included, from the obstetrician-oncology comprehensive assessment during admission to establishing controls newborn and its subsequent development in multidisciplinary team. For the preparation of the manual had to design an anthropomorphic phantom that resembles a pregnant woman, which was used to carry out internal and external dosimetry. In turn imparted calculations fetal doses using TPS, imaging tests with MRI, avoiding the use of the tomograph and adapted to the resonator involved were carried immobilizer. All experiences and progress made during the treated cases are introduced in the procedures manual, making it a dynamic tool for continuous improvement for the institution

Rapid radiochemical methods for preparation of sup(99m)Tc labelled compounds

International Nuclear Information System (INIS)

Narasimhan, D.V.S.; Banodkar, S.M.; Kothari, K.; Mani, R.S.

1981-01-01

Several inorganic and organic compounds incorporating sup( 99 m)Tc are being extensively used for imaging various body organs. The preparation of these sup( 99 m)Tc compounds with the necessary purity requirements is carried out by controlled reduction of sup( 99 m)Tc-pertechnetate using Sn(II) ions as the reducing agent followed by complexation with various active ingredients. The authors here present procedures developed at Radiopharmaceuticals Section of BARC for preparing sup( 99 m)Tc-diphosphonate, sup( 99 m)Tc-glucoheptonate, sup( 99 m)Tc-albumin microspheres and sup( 99 m)Tc-phytate with high radiochemical purity. The paper also describes procedures for the preparation of freeze-dried kits for single step preparation of these compounds. The paper also describes the authors' experience with various analytical procedures for the determination of radiochemical purity of these preparations. (author)

Assessment of LANL beryllium waste management documentation

International Nuclear Information System (INIS)

Danna, J.G.; Jennrich, E.A.; Lund, D.M.; Davis, K.D.; Hoevemeyer, S.S.

1991-04-01

The objective of this report is to determine present status of the preparation and implementation of the various high priority documents required to properly manage the beryllium waste generated at the Laboratory. The documents being assessed are: Waste Acceptance Criteria, Waste Characterization Plan, Waste Certification Plan, Waste Acceptance Procedures, Waste Characterization Procedures, Waste Certification Procedures, Waste Training Procedures and Waste Recordkeeping Procedures. Beryllium is regulated (as a dust) under 40 CFR 261.33 as ''Discarded commercial chemical products, off specification species, container residues and spill residues thereof.'' Beryllium is also identified in the 3rd thirds ruling of June 1, 1990 as being restricted from land disposal (as a dust). The beryllium waste generated at the Laboratory is handled separately because beryllium has been identified as a highly toxic carcinogenic material

Management of the Bohunice RPVs annealing procedures

International Nuclear Information System (INIS)

Repka, M.

1994-01-01

The program of annealing regeneration procedure of RPVs units 1 and 2 of NPP V-1 (EBO) realization in the year 1993, is the topic of this paper. In the paper the following steps are described in detail: the preparation works, the annealing procedure realization schedule and safety management: starting with zero conditions, assembling of annealing apparatus, annealing procedure, cooling down and disassembling procedure of annealing apparatus. At the end the programs of annealing of both RPVs including the dosimetry measurements are discussed and evaluated. (author). 3 figs

Preoperative antiseptic skin preparations and reducing SSI.

Science.gov (United States)

Al Maqbali, Mohammed Abdullah

Surgical site infection (SSI) can affect the quality of care and increase the morbidity and mortality rate in after-surgical procedure. The use of an antiseptic skin preparation agent before the procedure can reduce the pathogens in the skin surface around the incision. Indicating the type of skin antiseptic preparation could prevent the infection and contamination of the wound. The most commonly used types of skin preparations are chlorhexidine and povidone iodine. However, the antiseptic solutions of both agents are strengthened with alcohol to prevent postoperative wound infection. The aim of this paper is to identify the best antiseptic agent in terms of skin preparation by evaluating the evidence in the literature. The factors associated with choosing the antiseptic skin agent, such as patients' allergies, skin condition and environmental risk, are also taken into account. This review suggests that cholorhexdine with alcohol may be the most effective in terms of reducing SSI.

Aerosol preparation of intact lipoproteins

Science.gov (United States)

Benner, W Henry [Danville, CA; Krauss, Ronald M [Berkeley, CA; Blanche, Patricia J [Berkeley, CA

2012-01-17

A medical diagnostic method and instrumentation system for analyzing noncovalently bonded agglomerated biological particles is described. The method and system comprises: a method of preparation for the biological particles; an electrospray generator; an alpha particle radiation source; a differential mobility analyzer; a particle counter; and data acquisition and analysis means. The medical device is useful for the assessment of human diseases, such as cardiac disease risk and hyperlipidemia, by rapid quantitative analysis of lipoprotein fraction densities. Initially, purification procedures are described to reduce an initial blood sample to an analytical input to the instrument. The measured sizes from the analytical sample are correlated with densities, resulting in a spectrum of lipoprotein densities. The lipoprotein density distribution can then be used to characterize cardiac and other lipid-related health risks.

Deposition-precipitation with Urea to prepare Au/Mg(OH)2 catalysts: Influence of the preparation conditions on metal size and load

International Nuclear Information System (INIS)

Milone, Candida; Trapani, Mariachiara; Zanella, Rodolfo; Piperopolulos, Elpida; Galvagno, Signorino

2010-01-01

Deposition-precipitation with Urea method to prepare Au/Mg(OH) 2 was investigated. The preparation was carried out at 80 o C using an aqueous solution of HAuCl 4 and Urea in presence of MgO as support precursor. The pH of the solution was 9.5-10 owing to the rapid hydration of MgO to Mg(OH) 2 . The influence of the preparation conditions (Urea concentration, preparation procedure, addition of magnesium citrate) on the gold load and particle size distribution was evaluated. The structural characterization of preparations was carried out by means of X-ray diffractometry and transmission electron microscopy. Among the parameters investigated, the preparation procedure, that is the control of the interaction between gold species and the support, is the main step for the deposition of the highest amount of gold (> 80% of the theoretical amount) having small size and a narrow distribution (d = 4.1 nm, σ = ±1.1 nm). The synthesized catalysts were tested in the CO oxidation reaction.

One-day bowel preparation in children with colostomy using normal saline

Directory of Open Access Journals (Sweden)

Emmanuel A Ameh

2011-01-01

Full Text Available Background: Colonic and colorectal surgery frequently requires bowel preparation. This is an evaluation of the use of normal saline for one-day bowel preparation in children with colostomy. Patients and Methods:A prospective study of 55 children with colostomy who had one-day bowel preparation for colonic and colorectal surgical procedures in a 3-year period. The information, along with clinical data was recorded on a structured proforma. Data were analysed using SPSS version 11.0. Results:There were 33 boys and 22 girls. The median age was 4 years (range, one month - 13 years. The primary diagnosis were as follows: Anorectal malformation, 24 (44%; Hirschsprung`s disease, 24 (44%; Faecal incontinence- post-abdominoperineal pull-through, 2 (4%; Penetrating rectal injury, 1 (2%; others, 4(8%. Intraoperative bowel luminal fluid cleanliness was assessed as clear in 36 (62% and contaminated in 21 (38%. Overall, postoperatively, superficial surgical site infection occurred in 6 (10.9% patients (2 had clean intraoperative colonic fluid, 5.9%. Conclusion:One-day bowel preparation using normal saline is effective and safe in children with colostomy.

Assessment of organ doses by standard X-ray procedures in the GDR

International Nuclear Information System (INIS)

Tautz, M.; Brandt, G.A.

1986-01-01

A modern method has been described to assess the radiation burden by X-ray procedures with consideration of the standards of our Society for Medical Radiology in the GDR. The underlying methodology is a Monte Carlo computer technique, which simulates stochastically the energy deposition of X-ray photons in a mathematically described heterogeneous anthropomorphic phantom by Rosenstein (US Department of Health, Education and Welfare). To apply the procedure specific values for the following parameters must be determined for each dose estimation: projection and view, X-ray field size and location entrance exposure at skin surface, beam quality, source-to-image receptor distance. The base data are obtained in terms of tissue-air ratio. Organ doses were calculated for chest, urography, skull, cervical spine, thoracic spine, lumbar spine, pelvis and lymphography. Concluding possibilities have been discussed for reduction of radiation burden. 9 refs., 6 figs., 9 tabs. (author)

Risk assessment by the executive power versus efficiency of control by the courts - effects on administrative procedures and judicial proceedings

International Nuclear Information System (INIS)

Wahl, R.

1991-01-01

In conclusion it is stated that any cutbacks in the current system of judicial control have to be earned by appropriate improvements in the administrative procedure. One has to keep in mind the overall situation, which means to examine and assess any reduction of judicial control, the relevance of procedural defects, and the requirements to be met by administrative procedures, in their complete context. Since the acknowledgement of administrative regulations as instruments for putting into practice the legislative intent, and of the executive's scope for examination and assessment, has effects not only in regard to a reduction of judicial control, but also assigns to the administrative procedure an irreplaceable function that cannot be corrected by legal proceedings, there is reason enough to exercise restraint in this matter. (orig./HSCH) [de

40 CFR 86.1231-90 - Vehicle preparation.

Science.gov (United States)

2010-07-01

... Emission Test Procedures for New Gasoline-Fueled, Natural Gas-Fueled, Liquefied Petroleum Gas-Fueled and Methanol-Fueled Heavy-Duty Vehicles § 86.1231-90 Vehicle preparation. (a) Prepare the fuel tank(s) for... tank is 40 percent full. (b) Provide additional fittings and adapters, as required, to accommodate a...

Preparation procedure for spherical titanium powders by RF induction plasma

International Nuclear Information System (INIS)

Gu Zhongtao; Jin Yuping; Ye Gaoying

2011-01-01

The paper uses the single-factor method for the study of spherical titanium powder preparation process. Titanium powders with excellent sphericity can be prepared through controlling and regulating the radio frequency plasma anode working current and voltage, central gas flow rate, sheath gas flow rate, powder-carrying gas flow rate, negative ventilation pressure and powder feed rate, etc. Spheroidization of titanium powders with a size of (17.0±2.0) μm is performed by radio frequency plasma technology. With the increase of negative ventilation pressure, the spheroidization rate of titanium powders increases firstly and then decreases rapidly at the turning point around 1800 Pa. With the rate of powder feed increasing, the spheroidization rate of titanium powders increases firstly. When the powder feed rate is greater than 90.0 g/min, the spheroidization rate of titanium powders reduces rapidly as the powder feed rate increases. (authors)

Wetlands Assessment for site characterization, Advanced Neutron Source (ANS)

International Nuclear Information System (INIS)

Wade, M.C.; Socolof, M.L.

1994-10-01

This Wetlands Assessment has been prepared in accordance with the Department of Energy's (DOE) Code of Federal Regulations (CFR) 10 CFR 1022, Compliance with Floodplain/Wetlands Environmental Review Requirements, which established the policy and procedure for implementing Executive Order 11990, Protection of Wetlands. The proposed action is to conduct characterization activities in or near wetlands at the ANS site. The proposed action will covered under a Categorical Exclusion, therefore this assessment is being prepared as a separate document [10 CFR 1022.12(c)]. The purpose of this Wetlands Assessment is to fulfill the requirements of 10 CFR 1022.12(a) by describing the project, discussing the effects of the proposed action upon the wetlands, and considering alternatives to the proposed action

[Assessment of the announcement procedure in 29 cancer-accredited hospitals in the Aquitaine region: the EVADA project].

Science.gov (United States)

Rongère-Casteigt, Julie; Pinon, Elodie; Domecq, Sandrine; Hoppe, Stéphanie; Bousser, Véronique; Vimard, Edwige; Saillour-Glenisson, Florence

2015-01-01

An announcement procedure is mandatory to obtain accreditation to treat cancer patients. Health care professionals in the Aquitaine region evaluated the organization of this announcement procedure in their institutions and the patients' perception, in order to initiate actions to improve the structure and traceability of this procedure. Self-assessment approach based on a retrospective study plan comprising three concomitant steps: organizational audit, medical records audit and patient experience survey. 29 institutions participated in the study. Heterogeneous organizations were observed, although progress had been made in the deployment of the announcement procedure in terms of personnel training,formal organization and the resources devoted to this procedure, but there remains considerable room for improvement in terms of traceability, coordination between doctors and nursing staff, and referral of patients to supportive care. This evaluation triggered active mobilization of hospital teams concerning the announcement procedure in the Aquitaine region and a better awareness of the patient's perception. The regional dynamic allowed exchanges between institutions, facilitating the implementation of improvement actions.

Advances in modern sample preparation techniques using microwaves assisted chemistry for metal species determination (W1)

International Nuclear Information System (INIS)

Ponard, O.F.X.

2002-01-01

Full text: Sample preparation has long been the bottleneck of environmental analysis for both total and species specific analysis. Digestion, extraction and preparation of the analytes are relying on a series of chemical reactions. The introduction of microwave assisted sample preparation has first been viewed as a mean to accelerate the kinetics of digestion of the matrix for total elements and fast samples preparation procedures. However, the extensive development and success of microwave digestion procedures in total elemental analysis has now allowed to have a larger insight of the perspectives offered by this technique. Microwave technologies now offer to have a precise control of the temperature and indirectly control the reaction kinetics taking place during the sample preparation procedures. Microwave assisted chemistry permits to perform simultaneously the fundamental steps required for metal species extraction and derivatization. The number of sample preparation steps used for organotin or organomercury species have been reduced to one and the total time of sample preparation brought down for a few hours to some minutes. Further, the developments of GC/ICP/MS techniques allow to routinely use speciated isotopic dilution methods has internal probe of the chemical reactions. These new approaches allow us to use the addition of the labeled species for isotopic dilution as a mean to evaluate and follow the chemical processes taking place during the extraction procedure. These procedures will help us to understand and check for the stability of the analytes during the chemistry of the sample preparation procedure and bring some insights of the chemistry taking place during the extraction. Understanding the different mechanisms involved in the sample preparation steps will allow us in return to further improve all theses procedures and bring us to the horizon of 'on-line sample preparation and detection'. (author)

Experiments with Cloze Procedure

Science.gov (United States)

Evans, Gordon; Haastrup, Kirsten

1976-01-01

The Nordic Test Development Group prepared proficiency tests of English designed to provide reliable information on which to base decisions as to whether a candidate would be able to function in a job as described or whether he could be trained to do so. Two subtests used a modified cloze procedure. (Author/CFM)

Readability and Content Assessment of Informed Consent Forms for Medical Procedures in Croatia.

Science.gov (United States)

Vučemilo, Luka; Borovečki, Ana

2015-01-01

High quality of informed consent form is essential for adequate information transfer between physicians and patients. Current status of medical procedure consent forms in clinical practice in Croatia specifically in terms of the readability and the content is unknown. The aim of this study was to assess the readability and the content of informed consent forms for diagnostic and therapeutic procedures used with patients in Croatia. 52 informed consent forms from six Croatian hospitals on the secondary and tertiary health-care level were tested for reading difficulty using Simple Measure of Gobbledygook (SMOG) formula adjusted for Croatian language and for qualitative analysis of the content. The averaged SMOG grade of analyzed informed consent forms was 13.25 (SD 1.59, range 10-19). Content analysis revealed that informed consent forms included description of risks in 96% of the cases, benefits in 81%, description of procedures in 78%, alternatives in 52%, risks and benefits of alternatives in 17% and risks and benefits of not receiving treatment or undergoing procedures in 13%. Readability of evaluated informed consent forms is not appropriate for the general population in Croatia. The content of the forms failed to include in high proportion of the cases description of alternatives, risks and benefits of alternatives, as well as risks and benefits of not receiving treatments or undergoing procedures. Data obtained from this research could help in development and improvement of informed consent forms in Croatia especially now when Croatian hospitals are undergoing the process of accreditation.

Readability and Content Assessment of Informed Consent Forms for Medical Procedures in Croatia

Science.gov (United States)

Vučemilo, Luka; Borovečki, Ana

2015-01-01

Background High quality of informed consent form is essential for adequate information transfer between physicians and patients. Current status of medical procedure consent forms in clinical practice in Croatia specifically in terms of the readability and the content is unknown. The aim of this study was to assess the readability and the content of informed consent forms for diagnostic and therapeutic procedures used with patients in Croatia. Methods 52 informed consent forms from six Croatian hospitals on the secondary and tertiary health-care level were tested for reading difficulty using Simple Measure of Gobbledygook (SMOG) formula adjusted for Croatian language and for qualitative analysis of the content. Results The averaged SMOG grade of analyzed informed consent forms was 13.25 (SD 1.59, range 10–19). Content analysis revealed that informed consent forms included description of risks in 96% of the cases, benefits in 81%, description of procedures in 78%, alternatives in 52%, risks and benefits of alternatives in 17% and risks and benefits of not receiving treatment or undergoing procedures in 13%. Conclusions Readability of evaluated informed consent forms is not appropriate for the general population in Croatia. The content of the forms failed to include in high proportion of the cases description of alternatives, risks and benefits of alternatives, as well as risks and benefits of not receiving treatments or undergoing procedures. Data obtained from this research could help in development and improvement of informed consent forms in Croatia especially now when Croatian hospitals are undergoing the process of accreditation. PMID:26376183

40 CFR 86.531-78 - Vehicle preparation.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Vehicle preparation. 86.531-78 Section... (CONTINUED) CONTROL OF EMISSIONS FROM NEW AND IN-USE HIGHWAY VEHICLES AND ENGINES Emission Regulations for 1978 and Later New Motorcycles; Test Procedures § 86.531-78 Vehicle preparation. (a) The manufacturer...

Bowel preparation for pediatric colonoscopy: report of the NASPGHAN endoscopy and procedures committee.

Science.gov (United States)

Pall, Harpreet; Zacur, George M; Kramer, Robert E; Lirio, Richard A; Manfredi, Michael; Shah, Manoj; Stephen, Thomas C; Tucker, Neil; Gibbons, Troy E; Sahn, Benjamin; McOmber, Mark; Friedlander, Joel; Quiros, J A; Fishman, Douglas S; Mamula, Petar

2014-09-01

Pediatric bowel preparation protocols used before colonoscopy vary greatly, with no identified standard practice. The present clinical report reviews the evidence for several bowel preparations in children and reports on their use among North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition members. Publications in the pediatric literature for bowel preparation regimens are described, including mechanisms of action, efficacy and ease of use, and pediatric studies. A survey distributed to pediatric gastroenterology programs across the country reviews present national practice, and cleanout recommendations are provided. Finally, further areas for research are identified.

Chapter 6. Protection of patients and staff during a pandemic. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

NARCIS (Netherlands)

Taylor, Bruce L.; Montgomery, Hugh E.; Rhodes, Andrew; Sprung, Charles L.; Christian, Michael D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Sanderson, Frances

2010-01-01

To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on protection of patients and staff. Based on a literature review and expert opinion, a Delphi process was used

Interdisciplinary environmental impact statement examinations with parallel licensing procedures

International Nuclear Information System (INIS)

Gassner, E.

1990-01-01

The article investigates the question how the interdisciplinary, collective, integrative environmental impact statement can predominate the decisions in individual licensing procedures. It illustrates the requirements of the Act on Environmental Impact Statements. According to this Act, measures are to be found which deal with the overall complex, i.e. the entire system. In the article, the monitoring project organization's primary responsibility is emphasized: Analysis and prognosis of a project's environmental impacts are transferred to this organization for decision-preparation. Subsequent corrections or supplementations during the official approval procedure, or incorporation of the public through the authorities, do not change the matter. An all-comprehensive assessment must be based on all-comprehensive standards. From the point of view of immissions this is minimization of adverse effects on the nature cycle and landscape matters; from the point of view of emissions it is the duty of environment-compatible waste management within the sense of waste management legislation having to serve public welfare. (orig.) [de

On the development of automatic sample preparation devices

International Nuclear Information System (INIS)

Oesselmann, J.

1987-01-01

Modern mass spectrometers for stable isotope analysis offer accurate isotope ratio results from gaseous samples (CO 2 , N 2 , H 2 , SO 2 ) in a completely automated fashion. However, most samples of interest either are associated with contaminant gases or the gas has to be liberated by a chemical procedure prior to measurement. In most laboratories this sample preparation step is performed manually. As a consequence, sample throughput is rather low and - despite skilful operation - the preparation procedure varies slightly from one sample to the next affecting mainly the reproducibility of the data. (author)

A methodology for reviewing probabilistic risk assessments

International Nuclear Information System (INIS)

Derby, S.L.

1983-01-01

The starting point for peer review of a Probabilistic Risk Assessment (PRA) is a clear understanding of how the risk estimate was prepared and of what contributions dominate the calculation. The problem facing the reviewers is how to cut through the complex details of a PRA to gain this understanding. This paper presents a structured, analytical procedure that solves this problem. The effectiveness of this solution is demonstrated by an application on the Zion Probabilistic Safety Study. The procedure found the three dominant initiating events and provided a simplified reconstruction of the calculation of the risk estimate. Significant assessments of uncertainty were also identified. If peer review disputes the accuracy of these judgments, then the revised risk estimate could significantly increase

A Proposed Model for Selecting Measurement Procedures for the Assessment and Treatment of Problem Behavior.

Science.gov (United States)

LeBlanc, Linda A; Raetz, Paige B; Sellers, Tyra P; Carr, James E

2016-03-01

Practicing behavior analysts frequently assess and treat problem behavior as part of their ongoing job responsibilities. Effective measurement of problem behavior is critical to success in these activities because some measures of problem behavior provide more accurate and complete information about the behavior than others. However, not every measurement procedure is appropriate for every problem behavior and therapeutic circumstance. We summarize the most commonly used measurement procedures, describe the contexts for which they are most appropriate, and propose a clinical decision-making model for selecting measurement produces given certain features of the behavior and constraints of the therapeutic environment.

Chapter 2. Surge capacity and infrastructure considerations for mass critical care. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

NARCIS (Netherlands)

Hick, John L.; Christian, Michael D.; Sprung, Charles L.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce; Monrgomery, Hugh

2010-01-01

To provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for a mass disaster or influenza epidemic with a specific focus on surge capacity and infrastructure considerations. Based on a literature review and expert opinion, a Delphi process

Analytical procedures. Pt. 1

International Nuclear Information System (INIS)

Weber, G.

1985-01-01

In analytical procedures (Boole procedures) there is certain to be a close relationship between the safety assessment and reliability assessment of technical facilities. The paper gives an overview of the organization of models, fault trees, the probabilistic evaluation of systems, evaluation with minimum steps or minimum paths regarding statistically dependent components and of systems liable to suffer different kinds of outages. (orig.) [de

Preparation of reference material for the measurement of natural radioactivity

International Nuclear Information System (INIS)

Ben Tekaya, Malik

2010-01-01

The objective of this work is to prepare reference material for the calibration of gamma spectrometry, alpha and XRF .Many procedures of chemical preparation and radiological analysis of a reference material from Triple Superphosphate were tested. Several techniques and methods of measurement were used. In addition to a description and validation of these procedures, a study of repeatability was conducted which resulted in a positive characterization of this material.

Safety procedures for radiography works

International Nuclear Information System (INIS)

Abd Nasir Ibrahim; Azali Muhammad; Ab Razak Hamzah; Abd Aziz Mohamed; Mohammad Pauzi Ismail

2004-01-01

The following subjects are discussed - Work preparation: before exposure, during exposure, after work completion. Radiographic work at the open site: types of open sites, establishment of radiographic boundary, storage of radiographic equipment at sites. Safety procedures for radiography works; radiographic works in exposure room

19 CFR 191.102 - Procedure.

Science.gov (United States)

2010-04-01

... (CONTINUED) DRAWBACK Internal Revenue Tax on Flavoring Extracts and Medicinal or Toilet Preparations (Including Perfumery) Manufactured From Domestic Tax-Paid Alcohol § 191.102 Procedure. (a) General. Other provisions of this part relating to direct identification drawback (see subpart B of this part) shall apply...

Eye lens exposure to medical staff performing electrophysiology procedures: dose assessment and correlation to patient dose

International Nuclear Information System (INIS)

Ciraj-Bjelac, Olivera; Bozovic, Predrag; Arandjic, Danijela; Antic, Vojislav; Selakovic, Jovana; Pavlovic, Sinisa

2016-01-01

The purpose of this study was to assess the patient exposure and staff eye dose levels during implantation procedures for all types of pacemaker therapy devices performed under fluoroscopic guidance and to investigate potential correlation between patients and staff dose levels. The mean eye dose during pacemaker/defibrillator implementation was 12 μSv for the first operator, 8.7 μSv for the second operator/nurse and 0.50 μSv for radiographer. Corresponding values for cardiac re-synchronisation therapy procedures were 30, 26 and 2.0 μSv, respectively. Significant (p < 0.01) correlation between the eye dose and the kerma-area product was found for the first operator and radiographers, but not for other staff categories. The study revealed eye dose per procedure and eye dose normalised to patient dose indices for different staff categories and provided an input for radiation protection in electrophysiology procedures. (authors)

Licensing procedures for Low-Level Waste disposal facilities

International Nuclear Information System (INIS)

Roop, R.D.; Van Dyke, J.W.

1985-09-01

This report describes the procedures applicable to siting and licensing of disposal facilities for low-level radioactive wastes. Primary emphasis is placed on those procedures which are required by regulations, but to the extent possible, non-mandatory activities which will facilitate siting and licensing are also considered. The report provides an overview of how the procedural and technical requirements for a low-level waste (LLW) disposal facility (as defined by the Nuclear Regulatory Commission's Rules 10 CFR Parts 2, 51, and 61) may be integrated with activities to reduce and resolve conflict generated by the proposed siting of a facility. General procedures are described for site screening and selection, site characterization, site evaluation, and preparation of the license application; specific procedures for several individual states are discussed. The report also examines the steps involved in the formal licensing process, including docketing and initial processing, preparation of an environmental impact statement, technical review, hearings, and decisions. It is concluded that development of effective communication between parties in conflict and the utilization of techniques to manage and resolve conflicts represent perhaps the most significant challenge for the people involved in LLW disposal in the next decade. 18 refs., 6 figs

Procedure for taking physical inventories

International Nuclear Information System (INIS)

Anon.

1981-01-01

This session is intended to apprise one of the various aspects of procedures and routines that Exxon Nuclear uses with respect to its nuclear materials physical inventory program. The presentation describes how plant physical inventories are planned and taken. The description includes the planning and preparation for taking the inventory, the clean-out procedures for converting in-process material to measurable items, the administrative procedures for establishing independent inventory teams and for inventorying each inventory area, the verification procedures used to include previously measured tamper-safed items in the inventory, and lastly, procedures used to reconcile the inventory and calculate MUF (materials unaccounted for). The purpose of the session is to enable participants to: (1) understand the planning and pre-inventorty procedures and their importance; (2) understand the need for and the required intensity of clean-out procedures; (3) understand how inventory teams are formed, and how the inventory is conducted; (4) understand the distinction between inventory previously measured tamper-safed items and other materials not so characterized; (5) understand the reconciliation procedures; and (6) calculate a MUF given the book and inventory results

An assessment concerning the preparation and application of hydrocarbon catalysis for tritium separation

International Nuclear Information System (INIS)

Ionita, Gh.; Kitamoto, A.; Shimizu, M.

2001-01-01

Based on the long experience of the authors in the preparation, testing and evaluation of the performances of hydrophobic catalysts and on the reviewed references, this paper presents up-to-date R and D activities on the preparation and application of hydrophobic catalysts for tritium separation. Unlike the conventional hydrophilic catalysts, the hydrophobic catalysts repel the liquid water and allow the transport of the gaseous reactants and reaction products to and from catalytic active centers. For deuterium and tritium separation, over one hundred hydrophobic catalyst types have been prepared in different experimental conditions and tested by a large diversity of wet proofing methods. The influence on catalytic activity of about twenty parameters, have been also studied. The purpose of this paper is: (1) to provide a database for preparation and selection of he most appropriate catalyst and catalytic packing for the tritium separation; (2) to find how to use the hydrophobic catalyst and how to operate more efficiently the reactor packed with hydrophobic catalyst; (3) to evaluate the performances and potentiality of hydrophobic catalysts in tritium separation. As result, the following categories are shown: (1) the hydrophobic catalysts based on platinum and teflon as proved to have the highest activity and the longest stability by wet-proofing procedure; (2) the utilization of hydrophobic catalyst as ordered mixed catalytic packing in the trickle bed or separated bed reactors is more efficient and has been entirely tested on industrial scale; (3) the improvement of the inner geometry of the reactors and of the composition of mixed catalytic packing as well as the elaboration of the mathematical models for designing of the reactors and the evaluation of performances of separation processes constitute a major contribution of the authors; (4 ) a high resistance at radiation and chemical impurities of Pt-hydrophobic catalysts. The merits of hydrophobic Pt

Procedures and apparatus for measuring diffusion and distribution coefficients in compacted clays

Energy Technology Data Exchange (ETDEWEB)

Hume, H B

1993-12-01

Diffusion and distribution coefficients are needed to assess the migration of radionuclides through the compacted clay-based buffer and backfill materials proposed for use in a nuclear fuel waste disposal vault. This report describes the techniques used to measure these coefficients. Both steady-state and transient diffusion experiments are discussed. The procedures used to prepare the clay plug, assemble the cell, conduct the experiment and calculate the results are described. In addition, methods for obtaining distribution coefficients for radionuclides on both loose and compacted clays are discussed. (author). 18 refs., 3 tabs., 16 figs.

Procedures and apparatus for measuring diffusion and distribution coefficients in compacted clays

International Nuclear Information System (INIS)

Hume, H.B.

1993-12-01

Diffusion and distribution coefficients are needed to assess the migration of radionuclides through the compacted clay-based buffer and backfill materials proposed for use in a nuclear fuel waste disposal vault. This report describes the techniques used to measure these coefficients. Both steady-state and transient diffusion experiments are discussed. The procedures used to prepare the clay plug, assemble the cell, conduct the experiment and calculate the results are described. In addition, methods for obtaining distribution coefficients for radionuclides on both loose and compacted clays are discussed. (author). 18 refs., 3 tabs., 16 figs

Handbook for value-impact assessments of NRC regulatory actions

International Nuclear Information System (INIS)

Mullen, M.F.; DiPalo, A.J.

1985-01-01

According to current Nuclear Regulatory Commission (NRC) procedures, value-impact (cost-benefit) assessments must be prepared for all rulemaking actions and for a broad range of other regulatory requirements and guidance. Probabilistic risk assessment (PRA) methods furnish an important part of the information base for these assessments. PRA methods are frequently the principal quantitative tool for estimating the benefits (e.g., public risk reduction) of proposed regulatory actions. In December 1983, the NRC published A Handbook for Value-Impact Assessment, NUREG/CR-3568, which provides a set of systematic procedures for performing value-impact assessments. The Handbook contains methods, data, and sources of information that can assist the regulatory analyst in conducting such assessments. The use of probabilistic risk analysis to estimate the benefits of proposed regulatory actions is described. Procedures and methods are also given for evaluating the costs and other consequences associated with regulatory actions. The Handbook has been adopted by the NRC as the recommended guideline for value impact assessments. This paper presents the background, objectives, and scope of the Handbook, describes the value-impact assessment methods (including the use of probabilistic risk assessment to estimate benefits), and discusses a selection of current and planned applications, with examples to illustrate how the methods are used

An innovative blended learning approach using virtual patients as preparation for skills laboratory training: perceptions of students and tutors

Science.gov (United States)

2013-01-01

Background Currently only a few reports exist on how to prepare medical students for skills laboratory training. We investigated how students and tutors perceive a blended learning approach using virtual patients (VPs) as preparation for skills training. Methods Fifth-year medical students (N=617) were invited to voluntarily participate in a paediatric skills laboratory with four specially designed VPs as preparation. The cases focused on procedures in the laboratory using interactive questions, static and interactive images, and video clips. All students were asked to assess the VP design. After participating in the skills laboratory 310 of the 617 students were additionally asked to assess the blended learning approach through established questionnaires. Tutors’ perceptions (N=9) were assessed by semi-structured interviews. Results From the 617 students 1,459 VP design questionnaires were returned (59.1%). Of the 310 students 213 chose to participate in the skills laboratory; 179 blended learning questionnaires were returned (84.0%). Students provided high overall acceptance ratings of the VP design and blended learning approach. By using VPs as preparation, skills laboratory time was felt to be used more effectively. Tutors perceived students as being well prepared for the skills laboratory with efficient uses of time. Conclusion The overall acceptance of the blended learning approach was high among students and tutors. VPs proved to be a convenient cognitive preparation tool for skills training. PMID:23402663

Toward a procedure for integrating moral issues in health technology assessment.

Science.gov (United States)

Hofmann, Bjørn

2005-01-01

Although ethics has been on the agenda in health technology assessment (HTA) since its inception, the integration of moral issues is still not standard and is performed in a vast variety of ways. Therefore, there is a need for a procedure for integrating moral issues in HTA. Literature review of existing approaches together with application of various theories in moral philosophy and axiology. The article develops a set of questions that addresses a wide range of moral issues related to the assessment and implementation of health technology. The issues include general moral issues and moral issues related to stakeholders, methodology, characteristics of technology, and to the HTA process itself. The questions form a kind of checklist for use in HTAs. The presented approach for integrating moral issues in HTA has a broad theoretical foundation and has shown to be useful in practice. Integrating ethical issues in HTAs can be of great importance with respect to the dissemination of HTA results and in efficient health policy making.

The Use of Functional Assessment and Frequency Building Procedures to Increase Product Knowledge and Data Entry Skills among Foremen in a Construction Organization

Science.gov (United States)

Pampino, Ralph N.; Wilder, David A.; Binder, Carl

2005-01-01

A functional assessment procedure, which was designed to identify insufficient skills that may have been responsible for employee performance problems, was administered to four foremen employed in a large construction organization. Results of this assessment procedure identified two skill areas, product knowledge and data entry, as deficient.…

An engineering assessment methodology for non-sharp defects in steel structures – Part I: Procedure development

International Nuclear Information System (INIS)

Horn, A.J.; Sherry, A.H.

2012-01-01

This Part I paper describes a new engineering assessment methodology for ferritic steel structures containing non-sharp defects within the context of a Failure Assessment Diagram (FAD) approach. Although the modification of the FAD for non-sharp defects can be applied whether the initiating failure mechanism is cleavage or ductile tearing, this paper focuses on cleavage fracture. The parameters describing the sensitivity of the material toughness to the notch effect can either be measured by testing notched specimens of the same thickness as the structure, or for cleavage fracture they can be obtained using look-up tables generated using the Weibull stress toughness scaling model. The other parameters in the procedure can either be conservatively estimated using simple equations or they can be determined more accurately using finite element analysis. Validation of the new method is presented in the companion Part II paper: this shows that assessments of U-notched SE(B) specimens have significantly reduced conservatism when using the new assessment methodology compared to the standard FAD approach for sharp cracks. - Highlights: ► Development of a new procedure for predicting failure from non-sharp defects. ► Based on a modification of the Failure Assessment Diagram (FAD) approach. ► Applicable to cleavage and ductile tearing initiation although paper focuses on cleavage. ► Validation provided in a companion Part II paper.

RISK-ASSESSMENT PROCEDURES AND ESTABLISHING THE SIZE OF SAMPLES FOR AUDITING FINANCIAL STATEMENTS

Directory of Open Access Journals (Sweden)

Daniel Botez

2014-12-01

Full Text Available In auditing financial statements, the procedures for the assessment of the risks and the calculation of the materiality differ from an auditor to another, by audit cabinet policy or advice professional bodies. All, however, have the reference International Audit Standards ISA 315 “Identifying and assessing the risks of material misstatement through understanding the entity and its environment” and ISA 320 “Materiality in planning and performing an audit”. On the basis of specific practices auditors in Romania, the article shows some laborious and examples of these aspects. Such considerations are presented evaluation of the general inherent risk, a specific inherent risk, the risk of control and the calculation of the materiality.

Sample preparation in alkaline media

International Nuclear Information System (INIS)

Nobrega, Joaquim A.; Santos, Mirian C.; Sousa, Rafael A. de; Cadore, Solange; Barnes, Ramon M.; Tatro, Mark

2006-01-01

The use of tetramethylammonium hydroxide, tertiary amines and strongly alkaline reagents for sample treatment involving extraction and digestion procedures is discussed in this review. The preparation of slurries is also discussed. Based on literature data, alkaline media offer a good alternative for sample preparation involving an appreciable group of analytes in different types of samples. These reagents are also successfully employed in tailored speciation procedures wherein there is a critical dependence on maintenance of chemical forms. The effects of these reagents on measurements performed using spectroanalytical techniques are discussed. Several undesirable effects on transport and atomization processes necessitate use of the method of standard additions to obtain accurate results. It is also evident that alkaline media can improve the performance of techniques such as inductively coupled plasma mass spectrometry and accessories, such as autosamplers coupled to graphite furnace atomic absorption spectrometers

Collected radiochemical and geochemical procedures

Energy Technology Data Exchange (ETDEWEB)

Kleinberg, J [comp.

1990-05-01

This revision of LA-1721, 4th Ed., Collected Radiochemical Procedures, reflects the activities of two groups in the Isotope and Nuclear Chemistry Division of the Los Alamos National Laboratory: INC-11, Nuclear and radiochemistry; and INC-7, Isotope Geochemistry. The procedures fall into five categories: I. Separation of Radionuclides from Uranium, Fission-Product Solutions, and Nuclear Debris; II. Separation of Products from Irradiated Targets; III. Preparation of Samples for Mass Spectrometric Analysis; IV. Dissolution Procedures; and V. Geochemical Procedures. With one exception, the first category of procedures is ordered by the positions of the elements in the Periodic Table, with separate parts on the Representative Elements (the A groups); the d-Transition Elements (the B groups and the Transition Triads); and the Lanthanides (Rare Earths) and Actinides (the 4f- and 5f-Transition Elements). The members of Group IIIB-- scandium, yttrium, and lanthanum--are included with the lanthanides, elements they resemble closely in chemistry and with which they occur in nature. The procedures dealing with the isolation of products from irradiated targets are arranged by target element.

PRACTICAL PREPARATION OF RESVERATROL 3-O-β-D-GLUCURONIDE

OpenAIRE

Jungong, Christian S.; Novikov, Alexei V.

2012-01-01

A practical synthesis of resveratrol 3-O-β-D-glucuronide, suitable for preparation of large quantities, was developed using selective deacetylation of resveratrol triacetate with ammonium acetate. A simplified procedure for large scale preparation of resveratrol is also reported.

A Cyber Security Risk Assessment Procedure for Digital I and C Systems in NPPs

International Nuclear Information System (INIS)

Song, J. G.; Lee, J. W.; Lee, C. K.; Kwon, K. C.; Lee, D. Y.

2011-01-01

Digital Instrumentation and Control (I and C) systems in nuclear power plants (NPPs) use general digital technologies similar to those used in IT systems. However, one of significant differences between the two systems resides in the duration of their service life. The I and C systems in NPPs operate for more than 20 years. IT systems, on the other hand, are in service for about 3 to 5 years. Hence, a one-time risk assessment for IT systems is normally acceptable. In contrast, the risk assessment for the I and C systems in NPPs should be recursively performed during their longer operation life. A recursive procedure for cyber security risk assessment of the I and C systems in NPPs is studied and proposed in this paper

A Cyber Security Risk Assessment Procedure for Digital I and C Systems in NPPs

Energy Technology Data Exchange (ETDEWEB)

Song, J. G.; Lee, J. W.; Lee, C. K.; Kwon, K. C.; Lee, D. Y. [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2011-10-15

Digital Instrumentation and Control (I and C) systems in nuclear power plants (NPPs) use general digital technologies similar to those used in IT systems. However, one of significant differences between the two systems resides in the duration of their service life. The I and C systems in NPPs operate for more than 20 years. IT systems, on the other hand, are in service for about 3 to 5 years. Hence, a one-time risk assessment for IT systems is normally acceptable. In contrast, the risk assessment for the I and C systems in NPPs should be recursively performed during their longer operation life. A recursive procedure for cyber security risk assessment of the I and C systems in NPPs is studied and proposed in this paper

Preparation of 147Pm ceramic source core

International Nuclear Information System (INIS)

Mielcarski, M.

1989-01-01

Preparation of ceramic pellets containing fixed promethium-147 is described. Incorporation rate of 147 Pm into the ceramic material was determined. The leachability and vaporization of promethium from the obtained ceramics was investigated. The ceramic pellets prepared by the described procedure, mounted in special holders, can be applied as point sources in beta backscatter thickness gauges. (author)

Micro-CT assessment of two different endodontic preparation systems

Directory of Open Access Journals (Sweden)

Cacio Moura-Netto

2013-02-01

Full Text Available The aim of this study was to compare two endodontic preparation systems using micro-CT analysis. Twenty-four one-rooted mandibular premolars were selected and randomly assigned to two groups. The samples (n = 12 of Group 1 were prepared using the ProTaper Universal rotary system, while Group 2 (n = 12 was prepared using the EndoEZE AET system complemented by manual apical preparation with K-type hand files up to #30. A 2.5% sodium hypochlorite solution was used in both groups for irrigating. Both groups were scanned by high-resolution microcomputed tomography before and after preparation (SkyScan 1172, SkyScan, Kontich, Belgium. The root canal volume and surface area was measured before and after preparation, and the differences were calculated and analyzed for statistically significant differences using ANOVA complemented by the Tukey test (p < 0.05. The results showed no statistically significant differences between the mean volumes of dentin removal by the two systems. However, the EndoEZE AET system presented a significantly greater mean surface area compared to the ProTaper system (p < 0.05. The EndoEZE AET system enabled preparation of a greater root canal surface area when compared to the ProTaper Universal system. There seemed to be no difference in dentin volume loss between the two systems used.

First approval procedure of the TL dosimetric service of the NPP in Slovenia

International Nuclear Information System (INIS)

Janzekovic, H.; Krizman, M.; Pucelj, B.; Stuhec, M.; Zdesar, U.

2001-01-01

The individual dosimetry of exposed workers in a NPP is one of the essential parts which demonstrates the radiation protection standards achieved in a facility. According to the current legislation the Ministry of Health of the Republic of Slovenia has the authority to grant approvals to personal dosimetric services which perform the dosimetric monitoring of workers in Slovenia. Due to the fact that the detailed approval procedure is not given in national regulations, the Ministry of Health in 2000 established a group of experts with the task to prepare technical and organising requirements for such approval. Based on international documents [1,2,3] the Approval procedure for the thermoluminescence dosimetric (TL) services was created. Following this procedure the assessment of the TL dosimetric service in the NPP was performed. The problems related to the technical and organising requirements with the emphasise on the QA/QC criteria of the TL dosimetric service will be discussed.(author)

76 FR 66922 - Dominion Transmission, Incorporated; Notice of Intent To Prepare an Environmental Assessment for...

Science.gov (United States)

2011-10-28

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [ Docket No. PF11-9-000] Dominion Transmission, Incorporated; Notice of Intent To Prepare an Environmental Assessment for the Planned Allegheny Storage Project, Request for Comments on Environmental Issues, and Notice of Public Scoping Meeting The staff of the Federal Energy Regulatory...

Supporting Information Synthesis Procedure: Graphene oxide (GO ...

Indian Academy of Sciences (India)

SS

Synthesis Procedure: Graphene oxide (GO) was prepared by a modified Hummers method using expandable .... anode material for Li ion batteries, J. Solid State Electrochem. ... coupling, doping and nonadiabatic effects, Solid State Commun.

Ecological risk assessment guidance for preparation of remedial investigation/feasibility study work plans

International Nuclear Information System (INIS)

Pentecost, E.D.; Vinikour, W.S.

1993-08-01

This guidance document (1) provides instructions on preparing the components of an ecological work plan to complement the overall site remedial assessment investigation/feasibility study (RI/FS) work plan and (2) directs the user on how to implement ecological tasks identified in the plan. Under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA), as amended by the Superfired Amendments and Reauthorization Act of 1986 (SARA), an RI/FS work plan win have to be developed as part of the site-remediation scoping the process. Specific guidance on the RI/FS process and the preparation of work plans has been developed by the US Environmental Protection Agency (EPA 1988a). This document provides guidance to US Department of Energy (DOE) staff and contractor personnel for incorporation of ecological information into environmental remediation planning and decision making at CERCLA sites. An overview analysis of early ecological risk assessment methods (i.e., in the 1980s) at Superfund sites was conducted by the EPA (1989a). That review provided a perspective of attention given to ecological issues in some of the first RI/FS studies. By itself, that reference is of somewhat limited value; it does, however, establish a basis for comparison of past practices in ecological risk with current, more refined methods

Role of the regulatory authority in preparation of the NPP self assessment of safety culture

Energy Technology Data Exchange (ETDEWEB)

Gantchev, T [Committee on the Use of Atomic Energy for Peaceful Purposes, Sofia (Bulgaria)

1997-12-31

We believe that with the assistance of the IAEA(ASSET Training Mission) the plant personnel will be able to prepare high quality Self Assessment Report. The main role of the Regulatory Body is to ensure correspondence with the IAEA requirements and to provide clear guidance for the most important items of the Plant Self Assessment Report. The involvement of the Operating Organization is also desirable in order to ensure the necessary resources for the implementation of the action plan. Figs.

Role of the regulatory authority in preparation of the NPP self assessment of safety culture

International Nuclear Information System (INIS)

Gantchev, T.

1996-01-01

We believe that with the assistance of the IAEA(ASSET Training Mission) the plant personnel will be able to prepare high quality Self Assessment Report. The main role of the Regulatory Body is to ensure correspondence with the IAEA requirements and to provide clear guidance for the most important items of the Plant Self Assessment Report. The involvement of the Operating Organization is also desirable in order to ensure the necessary resources for the implementation of the action plan. Figs

Preparation of pure TiO2 sorption material

International Nuclear Information System (INIS)

Špendlíková, Irena; Raindl, Jakub; Němec, Mojmír

2013-01-01

Among the natural or anthropogenic radionuclides of very low concentrations nowadays measured in environmental samples, the radionuclide of 236 U has been recently included. In these ultra-trace analyses, the purity of sorption materials is very important and the traditional preparation procedures have to be optimized to minimize possible contamination. In the case of the determination of natural concentration of 236 U ( 236 U/ 238 U ∼ 10 -10 - 10 -14 ), the sample treatment procedure has to be modified in order to eliminate possible contamination from anthropogenic 236 U that may result even in more than ten thousand times higher 236 U/ 238 U ratios. Many inorganic and organic materials have been proposed for the extraction of uranium. However, only several of them are suitable for the uranium sorption from the solutions of low uranium concentration, but relatively high salt content, such as fresh water, sea water etc. At the same time they have to meet other limiting parameters such as fast kinetics, chemical stability, and low costs. Among the inorganic sorption materials, titanium dioxide has been studied for years with promising results. Titanium dioxides can be prepared via the hydrolysis of titanium compounds, either inorganic salts or organic derivatives, but their properties strongly depend on the preparation conditions. In classical procedures, titanium dioxides are prepared from commercial inorganic salts, such as sulphates or chlorides, or even from industrial intermediates of the titanium white production. Typically, the resulting titanium dioxides are contaminated with uranium already from the origin. Assuming that most organic compounds do not contain uranium and that it is possible to find 'uranium free' water, titanium dioxide free of uranium contamination could be prepared by the hydrolysis of organic titanium derivatives. The aim of this study was to find a suitable way of pure titanium dioxide preparation and to optimize the preparation

Twelve tips for assessment psychometrics.

Science.gov (United States)

Coombes, Lee; Roberts, Martin; Zahra, Daniel; Burr, Steven

2016-01-01

It is incumbent on medical schools to show, both to regulatory bodies and to the public at large, that their graduating students are "fit for purpose" as tomorrow's doctors. Since students graduate by virtue of passing assessments, it is vital that schools quality assure their assessment procedures, standards, and outcomes. An important part of this quality assurance process is the appropriate use of psychometric analyses. This begins with development of an empowering, evidence-based culture in which assessment validity can be demonstrated. Preparation prior to an assessment requires the establishment of appropriate rules, test blueprinting and standard setting. When an assessment has been completed, the reporting of test results should consider reliability, assessor, demographic, and long-term analyses across multiple levels, in an integrated way to ensure the information conveyed to all stakeholders is meaningful.

Attempt to assess the infiltration of enamel made with experimental preparation using a scanning electron microscope.

Science.gov (United States)

Skucha-Nowak, Małgorzata

2015-01-01

The resin infiltration technique, a minimally invasive method, involves the saturation, strengthening, and stabilization of demineralized enamel by a mixture of polymer resins without the need to use rotary tools or the risk of losing healthy tooth structures. To design and synthesize an experimental infiltrant with potential bacteriostatic properties.To compare the depth of infiltration of the designed experimental preparation with the infiltrant available in the market using a scanning electron microscope. Composition of the experimental infiltrant was established after analysis of 1H NMR spectra of the commercially available compounds that can penetrate pores of demineralized enamel. As the infiltrant should have bacteriostatic features by definition, an addition of 1% of monomer containing metronidazole was made. Thirty extracted human teeth were soaked in an acidic solution, which was to provide appropriate conditions for demineralization of enamel. Afterward, each tooth was divided along the coronal-root axis into two zones. One zone had experimental preparation applied to it (the test group), while the other had commercially available Icon (the control group). The teeth were dissected along the long axis and described above underwent initial observation with use of a Hitachi S-4200 scanning electron microscope. It was found that all samples contained only oxygen and carbon, regardless of the concentration of additions introduced into them. The occurrence of carbon is partially because it is a component of the preparation in question and partially because of sputtering of the sample with it. Hydrogen is also a component of the preparation, as a result of its phase composition; however, it cannot be detected by the EDS method. SEM, in combination with X-ray microanalysis, does not allow one to explicitly assess the depth of penetration of infiltration preparations into enamel.In order to assess the depth of penetration of infiltration preparations with use of

Soil sample preparation using microwave digestion for uranium analysis

International Nuclear Information System (INIS)

Mohagheghi, Amir H.; Preston, Rose; Akbarzadeh, Mansoor; Bakthiar, Steven

2000-01-01

A new sample preparation procedure has been developed for digestion of soil samples for uranium analysis. The technique employs a microwave oven digestion system to digest the sample and to prepare it for separation chemistry and analysis. The method significantly reduces the volume of acids used, eliminates a large fraction of acid vapor emissions, and speeds up the analysis time. The samples are analyzed by four separate techniques: Gamma Spectrometry, Alpha Spectroscopy using the open digestion method, Kinetic Phosphorescence Analysis (KPA) using open digestion, and KPA by Microwave digestion technique. The results for various analytical methods are compared and used to confirm the validity of the new procedure. The details of the preparation technique along with its benefits are discussed

Licensing procedures for Low-Level Waste disposal facilities

Energy Technology Data Exchange (ETDEWEB)

Roop, R.D.; Van Dyke, J.W.

1985-09-01

This report describes the procedures applicable to siting and licensing of disposal facilities for low-level radioactive wastes. Primary emphasis is placed on those procedures which are required by regulations, but to the extent possible, non-mandatory activities which will facilitate siting and licensing are also considered. The report provides an overview of how the procedural and technical requirements for a low-level waste (LLW) disposal facility (as defined by the Nuclear Regulatory Commission's Rules 10 CFR Parts 2, 51, and 61) may be integrated with activities to reduce and resolve conflict generated by the proposed siting of a facility. General procedures are described for site screening and selection, site characterization, site evaluation, and preparation of the license application; specific procedures for several individual states are discussed. The report also examines the steps involved in the formal licensing process, including docketing and initial processing, preparation of an environmental impact statement, technical review, hearings, and decisions. It is concluded that development of effective communication between parties in conflict and the utilization of techniques to manage and resolve conflicts represent perhaps the most significant challenge for the people involved in LLW disposal in the next decade. 18 refs., 6 figs.

Procedure for the characterization of radon potential in existing dwellings and to assess the annual average indoor radon concentration

International Nuclear Information System (INIS)

Collignan, Bernard; Powaga, Emilie

2014-01-01

Risk assessment due to radon exposure indoors is based on annual average indoor radon activity concentration. To assess the radon exposure in a building, measurement is generally performed during at least two months during heating period in order to be representative of the annual average value. This is because radon presence indoors could be very variable during time. This measurement protocol is fairly reliable but may be a limiting in the radon risk management, particularly during a real estate transaction due to the duration of the measurement and the limitation of the measurement period. A previous field study defined a rapid methodology to characterize radon entry in dwellings. The objective of this study was at first, to test this methodology in various dwellings to assess its relevance with a daily test. At second, a ventilation model was used to assess numerically the air renewal of a building, the indoor air quality all along the year and the annual average indoor radon activity concentration, based on local meteorological conditions, some building characteristics and in-situ characterization of indoor pollutant emission laws. Experimental results obtained on thirteen individual dwellings showed that it is generally possible to obtain a representative characterization of radon entry into homes. It was also possible to refine the methodology defined in the previous study. In addition, numerical assessments of annual average indoor radon activity concentration showed generally a good agreement with measured values. These results are encouraging to allow a procedure with a short measurement time to be used to characterize long-term radon potential in dwellings. - Highlights: • Test of a daily procedure to characterize radon potential in dwellings. • Numerical assessment of the annual radon concentration. • Procedure applied on thirteen dwellings, characterization generally satisfactory. • Procedure useful to manage radon risk in dwellings, for real

Evidence-based concepts and procedures for bonded inlays and onlays. Part II. Guidelines for cavity preparation and restoration fabrication.

Science.gov (United States)

Rocca, Giovanni Tommaso; Rizcalla, Nicolas; Krejci, Ivo; Dietschi, Didier

2015-01-01

The second part of this article series presents an evidence-based update of clinical protocols and procedures for cavity preparation and restoration selection for bonded inlays and onlays. More than ever, tissue conservation dictates preparation concepts, even though some minimal dimensions still have to be considered for all restorative materials. In cases of severe bruxism or tooth fragilization, CAD/CAM composite resins or pressed CAD/CAM lithium disilicate glass ceramics are often recommended, although this choice relies mainly on scarce in vitro research as there is still a lack of medium- to long-term clinical evidence. The decision about whether or not to cover a cusp can only be made after a multifactorial analysis, which includes cavity dimensions and the resulting tooth biomechanical status, as well as occlusal and esthetic factors. The clinical impact of the modern treatment concepts that were outlined in the previous article - Dual Bonding (DB)/Immediate Dentin Sealing (IDS), Cavity Design Optimization (CDO), and Cervical Margins Relocation (CMR) - are described in detail in this article and discussed in light of existing clinical and scientific evidence for simpler, more predictable, and more durable results. Despite the wide choice of restorative materials (composite resin or ceramic) and techniques (classical or CAD/CAM), the cavity for an indirect restoration should meet five objective criteria before the impression.

Use of picture books to explain procedures.

Science.gov (United States)

2016-10-06

A small study conducted at a Swedish hospital on the effect of giving picture books and picture sheets to prepare children for their procedures before and during day surgery is explored in this article.

An independent safety assessment of Department of Energy nuclear reactor facilities: Procedures, operations and maintenance

International Nuclear Information System (INIS)

Toto, G.; Lindgren, A.J.

1981-02-01

The 1979 accident at the Three Mile Island commercial nuclear power plant has led to a number of studies of nuclear reactors, in both the public and private sectors. One of these is that of the Department of Energy's (DOE) Nuclear Facilities Personnel Qualification and Training (NFPQT) Committee, which has outlined tasks for assessment of 13 reactors owned by DOE and operated by contractors. This report covers one of the tasks, the assessment of procedures, operations, and maintenance at the DOE reactor facilities, based on a review of actual documents used at the reactor sites

Procedure of uranium mine and mill facilities decommissioning work

International Nuclear Information System (INIS)

Li Renjie

1995-01-01

The procedure of decommissioning work of uranium mine and mill facilities includes three stages: preparation, on-the-spot construction and acceptance after being completed. The first stage, preparation, is discussed in detail, and it is presented to take the measures of strengthening leadership and improving leading body to conduct the decommissioning work best

Collection and preparation of samples for gamma spectrometry

International Nuclear Information System (INIS)

Pan Jingquan

1994-01-01

The paper presents the basic principles of sample collection and preparation: setting up unified sampling program, methods and procedures, sample packing, transportation and storage, determination of sample quantity, sample pretreatment and preparation of samples to be analysed, etc. for gamma spectrometry. And the paper also describes briefly the main methods and special issues of sampling and preparation for the same environmental and biological samples, such as, air, water, grass, soil and foods

40 CFR 1065.405 - Test engine preparation and maintenance.

Science.gov (United States)

2010-07-01

... has undergone a stabilization step (or in-use operation). If the engine has not already been... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Test engine preparation and...) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Engine Selection, Preparation, and Maintenance § 1065...

Assessment of patients' skin dose during interventional cardiology procedures

International Nuclear Information System (INIS)

Tsapaki, V.; Vardalaki, E.; Kottou, S.; Molfetas, M.; Neofotistou, V.

2002-01-01

During the last 30 years the use of Interventional Cardiology (IC) procedures has increased significantly, mainly due to the benefits and advantages of the method that offers more accurate diagnosis and treatment along with less complications and hospitalization. However, IC procedures are based on the use of x-ray radiation, mostly localized at certain areas of patient's body and for extended periods of time. Consequently, patient may receive high radiation dose and deterministic effects, such as erythema, epilation or even dermal necrosis may be observed. Therefore, the need for reducing radiation dose is highly important. In order to achieve this, good knowledge of the dose levels delivered to the patient during IC procedures is essential since radiation effects are known to increase with dose. It is of great interest to know the point where the maximum skin dose (MSD) is noted since individual sensitivity may vary. MSDs greater than 1 Gy should be recorded. Patient dosimetry during IC procedures is a complex task since these type of procedures depend on various factors, such as complexity and severity of case, different specifications of x-ray equipment and patient's physical characteristics. Moreover, cardiologist's experience plays an important role. For these reasons, Food and Drug Administration (FDA), the International Commission on Radiological Protection (ICRP) as well as the World Health Organization (WHO), have published documents on radiation safety and ways to reduce skin injuries during IC procedures. Various methods have been proposed for measuring MSD such as the use of slow radiotherapy films, thermoluminescent detectors (TLD), scintillation detectors, Dose-Area Product (DAP) meter, as well as a combination of DAP and air kerma. A literature review on MSDs measured during IC procedures showed that doses ranged from 300 to 43000 mGy

Mental Health Evaluations for Adolescents Prior to Bariatric Surgery: A Review of Existing Practices and a Specific Example of Assessment Procedures.

Science.gov (United States)

Sysko, Robyn; Zandberg, Laurie J; Devlin, Michael J; Annunziato, Rachel A; Zitsman, Jeffrey L; Walsh, B Timothy

2013-06-01

Best practice guidelines for adolescents considering bariatric surgery recommend a pre-operative mental health evaluation. However, only general information about these assessments appears in the literature, which makes consistency of administration challenging. This review proposes a specific empirically-derived format for pre-surgical mental health evaluations and summarizes currently available data on the psychiatric functioning of adolescents seeking bariatric surgery. Studies of mental health evaluations for adults preparing for bariatric surgery are reviewed, as is the limited literature relevant to adolescent evaluations. A specific and detailed example of an evaluation (clinical interview, self-report questionnaires, cognitive assessment) used for younger patients at a major metropolitan hospital center is presented, followed by data from an initial group of adolescents completing this evaluation. 200 adolescents (n=139 female; age: 14-18 y, BMI: 35.4-83.3 kg/m 2 ) presenting for bariatric surgery. A notable subset of adolescents reported current Axis I conditions (31.5%) and current mental health treatment (29.5%), but reports of current illicit drug use (1.5%) and regular alcohol use (0.5%) were relatively rare. Procedures for using the completed evaluation and post-surgery monitoring of psychosocial issues are discussed. Adolescents considering weight loss surgery should receive comprehensive pre-surgical mental health evaluations, but additional data are needed to develop specific recommendations the use of these evaluations in post-operative care.

Proposal of organisation and ALARA procedure for preparation, follow-up and experience gained from maintenance: application to replacement of pressure vessel; Proposition d'organisation et procedure ALARA pour le suivi et le retour d'experience des chantiers de maintenance: application au RGV

Energy Technology Data Exchange (ETDEWEB)

Lochard, Jacques; Lefaure, Christian

1989-12-01

This report proposes the organisation and ALARA procedures for preparation, follow-up and analysis of the lessons learned during maintenance works at a nuclear power plant. After a brief description of the ALARA principle in the first chapter, the following chapters describe proposals for establishing and start-up of a maintenance building site. The proposals are illustrated by the replacement of the pressure vessel as an example.

Evaluating the Performance Diagnostic Checklist-Human Services to Assess Incorrect Error-Correction Procedures by Preschool Paraprofessionals

Science.gov (United States)

Bowe, Melissa; Sellers, Tyra P.

2018-01-01

The Performance Diagnostic Checklist-Human Services (PDC-HS) has been used to assess variables contributing to undesirable staff performance. In this study, three preschool teachers completed the PDC-HS to identify the factors contributing to four paraprofessionals' inaccurate implementation of error-correction procedures during discrete trial…

A comparative study on assessment procedures and metric properties of two scoring systems of the Coma Recovery Scale-Revised items: standard and modified scores.

Science.gov (United States)

Sattin, Davide; Lovaglio, Piergiorgio; Brenna, Greta; Covelli, Venusia; Rossi Sebastiano, Davide; Duran, Dunja; Minati, Ludovico; Giovannetti, Ambra Mara; Rosazza, Cristina; Bersano, Anna; Nigri, Anna; Ferraro, Stefania; Leonardi, Matilde

2017-09-01

The study compared the metric characteristics (discriminant capacity and factorial structure) of two different methods for scoring the items of the Coma Recovery Scale-Revised and it analysed scale scores collected using the standard assessment procedure and a new proposed method. Cross sectional design/methodological study. Inpatient, neurological unit. A total of 153 patients with disorders of consciousness were consecutively enrolled between 2011 and 2013. All patients were assessed with the Coma Recovery Scale-Revised using standard (rater 1) and inverted (rater 2) procedures. Coma Recovery Scale-Revised score, number of cognitive and reflex behaviours and diagnosis. Regarding patient assessment, rater 1 using standard and rater 2 using inverted procedures obtained the same best scores for each subscale of the Coma Recovery Scale-Revised for all patients, so no clinical (and statistical) difference was found between the two procedures. In 11 patients (7.7%), rater 2 noted that some Coma Recovery Scale-Revised codified behavioural responses were not found during assessment, although higher response categories were present. A total of 51 (36%) patients presented the same Coma Recovery Scale-Revised scores of 7 or 8 using a standard score, whereas no overlap was found using the modified score. Unidimensionality was confirmed for both score systems. The Coma Recovery Scale Modified Score showed a higher discriminant capacity than the standard score and a monofactorial structure was also supported. The inverted assessment procedure could be a useful evaluation method for the assessment of patients with disorder of consciousness diagnosis.

Preparation of plant-specific NDA reference material

International Nuclear Information System (INIS)

Abedin-Zadeh, R.; Beetle, T.; Kuhn, E.; Terrey, D.; Turel, S.; Busca, G.; Guardini, S.

1983-01-01

The importance of having suitable and well characterized non-destructive assay (NDA) reference materials for the verification activities of the safeguards control authorities is stressed. The Euratom Inspectorate and the IAEA have initiated an extensive programme for the procurement and preparation of Joint Euratom/IAEA safeguards NDA reference materials with the active participation of the Ispra Establishment of the Euratom Joint Research Centre. The different type and nature of materials, condition of measurements, and plant characteristics and provisions had to be taken into account for plant-specific NDA reference materials. The preparation of each reference material was planned case by case and specific criteria such as limitations in different facilities, measurement capabilities, conditions, product availability and population variability are being ascertained. A procurement scheme was prepared describing step-by-step procedures detailing responsibilities, measurement conditions, destructive analysis schemes, desired characteristics and methods of data evaluation. This paper describes the principles and procedures carried out for the preparation of a reference MOX pin, low enriched uranium reference rods, low enriched uranium reference drums, reference MTR assemblies, and THTR reference pebbles. The scheme for each characterization technique is presented. (author)

Procedural Pain in Palliative Care: Is It Breakthrough Pain? A Multicenter National Prospective Study to Assess Prevalence, Intensity, and Treatment of Procedure-related Pain in Patients With Advanced Disease.

Science.gov (United States)

Magnani, Caterina; Giannarelli, Diana; Casale, Giuseppe

2017-08-01

To assess the prevalence of breakthrough pain (BTP) provoked by 6 common procedures in patients with advanced disease. A prospective, cross-sectional, multicenter, national study was performed in 23 palliative care units in Italy. Patients were recruited if they were undergoing one of the following procedures as part of normal care: turning, personal hygiene care, transfer from bed to chair, bladder catheterization, pressure ulcer care, and subcutaneous drug administration. The Numerical Rating Scale was used to measure pain intensity before, during, and after the procedure. One thousand seventy-nine eligible patients were enrolled: 49.7% were male and their mean age was 78.0±11.2 years. Of all patients, 20.9% had experienced a BTP episode within the 24 hours before recruitment. The overall prevalence of procedure-induced BTP was 11.8%, and the mean intensity score (Numeric Rating Scale) was 4.72±1.81. Notably, patients experienced a significant increase in pain intensity during all procedures (Ppatients (12.7%) received analgesics before undergoing any of the procedures, and almost none (1.7%) received analgesics during the procedures to alleviate acute pain. Our findings highlight that simple daily care procedures can lead to BTP among patients with advanced disease. Because such procedures are performed very often during palliative care, more individualized attention to procedural pain control is necessary. Additional research on procedural pain in patients with advanced disease should be encouraged to provide further evidence-based guidance on the use of the available medication for predictable pain flares.

Bring Workplace Assessment into Business Communication Classrooms: A Proposal to Better Prepare Students for Professional Workplaces

Science.gov (United States)

Yu, Han

2010-01-01

To help students better understand and be better prepared for professional workplaces, the author suggests that business communication teachers examine and learn from workplace assessment methods. Throughout the article, the author discusses the rationale behind this proposal, reviews relevant literature, reports interview findings on workplace…

Errors in preparation and administration of parenteral drugs in neonatology: evaluation and corrective actions.

Science.gov (United States)

Hasni, Nesrine; Ben Hamida, Emira; Ben Jeddou, Khouloud; Ben Hamida, Sarra; Ayadi, Imene; Ouahchi, Zeineb; Marrakchi, Zahra

2016-12-01

The medication iatrogenic risk is quite unevaluated in neonatology Objective: Assessment of errors that occurred during the preparation and administration of injectable medicines in a neonatal unit in order to implement corrective actions to reduce the occurrence of these errors. A prospective, observational study was performed in a neonatal unit over a period of one month. The practice of preparing and administering injectable medications were identified through a standardized data collection form. These practices were compared with summaries of the characteristics of each product (RCP) and the bibliography. One hundred preparations were observed of 13 different drugs. 85 errors during preparations and administration steps were detected. These errors were divided into preparation errors in 59% of cases such as changing the dilution protocol (32%), the use of bad solvent (11%) and administration errors in 41% of cases as errors timing of administration (18%) or omission of administration (9%). This study showed a high rate of errors during stages of preparation and administration of injectable drugs. In order to optimize the care of newborns and reduce the risk of medication errors, corrective actions have been implemented through the establishment of a quality assurance system which consisted of the development of injectable drugs preparation procedures, the introduction of a labeling system and staff training.

MATLAB-implemented estimation procedure for model-based assessment of hepatic insulin degradation from standard intravenous glucose tolerance test data.

Science.gov (United States)

Di Nardo, Francesco; Mengoni, Michele; Morettini, Micaela

2013-05-01

Present study provides a novel MATLAB-based parameter estimation procedure for individual assessment of hepatic insulin degradation (HID) process from standard frequently-sampled intravenous glucose tolerance test (FSIGTT) data. Direct access to the source code, offered by MATLAB, enabled us to design an optimization procedure based on the alternating use of Gauss-Newton's and Levenberg-Marquardt's algorithms, which assures the full convergence of the process and the containment of computational time. Reliability was tested by direct comparison with the application, in eighteen non-diabetic subjects, of well-known kinetic analysis software package SAAM II, and by application on different data. Agreement between MATLAB and SAAM II was warranted by intraclass correlation coefficients ≥0.73; no significant differences between corresponding mean parameter estimates and prediction of HID rate; and consistent residual analysis. Moreover, MATLAB optimization procedure resulted in a significant 51% reduction of CV% for the worst-estimated parameter by SAAM II and in maintaining all model-parameter CV% MATLAB-based procedure was suggested as a suitable tool for the individual assessment of HID process. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Analytical Chemistry Laboratory (ACL) procedure compendium

International Nuclear Information System (INIS)

1993-01-01

This volume contains the interim change notice for sample preparation methods. Covered are: acid digestion for metals analysis, fusion of Hanford tank waste solids, water leach of sludges/soils/other solids, extraction procedure toxicity (simulate leach in landfill), sample preparation for gamma spectroscopy, acid digestion for radiochemical analysis, leach preparation of solids for free cyanide analysis, aqueous leach of solids for anion analysis, microwave digestion of glasses and slurries for ICP/MS, toxicity characteristic leaching extraction for inorganics, leach/dissolution of activated metal for radiochemical analysis, extraction of single-shell tank (SST) samples for semi-VOC analysis, preparation and cleanup of hydrocarbon- containing samples for VOC and semi-VOC analysis, receiving of waste tank samples in onsite transfer cask, receipt and inspection of SST samples, receipt and extrusion of core samples at 325A shielded facility, cleaning and shipping of waste tank samplers, homogenization of solutions/slurries/sludges, and test sample preparation for bioassay quality control program

Procedures and Tools Used by Teachers When Completing Functional Vision Assessments with Children with Visual Impairments

Science.gov (United States)

Kaiser, Justin T.; Herzberg, Tina S.

2017-01-01

Introduction: This study analyzed survey responses from 314 teachers of students with visual impairments regarding the tools and procedures used in completing functional vision assessments (FVAs). Methods: Teachers of students with visual impairments in the United States and Canada completed an online survey during spring 2016. Results: The…

Assessment of radiation protection of patients and staff in interventional procedures in four Algerian hospitals

International Nuclear Information System (INIS)

Khelassi-Toutaoui, N.; Toutaoui, A.; Merad, A.; Sakhri-Brahimi, Z.; Baggoura, B.; Mansouri, B.

2016-01-01

This study was aimed to assess patient dosimetry in interventional cardiology (IC) and radiology (IR) and radiation safety of the medical operating staff. For this purpose, four major Algerian hospitals were investigated. The data collected cover radiation protection tools assigned to the operating staff and measured radiation doses to some selected patient populations. The analysis revealed that lead aprons are systematically worn by the staff but not lead eye glasses, and only a single personal monitoring badge is assigned to the operating staff. Measured doses to patients exhibited large variations in the maximum skin dose (MSD) and in the dose area product (DAP). The mean MSD registered values are as follows: 0.20, 0.14 and 1.28 Gy in endoscopic retrograde cholangio-pancreatography (ERCP), coronary angiography (CA) and percutaneous transluminal coronary angioplasty (PTCA) procedures, respectively. In PTCA, doses to 3 out of 22 patients (13.6 %) had even reached the threshold value of 2 Gy. The mean DAP recorded values are as follows: 21.6, 60.1 and 126 Gy cm 2 in ERCP, CA and PTCA procedures, respectively. Mean fluoroscopic times are 2.5, 5 and 15 min in ERCP, CA and PTCA procedures, respectively. The correlation between DAP and MSD is fair in CA (r = 0.62) and poor in PTCA (r = 0.28). Fluoroscopic time was moderately correlated with DAP in CA (r = 0.55) and PTCA (r = 0.61) procedures. Local diagnostic reference levels (DRLs) in CA and PTCA procedures have been proposed. In conclusion, this study stresses the need for a continuous patient dose monitoring in interventional procedures with a special emphasis in IC procedures. Common strategies must be undertaken to substantially reduce radiation doses to both patients and medical staff. (authors)

The Safety Assessment of OPR-1000 for Station Blackout Applying Combined Deterministic and Probabilistic Procedure

Energy Technology Data Exchange (ETDEWEB)

Kang, Dong Gu; Ahn, Seung-Hoon; Cho, Dae-Hyung [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

2015-05-15

This is termed station blackout (SBO). However, it does not generally include the loss of available AC power to safety buses fed by station batteries through inverters or by alternate AC sources. Historically, risk analysis results have indicated that SBO was a significant contributor to overall core damage frequency. In this study, the safety assessment of OPR-1000 nuclear power plant for SBO accident, which is a typical beyond design basis accident and important contributor to overall plant risk, is performed by applying the combined deterministic and probabilistic procedure (CDPP). In addition, discussions are made for reevaluation of SBO risk at OPR-1000 by eliminating excessive conservatism in existing PSA. The safety assessment of OPR-1000 for SBO accident, which is a typical BDBA and significant contributor to overall plant risk, was performed by applying the combined deterministic and probabilistic procedure. However, the reference analysis showed that the CDF and CCDP did not meet the acceptable risk, and it was confirmed that the SBO risk should be reevaluated. By estimating the offsite power restoration time appropriately, the SBO risk was reevaluated, and it was finally confirmed that current OPR-1000 system lies in the acceptable risk against the SBO. In addition, it was demonstrated that the proposed CDPP is applicable to safety assessment of BDBAs in nuclear power plants without significant erosion of the safety margin.

A methodology for reviewing Probabilistic Risk Assessments

International Nuclear Information System (INIS)

Derby, S.L.

1983-01-01

The starting point for peer review of a Probabilistic Risk Assessment (PRA) is a clear understanding of how the risk estimate was prepared and of what contributions dominate the calculation. The problem facing the reviewers is how to cut through the complex details of a PRA to gain this understanding. This paper presents a structured, analytical procedure that solves this problem. The effectiveness of this solution is demonstrated by an application on the Zion Probabilistic Safety Study. The procedure found the three dominant initiating events and provided a simplified reconstruction of the calculation of the risk estimate. Significant assessments of uncertainty were also identified. If peer review disputes the accuracy of these judgments, then the revised risk estimate could significantly increase. The value of this procedure comes from having a systematic framework for the PRA review. Practical constraints limit the time and qualified people needed for an adequate review. Having the established framework from this procedure as a starting point, reviewers can focus most of their attention on the accuracy and the completeness of the calculation. Time wasted at the start of the review is reduced by first using this procedure to sort through the technical details of the PRA and to reconstruct the risk estimate from dominant contributions

Waste minimization assessment procedure

International Nuclear Information System (INIS)

Kellythorne, L.L.

1993-01-01

Perry Nuclear Power Plant began developing a waste minimization plan early in 1991. In March of 1991 the plan was documented following a similar format to that described in the EPA Waste Minimization Opportunity Assessment Manual. Initial implementation involved obtaining management's commitment to support a waste minimization effort. The primary assessment goal was to identify all hazardous waste streams and to evaluate those streams for minimization opportunities. As implementation of the plan proceeded, non-hazardous waste streams routinely generated in large volumes were also evaluated for minimization opportunities. The next step included collection of process and facility data which would be useful in helping the facility accomplish its assessment goals. This paper describes the resources that were used and which were most valuable in identifying both the hazardous and non-hazardous waste streams that existed on site. For each material identified as a waste stream, additional information regarding the materials use, manufacturer, EPA hazardous waste number and DOT hazard class was also gathered. Once waste streams were evaluated for potential source reduction, recycling, re-use, re-sale, or burning for heat recovery, with disposal as the last viable alternative

The emergency plan implementing procedures for HANARO facility

Energy Technology Data Exchange (ETDEWEB)

Lee, Jong Tai; Khang, Byung Oui; Lee, Goan Yup; Lee, Moon [Korea Atomic Energy Research Institute, Taejon (Korea)

1999-04-01

The radiological emergency plan implementing procedures of HANARO (High-flux Advanced Neutron Application Reactor) facility is prepared based on the Korea Atomic Law, the Civil Defence Law, Disaster Protection Law and the emergency related regulatory guides such as Guidance for Evolution of Radiation Emergency Plans in Nuclear Research Facilities (KAERI/TR-956/98, Feb.1998) and the emergency plan of HANARO. These procedures is also prepared to ensure adequate response activities to the rediological events which would cause a significant risk to the KAERI staffs and the public nea to the site. Periodic trainning and exercise for the reactor operators and emergency staffs will reduce accident risks and the release of radioactivities to the environment. 61 refs., 81 tabs. (Author)

Preparation of membranes from cellulose obtained of sugarcane bagasse

International Nuclear Information System (INIS)

Pereira, Paulo Henrique Fernandes; Cioffi, Maria Odila Hilario; Voorwald, Herman Jacobus Cornelis; Pinho, Maria Noberta de; Silva, Maria Lucia Caetano Pinto da

2010-01-01

In this work, cellulose obtained from sugarcane bagasse to produce both cellulose and acetylated cellulose to prepare asymmetric membranes. Membranes was procedure used a mixture of materials of DMAc/ LiCl systemic in different conditions. Cellulose and acetylated cellulose were characterized by thermogravimetric (TG), Xray diffraction (XRD) and scanning Electron Microscopy (SEM). Observed less stability thermal of acetylated cellulose when compared of cellulose. All membranes procedure were asymmetric, characterized by presence of a dense skin and porous support can be observed. SEM showed that the morphology of the superficial of membranes depends on the method preparation. (author)

Assessment of heterogeneity in types of vegetables served by main household food preparers and food decision influencers.

Science.gov (United States)

Yi, Sunghwan; Kanetkar, Vinay; Brauer, Paula

2015-10-01

While vegetables are often studied as one food group, global measures may mask variation in the types and forms of vegetables preferred by different individuals. To explore preferences for and perceptions of vegetables, we assessed main food preparers based on their preparation of eight specific vegetables and mushrooms. An online self-report survey. Ontario, Canada. Measures included perceived benefits and obstacles of vegetables, convenience orientation and variety seeking in meal preparation. Of the 4517 randomly selected consumers who received the invitation, 1013 responded to the survey (22·4 % response). Data from the main food preparers were analysed (n 756). Latent profile analysis indicated three segments of food preparers. More open to new recipes, the 'crucifer lover' segment (13 %) prepared and consumed substantially more Brussels sprouts, broccoli and asparagus than the other segments. Although similar to the 'average consumer' segment (54 %) in many ways, the 'frozen vegetable user' segment (33 %) used significantly more frozen vegetables than the other segments due to higher prioritization of time and convenience in meal preparation and stronger 'healthy=not tasty' perception. Perception of specific vegetables on taste, healthiness, ease of preparation and cost varied significantly across the three consumer segments. Crucifer lovers also differed with respect to shopping and cooking habits compared with the frozen vegetable users. The substantial heterogeneity in the types of vegetables consumed and perceptions across the three consumer segments has implications for the development of new approaches to promoting these foods.

SEM studies of the structure of the gels prepared from untreated and radiation modified potato starch

International Nuclear Information System (INIS)

Cieśla, Krystyna; Sartowska, Bożena; Królak, Edward

2015-01-01

Potato starch was irradiated with a 60 Co gamma rays using doses of 5, 10, 20 and 30 kGy. Gels containing ca. 9.1% of starch were prepared by heating the starch suspensions in the heating chamber stabilized at 100 °C. Four procedures were applied for preparation of the samples in regard to SEM studies and the ability to observe the radiation effect by SEM was assessed for each method. Differences were observed between the SEM images recorded for the non-irradiated samples prepared using all the methods, and those irradiated. Images of the non-irradiated gels indicate generally a honey-comb structure, while smooth areas but with oriented fractures has appeared after irradiation. Modification of gel structure corresponds to the applied dose. The results were related to the process of gel formation (as observed by means of the hot stage microscope) to decrease in swelling power of the irradiated starch and to decreased viscosity of the resulting gels. It can be concluded that the differences in structural properties of gels shown by SEM result probably due to the better homogenization of the gels formed after radiation induced degradation. - Highlights: • Four procedures of the preservation of starch gels for SEM studies were applied. • The ability to observe the radiation effect by SEM was assessed for each method. • Dose dependent changes in the gel structure were discovered. • It was related to decrease in the swelling power and decreased viscosity of the gels. • A hot-stage microscope was applied in order to follow the gelatinization process

CGH and SNP array using DNA extracted from fixed cytogenetic preparations and long-term refrigerated bone marrow specimens

Directory of Open Access Journals (Sweden)

MacKinnon Ruth N

2012-02-01

Full Text Available Abstract Background The analysis of nucleic acids is limited by the availability of archival specimens and the quality and amount of the extracted material. Archived cytogenetic preparations are stored in many laboratories and are a potential source of total genomic DNA for array karyotyping and other applications. Array CGH using DNA from fixed cytogenetic preparations has been described, but it is not known whether it can be used for SNP arrays. Diagnostic bone marrow specimens taken during the assessment of hematological malignancies are also a potential source of DNA, but it is generally assumed that DNA must be extracted, or the specimen frozen, within a day or two of collection, to obtain DNA suitable for further analysis. We have assessed DNA extracted from these materials for both SNP array and array CGH. Results We show that both SNP array and array CGH can be performed on genomic DNA extracted from cytogenetic specimens stored in Carnoy's fixative, and from bone marrow which has been stored unfrozen, at 4°C, for at least 36 days. We describe a procedure for extracting a usable concentration of total genomic DNA from cytogenetic suspensions of low cellularity. Conclusions The ability to use these archival specimens for DNA-based analysis increases the potential for retrospective genetic analysis of clinical specimens. Fixed cytogenetic preparations and long-term refrigerated bone marrow both provide DNA suitable for array karyotyping, and may be suitable for a wider range of analytical procedures.

Safety assessment of botanicals and botanical preparations used as ingredients in food supplements: testing an European Food Safety Authority-tiered approach.

Science.gov (United States)

Speijers, Gerrit; Bottex, Bernard; Dusemund, Birgit; Lugasi, Andrea; Tóth, Jaroslav; Amberg-Müller, Judith; Galli, Corrado L; Silano, Vittorio; Rietjens, Ivonne M C M

2010-02-01

This article describes results obtained by testing the European Food Safety Authority-tiered guidance approach for safety assessment of botanicals and botanical preparations intended for use in food supplements. Main conclusions emerging are as follows. (i) Botanical ingredients must be identified by their scientific (binomial) name, in most cases down to the subspecies level or lower. (ii) Adequate characterization and description of the botanical parts and preparation methodology used is needed. Safety of a botanical ingredient cannot be assumed only relying on the long-term safe use of other preparations of the same botanical. (iii) Because of possible adulterations, misclassifications, replacements or falsifications, and restorations, establishment of adequate quality control is necessary. (iv) The strength of the evidence underlying concerns over a botanical ingredient should be included in the safety assessment. (v) The matrix effect should be taken into account in the safety assessment on a case-by-case basis. (vi) Adequate data and methods for appropriate exposure assessment are often missing. (vii) Safety regulations concerning toxic contaminants have to be complied with. The application of the guidance approach can result in the conclusion that safety can be presumed, that the botanical ingredient is of safety concern, or that further data are needed to assess safety.

Dietary habits of obese patients qualified for bariatric procedures.

Science.gov (United States)

Jastrzebska-Mierzyńska, Marta; Ostrowska, Lucyna; Hady, Hady Razak; Dadan, Jacek

2014-01-01

Patients with obesity, including morbid obesity, commit numerous dietary mistakes. They prefer high-energy diets, but of poor nutritional value. Patients qualified for bariatric procedures show deficiencies in vitamins and minerals due to insufficient intake of vegetables, fruit and whole grain products. Analysis of dietary habits in morbidly obese patients prepared for bariatric surgery, including assessment of eating style and frequency of consumption of certain products. The study group contained 39 people aged 18 - 65 years, who were surveyed with a questionnaire elaborated in the Department of Clinical Dietetics and Nutrition, Medical University of Bialystok. The following factors were assessed: number of meals, snacking between meals and eating at night, types of snacks eaten, and frequency of consumption of certain foods. Results were analyzed using Statistica 9.0. The majority of surveyed men (41.7%) ate three meals a day, whereas most women (40.7%) had at least 4 meals a day. Nearly 85% of the respondents admitted snacking between meals, mainly eating fruit, sweets and sandwiches. Whole grain cereal, milk and dairy products, fish, fruit, vegetables and pulses appeared in diet of patients qualified for treatment of obesity very rarely. Dietary habits of obese patients qualified for bariatric procedures are not consistent with recommendations. Therefore, these patients should receive nutritional education in order to foster proper eating habits that will help in the postoperative nutrition.

Assessment of the effects of different sample perfusion procedures on phase-contrast tomographic images of mouse spinal cord

Science.gov (United States)

Stefanutti, E.; Sierra, A.; Miocchi, P.; Massimi, L.; Brun, F.; Maugeri, L.; Bukreeva, I.; Nurmi, A.; Begani Provinciali, G.; Tromba, G.; Gröhn, O.; Giove, F.; Cedola, A.; Fratini, M.

2018-03-01

Synchrotron X-ray Phase Contrast micro-Tomography (SXrPCμT) is a powerful tool in the investigation of biological tissues, including the central nervous system (CNS), and it allows to simultaneously detect the vascular and neuronal network avoiding contrast agents or destructive sample preparations. However, specific sample preparation procedures aimed to optimize the achievable contrast- and signal-to-noise ratio (CNR and SNR, respectively) are required. Here we report and discuss the effects of perfusion with two different fixative agents (ethanol and paraformaldehyde) and with a widely used contrast medium (MICROFIL®) on mouse spinal cord. As a main result, we found that ethanol enhances contrast at the grey/white matter interface and increases the contrast in correspondence of vascular features and fibres, thus providing an adequate spatial resolution to visualise the vascular network at the microscale. On the other hand, ethanol is known to induce tissue dehydration, likely reducing cell dimensions below the spatial resolution limit imposed by the experimental technique. Nonetheless, neurons remain well visible using either perfused paraformaldehyde or MICROFIL® compound, as these latter media do not affect tissues with dehydration effects. Paraformaldehyde appears as the best compromise: it is not a contrast agent, like MICROFIL®, but it is less invasive than ethanol and permits to visualise well both cells and blood vessels. However, a quantitative estimation of the relative grey matter volume of each sample has led us to conclude that no significant alterations in the grey matter extension compared to the white matter occur as a consequence of the perfusion procedures tested in this study.

Final Report for X-ray Diffraction Sample Preparation Method Development

Energy Technology Data Exchange (ETDEWEB)

Ely, T. M. [Hanford Site (HNF), Richland, WA (United States); Meznarich, H. K. [Hanford Site (HNF), Richland, WA (United States); Valero, T. [Hanford Site (HNF), Richland, WA (United States)

2018-01-30

WRPS-1500790, “X-ray Diffraction Saltcake Sample Preparation Method Development Plan/Procedure,” was originally prepared with the intent of improving the specimen preparation methodology used to generate saltcake specimens suitable for XRD-based solid phase characterization. At the time that this test plan document was originally developed, packed powder in cavity supports with collodion binder was the established XRD specimen preparation method. An alternate specimen preparation method less vulnerable, if not completely invulnerable to preferred orientation effects, was desired as a replacement for the method.

Innovative methods for inorganic sample preparation

Energy Technology Data Exchange (ETDEWEB)

Essling, A.M.; Huff, E.A.; Graczyk, D.G.

1992-04-01

Procedures and guidelines are given for the dissolution of a variety of selected materials using fusion, microwave, and Parr bomb techniques. These materials include germanium glass, corium-concrete mixtures, and zeolites. Emphasis is placed on sample-preparation approaches that produce a single master solution suitable for complete multielement characterization of the sample. In addition, data are presented on the soil microwave digestion method approved by the Environmental Protection Agency (EPA). Advantages and disadvantages of each sample-preparation technique are summarized.

Innovative methods for inorganic sample preparation

International Nuclear Information System (INIS)

Essling, A.M.; Huff, E.A.; Graczyk, D.G.

1992-04-01

Procedures and guidelines are given for the dissolution of a variety of selected materials using fusion, microwave, and Parr bomb techniques. These materials include germanium glass, corium-concrete mixtures, and zeolites. Emphasis is placed on sample-preparation approaches that produce a single master solution suitable for complete multielement characterization of the sample. In addition, data are presented on the soil microwave digestion method approved by the Environmental Protection Agency (EPA). Advantages and disadvantages of each sample-preparation technique are summarized

Effort versus Reward: Preparing Samples for Fungal Community Characterization in High-Throughput Sequencing Surveys of Soils.

Directory of Open Access Journals (Sweden)

Zewei Song

Full Text Available Next generation fungal amplicon sequencing is being used with increasing frequency to study fungal diversity in various ecosystems; however, the influence of sample preparation on the characterization of fungal community is poorly understood. We investigated the effects of four procedural modifications to library preparation for high-throughput sequencing (HTS. The following treatments were considered: 1 the amount of soil used in DNA extraction, 2 the inclusion of additional steps (freeze/thaw cycles, sonication, or hot water bath incubation in the extraction procedure, 3 the amount of DNA template used in PCR, and 4 the effect of sample pooling, either physically or computationally. Soils from two different ecosystems in Minnesota, USA, one prairie and one forest site, were used to assess the generality of our results. The first three treatments did not significantly influence observed fungal OTU richness or community structure at either site. Physical pooling captured more OTU richness compared to individual samples, but total OTU richness at each site was highest when individual samples were computationally combined. We conclude that standard extraction kit protocols are well optimized for fungal HTS surveys, but because sample pooling can significantly influence OTU richness estimates, it is important to carefully consider the study aims when planning sampling procedures.

Immunoglobulin preparations for intravenous administration. A review of their biologic activities and comparison of various preparation methods

DEFF Research Database (Denmark)

Nielsen, H

1994-01-01

procedures are employed by different commercial suppliers of immunoglobulins, and from the literature it appears that various important biologic functions, e.g., opsonic activity, complement fixation, and Fc-receptor function, are subject to alterations during the preparation. The best preservation...

Assessment procedure for the soft skills requested by Industry 4.0

Directory of Open Access Journals (Sweden)

Cotet Gabriela Beatrice

2017-01-01

Full Text Available In the context of an increasingly more performant global and informational environment, as the one found in the virtual organization, the process of selecting and evaluating the human resources holds a particular important role. The premise behind this article is that of the need to adapt the human resource performance to the requests of the industry 4.0 being supported by the organizational culture. Following the analysis of the state of the art literature we concluded that there is no clear procedure for the assessment of the constellation of skills and personal qualities – soft skills requested by industry 4.0. These capabilities should complete professional technical hard-skills; the procedure should provide a map for the constellation of capabilities necessary to adapt and perform, in specific industry 4.0 activities. Current psychological evaluation systems consider only some of such requested capabilities not always the most relevant. To solve this problem, we tried to identify and evaluate what we considered as the core of the complex various skills required. Our research was centred on the use of a psychological instrument for evaluating transversal capabilities. The capabilities map needed for the evaluation and selection of the human resource fit to work in the industry 4.0 environment was designed after the application of this complex system of evaluation on successive series of students from the University POLITEHNICA of Bucharest.

Colonoscopy preparation: polyethylene glycol with Gatorade is as safe and efficacious as four liters of polyethylene glycol with balanced electrolytes.

Science.gov (United States)

McKenna, Thomas; Macgill, Alice; Porat, Gail; Friedenberg, Frank K

2012-12-01

Four liters of polyethylene glycol 3350 (PEG) with balanced electrolytes for colonoscopy preparation has had poor acceptance. Another approach is the use of electrolyte-free PEG combined with 1.9 L of Gatorade. Despite its widespread use, there are no data on metabolic safety and minimal data on efficacy. Our aim was to assess the efficacy and electrolyte safety of these two PEG-based preparations. This was a prospective, randomized, single-blind, non-inferiority trial. Patients were randomized to 238 g PEG + 1.9 L Gatorade or 4 L of PEG-ELS containing 236 g PEG. Split dosing was not performed. On procedure day blood was drawn for basic chemistries. The primary outcome was preparation quality from procedure photos using the Boston Bowel Preparation Scale. We randomized 136 patients (66 PEG + Gatorade, 70 PEG-ELS). There were no differences in preparation scores between the two agents in the ITT analysis (7.2 ± 1.9 for PEG-ELS and 7.0 ± 2.1 for PEG + Gatorade; p = 0.45). BBPS scores were identical for those who completed the preparation and dietary instructions as directed (7.4 ± 1.7 for PEG-ELS, and 7.4 ± 1.8 for PEG + Gatorade; p = 0.98). There were no statistical differences in serum electrolytes between the two preparations. Patients who received PEG + Gatorade gave higher overall satisfaction scores for the preparation experience (p = 0.001), and had fewer adverse effects. Use of 238 g PEG + 1.9 L Gatorade appears to be safe, better tolerated, and non-inferior to 4 L PEG-ELS. This preparation may be especially useful for patients who previously tolerated PEG-ELS poorly.

Procedures for cryogenic X-ray ptychographic imaging of biological samples.

Science.gov (United States)

Yusuf, M; Zhang, F; Chen, B; Bhartiya, A; Cunnea, K; Wagner, U; Cacho-Nerin, F; Schwenke, J; Robinson, I K

2017-03-01

Biological sample-preparation procedures have been developed for imaging human chromosomes under cryogenic conditions. A new experimental setup, developed for imaging frozen samples using beamline I13 at Diamond Light Source, is described. This manuscript describes the equipment and experimental procedures as well as the authors' first ptychographic reconstructions using X-rays.

Preparation of 1-bromoheptacosane

International Nuclear Information System (INIS)

Hernandez, L.; Hernandez, A.; Gonzalez, J.C.

1996-01-01

Alkybromides are ones of the main organic precursors for fatty acids and alcohols labelling with Carbon 1-14. In this work the preparation of 1-bromoheptacosane by bromodescarboxylation of 1-octacosanoic acid is described. The synthesis yielded 80.5% of final product and more than 97% of chemical purity. Clean-up procedure modifications and spectral data bromoheptacosane are also reported

Preparation of paraherquamide labeled with deueterium or tritium

Energy Technology Data Exchange (ETDEWEB)

Blizzard, T.A.; Rosegay, A.; Mrozik, H.; Fisher, M.H. (Merck Sharp and Dohme Research Labs., Rahway, NJ (United States))

1990-04-01

Deprotonation of paraherquamide (1a) at C-24 and subsequent deuteration (or tritiation) is described. The procedure afforded 24-[sup 2]H-paraherquamide (1b) with 66% deuterium incorporation at C-24. Modification of the deuteration procedure to allow the introduction of tritium resulted in the preparation of 24-[sup 3]H-paraherquamide (1c) with specific activity 3.7Ci/mmol. (author).

Method of preparing highly active and thermostable preparations of liver uridin-kinase usable for enzymic synthesis of radioactive nucleoside-5'-phosphates

International Nuclear Information System (INIS)

Cihak, A.; Vesely, J.

1975-01-01

A method is described of preparing a high-activity uridine kinase for the enzymic synthesis of radioactive nucleoside-5m-phosphates of the pyrimidine series. The preparation is separated from male rat liver after intraperitoneal application of 5'-azacytidine. Examples are given showing detailed procedures for the conversion of uridine and 6-azauridine to the corresponding 5'-phosphates. (L.K.)

Development of a procedure for qualitative and quantitative evaluation of human factors as a part of probabilistic safety assessments of nuclear power plants. Part A

International Nuclear Information System (INIS)

Richei, A.

1998-01-01

The objective of this project is the development of a procedure for the qualitative and quantitative evaluation of human factors in the probabilistic safety assessment for nuclear power plants. The Human Error Rate Assessment and Optimizing System (HEROS) is introduced. The evaluation of a task with HEROS is realized in the three evaluation levels, i.e. 'Management Structure', 'Working Environment' and 'Man-Machine-Interface'. The developed expert system uses the fuzzy set theory for an assessment. For the evaluation of cognitive tasks evaluation criteria are derived also. The validation of the procedure is based on three examples, reflecting the common practice of probabilistic safety assessments and including problems, which cannot, respectively - only insufficiently - be evaluated with the established human risk analysis procedures. HERO applications give plausible and comprehensible results. (orig.) [de

Environmental risk assessment for plant pests: a procedure to evaluate their impacts on ecosystem services

DEFF Research Database (Denmark)

Gilioli, G.; Schrader, G.; Baker, R.H.A.

2014-01-01

and temporal resolution is then used to explore how an IAS, as an exogenous driving force, may trigger modifications in the target environment. The method presented here provides a standardized approach to generate comparable and reproducible results for environmental risk assessment as a component of Pest...... Risk Analysis. The method enables the assessment of overall environmental risk which integrates the impacts on different components of the environment and their probabilities of occurrence. The application of the proposed scheme is illustrated by evaluating the environmental impacts of the invasive......The current methods to assess the environmental impacts of plant pests differ in their approaches and there is a lack of the standardized procedures necessary to provide accurate and consistent results, demonstrating the complexity of developing a commonly accepted scheme for this purpose...

77 FR 4803 - Dominion Transmission, Inc.; Notice of Intent to Prepare an Environmental Assessment for the...

Science.gov (United States)

2012-01-31

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket Nos. CP12-19-000; CP12-20-000] Dominion Transmission, Inc.; Notice of Intent to Prepare an Environmental Assessment for the Proposed TIOGA Area Expansion and Sabinsville to Morrisville Projects, Request for Comments on Environmental Issues, and Notice of Public Scoping Meeting The...

A review of the report ''IAEA safety targets and probabilistic risk assessment'' prepared for Greenpeace International

International Nuclear Information System (INIS)

1991-01-01

At the request of the Director General, INSAG reviewed the report ''IAEA Safety Targets and Probabilistic Risk Assessment'' prepared for Greenpeace International by the Gesellschaft fuer Oekologische Forschung und Beratung mbH, Hannover, Germany. The conclusions of the report as well as the review results of INSAG experts are reproduced in this document

A formal expert judgment procedure for performance assessments of the Waste Isolation Pilot Plant

International Nuclear Information System (INIS)

Trauth, K.M.; Guzowski, R.V.; Hora, S.C.

1994-09-01

The Waste Isolation Pilot Plant (WIPP) is an experimental facility located in southeastern New Mexico. It has been designed to determine the feasibility of the geologic disposal of defense-generated transuranic waste in a deep bedded-salt formation. The WIPP was also designed for disposal and will operate in that capacity if approved. The WIPP Performance Assessment Department at Sandia National Laboratories has been conducting analyses to assess the long-term performance of the WIPP. These analyses sometimes require the use of expert judgment. This Department has convened several expert-judgment panels and from that experience has developed an internal quality-assurance procedure to guide the formal elicitation of expert judgment. This protocol is based on the principles found in the decision-analysis literature

A formal expert judgment procedure for performance assessments of the Waste Isolation Pilot Plant

Energy Technology Data Exchange (ETDEWEB)

Trauth, K.M. [Sandia National Labs., Albuquerque, NM (United States); Guzowski, R.V. [Science Applications International Corp., Albuquerque, NM (United States); Hora, S.C. [Univ. of Hawaii, Hilo, HI (United States). Business Administration & Economics Div.

1994-09-01

The Waste Isolation Pilot Plant (WIPP) is an experimental facility located in southeastern New Mexico. It has been designed to determine the feasibility of the geologic disposal of defense-generated transuranic waste in a deep bedded-salt formation. The WIPP was also designed for disposal and will operate in that capacity if approved. The WIPP Performance Assessment Department at Sandia National Laboratories has been conducting analyses to assess the long-term performance of the WIPP. These analyses sometimes require the use of expert judgment. This Department has convened several expert-judgment panels and from that experience has developed an internal quality-assurance procedure to guide the formal elicitation of expert judgment. This protocol is based on the principles found in the decision-analysis literature.

A formal expert judgment procedure for performance assessments of the Waste Isolation Pilot Plant

International Nuclear Information System (INIS)

Trauth, K.M.; Guzowski, R.V.; Hora, S.C.

1993-01-01

The Waste Isolation Pilot Plant (WIPP) is an experimental facility located in southeastern New Mexico. It has been designed to determine the feasibility of the geologic disposal of defense-generated transuranic waste in a deep bedded-salt formation. The WIPP was also designed for disposal and will operate in that capacity if approved. The WIPP Performance Assessment Department at Sandia National Laboratories has been conducting analyses to assess the long-term performance of the WIPP. These analyses sometimes require the use of expert judgment. This Department has convened several expert-judgment panels and from that experience has developed an internal quality-assurance procedure to guide the formal elicitation of expert judgment. This protocol is based on the principles found in the decision-analysis literature

Gastric emptying evaluation by ultrasound prior colonoscopy: An easy tool following bowel preparation

Science.gov (United States)

Coriat, Romain; Polin, Vanessa; Oudjit, Ammar; Henri, Franck; Dhooge, Marion; Leblanc, Sarah; Delchambre, Chantal; Esch, Anouk; Tabouret, Tessa; Barret, Maximilien; Prat, Frédéric; Chaussade, Stanislas

2014-01-01

AIM: To investigate the gastric emptying after bowel preparation to allow general anaesthesia. METHODS: A prospective, non-comparative, and non-randomized trial was performed and registered on Eudra CT database (2011-002953-80) and on www.trial.gov (NCT01398098). All patients had a validated indication for colonoscopy and a preparation using sodium phosphate (NaP) tablets. The day of the procedure, patients took 4 tablets with 250 mL of water every 15 min, three times. The gastric volume was estimated every 15 min from computed antral surfaces and weight according to the formula of Perlas et al (Anesthesiology, 2009). Colonoscopy was performed within the 6 h following the last intake. RESULTS: Thirty patients were prospectively included in the study from November 2011 to May 2012. The maximum volume of the antrum was 212 mL, achieved 15 min after the last intake. 24%, 67% and 92% of subjects had an antral volume below 20 mL at 60, 120 and 150 min, respectively. 81% of patients had a Boston score equal to 2 or 3 in each colonic segment. No adverse events leading to treatment discontinuation were reported. CONCLUSION: Gastric volume evaluation appeared to be a simple and reliable method for the assessment of gastric emptying. Data allow considering the NaP tablets bowel preparation in the morning of the procedure and confirming that gastric emptying is achieved after two hours, allowing general anaesthesia. PMID:25309090

Does general surgery residency prepare surgeons for community practice in British Columbia?

Science.gov (United States)

Hwang, Hamish

2009-01-01

Background Preparing surgeons for clinical practice is a challenging task for postgraduate training programs across Canada. The purpose of this study was to examine whether a single surgeon entering practice was adequately prepared by comparing the type and volume of surgical procedures experienced in the last 3 years of training with that in the first year of clinical practice. Methods During the last 3 years of general surgery training, I logged all procedures. In practice, the Medical Services Plan (MSP) of British Columbia tracks all procedures. Using MSP remittance reports, I compiled the procedures performed in my first year of practice. I totaled the number of procedures and broke them down into categories (general, colorectal, laparoscopic, endoscopic, hepatobiliary, oncologic, pediatric, thoracic, vascular and other). I then compared residency training with community practice. Results I logged a total of 1170 procedures in the last 3 years of residency. Of these, 452 were performed during community rotations. The procedures during residency could be broken down as follows: 392 general, 18 colorectal, 242 laparoscopic, 103 endoscopic, 85 hepatobiliary, 142 oncologic, 1 pediatric, 78 thoracic, 92 vascular and 17 other. I performed a total of 1440 procedures in the first year of practice. In practice the break down was 398 general, 15 colorectal, 101 laparoscopic, 654 endoscopic, 2 hepatobiliary, 77 oncologic, 10 pediatric, 0 thoracic, 70 vascular and 113 other. Conclusion On the whole, residency provided excellent preparation for clinical practice based on my experience. Areas of potential improvement included endoscopy, pediatric surgery and “other,” which comprised mostly hand surgery. PMID:19503663

Assessment of job stress factors and organizational personality types for procedure-based jobs in nuclear power plants

International Nuclear Information System (INIS)

Kim, Dae-Ho; Lee, Yong-Hee; Lee, Jung-Woon

2008-01-01

The purpose of this study is to assess the organizational types and the job stress factors that affect procedure-based job performances in nuclear power plants. We derived 24 organizational factors affecting job stress level in nuclear power plants from the job stress analysis models developed by NIOSH, JDI, and IOR. Considering the safety characteristics in the operating tasks of nuclear power plants, we identified the job contents and characteristics through the analyses of job assignments that appeared in the organizational chart and the results of an activity-based costing. By using questionnaire surveys and structured interviews with the plant personnel and expert panels, we assessed 70 jobs among the 777 jobs managed officially in accordance with the procedures. They consist of the representative jobs of each department and are directly related to safety. We utilized the organizational personality type indicators to characterize the personality types of each organization in nuclear power plants. (author)

Internal Control Organization Procedure

OpenAIRE

Radu Dorin Lenghel

2013-01-01

Internal control represents the totality of policies and procedures adopted by management, which contribute: to the fulfilment of managerial objectives, to the prevention and detection of frauds or errors, to the accuracy and exhaustiveness of accounting entries, as well as to the preparation in due course of financial accounting information. Internal control represents a managerial instrument which assures the fulfilment of objectives of the entity, being an ongoing process in which administ...

21 CFR 1305.12 - Procedure for executing DEA Forms 222.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Procedure for executing DEA Forms 222. 1305.12... I AND II CONTROLLED SUBSTANCES DEA Form 222 § 1305.12 Procedure for executing DEA Forms 222. (a) A purchaser must prepare and execute a DEA Form 222 simultaneously in triplicate by means of interleaved...

Procedures for cryogenic X-ray ptychographic imaging of biological samples

Directory of Open Access Journals (Sweden)

M. Yusuf

2017-03-01

Full Text Available Biological sample-preparation procedures have been developed for imaging human chromosomes under cryogenic conditions. A new experimental setup, developed for imaging frozen samples using beamline I13 at Diamond Light Source, is described. This manuscript describes the equipment and experimental procedures as well as the authors' first ptychographic reconstructions using X-rays.

WWER 440 integrity assessment with respect to PTS events

International Nuclear Information System (INIS)

Hrazsky, M.; Mikua, M.; Hermansky, P.

1997-01-01

The present state of art in WWER 440 RPV integrity assessment with respect to PTS events utilized in Slovakia is reviewed briefly in this paper. Recent results of some PTS's (very severe) analyses, shortly described in our paper, have confirmed the necessity of elaboration of new more sophisticated procedures again. Such methodology should be based on prepared IAEA Guidance. (author). 13 refs, 1 fig

WWER 440 integrity assessment with respect to PTS events

Energy Technology Data Exchange (ETDEWEB)

Hrazsky, M; Mikua, M; Hermansky, P [Nuclear Power Plant Research Inst. Trnava Inc., Trnava (Slovakia)

1997-09-01

The present state of art in WWER 440 RPV integrity assessment with respect to PTS events utilized in Slovakia is reviewed briefly in this paper. Recent results of some PTS`s (very severe) analyses, shortly described in our paper, have confirmed the necessity of elaboration of new more sophisticated procedures again. Such methodology should be based on prepared IAEA Guidance. (author). 13 refs, 1 fig.

Formatting data files for repeated-measures analyses in SPSS: Using the Aggregate and Restructure procedures

Directory of Open Access Journals (Sweden)

Gyslain Giguère

2006-03-01

Full Text Available In this tutorial, we demonstrate how to use the Aggregate and Restructure procedures available in SPSS (versions 11 and up to prepare data files for repeated-measures analyses. In the first two sections of the tutorial, we briefly describe the Aggregate and Restructure procedures. In the final section, we present an example in which the data from a fictional lexical decision task are prepared for analysis using a mixed-design ANOVA. The tutorial demonstrates that the presented method is the most efficient way to prepare data for repeated-measures analyses in SPSS.

A manual of nuclear medicine procedures

International Nuclear Information System (INIS)

Das, B.K.; Noreen Norfaraheen Lee Abdullah

2012-01-01

Nuclear medicine is a fast growing specialty. The procedures provide quantitative parameters of organ functions required for modern practice of medicine. With the development of new machines and increased application of computer software, the procedures are under continuous change. Some procedures have become outdated or redundant while new methods have been introduced to enhance the quality of information obtained from a particular application. Although there are a few books published abroad to inform doctors and technical staff about the procedures, a comprehensive source to give quick information about how different test are performed, particularly the new developments and the expected outcome both in normal and abnormal cases has been a long felt need. The physician ordering a Nuclear Medicine test also needs to know what patient preparations are required for optimal results, how to satisfy the queries of the patient particularly in respect of radiation exposure which sometimes can be a major concern of the patient. This manual has been prepared not only to describe technical details of various procedures that are currently practiced in Nuclear Medicine, but also to provide quick information for the doctors and health care personnel on how to inform the patients about the investigation for which they are being referred and how to interpret the results. Since there is no such comprehensive book published yet in Asia including South-East Asia, it is likely to be in great demand in the region. All students of Master Degree, M.D., DRM, DMRIT, M.Sc. (Nuclear Medicine) and technologists already working in various diagnostic centers will likely buy this book. General practitioners and specialists who refer patients for different radioisotope investigations may find this book useful for quick reference. (author)

Procedures of assessment on the quantification of thoracic kyphosis and lumbar lordosis by radiography and photogrammetry: A literature review.

Science.gov (United States)

Porto, Alessandra Beggiato; Okazaki, Victor Hugo Alves

2017-10-01

The quantification of thoracic kyphosis and lumbar lordosis can be assessed in different ways; among them radiography and photogrammetry. However, the assessment procedures are not consistent in the literature for either method. The objective of this study was to conduct a literature review about postural assessment through radiography and photogrammetry, for delineating the procedures for both methods. In total 38 studies were selected by an online search in the MEDLINE and LILACS databases with the keywords: radiograph and posture, postural alignment, photogrammetry or photometry or biophotogrammetry. For the radiographic method, the results showed divergences in arm positioning and in the calculation of thoracic and lumbar angles. The photogrammetry demonstrated differences in relation to the camera, tripod, plumb line and feet positioning, angle calculation, software utilization, and the use of footwear. Standardization is proposed for both methods to help establish normative values and comparisons between diagnoses. Copyright © 2017 Elsevier Ltd. All rights reserved.

Environmental impact assessment procedure: A new approach based on fuzzy logic

International Nuclear Information System (INIS)

Peche, Roberto; Rodriguez, Esther

2009-01-01

The information related to the different environmental impacts produced by the execution of activities and projects is often limited, described by semantic variables and, affected by a high degree of inaccuracy and uncertainty, thereby making fuzzy logic a suitable tool with which to express and treat this information. The present study proposes a new approach based on fuzzy logic to carry out the environmental impact assessment (EIA) of these activities and projects. Firstly, a set of impact properties is stated and two nondimensional parameters - ranging from 0 to 100 -are assigned, (p i ) to assess the value of the property and (v i ) to assess its contribution to each environmental impact. Next, the impact properties are described by means of fuzzy numbers p i - using generalised confidence intervals. Then, a procedure based on fuzzy arithmetic is developed to define the assessment functions v-bar = f(p-bar) - conventional mathematical functions, which incorporate the knowledge of these impact properties and give the fuzzy values v i - corresponding to each p i - . Subsequently, the fuzzy value of each environmental impact V-bar is estimated by aggregation of the values v i - , in order to obtain the total positive and negative environmental impacts V +- and V -- and, later - from them - the total environmental impact of the activity or project TV - . Finally, the defuzzyfication of TV - leads to a punctual impact estimator TV (1) - a conventional EI estimation - and its corresponding uncertainty interval estimator {(δ l (TV - ),δ r (TV - )}, which represent the total value of the environmental impact caused by the execution of the considered activity or project.

Collection and preparation of wet and dry stream-sediment samples

International Nuclear Information System (INIS)

Puchlik, K.

1977-03-01

Lawrence Livermore Laboratory is responsible for the Hydrogeochemistry and Stream Sediment Reconnaissance (HSSR) program for uranium in the seven far western states. The work thus far has concentrated on the arid to semi-arid regions of the West and this paper discusses the collection and preparation of sediment samples in the Basin and Range province. The sample collection and preparation procedures described here may not be applicable to other parts of the far western states or other areas. These procedures also differ somewhat from those used by the other three laboratories involved in the HSSR program

Patient Evaluation and Preparation in Vascular and Interventional Radiology: What Every Interventional Radiologist Should Know (Part 1: Patient Assessment and Laboratory Tests)

Energy Technology Data Exchange (ETDEWEB)

Taslakian, Bedros, E-mail: btaslakian@gmail.com [NYU Langone Medical Center, Department of Radiology (United States); Sebaaly, Mikhael Georges, E-mail: ms246@aub.edu.lb; Al-Kutoubi, Aghiad, E-mail: mk00@aub.edu.lb [American University of Beirut Medical Center, Department of Diagnostic Radiology (Lebanon)

2016-03-15

Performing an interventional procedure imposes a commitment on interventional radiologists to conduct the initial patient assessment, determine the best course of therapy, and provide long-term care after the procedure is completed. After patient referral, contact with the referring physician and multidisciplinary team approach is vital. In addition, clinical history, physical examination, as well as full understanding of the pre-procedural laboratory results and imaging findings can guide the interventional radiologist to implement the most appropriate management plan, avoid unnecessary procedures, and prevent complications to achieve a successful outcome. We provide a comprehensive, methodical review of pre-procedural care and management in patients undergoing vascular and interventional radiology procedures.

Patient Evaluation and Preparation in Vascular and Interventional Radiology: What Every Interventional Radiologist Should Know (Part 1: Patient Assessment and Laboratory Tests)

International Nuclear Information System (INIS)

Taslakian, Bedros; Sebaaly, Mikhael Georges; Al-Kutoubi, Aghiad

2016-01-01

Performing an interventional procedure imposes a commitment on interventional radiologists to conduct the initial patient assessment, determine the best course of therapy, and provide long-term care after the procedure is completed. After patient referral, contact with the referring physician and multidisciplinary team approach is vital. In addition, clinical history, physical examination, as well as full understanding of the pre-procedural laboratory results and imaging findings can guide the interventional radiologist to implement the most appropriate management plan, avoid unnecessary procedures, and prevent complications to achieve a successful outcome. We provide a comprehensive, methodical review of pre-procedural care and management in patients undergoing vascular and interventional radiology procedures

Assessment of the application of an ecotoxicological procedure to screen illicit toxic discharges in domestic septic tank sludge.

Science.gov (United States)

López-Gastey, J; Choucri, A; Robidoux, P Y; Sunahara, G I

2000-06-01

An innovative screening procedure has been developed to detect illicit toxic discharges in domestic septic tank sludge hauled to the Montreal Urban Community waste-water treatment plant. This new means of control is based on an integrative approach, using bioassays and chemical analyses. Conservative criteria are applied to detect abnormal toxicity with great reliability while avoiding false positive results. The complementary data obtained from toxicity tests and chemical analyses support the use of this efficient and easy-to-apply procedure. This study assesses the control procedure in which 231 samples were analyzed over a 30-month period. Data clearly demonstrate the deterrent power of an efficient control procedure combined with a public awareness campaign among the carriers. In the first 15 months of application, between January 1996 and March 1997, approximately 30% of the 123 samples analyzed showed abnormal toxicity. Between April 1997 and June 1998, that is, after a public hearing presentation of this procedure, this proportion dropped significantly to approximately 9% based on 108 analyzed samples. The results of a 30-month application of this new control procedure show the superior efficiency of the ecotoxicological approach compared with the previously used chemical control procedure. To be able to apply it effectively and, if necessary, to apply the appropriate coercive measures, ecotoxicological criteria should be included in regulatory guidelines.

Preparation of exposures charts for X-ray tubes

International Nuclear Information System (INIS)

Zoofan, B.

1988-01-01

An exposure chart is a fundamental graph which provides guidance of the exposure conditions in relation to the thickness for a given specimen. It must be prepared specially for the X-ray unit and the type of the film to be used. Although exposure charts are available for each particular X-ray tube from its manufacturer, individual radiographic laboratory should be able to prepare its own exposure charts in a precise manner. Here a typical procedure to prepare such a chart is provided in a practical way with some necessary recommendations

76 FR 44603 - Intent To Prepare an Environmental Assessment and Scoping for an Evaluation of Alternatives To...

Science.gov (United States)

2011-07-26

... Comment (PEPC) Web site, at http://parkplanning.nps.gov/jeff , and through local and regional media at... assessment prepared in support of an individual proposed action can be tiered to a programmatic or other broader-scope environmental impact statement. Tiering to the programmatic or broader-scope environmental...

Evaluation of slurry preparation procedures for the determination of mercury by axial view inductively coupled plasma optical emission spectrometry using on-line cold vapor generation

International Nuclear Information System (INIS)

Santos, Eder Jose dos; Herrmann, Amanda Beatriz; Antunes Vieira, Mariana; Azzolin Frescura, Vera Lucia; Curtius, Adilson Jose

2005-01-01

Five different slurry preparation procedures were tested, after grinding the solid samples to a particle size ≤53 μm: (1) using aqua regia plus HF, 30 min of sonication, standing time of 24 h followed by another 30 min of sonication; (2) same as the previous one, except that the standing time and the second ultrasound treatment were omitted; (3) same as the previous one, except that HF was not used; (4) same as the previous one, except that the aqua regia was replaced by nitric acid; (5) same as the previous one, except that the acid nitric was replaced by tetramethylammonium hydroxide (TMAH). The Hg vapor was generated on-line, and the emission signal intensity measured at 253.652 nm by axial view inductively coupled plasma optical emission spectrometry. Initially, four experimental conditions were optimized using a multivariate factorial analysis: the concentrations of HCl and of the reducing agent, NaBH 4 , used in the cold vapor generation, and two instrumental parameters, the plasma radiofrequency power and the carrier gas flow rate. The radiofrequency power was statistically significant, but limited to 1.2 kW for practical reasons. The procedures were applied to 11 biological and environmental materials. Both, the slurries and the filtrates were analyzed, using calibration solutions in the same medium as in the slurries. The first three procedures produced results in agreement with the certified values. The two last procedures, using nitric acid or TMHA could not be used for quantitative analysis. For practical reasons, Procedure 3, with a detection limit (3s, n=10) of 0.06 μg g -1 for a sample mass of 20 mg in a final volume of 15 mL is recommended. The relative standard deviations for mercury in the investigated materials, using the recommended procedure, were lower than 12.5%, indicating a good precision for slurry sampling. The recommended procedure is simple, rapid and robust

An assessment of methods for monitoring entrance surface dose in fluoroscopically guided interventional procedures

International Nuclear Information System (INIS)

Waite, J.C.; Fitzgerald, M.

2001-01-01

In the light of a growing awareness of the risks of inducing skin injuries as a consequence of fluoroscopically guided interventional procedures (FGIPs), this paper compares three methods of monitoring entrance surface dose (ESD). It also reports measurements of ESDs made during the period August 1998 to June 1999 on 137 patients undergoing cardiac, neurological and general FGIPs. Although the sample is small, the results reinforce the need for routine assessments to be made of ESDs in FGIPs. At present, the most reliable and accurate form of ESD measurement would seem to be arrays of TLDs. However, transducer based methods, although likely to be less accurate, have considerable advantages in relation to a continuous monitoring programme. It is also suggested that there may be the potential locally for threshold dose area product (DAP) values to be set for specific procedures. These could be used to provide early warning of the potential for skin injuries. (author)

Can evaluation of a dental procedure at the outset of learning predict later performance at the preclinical level? A pilot study.

LENUS (Irish Health Repository)

Polyzois, Ioannis

2011-05-01

The purpose of this study was to examine the effectiveness of conventional pre-clinical training in dentistry and to determine if evaluation of a dental procedure at the beginning of dental training can be a predictor for future performance. A group of second year dental students with no previous experience in operative dentistry were asked to prepare a conventional class I cavity on a lower first molar typodont. Their first preparation was carried out after an introductory lecture and a demonstration and their second at the end of conventional training. The prepared typodonts were coded and blindly scored for the traditional assessment criteria of outline form, retention form, smoothness, cavity depth and cavity margin angulation. Once the codes were broken, a paired t-test was used to compare the difference between the means of before and after scores (P<0.0001) and a Pearson\\'s linear correlation to test the association (r=0.4). From the results of this study, we could conclude that conventional preclinical training results in a significant improvement in the manual skills of the dental students and that the dental procedure used had only a limited predictive value for later performance at the preclinical level.

Micro-computed tomography-based phenotypic approaches in embryology: procedural artifacts on assessments of embryonic craniofacial growth and development.

Science.gov (United States)

Schmidt, Eric J; Parsons, Trish E; Jamniczky, Heather A; Gitelman, Julian; Trpkov, Cvett; Boughner, Julia C; Logan, C Cairine; Sensen, Christoph W; Hallgrímsson, Benedikt

2010-02-17

Growing demand for three dimensional (3D) digital images of embryos for purposes of phenotypic assessment drives implementation of new histological and imaging techniques. Among these micro-computed tomography (microCT) has recently been utilized as an effective and practical method for generating images at resolutions permitting 3D quantitative analysis of gross morphological attributes of developing tissues and organs in embryonic mice. However, histological processing in preparation for microCT scanning induces changes in organ size and shape. Establishing normative expectations for experimentally induced changes in size and shape will be an important feature of 3D microCT-based phenotypic assessments, especially if quantifying differences in the values of those parameters between comparison sets of developing embryos is a primary aim. Toward that end, we assessed the nature and degree of morphological artifacts attending microCT scanning following use of common fixatives, using a two dimensional (2D) landmark geometric morphometric approach to track the accumulation of distortions affecting the embryonic head from the native, uterine state through to fixation and subsequent scanning. Bouin's fixation reduced average centroid sizes of embryonic mouse crania by approximately 30% and substantially altered the morphometric shape, as measured by the shift in Procrustes distance, from the unfixed state, after the data were normalized for naturally occurring shape variation. Subsequent microCT scanning produced negligible changes in size but did appear to reduce or even reverse fixation-induced random shape changes. Mixtures of paraformaldehyde + glutaraldehyde reduced average centroid sizes by 2-3%. Changes in craniofacial shape progressively increased post-fixation. The degree to which artifacts are introduced in the generation of random craniofacial shape variation relates to the degree of specimen dehydration during the initial fixation. Fixation methods that

Fire retardancy assessment of polypropylene composite filed with nano clay prepared from Iraqi bentonite

Science.gov (United States)

Kareem Salih, Watheq

2018-05-01

Fire retardants have an extraordinary importance because of their role in saving the people, property and reducing the damages and minimizing the dangers resulting from fires and burning of polymeric composites which are used in different civil and industrial fields. The work in this paper can be divided into two main stages. In first one nano-clay was manufactured from Iraqi bentonite and it was characterized using AFM, XRD, XRF, SEM, and BET. The AFM test showed the particle size of prepared nano clay was about 99.25 nm. In the second stage, polypropylene/nano clay composites at three low loading percents (0%,2%,4%,6%) were formulated via twin screw extruder. The fire retardancy tests included burning rate according to ASTM:D-635 and maximum flame height of flame according to ASTM:D-3014. Besides, the mechanical tests and thermal behavior of prepared samples were investigated. The results showed that (4%) of nano-clay had the maximum fire retardancy and while at (2%) loading, the maximum value of tensile strength and Yong modulus were obtained. The maximum heat of fusion was recorded for 6% nano clay sample. The final results assessment confirmed on the possibility of using low loadings of prepared nano clay to improve the fire retardancy, mechanical and thermal properties successfully.

Leukocytospermia and sperm preparation - a flow cytometric study

Directory of Open Access Journals (Sweden)

Perticarari Sandra

2009-01-01

Full Text Available Abstract Background Leukocytes represent the predominant source of reactive oxygen species both in seminal plasma and in sperm suspensions and have been demonstrated to negatively influence sperm function and fertilization rate in assisted reproduction procedures. Peroxidase test is the standard method recommended by WHO to detect semen leukocytes but it may be inaccurate. The aims of this study were (i to compare the efficiency of swim-up and density-gradient centrifugation techniques in removing seminal leukocytes, (ii to examine the effect of leukocytes on sperm preparation, and (iii to compare flow cytometry and peroxidase test in determining leukocyte concentration in semen using a multiparameter flow cytometric method. Methods Semen samples from 126 male partners of couples undergoing infertility investigations were analyzed for leukocytospermia using standard optical microscopy and flow cytometry. Sixty-nine out of 126 samples were also processed using simultaneously the swim-up and density-gradient centrifugation techniques. A multiparameter flow cytometric analysis to assess simultaneously sperm concentration, sperm viability, sperm apoptosis, and leukocyte concentration was carried out on neat and prepared sperm. Results Both sperm preparation methods removed most seminal leukocytes. However, the concentration of leukocytes was significantly lower after swim-up compared to that after density-gradient centrifugation preparation. Leukocytes concentration, either initial or in prepared fractions, was not correlated with sperm parameters (optical microscopy and flow cytometry parameters after semen processing. There was no correlation between leukocyte concentration in the ejaculate and sperm recovery rate, whereas a significant correlation was found between the concentration of the residual leukocytes in prepared fractions and viable sperm recovery rate. Although the overall concordance between the flow cytometry and the optical

Virtual reality simulation training in a high-fidelity procedure suite

DEFF Research Database (Denmark)

Lönn, Lars; Edmond, John J; Marco, Jean

2012-01-01

To assess the face and content validity of a novel, full physics, full procedural, virtual reality simulation housed in a hybrid procedure suite.......To assess the face and content validity of a novel, full physics, full procedural, virtual reality simulation housed in a hybrid procedure suite....

Calcination under negative atmosphere for SYNROC preparation

International Nuclear Information System (INIS)

Ambashta, R.D.; Wattal, P.K.; Govindankutty, K.V.

2006-01-01

SYNROC-C is a ceramic waste formulation designed to immobilise reprocessing waste from fast breeder reactor. This formulation is capable of incorporating noble metals, other fission products, corrosion products and activation products in its multiphase assemblage. Calcination is an important step of SYNROC preparation for decomposition of nitrates of the radioactive waste and conversion to oxide precursors. This paper presents a comparison between properties of calcine prepared under different calcination procedures to obtain product suitable for compaction

The Implicit Relational Assessment Procedure as a Measure of Implicit Depression and the Role of Psychological Flexibility

Science.gov (United States)

Hussey, Ian; Barnes-Holmes, Dermot

2012-01-01

A broad implicit measure of depressive emotional reactions was created by mapping the content of the depression scale from the Depression Anxiety and Stress Scale (DASS) on to the Implicit Relational Assessment Procedure (IRAP). Participants were asked to relate pairings of antecedents and emotional reactions that followed the formula "When X…

Remediation strategies after nuclear or radiological accidents: part 2 - accident scenarios for assessing effectiveness of cleanup procedures

International Nuclear Information System (INIS)

Rochedo, Elaine R.R.

2009-01-01

The selection of protective measures and remediation strategies after an accident needs to be based on previously established criteria, to minimize unnecessary stress and the exposures involved in cleanup operations that are not effective in reducing doses to the public. In a first stage, a database describing the countermeasures has been developed including their efficiency on removing contamination from surfaces. However, to assess the effectiveness of cleanup procedures in reducing doses to members of the public, it was necessary to derive specific scenarios in order to simulate the long term behavior of the material in the environment, since the contribution of different surfaces to doses changes with time after contamination. A basic release and exposure scenario was developed to assess the dose reduction due to the mostly used procedures. Exposure scenarios were selected to fit the surroundings of the Brazilian nuclear power plants in Angra dos Reis. Simulations were performed using SIEM, the integrated system for dose assessment after contamination events, developed at IRD. The contamination of urban environments was assessed for Cs-137, as this was found to be the most relevant long term radionuclide to contribute to doses to member of the public. The effects on reducing external exposures were assessed for periods up to 50 years after the contamination. For agricultural areas, the focus was on ingestion doses from contamination with I-131 for periods up to 1 year after contamination. Results will be complemented on the database in order to support multi-criteria decision making processes after accidents. (author)

Remediation strategies after nuclear or radiological accidents: part 2 - accident scenarios for assessing effectiveness of cleanup procedures

Energy Technology Data Exchange (ETDEWEB)

Rochedo, Elaine R.R. [Comissao Nacional de Energia Nuclear (CNEN-RJ), Rio de Janeiro, RJ (Brazil). Coordenacao de Instalacoes Nucleares], e-mail: erochedo@cnen.gov.br; Silva, Diogo N.G.; Wasserman, Maria A.V.; Conti, Luiz F.C. [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil)], e-mail: dneves@ird.gov.br, e-mail: angelica@ird.gov.br, e-mail: lfcconti@ird.gov.br

2009-07-01

The selection of protective measures and remediation strategies after an accident needs to be based on previously established criteria, to minimize unnecessary stress and the exposures involved in cleanup operations that are not effective in reducing doses to the public. In a first stage, a database describing the countermeasures has been developed including their efficiency on removing contamination from surfaces. However, to assess the effectiveness of cleanup procedures in reducing doses to members of the public, it was necessary to derive specific scenarios in order to simulate the long term behavior of the material in the environment, since the contribution of different surfaces to doses changes with time after contamination. A basic release and exposure scenario was developed to assess the dose reduction due to the mostly used procedures. Exposure scenarios were selected to fit the surroundings of the Brazilian nuclear power plants in Angra dos Reis. Simulations were performed using SIEM, the integrated system for dose assessment after contamination events, developed at IRD. The contamination of urban environments was assessed for Cs-137, as this was found to be the most relevant long term radionuclide to contribute to doses to member of the public. The effects on reducing external exposures were assessed for periods up to 50 years after the contamination. For agricultural areas, the focus was on ingestion doses from contamination with I-131 for periods up to 1 year after contamination. Results will be complemented on the database in order to support multi-criteria decision making processes after accidents. (author)

Assessment procedure and probability determination methods of aircraft crash events in siting for nuclear power plants

International Nuclear Information System (INIS)

Zheng Qiyan; Zhang Lijun; Huang Weiqi; Yin Qingliao

2010-01-01

Assessment procedure of aircraft crash events in siting for nuclear power plants, and the methods of probability determination in two different stages of prelimi- nary screening and detailed evaluation are introduced in this paper. Except for general air traffic, airport operations and aircraft in the corridor, the probability of aircraft crash by military operation in the military airspaces is considered here. (authors)

Probabilistic safety analysis procedures guide

International Nuclear Information System (INIS)

Papazoglou, I.A.; Bari, R.A.; Buslik, A.J.

1984-01-01

A procedures guide for the performance of probabilistic safety assessment has been prepared for interim use in the Nuclear Regulatory Commission programs. The probabilistic safety assessment studies performed are intended to produce probabilistic predictive models that can be used and extended by the utilities and by NRC to sharpen the focus of inquiries into a range of tissues affecting reactor safety. This guide addresses the determination of the probability (per year) of core damage resulting from accident initiators internal to the plant and from loss of offsite electric power. The scope includes analyses of problem-solving (cognitive) human errors, a determination of importance of the various core damage accident sequences, and an explicit treatment and display of uncertainties for the key accident sequences. Ultimately, the guide will be augmented to include the plant-specific analysis of in-plant processes (i.e., containment performance) and the risk associated with external accident initiators, as consensus is developed regarding suitable methodologies in these areas. This guide provides the structure of a probabilistic safety study to be performed, and indicates what products of the study are essential for regulatory decision making. Methodology is treated in the guide only to the extent necessary to indicate the range of methods which is acceptable; ample reference is given to alternative methodologies which may be utilized in the performance of the study

78 FR 54884 - Antrim County; Notice of Intent To Prepare an Environmental Assessment and Notice of Scoping...

Science.gov (United States)

2013-09-06

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 3030-019] Antrim County; Notice of Intent To Prepare an Environmental Assessment and Notice of Scoping Meeting and Environmental Site Review and Soliciting Scoping Comments Take notice that the following hydroelectric application has been filed with the Commission and is...