WorldWideScience

Sample records for previous emergency operations

  1. Operator behaviors observed in following emergency operating procedure under a simulated emergency

    International Nuclear Information System (INIS)

    Choi, Sun Yeong; Park, Jin Kyun

    2012-01-01

    A symptom-based procedure with a critical safety function monitoring system has been established to reduce the operator's diagnosis and cognitive burden since the Three-Mile Island (TMI) accident. However, it has been reported that a symptom-based procedure also requires an operator's cognitive efforts to cope with off-normal events. This can be caused by mismatches between a static model, an emergency operating procedure (EOP), and a dynamic process, the nature of an ongoing situation. The purpose of this study is to share the evidence of mismatches that may result in an excessive cognitive burden in conducting EOPs. For this purpose, we analyzed simulated emergency operation records and observed some operator behaviors during the EOP operation: continuous steps, improper description, parameter check at a fixed time, decision by information previously obtained, execution complexity, operation by the operator's knowledge, notes and cautions, and a foldout page. Since observations in this study are comparable to the results of an existing study, it is expected that the operational behaviors observed in this study are generic features of operators who have to cope with a dynamic situation using a static procedure.

  2. Emergency operation determination system

    International Nuclear Information System (INIS)

    Miki, Tetsushi.

    1993-01-01

    The system of the present invention can determine an emergency operation coping with abnormal events occurring during nuclear plant operation without replying on an operator's judgement. That is, the system of the present invention comprises an intelligence base which divides and classifies the aims of the plant operation for the function, structure and operation manual and puts them into network. Degree of attainment for the extend of the status normality is determined on every aim of operation based on various kinds of measured data during plant operation. For a degree of attainment within a predetermined range, it is judged that an emergency operation is possible although this is in an abnormal state. Degree of emergency is determined by a fuzzy theory based on the degree of attainment, variation coefficient for the degree of attainment and the sensitivity to external disturbance as parameters. Priority for the degree of emergency on every operation aims is determined by comparison. Normality is successively checked for the determined operation aims. As a result, equipments as objects of abnormality suppressing operation are specified, and the operation amount of the equipments as objects are determined so that the measuring data are within a predetermined range. (I.S.)

  3. Modeling operators' emergency response time for chemical processing operations.

    Science.gov (United States)

    Murray, Susan L; Harputlu, Emrah; Mentzer, Ray A; Mannan, M Sam

    2014-01-01

    Operators have a crucial role during emergencies at a variety of facilities such as chemical processing plants. When an abnormality occurs in the production process, the operator often has limited time to either take corrective actions or evacuate before the situation becomes deadly. It is crucial that system designers and safety professionals can estimate the time required for a response before procedures and facilities are designed and operations are initiated. There are existing industrial engineering techniques to establish time standards for tasks performed at a normal working pace. However, it is reasonable to expect the time required to take action in emergency situations will be different than working at a normal production pace. It is possible that in an emergency, operators will act faster compared to a normal pace. It would be useful for system designers to be able to establish a time range for operators' response times for emergency situations. This article develops a modeling approach to estimate the time standard range for operators taking corrective actions or following evacuation procedures in emergency situations. This will aid engineers and managers in establishing time requirements for operators in emergency situations. The methodology used for this study combines a well-established industrial engineering technique for determining time requirements (predetermined time standard system) and adjustment coefficients for emergency situations developed by the authors. Numerous videos of workers performing well-established tasks at a maximum pace were studied. As an example, one of the tasks analyzed was pit crew workers changing tires as quickly as they could during a race. The operations in these videos were decomposed into basic, fundamental motions (such as walking, reaching for a tool, and bending over) by studying the videos frame by frame. A comparison analysis was then performed between the emergency pace and the normal working pace operations

  4. Train operation in emergencies

    CERN Document Server

    Jia, Limin; Qin, Yong

    2017-01-01

    This book presents the latest findings on train operation theories and methods in the context of emergencies. It examines and assesses a range of aspects—including the definition of a railway emergency, transport organization modes in emergencies, calculating railway transport capacity in emergencies, line planning in emergencies, train re-pathing in emergencies and train re-scheduling in emergencies—that are urgently needed in the railway transportation field, which faces the serious challenge of dealing with emergencies worldwide. The book highlights the latest research results in an integrated and systematic way, and the methodology presented is oriented on real-world problems, allowing it to be used not only directly in railway operational management, but also as the point of departure for further applications or theoretical research. As such, the book will be of considerable interest to graduate students and researchers in the field of traffic and transportation engineering.>.

  5. Integration of emergency action levels with Combustion Engineering Emergency Operating Procedures

    International Nuclear Information System (INIS)

    Faletti, D.W.; Jamison, J.D.

    1985-09-01

    This report documents the development of a method for integrating Emergency Action Levels (EALs) with plant-specific Emergency Operating Procedures (EOPs) using the Combustion Engineering Owners' Group Emergency Operating Procedure Technical Guidelines (CEOG EOPTFs). EALs are discrete conditions or values of plant operating parameters which, if exceeded, require declaration of an appropriate level of emergency. At most operating plants, the EALs and event classification procedures are totally separate from the Emergency Operating Procedures used by the plant staff to control the plant during abnormal conditions. Control room personnel using the EOPs to deal with abnormal plant conditions must recognize when plant safety is sufficiently degraded that an emergency declaration may be warranted, and then enter a separate classification procedure containing EALs for a number of plant conditions and parameters. The operator then compares the existing plant conditions to the EALs and makes an emergency declaration accordingly. Using the Combustion Engineering Owners' Group Technical Guidelines document, a set of emergency class definitions and criteria were developed based on the status of the three main fission product barriers (fuel cladding, primary coolant system and containment). The EOPTGs were then annotated with suggested guidance to a procedure writer. The proposed method was tested by applying it to the reactor accident sequences that were shown in the reactor safety study to dominate accident risk. The object of the test was to determine if an EAL set linked to the EOP annotations would produce timely and accurate classification of the risk-dominant sequences. 6 refs., 13 figs., 31 tabs

  6. Operation of emergency operating centers during mass casualty incidents in taiwan: a disaster management perspective.

    Science.gov (United States)

    Wen, Jet-Chau; Tsai, Chia-Chou; Chen, Mei-Hsuan; Chang, Wei-Ta

    2014-10-01

    On April 27, 2011, a train derailed and crashed in Taiwan, causing a mass casualty incident (MCI) that was similar to a previous event and with similar consequences. In both disasters, the emergency operating centers (EOCs) could not effectively integrate associated agencies to deal with the incident. The coordination and utilization of resources were inefficient, which caused difficulty in command structure operation and casualty evacuation. This study was designed to create a survey questionnaire with problem items using disaster management phases mandated by Taiwan's Emergency Medical Care Law (EMCL), use statistical methods (t test) to analyze the results and issues the EOCs encountered during the operation, and propose solutions for those problems. Findings showed that EOCs lacked authority to intervene or coordinate with associated agencies. Also, placing emphasis on the recovery phase should improve future prevention and response mechanisms. To improve the response to MCIs, the EMCL needs to be amended to give EOCs the lead during disasters; use feedback from the recovery phase to improve future disaster management and operation coordination; and establish an information-sharing platform across agencies to address all aspects of relief work.(Disaster Med Public Health Preparedness. 2014;0:1-6).

  7. Operation method and operation control device for emergency core cooling system

    Energy Technology Data Exchange (ETDEWEB)

    Kinoshita, Shoichiro; Takahashi, Toshiyuki; Fujii, Tadashi [Hitachi Ltd., Tokyo (Japan); Mizutani, Akira

    1996-05-07

    The present invention provides a method of reducing continuous load capacity of an emergency cooling system of a BWR type reactor and a device reducing a rated capacity of an emergency power source facility. Namely, the emergency core cooling system comprises a first cooling system having a plurality of power source systems based on a plurality of emergency power sources and a second cooling system having a remaining heat removing function. In this case, when the first cooling system is operated the manual starting under a predetermined condition that an external power source loss event should occur, a power source division different from the first cooling system shares the operation to operate the secondary cooling system simultaneously. Further, the first cooling system is constituted as a high pressure reactor core water injection system and the second cooling system is constituted as a remaining heat removing system. With such a constitution, a high pressure reactor core water injection system for manual starting and a remaining heat removing system of different power source division can be operated simultaneously before automatic operation of the emergency core cooling system upon loss of external power source of a nuclear power plant. (I.S.)

  8. The human failure factors during emergency operating

    International Nuclear Information System (INIS)

    Liu Bingji

    1994-01-01

    In the case of emergency operating, operating staff usually are in the limit state of mind, so the operating mistake rate will go up sharply, and the disastrous accidents usually will happen at this moment. So to study and resolve the problem is very important and imperative. Basing on raising the reliability of man-machine system, the psychology and pathology of operating staff under the limit state and the behavior characteristic of operating staff in the emergency operation have been expounded here, and the operating staff's psychological gradation partitioned by foreign experts also has been introduced, and the influence factors of psychology and equipment which lead to the limit state of mind also have been analyzed. In addition, taking the emergency operation of the nuclear power plant as a example, The authors has studied the countermeasures to prevent the limit state from occurring, which includes countermeasures to environment effects, measures to improve the technical equipment and the measures that the operating staff should be taken

  9. Emergency department operations and management education in emergency medicine training

    Institute of Scientific and Technical Information of China (English)

    Bret A Nicks; Darrell Nelson

    2012-01-01

    BACKGROUND:This study was undertaken to examine the current level of operations and management education within US-based Emergency Medicine Residency programs.METHODS:Residency program directors at all US-based Emergency Medicine Residency programs were anonymously surveyed via a web-based instrument.Participants indicated their levels of residency education dedicated to documentation,billing/coding,core measure/quality indicator compliance,and operations management.Data were analyzed using descriptive statistics for the ordinal data/Likert scales.RESULTS:One hundred and six(106)program directors completed the study instrument of one hundred and fifty-six(156)programs(70%).Of these,82.6%indicated emergency department(ED)operations and management education within the training curriculum.Dedicated documentation training was noted in all but 1 program(99%).Program educational offerings also included billing/coding(83%),core measure/quality indicators(78%)and operations management training(71%).In all areas,the most common means of educating came through didactic sessions and direct attending feedback or 69%-94%and 72%-98%respectively.Residency leadership was most confident with resident understanding of quality documentation(80%)and less so with core measures(72%),billing/coding/RVUs(58%),and operations management tools(23%).CONCLUSIONS:While most EM residency programs integrate basic operational education related to documentation and billing/coding,a smaller number provide focused education on the dayto-day management and operations of the ED.Residency leadership perceives graduating resident understanding of operational management tools to be limited.All respondents value further resident curriculum development of ED operations and management.

  10. Operator use of procedures during simulated emergencies

    International Nuclear Information System (INIS)

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

    1995-01-01

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

  11. Computer managed emergency operating procedures

    International Nuclear Information System (INIS)

    Salamun, I.; Mavko, B.; Stritar, A.

    1994-01-01

    New computer technology is a very effective tool for developing a new design of nuclear power plant control room. It allows designer possibility to create a tool for managing with large database of power plant parameters and displaying them in different graphic forms and possibility of automated execution of well known task. The structure of Emergency Operating Procedures (EOP) is very suitable for programming and for creating expert system. The Computerized Emergency Operating Procedures (CEOP) described in this paper can be considered as an upgrading of standard EOP approach. EmDiSY (Emergency Display System - computer code name for CEOP) main purpose is to supply the operator with necessary information, to document all operator actions and to execute well known tasks. It is a function oriented CEOP that gives operator guidance on how to verify the critical safety functions and how to restore and maintain these functions where they are degraded. All knowledge is coded and stored in database files. The knowledge base consists from stepping order for verifying plant parameters, desired values of parameters, conditions for comparison and links between procedures and actions. Graphical shell allows users to read database, to follow instruction and to find out correct task. The desired information is concentrated in one screen and allows users to focus on a task. User is supported in two ways: desired parameter values are displayed on the process picture and automated monitoring critical safety function status trees are all time in progress and available to the user. (author). 4 refs, 4 figs

  12. Emergency planning and operating experience

    International Nuclear Information System (INIS)

    Halpern, O.; Breniere, J.

    1984-01-01

    The purpose of this paper is to derive lessons from operating experience for the planning of emergency measures. This operating experience has two facets: it is obtained not only from the various incidents and accidents which have occurred in countries with nuclear power programmes and from the resulting application of emergency plans but also from the different exercises and simulations carried out in France and in other countries. Experience generally confirms the main approaches selected for emergency plans. The lessons to be derived are of three types: first, it appears necessary to set forth precisely the responsibilities of each person involved in order to prevent a watering-down of decisions in the event of an accident; secondly, considerable improvements need to be made in the different communication networks to be used; and thirdly, small accidents with minor radiological consequences deserve as systematic and thorough an approach as large and more improbable accidents. (author)

  13. Improving emergency management through shared information processing - considerations in Emergency Operations Center design

    International Nuclear Information System (INIS)

    DeBusk, R.E.; Walker, J.A.

    1987-01-01

    An Emergency Operations Center (EOC) is a shared information processing facility. Although seemingly obvious, many EOCs are designed and operated based on other criteria. The results, measured in terms of response effectiveness, are difficult to determine. A review of some recent disasters reveals a pattern of poor performance for the EOCs involved. These conclusions are tentative because so little research has been done on the design, operation, or evaluation of emergency operations centers. The EOC is not an onsite response command post but a facility removed from the response where tactical and strategic decisions are made based on information from the response site and elsewhere. The EOC is therefore the central focus of emergency information processing and higher-level decision making. Examining existing EOCs, several common functions emerge. These functions can be described in terms of shared information processing. However, many factors impact the design and operation of EOCs. Politics, budgets, and personal ambition are only a few such factors. Examining EOC design and operation in terms of shared information processing operationalized in the seven principal functions within the EOC provides a framework for establishing principles of EOC design and operation. In the response to emergencies such as Bhopal or Chernobyl the stakes are high. Applying new techniques and technologies of management systems can improve the probability of success. This research is a beginning step - to understand how EOCs function, to define the system. Predictive or prescriptive analysis must wait until sufficient empirical data is available to complete a descriptive model for EOC operations

  14. Operator use of procedures during simulated emergencies

    Energy Technology Data Exchange (ETDEWEB)

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

    1995-04-01

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

  15. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data.

    Science.gov (United States)

    Abel, Gary A; Mendonca, Silvia C; McPhail, Sean; Zhou, Yin; Elliss-Brookes, Lucy; Lyratzopoulos, Georgios

    2017-06-01

    Emergency diagnosis of cancer is common and aetiologically complex. The proportion of emergency presenters who have consulted previously with relevant symptoms is uncertain. To examine how many patients with cancer, who were diagnosed as emergencies, have had previous primary care consultations with relevant symptoms; and among those, to examine how many had multiple consultations. Secondary analysis of patient survey data from the 2010 English Cancer Patient Experience Survey (CPES), previously linked to population-based data on diagnostic route. For emergency presenters with 18 different cancers, associations were examined for two outcomes (prior GP consultation status; and 'three or more consultations' among prior consultees) using logistic regression. Among 4647 emergency presenters, 1349 (29%) reported no prior consultations, being more common in males (32% versus 25% in females, P <0.001), older (44% in ≥85 versus 30% in 65-74-year-olds, P <0.001), and the most deprived (35% versus 25% least deprived, P = 0.001) patients; and highest/lowest for patients with brain cancer (46%) and mesothelioma (13%), respectively ( P <0.001 for overall variation by cancer site). Among 3298 emergency presenters with prior consultations, 1356 (41%) had three or more consultations, which were more likely in females ( P <0.001), younger ( P <0.001), and non-white patients ( P = 0.017) and those with multiple myeloma, and least likely for patients with leukaemia ( P <0.001). Contrary to suggestions that emergency presentations represent missed diagnoses, about one-third of emergency presenters (particularly those in older and more deprived groups) have no prior GP consultations. Furthermore, only about one-third report multiple (three or more) consultations, which are more likely in 'harder-to-suspect' groups. © British Journal of General Practice 2017.

  16. Operational Research during the Ebola Emergency.

    LENUS (Irish Health Repository)

    Fitzpatrick, Gabriel

    2017-07-01

    Operational research aims to identify interventions, strategies, or tools that can enhance the quality, effectiveness, or coverage of programs where the research is taking place. Médecins Sans Frontières admitted ≈5,200 patients with confirmed Ebola virus disease during the Ebola outbreak in West Africa and from the beginning nested operational research within its emergency response. This research covered critical areas, such as understanding how the virus spreads, clinical trials, community perceptions, challenges within Ebola treatment centers, and negative effects on non-Ebola healthcare. Importantly, operational research questions were decided to a large extent by returning volunteers who had first-hand knowledge of the immediate issues facing teams in the field. Such a method is appropriate for an emergency medical organization. Many challenges were also identified while carrying out operational research across 3 different countries, including the basic need for collecting data in standardized format to enable comparison of findings among treatment centers.

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

    International Nuclear Information System (INIS)

    Park, Jin Kyun; Jung, Won Dea

    2006-11-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

    Park, Jin Kyun; Jung, Won Dea

    2006-11-15

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

  19. 47 CFR 11.54 - EAS operation during a National Level emergency.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false EAS operation during a National Level emergency... SYSTEM (EAS) Emergency Operations § 11.54 EAS operation during a National Level emergency. (a) The EAS Operating Handbook summarizes the procedures to be followed upon receipt of a National level EAN or EAT...

  20. Choice of contraception after previous operative delivery at a family ...

    African Journals Online (AJOL)

    Choice of contraception after previous operative delivery at a family planning clinic in Northern Nigeria. Amina Mohammed‑Durosinlorun, Joel Adze, Stephen Bature, Caleb Mohammed, Matthew Taingson, Amina Abubakar, Austin Ojabo, Lydia Airede ...

  1. Research on erroneous judgement and operation of human at emergency

    International Nuclear Information System (INIS)

    Zhang Li; Huang Shudong; Li Xianyi; Chen Jianhua

    2001-01-01

    The behavior characteristic of human at emergency is analysed, and the root causes and the influencing factors are discussed, which result in erroneous judgement and operation. With experiment on erroneous judgement and operation of human at emergency, the error characteristic values are obtained, then the mathematical models are established. Comparing to foreign data, it is known that there are no marked differences between Chinese and foreigners in percent of erroneous judgement and operation at emergency

  2. Automated emergency operating procedures

    International Nuclear Information System (INIS)

    Perez-Ramirez, G.; Nelson, P.F.

    1990-01-01

    This paper describes the development of a training tool for the symptom oriented emergency operating procedures used at the Laguna Verde Nuclear Power Plant. EOPs and operator training are intended to assist the operator for managing accident situations. A prototype expert system based on the EOPs has been developed for operator training. The demonstration expert system was developed using a commercial shell. The knowledge base consists of two parts. The specific operator actions to be executed for 5 selected accident sequences and the EOPs steps for the reactor pressure vessel control of the water level, pressure, and power. The knowledge is expressed in the form of IF-THEN production rules. A typical training session will display a set of conditions and will prompt the trainee to indicate the appropriate step to perform. This mode will guide the trainee through selected accident sequences. A second mode of the expert system will prompt the trainee for the current plant conditions and the expert system will respond with the EOPs which are required to be performed under these conditions. This allows the trainee to study What if situations

  3. Study on the operational guides of the off-site emergency management center

    International Nuclear Information System (INIS)

    Park, Won Jong; Han, S. J.; Oh, K. H.

    2005-01-01

    The emergency response organizational groups and roles of Off-site Emergency Management Center was proposed to respond in case of radiological emergency. Development of implementing procedures of Off-site Emergency Management Center in case of radiological emergency to improve effective co-operation and rapid response in radiological emergency. Establishment of 'The Ordinance of Operation of residence radiological emergency office of the Minister of Science and Technology' and announced by the Minister of Science and Technology. The Implementing procedures of Off-site Emergency Management Center and 'The Ordinance of Operation of residence radiological emergency office of the Minister of Science and Technology' can be provide guidelines in case of emergency

  4. MODELLING OF DECISION MAKING OF UNMANNED AERIAL VEHICLE'S OPERATOR IN EMERGENCY SITUATIONS

    Directory of Open Access Journals (Sweden)

    Volodymyr Kharchenko

    2017-03-01

    Full Text Available Purpose: lack of recommendation action algorithm of UAV operator in emergency situations; decomposition of the process of decision making (DM by UAV’s Operator in emergency situations; development of the structure of distributed decision support system (DDSS for remotely piloted aircraft; development of a database of local decision support system (DSS operators Remotely Piloted Aircraft Systems (RPAS; working-out of models DM by UAV’s Operator. Methods: Algoritm of actions of UAV operator by Wald criterion, Laplace criterion, Hurwitz criterion. Results: The program "UAV_AS" that gives to UAV operator recommendations on how to act in case of emergency. Discussion: The article deals with the problem of Unmanned Aerial Vehicles (UAV flights for decision of different tasks in emergency situation. Based on statistical data it was analyzing the types of emergencies for unmanned aircraft. Defined sequence of actions UAV operator and in case of emergencies.

  5. Emergency presurgical visit

    Directory of Open Access Journals (Sweden)

    Alfredo Castro Díaz

    2009-07-01

    Full Text Available The objective has been to create a Protocol of Structured Presurgical Visit applicable to the patients who are undergoing an emergency surgery, to provide the user and his family all the necessary cares on the basis of those nursing diagnosis that prevail in all the cases of surgical emergency interventions. The used method has been an analysis of the emergency surgical interventions more prevalent from February 2007 until October 2008 in our area (a regional hospital, and statistic of those nursing diagnosis that more frequently appeared in these interventions, the previous moment to the intervention and in addition common to all of them. The results were the following ones: the more frequent emergency operations were: Caesarean, ginecological curettage, laparotomy, help in risk childbirth, orthopaedic surgery and appendectomy. The more frequent nursing diagnosis in all the emergency operations at the previous moment of the intervention were: risk of falls, pain, anxiety, deficit of knowledge, risk of infection, movement stress syndrome, risk of hemorrhage, cutaneous integrity deterioration. The conclusion is that users present at the previous moment to an emergency operation several problems, which force to the emergency surgical ward nurse to the introduction of the nursing methodology, in order to identify the problems, to mark results and to indicate the interventions to achieve those results, besides in a humanitarian way and with quality. This can be obtained by performing a Structured Emergency Presurgical Visit.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2015-10-15

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

  7. Operation Windshield and the simplification of emergency management.

    Science.gov (United States)

    Andrews, Michael

    2016-01-01

    Large, complex, multi-stakeholder exercises are the culmination of years of gradual progression through a comprehensive training and exercise programme. Exercises intended to validate training, refine procedures and test processes initially tested in isolation are combined to ensure seamless response and coordination during actual crises. The challenges of integrating timely and accurate situational awareness from an array of sources, including response agencies, municipal departments, partner agencies and the public, on an ever-growing range of media platforms, increase information management complexity in emergencies. Considering that many municipal emergency operations centre roles are filled by staff whose day jobs have little to do with crisis management, there is a need to simplify emergency management and make it more intuitive. North Shore Emergency Management has accepted the challenge of making emergency management less onerous to occasional practitioners through a series of initiatives aimed to build competence and confidence by making processes easier to use as well as by introducing technical tools that can simplify processes and enhance efficiencies. These efforts culminated in the full-scale earthquake exercise, Operation Windshield, which preceded the 2015 Emergency Preparedness and Business Continuity Conference in Vancouver, British Columbia.

  8. Management of a radiological emergency. Organization and operation

    International Nuclear Information System (INIS)

    Dubiau, Ph.

    2007-01-01

    After a recall of potential radiological emergency situations and their associated risks, this article describes the organization in France of the crisis management and its operation at the national and international scale: 1 - Nuclear or radiological emergency situations and their associated risks: inventory of ionising radiation sources, accidental situations, hazards; 2 - crisis organization in situation of radiological or nuclear emergency: organization at the local scale, organization at the national scale; 3 - management of emergency situations: accident at a facility, action circle, radiological emergency situations outside nuclear facilities, international management of crisis, situations that do not require the implementation of an emergency plan. (J.S.)

  9. Emergency operating procedure upgrade program and audit results

    International Nuclear Information System (INIS)

    Graham, P.D.

    1989-01-01

    This paper describes the method and results of upgrading the River Bend station boiling water reactor 6 emergency operating procedures (EOPs). The upgrade program replaced difficult-to-implement narrative procedures with well-developed flowcharts. The flowcharts eliminate a number of human factors problems, are user friendly, provide for easy implementation, and provide technical information in a clear, concise format. Positive results were seen immediately. The operating crews found the flowcharts to be clear, understandable, and usable. Simulator training and EOP implementation became something that the operators no longer dreaded, and their confidence in their ability to control emergency situations was greatly improved. The paper provides a summary of the EOP upgrade program

  10. The current status of emergency operations at a high-volume cancer center.

    Science.gov (United States)

    Komori, Koji; Kimura, Kenya; Kinoshita, Takashi; Ito, Seiji; Abe, Tetsuya; Senda, Yoshiki; Misawa, Kazunari; Ito, Yuichi; Uemura, Norihisa; Natsume, Seiji; Kawai, Ryosuke; Kawakami, Jiro; Asano, Tomonari; Iwata, Yoshinori; Kurahashi, Shintaro; Tsutsuyama, Masayuki; Shigeyoshi, Itaru; Shimizu, Yasuhiro

    2014-01-01

    This study aimed to assess the pathogenic causes, clinical conditions, surgical procedures, in-hospital mortality, and operative death associated with emergency operations at a high-volume cancer center. Although many reports have described the contents, operative procedures, and prognosis of elective surgeries in high-volume cancer centers, emergency operations have not been studied in sufficient detail. We retrospectively enrolled 28 consecutive patients who underwent emergency surgery. Cases involving operative complications were excluded. The following surgical procedures were performed during emergency operations: closure in 3 cases (10.7%), diversion in 22 cases (78.6%), ileus treatment in 2 cases (7.1%), and hemostasis in 1 case (3.6%). Closure alone was performed only once for peritonitis. Diversion was performed in 17 cases (77.3%) of peritonitis, 4 cases (18.2%) of stenosis of the gastrointestinal tract, and 1 case (4.5%) of bleeding. There was a significant overall difference (P = 0.001). The frequency of emergency operations was very low at a high-volume cancer center. However, the recent shift in treatment approaches toward nonoperative techniques may enhance the status of emergency surgical procedures. The results presented in this study will help prepare for emergency situations and resolve them as quickly and efficiently as possible.

  11. An innovative approach to capability-based emergency operations planning.

    Science.gov (United States)

    Keim, Mark E

    2013-01-01

    This paper describes the innovative use information technology for assisting disaster planners with an easily-accessible method for writing and improving evidence-based emergency operations plans. This process is used to identify all key objectives of the emergency response according to capabilities of the institution, community or society. The approach then uses a standardized, objective-based format, along with a consensus-based method for drafting capability-based operational-level plans. This information is then integrated within a relational database to allow for ease of access and enhanced functionality to search, sort and filter and emergency operations plan according to user need and technological capacity. This integrated approach is offered as an effective option for integrating best practices of planning with the efficiency, scalability and flexibility of modern information and communication technology.

  12. Continuity of operations planning in college athletic programs: The case for incorporating Federal Emergency Management Guidelines.

    Science.gov (United States)

    Hall, Stacey A; Allen, Brandon L; Phillips, Dennis

    2016-01-01

    College athletic departments have a responsibility to provide a safe environment for student-athletes; however, most colleges do not have a crisis management plan that includes procedures for displaced student-athletes or alternate facilities to perform athletic events. Continuity of operations planning ensures athletic programs are equipped to maintain essential functions during, or shortly after, a disruption of operations due to possible hazards. Previous studies have identified a lack of emergency preparedness and continuity planning in college athletic departments. The purpose of this article is to illustrate in detail one approach to disaster planning for college athletic departments, namely the Federal Emergency Management Agency (FEMA) continuity of operations framework. By adhering to FEMA guidelines and promoting a best practices model, athletic programs can effectively plan to address potential hazards, as well as protect the organization's brand, image, and financial sustainability after a crisis event.

  13. The optimization of nuclear power plants operation modes in emergency situations

    Science.gov (United States)

    Zagrebayev, A. M.; Trifonenkov, A. V.; Ramazanov, R. N.

    2018-01-01

    An emergency situations resulting in the necessity for temporary reactor trip may occur at the nuclear power plant while normal operating mode. The paper deals with some of the operation c aspects of nuclear power plant operation in emergency situations and during threatened period. The xenon poisoning causes limitations on the variety of statements of the problem of calculating characteristics of a set of optimal reactor power off controls. The article show a possibility and feasibility of new sets of optimization tasks for the operation of nuclear power plants under conditions of xenon poisoning in emergency circumstances.

  14. Safety and emergency preparedness considerations for geotechnical field operations

    Energy Technology Data Exchange (ETDEWEB)

    Wemple, R.P.

    1989-04-01

    The GEO Energy Technology Department at Sandia National Laboratories is involved in several remote-site drilling and/or experimental operations each year. In 1987, the Geothermal Research Division of the Department developed a general set of Safe Operating Procedures (SOPs) that could be applied to a variety of projects. This general set is supplemented by site-specific SOPs as needed. Effective field operations require: integration of safety and emergency preparedness planning with overall project planning, training of field personnel and inventorying of local emergency support resources, and, developing a clear line of responsibility and authority to enforce the safety requirements. Copies of SOPs used in recent operations are included as examples of working documents for the reader.

  15. Symptom-based emergency operating procedures development for Ignalina NPP

    International Nuclear Information System (INIS)

    Kruglov, Y.

    1999-01-01

    In this paper and lecture are presented: (1) Introduction; (2) EOP project work stages and documentation; (3) Selection and justification of accident management strategy; (4) Content of EOP package; (5) Development of EOP package; (6) EOP package verification; (7) EOP package validation; (8) EOP training; (9) EOP implementation; (10) Conditions of symptom-based emergency operating producers package application and its interconnection with event-based emergency operating procedures; (11) Rules of EOP application; EOP maintenance

  16. Risks of cardiovascular adverse events and death in patients with previous stroke undergoing emergency noncardiac, nonintracranial surgery

    DEFF Research Database (Denmark)

    Christiansen, Mia N.; Andersson, Charlotte; Gislason, Gunnar H.

    2017-01-01

    Background: The outcomes of emergent noncardiac, nonintracranial surgery in patients with previous stroke remain unknown. Methods: All emergency surgeries performed in Denmark (2005 to 2011) were analyzed according to time elapsed between previous ischemic stroke and surgery. The risks of 30-day...... mortality and major adverse cardiovascular events were estimated as odds ratios (ORs) and 95% CIs using adjusted logistic regression models in a priori defined groups (reference was no previous stroke). In patients undergoing surgery immediately (within 1 to 3 days) or early after stroke (within 4 to 14...... and general anesthesia less frequent in patients with previous stroke (all P Risks of major adverse cardiovascular events and mortality were high for patients with stroke less than 3 months (20.7 and 16.4% events; OR = 4.71 [95% CI, 4.18 to 5.32] and 1.65 [95% CI, 1.45 to 1.88]), and remained...

  17. Autologous blood transfusion during emergency trauma operations.

    Science.gov (United States)

    Brown, Carlos V R; Foulkrod, Kelli H; Sadler, Holli T; Richards, E Kalem; Biggan, Dennis P; Czysz, Clea; Manuel, Tony

    2010-07-01

    Intraoperative cell salvage (CS) of shed blood during emergency surgical procedures provides an effective and cost-efficient resuscitation alternative to allogeneic blood transfusion, which is associated with increased morbidity and mortality in trauma patients. Retrospective matched cohort study. Level I trauma center. All adult trauma patients who underwent an emergency operation and received CS as part of their intraoperative resuscitation. The CS group was matched to a no-CS group for age, sex, Injury Severity Score, mechanism of injury, and operation performed. Amount and cost of allogeneic transfusion of packed red blood cells and plasma. The 47 patients in the CS group were similar to the 47 in the no-CS group for all matched variables. Patients in the CS group received an average of 819 mL of autologous CS blood. The CS group received fewer intraoperative (2 vs 4 U; P = .002) and total (4 vs 8 U; P blood cells. The CS group also received fewer total units of plasma (3 vs 5 U; P = .03). The cost of blood product transfusion (including the total cost of CS) was less in the CS group ($1616 vs $2584 per patient; P = .004). Intraoperative CS provides an effective and cost-efficient resuscitation strategy as an alternative to allogeneic blood transfusion in trauma patients undergoing emergency operative procedures.

  18. Preparedness of the operating organization (licensee) for emergencies at nuclear power plants

    International Nuclear Information System (INIS)

    1982-01-01

    This Guide outlines the principal elements in devising and implementing emergency plans so that actions to be taken in accordance with the plans ensure an orderly and timely decision-making process and the availability of essential personnel, equipment, supplies and services. Principal elements included in the Guide are: (1) An outline for the basis and content of emergency planning, and the activities to be covered; (2) The responsibilities and arrangements of the operating organization (licensee) in establishing and implementing the Operating Organization Emergency Plan; (3) The liaison between the operating organization (licensee), the regulatory body, and public authorities in relation to the Operating Organization Emergency Plan; (4) Detailed measures to protect persons on-site, and guidance with respect to protection of the public off-site; (5) Facilities and equipment to cope with the emergency situation; (6) Aspects relevant to maintaining the plan and the organization in operational readiness. Although this Guide does not consider emergencies related to the off-site transportation of radioactive materials or new or irradiated fuel, many of its recommendations may be useful in planning how to cope with such emergencies

  19. Emergency notification and assistance technical operations manual. Emergency preparedness and response. Date effective: 1 December 2002

    International Nuclear Information System (INIS)

    2002-11-01

    last edition of ENATOM was issued, several factors have warranted some modifications to the existing ENATOM arrangements: the publication of Safety Requirements on Preparedness and Response for a Nuclear or Radiological Emergency, GS-R-2, in the IAEA's Safety Standards Series, in particular those requirements relating to the threshold for early notification and information exchange; feedback from the first meeting of representatives of competent authorities identified under the Early Notification and Assistance Convention, held in June 2001; and lessons identified from the Joint International Exercise CONVEX 3/JINEX 1 (2001) conducted in May 2001 based on a national exercise held at the Gravelines nuclear power plant in France. Other factors that called for updating the ENATOM manual were: changes due to revision of the Joint Plan, in particular those arising from incorporating an additional four co-sponsoring international organizations; recommendations from the Inter-Agency Committee on Nuclear Accidents (IACRNA) concerning the modalities of international exercises; lessons identified from experience in responding to requests for information and assistance during radiological emergencies in the past two years; changes to better reflect that emergency situations can arise from both accidents and deliberate acts; and recent resolutions of the IAEA General Conference. This manual describes arrangements operative from 1 December 2002 and supersedes the previous edition, EPR-ENATOM (2000). A new edition of ENATOM will be reissued in two years time. Any important amendments before completion of the new edition will be communicated through information bulletins. The current version of ENATOM is not restricted and will be maintained on the IAEA public web site under http://www.iaea.org/ns/rasanet/programme/emergency/enatom.htm. The General Conference of the IAEA in resolution GC(44)/RES/16 has encouraged Member States 'to implement instruments for improving their response

  20. Operations Manual for Incident and Emergency Communication. Date Effective: 1 June 2012

    International Nuclear Information System (INIS)

    2012-01-01

    The Convention on Early Notification of a Nuclear Accident (the 'Early Notification Convention') and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the 'Assistance Convention') are the prime legal instruments that establish an international framework to facilitate the exchange of information and the prompt provision of assistance in the event of a nuclear or radiological incident or emergency, with the aim of minimizing the consequences. The International Atomic Energy Agency (IAEA) has specific functions assigned to it under these Conventions. The arrangements provided between the IAEA, the IAEA's Member States and/or Parties to one or both Conventions, all other relevant international intergovernmental organizations (herein referred to as international organizations), and other States for facilitating the implementation of these Conventions - specifically concerning those articles that are operational in nature - are documented in the present Operations Manual for Incident and Emergency Communication (IEComm). IEComm is the successor to the previous Emergency Notification and Assistance Technical Operations Manual (ENATOM), first issued on 18 January 1989. Member States, Parties to the Early Notification and Assistance Conventions, relevant international organizations and other States, have since then regularly received updates to the manual. This manual covers the communication protocols for Contact Points identified under the Early Notification and Assistance Conventions, as well as the protocol for users of the International Nuclear and Radiological Event Scale (INES). Since the last edition of ENATOM, several factors have warranted some modifications to the existing arrangements: changes due to lessons identified from experience in exchanging information during incidents and emergencies, responding to requests for information and assistance during nuclear and radiological incidents and emergencies in the past few

  1. The Emergence of Organizational Fit: Applying Configuration Theory to the Snohomish County (WA) Emergency Operations Center

    Science.gov (United States)

    2016-03-01

    Oaks, CA: Sage, 2001), 2. 30 Donaldson, “The Contingency Theory of Organizational Design,” 22. 18 theory emphasizes the necessity of fit,31 but it...ORGANIZATIONAL FIT: APPLYING CONFIGURATION THEORY TO THE SNOHOMISH COUNTY (WA) EMERGENCY OPERATIONS CENTER by Jason M. Biermann March 2016...CONFIGURATION THEORY TO THE SNOHOMISH COUNTY (WA) EMERGENCY OPERATIONS CENTER 5. FUNDING NUMBERS 6. AUTHOR(S) Jason M. Biermann 7. PERFORMING

  2. Emergency Preparedness Hazards Assessment for solid waste management facilities in E-area not previously evaluated

    International Nuclear Information System (INIS)

    Hadlock, D.J.

    1999-01-01

    This report documents the facility Emergency Preparedness Hazards Assessment (EPHA) for the Solid Waste Management Department (SWMD) activities located on the Department of Energy (DOE) Savannah River Site (SRS) within E Area that are not described in the EPHAs for Mixed Hazardous Waste storage, the TRU Waste Storage Pads or the E-Area Vaults. The hazards assessment is intended to identify and analyze those hazards that are significant enough to warrant consideration in the SWMD operational emergency management program

  3. Design and operation of the emergency support center, CAE

    International Nuclear Information System (INIS)

    Caro, R. J.; Lopez Trillo, E.

    2016-01-01

    The enhancements developed in Spain in the area of Emergency Management, as consequence of the accident at the Fukushima Dai-Ichi NPP in 2011, included the definition of new emergency response centers; Alternative Center for Emergency Management (CAGE) on each NPP and the Emergency Support Center (CAE), shared by all NPPs. This article summarizes the main features and operation activities undertaken since the establishment of the new CAE, centralized, external to the NPPs shared by all Spanish plants and managed by Tecnatom. (Author)

  4. Hybrid Decision-making Method for Emergency Response System of Unattended Train Operation Metro

    Directory of Open Access Journals (Sweden)

    Bobo Zhao

    2016-04-01

    Full Text Available Suitable selection of the emergency alternatives is a critical issue in emergency response system of Unattended Train Operation (UTO metro system of China. However, there is no available method for dispatcher group in Operating Control Center (OCC to evaluate the decision under emergency situation. It was found that the emergency decision making in UTO metro system is relative with the preferences and the importance of multi-dispatcher in emergency. Regarding these factors, this paper presents a hybrid method to determinate the priority weights of emergency alternatives, which aggregates the preference matrix by constructing the emergency response task model based on the Weighted Ordered Weighted Averaging (WOWA operator. This calculation approach derives the importance weights depending on the dispatcher emergency tasks and integrates it into the Ordered Weighted Averaging (OWA operator weights based on a fuzzy membership relation. A case from train fire is given to demonstrate the feasibility and practicability of the proposed methods for Group Multi-Criteria Decision Making (GMCDM in emergency management of UTO metro system. The innovation of this research is paving the way for a systematic emergency decision-making solution which connects the automatic metro emergency response system with the GMCDM theory.

  5. A symptom based decision tree approach to boiling water reactor emergency operating procedures

    International Nuclear Information System (INIS)

    Knobel, R.C.

    1984-01-01

    This paper describes a Decision Tree approach to development of BWR Emergency Operating Procedures for use by operators during emergencies. This approach utilizes the symptom based Emergency Procedure Guidelines approved for implementation by the USNRC. Included in the paper is a discussion of the relative merits of the event based Emergency Operating Procedures currently in use at USBWR plants. The body of the paper is devoted to a discussion of the Decision Tree Approach to Emergency Operating Procedures soon to be implemented at two United States Boiling Water Reactor plants, why this approach solves many of the problems with procedures indentified in the post accident reviews of Three Mile Island procedures, and why only now is this approach both desirable and feasible. The paper discusses how nuclear plant simulators were involved in the development of the Emergency Operating Procedure decision trees, and in the verification and validation of these procedures. (orig./HP)

  6. Coordinated protection of the population in emergencies in Switzerland: The National Emergency Operations Centre (NAZ) and the Emergency Organisation Radioactivity (EOR)

    International Nuclear Information System (INIS)

    Brunner, H.H.

    1992-01-01

    As consequence of the nuclear weapons tests Switzerland has since 30 years expert commissions, concepts, monitoring networks, monitoring and emergency teams for the protection of the population following radiological accidents of all types inside or outside the country. Thus Chernobyl hit a prepared country - except information. The Radiological Emergency Organisation (EOR) and its National Emergency Operations Centre (NAZ) have up-to-date legal bases, concepts and operational means. Besides radiological events, NAZ deals also with chemical accidents, satellite, satellite crashes and dam breaks. Unique is the coordinated use of the combined means of civil authorities, civil defense and army in all strategic cases. (author)

  7. 14 CFR 135.167 - Emergency equipment: Extended overwater operations.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Emergency equipment: Extended overwater operations. 135.167 Section 135.167 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF...) One CO2 bottle for emergency inflation; (x) One inflation pump; (xi) Two oars; (xii) One 75-foot...

  8. An empirical investigation of operator performance in cognitively demanding simulated emergencies

    International Nuclear Information System (INIS)

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

    1994-07-01

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

  9. Emergency end of life operations for CNES remote sensing satellites—Management and operational process

    Science.gov (United States)

    Bertrand, Régis; Alby, Fernand; Costes, Thierry; Dejoie, Joël; Delmas, Dominique-Roland; Delobette, Damien; Gibek, Isabelle; Gleyzes, Alain; Masson, Françoise; Meyer, Jean-Renaud; Moreau, Agathe; Perret, Lionel; Riclet, François; Ruiz, Hélène; Schiavon, Françoise; Spizzi, Pierre; Viallefont, Pierre; Villaret, Colette

    2012-10-01

    The French Space Agency (CNES) is currently operating thirteen satellites among which five remote sensing satellites. This fleet is composed of two civilian (SPOT) and three military (HELIOS) satellites and it has been recently completed by the first PLEIADES satellite which is devoted to both civil and military purposes. The CNES operation board decided to appoint a Working Group (WG) in order to anticipate and tackle issues related to the emergency End Of Life (EOL) operations due to unexpected on-board events affecting the satellite. This is of particular interest in the context of the French Law on Space Operations (LSO), entered in force on Dec. 2010, which states that any satellite operator must demonstrate its capability to control the space vehicle whatever the mission phase from the launch up to the EOL. Indeed, after several years in orbit the satellites may be affected by on-board anomalies which could damage the implementation of EOL operations, i.e. orbital manoeuvres or platform disposal. Even if automatic recovery actions ensure autonomous reconfigurations on redundant equipment, i.e. setting for instance the satellite into a safe mode, it is crucial to anticipate the consequences of failures of every equipment and functions necessary for the EOL operations. For this purpose, the WG has focused on each potential anomaly by analysing: its emergency level, as well as the EOL operations potentially inhibited by the failure and the needs of on-board software workarounds… The main contribution of the WG consisted in identifying a particular satellite configuration called "minimal Withdrawal From Service (WFS) configuration". This configuration corresponds to an operational status which involves a redundancy necessary for the EOL operations. Therefore as soon as a satellite reaches this state, a dedicated steering committee is activated and decides of the future of the satellite with respect to three options: a/. the satellite is considered safe and can

  10. HSIP Emergency Operations Centers (EOC) in New Mexico

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — Emergency Operations Centers (EOC) in New Mexico "The physical location at which the coordination of information and resources to support domestic incident...

  11. Manpower development for safe operation of nuclear power plant. China. Emergency operating procedures. Activity: 5.1.4-Task-11. Technical report

    International Nuclear Information System (INIS)

    Walsh, L.A.

    1994-01-01

    This report covers the period of engagement from July 11, 1994 through July 22, 1994. The events and topics of discussion are as follows: History of Emergency Operating Procedure EOP Development; Emergency Operating Procedures (Event Based, Critical Safe Function Status Trees and Functional Recovery Response Procedures); Transition from Emergency Operating Procedures to Severe Accident Management Guidelines

  12. Emergency Operations Center ribbon cutting

    Science.gov (United States)

    2009-01-01

    Center Director Gene Goldman and special guests celebrate the opening of the site's new Emergency Operations Center on June 2. Participants included (l t r): Steven Cooper, deputy director of the National Weather Service Southern Region; Tom Luedtke, NASA associate administrator for institutions and management; Charles Scales, NASA associate deputy administrator; Mississippi Gov. Haley Barbour; Gene Goldman, director of Stennis Space Center; Jack Forsythe, NASA assistant administrator for the Office of Security and Program Protection; Dr. Richard Williams, NASA chief health and medical officer; and Weldon Starks, president of Starks Contracting Company Inc. of Biloxi.

  13. Operational intervention levels for reactor emergencies IAEA recommendations

    Energy Technology Data Exchange (ETDEWEB)

    Aguiar, Laís A. de; Reis, Arlene A. dos; Santos, Raul dos, E-mail: laguiar@ird.gov.br, E-mail: arlene@ird.gov.br, E-mail: raul@ird.gov.br [Instituto de Radioproteção e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

    2017-07-01

    The IAEA publication EPR-NPP-OILs-2017, Operational Intervention Levels for Reactor Emergences and Methodology for their Derivation, provides selected default OIL values, describing a methodology for their derivation, as well as practical tools and recommendations for their use. IAEA recommends that tools and default OIL values be directly integrated into national emergency arrangements or reviewed and modified as necessary to meet the specific emergency preparedness and response arrangements. The Institute of Radiation Protection and Dosimetry (IRD) has a Radiological Assessment TEAM (EAR) as pare of its Radiation Emergency Response System. Brazilian regulatory standards address actions for radiation emergencies encompassing necessary measures to assess public exposures, intervention levels to protect the public and recommendations for protective actions as, evacuation, relocation, sheltering and food restrictions. The objective of this paper is to present a discussion the use these OILs, to compare those ones established by the Brazilian standards and to propose a methodology on how OILs can be used by EAR/IRD in case of an emergency at the Brazilian NPP. (author)

  14. Operational intervention levels for reactor emergencies IAEA recommendations

    International Nuclear Information System (INIS)

    Aguiar, Laís A. de; Reis, Arlene A. dos; Santos, Raul dos

    2017-01-01

    The IAEA publication EPR-NPP-OILs-2017, Operational Intervention Levels for Reactor Emergences and Methodology for their Derivation, provides selected default OIL values, describing a methodology for their derivation, as well as practical tools and recommendations for their use. IAEA recommends that tools and default OIL values be directly integrated into national emergency arrangements or reviewed and modified as necessary to meet the specific emergency preparedness and response arrangements. The Institute of Radiation Protection and Dosimetry (IRD) has a Radiological Assessment TEAM (EAR) as pare of its Radiation Emergency Response System. Brazilian regulatory standards address actions for radiation emergencies encompassing necessary measures to assess public exposures, intervention levels to protect the public and recommendations for protective actions as, evacuation, relocation, sheltering and food restrictions. The objective of this paper is to present a discussion the use these OILs, to compare those ones established by the Brazilian standards and to propose a methodology on how OILs can be used by EAR/IRD in case of an emergency at the Brazilian NPP. (author)

  15. Laboratory operation during radiation emergency

    International Nuclear Information System (INIS)

    Bunata, M.; Prouza, Z.; Tecl, J.

    2009-01-01

    During radiation emergency, a special operation mode of laboratories of the Radiation Monitoring Network (hereinafter RMN) is expected. The principal factors differing the emergency mode from the normal one are the following: - significantly higher amount of analyzed samples; - high activities of the majority of the samples; - higher risk of personal and equipment contamination; - higher working and psychological demands on laboratory staff. The assuring of the radiation protection requirements of laboratory staff has to be the primary objective, nevertheless the risk of equipment contamination and of samples cross- contamination of course have to be as well taken into consideration. The presentation describes the experience of the RMN Central Laboratory of the National Radiation Protection Institute in Prague (SURO) which was obtained during realization of field tests, in which a radioactive matter was released. These tests allow us to evaluate the source term or radioactivity dispersal balance based on various detection methods with the aim to estimate exposure of the afflicted persons. Tests provided to simulate emergency working conditions in Central Laboratory - high number of contaminated samples, which have to be analyzed in a short time (short half-time of used radionuclide 99m Tc) using sophisticated laboratory techniques (gamma spectrometers, aerosols collectors, etc.). The testing shows the availability of the SURO laboratory to work during the radiation emergency and to participate on its determination. The suitable settings and the ideal number of staff have been found. The average analysis time was approximately 1 minute per sample and the sample results were available just a few minutes after the counting. Moreover, the settings avoided any danger and kept both the crew and the samples safe and secure from contamination. (authors)

  16. Laboratory operation during radiation emergency

    International Nuclear Information System (INIS)

    Bunata, M.; Tecl, J.; Prouza, Z.

    2008-01-01

    During radiation emergency, a special operation mode of laboratories of the Radiation Monitoring Network (hereinafter RMN) is expected. The principal factors differing the emergency mode from the normal one are the following: - significantly higher amount of analyzed samples; - high activities of the majority of the samples; - higher risk of personal and equipment contamination; - higher working and psychological demands on laboratory staff. The assuring of the radiation protection requirements of laboratory staff has to be the primary objective, nevertheless the risk of equipment contamination and of samples cross- contamination of course have to be as well taken into consideration. The presentation describes the experience of the RMN Central Laboratory of the National Radiation Protection Institute in Prague (SURO) which was obtained during realization of field tests, in which a radioactive matter was released. These tests allow us to evaluate the source term or radioactivity dispersal balance based on various detection methods with the aim to estimate exposure of the afflicted persons. Tests provided to simulate emergency working conditions in Central Laboratory -high number of contaminated samples, which have to be analyzed in a short time (short half-time of used radionuclide 99m Tc) using sophisticated laboratory techniques (gamma spectrometers, aerosols collectors, etc.). The testing shows the availability of the SURO laboratory to work during the radiation emergency and to participate on its determination. The suitable settings and the ideal number of staff have been found. The average analysis time was approximately 1 minute per sample and the sample results were available just a few minutes after the counting. Moreover, the settings avoided any danger and kept both the crew and the samples safe and secure from contamination. (authors)

  17. Analysis of operation events for HFETR emergency diesel generator set

    International Nuclear Information System (INIS)

    Li Zhiqiang; Ji Xifang; Deng Hong

    2015-01-01

    By the statistic analysis of the historical failure data of the emergency diesel generator set, the specific mode, the attribute, and the direct and root origin for each failure are reviewed and summarized. Considering the current status of the emergency diesel generator set, the preventive measures and solutions in terms of operation, handling and maintenance are proposed, and the potential events for the emergency diesel generator set are analyzed. (authors)

  18. Operations Manual for Incident and Emergency Communication. Date Effective: 1 June 2012 (Spanish Edition)

    International Nuclear Information System (INIS)

    2012-01-01

    The Convention on Early Notification of a Nuclear Accident (the 'Early Notification Convention') and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the 'Assistance Convention') are the prime legal instruments that establish an international framework to facilitate the exchange of information and the prompt provision of assistance in the event of a nuclear or radiological incident or emergency, with the aim of minimizing the consequences. The International Atomic Energy Agency (IAEA) has specific functions assigned to it under these Conventions. The arrangements provided between the IAEA, the IAEA's Member States and/or Parties to one or both Conventions, all other relevant international intergovernmental organizations (herein referred to as international organizations), and other States for facilitating the implementation of these Conventions - specifically concerning those articles that are operational in nature - are documented in the present Operations Manual for Incident and Emergency Communication (IEComm). IEComm is the successor to the previous Emergency Notification and Assistance Technical Operations Manual (ENATOM), first issued on 18 January 1989. Member States, Parties to the Early Notification and Assistance Conventions, relevant international organizations and other States, have since then regularly received updates to the manual. This manual covers the communication protocols for Contact Points identified under the Early Notification and Assistance Conventions, as well as the protocol for users of the International Nuclear and Radiological Event Scale (INES). Since the last edition of ENATOM, several factors have warranted some modifications to the existing arrangements: changes due to lessons identified from experience in exchanging information during incidents and emergencies, responding to requests for information and assistance during nuclear and radiological incidents and emergencies in the past few

  19. Operations Manual for Incident and Emergency Communication. Date Effective: 1 June 2012 (Chinese Edition)

    International Nuclear Information System (INIS)

    2013-01-01

    The Convention on Early Notification of a Nuclear Accident (the 'Early Notification Convention') and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the 'Assistance Convention') are the … prime legal instruments that establish an international framework to facilitate the exchange of information and the prompt provision of assistance in the event of a nuclear or radiological incident or emergency, with the aim of minimizing the consequences. The International Atomic Energy Agency (IAEA) has specific functions assigned to it under these Conventions. The arrangements provided between the IAEA, the IAEA's Member States and/or Parties to one or both Conventions, all other relevant international intergovernmental organizations (herein referred to as international organizations), and other States for facilitating the implementation of these Conventions - specifically concerning those articles that are operational in nature - are documented in the present Operations Manual for Incident and Emergency Communication (IEComm). IEComm is the successor to the previous Emergency Notification and Assistance Technical Operations Manual (ENATOM), first issued on 18 January 1989. Member States, Parties to the Early Notification and Assistance Conventions, relevant international organizations and other States, have since then regularly received updates to the manual. This manual covers the communication protocols for Contact Points identified under the Early Notification and Assistance Conventions, as well as the protocol for users of the International Nuclear and Radiological Event Scale (INES). Since the last edition of ENATOM, several factors have warranted some modifications to the existing arrangements: changes due to lessons identified from experience in exchanging information during incidents and emergencies, responding to requests for information and assistance during nuclear and radiological incidents and emergencies in the past few

  20. Operations Manual for Incident and Emergency Communication. Date Effective: 1 June 2012 (Arabic Edition)

    International Nuclear Information System (INIS)

    2012-01-01

    The Convention on Early Notification of a Nuclear Accident (the 'Early Notification Convention') and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the 'Assistance Convention') are the prime legal instruments that establish an international framework to facilitate the exchange of information and the prompt provision of assistance in the event of a nuclear or radiological incident or emergency, with the aim of minimizing the consequences. The International Atomic Energy Agency (IAEA) has specific functions assigned to it under these Conventions. The arrangements provided between the IAEA, the IAEA's Member States and/or Parties to one or both Conventions, all other relevant international intergovernmental organizations (herein referred to as international organizations), and other States for facilitating the implementation of these Conventions - specifically concerning those articles that are operational in nature - are documented in the present Operations Manual for Incident and Emergency Communication (IEComm). IEComm is the successor to the previous Emergency Notification and Assistance Technical Operations Manual (ENATOM), first issued on 18 January 1989. Member States, Parties to the Early Notification and Assistance Conventions, relevant international organizations and other States, have since then regularly received updates to the manual. This manual covers the communication protocols for Contact Points identified under the Early Notification and Assistance Conventions, as well as the protocol for users of the International Nuclear and Radiological Event Scale (INES). Since the last edition of ENATOM, several factors have warranted some modifications to the existing arrangements: changes due to lessons identified from experience in exchanging information during incidents and emergencies, responding to requests for information and assistance during nuclear and radiological incidents and emergencies in the past few

  1. Improvment, extension and integration of operational decision support systems for nuclear emergency management (DSSNET)

    International Nuclear Information System (INIS)

    Ehrhardt, J.

    2005-07-01

    The DSSNET network was established in October 2000 with the overall objective to create an effective and accepted framework for better communication and understanding between the community of institutions involved in operational off-site emergency management and the many and diverse RTD institutes further developing methods and tools in this area, in particular decision support systems (DSS), for making well informed and consistent judgements with respect to practical improvements of emergency response in Europe. 37 institutions from 21 countries of East and West Europe have been members of the network with about half of them responsible for operational emergency management. The objectives of the network have been numerous and the more important ones include: to ensure that future RTD is more responsive to user needs, to inform the user community of new developments and their potential for improving emergency response, to improve operational decision support systems from feedback of operational experience, to identify how information and data exchange between countries can be improved, to promote greater coherence among operational decision support systems and to encourage shared development of new and improved decision support systems features, and to improve the practicability of operational decision support systems. To stimulate the communication and feedback between the operational and the RTD community, problem-oriented emergency exercises were performed, which covered the various time phases of an accident and which extended from the near range to farther distances with frontier crossing transport of radionuclides. The report describes the objectives of the DSSNET, the five emergency exercises performed and the results of their evaluation. They provided valuable insight and lessons for operators and users of decision support systems, in particular the need for much more intensive training and exercising with decision support systems and their interaction with

  2. The advanced control board summary and adaptation of the emergency operation support system

    International Nuclear Information System (INIS)

    Yamada, Yusuke; Mashio, Kenji

    2009-01-01

    In an attempt to further improve both reliability and operability of Pressurized Water Reactors (PWRs), the advanced main control board and the Emergency Operation Support System (EOSS), which assists operators to monitor and make judgments during an emergency situation, have been developed. In this paper, the advanced control board summary and functions of the EOSS are described. (author)

  3. Finnish experience on emergency preparedness co-operation work and results

    International Nuclear Information System (INIS)

    Sovijarvi, Jukka

    2014-01-01

    Document available in abstract form only. According to the 'Security Strategy for Society' the responsibilities are shared across society and the normal division of duties shall be maintained unchanged as far as possible in all situations. While the competent authority is always in charge of making decisions other administrative sectors may be cooperation partners. This applies to the representatives of business community and organization as well. The first regional co-operation group for NPP emergency preparedness consisting of the representatives of regional rescue service, NPP licensee and STUK was established in 2008 to develop the external rescue plan, arrange training etc. Today co-operation groups are working for both Finnish emergency planning zones. Examples of the co-operation results are discussed in the presentation. (author)

  4. Sustainable Model for Public Health Emergency Operations Centers for Global Settings.

    Science.gov (United States)

    Balajee, S Arunmozhi; Pasi, Omer G; Etoundi, Alain Georges M; Rzeszotarski, Peter; Do, Trang T; Hennessee, Ian; Merali, Sharifa; Alroy, Karen A; Phu, Tran Dac; Mounts, Anthony W

    2017-10-01

    Capacity to receive, verify, analyze, assess, and investigate public health events is essential for epidemic intelligence. Public health Emergency Operations Centers (PHEOCs) can be epidemic intelligence hubs by 1) having the capacity to receive, analyze, and visualize multiple data streams, including surveillance and 2) maintaining a trained workforce that can analyze and interpret data from real-time emerging events. Such PHEOCs could be physically located within a ministry of health epidemiology, surveillance, or equivalent department rather than exist as a stand-alone space and serve as operational hubs during nonoutbreak times but in emergencies can scale up according to the traditional Incident Command System structure.

  5. HUG sets up an emergency operations centre on the CERN site

    CERN Multimedia

    Antonella Del Rosso

    2015-01-01

    Discussions between CERN and the Hôpitaux universitaires de Genève (HUG), under the aegis of the Swiss authorities, have resulted in the setting-up of an emergency operations centre on the CERN site. This will be the operations base for an emergency doctor, a medical emergency vehicle and a driver. Located on the Swiss part of the Meyrin site, close to Building 57, it will be inaugurated on 20 May.   SMUR team based at CERN. CERN’s medical staff and fire-fighters dispense first aid but in medical emergencies they are obliged to call on outside services to treat and transfer patients to hospital. In the Canton of Geneva, this service is provided by HUG via the 144 emergency line. But HUG is based on the eastern side of Geneva, a long way from CERN, and response times can be substantial. In order to improve the safety of the growing number of people on the site, CERN asked Switzerland, as one of its Host States, to help it reduce the medical emergency response t...

  6. Extension of emergency operating procedures for severe accident management

    International Nuclear Information System (INIS)

    Chiang, S.C.

    1992-01-01

    To enhance the capability of reactor operators to cope with the hypothetical severe accident its the key issue for utilities. Taiwan Power Company has started the enhancement programs on extension of emergency operating procedures (EOPs). It includes the review of existing LOPs based on the conclusions and recommendations of probabilistic risk assessment studies to confirm the operator actions. Then the plant specific analysis for accident management strategy will be performed and the existing EOPs will be updated accordingly

  7. Initial operations in local nuclear emergency response headquarter

    International Nuclear Information System (INIS)

    2012-06-01

    As a result of the Fukushima nuclear accident due to the Great East Japan Earthquake and the tsunami that occurred thereafter, local nuclear emergency response headquarters (local headquarters) was set up at off-site center (OFC). However, several obstacles such as the collapse of means of communication resulting from severed communication lines, food and fuel shortage resulting from stagnant physical distribution, and increasing radiation dose around the center significantly restricted originally intended operation of local headquarters. In such severe situation, the personnel gathered at the OFC from the government, local public bodies and electric companies from March 11 to 15 acted without sufficient food, sleep or rest and did all they could against successively occurring unexpected challenges by using limited means of communication. However, issues requiring further consideration were activities of each functional group, location of OFC and the functions of equipment, machines and materials and reflecting the consideration results into future protective measures and revision of the manual for nuclear emergency response were greatly important. This report described investigated results on initial operations in local headquarters such as situation of activities conducted by local headquarters and operations at functional groups. (T. Tanaka)

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

    OpenAIRE

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

    2016-01-01

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

  9. An approach to modeling operator's cognitive behavior using artificial intelligence techniques in emergency operating event sequences

    International Nuclear Information System (INIS)

    Cheon, Se Woo; Sur, Sang Moon; Lee, Yong Hee; Park, Young Taeck; Moon, Sang Joon

    1994-01-01

    Computer modeling of an operator's cognitive behavior is a promising approach for the purpose of human factors study and man-machine systems assessment. In this paper, the states of the art in modeling operator behavior and the current status in developing an operator's model (MINERVA - NPP) are presented. The model is constructed as a knowledge-based system of a blackboard framework and is simulated based on emergency operating procedures

  10. Effect of Emergency Argon on FCF Operational Incidents

    International Nuclear Information System (INIS)

    Solbrig, Charles

    2011-01-01

    The following report presents analyses of operational incidents which are considered in the safety analysis of the FCF argon cell and the effect that the operability of the emergency argon system has on the course of these incidents. The purpose of this study is to determine if the emergency argon system makes a significant difference in ameliorating the course of these incidents. Six incidents were considered. The following three incidents were analyzed. These are: 1. Cooling failing on 2. Vacuum Pump Failing on 3. Argon Supplies Failing on. In the remaining three incidents, the emergency argon supply would have no effect on the course of these transients since it would not come on during these incidents. The transients are 1. Loss of Cooling 2. Loss of power (Differs from above by startup delay till the Diesel Generators come on.) 3. Cell rupture due to an earthquake or other cause. The analyses of the first three incidents are reported on in the next three sections. This report is issued realizing the control parameters used may not be optimum, and additional modeling must be done to model the inertia of refrigeration system, but the major conclusion concerning the need for the emergency argon system is still valid. The timing of some events may change with a more accurate model but the differences between the transients with and without emergency argon will remain the same. Some of the parameters assumed in the analyses are Makeup argon supply, 18 cfm, initiates when pressure is = -6 iwg., shuts off when pressure is = -3.1 iwg. 170,000 ft3 supply. Min 1/7th always available, can be cross connected to HFEF argon supply dewar. Emergency argon supply, 900 cfm, initiates when pressure is = -8 iwg. shuts off when pressure is =-4 iwg. reservoir 220 ft3, refilled when tank farm pressure reduces to 1050 psi which is about 110 ft3.

  11. Emergent classicality via commuting position and momentum operators

    Energy Technology Data Exchange (ETDEWEB)

    Halliwell, J J, E-mail: j.halliwell@ic.ac.u [Blackett Laboratory, Imperial College, London SW7 2BZ (United Kingdom)

    2009-06-01

    Any account of the emergence of classicality from quantum theory must address the fact that the quantum operators representing positions and momenta do not commute, whereas their classical counterparts suffer no such restrictions. To address this, we revive an old idea of von Neumann, and seek a pair of commuting operators X, P which are, in a specific sense, 'close' to the canonical non-commuting position and momentum operators, x,p. The construction of such operators is related to the problem of finding complete sets of orthonormal phase space localized states, a problem severely limited by the Balian-Low theorem. Here these limitations are avoided by restricting attention to situations in which the density matrix is reasonably decohered (i.e., spread out in phase space).

  12. L-025: EPR-First Responders: Resource Coordinator and National Center for Emergency Operations

    International Nuclear Information System (INIS)

    2011-01-01

    This conference cover the importance of resource coordinator and the national Center for Emergency Operations which provides a stable environment installation and a valuable aid in the radiological emergency situation.The resources coordinator maintains the registers and resources located in general as well as the National Center for Emergency Operations is the ideal place for the public information Center. Both roles provide support and encourage the efforts to respond to the incident Command

  13. Emergency operating procedures guidelines for pressurized water reactors - a progress report

    International Nuclear Information System (INIS)

    Lyon, W.C.

    1984-01-01

    Emergency Operating Procedures (EOPs) contain the instructions the operator will follow to control a nuclear plant whenever a condition exists that potentially jeopardizes the fuel cladding, the reactor coolant system (RCS) pressure boundary, or the containment. The EOPs are prepared from guidelines which contain the major operator instructions that will be in the EOPs. Guidelines have been prepared by owners' groups having Babcock and Wilcox (BandW), Combustion Engineering (CE), General Electric (GE), and Westinghouse (W) plants. These guidelines cover many aspects of full power operation. Future effort is anticipated to complete coverage of transient events, including severe accidents, all power conditions, and shutdown. This paper describes the philosophy which has guided NRC technical review of guidelines, progress achieved in providing comprehensive coverage of emergency conditions for PWRs, and anticipated future technical activities

  14. Emergency notification and assistance technical operations manual. Emergency preparedness and response. Date effective: 1 February 2007

    International Nuclear Information System (INIS)

    2007-01-01

    The Convention on Early Notification of a Nuclear Accident (the 'Early Notification Convention') and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the 'Assistance Convention') are the prime legal instruments that establish an international framework to facilitate the exchange of information and the prompt provision of assistance in the event of a nuclear or radiological emergency, with the aim of minimizing the consequences. The International Atomic Energy Agency has specific functions assigned to it under these Conventions, to which, in addition to a large number of States, the World Health Organization (WHO), the World Meteorological Organization (WMO) and the Food and Agriculture Organization of the United Nations (FAO) are full parties. The arrangements provided between the IAEA, States that are IAEA Member States and/or Parties to one or both Conventions, all other relevant international intergovernmental organizations, and other States for facilitating the implementation of these Conventions - specifically concerning those articles that are operational in nature - are documented in the Emergency Notification and Assistance Technical Operations Manual (ENATOM). ENATOM was first issued on 18 January 1989. Member States, Parties to the Early Notification and Assistance Conventions, relevant international organizations and other States have since then regularly received updates to the manual. In 2000, a complete revision of ENATOM was reissued as EPR-ENATOM (2000) to reflect technological developments, changes in operational concepts, views on standards in the area of emergency preparedness and response, and Member States' expectations. Since then ENATOM has been reviewed and reissued biennially in line with the review cycle of the Joint Radiation Emergency Management Plan of the International Organizations (the 'Joint Plan'). Since the last edition of ENATOM in 2004, several factors have warranted some modifications to

  15. 14 CFR Special Federal Aviation... - Air Traffic Control System Emergency Operation

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Air Traffic Control System Emergency Operation Federal Special Federal Aviation Regulation No. 60 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Pt. 91, SFAR No. 60...

  16. 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

  17. Intra-operative maternal complications of emergency cesarean section done in advanced labor

    International Nuclear Information System (INIS)

    Nisa, M.U.

    2013-01-01

    Background: Emergency cesarean section done in advanced labor is a big challenge in obstetrics due to increased risk of intraoperative complications. In the last decade, a rapid increase in cesarean section done in advanced labor has been observed. Difficult deli-very of the fetal head during cesarean section carries a high risk of intraoperative complications like cervical and uterine tears, intra operative hemorrhage and trauma to the baby. Objectives: The purpose of this study is to find out the frequency and risk factors for intra-operative complications in emergency cesarean section done in advanced labor, so that appropriate management protocols can be planned to reduce these complications. Study Design: Prospective cohort study. Materials and Methods: This prospective study was carried out in Obstetrics and Gynecology Unit - 2 of Services Institute of Medical Sciences, Services Hospital, Lahore; from 1st January 2007 to 31st December 2007. All patients undergoing emergency cesarean sections done on laboring mothers were included in the study. The sample was divided into two groups; emergency C-section done in advanced labor as the study group and emergency C-section in early labor as the control group. Data were collected regarding age, parity, booked or unbooked status, indications for cesarean section, level of competence of operating surgeon, intra-operative complications and the risk factors for these complications. Data were recorded on a structured proforma and compared between the two groups. Statistical Analysis: Data were analyzed using computer programme SPSS Version 14 for windows applying student t-test for quantitative and chai square test for qualitative parameters. A p-value < 0.05 was used as statistically significant. Results: Out of 2064 total deliveries in the year 2007, 1290 (62.5%) were vaginal deliveries and 774 (37.5%) were C-Sections. Out of 774 C-Section, 174 (23%) were elective and 600 (77%) were emergency. Out of 600 emergency C

  18. Facets of operational performance in an emergency room (ER)

    NARCIS (Netherlands)

    van der Vaart, Taco; Vastag, Gyula; Wijngaard, Jacob

    This paper, using detailed time measurements of patients complemented by interviews with hospital management and staff, examines three facets of an emergency room's (ER) operational performance: (1) effectiveness of the triage system in rationing patient treatment; (2) factors influencing ER's

  19. Role Allocations and Communications of Operators during Emergency Operation in Advanced Main Control Rooms

    International Nuclear Information System (INIS)

    Lee, June Seung

    2009-01-01

    The advanced main control room (MCR) in GEN III + nuclear power plants has been designed by adapting modern digital I and C techniques and an advanced man machine interface system (MMIS). Large Display Panels (LDPs) and computer based workstations are installed in the MCR. A Computerized Procedure System (CPS) and Computerized Operation Support System (COSS) with high degrees of automation are supplied to operators. Therefore, it is necessary to set up new operation concepts in advanced MCRs that are different from those applied in conventional MCRs regarding role allocations and communications of operators. The following presents a discussion of the main differences between advanced MCRs and conventional MCRs from the viewpoint of role allocations and communications. Efficient models are then proposed on the basis of a task analysis on a series of emergency operation steps

  20. Enhancing nuclear emergency response through international co-operation

    International Nuclear Information System (INIS)

    Ugletveit, F.; Aaltonen, H.

    2003-01-01

    perspective however, there are probably substantial resources available for response to nuclear or radiological emergencies. The problem is that during an emergency, these resources are not where they are needed. Most resources are under authority control in the respective countries, but if all countries would commit themselves to contribute to such assistance arrangements between countries and invoke all resources available and efficiently co-ordinate and route them to where they are mostly needed, the international community and individual States would achieve a better and more efficient response to emergencies. Resources could in this respect be everything that is needed to respond to an emergency, e.g. equipment, expertise, assessment capabilities or other services. These arrangements should be global arrangements as bi-lateral or regional arrangements are only adequate for some scenarios. The Convention an Early Notification of a Nuclear Accident and the Convention an Assistance in Case of a Nuclear Accident or Radiological Emergency established in 1986 are at present acceded by approx. 85 IAEA Member States. These conventions constitute the framework of international co-operation on response to nuclear and radiological emergencies between States and describe the obligations and mechanisms of international notification and assistance. The conventions recognize the need for a co-ordinating and facilitating body in this co-operation and the IAEA has been given this role. The conventions an Assistance and Early Notification provide a good framework for achieving international co-operation an nuclear emergency response. It has however been recognised that the implementation of these conventions needs to be improved. This is the responsibility of acceding states. To efficiently share information between many states, it is necessary to establish a standard international communication platform for information exchange with a communication strategy and standardization

  1. Methods for implementing revisions to emergency operating procedures. Final report

    International Nuclear Information System (INIS)

    Myers, L.B.; Bell, A.J.

    1984-05-01

    In response to the Three Mile Island (TMI) accident, the US Nuclear Regulatory Commission (NRC) has published the TMI Action Plan. The TMI Action Plan Item I.C.1 called for the upgrading of Emergency Operating Procedures (EOPs) at nuclear power plants. The program developed from this Action Plan item has resulted in utility efforts to: (1) revise EOPs; (2) train personnel in the use of the EOPs; and (3) implement the revised EOPs. The NRC supported the study presented in this report to identify factors which influence the effectiveness of training and implementation of revised EOPs. The NRC's major concern was the possible effects of negative transfer of training. The report includes a summary of existing methods for implementing revisions to procedures based on interviews of plant personnel, a review of the training literature applicable to the effect of previously learned procedures on the learning of and performance with revised procedures (i.e., negative transfer) and recommendations of methods and schedules for implementing revised EOPs. While the study found that the concern over negative transfer of training was not as great as anticipated, several recommendations were made. These include: (1) overtraining of operators to reduce the effect of observed negative transfer; and (2) implementation of the revised EOPs as soon as possible after training to minimize the time operators must rely upon the old EOPs after having been trained on the revised EOPs. The results of the study should be useful both to the utilities and the NRC in the development and review of EOP implementation programs

  2. 10 CFR 63.161 - Emergency plan for the geologic repository operations area through permanent closure.

    Science.gov (United States)

    2010-01-01

    ... Planning Criteria § 63.161 Emergency plan for the geologic repository operations area through permanent... 10 Energy 2 2010-01-01 2010-01-01 false Emergency plan for the geologic repository operations area... may occur at the geologic repository operations area, at any time before permanent closure and...

  3. Enhancing private sector engagement: Louisiana's business emergency operations centre.

    Science.gov (United States)

    Day, Jamison M; Strother, Shannon; Kolluru, Ramesh; Booth, Joseph; Rawls, Jason; Calderon, Andres

    2010-07-01

    Public sector emergency management is more effective when it coordinates its efforts with private sector companies that can provide useful capabilities faster, cheaper and better than government agencies. A business emergency operations centre (EOC) provides a space for private sector and non-governmental organisations to gather together in support of government efforts. This paper reviews business-related EOC practices in multiple US states and details the development of a new business EOC by the State of Louisiana, including lessons learned in response to the May 2010 oil spill.

  4. Development of BWR computerized operator support system for emergency conditions

    International Nuclear Information System (INIS)

    Murata, F.

    1984-01-01

    A BWR computerized operator support system (COSS) for emergency conditions has been under development for three years. The conceptual design of the system has been settled and some of the subsystems are in the detailed design or manufacturing stage. The principal functions are technical specification monitoring, diagnosis, guidance during emergency conditions, predictive simulation and safety monitoring. Before a reactor trip, alternative operational guidance for anomalous events is provided by utilization of the CTT (cause consequence tree) and FPS (failure propagation simulator). After the trip, operational guidance is based on event-oriented and symptom-oriented methods in association with the safety function monitor. The technical specification monitor controls the readiness monitor and performs surveillance tests of safety systems to maintain plant operational reliability and to ensure correct performance when initiated. The predictive simulator gives the future trends of significant plant parameters. These subsystems are expected to assist the operational personnel. The feasibility of the COSS functions is confirmed separately by off-line simulation. The paper considers the conceptual design, the functions of the subsystems and the off-line simulation results. Each subsystem has shown that useful information to operational personnel is provided. Henceforth these functions will be integrated into a single system and the feasibility will be thoroughly evaluated using a plant simulator which is being separately developed to verify the COSS. (author)

  5. Process improvement of the emergency operating procedures for Embalse Nuclear Power Plant

    Energy Technology Data Exchange (ETDEWEB)

    Mariotti, A.D.; Pomerantz, M.; Moreno, C., E-mail: dmariotti@na-sa.com.ar, E-mail: mpomerantz@na-sa.com.ar, E-mail: cmoreno@na-sa.com.ar [Embalse Nuclear Power Plant, Nuclear Safety Dept., Embalse (Argentina)

    2014-07-01

    Emergency Operating Procedures (EOP) package of the Embalse Nuclear Power Plant (CNE) were made entirely by the plant staff since the beginning of its operation. With the emergence of Severe Accidents Guidelines (SAMG) and the latest events related to Fukushima, the EOP philosophy should include a new concept. It should consider that the EOP may be unsuccessful and an exit to the SAMG must be necessary. However, due to abnormal event mitigation using EOP is the way to prevent the beginning of a severe accident, EOP always had significant relevance in the plant documentation. For this reason, added to the overall requirement of an exit to the SAMG, it emerges a general review of the use efficiency of the EOP during an abnormal event. For this reason, a comprehensive process improvement has emerged using the operating experience, full-scope simulator training of the control room staff, advances in technology and the arrival of new generations. In this work, fundamental changes, new document format and ergonomic redesign for validation at full-scope simulator and use at main control room of new EOP for CNE are presented. (author)

  6. Beyond clinical priority: what matters when making operational decisions about emergency surgical queues?

    Science.gov (United States)

    Fitzgerald, Anneke; Wu, Yong

    2017-08-01

    Objective This paper describes the perceptions of operating theatre staff in Australia and The Netherlands regarding the influence of logistical or operational reasons that may affect the scheduling of unplanned surgical cases. It is proposed that logistical or operational issues can influence the priority determination of queue position of surgical cases on the emergency waiting list. Methods A questionnaire was developed and conducted in 15 hospitals across The Netherlands and Australia, targeting anaesthetists, managers, nurses and surgeons. Statistical analyses revolved around these four professional groups. Six hypotheses were then developed and tested based on the responses collected from the participants. Results There were significant differences in perceptions of logistics delay factors across different professional groups when patients were waiting for unplanned surgery. There were also significant differences among different groups when setting logistical priority factors for planning and scheduling unplanned cases. The hypotheses tests confirm these differences, and the findings concur with the paradigmatic differences mentioned in the literature. These paradigmatic differences among the four professional groups may explain some of the tensions encountered when making decisions about scheduling emergency surgical queues, and therefore should be taken into consideration for management of operating theatres. Conclusions Queue positions of patients waiting for unplanned surgery, or emergency surgery, are determined by medical clinicians according to clinicians' indication of clinical priority. However, operating theatre managers are important in facilitating smooth operations when planning for emergency surgeries. It is necessary for surgeons to understand the logistical challenges faced by managers when requesting logistical priorities for their operations. What is known about the topic? Tensions exist about the efficient use of operating theatres and

  7. Improvement, extension and integration of operational decision support systems for nuclear emergency management (DSSNET)

    International Nuclear Information System (INIS)

    Raskob, W.

    2007-01-01

    The DSSNET network was established in October 2000 with the overall objective to create an effective and accepted framework for better communication and understanding between the community of institutions involved m operational off-site emergency management and the many and diverse Research and Technological Development (RTD) institutes further developing methods and tools in this area, in particular decision support systems (DSS), for making well informed and consistent judgements with respect to practical improvements of emergency response in Europe. 37 institutions from 21 countries of East and West Europe have been members of the network with about half of them responsible for operational emergency management. To stimulate the communication and feedback between the operational and the RTD community, problem-oriented emergency exercises were performed, which covered the various time phases of an accident and which extended from the near range to farther distances with frontier crossing transport of radionuclides. This paper concentrates on the five emergency exercises conducted in the frame of the project. (orig.)

  8. 29 CFR 1910.120 - Hazardous waste operations and emergency response.

    Science.gov (United States)

    2010-07-01

    ... and objectives of the site operations and the logistics and resources required to reach those tasks... emergencies. (8) Refresher training. Employees specified in paragraph (e)(1) of this section, and managers and...

  9. Development of emergency operator support system for next Japanese PWR plants

    International Nuclear Information System (INIS)

    Ito, K.; Hanada, S.; Yoshida, Y.; Sugino, K.

    2006-01-01

    The purpose of main control room improvement is to reduce operator workload and potential human errors by offering a better working environment where operators can maximize their abilities. Japanese PWR utilities and Mitsubishi have developed an operator support system entitled Emergency Operator Support System (EOSS). The system supports operators in incidental/accidental situations which may be worsened by human errors. In order to confirm the validity of the system, a proto type was built, and was evaluated by operator crews. The consequence showed good result of effectiveness in avoiding potential human errors and decreasing workload of operators. (authors)

  10. Overview Report: Normal and Emergency Operation Visualization

    Energy Technology Data Exchange (ETDEWEB)

    Greitzer, Frank L.

    2011-05-01

    This is an overview report to document and illustrate methods used in a project entitled “Normal and Emergency Operations Visualization” for a utility company, conducted in 2009-2010 timeframe with funding from the utility company and the U.S. Department of Energy. The original final report (about 180 pages) for the project is not available for distribution because it alludes to findings that assessed the design of an operational system that contained proprietary information; this abridged version contains descriptions of methods and some findings to illustrate the approach used, while avoiding discussion of sensitive or proprietary information. The client has approved this abridged version of the report for unlimited distribution to give researchers and collaborators the benefit of reviewing the research concepts and methods that were applied in this study.

  11. The study on development of emergency operating procedures based on symptom and risk for accident management

    International Nuclear Information System (INIS)

    Kang, K. S.; Jeong, H. J.

    1998-01-01

    The Advanced EOP(AEOP) has been developed by focusing on the importance of the operators role in emergency conditions. In the AEOP, to overcome the complexity of current EOPs and maintain the consistency of operators action according to plant emergency conditions, operator's task were allocated according to their duties. As an alternative, the Computerized Operator Aid System (COAS) has been developed to reduce operator's burden and provide detailed instructions of procedure. Probabilistic Safety Assessment (PSA) results were synthesized in the AEOP using the event tree to give the awareness and the prediction of accident progression in advance. In conclusion, the existing EOP with its inherent complexity should be simplified and consolidated using computerized operator support system and task allocation to prevent more severe accidents and to reduce operator cognitive overload in emergency conditions

  12. Emergency medicine: an operations management view.

    Science.gov (United States)

    Soremekun, Olan A; Terwiesch, Christian; Pines, Jesse M

    2011-12-01

    Operations management (OM) is the science of understanding and improving business processes. For the emergency department (ED), OM principles can be used to reduce and alleviate the effects of crowding. A fundamental principle of OM is the waiting time formula, which has clear implications in the ED given that waiting time is fundamental to patient-centered emergency care. The waiting time formula consists of the activity time (how long it takes to complete a process), the utilization rate (the proportion of time a particular resource such a staff is working), and two measures of variation: the variation in patient interarrival times and the variation in patient processing times. Understanding the waiting time formula is important because it presents the fundamental parameters that can be managed to reduce waiting times and length of stay. An additional useful OM principle that is applicable to the ED is the efficient frontier. The efficient frontier compares the performance of EDs with respect to two dimensions: responsiveness (i.e., 1/wait time) and utilization rates. Some EDs may be "on the frontier," maximizing their responsiveness at their given utilization rates. However, most EDs likely have opportunities to move toward the frontier. Increasing capacity is a movement along the frontier and to truly move toward the frontier (i.e., improving responsiveness at a fixed capacity), we articulate three possible options: eliminating waste, reducing variability, or increasing flexibility. When conceptualizing ED crowding interventions, these are the major strategies to consider. © 2011 by the Society for Academic Emergency Medicine.

  13. OPERATION EMERGENCE.

    Science.gov (United States)

    MELBO, IRVING R.

    THE SIGNIFICANCE OF THE EMERGING ENVIRONMENT FOR THE FUTURE OF PUBLIC EDUCATION IN CALIFORNIA IS CONSIDERED. CERTAIN WORLD REVOLUTIONS HAVE AFFECTED CONTEMPORARY LIFE. THE INDUSTRIAL REVOLUTION BROUGHT WITH IT INCREASED PRODUCTIVITY, RESEARCH, HIGHER STANDARDS OF LIVING, LONGER LIFE SPANS, AND CATEGORIZATION OF NATIONS INTO HAVES AND HAVE NOTS.…

  14. Flowchart-format emergency operating procedures-strengths and weaknesses

    International Nuclear Information System (INIS)

    Barnes, V.E.; Bongarra, J.P. Jr.

    1989-01-01

    An increasing number of nuclear power plant licensees are converting their text-format emergency operating procedures (EOPs) to flowcharts. Findings of a recent study of the flowchart-format EOPs indicate that the flowchart format appears to solve several significant usability problems associated with text-format EOPs, but also introduces other types of usability concerns. This paper discusses some of the strengths and weaknesses of the flowchart format for presenting EOPs

  15. Effects of soft control in the nuclear power plants emergency operation condition

    International Nuclear Information System (INIS)

    Al Harbi, Mohamed Ali Salem; Kim, Ar Ryum; Jang, Inseok; Seong, Poong Hyun; Shirouzu, Shigenori; Katayama, Sotetsu; Kang, Hyun Gook

    2013-01-01

    Highlights: ► We investigated the effect of touch screen, known as ESCM, which is a soft control, on emergency operation of nuclear plants. ► Experiments clearly show the occurrence of more human errors in ESCM task groups. ► Physiological measures (ECG, EEG, nose temperature) were analyzed. ► Higher stress levels were consistently observed in ESCM task groups. - Abstract: In addition to the evolution from buttons and switches to the computer-based consoles, the operator may interact with the plant via soft controls. Soft controls are input interfaces connected with control and display systems that are mediated by software, rather than by direct physical connections. However use of soft control may cause unknown difficulties of operation and provide new opportunities of human errors. This study is to investigate the effect of the new interface to human errors in the emergency operation. Based on the emergency operation procedure, the human error modes were identified by using systematic human error reduction and prediction approach. Experiments with 21 graduate students in main control room mockup in the nuclear engineering departments of universities in UAE and Korea were conducted to observe the operators’ behavior resulted from the use of new input interface (Emergency safety feature-component control system Soft Control Module, ESCM). Physiological parameters such as electroencephalogram, electrocardiogram and skin temperature were measured to assess the stress level of the subjects. The experimental results showed more human errors during ESCM tasks than non-ESCM tasks. The analysis of the physiological measurements also demonstrated that subjects were in high stress level during the ESCM tasks in comparison with non-ESCM tasks. It is notable that this study was performed with graduate students without consideration of their expertise levels. Different behaviors of the novice and the expert groups were also discussed

  16. The study on development of emergency operating procedures based on symptom and risk for accident management

    Energy Technology Data Exchange (ETDEWEB)

    Kang, K. S.; Jeong, H. J. [KOPEC, Taejon (Korea, Republic of)

    1998-10-01

    The Advanced EOP(AEOP) has been developed by focusing on the importance of the operators role in emergency conditions. In the AEOP, to overcome the complexity of current EOPs and maintain the consistency of operators action according to plant emergency conditions, operator's task were allocated according to their duties. As an alternative, the Computerized Operator Aid System (COAS) has been developed to reduce operator's burden and provide detailed instructions of procedure. Probabilistic Safety Assessment (PSA) results were synthesized in the AEOP using the event tree to give the awareness and the prediction of accident progression in advance. In conclusion, the existing EOP with its inherent complexity should be simplified and consolidated using computerized operator support system and task allocation to prevent more severe accidents and to reduce operator cognitive overload in emergency conditions.

  17. Sustainable Model for Public Health Emergency Operations Centers for Global Settings

    OpenAIRE

    Balajee, S. Arunmozhi; Pasi, Omer G.; Etoundi, Alain Georges M.; Rzeszotarski, Peter; Do, Trang T.; Hennessee, Ian; Merali, Sharifa; Alroy, Karen A.; Phu, Tran Dac; Mounts, Anthony W.

    2017-01-01

    Capacity to receive, verify, analyze, assess, and investigate public health events is essential for epidemic intelligence. Public health Emergency Operations Centers (PHEOCs) can be epidemic intelligence hubs by 1) having the capacity to receive, analyze, and visualize multiple data streams, including surveillance and 2) maintaining a trained workforce that can analyze and interpret data from real-time emerging events. Such PHEOCs could be physically located within a ministry of health epidem...

  18. Reliability assurance program for operational emergency ac power system

    International Nuclear Information System (INIS)

    Heineman, J.B.; Ragland, W.A.; Mueller, C.J.

    1985-01-01

    A comprehensive review of emergency ac power systems in nuclear generating plants (the vast majority of these plants contain redundant diesel generator systems) delineates several operational areas that can be improved by instituting a reliability assurance program (RAP), which initially upgrades the diesel generator performance and provides for ongoing monitoring and maintenance based upon alert levels

  19. Regional long-term co-operation in the field of nuclear and radiation emergency preparedness

    International Nuclear Information System (INIS)

    Sladek, V.; Metke, E.; Janko, K.; Hohenberg, J. K.; Hofer, P.

    2004-01-01

    Emergency preparedness is generally covered by methodical and coordinative activities of the International Atomic Energy Agency (IAEA) in Member States of the IAEA and by the European Commission (EC) in EU Member and EU Accession Countries. However, the regional harmonisation of emergency arrangements is an important trend of emergency preparedness. The present paper gives a couple of illustrative examples for a regional co-operation in the field of emergency preparedness in Central Europe and an overview on international exercises in this region. The penultimate section contains an outlook on future activities regarding regional co-operation in Central Europe. The following topics have been suggested inter alia: the harmonisation of intervention criteria and countermeasures, co-ordination in the field of information of the public, comprehensive bi lateral and multilateral exercises, exchange of experts between the national nuclear emergency centres and inter-comparison calculations of the computer codes. (authors)

  20. System Dynamics Modeling for Emergency Operating System Resilience

    Energy Technology Data Exchange (ETDEWEB)

    Eng, Ang Wei; Kim, Jong Hyun [KEPCO International Nuclear Graduate School, Ulsan (Korea, Republic of)

    2014-10-15

    The purpose of this paper is to present a causal model which explain human error cause-effect relationships of emergency operating system (EOS) by using system dynamics (SD) approach. The causal model will further quantified by analyzes nuclear power plant incidents/accidents data in Korea for simulation modeling. Emergency Operating System (EOS) is generally defined as a system which consists personnel, human-machine interface and procedures; and how these components interact and coordinate to respond to an incident or accident. Understanding the behavior of EOS especially personnel behavior and the factors influencing it during accident will contribute in human reliability evaluation. Human Reliability Analysis (HRA) is a method which assesses how human decisions and actions affect to system risk and further used to reduce the human errors probability. There are many HRA method used performance influencing factors (PIFs) to identify the causes of human errors. However, these methods have several limitations. In HRA, PIFs are assumed independent each other and relationship between them are not been study. Through the SD simulation, users able to simulate various situation of nuclear power plant respond to emergency from human and organizational aspects. The simulation also provides users a comprehensive view on how to improve the safety in plants. This paper presents a causal model that explained cause-effect relationships of EOS human. Through SD simulation, users able to identify the main contribution of human error easily. Users can also use SD simulation to predict when and how a human error occurs over time. In future work, the SD model can be expanded more on low level factors. The relationship within low level factors can investigated by using correlation method and further included in the model. This can enables users to study more detailed human error cause-effect relationships and the behavior of EOS. Another improvement can be made is on EOS factors

  1. System Dynamics Modeling for Emergency Operating System Resilience

    International Nuclear Information System (INIS)

    Eng, Ang Wei; Kim, Jong Hyun

    2014-01-01

    The purpose of this paper is to present a causal model which explain human error cause-effect relationships of emergency operating system (EOS) by using system dynamics (SD) approach. The causal model will further quantified by analyzes nuclear power plant incidents/accidents data in Korea for simulation modeling. Emergency Operating System (EOS) is generally defined as a system which consists personnel, human-machine interface and procedures; and how these components interact and coordinate to respond to an incident or accident. Understanding the behavior of EOS especially personnel behavior and the factors influencing it during accident will contribute in human reliability evaluation. Human Reliability Analysis (HRA) is a method which assesses how human decisions and actions affect to system risk and further used to reduce the human errors probability. There are many HRA method used performance influencing factors (PIFs) to identify the causes of human errors. However, these methods have several limitations. In HRA, PIFs are assumed independent each other and relationship between them are not been study. Through the SD simulation, users able to simulate various situation of nuclear power plant respond to emergency from human and organizational aspects. The simulation also provides users a comprehensive view on how to improve the safety in plants. This paper presents a causal model that explained cause-effect relationships of EOS human. Through SD simulation, users able to identify the main contribution of human error easily. Users can also use SD simulation to predict when and how a human error occurs over time. In future work, the SD model can be expanded more on low level factors. The relationship within low level factors can investigated by using correlation method and further included in the model. This can enables users to study more detailed human error cause-effect relationships and the behavior of EOS. Another improvement can be made is on EOS factors

  2. Development and application of emergency operating procedures for nuclear power plants

    International Nuclear Information System (INIS)

    Lin Chengge

    1990-01-01

    The development and application of emergency operating procedures (EOPs) is an important measure to assure the operational safety for nuclear power plants. Event-oriented, symptom-, function- and state-oriented EOPs with their structures, interfaces, development procedures and practical application are described. The ideas and approach can be available for the preparation of EOPs for nuclear power plants which are going to be in service

  3. An expert system-based aid for analysis of Emergency Operating Procedures in NPPs

    International Nuclear Information System (INIS)

    Jakubowski, Z.; Beraha, D.

    1996-01-01

    Emergency Operating Procedures (EOPs) generally and an accident management (AM) particularly play a significant part in the safety philosophy on NPPs since many years. A better methodology for development and validation of EOPs is desired. A prototype of an Emergency Operating Procedures Analysis System (EOPAS), which has been developed at GRS, is presented in the paper. The hardware configuration and software organisation of the system is briefly reviewed. The main components of the system such as the knowledge base of an expert system and the engineering simulator are described. (author)

  4. Techniques for preparing flowchart-format emergency operating procedures: Background (Sections 1.0-9.0)

    International Nuclear Information System (INIS)

    Barnes, V.E.; Moore, C.J.; Wieringa, D.R.; Isakson, C.S.; Kono, B.K.; Gruel, R.L.

    1989-01-01

    This two-volume report describes the activities, findings, and recommendations of a project entitled ''Techniques for Presenting Flowchart-Format Emergency Operating Procedures.'' The project team surveyed the literature pertaining to flowcharts, reviewed existing flowchart emergency operating procedures (EOPs), interviewed consultants who produced flowcharts, and interviewed reactor operator licensing examiners about the use of flowcharts in nuclear power plants. This document, and Volume 1 of this report, discusses the use of flowchart-format EOPs in nuclear power plants and presents issue to be addressed in the design and implementation of flowchart EOPs. 66 refs., 76 figs., 2 tabs

  5. Lessons learned from the special inspection program for emergency operating procedures: Conducted March--October 1988

    International Nuclear Information System (INIS)

    1989-04-01

    The results of the team inspections conducted during 1988 for the Nuclear Regulatory Commission (NRC) Emergency Operating Procedures (EOPs) Inspection Program are summarized in this report. Inspection results are discussed in relation to past staff guidance provided to utilities for upgrade of EOPs. In this report the NRC presents information of particular interest to the nuclear power industry regarding concerns that were identified during the EOP team inspections and restates the staff's previous guidance in a format that more clearly illustrates the consequences of programmatic weaknesses. The information contained in this report is provided so that licensees may take advantage of the lessons learned from the EOP inspection effort. This report does not impose any new requirements related to the upgrading of EOPs. 7 refs

  6. Coping with Unanticipated Accidents using Emergency Operating Procedures

    International Nuclear Information System (INIS)

    Kim, Yochan; Jung, Wondea

    2013-01-01

    In, unsafe acts associated with a literal following of a procedure were reported. A report of the Fukushima accident also revealed that a tendency to adhere to procedures and prior practices can impede applying effective countermeasures. To overcome the conflicts between benefit and jeopardy of procedures during unanticipated accidents, we reviewed the literature on the perspectives of cognitive engineering and artificial intelligence. From the insights about human planning of the literatures, we also proposed an approach of how to train operators to effectively use EOPs during unanticipated accidents. There are three key processes required to effectively cope with emergency situations: how correctly the operators are aware of the occurring situations, how properly they develop corresponding plans for the situations, and how accurately they execute the plans. This paper presents a way to develop the plans using EOPs from some literature of human planning. Even if professional operators have implicitly shaped good structures of procedures already, it is expected that this approach will provide a more systematic and concrete training strategy. If the operators are trained with this strategy, a higher level of human reliability would be ensured in unanticipated accidents

  7. Is email a reliable means of contacting authors of previously published papers? A study of the Emergency Medicine Journal for 2001.

    Science.gov (United States)

    O'Leary, F

    2003-07-01

    To determine whether it is possible to contact authors of previously published papers via email. A cross sectional study of the Emergency Medicine Journal for 2001. 118 articles were included in the study. The response rate from those with valid email addresses was 73%. There was no statistical difference between the type of email address used and the address being invalid (p=0.392) or between the type of article and the likelihood of a reply (p=0.197). More responses were obtained from work addresses when compared with Hotmail addresses (86% v 57%, p=0.02). Email is a valid means of contacting authors of previously published articles, particularly within the emergency medicine specialty. A work based email address may be a more valid means of contact than a Hotmail address.

  8. Operative team communication during simulated emergencies: Too busy to respond?

    Science.gov (United States)

    Davis, W Austin; Jones, Seth; Crowell-Kuhnberg, Adrianna M; O'Keeffe, Dara; Boyle, Kelly M; Klainer, Suzanne B; Smink, Douglas S; Yule, Steven

    2017-05-01

    Ineffective communication among members of a multidisciplinary team is associated with operative error and failure to rescue. We sought to measure operative team communication in a simulated emergency using an established communication framework called "closed loop communication." We hypothesized that communication directed at a specific recipient would be more likely to elicit a check back or closed loop response and that this relationship would vary with changes in patients' clinical status. We used the closed loop communication framework to code retrospectively the communication behavior of 7 operative teams (each comprising 2 surgeons, anesthesiologists, and nurses) during response to a simulated, postanesthesia care unit "code blue." We identified call outs, check backs, and closed loop episodes and applied descriptive statistics and a mixed-effects negative binomial regression to describe characteristics of communication in individuals and in different specialties. We coded a total of 662 call outs. The frequency and type of initiation and receipt of communication events varied between clinical specialties (P communication events than anesthesiologists. For the average participant, directed communication increased the likelihood of check back by at least 50% (P = .021) in periods preceding acute changes in the clinical setting, and exerted no significant effect in periods after acute changes in the clinical situation. Communication patterns vary by specialty during a simulated operative emergency, and the effect of directed communication in eliciting a response depends on the clinical status of the patient. Operative training programs should emphasize the importance of quality communication in the period immediately after an acute change in the clinical setting of a patient and recognize that communication patterns and needs vary between members of multidisciplinary operative teams. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Civil Defense, U. S. A.: A Programmed Orientation to Civil Defense. Unit 4. Warning, Emergency Operations, and Support Programs.

    Science.gov (United States)

    Defense Civil Preparedness Agency (DOD), Battle Creek, MI.

    The need for, and a description of, emergency functions required to save lives and protect property in nuclear or natural disasters are presented. Topics discussed include: (1) The Civil Defense Warning System, (2) Introduction to the Emergency Operations Program, (3) Five subprograms of the Emergency Operations Program, (4) Emergency Operations…

  10. The BWR [Boiling Water Reactor] Emergency Operating Procedures Tracking System (EOPTS): Evaluation by control-room operating crews

    International Nuclear Information System (INIS)

    Spurgin, A.J.; Orvis, D.D.; Spurgin, J.P.; Luna, C.J.

    1990-05-01

    This report presents the results of a project sponsored by the Electric Power Research Institute (EPRI) and Taiwan Power Company (TPC) and conducted by APG and TPC to perform evaluation of the Emergency Operating Procedures Tracking System (EOPTS). The EOPTS is an expert system employing artificial intelligence techniques developed by EPRI for Boiling Water Reactor (BWR) plants based on emergency operating procedures (EOPs). EOPTS is a computerized decision aid used to assist plant operators in efficient and reliable use of EOPs. The main objective of this project was to evaluate the EOPTS and determine how an operator aid of this type could noticeably improve the response time and the reliability of control room crews to multi-failure scenarios. A secondary objective was to collect data on how crew performance was affected. Experiments results indicate that the EOPTS measurably improves crew performance over crews using the EOP flow charts. Time-comparison measurements indicate that crews using the EOPTS perform required actions more quickly than do those using the flowcharts. The results indicate that crews using the EOPTS are not only faster and more consistent in their actions but make fewer errors. In addition, they have a higher likelihood of recovering from the errors that they do make. Use of the EOPTS in the control room should result in faster termination and mitigation of accidents and reduced risk of power plant operations. Recommendations are made towards possible applications of the EOPTS to operator training and evaluation, and for the applicability of the evaluation methodology developed for this project to the evaluation of similar operator aides. 17 refs., 14 figs., 14 tabs

  11. Duration and predictors of emergency surgical operations - basis for medical management of mass casualty incidents

    Directory of Open Access Journals (Sweden)

    Huber-Wagner S

    2009-12-01

    Full Text Available Abstract Background Hospitals have a critically important role in the management of mass causality incidents (MCI, yet there is little information to assist emergency planners. A significantly limiting factor of a hospital's capability to treat those affected is its surgical capacity. We therefore intended to provide data about the duration and predictors of life saving operations. Methods The data of 20,815 predominantly blunt trauma patients recorded in the Trauma Registry of the German-Trauma-Society was retrospectively analyzed to calculate the duration of life-saving operations as well as their predictors. Inclusion criteria were an ISS ≥ 16 and the performance of relevant ICPM-coded procedures within 6 h of admission. Results From 1,228 patients fulfilling the inclusion criteria 1,793 operations could be identified as life-saving operations. Acute injuries to the abdomen accounted for 54.1% followed by head injuries (26.3%, pelvic injuries (11.5%, thoracic injuries (5.0% and major amputations (3.1%. The mean cut to suture time was 130 min (IQR 65-165 min. Logistic regression revealed 8 variables associated with an emergency operation: AIS of abdomen ≥ 3 (OR 4,00, ISS ≥ 35 (OR 2,94, hemoglobin level ≤ 8 mg/dL (OR 1,40, pulse rate on hospital admission 120/min (OR 1,39, blood pressure on hospital admission Conclusions The mean operation time of 130 min calculated for emergency life-saving surgical operations provides a realistic guideline for the prospective treatment capacity which can be estimated and projected into an actual incident admission capacity. Knowledge of predictive factors for life-saving emergency operations helps to identify those patients that need most urgent operative treatment in case of blunt MCI.

  12. Enhanced Engine Performance During Emergency Operation Using a Model-Based Engine Control Architecture

    Science.gov (United States)

    Csank, Jeffrey T.; Connolly, Joseph W.

    2016-01-01

    This paper discusses the design and application of model-based engine control (MBEC) for use during emergency operation of the aircraft. The MBEC methodology is applied to the Commercial Modular Aero-Propulsion System Simulation 40k (CMAPSS40k) and features an optimal tuner Kalman Filter (OTKF) to estimate unmeasured engine parameters, which can then be used for control. During an emergency scenario, normally-conservative engine operating limits may be relaxed to increase the performance of the engine and overall survivability of the aircraft; this comes at the cost of additional risk of an engine failure. The MBEC architecture offers the advantage of estimating key engine parameters that are not directly measureable. Estimating the unknown parameters allows for tighter control over these parameters, and on the level of risk the engine will operate at. This will allow the engine to achieve better performance than possible when operating to more conservative limits on a related, measurable parameter.

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

    Science.gov (United States)

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

    2016-09-01

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

  14. Skylab IMSS checklist application study for emergency medical care. [emergency medical care operations involving the use and operation of the portable ambulance module

    Science.gov (United States)

    Carl, J. G.; Furukawa, S.

    1975-01-01

    A manual is presented that provides basic technical documentation to support the operation and utilization of the Portable Ambulance Module (PAM) in the field. The PAM is designed to be used for emergency resuscitation and victim monitoring. The functions of all the controls, displays, and stowed equipment of the unit are defined. Supportive medical and physiological data in those areas directly related to the uses of the PAM unit are presented.

  15. Tutorials on emerging methodologies and applications in operations research

    CERN Document Server

    2005-01-01

    Operations Research emerged as a quantitative approach to problem-solving in World War II. Its founders, who were physicists, mathematicians, and engineers, quickly found peace-time uses for this new field. Moreover, we can say that Operations Research (OR) was born in the same incubator as computer science, and through the years, it has spawned many new disciplines, including systems engineering, health care management, and transportation science. Fundamentally, Operations Research crosses discipline domains to seek solutions on a range of problems and benefits diverse disciplines from finance to bioengineering. Many disciplines routinely use OR methods. Many scientific researchers, engineers, and others will find the methodological presentations in this book useful and helpful in their problem-solving efforts. OR’s strengths are modeling, analysis, and algorithm design. It provides a quantitative foundation for a broad spectrum of problems, from economics to medicine, from environmental control to sports,...

  16. Secure, Autonomous, Intelligent Controller for Integrating Distributed Emergency Response Satellite Operations

    Science.gov (United States)

    Ivancic, William D.; Paulsen, Phillip E.; Miller, Eric M.; Sage, Steen P.

    2013-01-01

    This report describes a Secure, Autonomous, and Intelligent Controller for Integrating Distributed Emergency Response Satellite Operations. It includes a description of current improvements to existing Virtual Mission Operations Center technology being used by US Department of Defense and originally developed under NASA funding. The report also highlights a technology demonstration performed in partnership with the United States Geological Service for Earth Resources Observation and Science using DigitalGlobe(Registered TradeMark) satellites to obtain space-based sensor data.

  17. PWR auxiliary systems, safety and emergency systems, accident analysis, operation

    International Nuclear Information System (INIS)

    Meyer, P.J.

    1976-01-01

    The author presents a description of PWR auxiliary systems like volume control, boric acid control, coolant purification, -degassing, -storage and -treatment system and waste processing systems. Residual heat removal systems, emergency systems and containment designs are discussed. As an accident analysis the author gives a survey over malfunctions and disturbances in the field of reactor operations. (TK) [de

  18. Emergency notification and assistance technical operations manual. Emergency preparedness and response. Date effective: 1 December 2000

    International Nuclear Information System (INIS)

    2000-11-01

    The Convention on Early Notification of a Nuclear Accident (the 'Early Notification Convention') and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the 'Assistance Convention') are the prime legal instruments that establish an international framework to facilitate the exchange of information and the prompt provision of assistance in the event of a nuclear accident or radiological emergency, with the aim of minimizing the consequences. The International Atomic Energy Agency (IAEA) has specific functions assigned to it under these Conventions, to which the World Health Organization (WHO), the World Meteorological Organization (WMO) and the Food and Agriculture Organization of the United Nations (FAO) are full parties. Since 1989, the arrangements between the IAEA, States which are IAEA Member States and/or Parties to one or both Conventions, all other relevant international intergovernmental organizations, and other States for facilitating the implementation of the Conventions - specifically of those of their articles which are operational in nature have been documented in the Emergency Notification and Assistance Technical Operations Manual (ENATOM). Recent events, for example, the launch of the Cassini satellite (USA, 1997), the Acerinox accident (Spain, 1998), the JCO criticality accident (Japan, 1999), the Istanbul accident (Turkey, 1999) and the Samut Prakarn accident (Thailand, 2000), have raised new issues and highlighted the expectation of States that the IAEA will use the framework of the Early Notification and Assistance Conventions to obtain and provide real-time emergency related information on such events. While the Early Notification Convention requires States Parties to report only accidents that may have significant transboundary radiological consequences, States may under the Assistance Convention legitimately request the assistance of the IAEA or an Accident State in obtaining information concerning a

  19. Real-Time Traffic Information for Emergency Evacuation Operations: Phase A Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Franzese, Oscar [ORNL; Zhang, Li [Mississippi State University (MSU); Mahmoud, Anas M. [Mississippi State University (MSU); Lascurain, Mary Beth [ORNL; Wen, Yi [Mississippi State University (MSU)

    2010-05-01

    There are many instances in which it is possible to plan ahead for an emergency evacuation (e.g., an explosion at a chemical processing facility). For those cases, if an accident (or an attack) were to happen, then the best evacuation plan for the prevailing network and weather conditions would be deployed. In other cases (e.g., the derailment of a train transporting hazardous materials), there may not be any previously developed plan to be implemented and decisions must be made ad-hoc on how to proceed with an emergency evacuation. In both situations, the availability of real-time traffic information plays a critical role in the management of the evacuation operations. To improve public safety during a vehicular emergency evacuation it is necessary to detect losses of road capacity (due to incidents, for example) as early as possible. Once these bottlenecks are identified, re-routing strategies must be determined in real-time and deployed in the field to help dissipate the congestion and increase the efficiency of the evacuation. Due to cost constraints, only large urban areas have traffic sensor deployments that permit access to some sort of real-time traffic information; any evacuation taking place in any other areas of the country would have to proceed without real-time traffic information. The latter was the focus of this SERRI/DHS (Southeast Region Research Initiative/Department of Homeland Security) sponsored project. That is, the main objective on the project was to improve the operations during a vehicular emergency evacuation anywhere by using newly developed real-time traffic-information-gathering technologies to assess traffic conditions and therefore to potentially detect incidents on the main evacuation routes. Phase A of the project consisted in the development and testing of a prototype system composed of sensors that are engineered in such a way that they can be rapidly deployed in the field where and when they are needed. Each one of these sensors

  20. Distribution of emergency operations and trauma in a Swedish hospital: need for reorganisation of acute surgical care?

    Directory of Open Access Journals (Sweden)

    al-Ayoubi Fawzi

    2012-09-01

    Full Text Available Abstract Background Subspecialisation within general surgery has today reached further than ever. However, on-call time, an unchanged need for broad surgical skills are required to meet the demands of acute surgical disease and trauma. The introduction of a new subspecialty in North America that deals solely with acute care surgery and trauma is an attempt to offer properly trained surgeons also during on-call time. To find out whether such a subspecialty could be helpful in Sweden we analyzed our workload for emergency surgery and trauma. Methods Linköping University Hospital serves a population of 257 000. Data from 2010 for all patients, diagnoses, times and types of operations, surgeons involved, duration of stay, types of injury and deaths regarding emergency procedures were extracted from a prospectively-collected database and analyzed. Results There were 2362 admissions, 1559 emergency interventions; 835 were mainly abdominal operations, and 724 diagnostic or therapeutic endoscopies. Of the 1559 emergency interventions, 641 (41.1% were made outside office hours, and of 453 minor or intermediate procedures (including appendicectomy, cholecystectomy, or proctological procedures 276 (60.9% were done during the evenings or at night. Two hundred and fifty-four patients were admitted with trauma and 29 (11.4% required operation, of whom general surgeons operated on eight (3.1%. Thirteen consultants and 11 senior registrars were involved in 138 bowel resections and 164 cholecystectomies chosen as index operations for standard emergency surgery. The median (range number of such operations done by each consultant was 6 (3–17 and 6 (1–22. Corresponding figures for senior registrars were 7 (0–11 and 8 (1–39. Conclusion There was an uneven distribution of exposure to acute surgical problems and trauma among general surgeons. Some were exposed to only a few standard emergency interventions and most surgeons did not operate on a single patient

  1. Development of a health and safety manual for emergency response operations

    International Nuclear Information System (INIS)

    Riland, C.A.; Junio, S.S.

    2000-01-01

    The Federal Radiological Monitoring and Assessment Center (FRMAC) Health and Safety Manual, which has been under development by a multi-agency group, is nearing completion and publication. The manual applies to offsite monitoring during a radiological accident or incident. Though written for multi-agency offsite monitoring activities (FRMAC), the manual is generic in nature and should be readily adaptable for other emergency response operations. Health and safety issues for emergency response situations often differ from those of normal operations. Examples of these differences and methodologies to address these issues are discussed. Challenges in manual development, including lack of regulatory and guidance documentation, are also discussed. One overriding principle in the Health and Safety Manual development is the overall reduction of risk, not just dose. The manual is broken into several chapters, which include Overview of Responsibities, Health Physics, Industrial Hygiene and Safey, Medical, and Environmental Compliance and Records. Included is a series of appendices, which presents additional information on forms and plans for default scenarios

  2. Statistical process control: separating signal from noise in emergency department operations.

    Science.gov (United States)

    Pimentel, Laura; Barrueto, Fermin

    2015-05-01

    Statistical process control (SPC) is a visually appealing and statistically rigorous methodology very suitable to the analysis of emergency department (ED) operations. We demonstrate that the control chart is the primary tool of SPC; it is constructed by plotting data measuring the key quality indicators of operational processes in rationally ordered subgroups such as units of time. Control limits are calculated using formulas reflecting the variation in the data points from one another and from the mean. SPC allows managers to determine whether operational processes are controlled and predictable. We review why the moving range chart is most appropriate for use in the complex ED milieu, how to apply SPC to ED operations, and how to determine when performance improvement is needed. SPC is an excellent tool for operational analysis and quality improvement for these reasons: 1) control charts make large data sets intuitively coherent by integrating statistical and visual descriptions; 2) SPC provides analysis of process stability and capability rather than simple comparison with a benchmark; 3) SPC allows distinction between special cause variation (signal), indicating an unstable process requiring action, and common cause variation (noise), reflecting a stable process; and 4) SPC keeps the focus of quality improvement on process rather than individual performance. Because data have no meaning apart from their context, and every process generates information that can be used to improve it, we contend that SPC should be seriously considered for driving quality improvement in emergency medicine. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Estimates of emergency operating capacity in US manufacturing and nonmanufacturing industries

    Energy Technology Data Exchange (ETDEWEB)

    Belzer, D.B. (Pacific Northwest Lab., Richland, WA (USA)); Serot, D.E. (D/E/S Research, Richland, WA (USA)); Kellogg, M.A. (ERCE, Inc., Portland, OR (USA))

    1991-03-01

    Development of integrated mobilization preparedness policies requires planning estimates of available productive capacity during national emergency conditions. Such estimates must be developed in a manner that allows evaluation of current trends in capacity and the consideration of uncertainties in various data inputs and in engineering assumptions. This study, conducted by Pacific Northwest Laboratory (PNL), developed estimates of emergency operating capacity (EOC) for 446 manufacturing industries at the 4-digit Standard Industrial Classification (SIC) level of aggregation and for 24 key non-manufacturing sectors. This volume presents tabular and graphical results of the historical analysis and projections for each SIC industry. (JF)

  4. Laparoscopy After Previous Laparotomy

    Directory of Open Access Journals (Sweden)

    Zulfo Godinjak

    2006-11-01

    Full Text Available Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previouslaparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured.

  5. Comparing the operators' behavior in conducting emergency operating procedures with the complexity of procedural steps

    International Nuclear Information System (INIS)

    Park, Jin Kyun; Jung, Won Dea

    2003-01-01

    Many kinds of procedures have been used to reduce the operators' workload throughout various industries. However, significant portion of accidents or incidents was caused by procedure related human errors that are originated from non-compliance of procedures. According to related studies, several important factors for non-compliance behavior have been identified, and one if them is the complexity of procedures. This means that comparing the change of the operators' behavior with the complexity of procedures may be meaningful for investigating plausible reasons for the operators' non-compliance behavior. In this study, emergency training records were collected using a full scope simulator in order to obtain data related to the operators' non-compliance behavior. And then, collected data are compared with the complexity of procedural steps. As the result, two remarkable relationships are found, which indicate that the operators' behavior could be reasonably characterized by the complexity of procedural steps. Thus, these relationships can be used as meaningful clues not only to scrutinize the reason of non-compliance behavior but also to suggest appropriate remedies for the reduction of non-compliance behavior that can result in procedure related human errors

  6. The nature and necessity of operational flexibility in the emergency department.

    Science.gov (United States)

    Ward, Michael J; Ferrand, Yann B; Laker, Lauren F; Froehle, Craig M; Vogus, Timothy J; Dittus, Robert S; Kripalani, Sunil; Pines, Jesse M

    2015-02-01

    Hospital-based emergency departments (EDs), given their high cost and major role in allocating care resources, are at the center of the debate about how to maximize value in delivering health care in the United States. To operate effectively and create value, EDs must be flexible, having the ability to rapidly adapt to the highly variable needs of patients. The concept of flexibility has not been well described in the ED literature. We introduce the concept, outline its potential benefits, and provide some illustrative examples to facilitate incorporating flexibility into ED management. We draw on operations research and organizational theory to identify and describe 5 forms of flexibility: physical, human resource, volume, behavioral, and conceptual. Each form of flexibility may be useful individually or in combination with other forms in improving ED performance and enhancing value. We also offer suggestions for measuring operational flexibility in the ED. A better understanding of operational flexibility and its application to the ED may help us move away from reactive approaches of managing variable demand to a more systematic approach. We also address the tension between cost and flexibility and outline how "partial flexibility" may help resolve some challenges. Applying concepts of flexibility from other disciplines may help clinicians and administrators think differently about their workflow and provide new insights into managing issues of cost, flow, and quality in the ED. Copyright © 2014 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  7. Emergency Load Shedding Strategy Based on Sensitivity Analysis of Relay Operation Margin against Cascading Events

    DEFF Research Database (Denmark)

    Liu, Zhou; Chen, Zhe; Sun, Haishun Sun

    2012-01-01

    the runtime emergent states of related system component. Based on sensitivity analysis between the relay operation margin and power system state variables, an optimal load shedding strategy is applied to adjust the emergent states timely before the unwanted relay operation. Load dynamics is also taken...... into account to compensate load shedding amount calculation. And the multi-agent technology is applied for the whole strategy implementation. A test system is built in real time digital simulator (RTDS) and has demonstrated the effectiveness of the proposed strategy.......In order to prevent long term voltage instability and induced cascading events, a load shedding strategy based on the sensitivity of relay operation margin to load powers is discussed and proposed in this paper. The operation margin of critical impedance backup relay is defined to identify...

  8. Preliminary Investigation of Time Remaining Display on the Computer-based Emergency Operating Procedure

    Science.gov (United States)

    Suryono, T. J.; Gofuku, A.

    2018-02-01

    One of the important thing in the mitigation of accidents in nuclear power plant accidents is time management. The accidents should be resolved as soon as possible in order to prevent the core melting and the release of radioactive material to the environment. In this case, operators should follow the emergency operating procedure related with the accident, in step by step order and in allowable time. Nowadays, the advanced main control rooms are equipped with computer-based procedures (CBPs) which is make it easier for operators to do their tasks of monitoring and controlling the reactor. However, most of the CBPs do not include the time remaining display feature which informs operators of time available for them to execute procedure steps and warns them if the they reach the time limit. Furthermore, the feature will increase the awareness of operators about their current situation in the procedure. This paper investigates this issue. The simplified of emergency operating procedure (EOP) of steam generator tube rupture (SGTR) accident of PWR plant is applied. In addition, the sequence of actions on each step of the procedure is modelled using multilevel flow modelling (MFM) and influenced propagation rule. The prediction of action time on each step is acquired based on similar case accidents and the Support Vector Regression. The derived time will be processed and then displayed on a CBP user interface.

  9. Development of Degree-of-Priority Based Control Strategy for Emergency Vehicle Preemption Operation

    Directory of Open Access Journals (Sweden)

    Jiawen Wang

    2013-01-01

    Full Text Available This paper proposes a degree-of-priority based control strategy for emergency vehicle preemption operation to decrease the impacts of emergency vehicles on normal traffic. The proposed model features its effectiveness to the following three aspects: (1 a multilayer fuzzy model was established to determine the degree-of-priority based on emergency vehicle preemption demand intensity and preemption influence intensity; (2 for emergency vehicles with proper classification, a travel time estimation model for emergency traffic was formulated, an optimal emergency route determines model based on the level of priority of emergency events, and the emergency vehicle travel time was developed to minimize evacuation time as well as minimize the adverse impacts of preemption on normal traffic; and (3 a conditional traffic signals priority control method at each intersection of the evacuation route was built, so that traffic queue at each intersection can be cleared before the arrival of emergency vehicles. A simulation model based on field data was developed, and the performance of the proposed strategy was compared with the conventional local detection based method under the microscopic simulation model. The results validated the efficiency of the proposed strategy in terms of minimizing the delay of emergency vehicles and reducing adverse impacts on normal traffic.

  10. Optimizing the design and operation of reactor emergency systems using reliability analysis techniques

    International Nuclear Information System (INIS)

    Snaith, E.R.

    1975-01-01

    Following a reactor trip various reactor emergency systems, e.g. essential power supplies, emergency core cooling and boiler feed water arrangements are required to operate with a high degree of reliability. These systems must therefore be critically assessed to confirm their capability of operation and determine their reliability of performance. The use of probability analysis techniques enables the potential operating reliability of the systems to be calculated and this can then be compared with the overall reliability requirements. However, a system reliability analysis does much more than calculate an overall reliability value for the system. It establishes the reliability of all parts of the system and thus identifies the most sensitive areas of unreliability. This indicates the areas where any required improvements should be made and enables the overall systems' designs and modes of operation to be optimized, to meet the system and hence the overall reactor safety criteria. This paper gives specific examples of sensitive areas of unreliability that were identified as a result of a reliability analysis that was carried out on a reactor emergency core cooling system. Details are given of modifications to design and operation that were implemented with a resulting improvement in reliability of various reactor sub-systems. The report concludes that an initial calculation of system reliability should represent only the beginning of continuing process of system assessment. Data on equipment and system performance, particularly in those areas shown to be sensitive in their effect on the overall nuclear power plant reliability, should be collected and processed to give reliability data. These data should then be applied in further probabilistic analyses and the results correlated with the original analysis. This will demonstrate whether the required and the originally predicted system reliability is likely to be achieved, in the light of the actual history to date of

  11. Aortic pseudoaneurysm detected on external jugular venous distention following a Bentall procedure 10 years previously.

    Science.gov (United States)

    Fukunaga, Naoto; Shomura, Yu; Nasu, Michihiro; Okada, Yukikatsu

    2010-11-01

    An asymptomatic 49-year-old woman was admitted for the purpose of surgery for aortic pseudoaneurysm. She had Marfan syndrome and had undergone an emergent Bentall procedure 10 years previously. About six months previously, she could palpate distended bilateral external jugular veins, which became distended only in a supine position and without any other symptoms. Enhanced computed tomography revealed an aortic pseudoaneurysm originating from a previous distal anastomosis site. During induction of general anesthesia in a supine position, bilateral external jugular venous distention was remarkable. Immediately after a successful operation, distention completely resolved. The present case emphasizes the importance of physical examination leading to a diagnosis of asymptomatic life-threatening diseases in patients with a history of previous aortic surgery.

  12. PHYSIOLOGICAL MONITORING OPERATORS ACS IN AUDIO-VISUAL SIMULATION OF AN EMERGENCY

    Directory of Open Access Journals (Sweden)

    S. S. Aleksanin

    2010-01-01

    Full Text Available In terms of ship simulator automated control systems we have investigated the information content of physiological monitoring cardiac rhythm to assess the reliability and noise immunity of operators of various specializations with audio-visual simulation of an emergency. In parallel, studied the effectiveness of protection against the adverse effects of electromagnetic fields. Monitoring of cardiac rhythm in a virtual crash it is possible to differentiate the degree of voltage regulation systems of body functions of operators on specialization and note the positive effect of the use of means of protection from exposure of electromagnetic fields.

  13. Simple analysis of very long term proceses without operational and emergency energy supply in the PWR power plant

    International Nuclear Information System (INIS)

    Benedek, S.

    1983-01-01

    Published calculational methods are cited and used for examination of PWR transients after a loss-of-coolant accident. For different sizes of breaks and breakdown of the pumps the long term transients - without operational and emergency power supply - were calculated. The results show the critical time interval until the operational or emergency/safety water pump/supply should be made into operation to avoid the core heat-up, melt down and the large radioactive issue. (orig.)

  14. Contextual factors associated with hospitals' decision to operate freestanding emergency departments.

    Science.gov (United States)

    Patidar, Nitish; Weech-Maldonado, Robert; O'Connor, Stephen J; Sen, Bisakha; Trimm, J M Mickey; Camargo, Carlos A

    Freestanding emergency departments (FSEDs) are fast growing entities in health care, delivering emergency care outside of hospitals. Hospitals may benefit in several ways by opening FSEDs. The study used the resource dependence theory as a means to analyze the relationship between market and organizational factors and the likelihood of hospitals to operate FSEDs. All acute care hospitals in 14 states with FSEDs present during the study period from 2002 to 2011. Data on FSEDs were merged with American Hospital Association Annual Survey, Centers for Medicare and Medicaid Services' Cost Reports, and Area Resource File data. The outcome variable consists of whether or not the hospital operates an FSED. Independent variables include per capita income, percent population over age of 65 years, primary care and specialist physicians per capita, urban location, change in the unemployment rate, change in the population, change in poverty level, market competition, total satellite and autonomous FSEDs in the market, Medicare-managed care penetration rate, hospital beds, total margin, and system membership. We used logistic regression analysis with state and year fixed effects. Standard errors in the regression were clustered by hospital. The number of hospitals operating satellite FSEDs increased from 32 (2.33%) in 2002 to 91 (5.76%) hospitals in 2011 among the 14 states included in the study sample. The results support the hypothesis that hospitals located in munificent environments and more competitive environments (presence of other FSEDs) are more likely to operate an FSED. Organizational level factors such as bed size and system membership are associated with a hospital operating an FSED. The findings may be used by policy makers in developing regulations for hospitals opening FSEDs. Also, study findings of this study may be used by hospitals to make informed decisions when formulating strategies regarding FSEDs.

  15. Development of a National Consensus for Tactical Emergency Medical Support (TEMS) Training Programs--Operators and Medical Providers.

    Science.gov (United States)

    Schwartz, Richard; Lerner, Brooke; Llwewllyn, Craig; Pennardt, Andre; Wedmore, Ian; Callaway, David; Wightman, John; Casillas, Raymond; Eastman, Alex; Gerold, Kevin; Giebner, Stephen; Davidson, Robert; Kamin, Richard; Piazza, Gina; Bollard, Glenn; Carmona, Phillip; Sonstrom, Ben; Seifarth, William; Nicely, Barbara; Croushorn, John; Carmona, Richard

    2014-01-01

    Tactical teams are at high risk of sustaining injuries. Caring for these casualties in the field involves unique requirements beyond what is provided by traditional civilian emergency medical services (EMS) systems. Despite this need, the training objectives and competencies are not uniformly agreed to or taught. An expert panel was convened that included members from the Departments of Defense, Homeland Security, Justice, and Health and Human Services, as well as federal, state, and local law-enforcement officers who were recruited through requests to stakeholder agencies and open invitations to individuals involved in Tactical Emergency Medical Services (TEMS) or its oversight. Two face-to-face meetings took place. Using a modified Delphi technique, previously published TEMS competencies were reviewed and updated. The original 17 competency domains were modified and the most significant changes were the addition of Tactical Emergency Casualty Care (TECC), Tactical Familiarization, Legal Aspects of TEMS, and Mass Casualty Triage to the competency domains. Additionally, enabling and terminal learning objectives were developed for each competency domain. This project has developed a minimum set of medical competencies and learning objectives for both tactical medical providers and operators. This work should serve as a platform for ensuring minimum knowledge among providers, which will serve enhance team interoperability and improve the health and safety of tactical teams and the public. 2014.

  16. Implementing Data Definition Consistency for Emergency Department Operations Benchmarking and Research.

    Science.gov (United States)

    Yiadom, Maame Yaa A B; Scheulen, James; McWade, Conor M; Augustine, James J

    2016-07-01

    The objective was to obtain a commitment to adopt a common set of definitions for emergency department (ED) demographic, clinical process, and performance metrics among the ED Benchmarking Alliance (EDBA), ED Operations Study Group (EDOSG), and Academy of Academic Administrators of Emergency Medicine (AAAEM) by 2017. A retrospective cross-sectional analysis of available data from three ED operations benchmarking organizations supported a negotiation to use a set of common metrics with identical definitions. During a 1.5-day meeting-structured according to social change theories of information exchange, self-interest, and interdependence-common definitions were identified and negotiated using the EDBA's published definitions as a start for discussion. Methods of process analysis theory were used in the 8 weeks following the meeting to achieve official consensus on definitions. These two lists were submitted to the organizations' leadership for implementation approval. A total of 374 unique measures were identified, of which 57 (15%) were shared by at least two organizations. Fourteen (4%) were common to all three organizations. In addition to agreement on definitions for the 14 measures used by all three organizations, agreement was reached on universal definitions for 17 of the 57 measures shared by at least two organizations. The negotiation outcome was a list of 31 measures with universal definitions to be adopted by each organization by 2017. The use of negotiation, social change, and process analysis theories achieved the adoption of universal definitions among the EDBA, EDOSG, and AAAEM. This will impact performance benchmarking for nearly half of US EDs. It initiates a formal commitment to utilize standardized metrics, and it transitions consistency in reporting ED operations metrics from consensus to implementation. This work advances our ability to more accurately characterize variation in ED care delivery models, resource utilization, and performance. In

  17. Identifying cognitive complexity factors affecting the complexity of procedural steps in emergency operating procedures of a nuclear power plant

    International Nuclear Information System (INIS)

    Park, Jinkyun; Jeong, Kwangsup; Jung, Wondea

    2005-01-01

    In complex systems such as a nuclear and chemical plant, it is well known that the provision of understandable procedures that allow operators to clarify what needs to be done and how to do it is one of the requisites to secure their safety. As a previous study in providing understandable procedures, the step complexity (SC) measure that can quantify the complexity of procedural steps in emergency operating procedures (EOPs) of a nuclear power plant (NPP) was suggested. However, the necessity of additional complexity factors that can consider a cognitive aspect in evaluating the complexity of procedural steps is raised. To this end, the comparisons between operators' performance data measured by the form of a step performance time with their behavior in carrying out the prescribed activities of procedural steps are conducted in this study. As a result, two kinds of complexity factors (the abstraction level of knowledge and the level of engineering decision) that could affect an operator's cognitive burden are identified. Although a well-designed experiment is indispensable for confirming the appropriateness of the additional complexity factors, it is strongly believed that the change of operators' performance data can be more authentically explained if the additional complexity factors are taken into consideration

  18. Identifying cognitive complexity factors affecting the complexity of procedural steps in emergency operating procedures of a nuclear power plant

    Energy Technology Data Exchange (ETDEWEB)

    Park, Jinkyun [Integrated Safety Assessment Division, Korea Atomic Energy Research Institute, P.O. Box 105, Duckjin-Dong, Yusong-Ku, Taejon 305-600 (Korea, Republic of)]. E-mail: kshpjk@kaeri.re.kr; Jeong, Kwangsup [Integrated Safety Assessment Division, Korea Atomic Energy Research Institute, P.O. Box 105, Duckjin-Dong, Yusong-Ku, Taejon 305-600 (Korea, Republic of); Jung, Wondea [Integrated Safety Assessment Division, Korea Atomic Energy Research Institute, P.O. Box 105, Duckjin-Dong, Yusong-Ku, Taejon 305-600 (Korea, Republic of)

    2005-08-01

    In complex systems such as a nuclear and chemical plant, it is well known that the provision of understandable procedures that allow operators to clarify what needs to be done and how to do it is one of the requisites to secure their safety. As a previous study in providing understandable procedures, the step complexity (SC) measure that can quantify the complexity of procedural steps in emergency operating procedures (EOPs) of a nuclear power plant (NPP) was suggested. However, the necessity of additional complexity factors that can consider a cognitive aspect in evaluating the complexity of procedural steps is raised. To this end, the comparisons between operators' performance data measured by the form of a step performance time with their behavior in carrying out the prescribed activities of procedural steps are conducted in this study. As a result, two kinds of complexity factors (the abstraction level of knowledge and the level of engineering decision) that could affect an operator's cognitive burden are identified. Although a well-designed experiment is indispensable for confirming the appropriateness of the additional complexity factors, it is strongly believed that the change of operators' performance data can be more authentically explained if the additional complexity factors are taken into consideration.

  19. Identifying cognitive complexity factors affecting the complexity of procedural steps in emergency operating procedures of a nuclear power plant

    Energy Technology Data Exchange (ETDEWEB)

    Jinkyun Park; Kwangsup Jeong; Wondea Jung [Korea Atomic Energy Research Institute, Taejon (Korea). Integrated Safety Assessment Division

    2005-08-15

    In complex systems such as a nuclear and chemical plant, it is well known that the provision of understandable procedures that allow operators to clarify what needs to be done and how to do it is one of the requisites to secure their safety. As a previous study in providing understandable procedures, the step complexity (SC) measure that can quantify the complexity of procedural steps in emergency operating procedures (EOPs) of a nuclear power plant (NPP) was suggested. However, the necessity of additional complexity factors that can consider a cognitive aspect in evaluating the complexity of procedural steps is raised. To this end, the comparisons between operator' performance data measured by the form of a step performance time with their behavior in carrying out the prescribed activities of procedural steps are conducted in this study. As a result, two kinds of complexity factors (the abstraction level of knowledge and the level of engineering decision) that could affect an operator's cognitive burden are identified. Although a well-designed experiment is indispensable for confirming the appropriateness of the additional complexity factors, it is strongly believed that the change of operators' performance data can be more authentically explained if the additional complexity factors are taken into consideration. (author)

  20. Information sharing guidebook for transportation management centers, emergency operations centers, and fusion centers

    Science.gov (United States)

    2010-06-01

    This guidebook provides an overview of the mission and functions of transportation management centers, emergency operations centers, and fusion centers. The guidebook focuses on the types of information these centers produce and manage and how the sh...

  1. Information sharing guidebook for transportation management centers, emergency operations centers, and fusion centers.

    Science.gov (United States)

    2010-06-01

    This guidebook provides an overview of the mission and functions of transportation management centers, emergency operations centers, and fusion centers. The guidebook focuses on the types of information these centers produce and manage and how the sh...

  2. The operators' non-compliance behavior to conduct emergency operating procedures--comparing with the work experience and the complexity of procedural steps

    International Nuclear Information System (INIS)

    Park, Jinkyun; Jung, Wondea

    2003-01-01

    Many kinds of procedures have been used to reduce the operators' workload throughout various industries, such as in the aviation, the chemical and the nuclear industry. It is remarkable that, however, significant portion of accidents or incidents was caused by procedure related human error due to non-compliance of procedures. In this study, to investigate the operators' non-compliance behavior, emergency-training records were collected using a full scope simulator. And three types of the operators' behavior (such as strict adherence, skipping redundant actions and modifying action sequences) observed from collected emergency training records were compared with both their work experience and the complexity of procedural steps. As the results, three remarkable relationships are obtained. They are: (1) the operators who have an intermediate work experience seem to frequently adopt non-compliance behavior to conduct the procedural steps, (2) the operators seem to frequently adopt non-compliance behavior to conduct the procedural steps that have an intermediate procedural complexity, and (3) the senior reactor operators seem to accommodate their non-compliance behavior based on the complexity of procedural steps. Therefore, it is expected that these relationships can be used as meaningful clues not only to scrutinize the reason for non-compliance behavior but also to suggest appropriate remedies for the reduction of non-compliance behavior that can result in procedure related human error

  3. 18 CFR 376.209 - Procedures during periods of emergency requiring activation of the Continuity of Operations Plan.

    Science.gov (United States)

    2010-04-01

    ... periods of emergency requiring activation of the Continuity of Operations Plan. 376.209 Section 376.209... of the Continuity of Operations Plan. (a)(1) The Commission's Continuity of Operations Plan is...) During periods when the Continuity of Operations Plan is activated, the Commission will continue to act...

  4. Study of time-critical diagnostic method for emergency operation of nuclear power plant

    International Nuclear Information System (INIS)

    Gofuku, A.; Yoshikawa, H.; Itoh, K.; Wakabayashi, J.

    1986-01-01

    In order to support the emergency operation of nuclear power plant, the method of time-critical diagnostic plant analyzer has been investigated. The conception of the emergency operation support center is proposed and two types of plant analyzer may be installed in this center. One analyzer is a real-time tracking simulation code using the observed signals and another is a fast trend-prediction code. A real-time tracking code, TOKRAC, has been developed for analyzing the PWR primary loop thermo-hydraulics at SBLOCA, and the applicability of this code was examined by the numerical experiments for the initial phase transient of both TMI-2 accident and 6% coldleg SBLOCA of a Westinghouse-type PWR plant. The results showed that fairly good tracking was carried out by TOKRAC. The CPU time of TOKRAC was about 12-14 percent of real-time

  5. Information delivery in team communication of MCR operators for an emergency task

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Kwang Sub; Park, Jin Kyun; Jung, Won Dae

    2005-01-01

    Team performance is a major measure to evaluate the ability of team when a lot of people perform a task of common purpose such as the main control room operators in the nuclear power plant. A team performance is affected the collaboration and communication among operators under dynamic situation as well as by the cognitive process of each team member. Specially, under the emergency situation, more clear and apparent communication in a team is a critical key for the appropriate response to emergency situation. As a general human factor analysis accesses the operator's behavior, it leads to a resulting action of planning, decision, problem-solving. In order to access the internal information and background information of his/her behavior, the verbal protocol analysis is applied. The impact factors on the team performance are derived from the state of the art for team performance, and it is found that the communication is a common key for all impact factors. And, in turn, the impact factors for the communication are accesses and the more detailed analysis is performed. The recorded data for the operator training for emergency situation of nuclear power plant training center are analyzed according to the verbal protocol analysis that are being generally utilized in cognitive psychology, educational psychology, and cognitive science. Two aspects, external (syntax) and internal (symantic) aspects of communication are reviewed. From the syntax analysis, it is found that the task of each step in EOP is separated according to each corresponding operator and the ordinary training is important, and the weak-points for a sentence presentation can be found team-by-team. And, from the symantic analysis for the diagnostic procedure of EOP is performed and the communication errors due to different situation awareness by operators could be found, and it lead to a diagnosis failure. The factors for different symantic cognition for a situation are analyzed and the affecting

  6. Operating procedures for emergency situations in EDF PWR plants

    International Nuclear Information System (INIS)

    Depond, G.; Resse, L.

    1992-01-01

    Analysis of incidents and accidents occurring at French and foreign power plants - particularly the TMI accident - and the commissioning of many units in France, as well as tests on simulators, have all demonstrated that an improvement of safety in nuclear power units depends largely on the improvement of the man-machine interface and particularly of emergency operating procedures (EOP). EDF has taken numerous actions in this direction, especially since 1979. First of all, in improving the classical approach based on event-oriented procedures: Rewriting of initial accident operating procedures with regard to their technical contents their form, and the organization of the operating team (procedures I and A); Extension of initial procedures into areas at the limits of design basis and beyond the design basis limits (procedures H). Nevertheless, this approach is subject to several weaknesses. Dependence on a precise initial diagnosis, impossibility to take into account all the conceivable accidental situations, discrepancies between the predicted pattern and the reality. These drawbacks of the event approach have led us to revise the technical conception of the EOPs, and to develop a new approach based on a continuous monitoring of the physical states of the plant and the ability to define a relationship between the physical state of the plant and the operator actions. (author). 4 figs

  7. Use of National Burden to Define Operative Emergency General Surgery.

    Science.gov (United States)

    Scott, John W; Olufajo, Olubode A; Brat, Gabriel A; Rose, John A; Zogg, Cheryl K; Haider, Adil H; Salim, Ali; Havens, Joaquim M

    2016-06-15

    Emergency general surgery (EGS) represents 11% of surgical admissions and 50% of surgical mortality in the United States. However, there is currently no established definition of the EGS procedures. To define a set of procedures accounting for at least 80% of the national burden of operative EGS. A retrospective review was conducted using data from the 2008-2011 National Inpatient Sample. Adults (age, ≥18 years) with primary EGS diagnoses consistent with the American Association for the Surgery of Trauma definition, admitted urgently or emergently, who underwent an operative procedure within 2 days of admission were included in the analyses. Procedures were ranked to account for national mortality and complication burden. Among ranked procedures, contributions to total EGS frequency, mortality, and hospital costs were assessed. The data query and analysis were performed between November 15, 2015, and February 16, 2016. Overall procedure frequency, in-hospital mortality, major complications, and inpatient costs calculated per 3-digit International Classification of Diseases, Ninth Revision, Clinical Modification procedure codes. The study identified 421 476 patient encounters associated with operative EGS, weighted to represent 2.1 million nationally over the 4-year study period. The overall mortality rate was 1.23% (95% CI, 1.18%-1.28%), the complication rate was 15.0% (95% CI, 14.6%-15.3%), and mean cost per admission was $13 241 (95% CI, $12 957-$13 525). After ranking the 35 procedure groups by contribution to EGS mortality and morbidity burden, a final set of 7 operative EGS procedures were identified, which collectively accounted for 80.0% of procedures, 80.3% of deaths, 78.9% of complications, and 80.2% of inpatient costs nationwide. These 7 procedures included partial colectomy, small-bowel resection, cholecystectomy, operative management of peptic ulcer disease, lysis of peritoneal adhesions, appendectomy, and laparotomy. Only 7 procedures account

  8. A Method for Analyzing the Communications among Nuclear Power Plant Operators in Emergency Situations

    International Nuclear Information System (INIS)

    Kim, Man Cheol; Park, Jin Kyun; Jung, Won Dea

    2006-01-01

    Communications among MCR operators is an important factor for understanding how and how well MCR operators manage abnormal situations in NPPs. As mentioned by Ujita et al., the performance of MCR operators in emergency situations in NPPs is strongly affected by not only the cognitive process for each operator, but also by communications and collaboration among operators. Many researches have been conducted to find out the relation between the communication of human operators and the performance of them. But, it seems that few researches have been conducted on in what way the communication among MCR operators should be performed to enhance the performance of them. In this paper, we propose an analysis method for evaluating the quality of communications among MCR operators in nuclear power plants (NPPs)

  9. How to operate a university institute as a radiological emergency service?

    International Nuclear Information System (INIS)

    Besancon, A.; Bochud, F.

    2011-01-01

    The Institute of Radiation Physics (IRA) is attached to the Department of Medical Radiology at the Vaud University Hospital Center (CHUV) in Lausanne. The Institute's main tasks are strongly linked to the medical activities of the Department: radiotherapy, radiodiagnostics, interventional radiology and nuclear medicine. The Institute also works in the fields of operational radiation protection, radiation metrology and radioecology. In the case of an accident involving radioactive materials, the emergency services are able to call on the assistance of radiation protection specialists. In order to avoid having to create and maintain a specific structure, both burdensome and rarely needed, Switzerland decided to unite all existing emergency services for such events. Thus, the IRA was invited to participate in this network. The challenge is therefore to integrate a university structure, used to academic collaborations and the scientific approach, to an interventional organization accustomed to strict policies, a military-style command structure and 'drilled' procedures. The IRA's solution entails mobilizing existing resources and the expertise developed through professional experience. The main asset of this solution is that it involves the participation of committed collaborators who remain in a familiar environment, and are able to use proven materials and mastered procedures, even if the atmosphere of an accident situation differs greatly from regular laboratory routines. However, this solution requires both a commitment to education and training in emergency situations, and a commitment in terms of discipline by each collaborator in order to be integrated into a response plan supervised by an operational command center. (authors)

  10. The step complexity measure for emergency operating procedures: measure verification

    International Nuclear Information System (INIS)

    Park, Jinkyun; Jung, Wondea; Ha, Jaejoo; Park, Changkue

    2002-01-01

    In complex systems, such as nuclear power plants (NPPs) or airplane control systems, human errors play a major role in many accidents. Therefore, to prevent an occurrence of accidents or to ensure system safety, extensive effort has been made to identify significant factors that can cause human errors. According to related studies, written manuals or operating procedures are revealed as one of the most important factors, and the understandability is pointed out as one of the major reasons for procedure-related human errors. Many qualitative checklists are suggested to evaluate emergency operating procedures (EOPs) of NPPs. However, since qualitative evaluations using checklists have some drawbacks, a quantitative measure that can quantify the complexity of EOPs is very necessary to compensate for them. In order to quantify the complexity of steps included in EOPs, Park et al. suggested the step complexity (SC) measure. In addition, to ascertain the appropriateness of the SC measure, averaged step performance time data obtained from emergency training records for the loss of coolant accident and the excess steam dump event were compared with estimated SC scores. Although averaged step performance time data show good correlation with estimated SC scores, conclusions for some important issues that have to be clarified to ensure the appropriateness of the SC measure were not properly drawn because of lack of backup data. In this paper, to clarify remaining issues, additional activities to verify the appropriateness of the SC measure are performed using averaged step performance time data obtained from emergency training records. The total number of available records is 36, and training scenarios are the steam generator tube rupture and the loss of all feedwater. The number of scenarios is 18 each. From these emergency training records, averaged step performance time data for 30 steps are retrieved. As the results, the SC measure shows statistically meaningful

  11. Step Complexity Measure for Emergency Operating Procedures - Determining Weighting Factors

    International Nuclear Information System (INIS)

    Park, Jinkyun; Jung, Wondea; Kim, Jaewhan; Ha, Jaejoo

    2003-01-01

    In complex systems, such as nuclear power plants (NPPs) or airplane control systems, human error has been regarded as the primary cause of many events. Therefore, to ensure system safety, extensive effort has been made to identify the significant factors that can cause human error. According to related studies, written manuals or operating procedures are revealed as one of the important factors, and the understandability is pointed out as one of the major reasons for procedure-related human errors.Many qualitative checklists have been suggested to evaluate emergency operating procedures (EOPs) of NPPs so as to minimize procedure-related human errors. However, since qualitative evaluations using checklists have some drawbacks, a quantitative measure that can quantify the complexity of EOPs is indispensable.From this necessity, Park et al. suggested the step complexity (SC) measure to quantify the complexity of procedural steps included in EOPs. To verify the appropriateness of the SC measure, averaged step performance time data obtained from emergency training records of the loss-of-coolant accident (LOCA) and the excess steam demand event were compared with estimated SC scores. However, although averaged step performance time data and estimated SC scores show meaningful correlation, some important issues such as determining proper weighting factors have to be clarified to ensure the appropriateness of the SC measure. These were not properly dealt with due to a lack of backup data.In this paper, to resolve one of the important issues, emergency training records are additionally collected and analyzed in order to determine proper weighting factors. The total number of collected records is 66, and the training scenarios cover five emergency conditions including the LOCA, the steam generator tube rupture, the loss of all feedwater, the loss of off-site power, and the station blackout. From these records, average step performance time data are retrieved, and new

  12. Consequences for the emergency protection in Japan; Konsequenzen fuer den Notfallschutz in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Gering, Florian [Bundesamt fuer Strahlenschutz, Oberschleissheim (Germany). Abt. Notfallschutz

    2015-06-01

    The accident in the NPP Fukushima Daiichi in March 2011was extensively studied by the Japanese government in two independent fact-finding commissions. As a consequence radical changes of the emergency planning and the situation evaluation in case of a nuclear accident have been enacted. The previous concept was not effective, only one of 23 radiation monitoring stations were operative. The new concept includes an accident classification system, defined criteria for decision making in emergency situations, the extension of emergency planning zones according to the IAEA concept, and the introduction of operational intervention levels.

  13. Development of Emergency Operating Strategies for Beyond Design Basis External Event(BDBEE)s in Korean WH Nuclear Power Plants

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Duk-Joo; Lee, Seung-Chan; Sung, Je-Joong; Ha, Sang-Jun [KHNP CRI, Daejeon (Korea, Republic of); Hong, Soon-Joon; Hwang, Su-Hyun; Lee, Byung-Chul; Park, Kang-Min [FNC Tech. Co., Yongin (Korea, Republic of)

    2015-10-15

    Westinghouse developed and connected emergency operating procedures into a set of FLEX Support Guidelines(FSGs). This paper explains that Korean WH(Westinghouse) type nuclear power plants develop emergency operating strategies for ELAP(extended loss of all AC power), which include guidelines to use permanent and portable equipment as necessary to prevent core damage until AC power is restored from a reliable alternate source of AC power. The Korean emergency operating response strategies were developed to cope with a ELAP such as Fukushima event. The strategies include guidelines to prevent fuel damage using the FLEX equipment. Operators should take actions to prepare FLEX equipment within license basis SBO coping time. The loss of all AC power has been analyzed to identify the behavior of major NSSS process variables using RELAP computer code. The accident analysis showed that the plant does not result in fuel damage in 72 hours after an ELAP if operators take actions to cool RCS with opening of SG ADV in 5 gpm seal leak case. In this scenario, because ELAP is in process and all power cannot be used, operator should operate the FLEX equipment in order to actuate active equipment using the EOP fo SBO response. This strategy will prevent entering SAMG because this actions result in core cooling and stay in core exit temperature less than 650 .deg. C. Korean emergency operating guidelines(EOGs) will be developed using this strategies for response to the BDBEE.

  14. Training simulator for operations at LNG terminals

    International Nuclear Information System (INIS)

    Tsuta, T.; Yamamoto, K.; Tetsuka, S.; Koyama, K.

    1997-01-01

    The Tokyo Gas LNG terminals are among the major energy centers of the Tokyo area, supplying 8 million customers with city gas, and also supplying fuel for thermal power generation at the neighboring thermal power plant operated by the Tokyo Electric Power Company. For this reason, in the event of an emergency at the terminal operators have to be able to respond quickly and accurately to restore operations and prevent secondary damage. Modern LNG terminals are highly reliable and are equipped with backup systems, and occurrences of major trouble are now almost nil. Operators therefore have to be trained to respond to emergencies using simulators, in order to heighten their emergency response capabilities. Tokyo Gas Co., Ltd. has long been aware of the need for simulators and has used them in training, but a new large-scale, real-time simulator has now developed in response to new training needs, applying previously accumulated expertise to create a model of an entire LNG terminal incorporating new features. The development of this new simulator has made possible training for emergencies affecting an entire terminal, and this has been very effective in raising the standards of operators. (au)

  15. Exploring the psychological health of emergency dispatch centre operatives: a systematic review and narrative synthesis.

    Science.gov (United States)

    Golding, Sarah E; Horsfield, Claire; Davies, Annette; Egan, Bernadette; Jones, Martyn; Raleigh, Mary; Schofield, Patricia; Squires, Allison; Start, Kath; Quinn, Tom; Cropley, Mark

    2017-01-01

    The study objective was to investigate and synthesize available evidence relating to the psychological health of Emergency Dispatch Centre (EDC) operatives, and to identify key stressors experienced by EDC operatives. Eight electronic databases (Embase, PubMed, Medline, CINAHL, PsycInfo, PsycArticles, The Psychology and Behavioural Sciences Collection, and Google Scholar) were searched. All study designs were included, and no date limits were set. Studies were included if they were published in English, and explored the psychological health of any EDC operatives, across fire, police, and emergency medical services. Studies were excluded if they related solely to other emergency workers, such as police officers or paramedics. Methodological quality of included studies was assessed using checklists adapted from the Critical Appraisal Skills Programme. A narrative synthesis was conducted, using thematic analysis. A total of 16 articles were included in the review. Two overarching themes were identified during the narrative synthesis: 'Organisational and Operational Factors' and 'Interactions with Others'. Stressors identified included being exposed to traumatic calls, lacking control over high workload, and working in under-resourced and pressured environments. Lack of support from management and providing an emotionally demanding service were additional sources of stress. Peer support and social support from friends and family were helpful in managing work-related stress. EDC operatives experience stress as a result of their work, which appears to be related to negative psychological health outcomes. Future research should explore the long-term effects of this stress, and the potential for workplace interventions to alleviate the negative impacts on psychological health. CRD42014010806.

  16. Late tamoxifen in patients previously operated for breast cancer without postoperative tamoxifen: 5-year results of a single institution randomised study

    International Nuclear Information System (INIS)

    Veronesi, Andrea; Miolo, GianMaria; Magri, Maria D; Crivellari, Diana; Scalone, Simona; Bidoli, Ettore; Lombardi, Davide

    2010-01-01

    A population of breast cancer patients exists who, for various reasons, never received adjuvant post-operative tamoxifen (TAM). This study was aimed to evaluate the role of late TAM in these patients. From 1997 to 2003, patients aged 35 to 75 years, operated more than 2 years previously for monolateral breast cancer without adjuvant TAM, with no signs of metastases and no contraindication to TAM were randomized to TAM 20 mg/day orally for 2 years or follow-up alone. Events were categorized as locoregional relapse, distant metastases, metachronous breast cancer, tumours other than breast cancer and death from any causes, whichever occurred first. The sample size (197 patients per arm, plus 10% allowance) was based on the assumption of a 30% decrease in the number of events occurring at a rate of 5% annually in the 10 years following randomization. Four hundred and thirty-three patients were randomized in the study (TAM 217, follow-up 216). Patients characteristics (TAM/follow-up) included: median age 55/55 years, median time from surgery 25/25 months (range, 25-288/25-294), in situ carcinoma 18/24, oestrogen receptor (ER) positive in 75/68, negative in 70/57, unknown in 72/91 patients. Previous adjuvant treatment included chemotherapy in 131/120 and an LHRH analogue in 11/13 patients. Thirty-six patients prematurely discontinued TAM after a median of 1 month, mostly because of subjective intolerance. Eighty-three events (TAM 39, follow-up 44) occurred: locoregional relapse in 10/8, distant metastases in 14/16, metachronous breast cancer in 4/10, other tumours in 11/10 patients. Less ER-positive secondary breast cancers occurred in the TAM treated patients than in follow-up patients (1 vs 10, p = 0.005). Event-free survival was similar in both groups of patients. This 5-year analysis revealed significantly less metachronous ER-positive breast cancers in the TAM treated patients. No other statistically significant differences have emerged thus far

  17. Emergency operation for penetrating thoracic trauma in a metropolitan surgical service in South Africa.

    Science.gov (United States)

    Clarke, Damian Luiz; Quazi, Muhammed A; Reddy, Kriban; Thomson, Sandie Rutherford

    2011-09-01

    This audit examines our total experience with penetrating thoracic trauma. It reviews all the patients who were brought alive to our surgical service and all who were taken directly to the mortuary. The group of patients who underwent emergency operation for penetrating thoracic trauma is examined in detail. A prospective trauma registry is maintained by the Pietermaritzburg Metropolitan Complex. This database was retrospectively interrogated for all patients requiring an emergency thoracic operation for penetrating injury from July 2006 till July 2009. A retrospective review of mortuary data for the same period was undertaken to identify patients with penetrating thoracic trauma who had been taken to the forensic mortuary. Over the 3-year period July 2006 to July 2009, a total of 1186 patients, 77 of whom were female, were admitted to the surgical services in Pietermaritzburg with penetrating thoracic trauma. There were 124 gunshot wounds and 1062 stab wounds. A total of 108 (9%) patients required emergency operation during the period under review. The mechanism of trauma in the operative group was stab wounds (n = 102), gunshot wound (n = 4), stab with compass (n = 1), and impalement by falling on an arrow (n = 1). Over the same period 676 persons with penetrating thoracic trauma were taken to the mortuary. There were 135 (20%) gunshot wounds of the chest in the mortuary cohort. The overall mortality for penetrating thoracic trauma was 541 (33%) of 1603 for stab wounds and 135 (52%) of 259 for gunshot wounds of the chest. Among the 541 subjects with stab wounds from the mortuary cohort, there were 206 (38%) with cardiac injuries. In the emergency operation group there were 11 (10%) deaths. In 76 patients a cardiac injury was identified. The other injuries identified were lung parenchyma bleeding (n = 12) intercostal vessels (n = 10), great vessels of the chest (n = 6), internal thoracic vessel (n = 2), and pericardial injury with no myocardial injury (n = 2

  18. Development of Operational Safety Monitoring System and Emergency Preparedness Advisory System for CANDU Reactors (I)

    International Nuclear Information System (INIS)

    Kim, Ma Woong; Shin, Hyeong Ki; Lee, Sang Kyu; Kim, Hyun Koon; Yoo, Kun Joong; Ryu, Yong Ho; Son, Han Seong; Song, Deok Yong

    2007-01-01

    As increase of operating nuclear power plants, an accident monitoring system is essential to ensure the operational safety of nuclear power plant. Thus, KINS has developed the Computerized Advisory System for a Radiological Emergency (CARE) system to monitor the operating status of nuclear power plant continuously. However, during the accidents or/and incidents some parameters could not be provided from the process computer of nuclear power plant to the CARE system due to limitation of To enhance the CARE system more effective for CANDU reactors, there is a need to provide complement the feature of the CARE in such a way to providing the operating parameters using to using safety analysis tool such as CANDU Integrated Safety Analysis System (CISAS) for CANDU reactors. In this study, to enhance the safety monitoring measurement two computerized systems such as a CANDU Operational Safety Monitoring System (COSMOS) and prototype of CANDU Emergency Preparedness Advisory System (CEPAS) are developed. This study introduces the two integrated safety monitoring system using the R and D products of the national mid- and long-term R and D such as CISAS and ISSAC code

  19. Effect of Strathclyde police initiative "Operation Blade" on accident and emergency attendances due to assault.

    OpenAIRE

    Bleetman, A; Perry, C H; Crawford, R; Swann, I J

    1997-01-01

    OBJECTIVE: To review assault victim attendance at the accident and emergency department of Glasgow Royal Infirmary before and after a police initiative to curb knife carrying and tackle violent assaults ("Operation Blade"). METHODS: Assault victim attendance was reviewed for the month before the implementation of Operation Blade and for one month a year later. The number of victims requiring treatment in the resuscitation room for stab wounds before, during, and after Operation Blade was also...

  20. Enabling Advanced Automation in Spacecraft Operations with the Spacecraft Emergency Response System

    Science.gov (United States)

    Breed, Julie; Fox, Jeffrey A.; Powers, Edward I. (Technical Monitor)

    2001-01-01

    True autonomy is the Holy Grail of spacecraft mission operations. The goal of launching a satellite and letting it manage itself throughout its useful life is a worthy one. With true autonomy, the cost of mission operations would be reduced to a negligible amount. Under full autonomy, any problems (no matter the severity or type) that may arise with the spacecraft would be handled without any human intervention via some combination of smart sensors, on-board intelligence, and/or smart automated ground system. Until the day that complete autonomy is practical and affordable to deploy, incremental steps of deploying ever-increasing levels of automation (computerization of once manual tasks) on the ground and on the spacecraft are gradually decreasing the cost of mission operations. For example, NASA's Goddard Space Flight Center (NASA-GSFC) has been flying spacecraft with low cost operations for several years. NASA-GSFC's SMEX (Small Explorer) and MIDEX (Middle Explorer) missions have effectively deployed significant amounts of automation to enable the missions to fly predominately in 'light-out' mode. Under light-out operations the ground system is run without human intervention. Various tools perform many of the tasks previously performed by the human operators. One of the major issues in reducing human staff in favor of automation is the perceived increased in risk of losing data, or even losing a spacecraft, because of anomalous conditions that may occur when there is no one in the control center. When things go wrong, missions deploying advanced automation need to be sure that anomalous conditions are detected and that key personal are notified in a timely manner so that on-call team members can react to those conditions. To ensure the health and safety of its lights-out missions, NASA-GSFC's Advanced Automation and Autonomy branch (Code 588) developed the Spacecraft Emergency Response System (SERS). The SERS is a Web-based collaborative environment that enables

  1. Estimates of emergency operating capacity in US manufacturing and nonmanufacturing industries - Volume 1: Concepts and Methodology

    Energy Technology Data Exchange (ETDEWEB)

    Belzer, D.B. (Pacific Northwest Lab., Richland, WA (USA)); Serot, D.E. (D/E/S Research, Richland, WA (USA)); Kellogg, M.A. (ERCE, Inc., Portland, OR (USA))

    1991-03-01

    Development of integrated mobilization preparedness policies requires planning estimates of available productive capacity during national emergency conditions. Such estimates must be developed in a manner to allow evaluation of current trends in capacity and the consideration of uncertainties in various data inputs and in engineering assumptions. This study developed estimates of emergency operating capacity (EOC) for 446 manufacturing industries at the 4-digit Standard Industrial Classification (SIC) level of aggregation and for 24 key nonmanufacturing sectors. This volume lays out the general concepts and methods used to develop the emergency operating estimates. The historical analysis of capacity extends from 1974 through 1986. Some nonmanufacturing industries are included. In addition to mining and utilities, key industries in transportation, communication, and services were analyzed. Physical capacity and efficiency of production were measured. 3 refs., 2 figs., 12 tabs. (JF)

  2. Exploring the psychological health of emergency dispatch centre operatives: a systematic review and narrative synthesis

    Directory of Open Access Journals (Sweden)

    Sarah E. Golding

    2017-10-01

    Full Text Available Background The study objective was to investigate and synthesize available evidence relating to the psychological health of Emergency Dispatch Centre (EDC operatives, and to identify key stressors experienced by EDC operatives. Methods Eight electronic databases (Embase, PubMed, Medline, CINAHL, PsycInfo, PsycArticles, The Psychology and Behavioural Sciences Collection, and Google Scholar were searched. All study designs were included, and no date limits were set. Studies were included if they were published in English, and explored the psychological health of any EDC operatives, across fire, police, and emergency medical services. Studies were excluded if they related solely to other emergency workers, such as police officers or paramedics. Methodological quality of included studies was assessed using checklists adapted from the Critical Appraisal Skills Programme. A narrative synthesis was conducted, using thematic analysis. Results A total of 16 articles were included in the review. Two overarching themes were identified during the narrative synthesis: ‘Organisational and Operational Factors’ and ‘Interactions with Others’. Stressors identified included being exposed to traumatic calls, lacking control over high workload, and working in under-resourced and pressured environments. Lack of support from management and providing an emotionally demanding service were additional sources of stress. Peer support and social support from friends and family were helpful in managing work-related stress. Discussion EDC operatives experience stress as a result of their work, which appears to be related to negative psychological health outcomes. Future research should explore the long-term effects of this stress, and the potential for workplace interventions to alleviate the negative impacts on psychological health. PROSPERO Registration Number CRD42014010806.

  3. Management of a radiological emergency. Organization and operation; Gestion d'une urgence radiologique. Organisation et fonctionnement

    Energy Technology Data Exchange (ETDEWEB)

    Dubiau, Ph. [Institut de Radioprotection et de Surete Nucleaire (IRSN), 92 - Clamart (France)

    2007-07-15

    After a recall of potential radiological emergency situations and their associated risks, this article describes the organization in France of the crisis management and its operation at the national and international scale: 1 - Nuclear or radiological emergency situations and their associated risks: inventory of ionising radiation sources, accidental situations, hazards; 2 - crisis organization in situation of radiological or nuclear emergency: organization at the local scale, organization at the national scale; 3 - management of emergency situations: accident at a facility, action circle, radiological emergency situations outside nuclear facilities, international management of crisis, situations that do not require the implementation of an emergency plan. (J.S.)

  4. Scenario-based design: a method for connecting information system design with public health operations and emergency management.

    Science.gov (United States)

    Reeder, Blaine; Turner, Anne M

    2011-12-01

    Responding to public health emergencies requires rapid and accurate assessment of workforce availability under adverse and changing circumstances. However, public health information systems to support resource management during both routine and emergency operations are currently lacking. We applied scenario-based design as an approach to engage public health practitioners in the creation and validation of an information design to support routine and emergency public health activities. Using semi-structured interviews we identified the information needs and activities of senior public health managers of a large municipal health department during routine and emergency operations. Interview analysis identified 25 information needs for public health operations management. The identified information needs were used in conjunction with scenario-based design to create 25 scenarios of use and a public health manager persona. Scenarios of use and persona were validated and modified based on follow-up surveys with study participants. Scenarios were used to test and gain feedback on a pilot information system. The method of scenario-based design was applied to represent the resource management needs of senior-level public health managers under routine and disaster settings. Scenario-based design can be a useful tool for engaging public health practitioners in the design process and to validate an information system design. Copyright © 2011 Elsevier Inc. All rights reserved.

  5. Completion pancreatectomy and islet cell autotransplantation as salvage therapy for patients failing previous operative interventions for chronic pancreatitis.

    Science.gov (United States)

    Wilson, Gregory C; Sutton, Jeffrey M; Smith, Milton T; Schmulewitz, Nathan; Salehi, Marzieh; Choe, Kyuran A; Levinsky, Nick C; Brunner, John E; Abbott, Daniel E; Sussman, Jeffrey J; Edwards, Michael J; Ahmad, Syed A

    2015-10-01

    Traditional decompressive and/or pancreatic resection procedures have been the cornerstone of operative therapy for refractory abdominal pain secondary to chronic pancreatitis. Management of patients that fail these traditional interventions represents a clinical dilemma. Salvage therapy with completion pancreatectomy and islet cell autotransplantation (CPIAT) is an emerging treatment option for this patient population; however, outcomes after this procedure have not been well-studied. All patients undergoing CPIAT after previous decompressive and/or pancreatic resection for the treatment of chronic pancreatitis at our institution were identified for inclusion in this single-center observational study. Study end points included islet yield, narcotic requirements, glycemic control, and quality of life (QOL). QOL was assessed using the Short Form (SF)-36 health questionnaire. Sixty-four patients underwent CPIAT as salvage therapy. The median age at time of CPIAT was 38 years (interquartile range [IQR], 14.7-65.4). The most common etiology of chronic pancreatitis was idiopathic pancreatitis (66%; n = 42) followed by genetically linked pancreatitis (9%; n = 6) and alcoholic pancreatitis (8%; n = 5). All of these patients had previously undergone prior limited pancreatic resection or decompressive procedure. The majority of patients (50%; n = 32) underwent prior pancreaticoduodenectomy, whereas the remainder had undergone distal pancreatectomy (17%; n = 11), Frey (13%; n = 8), Puestow (13%; n = 8), or Berne (8%; n = 5) procedures. Median time from initial surgical intervention to CPIAT was 28.1 months (IQR, 13.6-43.0). All of these patients underwent a successful CPIAT. Mean operative time was 502.2 minutes with average hospital duration of stay of 13 days. Islet cell isolation was feasible despite previous procedures with a mean islet yield of 331,304 islet cell equivalents, which totaled an islet cell autotransplantation of 4,737 ± 492 IEQ/kg body weight. Median

  6. Development of the step complexity measure for emergency operating procedures using entropy concepts

    International Nuclear Information System (INIS)

    Park, Jinkyun; Jung, Wondea; Ha, Jaejoo

    2001-01-01

    For a nuclear power plant (NPP), symptom-based emergency operating procedures (EOPs) have been adopted to enhance the safety of NPPs through reduction of operators' workload under emergency conditions. Symptom-based EOPs, however, could place a workload on operators because they have to not only identify related symptoms, but also understand the context of steps that should be carried out. Therefore, many qualitative checklists are suggested to ensure the appropriateness of steps included in EOPs. However, since these qualitative evaluations have some drawbacks, a quantitative measure that can roughly estimate the complexity of EOP steps is imperative to compensate for them. In this paper, a method to evaluate the complexity of an EOP step is developed based on entropy measures that have been used in software engineering. Based on these, step complexity (SC) measure that can evaluate SC from various viewpoints (such as the amount of information/operators' actions included in each EOP step, and the logic structure of each EOP step) was developed. To verify the suitableness of the SC measure, estimated SC values are compared with subjective task load scores obtained from the NASA-TLX (task load index) method and step performance time obtained from a full scope simulator. From these comparisons, it was observed that estimated SC values generally agree with the NASA-TLX scores and step performance time data. Thus, it could be concluded that the developed SC measure would be considered for evaluating SC of an EOP step

  7. Accounting of possibilities of blade oscillation emergence at the calculation of operating wheel of turbomolecular vacuum pump

    International Nuclear Information System (INIS)

    Pereslavlev, A.V.

    1988-01-01

    Possibilities of blade oscillation emergence in the operating wheel of turbomolecular vacuum pump (TVP) are considered. Permissible value of safety factor for tensile strength in the operating wheel blade root section, at which the necessary fatigue limit of a material is provided for (k=2 for aluminium alloys and k=1.5 for VT-8 titanium alloy) is determined. Methods of calculating the main dimensions of blade operating wheel on the basis of the specified maximum pumping speed, taking account of possibilities of blade oscillation emergence are presented. Results of calculating the 4S max/πD 2 2 complex, characterizing maximum speed of operating wheel pumping, depending on permissible tensipn in the blade root section (σ), are given. It is shown that (σ increase above (2.5 2.7)x10 8 Pa for aluminium alloys and above ∼ 4x10 8 Pa for VT titanium alloy don't cause increase of operating wheel maximum pumping speed. 8 refs.; 6 figs

  8. [Proposing a physiological model for Emergency Department. Operating principles, classification of overcrowding and guidelines for redesign].

    Science.gov (United States)

    Herrera Carranza, M; Aguado Correa, F; Padilla Garrido, N; López Camacho, F

    2017-04-30

    The operation of Emergency Departments (ED) is determined by demand, their own organizational structures and the connection to other medical care levels. When these elements are not simultaneous, it hinders patient flow and decreases capacity, making it necessary to employ a systemic approach to the chain of emergency care as a single operational entity. With this theoretical orientation, we suggest a conceptual model similar to the physiological cardiac output, in which the preload is the demand, the contractile or flow pump is the organizational structure, the afterload is the hospital, the pre-ED valve is primary care and outpatient emergencies, and the post-ED valve is the diagnostic support services and the specialist consultants. Based on this theoretical approach we classify the different types of ED overcrowding and systematise its causes and the different waiting lists that it generates, which can help to redesign the service and avoid its saturation.

  9. Mental workload measurement for emergency operating procedures in digital nuclear power plants.

    Science.gov (United States)

    Gao, Qin; Wang, Yang; Song, Fei; Li, Zhizhong; Dong, Xiaolu

    2013-01-01

    Mental workload is a major consideration for the design of emergency operation procedures (EOPs) in nuclear power plants. Continuous and objective measures are desired. This paper compares seven mental workload measurement methods (pupil size, blink rate, blink duration, heart rate variability, parasympathetic/sympathetic ratio, total power and (Goals, Operations, Methods, and Section Rules)-(Keystroke Level Model) GOMS-KLM-based workload index) with regard to sensitivity, validity and intrusiveness. Eighteen participants performed two computerised EOPs of different complexity levels, and mental workload measures were collected during the experiment. The results show that the blink rate is sensitive to both the difference in the overall task complexity and changes in peak complexity within EOPs, that the error rate is sensitive to the level of arousal and correlate to the step error rate and that blink duration increases over the task period in both low and high complexity EOPs. Cardiac measures were able to distinguish tasks with different overall complexity. The intrusiveness of the physiological instruments is acceptable. Finally, the six physiological measures were integrated using group method of data handling to predict perceived overall mental workload. The study compared seven measures for evaluating the mental workload with emergency operation procedure in nuclear power plants. An experiment with simulated procedures was carried out, and the results show that eye response measures are useful for assessing temporal changes of workload whereas cardiac measures are useful for evaluating the overall workload.

  10. Proposed energy conservation contingency plan: emergency restrictions on advertising lighting. Authorities, need, rationale, and operation

    Energy Technology Data Exchange (ETDEWEB)

    1977-04-01

    The emergency restrictions on advertising lighting proposed in Energy Conservation Contingency Plan No. 5 of 1977 are presented. A statement is given on the need for rationale and operation of the Contingency Plan.

  11. Local Emergency Operations Centers (EOC)

    Data.gov (United States)

    Department of Homeland Security — The physical location at which the coordination of information and resources to support domestic incident management activities normally takes place. An Emergency...

  12. Operating manual for the Bulk Shielding Reactor

    International Nuclear Information System (INIS)

    1983-04-01

    The BSR is a pool-type reactor. It has the capabilities of continuous operation at a power level of 2 MW or at any desired lower power level. This manual presents descriptive and operational information. The reactor and its auxillary facilities are described from physical and operational viewpoints. Detailed operating procedures are included which are applicable from source-level startup to full-power operation. Also included are procedures relative to the safety of personnel and equipment in the areas of experiments, radiation and contamination control, emergency actions, and general safety. This manual supercedes all previous operating manuals for the BSR

  13. Operating manual for the Bulk Shielding Reactor

    International Nuclear Information System (INIS)

    1987-03-01

    The BSR is a pool-type reactor. It has the capabilities of continuous operation at a power level of 2 MW or at any desired lower power level. This manual presents descriptive and operational information. The reactor and its auxiliary facilities are described from physical and operational viewpoints. Detailed operating procedures are included which are applicable from source-level startup to full-power operation. Also included are procedures relative to the safety of personnel and equipment in the areas of experiments, radiation and contamination control, emergency actions, and general safety. This manual supersedes all previous operating manuals for the BSR

  14. Operating manual for the Bulk Shielding Reactor

    Energy Technology Data Exchange (ETDEWEB)

    1987-03-01

    The BSR is a pool-type reactor. It has the capabilities of continuous operation at a power level of 2 MW or at any desired lower power level. This manual presents descriptive and operational information. The reactor and its auxiliary facilities are described from physical and operational viewpoints. Detailed operating procedures are included which are applicable from source-level startup to full-power operation. Also included are procedures relative to the safety of personnel and equipment in the areas of experiments, radiation and contamination control, emergency actions, and general safety. This manual supersedes all previous operating manuals for the BSR.

  15. Operating manual for the Bulk Shielding Reactor

    Energy Technology Data Exchange (ETDEWEB)

    1983-04-01

    The BSR is a pool-type reactor. It has the capabilities of continuous operation at a power level of 2 MW or at any desired lower power level. This manual presents descriptive and operational information. The reactor and its auxillary facilities are described from physical and operational viewpoints. Detailed operating procedures are included which are applicable from source-level startup to full-power operation. Also included are procedures relative to the safety of personnel and equipment in the areas of experiments, radiation and contamination control, emergency actions, and general safety. This manual supercedes all previous operating manuals for the BSR.

  16. Recovery operations in the event of a nuclear accident or radiological emergency

    International Nuclear Information System (INIS)

    1990-01-01

    Much progress has been made over the last decade in the field of emergency planning and preparedness, including the development of guidance, criteria, training programmes, regulations and comprehensive plans in the support of nuclear facilities. To provide a forum for international review and discussion of actual experiences gained and lessons learned from the different aspects of recovery techniques and operations in response to serious accidents at nuclear facilities and accidents associated with radioactive materials, the IAEA organized the International Symposium on Recovery Operations in the Event of a Nuclear Accident or Radiological Emergency. The symposium was held from 6 to 10 November 1989 in Vienna, Austria, and was attended by over 250 experts from 35 Member State and 7 international organizations. Although the prime focus was on on-site and off-site recovery from nuclear reactor accidents and on recovery from radiological accidents unrelated to nuclear power plants, development of emergency planning and preparedness resources was covered as well. From the experiences reported, lessons learned were identified. While further work remains to be done to improve concepts, plans, materials, communications and mechanisms to assemble quickly all the special resources needed in the event of an accident, there was general agreement that worldwide preparations to handle any possible future radiological emergencies had vastly improved. A special feature of the symposium programme was the inclusion of a full session on an accident involving a chemical explosion in a high level waste tank a a plutonium extraction plant in the Southern Urals in the USSR in 1957. Information was presented on the radioactive release, its dissemination and deposition, the resultant radiation situation, dose estimates, health effects follow-up, and the rehabilitation of contaminated land. This volume contains the full text of the 49 papers presented at the symposium together with a

  17. MODELING OF BEHAVIORAL ACTIVITY OF AIR NAVIGATION SYSTEM'S HUMAN-OPERATOR IN FLIGHT EMERGENCIES

    Directory of Open Access Journals (Sweden)

    Volodymyr Kharchenko

    2012-09-01

    Full Text Available  The Air Navigation System is presented as a complex socio-technical system. The influence on decision-making by Air Navigation System's human-operator of the professional factors as well as the factors of non-professional nature has been defined. Logic determined and stochastic models of decision-making by the Air Navigation System's human-operator in flight emergencies have been developed. The scenarios of developing a flight situation in case of selecting either the positive or negative pole in accordance with the reflexive theory have been obtained. The informational support system of the operator in the unusual situations on the basis of Neural Network model of evaluating the efficiency of the potential alternative of flight completion has been built.

  18. Pre-operative risk scores for the prediction of outcome in elderly people who require emergency surgery

    Directory of Open Access Journals (Sweden)

    Bates Tom

    2007-06-01

    Full Text Available Abstract Background The decision on whether to operate on a sick elderly person with an intra-abdominal emergency is one of the most difficult in general surgery. A predictive risk-score would be of great value in this situation. Methods A Medline search was performed to identify those predictive risk-scores relevant to sick elderly patients in whom emergency surgery might be life-saving. Results Many of the risk scores for surgical patients include the operative findings or require tests which are not available in the acute situation. Most of the relevant studies include younger patients and elective surgery. The Glasgow Aneurysm Score and Hardman Index are specific to ruptured aortic aneurysm while the Boey Score and the Hacetteppe Score are specific to perforated peptic ulcer. The Reiss Index and Fitness Score can be used pre-operatively if the elements of the score can be completed in time. The ASA score, which includes a significant element of subjective clinical judgement, can be augmented with factors such as age and urgency of surgery but no test has a negative predictive value sufficient to recommend against surgical intervention without clinical input. Conclusion Risk scores may be helpful in sick elderly patients needing emergency abdominal surgery but an experienced clinical opinion is still essential.

  19. Using online analytical processing to manage emergency department operations.

    Science.gov (United States)

    Gordon, Bradley D; Asplin, Brent R

    2004-11-01

    The emergency department (ED) is a unique setting in which to explore and evaluate the utility of information technology to improve health care operations. A potentially useful software tool in managing this complex environment is online analytical processing (OLAP). An OLAP system has the ability to provide managers, providers, and researchers with the necessary information to make decisions quickly and effectively by allowing them to examine patterns and trends in operations and patient flow. OLAP software quickly summarizes and processes data acquired from a variety of data sources, including computerized ED tracking systems. It allows the user to form a comprehensive picture of the ED from both system-wide and patient-specific perspectives and to interactively view the data using an approach that meets his or her needs. This article describes OLAP software tools and provides examples of potential OLAP applications for care improvement projects, primarily from the perspective of the ED. While OLAP is clearly a helpful tool in the ED, it is far more useful when integrated into the larger continuum of health information systems across a hospital or health care delivery system.

  20. RBMK power unit operational performance investigation while false coming into action of the emergency reactor cooling system

    International Nuclear Information System (INIS)

    Emel'yanov, I.Ya.; Aleksakov, A.N.; Vasilevskij, V.P.; Labazov, V.N.; Nikolaev, E.V.; Podlazov, L.N.; Rogov, V.D.; Shevchenko, V.V.

    1984-01-01

    Regimes of RBMK reactor operation during false coming into action of the emergency reactor cooling system (ERCS), which might occur in the case of faults in the automation systems or erroneous actions of operator have been investigated. At that, thepe exists a probability of water supply from ERCS to one half of the reactor, which results in a sharp change of boiling regime, and due to void reactivity effect it causes the neutron field disturbance. Change in flow rate and enthalpy of coolant, as well as changes of neutron flux in the left and right halves of the reactor at ERCS response and during operation of the whole system of automatic control of power and system of local automatic control of power - local emergency protection - have been studied. The investigations have been carried out for different values of vapour effect of void reactivity effect and for time ranges from 0 to 40 s. The calculations are made using a model, describing spatial dynamics of reactor in two-dimensional approximation with 54 nodes. The model describes neutron-physics and thermohydraulic processes and it is realized using the BEhSM-6 computer. It is pointed out that one system of automatic control of power or local emergency protection (i.e. without the shut-off system), is insufficient for the compensation of disturbances appearing as a result of false ERCS coming into operation

  1. FPGA Based Intelligent Co-operative Processor in Memory Architecture

    DEFF Research Database (Denmark)

    Ahmed, Zaki; Sotudeh, Reza; Hussain, Dil Muhammad Akbar

    2011-01-01

    benefits of PIM, a concept of Co-operative Intelligent Memory (CIM) was developed by the intelligent system group of University of Hertfordshire, based on the previously developed Co-operative Pseudo Intelligent Memory (CPIM). This paper provides an overview on previous works (CPIM, CIM) and realization......In a continuing effort to improve computer system performance, Processor-In-Memory (PIM) architecture has emerged as an alternative solution. PIM architecture incorporates computational units and control logic directly on the memory to provide immediate access to the data. To exploit the potential...

  2. Survival Prediction in Patients Undergoing Open-Heart Mitral Valve Operation After Previous Failed MitraClip Procedures.

    Science.gov (United States)

    Geidel, Stephan; Wohlmuth, Peter; Schmoeckel, Michael

    2016-03-01

    The objective of this study was to analyze the results of open heart mitral valve operations for survival prediction in patients with previously unsuccessful MitraClip procedures. Thirty-three consecutive patients who underwent mitral valve surgery in our institution were studied. At a median of 41 days, they had previously undergone one to five futile MitraClip implantations. At the time of their operations, patients were 72.6 ± 10.3 years old, and the calculated risk, using the European System for Cardiac Operative Risk Evaluation (EuroSCORE) II, was a median of 26.5%. Individual outcomes were recorded, and all patients were monitored postoperatively. Thirty-day mortality was 9.1%, and the overall survival at 2.2 years was 60.6%. Seven cardiac-related and six noncardiac deaths occurred. Univariate survival regression models demonstrated a significant influence of the following variables on survival: EuroSCORE II (p = 0.0022), preoperative left ventricular end-diastolic dimension (p = 0.0052), left ventricular ejection fraction (p = 0.0249), coronary artery disease (p = 0.0385), and severe pulmonary hypertension (p = 0.0431). Survivors showed considerable improvements in their New York Heart Association class (p < 0.0001), left ventricular ejection fraction (p = 0.0080), grade of mitral regurgitation (p = 0.0350), and mitral valve area (p = 0.0486). Survival after mitral repair was not superior to survival after replacement. Indications for surgery after failed MitraClip procedures must be considered with the greatest of care. Variables predicting postoperative survival should be taken into account regarding the difficult decision as to whether to operate or not. Our data suggest that replacement of the pretreated mitral valve is probably the more reasonable concept rather than complex repairs. When the EuroSCORE II at the time of surgery exceeds 30%, conservative therapy is advisable. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc

  3. Successful emergency operations and the Incident Command System

    International Nuclear Information System (INIS)

    Montgomery, M.

    1994-01-01

    The Incident Command System (ICS) was developed to provide an ''all-risk'' system of effective emergency scene management. The Cy-Fair Volunteer Fire Department (CFVFD) has made ICS an integral part of their operations since 1987. On January 26, 1993, CFVFD was called to investigate a petroleum odor and possible spill near State Highway 6 and Jackrabbit Road in northwest Harris County. Over the next six-hour period, the dispatch center received over 100 calls an hour regarding this incident. Personnel from CFVFD, the oil company, mutual aid fire departments, and private contractors worked around the dock to successfully contain, clean and reduce the effects of a 25,000 gallon crude oil spill next to a 141-foot diameter oil storage tank at the Satsuma Station. Among the keys to success was proper use of the Incident Command System (ICS). Problems overcome included the lack of a readily available water source, limited foam supplies, time of day, and incident duration

  4. Exploring emergency department 4-hour target performance and cancelled elective operations: a regression analysis of routinely collected and openly reported NHS trust data.

    Science.gov (United States)

    Keogh, Brad; Culliford, David; Guerrero-Ludueña, Richard; Monks, Thomas

    2018-05-24

    To quantify the effect of intrahospital patient flow on emergency department (ED) performance targets and indicate if the expectations set by the National Health Service (NHS) England 5-year forward review are realistic in returning emergency services to previous performance levels. Linear regression analysis of routinely reported trust activity and performance data using a series of cross-sectional studies. NHS trusts in England submitting routine nationally reported measures to NHS England. 142 acute non-specialist trusts operating in England between 2012 and 2016. The primary outcome measures were proportion of 4-hour waiting time breaches and cancelled elective operations. Univariate and multivariate linear regression models were used to show relationships between the outcome measures and various measures of trust activity including empty day beds, empty night beds, day bed to night bed ratio, ED conversion ratio and delayed transfers of care. Univariate regression results using the outcome of 4-hour breaches showed clear relationships with empty night beds and ED conversion ratio between 2012 and 2016. The day bed to night bed ratio showed an increasing ability to explain variation in performance between 2015 and 2016. Delayed transfers of care showed little evidence of an association. Multivariate model results indicated that the ability of patient flow variables to explain 4-hour target performance had reduced between 2012 and 2016 (19% to 12%), and had increased in explaining cancelled elective operations (7% to 17%). The flow of patients through trusts is shown to influence ED performance; however, performance has become less explainable by intratrust patient flow between 2012 and 2016. Some commonly stated explanatory factors such as delayed transfers of care showed limited evidence of being related. The results indicate some of the measures proposed by NHS England to reduce pressure on EDs may not have the desired impact on returning services to previous

  5. 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

  6. On-site emergency planning

    International Nuclear Information System (INIS)

    Kueffer, K.

    1980-01-01

    This lecture covers the Emergency Planning of the Operating organization and is based on the Code of Practice and Safety Guides of the IAEA as well as on arrangements in use at the Swiss Nuclear Power Station Beznau and - outlines the basis and content of an emergency plan - describes the emergencies postulated for emergency planning purposes - describes the responsibilities, the organization and the procedures of the operating organization to cope with emergency situations and the liaison between the operating organization, the regulatory body and public authorities - describes the facilities and equipment which should be available to cope with emergency sitauations - describes the measures and actions to be taken when an emergency arises in order to correct abnormal plant conditions and to protect the persons on-and off-site - describes the aid to be given to affected personnel - describes the aspects relevant to maintaining the emergency plan and organization in operational readiness. (orig./RW)

  7. Estimating the operator's performance time of emergency procedural tasks based on a task complexity measure

    International Nuclear Information System (INIS)

    Jung, Won Dae; Park, Jink Yun

    2012-01-01

    It is important to understand the amount of time required to execute an emergency procedural task in a high-stress situation for managing human performance under emergencies in a nuclear power plant. However, the time to execute an emergency procedural task is highly dependent upon expert judgment due to the lack of actual data. This paper proposes an analytical method to estimate the operator's performance time (OPT) of a procedural task, which is based on a measure of the task complexity (TACOM). The proposed method for estimating an OPT is an equation that uses the TACOM as a variable, and the OPT of a procedural task can be calculated if its relevant TACOM score is available. The validity of the proposed equation is demonstrated by comparing the estimated OPTs with the observed OPTs for emergency procedural tasks in a steam generator tube rupture scenario.

  8. Technological considerations in emergency instrumentation preparedness. Phase II-D. Evaluation testing and calibration methodology for emergency radiological instrumentation

    International Nuclear Information System (INIS)

    Bramson, P.E.; Andersen, B.V.; Fleming, D.M.; Kathren, R.L.; Mulhern, O.R.; Newton, C.E.; Oscarson, E.E.; Selby, J.M.

    1976-09-01

    In response to recommendations from the Advisory Committee on Reactor Safeguards, the Division of Operational Safety, U.S. ERDA has contracted with Battelle, Pacific Northwest Laboratories to survey the adequacy of existing instrumentation at nuclear fuel cycle facilities to meet emergency requirements and to develop technical criteria for instrumentation systems to be used in assessment of environmental conditions following plant emergencies. This report, the fifth in a series, provides: (1) calibration methods to assure the quality of radiological measurements and (2) testing procedures for determining whether an emergency radiological instrument meets the performance specifications. Three previous reports in this series identified the emergency instrumentation needs for power reactors, mixed oxide fuel plants, and fuel reprocessing facilities. Each of these three reports contains a Section VI, which sets forth applicable radiological instrument performance criteria and calibration requirements. Testing and calibration procedures in this report have been formatted in two parts: IV and V, each divided into three subsections: (1) Power Reactors, (2) Mixed Oxide Fuel Plants, and (3) Fuel Reprocessing Facilities. The three performance criteria subsections directly coincide with the performance criteria sections of the previous reports. These performance criteria sections have been reproduced in this report as Part III with references of ''required action'' added

  9. The step complexity measure for emergency operating procedures - comparing with simulation data

    International Nuclear Information System (INIS)

    Park, Jinkyun; Jung, Wondea; Kim, Jaewhan; Ha, Jaejoo; Shin, Yunghwa

    2001-01-01

    In complex systems, such as nuclear power plants (NPPs) or airplane control systems, human errors play a major role in many accidents. Therefore, to prevent occurrences of accidents or to ensure system safety, extensive effort has been made to identify significant factors that cause human errors. According to related studies, written manuals or operating procedures are revealed as one of the most important factors, and complexity or understandability of a procedure is pointed out as one of the major reasons that make procedure-related human errors. Many qualitative checklists are suggested to evaluate emergency operating procedures (EOPs) of NPPs. However, since qualitative evaluations using checklists have some drawbacks, a quantitative measure that can quantify the complexity of EOPs is imperative to compensate for them. In order to quantify the complexity of EOPs, Park et al. suggested the step complexity (SC) measure to quantify the complexity of a step included in EOPs. In this paper, to ensure the appropriateness of the SC measure, SC scores are compared with averaged step performance time data obtained from emergency training records. The total number of available records is 36, and training scenarios are the loss of coolant accident and the excess steam dump event. The number of scenario is 18 each. From these emergency training records, step performance time data for 39 steps are retrieved, and they are compared with estimated SC scores of them. In addition, several questions that are needed to clarify the appropriateness of the SC measure are also discussed. As a result, it was observed that estimated SC scores and step performance time data have a statistically meaningful correlation. Thus, it can be concluded that the SC measure can quantify the complexity of steps included in EOPs

  10. Study on diagnostic plant analyzer method for support of emergency operation

    International Nuclear Information System (INIS)

    Yoshikawa, H.; Gofuku, A.; Itoh, K.; Wakabayashi, J.

    1986-01-01

    Methods of time-critical diagnostic plant analyzer are investigated which would serve as support to emergency operation of nuclear power plant. A faster-than-real-time simulator code TOKRAC is developed for analyzing PWR primary loop thermo-hydraulics of small-break LOCA and it is applied for a numerical experiment of initial phase of TMI-2 accident. TOKRAC resulted in a good agreement with a RELAP4/MOD6 calculation and the plant record with as fast as can one-tenth of real time. A real-time estimator of SG heat transfer rate based on Kalman filter is proposed and its applicability is verified using LOFT ATWS experimental data. With regards to how to integrate those methods into the software system in operation support center, a new concept of module-based simulation system is proposed which aims at offering a flexible and human-cognitive oriented environment for various analytical tool development

  11. A Swedish co-operation programme for radiological emergency planning activities in the Baltic Sea region

    International Nuclear Information System (INIS)

    Petersson, B.

    1998-01-01

    Short overview of the Swedish cooperation projects with Baltic countries in the field of radiological emergency preparedness is presented. Cooperation programme is going since 1993 and is divided into following sections: sub-projects on planning, training and exercises, sub-projects on measurement strategies, including early warning systems, sub-project on information to the public and the media, sub-projects on review of the Ignalina NPP on-site emergency preparedness and planning of on-site rescue operations. Total budget amount allocated for these projects is 9 million Swedish crowns

  12. Operational availability improvement through online monitoring and advice for emergency diesel generator

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jong Beom; Kim, Han Gon; Kim, Byong Sup [Korea Electric Power Research Institute, Taejon (Korea, Republic of); Golay, M; Kang, C W; Sui, Y [Massachusetts Institute of Technology, Massachusetts (United States)

    1999-12-31

    This research broadens the prime concern of nuclear power plant operations from safe performance to both economic and safe performance. First, emergency diesel generator is identified as one of main contributors for the lost plant availability through the review of plant forced outage records. The framework of an integrated architecture of performing modern on-line condition for operational availability improvement is configured in this work. For the development of the comprehensive sensor networks for complex target systems, and integrated methodology incorporating a structural hierarchy, a functional hierarchy, and a fault-symptom matrix is formulated. The second part of our research is development of intelligent diagnosis and maintenance advisory system, which employs Bayesian Belief Networks (BBNs) as a high level reasoning tool for incorporating inherent uncertainty for use in probabilistic inference. Our prototype diagnosis algorithms are represented explicitly through topological symbols and links between them in a causal direction. As new evidence from sensor network developed is entered into the model especially, our advisory system provides operational advice concerning both availability and safety, so that the operator is able to determine the likely failure modes, diagnose the system state, locate root causes, and take the most advantageous action. Thereby, this advice improves operational availability. 6 refs., 7 figs., 1 tab. (Author)

  13. Operational availability improvement through online monitoring and advice for emergency diesel generator

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jong Beom; Kim, Han Gon; Kim, Byong Sup [Korea Electric Power Research Institute, Taejon (Korea, Republic of); Golay, M.; Kang, C. W.; Sui, Y. [Massachusetts Institute of Technology, Massachusetts (United States)

    1998-12-31

    This research broadens the prime concern of nuclear power plant operations from safe performance to both economic and safe performance. First, emergency diesel generator is identified as one of main contributors for the lost plant availability through the review of plant forced outage records. The framework of an integrated architecture of performing modern on-line condition for operational availability improvement is configured in this work. For the development of the comprehensive sensor networks for complex target systems, and integrated methodology incorporating a structural hierarchy, a functional hierarchy, and a fault-symptom matrix is formulated. The second part of our research is development of intelligent diagnosis and maintenance advisory system, which employs Bayesian Belief Networks (BBNs) as a high level reasoning tool for incorporating inherent uncertainty for use in probabilistic inference. Our prototype diagnosis algorithms are represented explicitly through topological symbols and links between them in a causal direction. As new evidence from sensor network developed is entered into the model especially, our advisory system provides operational advice concerning both availability and safety, so that the operator is able to determine the likely failure modes, diagnose the system state, locate root causes, and take the most advantageous action. Thereby, this advice improves operational availability. 6 refs., 7 figs., 1 tab. (Author)

  14. Design and operation of the emergency support center, CAE; Diseno y explotacion del centro de apoyo en emergencias, CAE

    Energy Technology Data Exchange (ETDEWEB)

    Caro, R. J.; Lopez Trillo, E.

    2016-08-01

    The enhancements developed in Spain in the area of Emergency Management, as consequence of the accident at the Fukushima Dai-Ichi NPP in 2011, included the definition of new emergency response centers; Alternative Center for Emergency Management (CAGE) on each NPP and the Emergency Support Center (CAE), shared by all NPPs. This article summarizes the main features and operation activities undertaken since the establishment of the new CAE, centralized, external to the NPPs shared by all Spanish plants and managed by Tecnatom. (Author)

  15. A knowledge based operator support system for emergency conditions in nuclear power plants

    International Nuclear Information System (INIS)

    Venkatesh Babu, C.; Subramanium, K.

    1992-01-01

    The control centres of the operating Indian nuclear power plants contain a large number of indicators and controls spread over many panels. In the event of onset of an emergency condition, there results a profusion of information, both numeric and symbolic. The operator may succumb to an information and cognitive overload that may be compounded by a lack of knowledge. The failure to apply knowledge and reasoning to solve an operational problem can lead to human error, which has been a major contributing factor in nuclear accidents. From the viewpoint of Artificial Intelligence, human error occurs if the operational problem requires computing resources that exceed human capabilities. The application of Artificial Intelligence, particularly expert systems, to nuclear power plant control room activities has considerable potential to reduce operator error and improve safety and reliability. The purpose of this paper is to discuss an investigative study of the feasibility of developing an operator support system incorporating Artificial Intelligence techniques. An information processing model of such a system, herein designated as Knowledge Based Operator Support System - KBOSS, employing expert systems technology, has been developed. The features of this system are described, and issues involved in its development are discussed. (author). 2 refs., 5 figs., 1 tab

  16. Factors determining outcomes in grown up patients operated for congenital heart diseases

    Directory of Open Access Journals (Sweden)

    Sachin Talwar

    2016-01-01

    Conclusion: GUCH can be safely operated when adequate caution is taken in the presence of independent predictors such as previous sternotomy, aortic clamp time >45 min, cyanosis, and emergency procedure.

  17. H1N1 infection in emergency surgery: A cautionary tale.

    LENUS (Irish Health Repository)

    Galbraith, J G

    2010-01-01

    Pandemic 2009 influenza A H1N1 has spread rapidly since its first report in Mexico in March 2009. This is the first influenza pandemic in over 40 years and it atypically affects previously healthy young adults, with higher rates of morbidity and mortality. The medical literature has been inundated with reports of H1N1 infection, the majority found in critical care and internal medicine journals with a relative paucity in the surgical literature. Despite this, it remains an important entity that can impact greatly on acute surgical emergencies. We present a case of previously healthy 31-year-old male who underwent open appendectomy. His post-operative recovery was complicated by acute respiratory distress syndrome secondary to H1N1 infection. This case report highlights the impact that H1N1 virus can have on acute surgical emergencies and how it can complicate the post-operative course.

  18. Emergency Support Function 15: Communication Synchronization during Defense Support of Civil Authorities Operations

    Science.gov (United States)

    2015-06-12

    for the future. I would like to thank my parents Juan and Helen for their love, support, and guidance; your hard work and sacrifices have given me...required support to civil authortities during emergency relief operations.9 Once civil authorites are capable of resuming responsibility for the...Freeman posit the researcher has an understanding of the cognitive styles of the program stakeholders which will increase access and comprehension of

  19. Emergency operating instruction improvements at San Onofre Nuclear Generating Station Units 2 and 3

    International Nuclear Information System (INIS)

    Trillo, M.W.; Smith, B.H.

    1989-01-01

    In late 1987, San Onofre nuclear generating station (SONGS) began an extensive upgrade of the units 2 and 3 emergency operating instructions (EOIs). The original intent of this program was to incorporate revised generic guidance and to correct problems that were identified by operators. While this program was in progress, the US Nuclear Regulatory Commission (NRC) conducted a series of audits of emergency operating procedure (EOP) development and maintenance programs as 16 commercial nuclear facilities in the United States. These audits included four stations with Combustion Engineering-designed nuclear steam supply systems. (One of these audits included a review of preupgrade SONGS units 2 and 3 EOIs.) Significant industrywide comments resulted from these audits. The NRC has stated its intent to continue the review and audit of EOIs and the associated maintenance programs at all US commercial nuclear facilities. The units 2 and 3 EOI upgrade program developed procedural improvements and procedural program maintenance improvements that address many of the existing audit comments that have been received by the industry. Other resulting improvements may be useful in minimizing NRC comments in future such audits. Specific improvements are discussed. The upgrade program resulted in benefits that were not originally anticipated. The results of this program can be of significant use by other utilities in addressing the industrywide concerns that have been raised in recent NRC audits of EOP development and maintenance programs

  20. Small Aircraft Transportation System, Higher Volume Operations Concept: Off-Nominal Operations

    Science.gov (United States)

    Abbott, Terence S.; Consiglio, Maria C.; Baxley, Brian T.; Williams, Daniel M.; Conway, Sheila R.

    2005-01-01

    This document expands the Small Aircraft Transportation System, (SATS) Higher Volume Operations (HVO) concept to include off-nominal conditions. The general philosophy underlying the HVO concept is the establishment of a newly defined area of flight operations called a Self-Controlled Area (SCA). During periods of poor weather, a block of airspace would be established around designated non-towered, non-radar airports. Aircraft flying enroute to a SATS airport would be on a standard instrument flight rules flight clearance with Air Traffic Control providing separation services. Within the SCA, pilots would take responsibility for separation assurance between their aircraft and other similarly equipped aircraft. Previous work developed the procedures for normal HVO operations. This document provides details for off-nominal and emergency procedures for situations that could be expected to occur in a future SCA.

  1. Development of graphic display program of reactor operating parameters for emergency exercise at nuclear power plants

    International Nuclear Information System (INIS)

    Okuda, Yasunori; Yoshida, Yoshitaka; Gotou, Kazuko

    2001-01-01

    A scenario of nuclear emergency exercise based on the result of accident progress analysis is expected to ensure effective training. Thereupon a new graphic display program for reactor operating parameters has been developed to present real-time of plant process values (parameters), released radioactivities from the plant, and dose rate data around the site calculated by using the accident analysis code MAAP4 and other codes. This system has a trend graph screen displaying reactor operating parameters, an environmental dose rate summary screen indicating dose rate distribution around the site on the map, and a plant parameters summary screen showing important plant parameters on a simplified plant system diagram. One screen can be switched to another any time. It also has a jump-function easily accessing any stage during the exercise scenario in accordance with progress of the exercise. As a result of the application of this system to a real nuclear emergency exercise, it has been verified that this system is quite useful for confirming the parameters when the nuclear emergency exercise starts and the licensee reports the plant conditions to related bodied. (author)

  2. Development of graphic display program of reactor operating parameters for emergency exercise at nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Okuda, Yasunori; Yoshida, Yoshitaka [Institute of Nuclear Safety System Inc., Mihama, Fukui (Japan); Gotou, Kazuko [Kansai Electric Power Co., Inc., Osaka (Japan)

    2001-09-01

    A scenario of nuclear emergency exercise based on the result of accident progress analysis is expected to ensure effective training. Thereupon a new graphic display program for reactor operating parameters has been developed to present real-time of plant process values (parameters), released radioactivities from the plant, and dose rate data around the site calculated by using the accident analysis code MAAP4 and other codes. This system has a trend graph screen displaying reactor operating parameters, an environmental dose rate summary screen indicating dose rate distribution around the site on the map, and a plant parameters summary screen showing important plant parameters on a simplified plant system diagram. One screen can be switched to another any time. It also has a jump-function easily accessing any stage during the exercise scenario in accordance with progress of the exercise. As a result of the application of this system to a real nuclear emergency exercise, it has been verified that this system is quite useful for confirming the parameters when the nuclear emergency exercise starts and the licensee reports the plant conditions to related bodied. (author)

  3. Developing an operational capabilities index of the emergency services sector.

    Energy Technology Data Exchange (ETDEWEB)

    Collins, M.J.; Eaton, L.K.; Shoemaker, Z.M.; Fisher, R.E.; Veselka, S.N.; Wallace, K.E.; Petit, F.D. (Decision and Information Sciences)

    2012-02-20

    In order to enhance the resilience of the Nation and its ability to protect itself in the face of natural and human-caused hazards, the ability of the critical infrastructure (CI) system to withstand specific threats and return to normal operations after degradation must be determined. To fully analyze the resilience of a region and the CI that resides within it, both the actual resilience of the individual CI and the capability of the Emergency Services Sector (ESS) to protect against and respond to potential hazards need to be considered. Thus, a regional resilience approach requires the comprehensive consideration of all parts of the CI system as well as the characterization of emergency services. This characterization must generate reproducible results that can support decision making with regard to risk management, disaster response, business continuity, and community planning and management. To address these issues, Argonne National Laboratory, in collaboration with the U.S. Department of Homeland Security (DHS) Sector Specific Agency - Executive Management Office, developed a comprehensive methodology to create an Emergency Services Sector Capabilities Index (ESSCI). The ESSCI is a performance metric that ranges from 0 (low level of capabilities) to 100 (high). Because an emergency services program has a high ESSCI, however, does not mean that a specific event would not be able to affect a region or cause severe consequences. And because a program has a low ESSCI does not mean that a disruptive event would automatically lead to serious consequences in a region. Moreover, a score of 100 on the ESSCI is not the level of capability expected of emergency services programs; rather, it represents an optimal program that would rarely be observed. The ESSCI characterizes the state of preparedness of a jurisdiction in terms of emergency and risk management. Perhaps the index's primary benefit is that it can systematically capture, at a given point in time, the

  4. Assisting emergency operating procedures execution with AMAS, an Accident Management Advisor System

    International Nuclear Information System (INIS)

    Guarro, S.; Milici, T.; Wu, J.S.; Apostolakis, G.

    2004-01-01

    In an accident situation, because any decisions that the operators make will depend on how instrumentation readings are ultimately interpreted, the issue of instrument uncertainty is of paramount importance. This uncertainty exists because instrument readings may not be available in the desired form - i.e., only indirect readings for a parameter of interest may exist, with uncertainty on which physical models may be used to deduce its value from these indirect indications -, or because readings may be coming from instruments whose accuracy and reliability in the face of the severe conditions produced by the accident are far from what may be expected under normal operating conditions. In following the EOPs, the operators must rely on instrumentation whose readings may not reflect the real situation. The Accident Management Advisor System (AMAS) is a decision aid intended to supplement plant Emergency Operating Procedures (EOPs) by accounting for instrumentation uncertainty, and by alerting the operators if they are on the wrong procedures, or otherwise performing an action that is not optimal in terms of preventing core damage. In AMAS, the availability and reliability of certain important instrument readings is treated in probabilistic, rather than deterministic terms. This issue is discussed in greater detail later in the paper, since it relates to one of the key characteristics of the AMAS decision aid. (author)

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

    International Nuclear Information System (INIS)

    Xu Song; Song Fei; Li Zhizhong; Zhao Qianyi; Luo Wei; He Xuhong; Salvendy, Gavriel

    2008-01-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2008-10-15

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

  7. Modifications of Probabilistic Safety Assessment-1 Nuclear Power Plant Dukovany based upon new version of Emergency Operating Procedures

    International Nuclear Information System (INIS)

    Aldorf, R.

    1997-01-01

    In the frame of 'living Probabilistic Safety Assessment-1 Nuclear Power Plant Dukovany Project' being performed by Nuclear Research Institute Rez during 1997 is planned to reflect on Probabilistic Safety Assessment-1 basis on impact of Emergency Response Guidelines (as one particular event from the list of other modifications) on Plant Safety. Following highlights help to orient the reader in main general aspects, findings and issues of the work that currently continues on. Older results of Probabilistic Safety Assessment-1 Nuclear Power Plant Dukovany have revealed that human behaviour during accident progression scenarios represent one of the most important aspects in plant safety. Current effort of Nuclear Power Plants Dukovany (Czech Republic) and Bohunice (Slovak Republic) is focussed on development of qualitatively new symptom-based Emergency Operating Procedures called Emergency Response Guidelines Supplier - Westinghouse Energy Systems Europe, Brussels works in cooperation with teams of specialist from both Nuclear Power Plants. In the frame of 'living Probabilistic Safety Assessment-1 Nuclear Power Plant Dukovany Project' being performed by Nuclear Research Institute Rez during 1997 is planned to prove on Probabilistic Safety Assessment -1 basis an expected - positive impact of Emergency Response Guidelines on Plant Safety, Since this contract is currently still in progress, it is possible to release only preliminary conclusions and observations. Emergency Response Guidelines compare to original Emergency Operating Procedures substantially reduce uncertainty of general human behaviour during plant response to an accident process. It is possible to conclude that from the current scope Probabilistic Safety Assessment Dukovany point of view (until core damage), Emergency Response Guidelines represent adequately wide basis for mitigating any initiating event

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2006-12-15

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

  9. Interaction of the role of Concentrated Animal Feeding Operations (CAFOs) in Emerging Infectious Diseases (EIDS).

    Science.gov (United States)

    Hollenbeck, James E

    2016-03-01

    Most significant change in the evolution of the influenza virus is the rapid growth of the Concentrated Animal Feeding Operations (CAFOs) on a global scale. These industrial agricultural operations have the potential of housing thousands of animals in a relatively small area. Emerging Infectious Diseases (EIDs) event can be considered as a shift in the pathogen-host-environment interplay characteristics described by Engering et al. (2013). These changes in the host-environment and the disease ecology are key to creating novel transmission patterns and selection of novel pathogens with a modification of genetic traits. With the development of CAFOs throughout the world, the need for training of animal caretakers to observe, identify, treat, vaccinate and cull if necessary is important to safeguard public health. The best defense against another pandemic of Emerging Infectious Diseases (EIDs) is the constant monitoring of the livestock and handlers of CAFOs and the live animal markets. These are the most likely epicenter of the next pandemic. Copyright © 2015 Elsevier B.V. All rights reserved.

  10. Estimates of emergency operating capacity in U.S. manufacturing industries: 1994--2005

    Energy Technology Data Exchange (ETDEWEB)

    Belzer, D.B.

    1997-02-01

    To develop integrated policies for mobilization preparedness, planners require estimates and projections of available productive capacity during national emergency conditions. This report develops projections of national emergency operating capacity (EOC) for 458 US manufacturing industries at the 4-digit Standard Industrial Classification (SIC) level. These measures are intended for use in planning models that are designed to predict the demands for detailed industry sectors that would occur under conditions such as a military mobilization or a major national disaster. This report is part of an ongoing series of studies prepared by the Pacific Northwest National Laboratory to support mobilization planning studies of the Federal Emergency Planning Agency/US Department of Defense (FEMA/DOD). Earlier sets of EOC estimates were developed in 1985 and 1991. This study presents estimates of EOC through 2005. As in the 1991 study, projections of capacity were based upon extrapolations of equipment capital stocks. The methodology uses time series regression models based on industry data to obtain a response function of industry capital stock to levels of industrial output. The distributed lag coefficients of these response function are then used with projected outputs to extrapolate the 1994 level of EOC. Projections of industrial outputs were taken from the intermediate-term forecast of the US economy prepared by INFORUM (Interindustry Forecasting Model, University of Maryland) in the spring of 1996.

  11. Simulation of operational processes in hospital emergency units as lean healthcare tool

    Directory of Open Access Journals (Sweden)

    Andreia Macedo Gomes

    2017-07-01

    Full Text Available Recently, the Lean philosophy is gaining importance due to a competitive environment, which increases the need to reduce costs. Lean practices and tools have been applied to manufacturing, services, supply chain, startups and, the next frontier is healthcare. Most lean techniques can be easily adapted to health organizations. Therefore, this paper intends to summarize Lean practices and tools that are already being applied in health organizations. Among the numerous techniques and lean tools used, this research highlights the Simulation. Therefore, in order to understand the use of Simulation as a Lean Healthcare tool, this research aims to analyze, through the simulation technique, the operational dynamics of the service process of a fictitious hospital emergency unit. Initially a systematic review of the literature on the practices and tools of Lean Healthcare was carried out, in order to identify the main techniques practiced. The research highlighted Simulation as the sixth most cited tool in the literature. Subsequently, a simulation of a service model of an emergency unit was performed through the Arena software. As a main result, it can be highlighted that the attendants of the built model presented a degree of idleness, thus, they are able to atend a greater demand. As a last conclusion, it was verified that the emergency room is the process with longer service time and greater overload.

  12. Methodological Proposal for Optimal Location of Emergency Operation Centers through Multi-Criteria Approach

    Directory of Open Access Journals (Sweden)

    Umberto Di Matteo

    2016-01-01

    Full Text Available Territorial vulnerability and risk analysis play a fundamental role in urban planning and emergency management. Requirements analysis of such aspects are possible to define more and more effective risk mitigation strategies providing efficient response plans to events. Many mitigation strategies as well as many response plans have in common the purpose of minimizing response time in order to decrease the level of vulnerability of the concerning area. The response time to a perturbing event is in fact an essential parameter to define the hazard of the considered site and literature is unanimous in considering it. In this context, the article proposes a methodology for the optimization of the location on the territory of emergency operation centers (EOCs, reducing response times and mitigating in this way the vulnerability of the area. The proposed methodology is based on a multi-criteria decision making (MCDM hybrid type AHP (Analytic Hierarchy Process-Electre. This method has been applied in the territory of Bressanone and Vipiteno (Bolzano-Italy, simulating the need to build a new barrack of Fire Department. A campaign of interviews with operators and industry experts and the collection of spatial data from the portals of the concerned authorities has been carried out in order to get the number of necessary data for the implementation of the proposed methodology.

  13. Mobile monitoring in routine operations and emergencies

    International Nuclear Information System (INIS)

    Barth, Joachim; Bucher, Benno; Estier, Sybille

    2011-01-01

    Gaining actuality after the Fukushima accident and in a certain way complementing the main topic of the most recent issue (Emergency Preparedness), articles deal with mobile monitoring in its various aspects. Mobile laboratories and measuring devices are presented ranging from aerosol samplers in aeroplanes over helicopters, environmental monitoring cars, a fire brigades CBRN-reconnaissance vehicle and mobile in-vivo laboratories to the special van of an emergency response team carrying among others hand-held instruments. (orig.)

  14. Development of a quantitative evaluation method for non-technical skills preparedness of operation teams in nuclear power plants to deal with emergency conditions

    International Nuclear Information System (INIS)

    Yim, Ho Bin; Kim, Ar Ryum; Seong, Poong Hyun

    2013-01-01

    Highlights: ► We selected important non-technical skills for emergency conditions in NPPs. ► We proposed an evaluation method for the selected non-technical skills. ► We conducted two sets of training, 9 experiments each, with real plant operators. ► Teams showed consistent non-technical skills preparedness with changing scenarios. ► Non-technical skills preparedness gives plausible explanations why teams fail tasks. -- Abstract: Many statistical results from safety reports tell that human related errors are the dominant influencing factor on the safe operation of power plants. Fortunately, training operators for the technical and non-technical skills can prevent many types of human errors. In this study, four important non-technical skills in safety critical industries – medical, aviation, and nuclear – were selected to describe behaviors of operation teams in emergency conditions of nuclear power plants (NPPs): communication, leadership, situation awareness, and decision-making skills. Also, preparedness of the non-technical skills was defined, and a quantification method of those skills called NoT-SkiP (Non-Technical Skills Preparedness) was developed to represent ‘how well operation teams are prepared to deal with emergency conditions’ in the non-technical skills aspect by analyzing monitoring-control patterns and a verbal protocol. Two case studies were conducted to validate the method. The first case was applied to Loss of Coolant Accident (LOCA) and Steam Generator Tube Rupture (SGTR) training. Independent variables were scenario, training repetition, and members. Relative values of the NoT-SkiP showed a consistent trend with changing scenarios. However, when training was repeated with the same scenario, NoT-SkiP values of some team were changed. It was supposed that leaders of some teams exerted their knowledge acquired from the previous training and gave up thoroughness of using procedures. When members especially who play a dominant role

  15. Development of a quantitative evaluation method for non-technical skills preparedness of operation teams in nuclear power plants to deal with emergency conditions

    Energy Technology Data Exchange (ETDEWEB)

    Yim, Ho Bin; Kim, Ar Ryum [Department of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology, 373-1, Guseong-dong, Yuseong-gu, Daejeon 305-701 (Korea, Republic of); Seong, Poong Hyun, E-mail: phseong@kaist.ac.kr [Department of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology, 373-1, Guseong-dong, Yuseong-gu, Daejeon 305-701 (Korea, Republic of)

    2013-02-15

    Highlights: ► We selected important non-technical skills for emergency conditions in NPPs. ► We proposed an evaluation method for the selected non-technical skills. ► We conducted two sets of training, 9 experiments each, with real plant operators. ► Teams showed consistent non-technical skills preparedness with changing scenarios. ► Non-technical skills preparedness gives plausible explanations why teams fail tasks. -- Abstract: Many statistical results from safety reports tell that human related errors are the dominant influencing factor on the safe operation of power plants. Fortunately, training operators for the technical and non-technical skills can prevent many types of human errors. In this study, four important non-technical skills in safety critical industries – medical, aviation, and nuclear – were selected to describe behaviors of operation teams in emergency conditions of nuclear power plants (NPPs): communication, leadership, situation awareness, and decision-making skills. Also, preparedness of the non-technical skills was defined, and a quantification method of those skills called NoT-SkiP (Non-Technical Skills Preparedness) was developed to represent ‘how well operation teams are prepared to deal with emergency conditions’ in the non-technical skills aspect by analyzing monitoring-control patterns and a verbal protocol. Two case studies were conducted to validate the method. The first case was applied to Loss of Coolant Accident (LOCA) and Steam Generator Tube Rupture (SGTR) training. Independent variables were scenario, training repetition, and members. Relative values of the NoT-SkiP showed a consistent trend with changing scenarios. However, when training was repeated with the same scenario, NoT-SkiP values of some team were changed. It was supposed that leaders of some teams exerted their knowledge acquired from the previous training and gave up thoroughness of using procedures. When members especially who play a dominant role

  16. Operational intervention levels in a nuclear emergency, general concepts and a probabilistic approach

    International Nuclear Information System (INIS)

    Lauritzen, B.; Baeverstam, U.; Naadland Holo, E.; Sinkko, K.

    1997-12-01

    This report deals with Operational Intervention Levels (OILs) in a nuclear or radiation emergency. OILs are defined as the values of environmental measurements, in particular dose rate measurements, above which specific protective actions should be carried out in emergency exposure situations. The derivation and the application of OILs are discussed, and an overview of the presently adopted values is provided, with emphasis on the situation in the Nordic countries. A new, probabilistic approach to derive OILs is presented and the method is illustrated by calculating dose rate OILs in a simplified setting. Contrary to the standard approach, the probabilistic approach allows for optimization of OILs. It is argued, that optimized OILs may be much larger than the presently adopted or suggested values. It is recommended, that the probabilistic approach is further developed and employed in determining site specific OILs and in optimizing environmental measuring strategies. (au)

  17. Emergency Management involving Critical Infrastructure Disruptions: operationalizing the deployment of resilience capabilities

    DEFF Research Database (Denmark)

    Trucco, P.; Petrenj, B.; Kozin, Igor

    2016-01-01

    , and/or rapidly recover from a potentially disruptive event. The study proposes a novel approach to integrating the resilience capacities of CI into the EM cycle, which facilitates emergency services and CI operators to collaborate in addressing resilience improvement measures, while planning to cope...... with CI disruptions. It grounds on a previously published comprehensive framework which reflects the main characteristics of such emergencies (e.g. interdependent, multi-sectoral, multi-stakeholder) and supports the identification, assessment and development of specific technical and organizational...

  18. The utility experience of implementing the emergency operating procedure tracking system

    International Nuclear Information System (INIS)

    Chang, W.C.; Cheng, J.F.

    1990-01-01

    This report presents the experience of a project sponsored by the Electric Power Research Institute (EPRI), Taiwan Power Company (TPC) and supported by the Nuclear Software Service (NSS), General Electric Company (GE) and Science Applications International Corporation (SAIC) to implement the Emergency Operating Procedure Tracking System (EOPTS) in Kuosheng Nuclear Power Station Simulator. Before implement the EOPTS in Kuosheng Simulator, the Safety Parameter Display System (SPDS) of the Energency Response Facility Technical Data System (ERFTDS) shall be simulated, the hardware and software linkage between the simulator and ERFTDS shall be established, that include installation of a VAX-8200 computer, Gould - Vax computer hardware linkage, ERFTDS software installation, simulator source variables selection and linkage it to the ERFTDS database

  19. Exploring of Wireless Technology to Provide Information Sharing Among Military, United Nations and Civilian Organizations During Complex Humanitarian Emergencies and Peacekeeping Operations

    National Research Council Canada - National Science Library

    Bridges, Douglas

    2003-01-01

    ...) and peacekeeping operations. Humanitarian emergencies and peacekeeping operations are a complex mix of related activities that require the combined efforts of the UN, military, International Organizations (IOs...

  20. An application of A.I. techniques for the support of emergency operation

    International Nuclear Information System (INIS)

    Jeong, Kwang-Sub; Yang, Joon-On; Park, C.K.

    1991-01-01

    For the support of emergency operation, COSMOS is being developed at KAERI using A.I. techniques. COSMOC consists of two parts; one is to identify CSF's status and to determine the overall response strategy and the other to generate a set of success paths which restore the challenged CSF's and to rank them. The status of CSF is identified by the rule-based reasoning. The overall response strategy is inferred according to the identified CSF's status. The success paths are generated by the given structure descriptions of systems and the general generation algorithm. Backtracking, an inherent feature of the Prolog language, is used for the search of next success path. Generated success paths are ranked according to either its respective reliability or the number of manual operator's actions required to complete each success path. For efficient man-machine interface, a color graphic display is utilized. COSMOS is being built on a workstation. (author)

  1. Methodology for the identification of the factors that can influence the performance of operators of nuclear power plants control room under emergency situations

    International Nuclear Information System (INIS)

    Paiva, Bernardo Spitz; Santos, Isaac J.A. Luquetti

    2009-01-01

    In order to minimize the human errors of the operators in a nuclear power plan control room, during emergency situations, it has to be considered the factors which affect the human performance. Work situations adequately projected, compatible with the necessities, capacities and human limitations, taking into consideration the factors which affect the operator performance . This paper aims to develop a methodology for identification of the factors affecting the operator performance under emergency situation, using the aspects defined by the human reliability analysis focusing the judgment done by specialists

  2. Recent developments in the applications of the Regional Atmospheric Modeling System (RAMS) for emergency response planning and operational forecasting at the Kennedy Space Center

    International Nuclear Information System (INIS)

    Lyons, W.A.; Tremback, C.J.

    1996-01-01

    The authors will summarize ten years of developing and applying the Regional Atmospheric Modeling System (RAMS) to emergency response and operational dispersion forecasting at the Kennedy Space Center (KSC). RAMS forms the core of two workstation-based operational systems, ERDAS (the Emergency Response Dose Assessment System) and PROWESS (Parallelized RAMS Operational Weather Simulation System) which are undergoing extensive operational testing prior to potential deployment as part of the range forecasting system at KSC. RAMS has been interfaced with HYPACT (the Hybrid Particle and Concentration Transport Model) to produce detailed 3-D dispersion forecasts from a variety of sources including cold spills, routine launch operations, and explosive conflagrations of launch vehicles

  3. Assessment of emergency general surgery care based on formally developed quality indicators.

    Science.gov (United States)

    Ingraham, Angela; Nathens, Avery; Peitzman, Andrew; Bode, Allison; Dorlac, Gina; Dorlac, Warren; Miller, Preston; Sadeghi, Mahsa; Wasserman, Deena D; Bilimoria, Karl

    2017-08-01

    Emergency general surgery outcomes vary widely across the United States. The utilization of quality indicators can reduce variation and assist providers in administering care aligned with established recommendations. Previous quality indicators have not focused on emergency general surgery patients. We identified indicators of high-quality emergency general surgery care and assessed patient- and hospital-level compliance with these indicators. We utilized a modified Delphi technique (RAND Appropriateness Methodology) to develop quality indicators. Through 2 rankings, an expert panel ranked potential quality indicators for validity. We then examined historic compliance with select quality indicators after 4 nonelective procedures (cholecystectomy, appendectomy, colectomy, small bowel resection) at 4 academic centers. Of 25 indicators rated as valid, 13 addressed patient-level quality and 12 addressed hospital-level quality. Adherence with 18 indicators was assessed. Compliance with performing a cholecystectomy for acute cholecystitis within 72 hours of symptom onset ranged from 45% to 76%. Compliance with surgery start times within 3 hours from the decision to operate for uncontained perforated viscus ranged from 20% to 100%. Compliance with exploration of patients with small bowel obstructions with ischemia/impending perforation within 3 hours of the decision to operate was 0% to 88%. For 3 quality indicators (auditing 30-day unplanned readmissions/operations for patients previously managed nonoperatively, monitoring time to source control for intra-abdominal infections, and having protocols for bypass/transfer), none of the hospitals were compliant. Developing indicators for providers to assess their performance provides a foundation for specific initiatives. Adherence to quality indicators may improve the quality of emergency general surgery care provided for which current outcomes are potentially modifiable. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Job task characteristics of Australian emergency services volunteers during search and rescue operations.

    Science.gov (United States)

    Silk, Aaron; Lenton, Gavin; Savage, Robbie; Aisbett, Brad

    2018-02-01

    Search and rescue operations are necessary in locating, assisting and recovering individuals lost or in distress. In Australia, land-based search and rescue roles require a range of physically demanding tasks undertaken in dynamic and challenging environments. The aim of the current research was to identify and characterise the physically demanding tasks inherent to search and rescue operation personnel within Australia. These aims were met through a subjective job task analysis approach. In total, 11 criterion tasks were identified by personnel. These tasks were the most physically demanding, frequently occurring and operationally important tasks to these specialist roles. Muscular strength was the dominant fitness component for 7 of the 11 tasks. In addition to the discrete criterion tasks, an operational scenario was established. With the tasks and operational scenario identified, objective task analysis procedures can be undertaken so that practitioners can implement evidence-based strategies, such as physical selection procedures and task-based physical training programs, commensurate with the physical demands of search and rescue job roles. Practitioner Summary: The identification of physically demanding tasks amongst specialist emergency service roles predicates health and safety strategies which can be incorporated into organisations. Knowledge of physical task parameters allows employers to mitigate injury risk through the implementation of strategies modelled on the precise physical demands of the role.

  5. Emergency diesel generating sets for the 900 MW PWR units operation and maintenance policy

    International Nuclear Information System (INIS)

    Guillon, A.; Lallier, M.

    1986-01-01

    In order to improve the reliability of the emergency diesel generating EDF has taken steps to ensure that: - sets are only started up when they are really needed, in order to reduce the thermal cycles and the mechanical stresses associated with start-up. - the maintenance policy is adapted to the conditions of use, by including the notion of a start-up being equivalent to a predetermined number of hours of operation. (authors)

  6. Emergency diesel generating sets for the 900 MW PWR units operation and maintenance policy

    Energy Technology Data Exchange (ETDEWEB)

    Guillon, A.; Lallier, M. [Electricite de France - EDF, Service de la Production Thermique, 3 rue de Messine, 75384 Paris Cedex 08 (France)

    1986-02-15

    In order to improve the reliability of the emergency diesel generating EDF has taken steps to ensure that: - sets are only started up when they are really needed, in order to reduce the thermal cycles and the mechanical stresses associated with start-up. - the maintenance policy is adapted to the conditions of use, by including the notion of a start-up being equivalent to a predetermined number of hours of operation. (authors)

  7. Emergency preparedness at Ignalina NPP

    International Nuclear Information System (INIS)

    Kairys, A.

    1998-01-01

    Brief review of Ignalina NPP safety upgrading and personnel preparedness to act in cases of accidents is presented. Though great activities are performed in enhancing the plant operation safety, the Ignalina NPP management pays a lot of attention to preparedness for emergency elimination and take measures to stop emergency spreading. A new Ignalina NPP emergency preparedness plan was drawn up and became operational. It is the main document to carry out organizational, technical, medical, evacuation and other activities to protect plant personnel, population, the plant and the environment from accident consequences. Great assistance was rendered by Swedish experts in drawing this new emergency preparedness plan. The plan consists of 3 parts: general part, operative part and appendixes. The plan is applied to the Ignalina NPP personnel, Special and Fire Brigade and also to other contractor organizations personnel carrying out works at Ignalina NPP. There are set the following emergency classes: incident, emergency situation, alert, local emergency, general emergency. Separate intervention level corresponds to each emergency class. Overview of personnel training to act in case of an emergency is also presented

  8. Containment of Ebola and Polio in Low-Resource Settings Using Principles and Practices of Emergency Operations Centers in Public Health.

    Science.gov (United States)

    Shuaib, Faisal M; Musa, Philip F; Muhammad, Ado; Musa, Emmanuel; Nyanti, Sara; Mkanda, Pascal; Mahoney, Frank; Corkum, Melissa; Durojaiye, Modupeoluwa; Nganda, Gatei Wa; Sani, Samuel Usman; Dieng, Boubacar; Banda, Richard; Ali Pate, Muhammad

    Emergency Operations Centers (EOCs) have been credited with driving the recent successes achieved in the Nigeria polio eradication program. EOC concept was also applied to the Ebola virus disease outbreak and is applicable to a range of other public health emergencies. This article outlines the structure and functionality of a typical EOC in addressing public health emergencies in low-resource settings. It ascribes the successful polio and Ebola responses in Nigeria to several factors including political commitment, population willingness to engage, accountability, and operational and strategic changes made by the effective use of an EOC and Incident Management System. In countries such as Nigeria where the central or federal government does not directly hold states accountable, the EOC provides a means to improve performance and use data to hold health workers accountable by using innovative technologies such as geographic position systems, dashboards, and scorecards.

  9. Necessities of the Development of a Database for the Communications Between Nuclear Power Plant Operators in Simulated Emergency Situations

    International Nuclear Information System (INIS)

    Kim, Man Cheol; Park, Jin Kyun; Jung, Won Dea

    2007-01-01

    Communications among main control room (MCR) operators is an important factor for understanding how and how well MCR operators manage abnormal or emergency situations in nuclear power plants (NPPs). As mentioned by many researchers, the performance of MCR operators in emergency situations in NPPs is strongly affected by not only the cognitive process of each operator, but also by communications and collaboration among operators. Despite of the importance of correct communications among NPP operators, the possibilities of human errors in communications have not received much attention. A representative example for the lack of interests in communication-related problems is the lack of considering communication-related human errors in human reliability analysis (HRA) methods. HRA methods are used, in general, to provide human error probabilities to probabilistic safety assessment (PSA) of NPPs. In THERP (Technique for Human Error Rate Prediction), which was developed by Swain and Guttmann and currently is one of the most widely used HRA method, the human errors in communications are not directly considered. The human error probability (HEP) and error factor (EF) data that we could find as the most related ones to communication-related human errors are the estimated probabilities of errors in recalling oral instruction items which are not written down. But, it is obvious that the failure in recalling oral instruction items and misunderstanding oral instruction items are different error types

  10. The emerging trend of non-operative treatment in paediatric type I open forearm fractures.

    Science.gov (United States)

    Zhang, H; Fanelli, M; Adams, C; Graham, J; Seeley, M

    2017-08-01

    Open fractures are considered an orthopaedic emergency and are generally an indication for operative debridement. Recent studies have questioned this approach for the management of Gustilo-Anderson Type I open fractures in the paediatric population. This meta-analysis studies the non-operative management of Type I open paediatric forearm fractures. An Ovid MEDLINE and PubMed database literature search was performed for studies that involved a quantified number of Gustilo-Anderson Type I open forearm fractures in the paediatric population, which were treated without operative intervention. A fixed-effect meta-analysis, weighting each study based on the number of patients, and a pooled estimate of infection risk (with 95% confidence interval (CI)) was performed. The search results yielded five studies that were eligible for inclusion. No included patients had operative debridement and all were treated with antibiotics. The number of patients in each study ranged from 3 to 45, with a total of 127 paediatric patients in the meta-analysis. The infection rate was 0% for all patients included. The meta-analysis estimated a pooled infection risk of 0% (95% CI 0 to 2.9). The five included studies had a total of 127 patients with no cases of infection after non-operative management of Type I open paediatric forearm fractures. The infection rate of Type I fractures among operatively managed patients is 1.9%. The trend in literature towards non-operative treatment of paediatric Type I open fractures holds true in this meta-analysis.

  11. Flight Simulator Evaluation of Enhanced Propulsion Control Modes for Emergency Operation

    Science.gov (United States)

    Litt, Jonathan, S; Sowers, T.; Owen, A., Karl; Fulton, Christopher, E.; Chicatelli, Amy, K.

    2012-01-01

    This paper describes piloted evaluation of enhanced propulsion control modes for emergency operation of aircraft. Fast Response and Overthrust modes were implemented to assess their ability to help avoid or mitigate potentially catastrophic situations, both on the ground and in flight. Tests were conducted to determine the reduction in takeoff distance achievable using the Overthrust mode. Also, improvements in Dutch roll damping, enabled by using yaw rate feedback to the engines to replace the function of a stuck rudder, were investigated. Finally, pilot workload and ability to handle the impaired aircraft on approach and landing were studied. The results showed that improvement in all aspects is possible with these enhanced propulsion control modes, but the way in which they are initiated and incorporated is important for pilot comfort and perceived benefit.

  12. Sudden water pollution accidents and reservoir emergency operations: impact analysis at Danjiangkou Reservoir.

    Science.gov (United States)

    Zheng, Hezhen; Lei, Xiaohui; Shang, Yizi; Duan, Yang; Kong, Lingzhong; Jiang, Yunzhong; Wang, Hao

    2018-03-01

    Danjiangkou Reservoir is the source reservoir of the Middle Route of the South-to-North Water Diversion Project (MRP). Any sudden water pollution accident in the reservoir would threaten the water supply of the MRP. We established a 3-D hydrodynamic and water quality model for the Danjiangkou Reservoir, and proposed scientific suggestions on the prevention and emergency management for sudden water pollution accidents based on simulated results. Simulations were performed on 20 hypothetical pollutant discharge locations and 3 assumed amounts, in order to model the effect of pollutant spreading under different reservoir operation types. The results showed that both the location and mass of pollution affected water quality; however, different reservoir operation types had little effect. Five joint regulation scenarios, which altered the hydrodynamic processes of water conveyance for the Danjiangkou and Taocha dams, were considered for controlling pollution dispersion. The results showed that the spread of a pollutant could be effectively controlled through the joint regulation of the two dams and that the collaborative operation of the Danjiangkou and Taocha dams is critical for ensuring the security of water quality along the MRP.

  13. Comparative Analyses on OPR1000 Steam Generator Tube Rupture Event Emergency Operational Guideline

    International Nuclear Information System (INIS)

    Lee, Sang Won; Bae, Yeon Kyoung; Kim, Hyeong Teak

    2006-01-01

    The Steam Generator Tube Rupture (SGTR) event is one of the important scenarios in respect to the radiation release to the environment. When the SGTR occurs, containment integrity is not effective because of the direct bypass of containment via the ruptured steam generator to the MSSV and MSADV. To prevent this path, the Emergency Operational Guideline of OPR1000 indicates the use of Turbine Bypass Valves (TBVs) as an effective means to depressurize the main steam line and prevent the lifting of MSSV. However, the TBVs are not operable when the offsite power is not available (LOOP). In this situation, the RCS cool-down is achieved by opening the both intact and ruptured SG MSADV. But this action causes the large amount of radiation release to the environment. To minimize the radiation release to the environment, KSNP EOG adopts the improved strategy when the SGTR concurrently with LOOP is occurred. However, these procedures show some duplicated procedure and branch line that might confusing the operator for optimal recovery action. So, in this paper, the comparative analysis on SGTR and SGTR with LOOP is performed and optimized procedure is proposed

  14. Design of test and emergency procedures to improve operator behaviour in French nuclear power plants

    International Nuclear Information System (INIS)

    Griffon-Fouco, M.; Gomolinski, M.

    1982-09-01

    The incident analyses performed in French nuclear power plants high-lighted that deficiencies in the design of procedures are frequent causes of human errors. The process for developing new guidelines for the writing of test and emergency procedures is presented: this process is based on operators interviews and observations at the plants or at simulators. The main principles for the writing of procedures are developed. For example: - the elaboration of a procedure for action and of a separate educational procedure, - the coordination of crew responses, - the choice of vocabulary, graphs, flow charts and so on as regards the format. Other complementary actions, such as the training of operators in the use of procedures, are described

  15. Design of test and emergency procedures to improve operator behavior in French nuclear power plants

    International Nuclear Information System (INIS)

    Griffon-Fouco, M.; Gomolinski, M.

    1983-01-01

    The incident analyses performed in French nuclear power plants high-lighted that deficiencies in the design of procedures are frequent causes of human errors. The process for developing new guidelines for the writing of test and emergency procedures is presented: this process is based on operators interviews and observations at the plants or at simulators. The main principles for the writing of procedures are developed. For example: the elaboration of a procedure for action and of separate educational procedure; the coordination of crew responses; and the choice of vocabulary, graphs, flow charts and so on as regards the format. Other complementary actions, such as the training of operators in the use of procedures, are described

  16. Emergency Response and Humanitarian Assistance Operations

    Science.gov (United States)

    2010-12-01

    Humanitarian Assistance Operations Op Food DSTr I Support food distribution with U.S. ARMY / WFP - 03 to 18Fev2010 15 Dias 637,5 Ton de alimentos ...distribution by WFP – 10 a 18Mar2010 – 21 a 28Mar2010 1.723 Ton de Alimentos em 30 Dias Humanitarian Assistance Operations Op Food DSTr II Supporting food...distribution by WFP – 10 a 18Mar2010 8 Dias 420 Ton de alimentos Humanitarian Assistance Operations Op Food DSTr III Supporting food distribution by

  17. Experience in the operation of the diesel engines of emergency generating sets at Fessenheim and Bugey

    International Nuclear Information System (INIS)

    Dorey, J.

    1982-01-01

    The reliability parameters of the diesel engines in the emergency generating sets at Fessenheim and Bugey have been evaluated using informations assembled through the System for Collecting Reliability Data. The results thus obtained have been compared with those resulting from a previous theoretical study. Secondly, an examination of the incident report shows up certain difficulties in the evaluation of reliability that are specific to stand-by equipment [fr

  18. Hypobaric spinal anesthesia in the operative management of orthopedic emergencies in geriatric patients.

    Science.gov (United States)

    Sidi, A; Pollak, D; Floman, Y; Davidson, J T

    1984-07-01

    Hypobaric spinal anesthesia was administered to 40 patients undergoing lower limb surgery. Twenty-nine of the patients were debilitated geriatric patients who presented with orthopedic emergencies, in most cases a fractured hip. Hypobaric spinal anesthesia was found to be a simple and safe procedure that provided adequate analgesia. Due to its inherent nature, hypobaric spinal anesthesia does not necessitate positioning of the patient on the injured, painful side (unlike hyperbaric spinal or epidural anesthesia) and, therefore, facilitates a smooth and painless transfer of the patient to the operating table. Complications encountered were similar to those following hyperbaric anesthesia.

  19. MNE R&D Subsidiary Mandates Evolution in Emerging Economies

    DEFF Research Database (Denmark)

    Schulzmann, David; Slepniov, Dmitrij

    2017-01-01

    The aim of this paper is to present the results of a systematic literature review (SLR) on the subject of Research and Development (R&D) subsidiary mandate evolution in emerging economies and to illustrate what triggers R&D mandate upgrade. The subject of R&D mandates is of crucial importance to ...... on subsidiary evolution in general and particularly in emerging markets. From a practical perspective, a better-integrated framework can provide guidance to businesses in emerging economies on how to start and successfully upgrade their R&D activities.......The aim of this paper is to present the results of a systematic literature review (SLR) on the subject of Research and Development (R&D) subsidiary mandate evolution in emerging economies and to illustrate what triggers R&D mandate upgrade. The subject of R&D mandates is of crucial importance...... to many multinational enterprises (MNEs) striving to utilize the potential of their foreign operations towards higher-value-added activities. While developed economies have long been a destination for R&D activities, emerging economies are increasingly recognized for their innovation potential. Previous...

  20. Emergency surgery pre-operative delays - realities and economic impacts.

    Science.gov (United States)

    O'Leary, D P; Beecher, S; McLaughlin, R

    2014-12-01

    A key principle of acute surgical service provision is the establishment of a distinct patient flow process and an emergency theatre. Time-to-theatre (TTT) is a key performance indicator of theatre efficiency. The combined impacts of an aging population, increasing demands and complexity associated with centralisation of emergency and oncology services has placed pressure on emergency theatre access. We examined our institution's experience with running a designated emergency theatre for acute surgical patients. A retrospective review of an electronic prospectively maintained database was performed between 1/1/12 and 31/12/13. A cost analysis was conducted to assess the economic impact of delayed TTT, with every 24hr delay incurring the cost of an additional overnight bed. Delays and the economic effects were assessed only after the first 24 h as an in-patient had elapsed. In total, 7041 procedures were performed. Overall mean TTT was 26 h, 2 min. There were significant differences between different age groups, with those aged under 16 year and over 65 having mean TTT at 6 h, 34 min (95% C.I. 0.51-2.15, p 65 years age group had a mean TTT of 23 h, 41 min which was significantly longer than the overall mean TTT Vascular and urological emergencies are significantly disadvantaged in competition with other services for a shared emergency theatre. The economic impact of delayed TTT was calculated at €7,116,000, or €9880/day of additional costs generated from delayed TTT over a 24 month period. One third of patients waited longer than 24 h for emergency surgery, with the elderly disproportionately represented in this group. Aside from the clinical risks of delayed and out of hours surgery, such practices incur significant additional costs. New strategies must be devised to ensure efficient access to emergency theatres, investment in such services is likely to be financially and clinically beneficial. Copyright © 2014 Surgical Associates Ltd. Published by Elsevier

  1. Satellite and Aerial Remote Sensing in Support of Disaster Response Operations Conducted by the Texas Division of Emergency Management

    Science.gov (United States)

    Wells, G. L.; Tapley, B. D.; Bettadpur, S. V.; Howard, T.; Porter, B.; Smith, S.; Teng, L.; Tapley, C.

    2014-12-01

    The effective use of remote sensing products as guidance to emergency managers and first responders during field operations requires close coordination and communication with state-level decision makers, incident commanders and the leaders of individual strike teams. Information must be tailored to meet the needs of different emergency support functions and must contain current (ideally near real-time) data delivered in standard formats in time to influence decisions made under rapidly changing conditions. Since 2003, a representative of the University of Texas Center for Space Research (CSR) has served as a member of the Governor's Emergency Management Council and has directed the flow of information from remote sensing observations and high performance computing modeling and simulations to the Texas Division of Emergency Management in the State Operations Center. The CSR team has supported response and recovery missions resulting from hurricanes, tornadoes, flash floods, wildfires, oil spills and other natural and man-made disasters in Texas and surrounding states. Through web mapping services, state emergency managers and field teams have received threat model forecasts, real-time vehicle tracking displays and imagery to support search-and-clear operations before hurricane landfall, search-and-rescue missions following floods, tactical wildfire suppression, pollution monitoring and hazardous materials detection. Data servers provide near real-time satellite imagery collected by CSR's direct broadcast receiving system and post data products delivered during activations of the United Nations International Charter on Space and Major Disasters. In the aftermath of large-scale events, CSR is charged with tasking state aviation resources, including the Air National Guard and Texas Civil Air Patrol, to acquire geolocated aerial photography of the affected region for wide area damage assessment. A data archive for each disaster is available online for years following

  2. Heavy precipitation and the responses within emergency management - a new approach for emergency planning and disaster prevention by utilizing fire brigade operation data

    Science.gov (United States)

    Kutschker, Thomas; Glade, Thomas

    2015-04-01

    An increase of intense rainfall events in the center regions of Europe is one of the assumed effects of climate change. Climate scenarios indicate also large seasonal and regional differences concerning the magnitude. Structural damages and financial loss resulting from heavy precipitation depend on natural parameters such as topography and vegetation cover of the specific area, but also on socio-economic parameters such as urbanized and industrialized areas, population density and the presence of critical infrastructure. In particular mudflows and floods cause damages such as flooded basements and streets, undercutting of roads or spilled sewage drains. The emergency management has to consider these effects appropriately. Commonly, this is the responsibilities is taken by the fire brigades and civil protection units. Within their daily routines, numerous data is collected, but commonly not utilized for scientific purposes. In particular fire brigade operation data can be used accordingly to describe the intensity of the aftermath when heavy precipitation strikes a certain area. One application is described in this study based on a example in Offenbach, Germany. The civil protection in Germany is based on a federal system with a bottom-up command-structure and responsibility to the local community. Therefore it is not easy to collect the overall incident data for a widespread affected area. To examine particular local effects of heavy precipitation events it is necessary to match the meteorological data provided by the German Meteorological Service (DWD) with the incident data of all effected fire brigades, which sometimes is impeded by the usual resolution of meteorological data. In this study, a method of comprehensive evaluation of meteorological data and the operation data from local fire brigades has been developed for the Rhine-Main-Area. This area is one of the largest metropolitan regions in Germany with a very high density in population as well as

  3. Identification of emergent off-nominal operational requirements during conceptual architecting of the more electric aircraft

    Science.gov (United States)

    Armstrong, Michael James

    Increases in power demands and changes in the design practices of overall equipment manufacturers has led to a new paradigm in vehicle systems definition. The development of unique power systems architectures is of increasing importance to overall platform feasibility and must be pursued early in the aircraft design process. Many vehicle systems architecture trades must be conducted concurrent to platform definition. With an increased complexity introduced during conceptual design, accurate predictions of unit level sizing requirements must be made. Architecture specific emergent requirements must be identified which arise due to the complex integrated effect of unit behaviors. Off-nominal operating scenarios present sizing critical requirements to the aircraft vehicle systems. These requirements are architecture specific and emergent. Standard heuristically defined failure mitigation is sufficient for sizing traditional and evolutionary architectures. However, architecture concepts which vary significantly in terms of structure and composition require that unique failure mitigation strategies be defined for accurate estimations of unit level requirements. Identifying of these off-nominal emergent operational requirements require extensions to traditional safety and reliability tools and the systematic identification of optimal performance degradation strategies. Discrete operational constraints posed by traditional Functional Hazard Assessment (FHA) are replaced by continuous relationships between function loss and operational hazard. These relationships pose the objective function for hazard minimization. Load shedding optimization is performed for all statistically significant failures by varying the allocation of functional capability throughout the vehicle systems architecture. Expressing hazards, and thereby, reliability requirements as continuous relationships with the magnitude and duration of functional failure requires augmentations to the traditional

  4. Emergency operation procedure navigation to avoid commission errors

    International Nuclear Information System (INIS)

    Gofuku, Akio; Ito, Koji

    2004-01-01

    New types of operation control system equipped with a large screen and CRT-based operation panels have been installed in newly constructed nuclear power plants. The operators can share important information of plant conditions by the large screen. The operation control system can know the operations by operators through the computers connected to the operation panels. The software switches placed in the CRT-based operation panels have a problem such that operators may make an error to manipulate an irrelevant software switch with their current operation. This study develops an operation procedure navigation technique to avoid this kind of commission errors. The system lies between CRT-based operation panels and plant control systems and checks an operation by operators if it follows the operation procedure of operation manuals. When the operation is a right one, the operation is executed as if the operation command is directly transmitted to control systems. If the operation does not follow the operation procedure, the system warns the commission error to operators. This paper describes the operation navigation technique, format of base operation model, and a proto-type operation navigation system for a three loop pressurized water reactor plant. The validity of the proto-type system is demonstrated by the operation procedure navigation for a steam generator tube rupture accident. (author)

  5. Operations Manual for Incident and Emergency Communication. Date Effective: 1 June 2012 (Spanish Edition); Manual de Operaciones para la Comunicacion de Incidentes y Emergencias. Fecha de Validez: 1 Junio de 2012

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-06-01

    The Convention on Early Notification of a Nuclear Accident (the 'Early Notification Convention') and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the 'Assistance Convention') are the prime legal instruments that establish an international framework to facilitate the exchange of information and the prompt provision of assistance in the event of a nuclear or radiological incident or emergency, with the aim of minimizing the consequences. The International Atomic Energy Agency (IAEA) has specific functions assigned to it under these Conventions. The arrangements provided between the IAEA, the IAEA's Member States and/or Parties to one or both Conventions, all other relevant international intergovernmental organizations (herein referred to as international organizations), and other States for facilitating the implementation of these Conventions - specifically concerning those articles that are operational in nature - are documented in the present Operations Manual for Incident and Emergency Communication (IEComm). IEComm is the successor to the previous Emergency Notification and Assistance Technical Operations Manual (ENATOM), first issued on 18 January 1989. Member States, Parties to the Early Notification and Assistance Conventions, relevant international organizations and other States, have since then regularly received updates to the manual. This manual covers the communication protocols for Contact Points identified under the Early Notification and Assistance Conventions, as well as the protocol for users of the International Nuclear and Radiological Event Scale (INES). Since the last edition of ENATOM, several factors have warranted some modifications to the existing arrangements: changes due to lessons identified from experience in exchanging information during incidents and emergencies, responding to requests for information and assistance during nuclear and radiological incidents and emergencies in the past few

  6. LNG - emergency control

    Energy Technology Data Exchange (ETDEWEB)

    Berardinelli, Ricardo Porto; Correa, Kleber Macedo; Moura Filho, Nelson Barboza de; Fernandez, Carlos Antonio [TRANSPETRO, Rio de Janeiro, RJ (Brazil); Matos, Jose Eduardo Nogueira de [PETROBRAS, Rio de Janeiro, RJ (Brazil)

    2009-07-01

    The operation of liquefied natural gas (LNG) is pioneering within the PETROBRAS System. PETROBRAS Transporte - TRANSPETRO is going to operate two flexible LNG terminals, located in Ceara and Rio de Janeiro. In accordance with the Corporate Health, Safety and Environmental (HSE) Directive - Training, Education and Awareness, PETROBRAS Transporte S.A. - TRANSPETRO has prepared an action plan with the objective of ensuring the operational safety of the undertaking. Among other actions a training program for the emergency control of LNG will be inserted into the timetable. The above mentioned training program was held over a period of 20 hours, and was divided between theory and practice. In the theoretical part, the characteristics of the product, the history of accidents and the emergency response procedures were covered. In the practical part, 3000 gallons of LNG were utilized where the behavior of the product could be confirmed following a confined leak, thereby verifying the efficacy of the emergency control resources. The teaching process of the course was developed in the company through the preparation of specific procedures, emergency plans and the formation of internal instructors. (author)

  7. Emerging Biodegradation of the Previously Persistent Artificial Sweetener Acesulfame in Biological Wastewater Treatment.

    Science.gov (United States)

    Kahl, Stefanie; Kleinsteuber, Sabine; Nivala, Jaime; van Afferden, Manfred; Reemtsma, Thorsten

    2018-03-06

    The persistence of acesulfame (ACE) in wastewater treatment (and subsequently the aquatic environment) has led to its use as a marker substance for wastewater input into surface water and groundwater. However, ACE degradation of >85% during summer and autumn was observed in nine German wastewater treatment plants (WWTPs). Annual removal performance was more stable in larger plants, enhanced by low biological oxygen demand and impeded by water temperatures below 10 °C. Literature data suggest that the potential to degrade ACE emerged in WWTPs around the year 2010. This development is ongoing, as illustrated by ACE content in the German rivers Elbe and Mulde: Between 2013 and 2016 the ACE mass load decreased by 70-80%. In enrichment cultures with ACE as sole carbon source the carbonaceous fraction of ACE was removed completely, indicating catabolic biotransformation and the inorganic compound sulfamic acid formed in quantitative amounts. Sequencing of bacterial 16S rRNA genes suggests that several species are involved in ACE degradation, with proteobacterial species affiliated to Phyllobacteriaceae, Methylophilaceae, Bradyrhizobiaceae, and Pseudomonas becoming specifically enriched. ACE appears to be the first micropollutant for which the evolution of a catabolic pathway in WWTPs has been witnessed. It can yet only be speculated whether the emergence of ACE removal in WWTPs in different regions of the world is due to independent evolution or to global spreading of genes or adapted microorganisms.

  8. Improving operational effectiveness of tactical master plans for emergency and elective patients under stochastic demand and capacitated resources

    NARCIS (Netherlands)

    Adan, I.J.B.F.; Bekkers, J.A.; Dellaert, N.P.; Jeunet, J.; Vissers, J.M.H.

    2009-01-01

    This paper develops a two-stage planning procedure for master planning of elective and emergency patients while allocating at best the available hospital resources. Four types of resources are considered: operating theatre, beds in the medium and in the intensive care units, and nursing hours in the

  9. Improving operational effectiveness of tactical master plans for emergency and elective patients under stochastic demand and capacitated resources

    NARCIS (Netherlands)

    Adan, I.J.B.F.; Bekkers, J.A.; Dellaert, N.P.; Jeunet, J.; Vissers, Jan

    2011-01-01

    This paper develops a two-stage planning procedure for master planning of elective and emergency patients while allocating at best the available hospital resources. Four types of resources are considered: operating theatre, beds in the medium and in the intensive care units, and nursing hours in the

  10. [Bentall operation after previous repair of tetralogy of Fallot].

    Science.gov (United States)

    Ballore, Luca; Tramontin, Corrado; Manca, Paolo; Tocco, Stefania; Lixi, Giovanni; Matta, Gildo; Cirio, Emiliano Maria; Martelli, Valentino

    2007-04-01

    Pathologies that involve the ascending aorta are described in case reports of patients after complete repair of tetralogy of Fallot. Here, we present a case report. Preoperative tests showed an aortic ratio of > 1.5. The patient was operated on replacement of the ascending aorta according to the Bentall technique. At present, the guidelines for replacement of the ascending aorta recommend an aortic ratio of > 1.5 and in case of Marfan syndrome of > 1.3. In these patient subsets, cystic medial necrosis and an increased risk of aortic dissection have been described. Therefore, as for Marfan syndrome, why an aortic ratio of >1.3 should not be considered a proper surgical indication also for these patients?

  11. [Oncological emergencies in the emergency department].

    Science.gov (United States)

    Cimpoeşu, Diana; Dumea, Mihaela; Durchi, Simona; Apostoae, F; Olaru, G; Ciolan, Mioara; Popa, O; Corlade-Andrei, Mihaela

    2011-01-01

    to assess the profile and the characteristic of oncological patients, establishing management in patients with neoplasia presented in the emergency department (ED), the analysis of short-term movements in patients with neoplasia whilst in the ED. we performed a retrospective study on nonrandomized consecutive cases. The lot analysis included 1315 oncological patients admitted in the Emergency Department of the Clinical Emergency Hospital "St. Spiridon" Iaşi, in the period June 1st, 2009 - May 31st, 2010. 23.12% of the patients had high suspicion of neoplasia at the first visit to the ED. 67.07% of patients were in metastatic stage disease located as follows: liver metastasis 37.59%, lung metastasis 18.36%, lymph node metastasis 13, 29%. After processing the data there were found statistically significant correlations between the age of patients and the documented/suspected diagnosis of neoplasia (p = 0.01) in the sense that a neoplasia diagnosis in emergency was more frequent in people of young age. It should be mentioned that other studies rarely mention first diagnosis of neoplasia in emergency department with presence of complications. 1315 oncological patients presented in ED, almost a quarter of which presented high suspicion of neoplasia (still without histopathological confirmation) when in ED (23.12%). Most of them were aged male patients (over 65 years old), with tumors of the digestive system. A significant proportion (almost 60%) of these patients ended up in emergency due to complications and the therapy intended life support and pain management. Some of these patients were directed to further exploring and emergency outpatient therapy while 75% of patients were hospitalized after stabilization. Although we expected that the frequency of complications to be higher in patients previously diagnosed with cancer, data analysis showed no statistically significant differences (p = NS) between the rate of complications in patients previously diagnosed with

  12. Manual for first responders to a radiological emergency. Emergency preparedness and response

    International Nuclear Information System (INIS)

    2008-01-01

    Under Article 5.a(ii) of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. As stated in IAEA Safety Standards Series No. GS-R-2 'Preparedness and Response for a Nuclear or Radiological Emergency', which establishes the requirements for an adequate level of preparedness for and response to a nuclear or radiological emergency in any State, 'first responders shall take all practicable and appropriate actions to minimize the consequences of a nuclear or radiological emergency'. The IAEA General Conference, in resolution GC(49)/RES/9, continues to encourage Member States 'to adopt the relevant Agency standards, procedures and practical tools' and underlines 'the need for first responders to have appropriate training for dealing with ionizing radiation during nuclear and radiological emergencies'. This publication is intended to assist in meeting these requirements and to fulfil Article 5 of the Assistance Convention. Its aim is to provide practical guidance for those who will respond during the first few hours to a radiological emergency (referred to here as 'first responders') and for national officials who would support this early response. It provides guidance in the form of action guides, instructions, and supporting data that can be easily applied by a State to build a basic capability to respond to a radiological emergency. This guidance should be adapted to fit the user State's organizational arrangements, language, terminology, concept of operation and capabilities. This report, published as part of the IAEA Emergency Preparedness and Response Series, replaces and builds on IAEA-TECDOC-1162 in the area of early response and first responders' actions. It takes account of the

  13. Inspection of Emergency Arrangements

    International Nuclear Information System (INIS)

    2013-01-01

    The Working Group on Inspection Practices (WGIP) was tasked by the NEA CNRA to examine and evaluate the extent to which emergency arrangements are inspected and to identify areas of importance for the development of good inspection practices. WGIP members shared their approaches to the inspection of emergency arrangements by the use of questionnaires, which were developed from the requirements set out in IAEA Safety Standards. Detailed responses to the questionnaires from WGIP member countries have been compiled and are presented in the appendix to this report. The following commendable practices have been drawn from the completed questionnaires and views provided by WGIP members: - RBs and their Inspectors have sufficient knowledge and information regarding operator's arrangements for the preparedness and response to nuclear emergencies, to enable authoritative advice to be given to the national coordinating authority, where necessary. - Inspectors check that the operator's response to a nuclear emergency is adequately integrated with relevant response organisations. - Inspectors pay attention to consider the integration of the operator's response to safety and security threats. - The efficiency of international relations is checked in depth during some exercises (e.g. early warning, assistance and technical information), especially for near-border facilities that could lead to an emergency response abroad. - RB inspection programmes consider the adequacy of arrangements for emergency preparedness and response to multi-unit accidents. - RBs assess the adequacy of arrangements to respond to accidents in other countries. - The RB's role is adequately documented and communicated to all agencies taking part in the response to a nuclear or radiological emergency. - Inspectors check that threat assessments for NPPs have been undertaken in accordance with national requirements and that up-to-date assessments have been used as the basis for developing emergency plans for

  14. Previously unknown species of Aspergillus.

    Science.gov (United States)

    Gautier, M; Normand, A-C; Ranque, S

    2016-08-01

    The use of multi-locus DNA sequence analysis has led to the description of previously unknown 'cryptic' Aspergillus species, whereas classical morphology-based identification of Aspergillus remains limited to the section or species-complex level. The current literature highlights two main features concerning these 'cryptic' Aspergillus species. First, the prevalence of such species in clinical samples is relatively high compared with emergent filamentous fungal taxa such as Mucorales, Scedosporium or Fusarium. Second, it is clearly important to identify these species in the clinical laboratory because of the high frequency of antifungal drug-resistant isolates of such Aspergillus species. Matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS) has recently been shown to enable the identification of filamentous fungi with an accuracy similar to that of DNA sequence-based methods. As MALDI-TOF MS is well suited to the routine clinical laboratory workflow, it facilitates the identification of these 'cryptic' Aspergillus species at the routine mycology bench. The rapid establishment of enhanced filamentous fungi identification facilities will lead to a better understanding of the epidemiology and clinical importance of these emerging Aspergillus species. Based on routine MALDI-TOF MS-based identification results, we provide original insights into the key interpretation issues of a positive Aspergillus culture from a clinical sample. Which ubiquitous species that are frequently isolated from air samples are rarely involved in human invasive disease? Can both the species and the type of biological sample indicate Aspergillus carriage, colonization or infection in a patient? Highly accurate routine filamentous fungi identification is central to enhance the understanding of these previously unknown Aspergillus species, with a vital impact on further improved patient care. Copyright © 2016 European Society of Clinical Microbiology and

  15. Using prospective hazard analysis to assess an active shooter emergency operations plan.

    Science.gov (United States)

    Card, Alan J; Harrison, Heidi; Ward, James; Clarkson, P John

    2012-01-01

    Most risk management activity in the healthcare sector is retrospective, based on learning from experience. This is feasible where the risks are routine, but emergency operations plans (EOP) guide the response to events that are both high risk and rare. Under these circumstances, it is important to get the response right the first time, but learning from experience is usually not an option. This case study presents the rationale for taking a proactive approach to improving healthcare organizations' EOP. It demonstrates how the Prospective Hazard Analysis (PHA) Toolkit can drive organizational learning and argues that this toolkit may lead to more efficient improvement than drills and exercises. © 2012 American Society for Healthcare Risk Management of the American Hospital Association.

  16. Planning and training in emergency preparedness

    International Nuclear Information System (INIS)

    Perkins, T.G.

    1985-01-01

    Link Simulation Systems Division of the Singer Company is combining its tactical simulation and display system with state-of-the-art decision and control technology to provide a combined operations, planning, and training (COPAT) system. This system provides for the total integration of the three primary responsibilities of emergency managers: planning and training for and decision and control of an emergency. The system is intended to be a complete operations center for emergency management personnel. In the event of a natural disaster or man-made emergency, the national, state, county, and city emergency managers require a secure and reliable operations center. The COPAT system combines the decision and control capabilities with proven simulation techniques allowing for integrated planning and training. The hardware system, software, data bases, and maps used during planning and training are the same as those used during actual emergencies

  17. Simulation of emergency response operations for a static chemical spill within a building using an opportunistic resource utilization network

    NARCIS (Netherlands)

    Lilien, L.T.; Elbes, M.W.; Ben Othmane, L.; Salih, R.M.

    2013-01-01

    We investigate supporting emergency response operations with opportunistic resource utilization networks ("oppnets"), based on a network paradigm for inviting and integrating diverse devices and systems available in the environment. We simulate chemical spill on a single floor of a building and

  18. Emergency preparedness post-9/11 enhancements at US nuclear plants

    International Nuclear Information System (INIS)

    Sullivan, R.L.

    2005-01-01

    Full text: In the wake of the terrorist attacks of 9-11, the US Nuclear Regulatory Commission (NRC) took several actions to improve the security profile and emergency response of its licensees. In early 2002 the commission issued orders to its nuclear power plant licensees which included changes to emergency plans, the performance of staffing adequacy reviews, changes to augmentation practices and the establishment of alternative facilities. Since that time NRC has implemented a force-on-force exercise program that includes emergency response. This program has helped licensees improve their response by testing procedures under simulated attack conditions. More recently, licensees have begun a program to enhance drills and exercises through the use of security event based scenarios. These drills will enhance previous practice and focus on two emerging issues: improving the interface between emergency response, security response and operations during security events and recovery from the loss of plant equipment due to terrorist acts. Additional areas of enhancement such as protective actions for plant personnel will also be discussed and the status of actions to date will be provided. (author)

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2013-07-01

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

  20. Emergency surgery for Crohn's disease.

    Science.gov (United States)

    Smida, Malek; Miloudi, Nizar; Hefaiedh, Rania; Zaibi, Rabaa

    2016-03-01

    Surgery has played an essential role in the treatment of Crohn's disease. Emergency can reveal previously unknown complications whose treatment affects prognosis. Indicate the incidence of indications in emergent surgery for Crohn's disease. Specify the types of procedures performed in these cases and assess the Results of emergency surgery for Crohn's disease postoperatively,  in short , medium and long term. Retrospective analysis of collected data of 38 patients, who underwent surgical resection for Crohn's disease during a period of 19 years from 1992 to 2011 at the department of surgery in MONGI SLIM Hospital, and among them 17 patients underwent emergency surgery for Crohn's disease. In addition to socio-demographic characteristics and clinical presentations of our study population, we evaluated the indications, the type of intervention, duration of evolution preoperative and postoperative complications and overall prognosis of the disease. Of the 38 patients with Crohn's disease requiring surgical intervention, 17/38 patients underwent emergency surgery. Crohn's disease was inaugurated by the complications requiring emergency surgery in 11 patients. The mean duration of symptoms prior to surgery was 1.5 year. The most common indication for emergency surgery was acute intestinal obstruction (n=6) followed by perforation and peritonitis (n=5). A misdiagnosis of appendicitis was found in 4 patients and a complicated severe acute colitis for undiagnosed Crohn's disease was found in 2 cases. The open conventional surgery was performed for 15 patients. Ileocolic resection was the most used intervention. There was one perioperative mortality and 5 postoperative morbidities. The mean of postoperative hospital stay was 14 days (range 4-60 days). Six patients required a second operation during the follow-up period. The incidence of emergency surgery for Crohn's disease in our experience was high (17/38 patients), and is not as rare as the published estimates

  1. Emergency operating procedures improvement based on the lesson learned from the Fukushima Daiichi accident

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Wen-Hsiung, E-mail: whwu1127@aec.gov.tw [Atomic Energy Council, 2F., No. 80, Sec.1, Chenggong Rd., Yonghe Dist., New Taipei City 234, Taiwan (China); Institute of Nuclear Engineering and Science, National Tsing Hua University, No. 101, Sec. 2, Guangfu Rd., Hsinchu City 300, Taiwan (China); Liao, Lih-Yih, E-mail: lyliao@iner.gov.tw [Institute of Nuclear Energy Research, Atomic Energy Council, No. 1000, Wenhua Rd., Jiaan Village, Longtan Township, Taoyuan County 325, Taiwan (China)

    2016-12-01

    Highlights: • Discuss the problem of EOPs at the time of Fukushima accident to deal with the prolonged SBO. • Elaborate the potential risk accompanied with the emergency depressurization in the SBO. • Describe a special guideline to cope with Fukushima-like accidents and provide its technical basis. • Point out that Fukushima accident might have been prevented if improved EOPs had been used. • Propose key points and suggestions for improving the EOPs. - Abstract: One of the lessons learned from the Fukushima Daiichi accident is the emergency operating procedures (EOPs) have to be improved. The BWR Owners’ Group revised the emergency procedure guidelines and addressed the lesson learned from the Fukushima Daiichi accident in revision 3 in order to avoid loss of turbine-driven makeup water systems during reactor depressurization. However, the improvement deserves much more attention. The existing EOPs at the time of the accident may not be adequate enough for the prolonged station blackout condition, because resources required for performing the EOPs are vastly unavailable or gradually exhausted. The improved EOPs must not only permit early reactor pressure vessel depressurization, but also address the risk accompanied with the emergency depressurization. For this reason, Taiwan Power Company proposed the Ultimate Response Guideline (URG) to cope with Fukushima-like accidents. The main content of the URG is a two-stage depressurization strategy, namely the controlled depressurization and the emergency depressurization. The technical basis of the two-stage depressurization strategy was discussed in this paper. The effectiveness of the URG was verified by using TRAC/RELAP Advanced Computational Engine (TRACE). Besides, the emergency responses performed by Fukushima Daini nuclear power plant (Fukushima Daini NPP) were found to be very similar to the URG. The consequences of Fukushima Daini NPP somehow demonstrate that the URG is effective for Fukushima

  2. Emergency operating procedures improvement based on the lesson learned from the Fukushima Daiichi accident

    International Nuclear Information System (INIS)

    Wu, Wen-Hsiung; Liao, Lih-Yih

    2016-01-01

    Highlights: • Discuss the problem of EOPs at the time of Fukushima accident to deal with the prolonged SBO. • Elaborate the potential risk accompanied with the emergency depressurization in the SBO. • Describe a special guideline to cope with Fukushima-like accidents and provide its technical basis. • Point out that Fukushima accident might have been prevented if improved EOPs had been used. • Propose key points and suggestions for improving the EOPs. - Abstract: One of the lessons learned from the Fukushima Daiichi accident is the emergency operating procedures (EOPs) have to be improved. The BWR Owners’ Group revised the emergency procedure guidelines and addressed the lesson learned from the Fukushima Daiichi accident in revision 3 in order to avoid loss of turbine-driven makeup water systems during reactor depressurization. However, the improvement deserves much more attention. The existing EOPs at the time of the accident may not be adequate enough for the prolonged station blackout condition, because resources required for performing the EOPs are vastly unavailable or gradually exhausted. The improved EOPs must not only permit early reactor pressure vessel depressurization, but also address the risk accompanied with the emergency depressurization. For this reason, Taiwan Power Company proposed the Ultimate Response Guideline (URG) to cope with Fukushima-like accidents. The main content of the URG is a two-stage depressurization strategy, namely the controlled depressurization and the emergency depressurization. The technical basis of the two-stage depressurization strategy was discussed in this paper. The effectiveness of the URG was verified by using TRAC/RELAP Advanced Computational Engine (TRACE). Besides, the emergency responses performed by Fukushima Daini nuclear power plant (Fukushima Daini NPP) were found to be very similar to the URG. The consequences of Fukushima Daini NPP somehow demonstrate that the URG is effective for Fukushima

  3. Emergency surgery

    DEFF Research Database (Denmark)

    Stoneham, M; Murray, D; Foss, N

    2014-01-01

    National reports recommended that peri-operative care should be improved for elderly patients undergoing emergency surgery. Postoperative mortality and morbidity rates remain high, and indicate that emergency ruptured aneurysm repair, laparotomy and hip fracture fixation are high-risk procedures...... undertaken on elderly patients with limited physiological reserve. National audits have reported variations in care quality, data that are increasingly being used to drive quality improvement through professional guidance. Given that the number of elderly patients presenting for emergency surgery is likely...

  4. External plans for radiological emergency

    International Nuclear Information System (INIS)

    Suarez, G.; Vizuet G, J.; Benitez S, J.A.

    1999-01-01

    Since 1989, the National Institute of Nuclear Research in Mexico shares in the task of Food and Water Control corresponding to the FT-86 task force of External Plans for Radiological Emergency (PERE), in charge of the Veracruz Health Services. In the PERE preparation stage previous actions are necessary developed for the preparation and updating of this plan and the task organization with the purpose to maintaining standing and operable in any time and circumstance, the capability to response in the face of an emergency. This stage englobes activities which must be realized before to carry out the Plan as they are the specialized training of personnel which participates and the execution of exercises and simulacrums. Until 1998, training and exercises for this task had been realized under diverse possible sceneries but in conditions that simulated the presence of radioactive material. For this reason, it should be emphasized the training realized during the days 6th, 7th, 8th July, 1999, in the emergency planning zone of the Plan, which to carry out using radioactive material. The National Institute of Nuclear Research had in charge of the training. This work describes all the activities for the realization of this training. (Author)

  5. Will a Twenty-First Century Logistics Management System Improve Federal Emergency Management Agency's Capability to Deliver Supplies to Critical Areas, during Future Catastrophic Disaster Relief Operations

    National Research Council Canada - National Science Library

    Gill, Glenda A

    2007-01-01

    The United States Homeland Security's Federal Emergency Management Agency (FEMA) must be prepared at all times to supplement state and local emergency personnel, or to provide logistics support during disaster relief operations...

  6. Implementation of an operator model with error mechanisms for nuclear power plant control room operation

    International Nuclear Information System (INIS)

    Suh, Sang Moon; Cheon, Se Woo; Lee, Yong Hee; Lee, Jung Woon; Park, Young Taek

    1996-01-01

    SACOM(Simulation Analyser with Cognitive Operator Model) is being developed at Korea Atomic Energy Research Institute to simulate human operator's cognitive characteristics during the emergency situations of nuclear power plans. An operator model with error mechanisms has been developed and combined into SACOM to simulate human operator's cognitive information process based on the Rasmussen's decision ladder model. The operational logic for five different cognitive activities (Agents), operator's attentional control (Controller), short-term memory (Blackboard), and long-term memory (Knowledge Base) have been developed and implemented on blackboard architecture. A trial simulation with a scenario for emergency operation has been performed to verify the operational logic. It was found that the operator model with error mechanisms is suitable for the simulation of operator's cognitive behavior in emergency situation

  7. Safe Operation of Nuclear Power Plants: Impacts of Human and Organisational Factors and Emerging Technologies

    International Nuclear Information System (INIS)

    2001-01-01

    In co-operation with the OECD Nuclear Energy Agency (NEA), the Halden Reactor Project organised a Summer School on ''Safe Operation of Nuclear Power Plants: Impacts of Human and Organisational Factors and Emerging Technologies'' in the period August 27-August 31, 2001. The Summer School was intended for scientists, engineers and technicians working for nuclear installations, engineering companies, industry and members of universities and research institutes, who wanted to broaden their nuclear background by getting acquainted with Man-Technology-Organisation-related subjects and issues. The Summer School should also serve to transfer knowledge to the ''young generation'' in the nuclear field. The following presentations were given: (1) Overview of the Nuclear Community and Current issues, (2) The Elements of Safety Culture; Evaluation of Events, (3) Quality Management (QM), (4) Probabilistic Risk Assessment (PSA), (5) Human Behaviour from the Viewpoint of Industrial Psychology, (6) Technical tour of the Halden Project Experimental Facilities, (7) Human Factors in Control Room Design, (8) Computerised Operator Support Systems (COSSs) and (9) Artificial Intelligence; a new Approach. Most of the contributions are overhead figures from spoken lectures

  8. Safe Operation of Nuclear Power Plants: Impacts of Human and Organisational Factors and Emerging Technologies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    In co-operation with the OECD Nuclear Energy Agency (NEA), the Halden Reactor Project organised a Summer School on ''Safe Operation of Nuclear Power Plants: Impacts of Human and Organisational Factors and Emerging Technologies'' in the period August 27-August 31, 2001. The Summer School was intended for scientists, engineers and technicians working for nuclear installations, engineering companies, industry and members of universities and research institutes, who wanted to broaden their nuclear background by getting acquainted with Man-Technology-Organisation-related subjects and issues. The Summer School should also serve to transfer knowledge to the ''young generation'' in the nuclear field. The following presentations were given: (1) Overview of the Nuclear Community and Current issues, (2) The Elements of Safety Culture; Evaluation of Events, (3) Quality Management (QM), (4) Probabilistic Risk Assessment (PSA), (5) Human Behaviour from the Viewpoint of Industrial Psychology, (6) Technical tour of the Halden Project Experimental Facilities, (7) Human Factors in Control Room Design, (8) Computerised Operator Support Systems (COSSs) and (9) Artificial Intelligence; a new Approach. Most of the contributions are overhead figures from spoken lectures.

  9. Developing computer systems to support emergency operations: Standardization efforts by the Department of Energy and implementation at the DOE Savannah River Site

    International Nuclear Information System (INIS)

    DeBusk, R.E.; Fulton, G.J.; O'Dell, J.J.

    1990-01-01

    This paper describes the development of standards for emergency operations computer systems for the US Department of Energy (DOE). The proposed DOE computer standards prescribe the necessary power and simplicity to meet the expanding needs of emergency managers. Standards include networked UNIX workstations based on the client server model and software that presents information graphically using icons and windowing technology. DOE standards are based on those of the computer industry although Proposed DOE is implementing the latest technology to ensure a solid base for future growth. A case of how these proposed standards are being implemented is also presented. The Savannah River Site (SRS), a DOE facility near Aiken, South Carolina is automating a manual information system, proven over years of development. This system is generalized as a model that can apply to most, if not all, Emergency Operations Centers. This model can provide timely and validated information to emergency managers. By automating this proven system, the system is made easier to use. As experience in the case study demonstrates, computers are only an effective information tool when used as part of a proven process

  10. Comparative Analysis of Emergency Response Operations: Haiti Earthquake in January 2010 and Pakistan’s Flood in 2010

    Science.gov (United States)

    2011-09-01

    Earthquake, Pakistan, Flood, Emergency Response Operations, International Community, HA/DR, United Nations , FRC, NDMA , ICT 16. PRICE CODE 17. SECURITY...Registration Authority NATO North Atlantic Treaty Organization NDMA National Disaster and Management Authority NDMC National Disaster Management...complicates relief efforts. 6 NDMA Pakistan, “Pakistan Floods-Summary of Damages,” No Author. Accessed 24

  11. Forest operations and woody biomass logistics to improve efficiency, value, and sustainability

    Science.gov (United States)

    Nathaniel Anderson; Dana Mitchell

    2016-01-01

    This paper reviews the most recent work conducted by scientists and engineers of the Forest Service of the US Department of Agriculture (USDA) in the areas of forest operations and woody biomass logistics, with an emphasis on feedstock supply for emerging bioenergy, biofuels, and bioproducts applications. This work is presented in the context of previous...

  12. Adhesions small bowel obstruction in emergency setting: conservative or operative treatment?

    Science.gov (United States)

    Assenza, M; De Gruttola, I; Rossi, D; Castaldi, S; Falaschi, F; Giuliano, G

    2016-01-01

    Adhesions small bowel obstructions (aSBO) are among the leading causes of emergency operative intervention. About the 80% of aSBO cases resolve without a surgical treatment. It's important to identify which patients could undergo a conservative treatment to prevent an useless surgery The aim of this study is to determine findings that can indicate whether patients with aSBO should undergo a conservative or a surgical treatment. 313 patients with diagnosis of submission of aSBO were restudied. Patients were divided into two groups based on the different type of treatment received, 225 patients who underwent surgical treatment within 24 hours after admission, 88 patients which underwent conservative treatment successfully. For each patient, clinical, hematochemical and radiological findings have been analysed. The treatment of aSBO should be, at the beginning, conservative except that cases that presents clinical and/or CT-scan findings predictive for a surgical treatment (free peritoneal fluid, mesenterial edema, transitional point) or a peritonitis (pneumatosis intestinalis, pneumoperitoneum).

  13. RA reactor operation and maintenance in 1989, Part 1

    International Nuclear Information System (INIS)

    Sotic, O.; Martinc, R.; Cupac, S.; Sulem, B.; Zivotic, Z.; Majstorovic, D.; Sanovic, V.

    1989-01-01

    During the previous period RA reactor was not operated because the Committee of Serbian ministry for health and social care has cancelled the operation licence in July 1984. The reason was the non existing emergency cooling system and lack of appropriate filters in the special ventilation system. The following major tasks were fulfilled: building of the new emergency cooling system, reconstruction of the existing ventilation system, and renewal of the power supply system. Project concerned with renewal of RA reactor complete instrumentation was started at the end of 1988. Contract was signed between the IAEA and Soviet Atomenergoexport for supplying the new instrumentation for the RA reactor. Project concerned with increase of the storage space and the efficiency of handling the spent fuel elements has started in 1988. In 1989, device for water purification designed by the reactor staff started operation and spent fuel handling equipment is being mounted. Training of the existing personnel and was done regularly, but the new staff has no practical training since the reactor is not operated. Lack of financial support influenced strongly the status of RA reactor [sr

  14. The Association of Psychological Empowerment and Job Burnout in Operational Staff of Tehran Emergency Center.

    Science.gov (United States)

    Ghaniyoun, Aram; Shakeri, Khosro; Heidari, Mohammad

    2017-09-01

    Workers in social service professions are the first candidates for job burnout. The researchers believe this is due to daily exposure to stressful situations and lack of positive conditions in the workplace. It seems that psychological empowerment of staff can affect their job burnout. This study aimed to investigate the relationship between psychological empowerment and job burnout in operational staff of emergency center. This was a descriptive correlational study. A total of 1100 operational staff of emergency center were evaluated, and of which, 285 persons were selected by simple random sampling method. Data were collected using Spritzer's psychological empowerment and Maslach Burnout Inventory questionnaires. SPSS software, version 18, was used for data analysis along with descriptive analytical tests. The findings of this study revealed that the majority of units (46%) were in intermediate level in terms of empowerment. Similarly, the majority of cases had intermediate level (77.5%), and a minor percentage (8.4%) had low levels of job burnout. Based on Pearson's correlation test, there was a significant invert correlation between psychological empowerment and job burnout. This inverse and significant relationship was also observed between the four components of psychological empowerment (competence, self-determination, impact, and meaning) and job burnout. According to the results of the study, policy makers and health planners can take some measures in enhancing psychological empowerment to prevent problems associated with job burnout, by identifying stressors and strategies to deal with them.

  15. Information for nuclear emergency response: a case study based on ANGRA nuclear power plant emergency simulation exercises

    International Nuclear Information System (INIS)

    Carvalho, Paulo V.R. de

    2008-01-01

    Full text: Current nuclear emergency management procedures do not always satisfactorily address issues related to the information availability and to how people in emergency control centres use this information to respond to an nuclear accident. The lack of an adequate and prompt information may lead to a response that can be very different from what authorities recommend and thus create confusion, mistrust, and widespread uncertainty. This is a potentially serious problem for emergency planners. An adequate and prompt access to relevant information is a critical requirement that emergency teams face while they work towards reducing the undesired consequences of the emergency. There are three basic types of knowledge according to a conceptual framework developed to deal with emergency response: Previous Personal, Previous and, Current Contextual knowledge. Most decisions in emergency control centres require a dynamic combination of all types of knowledge, particularly the current contextual that comes from the emergency settings, including all information about the activities of other emergency teams. The aim of this paper is to describe the concepts and the structure of a system that aims at storing and disseminating the previous formal and contextual knowledge to help teams make the correct decisions during the evolution of an emergency. The elicitation of critical requirements are provided by a case study based on Cognitive Work Analysis and Naturalistic Decision Making methods, applied to a nuclear emergency response simulation. The framework and a prototype system were tested in a controlled experiment. The paper reports the results of this experiment. (author)

  16. Integration of Tactical Emergency Casualty Care Into the National Tactical Emergency Medical Support Competency Domains.

    Science.gov (United States)

    Pennardt, Andre; Callaway, David W; Kamin, Rich; Llewellyn, Craig; Shapiro, Geoff; Carmona, Philip A; Schwartz, Richard B

    2016-01-01

    Tactical emergency medical support (TEMS) is a critical component of the out-of-hospital response to domestic high-threat incidents such as hostage scenarios, warrant service, active shooter or violent incidents, terrorist attacks, and other intentional mass casualty-producing acts. From its grass-roots inception in the form of medical support of select law enforcement special weapons and tactics (SWAT) units in the 1980s, the TEMS subspecialty of prehospital care has rapidly grown and evolved over the past 40 years. The National TEMS Initiative and Council (NTIC) competencies and training objectives are the only published recommendations of their kind and offer the opportunity for national standardization of TEMS training programs and a future accreditation process. Building on the previous work of the NTIC and the creation of acknowledged competency domains for TEMS and the acknowledged civilian translation of TCCC by the Committee for Tactical Emergency Casualty Care (C-TECC), the Joint Review Committee (JRC) has created an opportunity to bring forward the work in a form that could be operationally useful in an all-hazards and whole of community format. 2016.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2009-02-15

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

  18. Does the emergency surgery score accurately predict outcomes in emergent laparotomies?

    Science.gov (United States)

    Peponis, Thomas; Bohnen, Jordan D; Sangji, Naveen F; Nandan, Anirudh R; Han, Kelsey; Lee, Jarone; Yeh, D Dante; de Moya, Marc A; Velmahos, George C; Chang, David C; Kaafarani, Haytham M A

    2017-08-01

    The emergency surgery score is a mortality-risk calculator for emergency general operation patients. We sought to examine whether the emergency surgery score predicts 30-day morbidity and mortality in a high-risk group of patients undergoing emergent laparotomy. Using the 2011-2012 American College of Surgeons National Surgical Quality Improvement Program database, we identified all patients who underwent emergent laparotomy using (1) the American College of Surgeons National Surgical Quality Improvement Program definition of "emergent," and (2) all Current Procedural Terminology codes denoting a laparotomy, excluding aortic aneurysm rupture. Multivariable logistic regression analyses were performed to measure the correlation (c-statistic) between the emergency surgery score and (1) 30-day mortality, and (2) 30-day morbidity after emergent laparotomy. As sensitivity analyses, the correlation between the emergency surgery score and 30-day mortality was also evaluated in prespecified subgroups based on Current Procedural Terminology codes. A total of 26,410 emergent laparotomy patients were included. Thirty-day mortality and morbidity were 10.2% and 43.8%, respectively. The emergency surgery score correlated well with mortality (c-statistic = 0.84); scores of 1, 11, and 22 correlated with mortalities of 0.4%, 39%, and 100%, respectively. Similarly, the emergency surgery score correlated well with morbidity (c-statistic = 0.74); scores of 0, 7, and 11 correlated with complication rates of 13%, 58%, and 79%, respectively. The morbidity rates plateaued for scores higher than 11. Sensitivity analyses demonstrated that the emergency surgery score effectively predicts mortality in patients undergoing emergent (1) splenic, (2) gastroduodenal, (3) intestinal, (4) hepatobiliary, or (5) incarcerated ventral hernia operation. The emergency surgery score accurately predicts outcomes in all types of emergent laparotomy patients and may prove valuable as a bedside decision

  19. Emergency Handling for MAC Protocol in Human Body Communication

    Directory of Open Access Journals (Sweden)

    Kwon Youngmi

    2011-01-01

    Full Text Available The human body communication (HBC is a technology that enables short range data communication using the human body as a medium, like an electrical wire. Thus it removes the need for a traditional antenna. HBC may be used as a type of data communication in body area network (BAN, while the devices are being in contact with body. One of important issues in BAN is an emergency alarm because it may be closely related to human life. For emergency data communication, the most critical factor is the time constraint. IEEE 802.15.6 specifies that the emergency alarm for the BAN must be notified in less than 1 sec and must provide prioritization mechanisms for emergency traffic and notification. As one type of BAN, the HBC must follow this recommendation, too. Existing emergency handling methods in BAN are based on the carrier sensing capability on radio frequencies to detect the status of channels. However, PHY protocol in HBC does not provide the carrier sensing. So the previous methods are not well suitable for HBC directly. Additionally, in the environment that the emergency rate is very low, the allocation of dedicated slot(s for emergency in each superframe is very wasteful. In this work, we proposed specific emergency handling operation for human body communication's medium access control (HBC-MAC protocol to meet the emergency requirements for BAN. We also showed the optimal number of emergency slots for the various combinations of beacon intervals and emergency rates.

  20. 77 FR 59242 - Extension of a Previously Approved Collection; Public Charters

    Science.gov (United States)

    2012-09-26

    ... previous notice. DATES: Comments on this notice should be received by October 26, 2012: attention OMB/OST... operator's advertising, selling or operating the charter. If the prospectus information were not collected...

  1. RA research reactor, Part 1, Operation and maintenance of the RA nuclear reactor for 1985

    International Nuclear Information System (INIS)

    Sotic, O.; Martinc, R.; Cupac, S.; Sulem, B.; Badrljica, R.; Majstorovic, D.; Sanovic, V.

    1985-01-01

    According to the plan, RA reactor was to be in operation in mid September 1985. But, since the building of the emergency cooling system, nor the reconstruction of the existing special ventilation system were not finished until the end of August reactor was not operated during 1985. During the previous four years reactor operation was limited by the temporary operating license issued by the Committee of Serbian ministry for health and social care, which was cancelled in August 1984. The reason was the non existing emergency cooling system and lack of appropriate filters in the special ventilation system. This temporary license has limited the reactor power to 2 MW from 1981-1984. Control and maintenance of the reactor instrumentation and tools was done regularly but dependent on the availability of the spare parts. In order to enable future reliable operation of the RA reactor, according to new licensing regulations, during 1984, three major tasks have started: building of the new emergency system, reconstruction of the existing ventilation system, and renewal of the reactor instrumentation. IAEA has approved the amount of 1,300,000 US dollars for the renewal of the instrumentation [sr

  2. The Choice of Entry Mode for Successful Business in an Emerging Market : Norwegian Business Operations in Indonesia

    OpenAIRE

    Ødegård, Sunniva Hellandsvik

    2016-01-01

    Master thesis Business Administration - University of Agder 2016 The main topic for this master thesis is the choice of entry mode for successful business in emerging markets, with a focus on Norwegian companies in the Indonesian market. The problem statement of the thesis is as follows: What are the main factors affecting the choice of entry mode for Norwegian companies in the Indonesian market? Several studies on the choice of entry modes have previously been conducted. Howev...

  3. Emergency reactor cooling device

    International Nuclear Information System (INIS)

    Arakawa, Ken.

    1993-01-01

    An emergency nuclear reactor cooling device comprises a water reservoir, emergency core cooling water pipelines having one end connected to a water feeding sparger, fire extinguishing facility pipelines, cooling water pressurizing pumps, a diesel driving machine for driving the pumps and a battery. In a water reservoir, cooling water is stored by an amount required for cooling the reactor upon emergency and for fire extinguishing, and fire extinguishing facility pipelines connecting the water reservoir and the fire extinguishing facility are in communication with the emergency core cooling water pipelines connected to the water feeding sparger by system connection pipelines. Pumps are operated by a diesel power generator to introduce cooling water from the reservoir to the emergency core cooling water pipelines. Then, even in a case where AC electric power source is entirely lost and the emergency core cooling system can not be used, the diesel driving machine is operated using an exclusive battery, thereby enabling to inject cooling water from the water reservoir to a reactor pressure vessel and a reactor container by the diesel drive pump. (N.H.)

  4. OntoEmergePlan: variability of emergency plans supported by a domain ontology

    NARCIS (Netherlands)

    Ferreira, Maria I.G.B; Moreira, João; Campos, Maria Luiza M.; Braga, Bernardo F.B; Sales, Tiago P.; de Cordeiro, Kelli F.; Borges, Marcos R.S.

    2015-01-01

    The preparation of high quality emergency plans to guide operational decisions is an approach to mitigate the emergency management complexity. In such multidisciplinary scenario, teams with different perspectives need to collaborate towards a common goal and interact within a common understanding.

  5. Preparedness of Operation Teams' Non-technical Skills in a Main Control Room of Nuclear Power Plants to Manage Emergency Situations

    International Nuclear Information System (INIS)

    Yim, Ho Bin; Kim, Ar Ryum; Seong, Poong Hyun

    2012-01-01

    Human reliability is one of the important determinants for the system safety. Nuclear Energy Agency reported that approximately half of events reported by foreign nuclear industry were related with inappropriate human actions. The human error problems can be viewed in two ways: the person approach and the system approach. Other terms to represent each approach are active failures and latent conditions. Active failures are unsafe acts committed by people who are in direct contact with systems whereas latent conditions are the inevitable 'resident pathogens' within the system. To identify what kinds of non-technical skills were needed to cope with emergency conditions, a method to evaluate preparedness of task management in emergency conditions based on monitoring patterns was presented. Five characteristics were suggested to evaluate emergency task management and communication: latent mistake resistibility, latent violation resistibility, thoroughness, communication, and assertiveness. Case study was done by analyzing emergency training of 9 different real operation teams in the reference plant. The result showed that the 9 teams had their own emergency task management skills which resulted in good and bad performances

  6. Relationship between admission blood glucose level and prognosis in elderly patients without previously known diabetes who undergo emergency non-cardiac surgery.

    Science.gov (United States)

    Ma, Jinling; He, Lei; Wang, Xiujie; Gao, Meng; Zhao, Yuexiang; Liu, Jie

    2015-08-01

    Elevated blood glucose levels on admission are important as a marker for adverse events in patients who undergo surgery. This study aims to evaluate the relationship between admission glucose level and adverse outcome during the 30-day follow-up period in elderly patients without previously known diabetes who undergo emergency non-cardiac surgery. The primary and secondary end points were all-cause and major adverse cardiac event (MACE) mortalities, respectively, during the 30-day postoperative follow-up period. Higher 30-day all-cause (24.1 %) and MACE (13.7 %) mortalities were observed in patients with an admission glucose ≥ 11.1 mmol/L than in patients with admission glucose blood glucose level is an independent predictor for the development of the 30-day all-cause mortality [odds ratio (OR), 1.91; 95 % confidence interval (CI), 1.746-2.082; p blood glucose level ≥ 11.1 mmol/L has worse event-free survival than an admission blood glucose level <11.1 mmol/L.

  7. Flood Inundation Mapping and Emergency Operations during Hurricane Harvey

    Science.gov (United States)

    Fang, N. Z.; Cotter, J.; Gao, S.; Bedient, P. B.; Yung, A.; Penland, C.

    2017-12-01

    Hurricane Harvey struck the Gulf Coast as Category 4 on August 25, 2017 with devastating and life-threatening floods in Texas. Harris County received up to 49 inches of rainfall over a 5-day period and experienced flooding level and impacts beyond any previous storm in Houston's history. The depth-duration-frequency analysis reveals that the areal average rainfall for Brays Bayou surpasses the 500-year rainfall in both 24 and 48 hours. To cope with this unprecedented event, the researchers at the University of Texas at Arlington and Rice University worked closely with the U.S. Army Corps of Engineers (USACE), the National Weather Service (NWS), the Texas Division of Emergency Management (TDEM), Walter P. Moore and Associates, Inc. and Halff Associates, to conduct a series of meteorological, hydrologic and hydraulic analyses to delineate flood inundation maps. Up to eight major watersheds in Harris County were delineated based the available QPE data from WGRFC. The inundation map over Brays Bayou with their impacts from Hurricane Harvey was delineated in comparison with those of 100-, 500-year, and Probable Maximum Precipitation (PMP) design storms. This presentation will provide insights for both engineers and planners to re-evaluate the existing flood infrastructure and policy, which will help build Houston stronger for future extreme storms. The collaborative effort among the federal, academic, and private entities clearly demonstrates an effective approach for flood inundation mapping initiatives for the nation.

  8. Emergency vehicle traffic signal preemption system

    Science.gov (United States)

    Bachelder, Aaron D. (Inventor); Foster, Conrad F. (Inventor)

    2011-01-01

    An emergency vehicle traffic light preemption system for preemption of traffic lights at an intersection to allow safe passage of emergency vehicles. The system includes a real-time status monitor of an intersection which is relayed to a control module for transmission to emergency vehicles as well as to a central dispatch office. The system also provides for audio warnings at an intersection to protect pedestrians who may not be in a position to see visual warnings or for various reasons cannot hear the approach of emergency vehicles. A transponder mounted on an emergency vehicle provides autonomous control so the vehicle operator can attend to getting to an emergency and not be concerned with the operation of the system. Activation of a priority-code (i.e. Code-3) situation provides communications with each intersection being approached by an emergency vehicle and indicates whether the intersection is preempted or if there is any conflict with other approaching emergency vehicles. On-board diagnostics handle various information including heading, speed, and acceleration sent to a control module which is transmitted to an intersection and which also simultaneously receives information regarding the status of an intersection. Real-time communications and operations software allow central and remote monitoring, logging, and command of intersections and vehicles.

  9. Nuclear and Radiological Emergency Management and Rehabilitation Strategies: Towards a EU approach for decision support tools

    International Nuclear Information System (INIS)

    Raskob, W.; Gering, F.; Lochard, J.; Nisbet, A.; Starostova, V.; Tomic, B.

    2011-01-01

    Highlights: → European emergency management and rehabilitation was strengthened. → Development of generic European handbooks for urban and agricultural areas. → Decision support systems became more operational. → Harmonisation of tools in Europe has been promoted. - Abstract: The 5-year multi-national project EURANOS (European Approach to Nuclear and Radiological Emergency Management and Rehabilitation Strategies), funded by the European Commission and 23 European Member States, started in April 2004. Integrating 17 national emergency management organisations with 33 research institutes, it brings together best practices, knowledge and technology to enhance the preparedness for Europe's response to any radiation emergency and long term contamination. Key objectives of the project are to collate information on the likely effectiveness and consequences of a wide range of countermeasures, to provide guidance to emergency management organisations and decision makers on the establishment of an appropriate response strategy and to further enhance advanced decision support systems (DSS), in particular, RODOS (Real-time On-line Decisions Support) decision support system), through feedback from their operational use. Further, the project aims to create regional initiatives leading to information exchange based on state-of-the-art information technologies, to develop guidance which assists Member States in developing a framework for the sustainable rehabilitation of living conditions in contaminated areas and to maintain and enhance knowledge and competence through emergency exercises, training and education, thus fostering best practice in emergency response. The project is divided into three major research activities and a set of demonstration projects which are split in two phases lasting over two and three years, respectively. The research activities address specific issues previously identified by the users or by previous research in the area. They are focused

  10. Training teams for emergency management

    NARCIS (Netherlands)

    Schaafstal, A.M.; Johnston, J.H.; Oser, R.L.

    2001-01-01

    Emergency management (EM), the decision making involved in directing the relief operation after a disaster or otherwise catastrophic accident is an issue of great public and private concern because of the high stakes involved. Due to the nature of emergencies, and especially mass emergencies, EM

  11. State of emergency medicine in Azerbaijan

    OpenAIRE

    Sule, Harsh; Kazimov, Shirin; Shahmaliyev, Oktay; Sirois, Adam

    2008-01-01

    Background There has been no previous study into the state of emergency medicine in Azerbaijan. As a legacy of the Soviet Semashko system, the ?specialty? model of emergency medicine and integrated emergency departments do not exist here. Instead, pre-hospital emergency care is delivered by ambulance physicians and in-hospital care by individual departments, often in specialty hospitals. Emergency care is therefore fragmented, highly specialized and inefficient. Aims The Emergency Medicine De...

  12. Preparedness and Response for a Nuclear or Radiological Emergency. General Safety Requirements (Arabic Edition)

    International Nuclear Information System (INIS)

    2016-01-01

    This publication, jointly sponsored by the FAO, IAEA, ICAO, ILO, IMO, INTERPOL, OECD/NEA, PAHO, CTBTO, UNEP, OCHA, WHO and WMO, is the new edition establishing the requirements for preparedness and response for a nuclear or radiological emergency which takes into account the latest experience and developments in the area. It supersedes the previous edition of the Safety Requirements for emergency preparedness and response, Safety Standards Series No. GS-R-2, which was published in 2002. This publication establishes the requirements for ensuring an adequate level of preparedness and response for a nuclear or radiological emergency, irrespective of its cause. These Safety Requirements are intended to be used by governments, emergency response organizations, other authorities at the local, regional and national levels, operating organizations and the regulatory body as well as by relevant international organizations at the international level.

  13. Preparedness and Response for a Nuclear or Radiological Emergency. General Safety Requirements (Russian Edition)

    International Nuclear Information System (INIS)

    2016-01-01

    This publication, jointly sponsored by the FAO, IAEA, ICAO, ILO, IMO, INTERPOL, OECD/NEA, PAHO, CTBTO, UNEP, OCHA, WHO and WMO, is the new edition establishing the requirements for preparedness and response for a nuclear or radiological emergency which takes into account the latest experience and developments in the area. It supersedes the previous edition of the Safety Requirements for emergency preparedness and response, Safety Standards Series No. GS-R-2, which was published in 2002. This publication establishes the requirements for ensuring an adequate level of preparedness and response for a nuclear or radiological emergency, irrespective of its cause. These Safety Requirements are intended to be used by governments, emergency response organizations, other authorities at the local, regional and national levels, operating organizations and the regulatory body as well as by relevant international organizations at the international level.

  14. Preparedness and Response for a Nuclear or Radiological Emergency. General Safety Requirements (Chinese Edition)

    International Nuclear Information System (INIS)

    2016-01-01

    This publication, jointly sponsored by the FAO, IAEA, ICAO, ILO, IMO, INTERPOL, OECD/NEA, PAHO, CTBTO, UNEP, OCHA, WHO and WMO, is the new edition establishing the requirements for preparedness and response for a nuclear or radiological emergency which takes into account the latest experience and developments in the area. It supersedes the previous edition of the Safety Requirements for emergency preparedness and response, Safety Standards Series No. GS-R-2, which was published in 2002. This publication establishes the requirements for ensuring an adequate level of preparedness and response for a nuclear or radiological emergency, irrespective of its cause. These Safety Requirements are intended to be used by governments, emergency response organizations, other authorities at the local, regional and national levels, operating organizations and the regulatory body as well as by relevant international organizations at the international level.

  15. Emergency facility control device for nuclear reactor

    International Nuclear Information System (INIS)

    Ikehara, Morihiko.

    1981-01-01

    Purpose: To increase the reliability of a nuclear reactor by allowing an emergency facility to be manually started and stopped to make its operation more convenient and eliminate the possibility of erroneous operation in an emergency. Constitution: There are provided a first water level detector for detecting a level lower than the first low water level in a reactor container and a second water level detector for detecting a level lower than the second low water level lower than the first low water level, and an emergency facility can be started and stopped manually only when the level is higher than the second low water level, but the facility will be started regardless of the state of the manual operation when the level is lower than the second low water level. Thus, the emergency facility can be started by manual operation, but will be automatically started so as to secure the necessary minimum operation if the level becomes lower than the second low water level and the stopping operation thereafter is forgotten. (Kamimura, M.)

  16. Operative Start Time Does Not Affect Post-Operative Infection Risk.

    Science.gov (United States)

    Guidry, Christopher A; Davies, Stephen W; Willis, Rhett N; Dietch, Zachary C; Shah, Puja M; Sawyer, Robert G

    2016-10-01

    Surgical care is delivered 24 h a day at most institutions. Alarmingly, some authors have found that certain operative start times are associated with greater morbidity and mortality rates. This effect has been noted in both the public and private sector. Although some of these differences may be related to process, they may also be caused by the human circadian rhythm and corresponding changes in host defenses. We hypothesized that the time of day of an operation would impact the frequency of certain post-operative outcomes significantly. Cases at a single tertiary-care center reported to the American College of Surgeons National Surgical Quality Improvement Program over a 10-year period were identified. Operative start times were divided into six-hour blocks, with 6 am to noon serving as the reference. Standard univariable techniques were applied. Multivariable logistic regression with mixed effects modeling then was used to determine the relation between operative start times and infectious outcomes, controlling for surgeon clustering. Statistical significance was set at p operative infectious complication. Seventy percent of these infections (n = 1,506) were surgical site infections. On univariable analysis considering all cases, nighttime and evening operations had higher rates of post-operative infections than those in performed during the day (9.1% from 6 am to noon; 9.7% from noon to 6 pm; 14.8% from 6 pm to midnight; and 14.4% from midnight to 6 am; p operative start time was not associated with the risk of post-operative infection, even when emergency cases were considered independently. Our data suggest that operative start times have no correlation with post-operative infectious complications. Further work is required to identify the source of the time-dependent outcome variability observed in previous studies.

  17. Safe Operation of Nuclear Power Plants: Impacts of Human and Organisational Factors and Emerging Technologies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    In co-operation with the OECD Nuclear Energy Agency (NEA), the Halden Reactor Project organised a Summer School on ''Safe Operation of Nuclear Power Plants: Impacts of Human and Organisational Factors and Emerging Technologies'' in the period August 27-August 31, 2001. The Summer School was intended for scientists, engineers and technicians working for nuclear installations, engineering companies, industry and members of universities and research institutes, who wanted to broaden their nuclear background by getting acquainted with Man-Technology-Organisation-related subjects and issues. The Summer School should also serve to transfer knowledge to the ''young generation'' in the nuclear field. The following presentations were given: (1) Overview of the Nuclear Community and Current issues, (2) The Elements of Safety Culture; Evaluation of Events, (3) Quality Management (QM), (4) Probabilistic Risk Assessment (PSA), (5) Human Behaviour from the Viewpoint of Industrial Psychology, (6) Technical tour of the Halden Project Experimental Facilities, (7) Human Factors in Control Room Design, (8) Computerised Operator Support Systems (COSSs) and (9) Artificial Intelligence; a new Approach. Most of the contributions are overhead figures from spoken lectures.

  18. The 2017 International Joint Working Group White Paper by INDUSEM, the Emergency Medicine Association and the Academic College of Emergency Experts on Establishing Standardized Regulations, Operational Mechanisms, and Accreditation Pathways for Education and Care Provided by the Prehospital Emergency Medical Service Systems in India.

    Science.gov (United States)

    Sikka, Veronica; Gautam, V; Galwankar, Sagar; Guleria, Randeep; Stawicki, Stanislaw P; Paladino, Lorenzo; Chauhan, Vivek; Menon, Geetha; Shah, Vijay; Srivastava, R P; Rana, B K; Batra, Bipin; Kalra, O P; Aggarwal, P; Bhoi, Sanjeev; Krishnan, S Vimal

    2017-01-01

    The government of India has done remarkable work on commissioning a government funded prehospital emergency ambulance service in India. This has both public health implications and an economic impact on the nation. With the establishment of these services, there is an acute need for standardization of education and quality assurance regarding prehospital care provided. The International Joint Working Group has been actively involved in designing guidelines and establishing a comprehensive framework for ensuring high-quality education and clinical standards of care for prehospital services in India. This paper provides an independent expert opinion and a proposed framework for general operations and administration of a standardized, national prehospital emergency medical systems program. Program implementation, operational details, and regulations will require close collaboration between key stakeholders, including local, regional, and national governmental agencies of India.

  19. New Emergency control center of Slovenske Elektrarne Bohunice NPP

    International Nuclear Information System (INIS)

    Pecko, E.

    2012-01-01

    Emergency preparedness of nuclear power plant and operation assurance in case of a possible emergency calls to have devices for emergency response with equipment for rapid detection and continuous evaluation of anticipated events. Chief executive body designated to manage a nuclear power plant during major events is the emergency committee (EC). Emergency Committee is a part of the Emergency Response Organization (ERO). The following centers are on alert to ensure the activities of the ERO - Emergency Response office: - control room (CR) and emergency control room (ECR); - emergency management center (EMC); - Monitoring Centre (MC); - emergency backup control center (EBCC); - congregations of civil protection (CP) and CP shelters; - communications with warning and notification system (VARVYR). From a historical and practical point of view in the vicinity of Jaslovske Bohunice has been set up a joint emergency control center. The center was located on the territory of the former already inoperative V1 NPP. V1 NPP is currently integrated into the organizational structure of JAVYS. Operating Bohunice V2 NPP plant is a designated part of the Slovenske Elektrarne, a. s., whose majority owner is an Italian operator ENEL. In terms of various relevant factors, it was decided to build a new emergency management center on the territory of operating V2 NPP, meet the current standards.

  20. CAI and training system for the emergency operation procedure in the advanced thermal reactor, FUGEN

    International Nuclear Information System (INIS)

    Kozaki, T.; Imanaga, K.; Nakamura, S.; Maeda, K.; Sakurai, N.; Miyamoto, M.

    2003-01-01

    In the Advanced Thermal Reactor (ATR ) of the JNC, 'FUGEN', a symptom based Emergency Operating Procedure (EOF) was introduced in order to operate Fugen more safely and it became necessary for the plant operators to master the EOF. However it took a lot of time for the instructor to teach the EOP to operators and to train them. Thus, we have developed a Computer Aided Instruction (CAI) and Training System for the EOP, by which the operators can learn the EOP and can be trained. This system has two major functions, i.e., CAI and training. In the CAI function, there are three learning courses, namely, the EOP procedure, the simulation with guidance and Q and A, and the free simulation. In the training function, all of necessary control instruments (indicators, switches, annunciators and so forth) and physics models for the EOP training are simulated so that the trainees can be trained for all of the EOPs. In addition, 50 kinds of malfunction models are installed in order to perform appropriate accident scenarios for the EOP. The training of the EOP covers the range from AOO (Anticipated Operational Occurrence) to Over-DBAs (Design Based Accidents). This system is built in three personal computers that are connected by the computer network. One of the computers is expected to be used for the instructor and the other two are for the trainees. The EOP is composed of eight guidelines, such as 'Reactor Control' and 'Depression and Cooling', and the operation screens which are corresponded to the guidelines are respectively provided. According to the trial, we have estimated that the efficiency of the learning and the training would be improved about 30% for the trainee and about 75% for the instructor in the actual learning and training. (author)

  1. Radioiodine treatment of recurrent hyperthyroidism in patients previously treated for Graves' disease by subtotal thyroidectomy

    DEFF Research Database (Denmark)

    Vestergaard, H; Laurberg, P

    1992-01-01

    showed a higher sensitivity to radioiodine, with more cases of early hypothyroidism, than non-operated patients. However, after 50 months of follow-up the outcome was identical. The results indicate that frequent assessment is necessary after radioiodine treatment of previously operated patients, since......Radioiodine therapy is often employed for treatment of patients with relapse of hyperthyroidism due to Graves' disease, after previous thyroid surgery. Little is known about the outcome of this treatment compared to patients with no previous surgery. A total of 20 patients who had received surgical...... treatment for Graves' hyperthyroidism 1-46 years previously and with relapse of the hyperthyroidism, and 25 patients with hyperthyroidism due to Graves' disease and no previous thyroid surgery were treated with radioiodine, following the same protocol. Early after treatment the previously operated patients...

  2. Simulation of operators' response in emergencies

    International Nuclear Information System (INIS)

    Rasmussen, J.

    1986-09-01

    For the simulation of the accidential course of events in industrial process plants, a model is needed of operators' response to the cues presented by the system. A model is proposed, based on the simplifications which can be made when restricting attention to the operator functions having significants for a probabilistic risk analysis, and to anly skill and rule based performance, i.e., to responses in the early phase of an accident. The model is based on Brunswik's lens model, a model of the normal task repertoire, and on a taxonomy of human errors. To bring the model in perspective, a review of the state of the art of cognitive models of human behaviour is included. (author)

  3. Emergency water supply facility for nuclear reactor

    International Nuclear Information System (INIS)

    Karasawa, Toru

    1998-01-01

    Water is stored previously in an equipment storage pit disposed on an operator floor of a reactor building instead of a condensate storage vessel. Upon occurrence of an emergency, water is supplied from the equipment storage pit by way of a sucking pipeline to a pump of a high pressure reactor core water injection circuit and a pump of a reactor-isolation cooling circuit to supply water to a reactor. The equipment storage pit is arranged in a building so that the depth thereof is determined to keep the required amount of water by storing water at a level lower than the lower end of a pool gate during normal operation. Water is also supplied from the equipment storage pit by way of a supply pipeline to a spent fuel storage pool on the operation floor of the reactor building. Namely, water is supplied to the spent fuel storage pool by a pump of a fuel pool cooling and cleaning circuit. This can eliminate a suppression pool cleaning circuit. (I.N.)

  4. Reliability evaluation of emergency AC power systems based on operating experience at U.S. nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Baranowsky, P. W. [U.S. Nuclear Regulatory Commission, Washington, DC (United States)

    1986-02-15

    The reliability of emergency AC power Systems has been under study at the U.S. Nuclear Regulatory Commission and by its contractors for several years. This paper provides the results of work recently performed to evaluate past U.S. nuclear power plant emergency AC power System reliability performance using system level data. Operating experience involving multiple diesel generator failures, unavailabilities, and simultaneous occurrences of failures and out of service diesel generators were used to evaluate reliability performance at individual nuclear power plants covering a 9 year period from 1976 through 1984. The number and nature of failures and distributions of reliability evaluation results are provided. The results show that plant specific performance varied considerably during the period with a large number achieving high reliability performance and a smaller number accounting for lower levels of reliability performance. (author)

  5. Integrating Social Media Monitoring Into Public Health Emergency Response Operations.

    Science.gov (United States)

    Hadi, Tamer A; Fleshler, Keren

    2016-10-01

    Social media monitoring for public health emergency response and recovery is an essential response capability for any health department. The value of social media for emergency response lies not only in the capacity to rapidly communicate official and critical incident information, but as a rich source of incoming data that can be gathered to inform leadership decision-making. Social media monitoring is a function that can be formally integrated into the Incident Command System of any response agency. The approach to planning and required resources, such as staffing, logistics, and technology, is flexible and adaptable based on the needs of the agency and size and scope of the emergency. The New York City Department of Health and Mental Hygiene has successfully used its Social Media Monitoring Team during public health emergency responses and planned events including major Ebola and Legionnaires' disease responses. The concepts and implementations described can be applied by any agency, large or small, interested in building a social media monitoring capacity. (Disaster Med Public Health Preparedness. 2016;page 1 of 6).

  6. Operational mesoscale atmospheric dispersion prediction using high performance parallel computing cluster for emergency response

    International Nuclear Information System (INIS)

    Srinivas, C.V.; Venkatesan, R.; Muralidharan, N.V.; Das, Someshwar; Dass, Hari; Eswara Kumar, P.

    2005-08-01

    An operational atmospheric dispersion prediction system is implemented on a cluster super computer for 'Online Emergency Response' for Kalpakkam nuclear site. The numerical system constitutes a parallel version of a nested grid meso-scale meteorological model MM5 coupled to a random walk particle dispersion model FLEXPART. The system provides 48 hour forecast of the local weather and radioactive plume dispersion due to hypothetical air borne releases in a range of 100 km around the site. The parallel code was implemented on different cluster configurations like distributed and shared memory systems. Results of MM5 run time performance for 1-day prediction are reported on all the machines available for testing. A reduction of 5 times in runtime is achieved using 9 dual Xeon nodes (18 physical/36 logical processors) compared to a single node sequential run. Based on the above run time results a cluster computer facility with 9-node Dual Xeon is commissioned at IGCAR for model operation. The run time of a triple nested domain MM5 is about 4 h for 24 h forecast. The system has been operated continuously for a few months and results were ported on the IMSc home page. Initial and periodic boundary condition data for MM5 are provided by NCMRWF, New Delhi. An alternative source is found to be NCEP, USA. These two sources provide the input data to the operational models at different spatial and temporal resolutions and using different assimilation methods. A comparative study on the results of forecast is presented using these two data sources for present operational use. Slight improvement is noticed in rainfall, winds, geopotential heights and the vertical atmospheric structure while using NCEP data probably because of its high spatial and temporal resolution. (author)

  7. Off-site emergency planning

    International Nuclear Information System (INIS)

    Narrog, J.

    1980-01-01

    In the event of a nuclear accident, the actions taken to protect the public from off-site consequences must be effective. An effective organization of emergency actions is based on two components: the actions of the operator of the nuclear facility and the actions of the competent authorities. The measures of the operator are of special importance in the first hours after the beginning of the nuclear accident, because there is no other help. Therefore the operator of a nuclear facility shall be obliged under the nuclear licensing procedure to make provisions of his own and carry out protective measures which should be compiled in a so-called 'alarm-plan'. On the other hand the means of the operator are too small in many cases and there is a need for actions by the responsible authorities. The actions of the authorities should be compiled in a so-called 'emergency response plan'. The emergency response plan shall apply to all cases in which, as a result of occurrences in or at a nuclear facility, a damaging impact on the environment is expected or has occurred requiring the authorities in charge to intervene for its prevention or limitation. (orig./RW)

  8. Hanford Emergency Response Plan

    International Nuclear Information System (INIS)

    Wagoner, J.D.

    1994-04-01

    The Hanford Emergency Response Plan for the US Department of Energy (DOE), Richland Operations Office (RL), incorporates into one document an overview of the emergency management program for the Hanford Site. The program has been developed in accordance with DOE orders, and state and federal regulations to protect worker and public health and safety and the environment in the event of an emergency at or affecting the Hanford Site. This plan provides a description of how the Hanford Site will implement the provisions of DOE 5500 series and other applicable Orders in terms of overall policies and concept of operations. It should be used as the basis, along with DOE Orders, for the development of specific contractor and RL implementing procedures

  9. Hanford Emergency Response Plan

    Energy Technology Data Exchange (ETDEWEB)

    Wagoner, J.D.

    1994-04-01

    The Hanford Emergency Response Plan for the US Department of Energy (DOE), Richland Operations Office (RL), incorporates into one document an overview of the emergency management program for the Hanford Site. The program has been developed in accordance with DOE orders, and state and federal regulations to protect worker and public health and safety and the environment in the event of an emergency at or affecting the Hanford Site. This plan provides a description of how the Hanford Site will implement the provisions of DOE 5500 series and other applicable Orders in terms of overall policies and concept of operations. It should be used as the basis, along with DOE Orders, for the development of specific contractor and RL implementing procedures.

  10. RA reactor operation and maintenance in 1994, Part 1

    International Nuclear Information System (INIS)

    Sotic, O.; Cupac, S.; Sulem, B.; Zivotic, Z.; Mikic, N.; Tanaskovic, M.

    1994-01-01

    During the previous period RA reactor was not operated because the Committee of Serbian ministry for health and social care has cancelled the operation licence in August 1984. The reason was the non existing emergency cooling system and lack of appropriate filters in the special ventilation system. The planned major tasks were fulfilled: building of the new emergency cooling system, reconstruction of the existing ventilation system, and renewal of the reactor power supply system. The existing RA reactor instrumentation was dismantled, only the part needed for basic measurements when reactor is not operated, was maintained. Renewal of the reactor instrumentation was started but but it is behind the schedule because the delivery of components from USSR was stopped for political reasons. The spent fuel elements used from the very beginning of reactor operation are stored in the existing pools. Project concerned with increase of the storage space and the efficiency of handling the spent fuel elements has started in 1988 and was fulfilled in 1990. Control and maintenance of the reactor instrumentation and tools was done regularly but dependent on the availability of the spare parts. Training of the existing personnel and was done regularly, but the new staff has no practical training since the reactor is not operated. Lack of financial support influenced strongly the status of RA reactor [sr

  11. 48 CFR 18.201 - Contingency operation.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Contingency operation. 18... METHODS AND CONTRACT TYPES EMERGENCY ACQUISITIONS Emergency Acquisition Flexibilities 18.201 Contingency operation. (a) Contingency operation is defined in 2.101. (b) Micro-purchase threshold. The threshold...

  12. Preparedness of Operation Teams' Non-technical Skills in a Main Control Room of Nuclear Power Plants to Manage Emergency Situations

    Energy Technology Data Exchange (ETDEWEB)

    Yim, Ho Bin; Kim, Ar Ryum; Seong, Poong Hyun [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of)

    2012-05-15

    Human reliability is one of the important determinants for the system safety. Nuclear Energy Agency reported that approximately half of events reported by foreign nuclear industry were related with inappropriate human actions. The human error problems can be viewed in two ways: the person approach and the system approach. Other terms to represent each approach are active failures and latent conditions. Active failures are unsafe acts committed by people who are in direct contact with systems whereas latent conditions are the inevitable 'resident pathogens' within the system. To identify what kinds of non-technical skills were needed to cope with emergency conditions, a method to evaluate preparedness of task management in emergency conditions based on monitoring patterns was presented. Five characteristics were suggested to evaluate emergency task management and communication: latent mistake resistibility, latent violation resistibility, thoroughness, communication, and assertiveness. Case study was done by analyzing emergency training of 9 different real operation teams in the reference plant. The result showed that the 9 teams had their own emergency task management skills which resulted in good and bad performances

  13. Nuclear accident/radiological emergency assistance plan. NAREAP - edition 2000. Emergency preparedness and response

    International Nuclear Information System (INIS)

    2000-01-01

    as an operational and adaptable tool to support the plan. The on-site emergency plan for Agency owned or operated facilities is an important component of the Agency's emergency preparedness. However, because the 'on-site' responsibilities of the Agency for such emergencies are significantly different from the responsibilities described under the two Conventions, the on-site emergency plan for Agency owned or operated facilities is covered in the Agency's Administrative Manual

  14. Towards accurate emergency response behavior

    International Nuclear Information System (INIS)

    Sargent, T.O.

    1981-01-01

    Nuclear reactor operator emergency response behavior has persisted as a training problem through lack of information. The industry needs an accurate definition of operator behavior in adverse stress conditions, and training methods which will produce the desired behavior. Newly assembled information from fifty years of research into human behavior in both high and low stress provides a more accurate definition of appropriate operator response, and supports training methods which will produce the needed control room behavior. The research indicates that operator response in emergencies is divided into two modes, conditioned behavior and knowledge based behavior. Methods which assure accurate conditioned behavior, and provide for the recovery of knowledge based behavior, are described in detail

  15. Guidelines for the presentation of emergency operating procedures using advanced information technology

    International Nuclear Information System (INIS)

    Green, M.; Hollnagel, E.; Niwa, Yuji

    1994-01-01

    New methods of information presentation and interface design are changing the conditions for work in the modern NPP control room. One area receiving considerable attention is that of Emergency Operating Procedures (EOP). Conventionally such procedures are presented using hard copy manuals; however, development in IT means that there are new opportunities for the computerization of such procedures. This paper reports on the development of human factors guidelines for the computerized presentation of EOPs. After identifying the principle stages in the transition from procedures as documents to fully automated procedures, computerised procedure presentation is briefly discussed. Guidelines for the presentation of such procedures are outlined starting with the high level goals for guidelines themselves. Such goals also constitute the criteria against which the computerized procedures are measured during implementation. Six dimensions describing computerized procedure presentation are presented and two are explore in more detail by identifying points along each dimension that characterize different levels of IT sophistication. (author). 8 refs, 1 tab

  16. Fuzzy measurements of a degree of destruction of professional skills at interruptions in training for operations in the emergency cases of flight

    Directory of Open Access Journals (Sweden)

    А. М. Невиніцин

    2000-12-01

    Full Text Available The paper deals with the problem of definition of optimal and ultimate-acceptable interruptions in training for operations in emergency cases of flight. The theory of fuzzy sets is applied for this purpose and built are belonging functions of a linguistic variable "professional preparation level". For the 1st, 2nd and 3rd classes of air traffic controllers the optimal and ultimate-acceptable interruptions in learning are determined depending on the type of emergency case of flight

  17. Manual for first responders to a radiological emergency. Emergency preparedness and response. Publication date: June 2007

    International Nuclear Information System (INIS)

    2007-08-01

    Under Article 5.a(ii) of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. As stated in IAEA Safety Standards Series No. GS-R-2 'Preparedness and Response for a Nuclear or Radiological Emergency', which establishes the requirements for an adequate level of preparedness for and response to a nuclear or radiological emergency in any State, 'first responders shall take all practicable and appropriate actions to minimize the consequences of a nuclear or radiological emergency'. The IAEA General Conference, in resolution GC(49)/RES/9, continues to encourage Member States 'to adopt the relevant Agency standards, procedures and practical tools' and underlines 'the need for first responders to have appropriate training for dealing with ionizing radiation during nuclear and radiological emergencies'. This publication is intended to assist in meeting these requirements and to fulfil Article 5 of the Assistance Convention. Its aim is to provide practical guidance for those who will respond during the first few hours to a radiological emergency (referred to here as 'first responders') and for national officials who would support this early response. It provides guidance in the form of action guides, instructions, and supporting data that can be easily applied by a State to build a basic capability to respond to a radiological emergency. This guidance should be adapted to fit the user State's organizational arrangements, language, terminology, concept of operation and capabilities. This report, published as part of the IAEA Emergency Preparedness and Response Series, replaces and builds on IAEA-TECDOC-1162 in the area of early response and first responders' actions. It takes account of the

  18. Manual for first responders to a radiological emergency. Emergency preparedness and response. Publication date: October 2006

    International Nuclear Information System (INIS)

    2006-10-01

    Under Article 5.a(ii) of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. As stated in IAEA Safety Standards Series No. GS-R-2 'Preparedness and Response for a Nuclear or Radiological Emergency', which establishes the requirements for an adequate level of preparedness for and response to a nuclear or radiological emergency in any State, 'first responders shall take all practicable and appropriate actions to minimize the consequences of a nuclear or radiological emergency'. The IAEA General Conference, in resolution GC(49)/RES/9, continues to encourage Member States 'to adopt the relevant Agency standards, procedures and practical tools' and underlines 'the need for first responders to have appropriate training for dealing with ionizing radiation during nuclear and radiological emergencies'. This publication is intended to assist in meeting these requirements and to fulfil Article 5 of the Assistance Convention. Its aim is to provide practical guidance for those who will respond during the first few hours to a radiological emergency (referred to here as 'first responders') and for national officials who would support this early response. It provides guidance in the form of action guides, instructions, and supporting data that can be easily applied by a State to build a basic capability to respond to a radiological emergency. This guidance should be adapted to fit the user State's organizational arrangements, language, terminology, concept of operation and capabilities. This report, published as part of the IAEA Emergency Preparedness and Response Series, replaces and builds on IAEA-TECDOC-1162 in the area of early response and first responders' actions. It takes account of the

  19. Your Lung Operation: After Your Operation

    Medline Plus

    Full Text Available ... Surgical Skills for Exposure in Trauma Advanced Trauma Life Support Advanced Trauma Operative Management Basic Endovascular Skills for Trauma Disaster Management and Emergency ...

  20. Uterine rupture after previous low segment transverse cesarean is rarely catastrophic.

    Science.gov (United States)

    Soltsman, Sofia; Perlitz, Yuri; Ben Ami, Moshe; Ben Shlomo, Izhar

    2018-03-01

    The cornerstone of concerns over trial of labor after cesarean (TOLAC) is the risk of uterine rupture. The purpose of this study was to document the rate of uterine rupture during TOLAC and to delineate its severity and consequences. We retrospectively collected the data on vaginal and cesarean deliveries after a previous cesarean section with specific emphasis on uterine rupture and dehiscence in our center from 2006 through 2013. 22,670 deliveries were registered, with 18.2% rate of cesarean section. 2890 women had a single cesarean scar; of them 1206 delivered vaginally and 194 were re-operated during unsuccessful TOLAC. Seven cases of uterine rupture and 16 cases of dehiscence were recorded. There were no maternal, intrapartum or neonatal deaths, and no cesarean hysterectomy. There was one re-laparotomy, one ICU admission, and one blood transfusion; one neonate was admitted to NICU. TOLAC was successful in 86.1% of cases. Cautious selection and close monitoring of candidates are the cornerstones of successful management of TOLAC. Readily available facilities for emergency cesarean delivery and concerted obstetrical team can save the mother and child from catastrophic complications.

  1. Maternal morbidity in emergency versus elective caesarean section at tertiary care hospital

    International Nuclear Information System (INIS)

    Ghazi, A.; Karim, F.; Hussain, M.; Ali, T.; Jabbar, S.

    2012-01-01

    Background: In the past 30 years the rate of caesarean section (C/S) has steadily increased from 5% to more than 20% for many avoidable and unavoidable indications. The objective of this study was to compare maternal morbidity and determine its cause in elective and emergency caesarean section. Method: It was a cross-sectional comparative study conducted in Civil Hospital Karachi at Obs/Gyn Unit III. All mothers admitted through OPD or emergency during the study period, of any age or parity undergoing C/S were recruited in the study. Patients having previous myomectomy, hysterotomy or classical C/S were excluded from the study. Patients undergoing emergency C/S were placed in group A, and those delivered by elective C/S were included in group B. Study variables were general and obstetric parameters and complications observed intra-operatively. Any postoperative complications were recorded from recovery room till patient was discharged from the ward. Results: There were 50 patients in each group. In group A, 11 (22%) were booked and 33 (66%) were referred cases. In group B, 48 (96%) were booked. The mean age in both groups was 28 years. In both groups, multigravida compared to primigravida were 78% vs 22% in group A, and 92% vs 8% in group B. Indication for C/S was previous C/S in 10 (20%) patients in group A, and 39 (78%) patients in group B, placenta previa, chorioamionitis, obstructed labour (6, 12% each); pregnancy induced hypertension and eclampsia in 5 (10%) cases in group A only. Intra-operative complications in group A were 48 (96%) vs 15 (30%) in group B (p=0.000). Postoperative morbidity in group A was 50 (100%) and 26 (52%) in group B (p=0.000). Intra-operative complication was haemorrhage in 46 (92%) cases in group A and 11 (22%) in group B. Anaesthetic complications were 40 (80%); prolonged intubation 25 (50%), aspiration of gastric contents 8 (16%), and difficult intubation 7 (14%) in group A. Ten (20%) cases had anaesthetic complications in group B

  2. Filling the gap between disaster preparedness and response networks of urban emergency management: Following the 2013 Seoul Floods.

    Science.gov (United States)

    Song, Minsun; Jung, Kyujin

    2015-01-01

    To examine the gap between disaster preparedness and response networks following the 2013 Seoul Floods in which the rapid transmission of disaster information and resources was impeded by severe changes of interorganizational collaboration networks. This research uses the 2013 Seoul Emergency Management Survey data that were collected before and after the floods, and total 94 organizations involving in coping with the floods were analyzed in bootstrap independent-sample t-test and social network analysis through UCINET 6 and STATA 12. The findings show that despite the primary network form that is more hierarchical, horizontal collaboration has been relatively invigorated in actual response. Also, interorganizational collaboration networks for response operations seem to be more flexible grounded on improvisation to coping with unexpected victims and damages. Local organizations under urban emergency management are recommended to tightly build a strong commitment for joint response operations through full-size exercises at the metropolitan level before a catastrophic event. Also, interorganizational emergency management networks need to be restructured by reflecting the actual response networks to reduce collaboration risk during a disaster. This research presents a critical insight into inverse thinking of the view designing urban emergency management networks and provides original evidences for filling the gap between previously coordinated networks for disaster preparedness and practical response operations after a disaster.

  3. Shielding analysis in the design phase of the new Emergency Operation Facility for Tihange Nuclear Power Plant

    OpenAIRE

    Genard Gilles; Portal Romain; Bouchat Virginie; Vanderperre Serge

    2017-01-01

    In the framework of the design studies for a new Emergency Operation Facility (EOF) for Tihange NPP, radiation protection analyses are needed to comply with effective dose rate criteria. In this aim, the shielding performed by, at the one hand, external walls and roof of the building and, on the other hand, internal walls, has been sized by means of MicroShield calculations. This paper explains how the calculations for external walls, doors, roof, floor and internal walls are made. The assump...

  4. Development of JOYO operational guidance system for emergency condition

    International Nuclear Information System (INIS)

    Takatsuto, Hiroshi; Owada, Toshio; Morimoto, Makoto; Aoki, Hiroshi; Tokita, Mitsuhiko; Terunuma, Seiichi

    1989-01-01

    Operational guidance system in JOYO has been developed for safe and stable plant operations and improvement of operational reliability. JOYCAT (JOYO Consulting and Analysing Tool), one of the JOYO operational guidance systems, supports the plant operator to present the causal alarm and select the suitable guidance manual in anomaly situations using artificial intelligence technology. Verification test of JOYCAT was performed using a JOYO operator-training simulator and on-line operation was started by partially linking to the actual plant in May 1988. As the result, the proper diagnosis function was confirmed in the actual plant. (author)

  5. Sellafield Site (including Drigg) emergency scheme manual

    International Nuclear Information System (INIS)

    1987-02-01

    This Scheme defines the organisation and procedures available should there be an accident at the Sellafield Site which results in, or may result in, the release of radioactive material, or the generation of a high radiation field, which might present a hazard to employees and/or the general public. Several categories of emergencies on the Sellafield Site are mentioned; a building emergency which is confined to one building, a Site emergency standby when the effects of a building emergency go outside that building, a Site emergency alert (District Emergency Standby) when a release of activity affects Site operations and could have serious Site effects and a District Emergency Alert when a radioactivity release may interfere with the normal activity of the General Public. A Drigg Emergency Standby situation would operate similarly at the Drigg Site. The detailed arrangements and responsibilities of appointed personnel are set out in this manual. (UK)

  6. [A case report of right-sided cardiac and pulmonary thromboembolism treated by emergent operation].

    Science.gov (United States)

    Asaoka, M; Sasaki, M; Masumoto, H; Kajiyama, M; Seki, A

    1996-05-01

    A forty-four-year-old man with a clinical diagnosis of diabetes melitus and severe obesity (height 170 cm, weight 108 kg) was admitted to the hospital on 12th January 1995 because of acute myocardial infarction, and on 21st January, he was referred to our hospital with sudden onset of shock, bradycardia, loss of consciousness in spite of having recovered well from myocardial infarction. The echocardiography and pulmonary arteriography revealed a pulmonary embolism and a tumor in the right atrium. Administration of tissue plasminogen activator (TPA) was not sufficiently effective. An emergency operation (pulmonary arteriotomy, right atriotomy, milking of bilateral lungs) with cardiopulmonary bypass revealed a massive consecutive thrombus, which occupied the right atrium, right ventricle and bilateral pulmonary artery. The postoperative course was uneventful.

  7. 1950-nm diode laser-assisted microanastomoses (LAMA): an innovative surgical tool for hand surgery emergencies.

    Science.gov (United States)

    Leclère, Franck Marie; Schoofs, Michel; Vogt, Peter; Casoli, Vincent; Mordon, Serge

    2015-05-01

    Based on previous observations, the 1950-nm diode laser seems to be an ideal wavelength for laser microvascular anastomoses. The data presented here, part of a larger ongoing study, assess its use in emergency hand surgery. Between 2011 and 2014, 11 patients were operated on for hand trauma with laser-assisted microanastomoses (LAMA) and prospectively analysed. LAMA was performed with a 1950-nm diode laser after placement of equidistant stitches. For vessel size laser parameters were used: spot size 400 μm, five spots for each wall, power 125 mW, and arterial/venous fluence 100/90 J/cm(2) (spot duration 1/0.9 s). Mean operating time for arterial and venous microanastomoses was 7.3 ± 1.4 and 8.7 ± 1.0 min, respectively. Three anastomoses required a secondary laser application. Arterial and venous patency rates were 100 % at the time of surgery. The success rate for the 11 procedures assessed clinically and with the Doppler was 100 %. The technique is compared to the current literature. The 1950-nm LAMA is a reliable tool with excellent results in emergency hand surgery. The system is very compact and transportable for utilization in the emergency operating room.

  8. Prevalence of operator fatigue in winter maintenance operations.

    Science.gov (United States)

    Camden, Matthew C; Medina-Flintsch, Alejandra; Hickman, Jeffrey S; Bryce, James; Flintsch, Gerardo; Hanowski, Richard J

    2018-02-02

    Similar to commercial motor vehicle drivers, winter maintenance operators are likely to be at an increased risk of becoming fatigued while driving due to long, inconsistent shifts, environmental stressors, and limited opportunities for sleep. Despite this risk, there is little research concerning the prevalence of winter maintenance operator fatigue during winter emergencies. The purpose of this research was to investigate the prevalence, sources, and countermeasures of fatigue in winter maintenance operations. Questionnaires from 1043 winter maintenance operators and 453 managers were received from 29 Clear Road member states. Results confirmed that fatigue was prevalent in winter maintenance operations. Over 70% of the operators and managers believed that fatigue has a moderate to significant impact on winter maintenance operations. Approximately 75% of winter maintenance operators reported to at least sometimes drive while fatigued, and 96% of managers believed their winter maintenance operators drove while fatigued at least some of the time. Furthermore, winter maintenance operators and managers identified fatigue countermeasures and sources of fatigue related to winter maintenance equipment. However, the countermeasures believed to be the most effective at reducing fatigue during winter emergencies (i.e., naps) were underutilized. For example, winter maintenance operators reported to never use naps to eliminate fatigue. These results indicated winter maintenance operations are impacted by operator fatigue. These results support the increased need for research and effective countermeasures targeting winter maintenance operator fatigue. Copyright © 2018 Elsevier Ltd. All rights reserved.

  9. Radiation Emergency Planning in Petroleum Industry

    International Nuclear Information System (INIS)

    El-Shinawy, R.M.K.; El-Naggar, M.A.; Abdel-Fattah, A.T.; Gomaa, A.M.

    2001-01-01

    Similar to all industrial activities utilizing radiation sources, or dealing with radioactive materials in its operations, petroleum industry requires the organization of a Radiation Emergency Plan. This plan should be based on a comprehensive and subtle understanding of the extensive multidisciplinary operations involved in petroleum processing and the dangers that threaten human health, environment and property; both from ordinary emergency situations common to petroleum industry activities and also from radiation emergency events. Radiation emergencies include radiological source accidents involving occurrence of high dose exposures. Radioactive contamination or spill are also major problems that may cause low dose exposures and environmental radioactive contamination. The simultaneous occurrence of other industrial emergency events such as fires or structural collapses will add to the seriousness of the emergency situation. The essential aspects of Radiation Emergency Planning include notification, assessment of situation, foresight, definition of roles and responsibilities including health safety and environmental concepts. An important contribution to the Emergency Planning is the proper intelligent medical response. Another essential parameter is the training of personnel that will undertake the responsibility of executing the emergency procedures according to the various emergency situations. The main features of the radiation Emergency Plan in Petroleum industry is presented in the text

  10. Emergency preparedness

    International Nuclear Information System (INIS)

    1997-01-01

    In 1996 the Nuclear Regulatory Authority of the Slovak Republic (NRA SR) continued in systematic development of its activities in the field of emergency planning according to the concept adopted by the Authority and according to the concept for building Emergency headquarters (EH) adopted after establishing of Emergency Response Centre (ERC). Major efforts were focused not only on building up a quality EH, but also tasks associated with completion and incorporation of ERC into emergency planning and emergency managing. An important role in building ERC was played by international missions. Significant position among these missions was taken by missions from Great Britain, which in the past years made a significant contribution to building up ERC. These missions focused on review of newly created standard procedures, preparation and implementation of first emergency exercises of the EH. The emergency exercises in which NRA SR took place in 1996 are reviewed. In order to make the co-operation of the Authority with the selected Army units of SR more effective in solving extraordinary situations in nuclear energy, an agreement was signed between NRA SR and the Headquarters of the Army of SR, which will help significantly to the objective

  11. Emergency Medical Rescue in a Radiation Environment

    International Nuclear Information System (INIS)

    Briesmeister, L.; Ellington, Y.; Hollis, R.; Kunzman, J.; McNaughton, M.; Ramsey, G.; Somers, B.; Turner, A.; Finn, J.

    1999-01-01

    Previous experience with emergency medical rescues in the presence of radiation or contamination indicates that the training provided to emergency responders is not always appropriate. A new course developed at Los Alamos includes specific procedures for emergency response in a variety of radiological conditions

  12. IAEA emergency response network ERNET. Emergency preparedness and response. Date effective: 1 December 2002

    International Nuclear Information System (INIS)

    2003-04-01

    The Parties to the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency have undertaken to co-operate among themselves and with the IAEA in facilitating the prompt provision of assistance in the event of a nuclear accident or radiological emergency, and in minimizing the consequences and in protecting life, property and the environment from the effects of any radioactive releases. As part of the IAEA strategy for supporting such co-operation, the Secretariat of the IAEA is establishing a global Emergency Response Network (ERNET) of teams suitably qualified to respond rapidly, on a regional basis, to nuclear accidents or radiological emergencies. This manual sets out the criteria and requirements to be met by ERNET teams. It is intended for use by institutions in Member States in developing, applying and maintaining their emergency response capabilities and in implementing quality assurance programmes within the context of ERNET. The manual is worded on the assumption that a State Competent Authority designated as the body responsible for reacting to nuclear accidents or radiological emergencies which occur outside the jurisdiction of that State will be the State Contact Point for receiving requests for assistance from the IAEA under the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency

  13. IAEA emergency response network ERNET. Emergency preparedness and response. Date effective: 1 December 2000

    International Nuclear Information System (INIS)

    2000-12-01

    The Parties to the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency have undertaken to co-operate among themselves and with the IAEA in facilitating the prompt provision of assistance in the event of a nuclear accident or radiological emergency, and in minimizing the consequences and in protecting life, property and the environment from the effects of any radioactive releases. As part of the IAEA strategy for supporting such co-operation, the Secretariat of the IAEA is establishing a global Emergency Response Network (ERNET) of teams suitably qualified to respond rapidly, on a regional basis, to nuclear accidents or radiological emergencies. This manual sets out the criteria and requirements to be met by ERNET teams. It is intended for use by institutions in Member States in developing, applying and maintaining their emergency response capabilities and in implementing quality assurance programmes within the context of ERNET. The manual is worded on the assumption that a State Competent Authority designated as the body responsible for reacting to nuclear accidents or radiological emergencies which occur outside the jurisdiction of that State will be the State Contact Point for receiving requests for assistance from the IAEA under the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency

  14. Delaware Estuary situation reports. Emergency response: How do emergency management officials address disasters in the Delaware Estuary

    International Nuclear Information System (INIS)

    Sylves, R.T.

    1991-01-01

    From hurricanes and other natural threats to oil spills and other manmade emergencies, the Delaware Estuary has experienced a variety of disasters over the years. The toll that these events take on the estuary and those who live on its shores depends largely upon the degree of emergency preparedness, speed of response, and effectiveness of recovery operations. In Emergency Response: How Do Emergency Management Officials Address Disasters in the Delaware Estuary, the latest addition to its Delaware Estuary Situation Report series, the University of Delaware Sea Grant College Program defines emergency management; examines the roles that the Coast Guard, Army Corps of Engineers, and Environmental Protection Agency play in an emergency; and reviews how each of these federal agencies operated during an actual disaster--the 1985 Grand Eagle oil spill. The report was written by Dr. Richard T. Sylves, a professor of political science at the University of Delaware. Sylves has been studying emergency management for the past 15 years, with special emphasis on oil spill preparedness and response in the Mid-Atlantic Region. The Delaware Estuary Situation Report is 12 pages long and contains maps and photographs, as well as a detailed account of response and recovery operations undertaken during the Grand Eagle oil spill. A comparison of the 1985 Grand Eagle spill and the 1989 Presidente Rivera spill also is included

  15. The emergence of care facilities in Thailand for older German-speaking people: structural backgrounds and facility operators as transnational actors.

    Science.gov (United States)

    Bender, Désirée; Hollstein, Tina; Schweppe, Cornelia

    2017-12-01

    This paper presents findings from an ethnographic study of old age care facilities for German-speaking people in Thailand. It analyses the conditions and processes behind the development and specific designs of such facilities. It first looks at the intertwinement, at the socio-structural level, of different transborder developments in which the facilities' emergence is embedded. Second, it analyses the processes that accompany the emergence, development and organisation of these facilities at the local level. In this regard, it points out the central role of the facility operators as transnational actors who mediate between different frames of reference and groups of actors involved in these facilities. It concludes that the processes of mediation and intertwining are an important and distinctive feature of the emergence of these facilities, necessitated by the fact that, although the facilities are located in Thailand, their 'markets' are in the German-speaking countries of their target groups.

  16. Difficult Airway Response Team: A Novel Quality Improvement Program for Managing Hospital-Wide Airway Emergencies

    Science.gov (United States)

    Mark, Lynette J.; Herzer, Kurt R.; Cover, Renee; Pandian, Vinciya; Bhatti, Nasir I.; Berkow, Lauren C.; Haut, Elliott R.; Hillel, Alexander T.; Miller, Christina R.; Feller-Kopman, David J.; Schiavi, Adam J.; Xie, Yanjun J.; Lim, Christine; Holzmueller, Christine; Ahmad, Mueen; Thomas, Pradeep; Flint, Paul W.; Mirski, Marek A.

    2015-01-01

    Background Difficult airway cases can quickly become emergencies, increasing the risk of life-threatening complications or death. Emergency airway management outside the operating room is particularly challenging. Methods We developed a quality improvement program—the Difficult Airway Response Team (DART)—to improve emergency airway management outside the operating room. DART was implemented by a team of anesthesiologists, otolaryngologists, trauma surgeons, emergency medicine physicians, and risk managers in 2005 at The Johns Hopkins Hospital in Baltimore, Maryland. The DART program had three core components: operations, safety, and education. The operations component focused on developing a multidisciplinary difficult airway response team, standardizing the emergency response process, and deploying difficult airway equipment carts throughout the hospital. The safety component focused on real-time monitoring of DART activations and learning from past DART events to continuously improve system-level performance. This objective entailed monitoring the paging system, reporting difficult airway events and DART activations to a web-based registry, and using in situ simulations to identify and mitigate defects in the emergency airway management process. The educational component included development of a multispecialty difficult airway curriculum encompassing case-based lectures, simulation, and team building/communication to ensure consistency of care. Educational materials were also developed for non-DART staff and patients to inform them about the needs of patients with difficult airways and ensure continuity of care with other providers after discharge. Results Between July 2008 and June 2013, DART managed 360 adult difficult airway events comprising 8% of all code activations. Predisposing patient factors included body mass index > 40, history of head and neck tumor, prior difficult intubation, cervical spine injury, airway edema, airway bleeding, and previous

  17. Difficult airway response team: a novel quality improvement program for managing hospital-wide airway emergencies.

    Science.gov (United States)

    Mark, Lynette J; Herzer, Kurt R; Cover, Renee; Pandian, Vinciya; Bhatti, Nasir I; Berkow, Lauren C; Haut, Elliott R; Hillel, Alexander T; Miller, Christina R; Feller-Kopman, David J; Schiavi, Adam J; Xie, Yanjun J; Lim, Christine; Holzmueller, Christine; Ahmad, Mueen; Thomas, Pradeep; Flint, Paul W; Mirski, Marek A

    2015-07-01

    Difficult airway cases can quickly become emergencies, increasing the risk of life-threatening complications or death. Emergency airway management outside the operating room is particularly challenging. We developed a quality improvement program-the Difficult Airway Response Team (DART)-to improve emergency airway management outside the operating room. DART was implemented by a team of anesthesiologists, otolaryngologists, trauma surgeons, emergency medicine physicians, and risk managers in 2005 at The Johns Hopkins Hospital in Baltimore, Maryland. The DART program had 3 core components: operations, safety, and education. The operations component focused on developing a multidisciplinary difficult airway response team, standardizing the emergency response process, and deploying difficult airway equipment carts throughout the hospital. The safety component focused on real-time monitoring of DART activations and learning from past DART events to continuously improve system-level performance. This objective entailed monitoring the paging system, reporting difficult airway events and DART activations to a Web-based registry, and using in situ simulations to identify and mitigate defects in the emergency airway management process. The educational component included development of a multispecialty difficult airway curriculum encompassing case-based lectures, simulation, and team building/communication to ensure consistency of care. Educational materials were also developed for non-DART staff and patients to inform them about the needs of patients with difficult airways and ensure continuity of care with other providers after discharge. Between July 2008 and June 2013, DART managed 360 adult difficult airway events comprising 8% of all code activations. Predisposing patient factors included body mass index >40, history of head and neck tumor, prior difficult intubation, cervical spine injury, airway edema, airway bleeding, and previous or current tracheostomy. Twenty

  18. Schwarzian conditions for linear differential operators with selected differential Galois groups

    International Nuclear Information System (INIS)

    Abdelaziz, Y; Maillard, J-M

    2017-01-01

    We show that non-linear Schwarzian differential equations emerging from covariance symmetry conditions imposed on linear differential operators with hypergeometric function solutions can be generalized to arbitrary order linear differential operators with polynomial coefficients having selected differential Galois groups. For order three and order four linear differential operators we show that this pullback invariance up to conjugation eventually reduces to symmetric powers of an underlying order-two operator. We give, precisely, the conditions to have modular correspondences solutions for such Schwarzian differential equations, which was an open question in a previous paper. We analyze in detail a pullbacked hypergeometric example generalizing modular forms, that ushers a pullback invariance up to operator homomorphisms. We finally consider the more general problem of the equivalence of two different order-four linear differential Calabi–Yau operators up to pullbacks and conjugation, and clarify the cases where they have the same Yukawa couplings. (paper)

  19. Schwarzian conditions for linear differential operators with selected differential Galois groups

    Science.gov (United States)

    Abdelaziz, Y.; Maillard, J.-M.

    2017-11-01

    We show that non-linear Schwarzian differential equations emerging from covariance symmetry conditions imposed on linear differential operators with hypergeometric function solutions can be generalized to arbitrary order linear differential operators with polynomial coefficients having selected differential Galois groups. For order three and order four linear differential operators we show that this pullback invariance up to conjugation eventually reduces to symmetric powers of an underlying order-two operator. We give, precisely, the conditions to have modular correspondences solutions for such Schwarzian differential equations, which was an open question in a previous paper. We analyze in detail a pullbacked hypergeometric example generalizing modular forms, that ushers a pullback invariance up to operator homomorphisms. We finally consider the more general problem of the equivalence of two different order-four linear differential Calabi-Yau operators up to pullbacks and conjugation, and clarify the cases where they have the same Yukawa couplings.

  20. Effective emergency management: reconsidering the bureaucratic approach.

    Science.gov (United States)

    Neal, D M; Phillips, B D

    1995-12-01

    The command and control approach is compared with the Emergent Human Resources Model (EHRM) approach to emergency management. Four decades of systematic research shows that a rigid, bureaucratic command and control approach to emergency management generally leads to an ineffective emergency response. Previous studies and our own research suggest that flexible, malleable, loosely coupled, organizational configurations can create a more effective disaster response.

  1. 46 CFR 154.1020 - Emergency power.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Emergency power. 154.1020 Section 154.1020 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY STANDARDS... § 154.1020 Emergency power. The emergency generator must be designed to allow operation at the final...

  2. A Risk Management Architecture for Emergency Integrated Aircraft Control

    Science.gov (United States)

    McGlynn, Gregory E.; Litt, Jonathan S.; Lemon, Kimberly A.; Csank, Jeffrey T.

    2011-01-01

    Enhanced engine operation--operation that is beyond normal limits--has the potential to improve the adaptability and safety of aircraft in emergency situations. Intelligent use of enhanced engine operation to improve the handling qualities of the aircraft requires sophisticated risk estimation techniques and a risk management system that spans the flight and propulsion controllers. In this paper, an architecture that weighs the risks of the emergency and of possible engine performance enhancements to reduce overall risk to the aircraft is described. Two examples of emergency situations are presented to demonstrate the interaction between the flight and propulsion controllers to facilitate the enhanced operation.

  3. Effect of Previous Abdominal Surgery on Laparoscopic Liver Resection: Analysis of Feasibility and Risk Factors for Conversion.

    Science.gov (United States)

    Cipriani, Federica; Ratti, Francesca; Fiorentini, Guido; Catena, Marco; Paganelli, Michele; Aldrighetti, Luca

    2018-03-28

    Previous abdominal surgery has traditionally been considered an additional element of difficulty to later laparoscopic procedures. The aim of the study is to analyze the effect of previous surgery on the feasibility and safety of laparoscopic liver resection (LLR), and its role as a risk factor for conversion. After matching, 349 LLR in patients known for previous abdominal surgery (PS group) were compared with 349 LLR on patients with a virgin abdomen (NPS group). Subgroup analysis included 161 patients with previous upper abdominal surgery (UPS subgroup). Feasibility and safety were evaluated in terms of conversion rate, reasons for conversion and outcomes, and risk factors for conversion assessed via uni/multivariable analysis. Conversion rate was 9.4%, and higher for PS patients compared with NPS patients (13.7% versus 5.1%, P = .021). Difficult adhesiolysis resulted the commonest reason for conversion in PS group (5.7%). However, operative time (P = .840), blood loss (P = .270), transfusion (P = .650), morbidity rate (P = .578), hospital stay (P = .780), and R1 rate (P = .130) were comparable between PS and NPS group. Subgroup analysis confirmed higher conversion rates for UPS patients (23%) compared with both NPS (P = .015) and PS patients (P = .041). Previous surgery emerged as independent risk factor for conversion (P = .033), alongside the postero-superior location and major hepatectomy. LLR are feasible in case of previous surgery and proved to be safe and maintain the benefits of LLR carried out in standard settings. However, a history of surgery should be considered a risk factor for conversion.

  4. Experimental evaluation of emergency operating procedures on multiple steam generator tube rupture in INER integral system test facility

    International Nuclear Information System (INIS)

    Liu, T.J.; Lin, Y.M.; Lee, C.H.; Chang, C.Y.; Hong, W.T.

    1997-01-01

    The multiple steam generator tube rupture (SGTR) scenario in Westinghouse type pressurized water reactor (PWR) has been investigated at the Institute of Nuclear Energy Research (INER) Integral System Test (IIST) facility. This reduced-height and reduced-pressure test facility was designed to simulate the main features of Maanshan nuclear power plant. The SGTR test scenario assumes the double-ended break of one-, two- and six- tubes without other failures. The major operator actions follow the related symptom-oriented Emergency Operating Procedure (EOP) on the reference plant. This study focuses on the investigation of thermal-hydraulics phenomena and the adequacy of associated EOP to limit primary-to-secondary leakage. Through this study, it is found that the adequacy of current EOP in minimizing the radioactivity release demands early substantial operator involvement, especially in the multi-tubes break events. Also, the detailed mechanism of the main thermal-hydraulic phenomena during the SGTR transient are explored. (author)

  5. Yellow fever in Brazil: thoughts and hypotheses on the emergence in previously free areas

    Directory of Open Access Journals (Sweden)

    Pedro Fernando da Costa Vasconcelos

    2010-12-01

    Full Text Available This article describes and discusses factors associated to the reemergence of yellow fever and its transmission dynamics in the states of São Paulo (Southeastern Brazil and Rio Grande do Sul (Southern during 2008 and 2009. The following factors have played a pivotal role for the reemergence of yellow fever in these areas: large susceptible human population; high prevalence of vectors and primary hosts (non-human primates; favorable climate conditions, especially increased rainfall; emergence of a new genetic lineage; and circulation of people and/or monkeys infected by virus. There is a need for an effective surveillance program to prevent the reemergence of yellow fever in other Brazilian states.

  6. Emergency Physicians at War.

    Science.gov (United States)

    Muck, Andrew E; Givens, Melissa; Bebarta, Vikhyat S; Mason, Phillip E; Goolsby, Craig

    2018-05-01

    Operation Enduring Freedom (OEF-A) in Afghanistan and Operation Iraqi Freedom (OIF) represent the first major, sustained wars in which emergency physicians (EPs) fully participated as an integrated part of the military's health system. EPs proved invaluable in the deployments, and they frequently used the full spectrum of trauma and medical care skills. The roles EPs served expanded over the years of the conflicts and demonstrated the unique skill set of emergency medicine (EM) training. EPs supported elite special operations units, served in medical command positions, and developed and staffed flying intensive care units. EPs have brought their combat experience home to civilian practice. This narrative review summarizes the history, contributions, and lessons learned by EPs during OEF-A/OIF and describes changes to daily clinical practice of EM derived from the combat environment.

  7. Emergency management

    International Nuclear Information System (INIS)

    1996-01-01

    In 1995, major efforts of the Nuclear Regulatory Authority of the Slovak Republic (NRA SR) were focused on tasks associated with completion and incorporation of the Emergency Response Centre (ERC) of NRA SR in emergency planning and crisis management. Construction of the ERC had begun based on NRA SR's knowledge, as well as recommendations of Regulatory Assistance Management Group (RAMG) International Mission in 1993 and follow-up missions in 1994. Early in 1994, re-construction of selected rooms had been done and early in 1995, supported by the UK and U.S.A. Government's funding, technical equipment was purchased. The equipment was necessary for ERC operation as tools to improve NRA SR readiness for the management of emergency situations at nuclear installations. NRA SR commenced operation of the Centre in April 1995. The Centre has been on-line connected to a teledosimetric system of Radiation Monitoring Laboratory in Trnava. The basic software for assessment of radiation consequences of a NPP accident was supplied were also focused on cooperation with state administration authorities and organizations which were involved in an emergency planning structure. In September 1995, staffing of the ERC was completed and parallel, the first document concerning the ERC prime task, i.e. activities and procedures of of NRA SR Crisis crew in case of an accident at a nuclear installation on the territory of the Slovak Republic, was approved by the NRA SR's Management. In the period that is being assessed, NRA SR made significant progress in events classification and emergency planning terminology in order to unify the above between both the Slovak NPPs

  8. Demographic, Operational, and Healthcare Utilization Factors Associated with Emergency Department Patient Satisfaction

    Science.gov (United States)

    Morgan, Matthew W.; Salzman, Joshua G.; LeFevere, Robert C.; Thomas, Avis J.; Isenberger, Kurt M.

    2015-01-01

    Introduction The primary aim of this study was to determine which objectively-measured patient demographics, emergency department (ED) operational characteristics, and healthcare utilization frequencies (care factors) were associated with patient satisfaction ratings obtained from phone surveys conducted by a third-party vendor for patients discharged from our ED. Methods This is a retrospective, observational analysis of data obtained between September 2011 and August 2012 from all English- and Spanish-speaking patients discharged from our ED who were contacted by a third-party patient satisfaction vendor to complete a standardized nine-item telephone survey by a trained phone surveyor. We linked data from completed surveys to the patient’s electronic medical record to abstract additional demographic, ED operational, and healthcare utilization data. We used univariate ordinal logistic regression, followed by two multivariate models, to identify significant predictors of patient satisfaction. Results We included 20,940 patients for analysis. The overall patient satisfaction ratings were as follows: 1=471 (2%); 2=558 (3%); 3=2,014 (10%), 4=5,347 (26%); 5=12,550 (60%). Factors associated with higher satisfaction included race/ethnicity (Non-Hispanic Black; Hispanic patients), age (patients ≥65), insurance (Medicare), mode of arrival (arrived by bus or on foot), and having a medication ordered in the ED. Patients who felt their medical condition did not improve, those treated in our ED behavioral health area, and those experiencing longer wait times had reduced satisfaction. Conclusion These findings provide a basis for development and evaluation of targeted interventions that could be used to improve patient satisfaction in our ED. PMID:26265963

  9. Fluid therapy in the emergency unit

    African Journals Online (AJOL)

    Senior Specialist Paediatrician, Department of Ambulatory and Emergency Paediatrics, Red Cross War Memorial Children's Hospital, Cape. Town. Dr Diedericks is currently head of the Paediatric Emergency Service at Red Cross Hospital. He has previous experience ... intravenous fluid administration. Choosing the correct ...

  10. Understanding Public Responses to Emerging Technologies

    NARCIS (Netherlands)

    Macnaghten, Philip; Davies, S.R.; Kearnes, Matthew

    2015-01-01

    Previous studies aimed at understanding public responses to emerging technologies have given limited attention to the social and cultural processes through which public concerns emerge. When probed, these have tended to be explained either in cognitive social psychological terms, typically in the

  11. RA Research nuclear reactor, Part I - RA nuclear reactor operation, maintenance and utilization in 1984

    International Nuclear Information System (INIS)

    Sotic, O.; Martinc, R.; Cupac, S.; Sulem, B.; Badrljica, R.; Majstorovic, D.; Sanovic, V.

    1984-12-01

    During the 1984 the reactor operation was limited by the temporary operating license issued by the Committee of Serbian ministry for health and social care. The reason was the non existing emergency cooling system and lack of appropriate filters in the special ventilation system. This temporary license has limited the reactor power to 2 MW from 1981. Operation of the primary cooling system was changed in order to avoid appearance of the previously noticed aluminium oxyhydrate on the surface of the fuel element claddings. The new cooling regime enabled more efficient heavy water purification. Control and maintenance of the reactor instrumentation and tools was done regularly but dependent on the availability of the spare parts. In order to enable future reliable operation of the RA reactor, according to new licensing regulations, during 1984, three major tasks are planned: building of the new emergency system, reconstruction of the existing ventilation system, and renewal of the reactor instrumentation. Financing of the planned activities will be partly covered by the IAEA. this Part I of the report includes 8 Annexes describing in detail the reactor operation, and 6 special papers dealing with the problems of reactor operation and utilization

  12. Answering the request for emergency assistance worldwide. The Incident and Emergency Centre (IEC)

    International Nuclear Information System (INIS)

    2007-01-01

    In 2005, the IAEA announced the establishment of a fully integrated Incident and Emergency Centre (IEC). The functions of the IEC include coordinating prompt assistance to requesting States in the case of a nuclear security incident. As the global focal point for international preparedness, communication and response to nuclear and radiological incidents or emergencies irrespective of their cause, the IEC stands at the centre of coordinating effective and efficient activities worldwide. The IEC's work includes the evaluation of emergency plans and assistance in their development. The Centre also develops accident classifications based on plant conditions and supports effective communication between neighbouring countries. In addition, it develops various response procedures and facilitates national exercises on response to reactor emergencies. This includes training a broad range of IAEA staff to respond to emergencies as well as training of external experts. Response to incidents and emergencies can involve the exchange of information, provision of advice and/or the coordination of field response. In order to coordinate a global response, the IEC hosts a Response Assistance Network (RANET) under which Member States, Parties to the Emergency Conventions and relevant international organizations are able to register their response capabilities. This network aims to facilitate assistance in case of a nuclear or radiological incident or emergency in a timely and effective manner. An important component of the global emergency response system is the notification and reporting arrangements and systems operated by the IEC. The IEC operates systems that are reliable and secure. Member States, Non-Member States and international organizations have historically reported events and requests for assistance to the IAEA through the ENATOM arrangements using the ENAC web site, phone or fax. Under these arrangements, States have nominated Competent Authorities and National Warning

  13. Nuclear emergencies

    International Nuclear Information System (INIS)

    1991-01-01

    This leaflet, which is in the form of a fold-up chart, has panels of text which summarize the emergencies that could arise and the countermeasures and emergency plans that have been prepared should nuclear accident occur or affect the United Kingdom. The levels of radiation doses at which various measures would be introduced are outlined. The detection and monitoring programmes that would operate is illustrated. The role of NRPB and the responsible government departments are set out together with an explanation of how the National Arrangements for Incidents involving Radioactivity would be coordinated. (UK)

  14. Emergency department performance measures updates: proceedings of the 2014 emergency department benchmarking alliance consensus summit.

    Science.gov (United States)

    Wiler, Jennifer L; Welch, Shari; Pines, Jesse; Schuur, Jeremiah; Jouriles, Nick; Stone-Griffith, Suzanne

    2015-05-01

    The objective was to review and update key definitions and metrics for emergency department (ED) performance and operations. Forty-five emergency medicine leaders convened for the Third Performance Measures and Benchmarking Summit held in Las Vegas, February 21-22, 2014. Prior to arrival, attendees were assigned to workgroups to review, revise, and update the definitions and vocabulary being used to communicate about ED performance and operations. They were provided with the prior definitions of those consensus summits that were published in 2006 and 2010. Other published definitions from key stakeholders in emergency medicine and health care were also reviewed and circulated. At the summit, key terminology and metrics were discussed and debated. Workgroups communicated online, via teleconference, and finally in a face-to-face meeting to reach consensus regarding their recommendations. Recommendations were then posted and open to a 30-day comment period. Participants then reanalyzed the recommendations, and modifications were made based on consensus. A comprehensive dictionary of ED terminology related to ED performance and operation was developed. This article includes definitions of operating characteristics and internal and external factors relevant to the stratification and categorization of EDs. Time stamps, time intervals, and measures of utilization were defined. Definitions of processes and staffing measures are also presented. Definitions were harmonized with performance measures put forth by the Centers for Medicare and Medicaid Services (CMS) for consistency. Standardized definitions are necessary to improve the comparability of EDs nationally for operations research and practice. More importantly, clear precise definitions describing ED operations are needed for incentive-based pay-for-performance models like those developed by CMS. This document provides a common language for front-line practitioners, managers, health policymakers, and researchers.

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

    Directory of Open Access Journals (Sweden)

    Joseph M. Blankush

    2016-09-01

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

  16. Multidisciplinary emergent removal of a metal penoscrotal constriction device

    LENUS (Irish Health Repository)

    Nason, GJ

    2017-03-01

    Strangulation of the genital organs is a rare presentation to the emergency department which requires urgent intervention to avoid long term complications. Penoscrotal constriction devices are either used for autoerotic stimulus or to increase sexual performance by maintaining an erection for a longer period. We report a case of a man who presented with penile strangulation following the application of a titanium penoscrotal constriction ring during sexual intercourse seven hours previously. The Fire Brigade department attended with an electric operated angle grinder to facilitate removal of the ring as standard medical equipment (orthopaedic saws, bolt and bone cutters) were insufficient. Fully functional recovery was achieved.

  17. In-flight medical emergencies during airline operations: a survey of physicians on the incidence, nature, and available medical equipment

    Directory of Open Access Journals (Sweden)

    Hinkelbein J

    2017-02-01

    undertaken in 10.6% of the cases. Although using a different method of data acquisition, this survey confirms previous data on the nature of emergencies and gives plausible numbers.Conclusion: Our data strongly argue for the establishment of a standardized database for recording the incidence and nature of in-flight medical emergencies. Such a database could inform on required medical equipment and cabin crew training. Keywords: in-flight medical emergencies, medical assistance, emergency medical equipment, on-board emergencies, first aid

  18. Emergency preparedness at Barsebaeck NPP in Sweden

    International Nuclear Information System (INIS)

    Olsson, R.; Lindvall, C.

    1998-01-01

    On-site emergency preparedness plan at Barsebaeck NPP is presented. In an emergency the responsibility of the NPP is to alarm the emergency organizations, spend all efforts to restore safe operation, assess the potential source term as to size and time, protect their own personnel, inform personnel and public. Detailed emergency procedures overview is provided

  19. Applying advanced analytics to guide emergency department operational decisions: A proof-of-concept study examining the effects of boarding.

    Science.gov (United States)

    Andrew Taylor, R; Venkatesh, Arjun; Parwani, Vivek; Chekijian, Sharon; Shapiro, Marc; Oh, Andrew; Harriman, David; Tarabar, Asim; Ulrich, Andrew

    2018-01-04

    Emergency Department (ED) leaders are increasingly confronted with large amounts of data with the potential to inform and guide operational decisions. Routine use of advanced analytic methods may provide additional insights. To examine the practical application of available advanced analytic methods to guide operational decision making around patient boarding. Retrospective analysis of the effect of boarding on ED operational metrics from a single site between 1/2015 and 1/2017. Times series were visualized through decompositional techniques accounting for seasonal trends, to determine the effect of boarding on ED performance metrics and to determine the impact of boarding "shocks" to the system on operational metrics over several days. There were 226,461 visits with the mean (IQR) number of visits per day was 273 (258-291). Decomposition of the boarding count time series illustrated an upward trend in the last 2-3 quarters as well as clear seasonal components. All performance metrics were significantly impacted (pstudy regarding the use of advanced analytics in daily ED operations, time series analysis provided multiple useful insights into boarding and its impact on performance metrics. Copyright © 2018. Published by Elsevier Inc.

  20. Emergency reactor shutdown device

    International Nuclear Information System (INIS)

    Ikehara, Morihiko.

    1982-01-01

    Purpose: To smoothen the emergency operation of the control rod in a BWR type reactor and to eliminate the external discharge of radioactively contaminated water. Constitution: A drain receiving tank is connected through a scram valve to the top of a cylinder which is containing a hydraulic piston connected to a trombone-shaped control rod and an accumulator is connected through another scram valve to the bottom of the cylinder. The respective scram valves are constructed to be opened by the reactor emergency shutdown signal from a reactor control system in such a manner that drain valve and a vent valve of the tank normally opened at the standby time are closed after approx. 10 seconds from the opening of the scram valves. In this manner, back pressure is not applied to the hydraulic piston at the emergency time, thereby smoothly operating the control rod. (Sikiya, K.)

  1. Entry and Growth Strategies for Emerging Economies

    DEFF Research Database (Denmark)

    Meyer, Klaus E.; Tran, Yen Thi Thu

    2004-01-01

    to adapt their strategies, most notably their marketing and acquisition strategies, to the local context. In this paper, we outline why globalisation drives MNEs into emerging economies, and we provide conceptual frameworks that may aid investors to adapt their strategies to emerging economy contexts. MNEs...... requires the acquisition of complementary local resources controlled by local firms. However, acquisitions in emerging economies are inhibited by institutional obstacles and weak local firms. Thus, foreign investors may pursue staged, multiple, indirect, or Brownfield acquisitions to build their projected...... operation. We illustrate our proposed strategies by analysing how one multination enterprise - Carlsberg Breweries - has developed its operations in three very different emerging economies: Poland, Lithuania and Vietnam....

  2. Emergency Physicians at War

    Directory of Open Access Journals (Sweden)

    Melissa Givens

    2018-03-01

    Full Text Available Operation Enduring Freedom (OEF-A in Afghanistan and Operation Iraqi Freedom (OIF represent the first major, sustained wars in which emergency physicians (EPs fully participated as an integrated part of the military’s health system. EPs proved invaluable in the deployments, and they frequently used the full spectrum of trauma and medical care skills. The roles EPs served expanded over the years of the conflicts and demonstrated the unique skill set of emergency medicine (EM training. EPs supported elite special operations units, served in medical command positions, and developed and staffed flying intensive care units. EPs have brought their combat experience home to civilian practice. This narrative review summarizes the history, contributions, and lessons learned by EPs during OEF-A/OIF and describes changes to daily clinical practice of EM derived from the combat environment.

  3. National Energy Board Emergency Management Program : annex to Natural Resources Canada Civil Emergency Plan no. 004

    International Nuclear Information System (INIS)

    Lever, G.; LeMay, R.

    2006-01-01

    As a matter of primary public interest, safety is included in the National Energy Board's (NEB) mandate. The Board is responsible for ensuring companies involved with energy development and pipelines comply with regulations concerning the safety of employees, the public, and the environment. The purpose of the NEB's Emergency Management Program is to establish a prompt and coordinated response to an emergency which occurs at any facility or operation regulated by the NEB; promote safety and security and assure compliance with regulatory requirements in order to protect the public, workers, property and the environment during the life cycle of facilities and operations; and, have a documented set of procedures that accomplish these objectives. The Board ensures that companies identify and manage the potential hazards associated with their facilities; conduct a risk analysis of those hazards; and, manage the risks in order to protect the public and personnel, the security of the facilities and the environment. All companies under the Board's jurisdiction are responsible for developing and maintaining an Emergency Response and Preparedness Program for all aspects of their operations. In the event an emergency occurs, the regulated company is responsible for responding to the emergency and coordinating emergency response activities. Typically, the NEB responds on site to incidents that result in death or serious injury; involve a significant release of hydrocarbons; could result in potential or real impact due to loss of service; pose imminent threats identified by Public Safety and Emergency Preparedness Canada or other agencies; attract significant media attention, or on the advice of Natural Resources Canada or other federal Agencies. The first part of this document described the initial response check list while the second part outlined the Emergency response framework. 2 tabs., 3 figs., 15 appendices

  4. Emergency gas operation strategy and system establishment for large-scale disaster; Strategie d'operation en urgence et construction de systemes pour parer aux desastres de grande importance

    Energy Technology Data Exchange (ETDEWEB)

    Toshihira, Hara [Tokyo Gas Co., Ltd (Japan); Yoshihisa, Shimizu [Tokyo Gas Co., Ltd (Japan); Takashi, Imagawa [Toho Gas Co., Ltd (Japan)

    2000-07-01

    Japan's gas companies have wide-ranging experience of earthquakes and other disasters and have for long put the lessons learned from these disasters to good use through regular reviews of their emergency gas operation strategies. However, the Great Hanshin Earthquake disaster of January 1995 made them acutely aware of the need for a more radical review of this strategy. Japan's big gas companies are currently devoting maximum resources to reviewing their emergency strategies and constructing the sorts of systems needed to deal with major disasters. In the first half of the present paper, we discuss the experience of Toho Gas, which has just finished work on a comprehensive group of systems, and explain the 'thinking behind the systems'. In the second half of the paper, we discuss some of the ways in which Tokyo Gas has been endeavoring to further refine and enhance its systems and introduce the reader to the latest emergency strategy support systems in the shape of the 'sub-center concept, training system construction, and damage estimation systems'. These should also make useful references for gas companies from other countries. (authors)

  5. The Emergence of an International New Software Venture from an Emerging Economy

    DEFF Research Database (Denmark)

    Turcan, Romeo V.; Fraser, Norman

    2012-01-01

    This study is positioned at the intersection of legitimation and international entrepreneurship theories. It is a longitudinal ethnographic case study that explores the process of emergence of an international new software venture from an emerging economy and the effect this venture has on the pr......This study is positioned at the intersection of legitimation and international entrepreneurship theories. It is a longitudinal ethnographic case study that explores the process of emergence of an international new software venture from an emerging economy and the effect this venture has...... invoking familiar cues and scripts, promote and defend incentives and operating mechanisms in political negotiations, and overcome the country-of-origin effect by pursuing a technology legitimation strategy....

  6. Your Lung Operation: After Your Operation

    Medline Plus

    Full Text Available ... Surgeon Specific Registry Trauma Education Trauma Education Trauma Education Advanced Surgical Skills for Exposure in Trauma Advanced Trauma Life Support Advanced Trauma Operative Management Basic Endovascular Skills for Trauma Disaster Management and Emergency ...

  7. CAMEO (Computer-Aided Management of Emergency Operations) Software Suite

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — CAMEO is the umbrella name for a system of software applications used widely to plan for and respond to chemical emergencies. All of the programs in the suite work...

  8. Implant breast reconstruction after salvage mastectomy in previously irradiated patients.

    Science.gov (United States)

    Persichetti, Paolo; Cagli, Barbara; Simone, Pierfranco; Cogliandro, Annalisa; Fortunato, Lucio; Altomare, Vittorio; Trodella, Lucio

    2009-04-01

    The most common surgical approach in case of local tumor recurrence after quadrantectomy and radiotherapy is salvage mastectomy. Breast reconstruction is the subsequent phase of the treatment and the plastic surgeon has to operate on previously irradiated and manipulated tissues. The medical literature highlights that breast reconstruction with tissue expanders is not a pursuable option, considering previous radiotherapy a contraindication. The purpose of this retrospective study is to evaluate the influence of previous radiotherapy on 2-stage breast reconstruction (tissue expander/implant). Only patients with analogous timing of radiation therapy and the same demolitive and reconstructive procedures were recruited. The results of this study prove that, after salvage mastectomy in previously irradiated patients, implant reconstruction is still possible. Further comparative studies are, of course, advisable to draw any conclusion on the possibility to perform implant reconstruction in previously irradiated patients.

  9. Emergency preparedness at the UJD

    International Nuclear Information System (INIS)

    Seliga, Mojmir

    2001-01-01

    and international agreements as well as the information for media and public. Information group was in all these exercises responsible for co-ordination the technical briefing material prepared by the Reactor Safety Group and Radiological Assessment Group. The Information Group was also preparing messages, which were sent to international bodies such as IAEA and, to neighbouring countries as a part of Slovak Republic bilateral arrangements. The endeavour of the UJD is to create in the emergency response centre such a room, logistic, hardware and software base that the emergency headquarters could act timely and operatively. The protection measures proposed by the emergency headquarters, however, can be realised neither by the emergency headquarters nor by the UJD - it has no executive power in this area. That is why the emergency headquarters prepares, in co-operation with the operative expert group of the National Commission for Nuclear Accidents, optimum measures to cope with the situation and submits them to the National Emergency Commission for Radiation accidents, which co-ordinates realisation of protective measures on the national level. The emergency preparedness is verified by various types emergency exercises at national as well as international level

  10. Emergency heart valve replacement: an analysis of 170 patients.

    Science.gov (United States)

    Louw, J W; Kinsley, R H; Dion, R A; Colsen, P R; Girdwood, R W

    1980-05-01

    The results of 170 emergency heart valve procedures performed during a 4 1/2-year period were analyzed. Five pathological groups of patients were recognized: those with infective endocarditis (Group 1, 28 patients); acute rheumatic carditis (Group 2, 43 patients); previous valve operation (Group 3, 29 patients); acute-on-chronic cardiac disease (Group 4, 67 patients); and miscellaneous conditions (Group 5, 3 patients). Mitral, aortic, and multiple valve procedures were performed on 58, 65, and 44 patients, respectively. The most common functional lesion was regurgitation. Hospital mortality was highest in Groups 3 (34%) and 4 (31%). By contrast, among the hospital survivors, the highest rate of attrition was in Group 2. Myocardial failure was the predominat cause of death. In view of the hopeless prognosis without operation, the 52% overall 3-year actuarial survival is a gratifying salvage. Unnecessary procrastination can only jeopardize the prospects for surgical cure.

  11. Your Lung Operation: After Your Operation

    Medline Plus

    Full Text Available ... Disaster Management and Emergency Preparedness Rural Trauma Team Development Course Trauma Evaluation and Management Trauma CME The ... for after the operation including review of attached equipment and ways for you to actively participate to ...

  12. Emergency core cooling system

    International Nuclear Information System (INIS)

    Ando, Masaki.

    1987-01-01

    Purpose: To actuate an automatic pressure down system (ADS) and a low pressure emergency core cooling system (ECCS) upon water level reduction of a nuclear reactor other than loss of coolant accidents (LOCA). Constitution: ADS in a BWR type reactor is disposed for reducing the pressure in a reactor container thereby enabling coolant injection from a low pressure ECCS upon LOCA. That is, ADS has been actuated by AND signal for a reactor water level low signal and a dry well pressure high signal. In the present invention, ADS can be actuated further also by AND signal of the reactor water level low signal, the high pressure ECCS and not-operation signal of reactor isolation cooling system. In such an emergency core cooling system thus constituted, ADS operates in the same manner as usual upon LOCA and, further, ADS is operated also upon loss of feedwater accident in the reactor pressure vessel in the case where there is a necessity for actuating the low pressure ECCS, although other high pressure ECCS and reactor isolation cooling system are not operated. Accordingly, it is possible to improve the reliability upon reactor core accident and mitigate the operator burden. (Horiuchi, T.)

  13. Designing a clinical dashboard to fill information gaps in the emergency department.

    Science.gov (United States)

    Swartz, Jordan L; Cimino, James J; Fred, Matthew R; Green, Robert A; Vawdrey, David K

    2014-01-01

    Data fragmentation within electronic health records causes gaps in the information readily available to clinicians. We investigated the information needs of emergency medicine clinicians in order to design an electronic dashboard to fill information gaps in the emergency department. An online survey was distributed to all emergency medicine physicians at a large, urban academic medical center. The survey response rate was 48% (52/109). The clinical information items reported to be most helpful while caring for patients in the emergency department were vital signs, electrocardiogram (ECG) reports, previous discharge summaries, and previous lab results. Brief structured interviews were also conducted with 18 clinicians during their shifts in the emergency department. From the interviews, three themes emerged: 1) difficulty accessing vital signs, 2) difficulty accessing point-of-care tests, and 3) difficulty comparing the current ECG with the previous ECG. An emergency medicine clinical dashboard was developed to address these difficulties.

  14. 14 CFR 91.139 - Emergency air traffic rules.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Emergency air traffic rules. 91.139 Section 91.139 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Flight Rules General § 91.139 Emergency air traffic rules. (a) This...

  15. Emergency plan belgian experience

    International Nuclear Information System (INIS)

    Clymans, A.

    1989-01-01

    The Chernobyl disaster prompted authorities in Belgium to carry out a comprehensive review of all emergency plans and, in particular, those designed specifically for nuclear accidents. This review was aimed at determining what type of plans existed and to what extent such plans were operational. This paper sets out to present a broad overview of different aspects of this problem: organization of public emergency plans, co-ordination of operations, merits and demerits of centralization as opposed to decentralization, planning zones, obligation to release information to the public and relations with the media, and finally the international dimension to the problem. The author expresses the hope that the latter area will inspire practical suggestions [fr

  16. [Enterostomy post emergency enterectomy].

    Science.gov (United States)

    Gavrilescu, S; Velicu, D; Gheorghiu, L; Duţescu, S

    2002-01-01

    This is a clinical approach regarding 43 resection of intestine, performed in emergency condition, terminated as enterostomy, with represent 20% of enterectomyes performed in emergency condition and 1.6% of urgent operations. The decision of enterostomy has been taken in the conditions of peritoneal sepsis, occlusion or the association of the two circumstances. The results are comparatively analyzed between the cases with enterostomy that has been made from the beginning (66% success, 33% gone wrong), and those with enterostomy made at the second intervention (14% success, 86% gone wrong). One discusses problems of leading, technique and post-operating nursing. The intestinal reintegration has been made possible at 16 patients after a timing of three of four weeks.

  17. Electromagnetic pulse (EMP) survey of the Idaho State Emergency Operating Center, Boise, Idaho

    Energy Technology Data Exchange (ETDEWEB)

    Crutcher, R.I.; Buchanan, M.E.; Jones, R.W.

    1992-02-01

    The purpose of this report is to develop an engineering design package to protect the Federal Emergency Management Agency (FEMA) National Radio System (FNARS) facilities from the effects of high- altitude electromagnetic pulses (HEMPs). This report was developed specifically for the Idaho State Emergency Operating Center (EOC) in Boise, Idaho. It is highly probable that there will be a heavy dependence upon high-frequency (hf) radio communications for long- haul communications following a nuclear attack on the continental United States, should one occur. To maintain the viability of the FEMA hf radio network during such a situation, steps must be taken to protect the FNARS facilities against the effects of HEMP that are likely to be created in a nuclear confrontation. The solution must than be to reduce HEMP-induced stresses on the system by means of tailored retrofit hardening measures using commercial protection devices when available. It is the intent of this report to define the particular hardening measures that will minimize the susceptibility of system components to HEMP effects. To the extent economically viable, protective actions have been recommended for implementation, along with necessary changes or additions, during the period of the FNARS upgrade program. This report addresses electromagnetic pulse (EMP) effects only and disregards any condition in which radiation effects may be a factor. It has been established that, except for the source region of a surface burst, EMP effects of high-altitude bursts are more severe than comparable detonations in either air or surface regions. Any system hardened to withstand the more extreme EMP environment will survive the less severe EMP conditions. The threatening environment will therefore be limited to HEMP situations.

  18. Chapter No.9. Emergency planning

    International Nuclear Information System (INIS)

    2002-01-01

    Emergency preparedness is a set of measures the aim of which is to mitigate possible impacts of events during the operation of nuclear facilities, transport of nuclear materials and radioactive waste as well as to reduce consequences to environment and population. An emergency planning of UJD is understood as an establishment of technical and organisational means determined for prognosis of development of events having radiation consequences together with capability to suggest the countermeasures needed to minimise the impact to population. Emergency Response Centre (ERC) of UJD is a technical support tool of UJD and at the same time it fulfils the role of advisory body for the National Emergency Commission for Radiation Accidents (NECRA) In 2001 UJD continued in further increase of equipment quality in the ERC by completion of facilities necessary to transmit necessary data from nuclear facilities, for communication and other HW and SW means. That it is why the application of geographic information systems (GIS), higher quality of data transmission from nuclear facilities and installation of new database platform could be enabled. Also the documentation of ERC has been completed by the emergency procedures of NPP Mochovce and guides of the RODOS system were finished. In the area of emergency preparedness UJD activities in 2001 were focused on preparation and realisation of emergency exercises and execution of inspections. In accordance with the inspection plan inspectors executed several inspections which were targeted to control the course of exercises at nuclear facilities, documentation and the way of training of members of the UJD headquarters. The function of systems of notification and warning, communication, monitoring and technical support means of both NPP Bohunice and NPP Mochovce has been verified and checked as well. The ultimate attention, however, was paid to the preparation of UJD emergency headquarters. The preparation was realised in a form of

  19. Police procedures in civil nuclear emergencies

    International Nuclear Information System (INIS)

    Smith, F.H.

    1989-01-01

    The responsibilities of the police in the event of a nuclear emergency are summarized. Preparation and planning is needed with site operators and other organisations who would also be involved in the event of an accident. Several points in particular are discussed; shelter and evacuation, the issue of potassium iodate tablets, protection of police officers, the police involvement in the operation support centres, public education and further discussion on the integration and development of the organisation of emergency procedures. (U.K.)

  20. Study on Korean Radiological Emergency System-Care System- and National Nuclear Emergency Preparedness System Development

    International Nuclear Information System (INIS)

    Akhmad Khusyairi; Yudi Pramono

    2008-01-01

    Care system; Radiological Emergency Supporting System. Environmental radiology level is the main aspect that should be concerned deal with the utilization of nuclear energy. The usage of informational technology in nuclear area gives significant contribution to anticipate and to protect human and environment. Since 1960, South Korea has developed environment monitoring system as the effort to protect the human and environment in the radiological emergency condition. Indonesia has possessed several nuclear installations and planned to build and operate nuclear power plants (PLTN) in the future. Therefore, Indonesia has to prepare the integrated system, technically enables to overcome the radiological emergency. Learning from the practice in South Korea, the system on the radiological emergency should be prepared and applied in Indonesia. However, the government regulation draft on National Radiological Emergency System, under construction, only touches the management aspect, not the technical matters. Consequently, when the regulation is implemented, it will need an additional regulation on technical aspect including the consideration on the system (TSS), the organization of operator and the preparation of human resources development of involved institution. For that purpose, BAPETEN should have a typical independence system in regulatory frame work. (author)

  1. Research on the organization of equipment of nuclear emergency

    International Nuclear Information System (INIS)

    Li Xiaoming; Yang Jun

    2012-01-01

    The emergency rescue operation on major accident of nuclear facilities contains four kinds of abilities that are command and control, radiation protection, radiation monitoring and radioactive decontamination, so it needs to organize some equipment of nuclear emergency to enhance the efficiency of nuclear emergency operation. The organization of equipment of nuclear emergency should accord to the reality of the development in our country. It should have extractive structure, brief variety and advance capability, and also should be convenient, useful and adequate. The method of organization can first accord to the organization of group and organize the facilities accord to the organization of group of the emergency rescue force. (authors)

  2. Resident involvement in civilian tactical emergency medicine.

    Science.gov (United States)

    Ramirez, Mario Luis; Slovis, Corey M

    2010-07-01

    Tactical emergency medicine services (TEMS) has emerged as a specialized niche within the field of emergency medicine. With increasing demand for physician participation in civilian tactical teams, there will be efforts by residents to become involved at earlier points in their clinical training. This article discusses resident involvement with a civilian TEMS unit and provides five maxims for emergency physicians to better understand the difference between working in the emergency department or with emergency medical services vs. in a TEMS environment. Differences between TEMS and other trauma life support models, institutional and political barriers likely to be encountered by the resident, the value of preventive medicine and the role of the physician in long-term tactical operations, opportunities for subspecialty growth, and the role of operational security are all discussed in detail. Tactical emergency medicine is a specialty that utilizes the full array of the emergency physician's skill set. It is also a field that is ripe for continued expansion, but the resident looking to become involved with a team should be aware of the requirements necessary to do so and the obstacles likely to be encountered along the way. Copyright 2010 Elsevier Inc. All rights reserved.

  3. 46 CFR 26.03-2 - Emergency instructions.

    Science.gov (United States)

    2010-10-01

    ... Requirements § 26.03-2 Emergency instructions. (a) The operator or master of each uninspected passenger vessel must ensure that an emergency check-off list is posted in a prominent and accessible place to notify... situation occurs. (b) Except where any part of the emergency instructions are deemed unnecessary by the...

  4. Millstone nuclear power plant emergency system assessment

    International Nuclear Information System (INIS)

    Akhmad Khusyairi

    2011-01-01

    U.S.NRC determined an obligation to build a nuclear power plant emergency response organization for both on-site and off-site. Millstone Nuclear Power Plants have 3 nuclear reactors and 2 of 3 still in commercial operation. Reactor unit 1, BWR type has been permanently shut down in 1998, while the two others, units 2 and 3 obtain the extended operating license respectively until 2035 and 2045. As a nuclear installation has the high potential radiological impact, Millstone nuclear power plant emergency response organization must establish both on-site or off-site. Emergency response organization that is formed must involve several state agencies, both state agencies and municipality. They have specific duties and functions in a state of emergency, so that protective measures can be undertaken in accordance with the community that has been planned. Meanwhile, NRC conduct their own independent assessment of nuclear power plant emergencies. (author)

  5. SICOEM: emergency response data system

    International Nuclear Information System (INIS)

    Martin, A.; Villota, C.; Francia, L.

    1993-01-01

    The main characteristics of the SICOEM emergency response system are: -direct electronic redundant transmission of certain operational parameters and plant status informations from the plant process computer to a computer at the Regulatory Body site, - the system will be used in emergency situations, -SICOEM is not considered as a safety class system. 1 fig

  6. SICOEM: emergency response data system

    Energy Technology Data Exchange (ETDEWEB)

    Martin, A.; Villota, C.; Francia, L. (UNESA, Madrid (Spain))

    1993-01-01

    The main characteristics of the SICOEM emergency response system are: -direct electronic redundant transmission of certain operational parameters and plant status informations from the plant process computer to a computer at the Regulatory Body site, - the system will be used in emergency situations, -SICOEM is not considered as a safety class system. 1 fig.

  7. Emergency neuroradiology

    International Nuclear Information System (INIS)

    Scarabino, T.; Hospital of Andria; Salvolini, U.; Jinkins, J.R.

    2006-01-01

    The book is directed at emergency radiologists and neuroradiologists. It aims at providing exhaustive information that will help the reader understand the clinical problems in the full range of neurological emergencies and to select the methodological and technical options that will ensure prompt and effective response and correct interpretation of the clinical findings. The various chapters address the most common neuroradiological emergencies, summarize their fundamental physiopathological features, describe the main semiological and differential diagnostic features, and provide operative suggestions for the selection of the appropriate techniques to be applied in a sequential order. The book addresses the application of state-of-the-art techniques and their implications for clinical practice (particularly the contributions of standard and functional MRI and of spiral and multislice CT). The illustrations provide not only training but also reference material for routine clinical work. (orig.)

  8. A decision support framework for characterizing and managing dermal exposures to chemicals during Emergency Management and Operations.

    Science.gov (United States)

    Dotson, G Scott; Hudson, Naomi L; Maier, Andrew

    2015-01-01

    Emergency Management and Operations (EMO) personnel are in need of resources and tools to assist in understanding the health risks associated with dermal exposures during chemical incidents. This article reviews available resources and presents a conceptual framework for a decision support system (DSS) that assists in characterizing and managing risk during chemical emergencies involving dermal exposures. The framework merges principles of three decision-making techniques: 1) scenario planning, 2) risk analysis, and 3) multicriteria decision analysis (MCDA). This DSS facilitates dynamic decision making during each of the distinct life cycle phases of an emergency incident (ie, preparedness, response, or recovery) and identifies EMO needs. A checklist tool provides key questions intended to guide users through the complexities of conducting a dermal risk assessment. The questions define the scope of the framework for resource identification and application to support decision-making needs. The framework consists of three primary modules: 1) resource compilation, 2) prioritization, and 3) decision. The modules systematically identify, organize, and rank relevant information resources relating to the hazards of dermal exposures to chemicals and risk management strategies. Each module is subdivided into critical elements designed to further delineate the resources based on relevant incident phase and type of information. The DSS framework provides a much needed structure based on contemporary decision analysis principles for 1) documenting key questions for EMO problem formulation and 2) a method for systematically organizing, screening, and prioritizing information resources on dermal hazards, exposures, risk characterization, and management.

  9. Criteria for safety-related operator actions

    International Nuclear Information System (INIS)

    Gray, L.H.; Haas, P.M.

    1983-01-01

    The Safety-Related Operator Actions (SROA) Program was designed to provide information and data for use by NRC in assessing the performance of nuclear power plant (NPP) control room operators in responding to abnormal/emergency events. The primary effort involved collection and assessment of data from simulator training exercises and from historical records of abnormal/emergency events that have occurred in operating plants (field data). These data can be used to develop criteria for acceptability of the use of manual operator action for safety-related functions. Development of criteria for safety-related operator actions are considered

  10. A simulator-based nuclear reactor emergency response training exercise.

    Science.gov (United States)

    Waller, Edward; Bereznai, George; Shaw, John; Chaput, Joseph; Lafortune, Jean-Francois

    Training offsite emergency response personnel basic awareness of onsite control room operations during nuclear power plant emergency conditions was the primary objective of a week-long workshop conducted on a CANDU® virtual nuclear reactor simulator available at the University of Ontario Institute of Technology, Oshawa, Canada. The workshop was designed to examine both normal and abnormal reactor operating conditions, and to observe the conditions in the control room that may have impact on the subsequent offsite emergency response. The workshop was attended by participants from a number of countries encompassing diverse job functions related to nuclear emergency response. Objectives of the workshop were to provide opportunities for participants to act in the roles of control room personnel under different reactor operating scenarios, providing a unique experience for participants to interact with the simulator in real-time, and providing increased awareness of control room operations during accident conditions. The ability to "pause" the simulator during exercises allowed the instructors to evaluate and critique the performance of participants, and to provide context with respect to potential offsite emergency actions. Feedback from the participants highlighted (i) advantages of observing and participating "hands-on" with operational exercises, (ii) their general unfamiliarity with control room operational procedures and arrangements prior to the workshop, (iii) awareness of the vast quantity of detailed control room procedures for both normal and transient conditions, and (iv) appreciation of the increased workload for the operators in the control room during a transient from normal operations. Based upon participant feedback, it was determined that the objectives of the training had been met, and that future workshops should be conducted.

  11. Predicting Emergence of the Most Important Weed Species in Soybean (Glycine max L. under Different Management Operation

    Directory of Open Access Journals (Sweden)

    R. Khakzad

    2017-12-01

    the soil temperatures by using the formula: where Tmax and Tmin are the daily maximum and minimum temperature, respectively, and Tb is the base temperature. Base temperatures used in the calculations of GDD were: 9.0ºC for A. theophrasti, 12.0ºC for S. halepense, 22.3ºC for A. retroflexus, 8.1ºC for E. maculate, 7.5ºC for P. oleracea, 4.0ºC for B. napus. From the emergence count data, mean emergence time (MET and emergence rate index (ERI were calculated as follows: where N1, ..., Nn is the number of newly emerged seedlings since the time of the previous count, t1, ..., tn are the GDD after sowing, and n is the number of sampling occasions. These two indices give us a simple indication of the emergence process, providing a useful tool to compare the progress of seedling emergence of each species in the two sites. However, they cannot provide more detailed information on emergence duration and speed. Results and Discussion: The results showed that except sorghum that in tillage treatment had the lowest cumulative emergence, other species in no-tillage treatment had the lowest cumulative emergence. At the end of the sampling patterns of emergence has been specified, all species of weeds, in the density of 40 plants per square meter of soybean and dose of 1.25 liter per hectare of herbicide Pursuit had the lowest cumulative emergence and in the density of 20 plants per square meter of soybean and dose of 0 liters per hectare of herbicide Pursuit had the maximum cumulative emergence. Among other species, Amaranthus retroflexus needed the lowest mean emergence time (MET and the lowest growing degree days (GDD to reach 50% emergence. Whereas, among the species, Abutilon theophrasti needed maximum mean emergence time (MET and maximum growing degree days (GDD to reach 50% emergence. On this basis, growth stage suitable for controlling pigweed, when the main wave of seedlings of other species still have not found growing. The best management practice used to manage weeds

  12. Some human performance paradoxes of nuclear operations

    International Nuclear Information System (INIS)

    Otway, H.J.; Misenta, R.

    1980-01-01

    Roughly once a year, an abnormal situation with emergency potential may suddenly break the calm monotony of nuclear-power plant operation. The operating crew, perhaps under-stimulated by monitoring largely automatic processes, may then be expected to make correct inferences and decisions about complex phenomena. However, under stress, the operators may resort to using their 'best-learned responses', inappropriate to the real situation. Recent events at Three Mile Island prompted a variety of suggestions intended to improve operator performance, eg higher qualifications, more pay, or enhanced status. The authors stress the paradoxes of nuclear operation, conclude that some 'intuitively obvious' suggestions might have the opposite effect to that intended, and explore the possibility of introducing frequent, realistic emergency drills. Even this approach raises paradoxes - perhaps the role of the operator should be eliminated, or redefined to allow less human intervention in emergencies. (author)

  13. [Effect of dexmedetomidine on emergence agitation after general anesthesia in children undergoing odontotherapy in day-surgery operating room].

    Science.gov (United States)

    Lin, Luo; Yueming, Zhang; Meisheng, Li; Jiexue, Wang; Yang, Ji

    2017-12-01

    To study the effectiveness of dexmedetomidine used for general anesthesia maintenance in children undergoing odontotherapy in day-surgery operating room in reducing the incidence of emergence agitation (EA). Eighty children undergoing odontotherapy and under general anesthesia in day-surgery operating room were randomized into two groups, group A (n=40) and group B (n=40). Each patient in group A was administered with a bolus dose of dexmedetomidine (1.0 μg·kg⁻¹, saline diluted to 10 mL) pump-infused after intubation and a maintenance dose of 0.1-0.4 mL·(kg·h)⁻¹ followed-up until 45 min before the end of operation. Each patient in group B was administered with a bolus dose of normal saline 10 mL pump-infused after intubation and maintenance dose of 0.1-0.4 mL·(kg·h)⁻¹ followed-up until 45 min before the end of operation. Gender, age, weight, physical status according to the American Society of Anesthesiologists, perioperative heart rate (HR), mean arterial pressure (MAP), pulse oxygen saturation (SpO₂), sufentanil dosage, duration of surgery, time of extubation, time of regaining consciousness, and time to reach modified Aldrete's score≥12 were recorded. Behavior in postanesthesia care unit was rated on the four-point agitation scale. Compared with group B, decreases were observed in HR and MAP at the beginning of operation, in 10 and 30 min, 1 and 2 h after the beginning of operation, and after extubation of group A (Pgeneral anesthesia maintenance in children undergoing odontotherapy in day-surgery operating room, dexmedetomidine results in low incidence of EA during recovery and more stable vital signs.

  14. 'Smart' electronic operation notes in surgery: an innovative way to improve patient care.

    Science.gov (United States)

    Ghani, Yaser; Thakrar, Raj; Kosuge, Dennis; Bates, Peter

    2014-01-01

    Operation notes are the only comprehensive account of what took place during surgery. Accurate and detailed documentation of surgical operation notes is crucial, both for post-operative management of patients and for medico-legal clarity. The aims of this study were to compare operation documentation against the Royal College of Surgeons of England guidelines and to compare the before-and-after effect of introducing an electronic operation note system. Fifty consecutive operation notes for inpatients that had undergone emergency orthopaedic trauma surgery were audited. An electronic operation note proforma was then introduced and a re-audit carried out after its implementation. The results after implementation of electronic operation notes, demonstrated a marked improvement. All notes contained an operation note (previously 5/6). Seventy five percent included time of surgery and age of patient (vs. 0% previously). A hundred percent included closure details and antibiotic selection at induction (vs. 60% and 69% respectively). Post-operative instructions improved to 100%. All were typed, making for 100% legibility as compared to only 66% of operation notes with legible hand writing in the initial audit. We used our pilot audit to target specific information that was commonly omitted and we 'enforced' these areas using drop-down selections in electronic operation note. This study has demonstrated that implementation of an electronic operation note system markedly improved the quality of documentation, both in terms of information detail and readability. We would recommend this template system as a standard for operation note documentation. Copyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

  15. A study on the operator's communication pattern characteristics under abnormal operating situation of nuclear power plants

    International Nuclear Information System (INIS)

    Kim, S. H.; Park, J.

    2008-01-01

    The quality of a probabilistic safety assessment (PSA) has become more important and a human reliability analysis (HRA) is known as a major contributor to the uncertainty of a PSA. As a part of enhancing the HRA quality, a study was initiated to find out characteristics of communication pattern and to evaluate communication quality of the operators of nuclear power plants. Korea Atomic Energy Research Institute (KAERI) is developing evaluation methods for the effect of human-induced events on risk/performance. This paper describes a study on the operator's communication pattern characteristics under abnormal operating situation of nuclear power plants. The study was carried out in four stages; 1) Video recording 2) Audio scripting 3) Message Classification 4) Communication Pattern Analysis. We recorded eight abnormal simulator training programs from Younggwang nuclear power plant training center. After that we performed message classification and carried out communication pattern analysis. We compared communication patterns of abnormal operating situation with emergency operating situation.As results of analysis, the role of SRO (senior reactor operator) under abnormal operating situation was decreased than the activities under emergency operating situation because each operator (reactor operator, turbine operator, safety supervisor) in main control room (MCR) performs the activity to control by himself with corresponding field engineers with his basic knowledge of the system. On the other hand, the operator's decision making processes and activities under abnormal operating situation were dramatically increased than the emergency operating situation. (authors)

  16. Spinoffs from radiological emergency preparedness programmes to generic emergency management

    International Nuclear Information System (INIS)

    Sanders, M.E.

    1986-01-01

    In the USA, the radiological emergency preparedness (REP) programme for nuclear power plants is being used to enhance emergency management programmes for other types of emergencies. The REP programme is particularly useful in developing plans and preparedness measures for chemical accidents. The Integrated Emergency Management System (IEMS) approach provides a means for maximizing relationships between the REP programme and other programmes. IEMS essentially involves applying common elements of planning and preparedness to all types of emergencies, while recognizing that unique characteristics of specific natural and man-made emergencies require special planning and preparedness considerations. Features of the REP programme that make it compatible with the IEMS approach and useful in coping with other types of emergencies are: (1) the close co-operation between the national nuclear regulatory and emergency management organizations; (2) the programme integration among all levels of government, the nuclear power industry, public interest groups and the general public and (3) the comprehensiveness and sophistication of the programme. The REP programme in the USA represents a state-of-the-art emergency management capability. Some of its elements are readily transferrable to most other types of emergency preparedness programmes, while other elements can be adapted more readily to other hazard-specific programmes. The Bhopal accident has been a catalyst for this adaptation to chemical accidents, in such areas as furnishing hazard-specific information to the public, alert and notification systems, definition of the hazards and risks involved, establishing planning zones and developing close working relationships among the industry, the public and government

  17. New competitive strategies of foreign banks in large emerging economies: the case of Brazil

    Directory of Open Access Journals (Sweden)

    Fernando J. Cardim de Carvalho

    2000-06-01

    Full Text Available Financial relations have been deeply transformed in the 1980s and 1990s by deregulation and liberalization. Among the most affected by these changes has been the banking system. Domestic banks have generally lost the implicit protection given by regulatory barriers to entry. Until very recently, in most of the world, foreign banks had their range of operations limited by both regulatory and market factors in developed and developing countries alike. This has radically changed in the 1990s. Foreign banks previously content to hold marginal positions in domestic emerging markets started to pursue aggressive strategies of expansion. Competition among banks operating domestically is being intensified as a result, particularly in emerging economies large enough to support entry of new banking firms. We examine the case of Brazil, where, following the semi-crisis of 1995, a significant number of banks set up subsidiaries fighting for increasing market shares of the domestic market. The paper shows the ways these banks chose to enter the market and explores the perspectives for the domestic banking sector.

  18. Guide for Developing High-Quality School Emergency Operations Plans

    Science.gov (United States)

    Office of Safe and Healthy Students, US Department of Education, 2013

    2013-01-01

    Each school day, our nation's schools are entrusted to provide a safe and healthy learning environment for approximately 55 million elementary and secondary school students in public and nonpublic schools. In collaboration with their local government and community partners, schools can take steps to plan for these potential emergencies through the…

  19. Clinical outcomes of Laparoscopically Assisted Vaginal Hysterectomy at patients who had previous abdominopelvic surgery

    Directory of Open Access Journals (Sweden)

    Ali Riza Odabasi

    2007-03-01

    Full Text Available OBJECTIVE: To determine clinical outcomes of Laparoscopically Assisted Vaginal Hysterectomy (LAVH at patients who had previous abdominopelvic surgery.\tDesign: A clinical observational, prospective, non randomised trial comparing outcomes of 13 patients who had previous abdominopelvic surgery with outcomes of 19 patients who had not surgery.\tSetting: Adnan Menderes University Faculty of Medicine, Department of Obstetrics and Gynecology.\tPatients: Thirty-two subjects [average age 51,1±6,9 (37-66] who had indication of total abdominal hysterectomy and bilateral\tsalpingooferectomy due to benign pathologies.\tInterventions: According to ACOG, LAVH was performed by using the Garry technique at the trocar insertions, the Reich technique\tat the laparoscopic phase and the Heaney technique at the vaginal phase by the same operator. After adhesiolysis and diagnostic procedures, ureters were dissected medially. By coagulating, bilateral round and infundibulopelvic ligaments were cut after the\tmobilisation of bladder. The operation was completed by the same operation team by vaginal approach consequently. At all operations, 80 W unipolar or 150 W bipolar diathermic dissection and 25-35 W unipolar diathermic cutting were performed.\tMain outcome measures: Age, parity, menopausal status, preoperative indications, type of previous abdominopelvic surgey and incision, intraoperative indications, adhesion scores, rate of unintended laparotomy, operative time, uterus weight, loss of blood,\tcomplications, postoperative pain scores and analgesic requirements, time necessary for returning to normal intestinal function, length of hospitalisation and rate of readmission to hospital.\tRESULTS: When compared with the patients who had not previous abdominopelvic surgery, all adhesion scores, uterus weight, operative time and the number of total postoperative complications were found significantly high at patients who had previous\tsurgery. Loss of blood, the rate

  20. Instalation of two emergency diesel groups in Angra-1

    International Nuclear Information System (INIS)

    Spitalnik, J.; Doria, L.

    1990-01-01

    As any technology that evolves, nuclear technology is no exception, mainly when new safety conditions of operation, more limited and restricted than previous ones, are introduced to assure increased protection to the public and the environment. NUCLEN has been actively involved in this type of activity in relation with the Angra-1 nuclear power plant. An important example is the Emergency Diesel Project to install in the power plant, two Diesel sets in addition to the existing ones. Experience gathered in this Project has also shown the way local firms, respectively in the fields of design engineering and power plant operation, were able to structure their teams to fulfill successfully a nuclear project both complex and pioneering. This report shows relevant aspects of the Diesel sets project design and erection, with special emphasis on the solution of problems related to the construction of a nuclear facility of the class-1 type, built under both German and US standards. (author) [pt

  1. RA reactor operation and maintenance in 1996, Part 1

    International Nuclear Information System (INIS)

    Sotic, O.; Cupac, S.; Sulem, B.; Zivotic, Z.; Mikic, N.; Tanaskovic, M.

    1996-01-01

    During the previous period RA reactor was not operated because the Committee of Serbian ministry for health and social care has cancelled the operation licence in August 1984. The reason was the non existing emergency cooling system and lack of appropriate filters in the special ventilation system. The planned major tasks were fulfilled: building of the new emergency cooling system, reconstruction of the existing ventilation system, and renewal of the reactor power supply system. The existing RA reactor instrumentation was dismantled. Renewal of the reactor instrumentation was started but but it is behind the schedule because the delivery of components from USSR was stopped for political reasons. Since the RA reactor is shutdown since 1984, it is high time for decision making of its future status. Possible solutions for the future status of the RA reactor discussed in this report are: renewal of reactor components for the reactor restart, conservation of the reactor (temporary shutdown) or permanent reactor shutdown. Control and maintenance of the reactor instrumentation and devices was done regularly but dependent on the availability of the spare parts and financial means. Training of the existing personnel and was done regularly, but the new staff has no practical training since the reactor is not operated. Lack of financial support influenced strongly the status of RA reactor [sr

  2. Changing trend in emergency surgery for perforated duodenal ulcer

    International Nuclear Information System (INIS)

    Gurteyik, E.

    2003-01-01

    Objective: To evaluate changes in the emergency surgery of the duodenal ulcer. Subjects and Methods: Hospital records of 523 surgically treated patients, with duodenal ulcer perforation, during the period of 25 years 91975-1999) in the same surgical department, was retrospectively analysed. Changing aspects of emergency surgery of peptic ulcer disease, in the recent period, were determined in respect to number of operations per year and in the choice of operative methods. Results: The average number of patients and emergency operations per year was 21. No significant change was observed during the study period. Elective operations gradually decreased in the last ten years, and none was performed in the last 4 years. On the other hand, 226 emergency interventions for duodenal ulcer perforation were performed in the last ten years and 84 interventions in the last 4 years. Definitive anti-ulcer surgery was performed in 42% of patients between 1985 and 1994. Simple closure of the perforation plus treatment with proton pump inhibitors and with anti-Helicobacter pylori medication was the method in 80% during the last year. Conclusion: Emergency surgery for perforated duodenal ulcer preserves its steady rate despite disappearance of elective operations after tremendous progress in medical control of peptic ulcer disease. There is an obvious return from definitive anti-ulcer surgery to simple closure of the perforation followed by antisecretory and antibacterial medications in the recent years. (author)

  3. Quasidynamic emergency analysis, identification and control of power system frequency perturbations

    Energy Technology Data Exchange (ETDEWEB)

    Jovanovic, S M [Nikola Tesla Institute, Belgrade (YU)

    1990-07-01

    There are several possible operating states of a power system. These are the normal operating state (both secure and insecure), the emergency state, the extreme emergency state and the restorative state. The system enters the emergency operating state if any of the operating constraints are violated. Emergency analysis attempts to compute in real time the violations of these constraints and the new (successive) disturbances which arise from the initial ones. The paper presents a quasidynamic approach to emergency state analysis, identification and control of power system frequency perturbations. A quasidynamic model is derived by simplifying the conventional long-term dynamics model of power systems in the time interval 0-5 s. The quasidynamic model is algebraic in nature, but the time variable t is incorporated into the model and is used to describe the part of the system dynamics that is of interest in the specified time interval. The paper proposes an on-line computer emergency control strategy based on the above quasidynamic model. Finally, a numerical example is given for the Yugoslav power system. (author).

  4. Characteristics of Emergency Gastrointestinal Stromal Tumor (GIST).

    Science.gov (United States)

    Uçar, Ahmet Deniz; Oymaci, Erkan; Carti, Erdem Bariş; Yakan, Savaş; Vardar, Enver; Erkan, Nazif; Mehmet, Yildirim

    2015-05-01

    Gastrointestinal Stromal Tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract (GIT). Importance of GISTs is increasing while surgeons are facing with more frequent either in emergency setting of elective cases. Delineating the presentation and management of emergency GIST is important. From 2005 to 2014, emergency cases with final diagnosis of GIST were examined retrospectively. Total of 13 operated cases were evaluated by patients characteristics, clinical presentation, operational findings and postoperative prognosis. There were 9 male and 4 female with the mean age of 48.15 years. The most frequent presentations are ileus and GIT hemorrhage both covering the 84% of patients. Small bowel was the dominating site with ileus. Stomach was the second frequent site of the disease with the finding of hemorrhage. Emergency patients are more likely to come with small bowel GIST and obstruction symptoms. Hemorrhage is the most frequent symptom for emergency GIST of stomach and duodenum.

  5. Shielding analysis in the design phase of the new Emergency Operation Facility for Tihange Nuclear Power Plant

    Science.gov (United States)

    Genard, Gilles; Portal, Romain; Bouchat, Virginie; Vanderperre, Serge

    2017-09-01

    In the framework of the design studies for a new Emergency Operation Facility (EOF) for Tihange NPP, radiation protection analyses are needed to comply with effective dose rate criteria. In this aim, the shielding performed by, at the one hand, external walls and roof of the building and, on the other hand, internal walls, has been sized by means of MicroShield calculations. This paper explains how the calculations for external walls, doors, roof, floor and internal walls are made. The assumptions on the source terms and on the source geometry as well as the way the shielding is determined and the results of the sizing are presented.

  6. Shielding analysis in the design phase of the new Emergency Operation Facility for Tihange Nuclear Power Plant

    Directory of Open Access Journals (Sweden)

    Genard Gilles

    2017-01-01

    Full Text Available In the framework of the design studies for a new Emergency Operation Facility (EOF for Tihange NPP, radiation protection analyses are needed to comply with effective dose rate criteria. In this aim, the shielding performed by, at the one hand, external walls and roof of the building and, on the other hand, internal walls, has been sized by means of MicroShield calculations. This paper explains how the calculations for external walls, doors, roof, floor and internal walls are made. The assumptions on the source terms and on the source geometry as well as the way the shielding is determined and the results of the sizing are presented.

  7. Comparing cultural profiles of MCR operators with those of non-MCR operators working in domestic Nuclear Power Plants

    International Nuclear Information System (INIS)

    Park, Jinkyun; Jung, Wondea

    2015-01-01

    Operation experience of complex socio-technical systems such as Nuclear Power Plants (NPPs) shows that most significant events are attributable to human error. Thus, various kinds of Human Reliability Analysis (HRA) techniques were used to manage human error for safety-critical tasks. However, a lack of available HRA data is a critical issue in conducting an HRA. For this reason, many researchers have tried to provide HRA data extracted from simulated emergency conditions. Unfortunately, it is still doubtful to directly use these HRA data because different operational cultures may result in different human performances even under a similar task context. From this concern, previous studies claimed that Main Control Room (MCR) operators working in different NPPs share very similar cultural profile. In order to confirm this claim, the culture profiles of operating personnel (i.e., non-MCR and MCR operators) working in domestic NPPs are compared. As a result, although some discrepancies are observed, it is positive to say that operating personnel of NPPs share similar cultural profiles to some extent. This result can be regarded as the first step to provide technical underpinnings that are helpful for understanding human performance data collected from different countries. - Highlights: • National and organizational culture of MCR and non-MCR operators are compared. • Organizational culture profiles are almost identical. • National culture profiles are not quite different overall. • Operating personnel in Nuclear Power Plants seems to share similar cultural profiles

  8. Development of computerized supporting system for emergency response in nuclear power plant

    International Nuclear Information System (INIS)

    Lee, Jae Il

    1992-02-01

    In emergency situation of nuclear power plants, effective use of emergency operating procedures (EOPs) is a crucial part of the emergency response process. However, there are several problems in the emergency operating procedures because of the form of the written procedures. They are voluminous and complicate for effective references under high stress situation. Inevitably, it takes time that could be better spent employing measures to control and stabilize to select the correct procedures and apply the decision logic. In this study, a computerized supporting system has been developed to reduce the operator error possibility under emergency situations of nuclear power plant. Using on-line input parameters, the system can determine the status of the critical safety functions and can find appropriate procedures and necessary operator actions automatically. Moreover, the system can help the operator decision making in the core melt accident situation. By tracking the EOP in an on-line mode, most steps concerning checking or verifying plant state are processed automatically without operator participations. Therefore, the interactions between the system and the operator are simplified significantly and the possibility of human error is reduced

  9. Reevaluation of the emergency planning zone for nuclear power plants in Taiwan using MACCS2 code

    International Nuclear Information System (INIS)

    Wu, J.; Yang, Y.-M.; Chen, I.-J.; Chen, H.-T.; Chuang, K.-S.

    2006-01-01

    According to government regulations, the emergency planning zone (EPZ) of a nuclear power plant (NPP) must be designated before operation and reevaluated every 5 years. Corresponding emergency response planning (ERP) has to be made in advance to guarantee that all necessary resources are available under accidental releases of radioisotope. In this study, the EPZ for each of the three operating NPPs, Chinshan, Kuosheng, and Maanshan, in Taiwan was reevaluated using the MELCOR Accident Consequence Code System 2 (MACCS2) developed by Sandia National Laboratory. Meteorological data around the nuclear power plant were collected during 2003. The source term data including inventory, sensible heat content, and timing duration, were based on previous PRA information of each plant. The effective dose equivalent and thyroid dose together with the related individual risk and societal risk were calculated. By comparing the results to the protective action guide and related safety criteria, 1.5, 1.5, and 4.5 km were estimated for Chinshan, Kuosheng, and Maanshan NPPs, respectively. We suggest that a radius of 5.0 km is a reasonably conservative value of EPZ for each of the three operating NPPs in Taiwan

  10. Emergency preparedness

    CERN Document Server

    Cennini, E; Oortman Gerlings, P

    2009-01-01

    On September 19th 2008, a technical fault was at the centre of a sequence of events which hampered the performance of certain equipments of the LHC 3-4 sector. Once the first effects of this sequence of events were detected, the behaviour of the CERN staff confronted to this complex and critical situation became the centre of the risk control process. During such a downward spiral the preparation of all stakeholders is essential and should respect the (apparently) basic principles of emergency preparedness. Preparedness towards normal operation of CERN facilities towards minor up to major emergency situations will be presented. The main technical, organisational and legal frameworks of the CERN emergency preparedness will be recalled, highlighting the CERN risk management and risk control strategy. Then, the sequence of events experienced by different stakeholders on September 19th will be reported, thus starting the learned lessons process.

  11. 14 CFR 99.5 - Emergency situations.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Emergency situations. 99.5 Section 99.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES SECURITY CONTROL OF AIR TRAFFIC General § 99.5 Emergency situations. In an...

  12. Developing and operating a remotely operated work system in hostile and emergency environments

    International Nuclear Information System (INIS)

    Thorne, P.M.

    1987-01-01

    The author presents an overview of the factors that a project manager considering the use of remote work systems must keep in mind during the planning and execution of operations in hostile environments. Interfacing of the remote work system to the task and understanding mission parameters is emphasized. The author's thesis is based on many years of technical operations and project management roles using remote work systems in the subsea oil industry, military and, most recently, space and nuclear applications

  13. Emergency Response Guideline Development

    International Nuclear Information System (INIS)

    Gary D Storrick

    2007-01-01

    Task 5 of the collaborative effort between ORNL, Brazil, and Westinghouse for the International Nuclear Energy Research Initiative entitled 'Development of Advanced Instrumentation and Control for an Integrated Primary System Reactor' focuses on operator control and protection system interaction, with particular emphasis on developing emergency response guidelines (ERGs). As in the earlier tasks, we will use the IRIS plant as a specific example of an integrated primary system reactor (IPSR) design. The present state of the IRIS plant design--specifically, the lack of a detailed secondary system design--precludes establishing detailed emergency procedures at this time. However, we can create a structure for their eventual development. This report summarizes our progress to date. Section 1.2 describes the scope of this effort. Section 2 compares IPSR ERG development to the recent AP1000 effort, and identifies three key plant differences that affect the ERGs and control room designs. The next three sections investigate these differences in more detail. Section 3 reviews the IRIS Safety-by-Design philosophy and its impact on the ERGs. Section 4 looks at differences between the IRIS and traditional loop PWR I and C Systems, and considers their implications for both control room design and ERG development. Section 5 examines the implications of having one operating staff control multiple reactor units. Section 6 provides sample IRIS emergency operating procedures (EOPs). Section 7 summarizes our conclusions

  14. 14 CFR 91.503 - Flying equipment and operating information.

    Science.gov (United States)

    2010-01-01

    ... Turbine-Powered Multiengine Airplanes and Fractional Ownership Program Aircraft § 91.503 Flying equipment...) Emergency operation of fuel, hydraulic, electrical, and mechanical systems. (2) Emergency operation of...

  15. How are things adding up? Neural differences between arithmetic operations are due to general problem solving strategies.

    Science.gov (United States)

    Tschentscher, Nadja; Hauk, Olaf

    2014-05-15

    A number of previous studies have interpreted differences in brain activation between arithmetic operation types (e.g. addition and multiplication) as evidence in favor of distinct cortical representations, processes or neural systems. It is still not clear how differences in general task complexity contribute to these neural differences. Here, we used a mental arithmetic paradigm to disentangle brain areas related to general problem solving from those involved in operation type specific processes (addition versus multiplication). We orthogonally varied operation type and complexity. Importantly, complexity was defined not only based on surface criteria (for example number size), but also on the basis of individual participants' strategy ratings, which were validated in a detailed behavioral analysis. We replicated previously reported operation type effects in our analyses based on surface criteria. However, these effects vanished when controlling for individual strategies. Instead, procedural strategies contrasted with memory retrieval reliably activated fronto-parietal and motor regions, while retrieval strategies activated parietal cortices. This challenges views that operation types rely on partially different neural systems, and suggests that previously reported differences between operation types may have emerged due to invalid measures of complexity. We conclude that mental arithmetic is a powerful paradigm to study brain networks of abstract problem solving, as long as individual participants' strategies are taken into account. Copyright © 2014 Elsevier Inc. All rights reserved.

  16. Emergency management information system (EMINS)

    International Nuclear Information System (INIS)

    Desonier, L.M.

    1987-01-01

    In a time of crisis or in an emergency, a manager is required to make many decisions to facilitate the proper solution and conclusion to the emergency or crisis. In order to make these decisions, it is necessary for the manager to have correct up-to-date information on the situation, which calls for an automated information display and entry process. The information handling needs are identified in terms of data, video, and voice. Studies of existing Emergency Operations Centers and evaluations of hardware and software have been completed. The result of these studies and investigations is the design and implementation of an automated Emergency Management Information System. Not only is the system useful for Emergency Management but for any information management requirement

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

    Science.gov (United States)

    Lubbe, D; Semple, P

    2008-06-01

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

  18. Integrated emergency management in KKG

    International Nuclear Information System (INIS)

    Kluegel, J.U.; Plank, H.

    2007-01-01

    The development and introduction of emergency measures in Switzerland was mainly characterized by the evaluation of international experience and by systematic analysis of beyond-design basis accidents within the framework of plant-specific probabilistic safety analyses. As early as in the mid-eighties, the Swiss regulatory authority demanded that measures be taken against severe accidents, and periodically added more detailed requirements, most recently in 2000 when the introduction of Severe Accident Management Guidelines (SMAG) was demanded for power operation as well as operation in the non-power mode. The SMAG were introduced at the Goesgen nuclear power station within a project in the period between 2003 and 2005. For this purpose, a concept of integrated emergency management was developed which is based on updates of the proven emergency manual. One important aspect of this integrative concept is the distinction between preventive and mitigating procedures by defining appropriate criteria. The findings made in the implementation phase of the project include the realization that the introduction of procedures dealing with severe accidents also requires the ability to develop new ways of thinking and acting in accident management. This implies the awareness that procedures covering severe accidents must be applied much more flexibly and in the light of the situation than regulations covering fault conditions. Also possibilities to simulate severe accidents were created within the project both for the development of procedures and for training plant operators and members of the emergency staff. (orig.)

  19. Emergency management in the early phase

    International Nuclear Information System (INIS)

    Crick, M.

    2003-01-01

    Full text: An overview of emergency management is provided from a systems approach with the aim of providing a common understanding for the diverse symposium participants of the elements of the management system required for preparedness and response for the early phase of an emergency at a nuclear installation. The systems approach starts with the recognition of response goals, and using detailed analyses of threats, past experience, international law and principles, a response strategy is developed. This step is illustrated with the case of severe accidents at PWRs and identifies the need for and nature of: emergency classification based an plant conditions; notification; radiological monitoring and assessment strategies; operational criteria for implementing protective action decisions; management of public information. From the strategy, detailed functional requirements can be defined addressing: establishing emergency management and operations; identifying, notifying and activating; taking mitigatory action; taking urgent protective action; providing information and issuing instructions and warnings to the public; protecting emergency workers; assessing the initial phase; managing the medical response; keeping the public informed; taking countermeasures against ingestion; mitigating the non-radiological consequences of the emergency and the response. Meeting these requirements necessitates decisions from competent authorities, the means to implement them, and mechanisms for response co-ordination, which need to be prepared in advance. These are supported by infrastructure, including: clear authorities; organization; coordinated plans and procedures; logistical support, facilities and tools; training and exercises; and a quality assurance programme. Some reflections an the key differences between response to emergencies arising from accidents and these arising from deliberate acts will be provided. An impression will be given of the level of preparedness and

  20. Functional criteria for emergency response facilities. Technical report (final)

    International Nuclear Information System (INIS)

    1981-02-01

    This report describes the facilities and systems to be used by nuclear power plant licensees to improve responses to emergency situations. The facilities include the Technical Support Center (TSC), Onsite Operational Support Center (OSC), and Nearsite Emergency Operations Facility (EOF), as well as a brief discussion of the emergency response function of the control room. The data systems described are the Safety Parameter Display System (SPDS) and Nuclear Data Link (NDL). Together, these facilities and systems make up the total Emergency Response Facilities (ERFs). Licensees should follow the guidance provided both in this report and in NUREG-0654 (FEMA-REP-1), Revision 1, for design and implementation of the ERFs

  1. Emergency Preparedness and Response: A Safety Net

    Energy Technology Data Exchange (ETDEWEB)

    Aaltonen, H., E-mail: hannele.aaltonen@stuk.fi [Radiation and Nuclear Safety Authority (STUK), Helsinki (Finland)

    2014-10-15

    Full text: The objective of nuclear regulatory work is to prevent accidents. Nevertheless, possibility of a severe accident cannot be totally excluded, which makes a safety net, efficient emergency preparedness and response, necessary. Should the possibility of accidents be rejected, the result would be in the worst case inadequate protection of population, functions of society, and environment from harmful effects of radiation. Adequate resources for maintenance and development of emergency arrangement are crucial. However, they need to be balanced taking into account risks assessments, justified expectations of society, and international requirements. To successfully respond to an emergency, effective emergency preparedness, such as up-to-date plans and procedures, robust arrangements and knowledgeable and regularly trained staff are required. These, however, are not enough without willingness and proactive attitude to • communicate in a timely manner; • co-operate and coordinate actions; • provide and receive assistance; and • evaluate and improve emergency arrangements. In the establishment and development of emergency arrangements, redundant and diverse means or tools used are needed in, for example, communication and assessment of hazard. Any severe nuclear emergency would affect all countries either directly or indirectly. Thus, national emergency arrangements have to be compatible to the extent practicable with international emergency arrangements. It is important to all countries that the safety nets of emergency arrangements are reliable - and operate efficiently in a coordinated manner when needed - on national, regional and international level. (author)

  2. 46 CFR 129.440 - Emergency lighting.

    Science.gov (United States)

    2010-10-01

    ... INSTALLATIONS Lighting Systems § 129.440 Emergency lighting. (a) A vessel of less than 100 gross tons must have... working (machinery) spaces below the main deck. (b) The emergency lighting required by paragraph (a) of... to an automatic battery-charger; and (4) Of enough capacity for 6 hours of continuous operation. ...

  3. Defining an emerging disease.

    Science.gov (United States)

    Moutou, F; Pastoret, P-P

    2015-04-01

    Defining an emerging disease is not straightforward, as there are several different types of disease emergence. For example, there can be a 'real' emergence of a brand new disease, such as the emergence of bovine spongiform encephalopathy in the 1980s, or a geographic emergence in an area not previously affected, such as the emergence of bluetongue in northern Europe in 2006. In addition, disease can emerge in species formerly not considered affected, e.g. the emergence of bovine tuberculosis in wildlife species since 2000 in France. There can also be an unexpected increase of disease incidence in a known area and a known species, or there may simply be an increase in our knowledge or awareness of a particular disease. What all these emerging diseases have in common is that human activity frequently has a role to play in their emergence. For example, bovine spongiform encephalopathy very probably emerged as a result of changes in the manufacturing of meat-and-bone meal, bluetongue was able to spread to cooler climes as a result of uncontrolled trade in animals, and a relaxation of screening and surveillance for bovine tuberculosis enabled the disease to re-emerge in areas that had been able to drastically reduce the number of cases. Globalisation and population growth will continue to affect the epidemiology of diseases in years to come and ecosystems will continue to evolve. Furthermore, new technologies such as metagenomics and high-throughput sequencing are identifying new microorganisms all the time. Change is the one constant, and diseases will continue to emerge, and we must consider the causes and different types of emergence as we deal with these diseases in the future.

  4. Emergency response facility technical data system of Taiwan Power Company

    International Nuclear Information System (INIS)

    Lin, E.; Liang, T.M.

    1987-01-01

    Taiwan Power Company (Taipower) has developed its emergency response facility program since 1981. This program is integrated with the following activities to enhance the emergency response capability of nuclear power plants: (1) survey of the plant instrumentation based on the requirements of R.G. 1.97; (2) improvement of plant specific emergency operating procedures based on the emergency response guidelines developed by the Owners group; (3) implementation of the detailed control room design review with the consideration of human engineering and task analysis; and (4) organization, staff and communication of emergency planning of nuclear power plant. The emergency response facility programs of Taipower are implemented in Chinshan (GE BWR4/MARK I), Kuosheng (GE BWR6/MARK III) and Maanshan (W PWR). The major items included in each program are: (1) to establish new buildings for On-Site Technical Support Center, Near-Site Emergency Operation Facility; (2) to establish an Emergency Executive Center at Taipower headquarters; (3) to establish the communication network between control room and emergency response facilities; and (4) to install a dedicated Emergency Response Facility Technical Data System (ERFTDS) for each plant. The ERFTDS provides the functions of data acquisition, data processing, data storage and display in meeting with the requirements of NUREG 0696. The ERFTDS is designed with plant specific requirements. These specific requirements are expected to be useful not only for the emergency condition but also for normal operation conditions

  5. [The evaluation of academic emergency department design].

    Science.gov (United States)

    Deniz, Turgut; Aydinuraz, Kuzey; Oktay, Cem; Saygun, Meral; Ağalar, Fatih

    2007-01-01

    In our study which was based upon a questionnaire, the inner and outer architectural designs of emergency services of Emergency Medicine Departments were investigated. In this descriptive study, a standard questionnaire was sent to 26 Emergency Medicine Departments which were operating at that time. In the questionnaire, the internal, external architectural and functional features were questioned. Answers of 22 Emergency Medicine Departments were analysed. Two Emergency Medicine Departments that were not operating at that time were not included in the study. The analysis of the replies revealed that only 59% (n=13) of the Emergency Medicine Departments were designed as an emergency service prior to the construction. The ambulance parking areas were not suitable in 77% of the emergency units while only 54.5% (n=12) had protection against adverse weather conditions. In only 59% (n=13) of the emergency units, a triage unit was present and in only one of the in only one (4.5%), a decontamination room was available. It was understood that only 32% (n=8) of the emergency units were appropriate in enlarging their capacity taking the local risk factors into consideration. There was a toilette for disabled patients in only 18% (n=4) of the units as well. Considering a 12-year of history of the Emergency Medicine in Turkey, the presence of a lecture room is still 68% (n=15) in emergency departments which reflects that academic efforts in this field is emerging in challenging physical conditions. The results of our study revealed that emergency service architecture was neglected in Turkey and medical care given was precluded by the insufficient architecture. The design of emergency services has to be accomplished under guidance of scientific data and rules taking advices of architects who have knowledge and experience on this field.

  6. Emergent cardiopulmonary bypass during pectus excavatum repair

    Directory of Open Access Journals (Sweden)

    Ryan Craner

    2013-01-01

    Full Text Available Pectus excavatum is a chest wall deformity that produces significant cardiopulmonary disability and is typically seen in younger patients. Minimally invasive repair of pectus excavatum or Nuss procedure has become a widely accepted technique for adult and pediatric patients. Although it is carried out through a thoracoscopic approach, the procedure is associated with a number of potential intraoperative and post-operative complications. We present a case of cardiac perforation requiring emergent cardiopulmonary bypass in a 29-year-old male with Marfan syndrome and previous mitral valve repair undergoing a Nuss procedure for pectus excavatum. This case illustrates the importance of vigilance and preparation by the surgeons, anesthesia providers as well as the institution to be prepared with resources to handle the possible complications. This includes available cardiac surgical backup, perfusionist support and adequate blood product availability.

  7. Clarification of TMI action plan requirements. Requirements for emergency response capability

    International Nuclear Information System (INIS)

    1983-01-01

    This document, Supplement 1 to NUREG-0737, is a letter from D. G. Eisenhut, Director of the Division of Licensing, NRR, to licensees of operating power reactors, applicants for operating licenses, and holders of construction permits forwarding post-TMI requirements for emergency response capability which have been approved for implementation. On October 30, 1980, the NRC staff issued NUREG-0737, which incorporated into one document all TMI-related items approved for implementation by the Commission at that time. In this NRC report, additional clarification is provided regarding Safety Parameter Display Systems, Detailed Control Room Design Reviews, Regulatory Guide 1.97 (Revision 2) - Application to Emergency Response Facilities, Upgrade of Emergency Operating Procedures, Emergency Response Facilities, and Meteorological Data

  8. Emerging contaminants at a closed and an operating landfill in Oklahoma

    Science.gov (United States)

    Andrews, William J.; Masoner, Jason R.; Cozzarelli, Isabelle M.

    2012-01-01

    Landfills are the final depositories for a wide range of solid waste from both residential and commercial sources, and therefore have the potential to produce leachate containing many organic compounds found in consumer products such as pharmaceuticals, plasticizers, disinfectants, cleaning agents, fire retardants, flavorings, and preservatives, known as emerging contaminants (ECs). Landfill leachate was sampled from landfill cells of three different age ranges from two landfills in Central Oklahoma. Samples were collected from an old cell containing solid waste greater than 25 years old, an intermediate age cell with solid waste between 16 and 3 years old, and operating cell with solid waste less than 5 years old to investigate the chemical variability and persistence of selected ECs in landfill leachate of differing age sources. Twenty-eight of 69 analyzed ECs were detected in one or more samples from the three leachate sources. Detected ECs ranged in concentration from 0.11 to 114 μg/L and included 4 fecal and plant sterols, 13 household\\industrial, 7 hydrocarbon, and 4 pesticide compounds. Four ECs were solely detected in the oldest leachate sample, two ECs were solely detected in the intermediate leachate sample, and no ECs were solely detected in the youngest leachate sample. Eleven ECs were commonly detected in all three leachate samples and are an indication of the contents of solid waste deposited over several decades and the relative resistance of some ECs to natural attenuation processes in and near landfills.

  9. Employee Perceptions of Their Organization's Level of Emergency Preparedness Following a Brief Workplace Emergency Planning Educational Presentation.

    Science.gov (United States)

    Renschler, Lauren A; Terrigino, Elizabeth A; Azim, Sabiya; Snider, Elsa; Rhodes, Darson L; Cox, Carol C

    2016-06-01

    A brief emergency planning educational presentation was taught during work hours to a convenience sample of employees of various workplaces in Northern Missouri, USA. Participants were familiarized with details about how an emergency plan is prepared by management and implemented by management-employee crisis management teams - focusing on both employee and management roles. They then applied the presentation information to assess their own organization's emergency preparedness level. Participants possessed significantly (p employees to become more involved in their organization's emergency planning and response. Educational strategies that involve management-employee collaboration in activities tailored to each workplace's operations and risk level for emergencies should be implemented.

  10. Mobilization suited for each radiological emergency

    International Nuclear Information System (INIS)

    Chambrette, V.

    2013-01-01

    This poster presents the role played by IRSN (French Institute for Radiation protection and Nuclear Safety) in case of radiological alert. This alert can be sent by the administration, a fire brigade, a nuclear operator or a remote monitor of radioactivity. In case of an emergency situation: IRSN provides radiological intervention and assistance on the site. In case of national crisis organization, IRSN will implement the emergency technical center and will send a mobile cell to the Operational Command Station of the Prefecture concerned. In both cases IRSN will be in charge of assessing the individuals' exposure and the impact on the environment

  11. Total hip arthroplasty after a previous pelvic osteotomy: A systematic review and meta-analysis.

    Science.gov (United States)

    Shigemura, T; Yamamoto, Y; Murata, Y; Sato, T; Tsuchiya, R; Wada, Y

    2018-06-01

    There are several reports regarding total hip arthroplasty (THA) after a previous pelvic osteotomy (PO). However, to our knowledge, until now there has been no formal systematic review and meta-analysis published to summarize the clinical results of THA after a previous PO. Therefore, we conducted a systematic review and meta-analysis of results of THA after a previous PO. We focus on these questions as follows: does a previous PO affect the results of subsequent THA, such as clinical outcomes, operative time, operative blood loss, and radiological parameters. Using PubMed, Web of Science, and Cochrane Library, we searched for relevant original papers. The pooling of data was performed using RevMan software (version 5.3, Cochrane Collaboration, Oxford, UK). A p-value50%, significant heterogeneity was assumed and a random-effects model was applied for the meta-analysis. A fixed-effects model was applied in the absence of significant heterogeneity. Eleven studies were included in this meta-analysis. The pooled results indicated that there was no significant difference in postoperative Merle D'Aubigne-Postel score (I 2 =0%, SMD=-0.15, 95% CI: -0.36 to 0.06, p=0.17), postoperative Harris hip score (I 2 =60%, SMD=-0.23, 95% CI: -0.50 to 0.05, p=0.10), operative time (I 2 =86%, SMD=0.37, 95% CI: -0.09 to 0.82, p=0.11), operative blood loss (I 2 =82%, SMD=0.23, 95% CI: -0.17 to 0.63, p=0.25), and cup abduction angle (I 2 =43%, SMD=-0.08, 95% CI: -0.25 to 0.09, p=0.38) between THA with and without a previous PO. However, cup anteversion angle of THA with a previous PO was significantly smaller than that of without a previous PO (I 2 =77%, SMD=-0.63, 95% CI: -1.13 to -0.13, p=0.01). Systematic review and meta-analysis of results of THA after a previous PO was performed. A previous PO did not affect the results of subsequent THA, except for cup anteversion. Because of the low quality evidence currently available, high-quality randomized controlled trials are required

  12. Emergency planning and response - role nad responsibilities of the regulatory body

    International Nuclear Information System (INIS)

    Nizamska, M.

    1999-01-01

    The development of a emergency plan and organisation of adequate emergency preparedness in case of radiological accident in NPP cannot be effective without the appropriate preparatory work. In most countries, also in Republic of Bulgaria, several organisations are identified to have a potential role to play in a radiological emergency. For these reason is very important to have a national organisation, with a mandate to organise, inspect and co-ordinate the possibility of ministries and institution to react in case of radiological emergency, i.e. to quarantine the possibility for implementation of adequate counter measure for protection of the population and environment in case of radiological emergency in NPP. For the purposes of the emergency planning and response the NPP operator, ministries and the institutions developed an Emergency plan - NPP Emergency Plan and National Emergency Plan. The development of the emergency plans will be impossible without the good co-operation of the organisations which have a responsibilities in a radiological emergency. Once emergency plans are adopted, each individual organisation, also the NPP operator, must ensure that in can carry out its role effectively in accordance with the emergency plan and can develop the appropriate organisation for action and implementation of protection counter measures. For testing the emergency plans a regular exercise must be organised. Periodic reviews of the plan and modifications, based on actual events and exercise experience must be performed. The main aim of these report is to present the Bulgarian emergency planning organisation and response by explaining the national emergency panning and response legislation, implementation of IAEA recommendations and exercise experience

  13. The emergency organization of the Federal Institute for Reactor Research

    International Nuclear Information System (INIS)

    Brunner, H.; Huerlimann, T.

    1977-01-01

    The organization and means of the emergency organization of the Federal Institute for Reactor Research (EIR), the eldest and largest nuclear installation in Switzerland, are described. It consists of a central command group and the following emergency teams: fire brigade, radiation protection, first aid, control, operating teams (reactors, hot laboratory etc.). The radiation protection team is formed by the Health Physics Division and is discussed in detail. A description of the alarm system and the first actions to be taken in case of an emergency is given. The importance of frequent and well-planned exercises and of radio communication between the teams and the command group is stressed and the emergency training programme of the EIR School for Radiation Protection, operated by the Health Physics Division, is presented. A fortunate lack of incidents at EIR is partly compensated for by experience gained from emergency team assistance operations during incidents outside the Institute. (author)

  14. Optimizing clinical operations as part of a global emergency medicine initiative in Kumasi, Ghana: application of Lean manufacturing principals to low-resource health systems.

    Science.gov (United States)

    Carter, Patrick M; Desmond, Jeffery S; Akanbobnaab, Christopher; Oteng, Rockefeller A; Rominski, Sarah D; Barsan, William G; Cunningham, Rebecca M

    2012-03-01

    Although many global health programs focus on providing clinical care or medical education, improving clinical operations can have a significant effect on patient care delivery, especially in developing health systems without high-level operations management. Lean manufacturing techniques have been effective in decreasing emergency department (ED) length of stay, patient waiting times, numbers of patients leaving without being seen, and door-to-balloon times for ST-elevation myocardial infarction in developed health systems, but use of Lean in low to middle income countries with developing emergency medicine (EM) systems has not been well characterized. To describe the application of Lean manufacturing techniques to improve clinical operations at Komfo Anokye Teaching Hospital (KATH) in Ghana and to identify key lessons learned to aid future global EM initiatives. A 3-week Lean improvement program focused on the hospital admissions process at KATH was completed by a 14-person team in six stages: problem definition, scope of project planning, value stream mapping, root cause analysis, future state planning, and implementation planning. The authors identified eight lessons learned during our use of Lean to optimize the operations of an ED in a global health setting: 1) the Lean process aided in building a partnership with Ghanaian colleagues; 2) obtaining and maintaining senior institutional support is necessary and challenging; 3) addressing power differences among the team to obtain feedback from all team members is critical to successful Lean analysis; 4) choosing a manageable initial project is critical to influence long-term Lean use in a new environment; 5) data intensive Lean tools can be adapted and are effective in a less resourced health system; 6) several Lean tools focused on team problem-solving techniques worked well in a low-resource system without modification; 7) using Lean highlighted that important changes do not require an influx of resources; and

  15. Improving operator quality at Genkai Nuclear Power Plant

    International Nuclear Information System (INIS)

    Kuwano, Takeshi.

    1989-01-01

    Improvement in operator quality, or improvement in an operator's skill and professional knowledge, is of prime importance because of its great influence on safe and steady plant operation. This paper describes the education and training of reactor operators at the Genkai pressurized water reactor nuclear power plant with respect to the following topics: organization of Genkai power plant; education and training program management; training at the Nuclear Training Center; training and education on-site including emergency procedures training, normal operating procedures training, informational study of emergency conditions in existing plants, and all-around training of operators; qualifying tests for supervisors; and operator motivation

  16. Geography, ecology and emerging infectious diseases.

    Science.gov (United States)

    Mayer, J D

    2000-04-01

    Emerging infectious diseases are the focus of increased attention and even alarm in the scholarly and popular literature. The emergence of new diseases and the resurgence of older and previously recognized infectious diseases both in developing and developed country poses challenges for understanding the ecological web of causation, including social, economic, environmental and biological components. This paper is a synthesis of the major characteristics of emerging diseases, in an interdisciplinary context. Political ecology is one framework for analysis that is promising in developing a modified ecology of disease.

  17. Study on the offsite emergency planning against an accident in NPP

    International Nuclear Information System (INIS)

    Khang, Byung Oui; Lee, Goan Yup; Wu, Jong Sup; Kim, Joo Hag; Lee, Jong Tai; Lee, Jae Eun; Ahn, Chul Hyun; Ahn, Jae Hyun; Park, Dae Woo

    2009-12-01

    - Proposing effective local nuclear emergency preparedness system against nuclear/radiological accidents. - Proposing improved preparation/operation scheme on emergency response facilities, installations and equipment. - Establishing protection scheme on the general public against nuclear/radiological accidents. - Proposing effective preparation/operation scheme on local radioactive monitoring system. - Establishing effective training/drill scheme on the nuclear emergency preparedness. - Proposing effective technical administrative system of the local government (Busan metropolitan city)

  18. Province of Ontario nuclear emergency plan. Pt. 1

    International Nuclear Information System (INIS)

    1986-06-01

    The Province of Ontario Nuclear Emergency Plan has been developed pursuant to Section 8 of the Emergency Plans Act, 1983. This plan replaces the Province of Ontario Nuclear Contingency Off-Site Plan (June 1980) which is no longer applicable. The wastes plan includes planning, preparation, emergency organization and operational responsibilities and policy

  19. Cultivating stakeholder interaction in emergency management

    International Nuclear Information System (INIS)

    Weaver, W.J.; Brownell, L.F.

    1994-01-01

    The Secretary of Energy has defined the mission for the Department. Her vision for the Department of Energy (DOE) is to promote environmental excellence, economic growth, and leadership in science and technology. The Office of Environmental Restoration and Waste Management (EM), which is responsible for implementing an emergency management system for EM facilities and the transport of non-weapons-related radioactive materials, has addressed this mission through the establishment of six goals. This paper specifically discusses efforts to accomplish the last goal: Develop a stronger partnership between the DOE and its stakeholders. EM's Emergency Management Program supports strong partnerships with all interested parties. The EM Emergency Management Program provides the capability for preparedness in the event of an operational emergency at EM facilities, and it gives DOE the capability for preparedness in the event of an operational emergency involving DOE shipments of non-weapons-related radioactive and hazardous materials in transit. The Program is committed to plan, train, and provide material resources for the protection and safety of DOE workers, the public, and the environment. A great deal of stakeholder interaction is associated with the transport of DOE radioactive materials. To assure a communication link to other DOE program areas and interested stakeholders outside the DOE, the Emergency Management Program has committed extensive resources within the transportation program to promote and support EM's commitment to stakeholder involvement. The Transportation Emergency Preparedness Program (TEPP) develops and enhances integrated emergency preparedness in the area of transportation. TEPP coordinates programs across the DOE complex and supplies a DOE-wide unified approach to the public

  20. Business continuity management in emerging markets: the case of Jordan.

    Science.gov (United States)

    Sawalha, Ihab H; Anchor, John R

    2012-01-01

    Despite their considerable growth in last few decades, emerging markets (EM) face numerous risks that have the potential to slow down or obstruct their development. Three main issues are discussed in this paper: first, the risks facing organisations operating in emerging markets and Jordan in particular; secondly, the role of business continuity management (BCM) in emerging markets; and thirdly, potential factors that underpin the role of BCM in emerging markets. These issues are significant, as they represent the role of BCM in highly dynamic and fast changing business environments. The paper provides a discussion of the significance of BCM in reducing or preventing risks facing organisations operating in emerging markets, especially those in Jordan.

  1. Interactive emergency communication involving persons in crisis.

    Science.gov (United States)

    Nordby, Halvor; Nøhr, Øyvind

    2009-01-01

    We studied the dialogue between telephone operators at medical emergency communication centres in Norway and parents of children later diagnosed with sudden infant death syndrome. The aim was to understand how the parents experienced the communication with the telephone operators. The qualitative method involved semi-structured interviews. We interviewed six respondents from urban areas and five from rural areas. An important finding was that all the parents were satisfied with the resuscitation instructions they received. It was also perceived as important that the emergency operators expressed empathy and care. We believe that it is not merely the quality of the resuscitation attempts that the operators' efforts should be measured against. It is also important that the operators provide good explanations and express emotional support. Our findings indicate that this will be enormously appreciated, even if callers do not feel that they are capable of performing optimum resuscitation.

  2. Environmental monitoring in emergency situations

    International Nuclear Information System (INIS)

    1966-01-01

    This manual gives technical guidance on emergency monitoring procedures to those who would have to assess the situation after an accident leading to the uncontrolled release of radioactive substances to the environment. Its aim is to draw attention to the important factors that should be considered in formulating emergency plans. The seven annexes contain inventories of fission products and possible releases; dispersion, deposition and dose-exposure relationships for airborne releases; α-, β- and γ-radiation surveys; information on sample collection and field evaluation; and brief descriptions of the environmental monitoring procedures adopted in previous emergencies (Windscale 1957, AERE Harwell 1961 and NRTS Idaho 1961).

  3. The non-perturbative QCD Debye mass from a Wilson line operator

    CERN Document Server

    Laine, Mikko

    1999-01-01

    According to a proposal by Arnold and Yaffe, the non-perturbative g^2T-contribution to the Debye mass in the deconfined QCD plasma phase can be determined from a single Wilson line operator in the three-dimensional pure SU(3) gauge theory. We extend a previous SU(2) measurement of this quantity to the physical SU(3) case. We find a numerical coefficient which is more accurate and smaller than that obtained previously with another method, but still very large compared with the naive expectation: the correction is larger than the leading term up to T ~ 10^7 T_c, corresponding to g^2 ~ 0.4. At moderate temperatures T ~ 2 T_c, a consistent picture emerges where the Debye mass is m_D ~ 6T, the lightest gauge invariant screening mass in the system is ~ 3T, and the purely magnetic operators couple dominantly to a scale ~ 6T. Electric (~ gT) and magnetic (~ g^2T) scales are therefore strongly overlapping close to the phase transition, and the colour-electric fields play an essential role in the dynamics.

  4. Proposal of modification of the Atucha I nuclear power plant's emergency power supply system

    International Nuclear Information System (INIS)

    Palacio, Pedro; Dabove, Mario

    1989-01-01

    The emergency power supply system of Atucha I N.P.P. consists of three 50% diesel generators. During the transient from normal power supply to emergency power supply (approximately 15 seconds) an hydraulic generator takes care of the emergency system. By this way, the emergency busbars constitute themselves an interruption free system. The two emergency busbars work normally coupled. This proposal consists of the following modifications: 1) Add a new diesel generator in order to allow the operation with two diesel generators per busbar. 2) To work with the two emergency busbars not coupled as normal operation mode. 3) To eliminate the hydraulic generator from the emergency power supply system, in order to simplify the operation and to reduce the failure possibility. Without the hydraulic turbine generator, the emergency busbars loose the interruption free condition. For this reason, for the loads that are not able for this mode of operation and are connected to the emergency power supply system, two additional low-voltage interruption free busbars are necessary. Finally, this proposal is compared with the Atucha II N.P.P. emergency power supply system. (Author)

  5. Modeling Hourly Resident Productivity in the Emergency Department.

    Science.gov (United States)

    Joseph, Joshua W; Henning, Daniel J; Strouse, Connie S; Chiu, David T; Nathanson, Larry A; Sanchez, Leon D

    2017-08-01

    Resident productivity, defined as new patients per hour, carries important implications for emergency department operations. In high-volume academic centers, essential staffing decisions can be made on the assumption that residents see patients at a static rate. However, it is unclear whether this model mirrors reality; previous studies have not rigorously examined whether productivity changes over time. We examine residents' productivity across shifts to determine whether it remained consistent. This was a retrospective cohort study conducted in an urban academic hospital with a 3-year emergency medicine training program in which residents acquire patients ad libitum throughout their shift. Time stamps of all patient encounters were automatically logged. A linear mixed model was constructed to predict productivity per shift hour. A total of 14,364 8- and 9-hour shifts were worked by 75 residents between July 1, 2010, and June 20, 2015. This comprised 6,127 (42.7%) postgraduate year (PGY) 1 shifts, 7,236 (50.4%) PGY-2 shifts, and 998 (6.9%) PGY-3 nonsupervisory shifts (Table 1). Overall, residents treated a mean of 10.1 patients per shift (SD 3.2), with most patients at Emergency Severity Index level 3 or more acute (93.8%). In the initial hour, residents treated a mean of 2.14 patients (SD 1.2), and every subsequent hour was associated with a significant decrease, with the largest in the second, third, and final hours. Emergency medicine resident productivity during a single shift follows a reliable pattern that decreases significantly hourly, a pattern preserved across PGY years and types of shifts. This suggests that resident productivity is a dynamic process, which should be considered in staffing decisions and studied further. Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  6. Preparation of emergency care centre exercises

    International Nuclear Information System (INIS)

    Schnadt, H.; Miska, H.

    2011-01-01

    Setup and operation of emergency care centres (sometimes also addressed as emergency reception centres) are part of emergency response in the environs of nuclear power plants. The preparation of an exercise scenario for such a centre is very demanding on the responsible agency. Therefore, a computer code has been developed which helps to translate the exercise objectives into instructions for figurants which simulate the affected population. These instructions are intended to steer a determined flow of people through the emergency care centre by providing fictitious radiological readings and by injecting the demand for additional actions of response personnel by statements and questions. (orig.)

  7. External plans for radiological emergency; Plan de emergencia radiologica externo

    Energy Technology Data Exchange (ETDEWEB)

    Suarez, G; Vizuet G, J; Benitez S, J A [Instituto Nacional de Investigaciones Nucleares, A.P. 18-1027, 11801 Mexico D.F. (Mexico)

    1999-07-01

    Since 1989, the National Institute of Nuclear Research in Mexico shares in the task of Food and Water Control corresponding to the FT-86 task force of External Plans for Radiological Emergency (PERE), in charge of the Veracruz Health Services. In the PERE preparation stage previous actions are necessary developed for the preparation and updating of this plan and the task organization with the purpose to maintaining standing and operable in any time and circumstance, the capability to response in the face of an emergency. This stage englobes activities which must be realized before to carry out the Plan as they are the specialized training of personnel which participates and the execution of exercises and simulacrums. Until 1998, training and exercises for this task had been realized under diverse possible sceneries but in conditions that simulated the presence of radioactive material. For this reason, it should be emphasized the training realized during the days 6th, 7th, 8th July, 1999, in the emergency planning zone of the Plan, which to carry out using radioactive material. The National Institute of Nuclear Research had in charge of the training. This work describes all the activities for the realization of this training. (Author)

  8. Emergency Response Data System (ERDS) implementation

    International Nuclear Information System (INIS)

    Jolicoeur, J.

    1991-06-01

    The US Nuclear Regulatory Commission has begun implementation of the Emergency Response Data System (ERDS) to upgrade its ability to acquire data from nuclear power plants in the event of an emergency at the plant. ERDS provides a direct real-time transfer of data from licensee plant computers to the NRC Operations Center. The system has been designed to be activated by the licensee during an emergency which has been classified at an ALERT or higher level. The NRC portion of ERDS will receive the data stream, sort and file the data. The users will include the NRC Operations Center, the NRC Regional Office of the affected plant, and if requested the States which are within the ten mile EPZ of the site. The currently installed Emergency Notification System will be used to supplement ERDS data. This report provides the minimum guidance for implementation of ERDS at licensee sites. It is intended to be used for planning implementation under the current voluntary program as well as for providing the minimum standards for implementing the proposed ERDS rule. 4 refs., 3 figs

  9. Emergency Response Data System (ERDS) implementation

    International Nuclear Information System (INIS)

    Jolicoeur, J.

    1990-04-01

    The US Nuclear Regulatory Commission has begun implementation of the Emergency Response Data System (ERDS) to upgrade its ability to acquire data from nuclear power plants in the event of an emergency at the plant. ERDS provides a direct real-time transfer of data from licensee plant computers to the NRC Operations Center. The system has been designed to be activated by the licensee during an emergency which has been classified at an ALERT or higher level. The NRC portion of ERDS will receive the data stream, sort and file the data. The users will include the NRC Operations Center, the NRC Regional Office of the affected plant, and if requested the States which are within the ten mile EPZ of the site. The currently installed Emergency Notification System will be used to supplement ERDS data. This report provides the minimum guidance for implementation of ERDS at licensee sites. It is intended to be used for planning implementation under the current voluntary program as well as for providing the minimum standards for implementing the proposed ERDS rule

  10. Critical differences between elective and emergency surgery: identifying domains for quality improvement in emergency general surgery.

    Science.gov (United States)

    Columbus, Alexandra B; Morris, Megan A; Lilley, Elizabeth J; Harlow, Alyssa F; Haider, Adil H; Salim, Ali; Havens, Joaquim M

    2018-04-01

    The objective of our study was to characterize providers' impressions of factors contributing to disproportionate rates of morbidity and mortality in emergency general surgery to identify targets for care quality improvement. Emergency general surgery is characterized by a high-cost burden and disproportionate morbidity and mortality. Factors contributing to these observed disparities are not comprehensively understood and targets for quality improvement have not been formally developed. Using a grounded theory approach, emergency general surgery providers were recruited through purposive-criterion-based sampling to participate in semi-structured interviews and focus groups. Participants were asked to identify contributors to emergency general surgery outcomes, to define effective care for EGS patients, and to describe operating room team structure. Interviews were performed to thematic saturation. Transcripts were iteratively coded and analyzed within and across cases to identify emergent themes. Member checking was performed to establish credibility of the findings. A total of 40 participants from 5 academic hospitals participated in either individual interviews (n = 25 [9 anesthesia, 12 surgery, 4 nursing]) or focus groups (n = 2 [15 nursing]). Emergency general surgery was characterized by an exceptionally high level of variability, which can be subcategorized as patient-variability (acute physiology and comorbidities) and system-variability (operating room resources and workforce). Multidisciplinary communication is identified as a modifier to variability in emergency general surgery; however, nursing is often left out of early communication exchanges. Critical variability in emergency general surgery may impact outcomes. Patient-variability and system-variability, with focus on multidisciplinary communication, represent potential domains for quality improvement in this field. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Value of computed tomography pelvimetry in patients with a previous cesarean section

    International Nuclear Information System (INIS)

    Yamani, Tarik Y.; Rouzi, Abdulrahim A.

    1998-01-01

    A case-control study was conducted at the Department of Obstetrics and Gynaecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia to determine the value of computed tomography pelivimetry in patients with a previous cesarean section. Between January 1993 and December 1995, 219 pregnant women with one previous cesarean had antenatal CT pelvimetry for assessment of the pelvis. One hundred and nineteen women did not have CT pelvimetry and served as control. Fifty-one women (51%) in the CT pelvimetry group were delivered by cesarean section. Twenty-three women (23%) underwent elective cesarean section for contracted pelvis based upon the findings of CT pelvimetry and 28 women (28%) underwent emergency cesarean section after trial of labor. In the group who did not have CT pelvimetry, 26 women (21.8%) underwent emergency cesarean section. This was a statistically significant difference (P=0.02). There were no statistically significant differences in birthweight and Apgar scores either group. There was no prenatal or maternal mortality in this study. Computed tomography pelvimetry increased the rate of cesarean delivery without any benefit in the immediate delivery outcomes. Therefore, the practice of documenting the adequacy of the pelvis by CT pelvimetry before vaginal birth after cesarean should be abandoned. (author)

  12. Emergency Management Operations Process Mapping: Public Safety Technical Program Study

    Science.gov (United States)

    2011-02-01

    services Operational Activity Collect and Manage Cash Donations Once activated, refer cash donations to appropriate voluntary organizations...recovery operations. Operational Activity Conduct Euthanasia /Disposal Provide humane methods to euthanize affected animals to stop the spread of the...issue stop movement orders, and initiate animal vaccination and treatment programs, euthanasia efforts, or other protective measures designed to control

  13. [New possibilities in emergency medical transportation and emergency services of Polish Medical Air Rescue].

    Science.gov (United States)

    Gałazkowski, Robert

    2010-01-01

    In Poland, two types of medical services are accomplished by the Medical Air Rescue (MAR) operating all over the country: emergency transport from the incident scene to hospital and inter-hospital transport. Helicopters or planes are used for this purpose. In 2009, helicopters performed 4359 flights to incidents and 1537 inter-hospital transports whereas planes performed 589 inter-hospital ambulance and 196 rescue flights. MAR operates from 17 bases of the Helicopter Emergency Medical Service (HEMS) and one airbase. Helicopters are mainly used when medical transport is emergent, within the operational region of a given base whereas planes when the distance between the present and target airports exceeds 250 km. In 2008, new modern aircraft were introduced to HEMS-helicopters EC 135. They fulfil all requirements of air transport regulations and are adjusted to visual (VFR) and instrumental (IFR) flights rules, at day and night. The medical cabin of EC 135 is ergonomic and functional considering the majority of rescue activities under life-saving circumstances. It is equipped with ventilator, defibrillator, infusion pumps etc. Defibrillators have 12-lead ECG, E(T)CO2, SpO2, NIBP, and IBP modules. Transport ventilators can work in a variety of ventilation modes including CMV, SIMV, SVV, BILEVEL, PCV, ASB, PPV and CPAP. The purchase of helicopters with modern avionic and medical configuration ensures high quality services of MAR for many years to come.

  14. Emergency management logistics must become emergency supply chain management.

    Science.gov (United States)

    Young, Richard R; Peterson, Matthew R

    2014-01-01

    Much has been written about how emergency management (EM) needs to look to the future regarding issues of resource management (monetary, human, and material). Constraints on budgets are ongoing and the staffing of emergency response activities is often difficult because volunteers have little to no training. The management of material resources has also been a challenge because 1) the categories of material vary by the type of emergency, 2) the necessary quantities of material are often not located near the ultimate point of need, and 3) the transportation assets are rarely available in the form and quantity required to allow timely and effective response. The logistics and resource management functions of EM (what we refer to as EM logistics) have been largely reactive, with little to no pre-event planning for potential demand. We applied the Supply Chain Operational Reference (SCOR) model to EM logistics in an effort to transform it to an integrated and scalable system of physical, information, and financial flows into which are woven the functions of sourcing, making, delivering, and returning, with an overarching planning function that transcends the organizational boundaries of participants. The result is emergency supply chain management, which embraces many more participants who share in a larger quantity of more useful information about the resources that need to be deployed when responding to and recovering from emergency events.

  15. NNSA/NV Consequence Management Capabilities for Radiological Emergency Response

    International Nuclear Information System (INIS)

    Bowman, D. R.

    2002-01-01

    The U.S. Department of Energy's National Nuclear Security Administration Nevada Operations Office (NNSA/NV) provides an integrated Consequence Management (CM) response capability for the (NNSA) in the event of a radiological emergency. This encompasses planning, technical operations, and home team support. As the lead organization for CM planning and operations, NNSA/NV coordinates the response of the following assets during the planning and operational phases of a radiological accident or incident: (1) Predictive dispersion modeling through the Atmospheric Release Advisory Capability (ARAC) at Lawrence Livermore National Laboratory (LLNL) and the High Consequence Assessment Group at Sandia National Laboratories (SNL); (2) Regional radiological emergency assistance through the eight Radiological Assistance Program (RAP) regional response centers; (3) Medical advice and assistance through the Radiation Emergency Assistance Center/Training Site (REAC/TS) in Oak Ridge, Tennessee; (4) Aerial radiological mapping using the fixed-wing and rotor-wing aircraft of the Aerial Measuring System (AMS); (5) Consequence Management Planning Teams (CMPT) and Consequence Management Response Teams (CMRT) to provide CM field operations and command and control. Descriptions of the technical capabilities employed during planning and operations are given below for each of the elements comprising the integrated CM capability

  16. A systematic review of peri-operative melatonin

    DEFF Research Database (Denmark)

    Andersen, L P H; Werner, M U; Rosenberg, J

    2014-01-01

    We systematically reviewed randomised controlled trials of peri-operative melatonin. We included 24 studies of 1794 participants that reported eight peri-operative outcomes: anxiety; analgesia; sleep quality; oxidative stress; emergence behaviour; anaesthetic requirements; steal induction......%, respectively. Qualitative reviews suggested the melatonin improved sleep quality and emergence behaviour, and might be capable of reducing oxidative stress and anaesthetic requirements....

  17. Streptococcus agalactiae endocarditis presenting as acalculous cholecystitis in a previously well woman.

    LENUS (Irish Health Repository)

    Brewer, Linda

    2013-01-01

    This case report describes the unusual presentation of a previously very well woman with Streptococcus agalactiae endocarditis in the emergency department. History, examination and preliminary laboratory and radiological investigations supported a diagnosis of acalculous cholecystitis, for which she was given intravenous broad spectrum antimicrobial therapy. One day following admission, the patient deteriorated and became unresponsive. Subsequent MRI of the brain revealed multiple bihemispheric cerebral emboli and a large, mobile mitral valve thrombus was visualised on her transoesophageal echocardiogram. S agalactiae was cultured from venous blood samples and her antimicrobial cover was adjusted accordingly. Despite her presumed guarded prognosis, this patient made a remarkable recovery. To our knowledge, the association of S agalactiae endocarditis with acalculous cholecystitis has not been previously described.

  18. Control room human engineering influences on operator performance

    International Nuclear Information System (INIS)

    Finlayson, F.C.

    1977-01-01

    Three general groups of factors influence operator performance in fulfilling their responsibilities in the control room: (1) control room and control system design, informational data displays (operator inputs) as well as control board design (for operator output); (2) operator characteristics, including those skills, mental, physical, and emotional qualities which are functions of operator selection, training, and motivation; (3) job performance guides, the prescribed operating procedures for normal and emergency operations. This paper presents some of the major results of an evaluation of the effect of human engineering on operator performance in the control room. Primary attention is given to discussion of control room and control system design influence on the operator. Brief observations on the influences of operator characteristics and job performance guides (operating procedures) on performance in the control room are also given. Under the objectives of the study, special emphasis was placed on the evaluation of the control room-operator relationships for severe emergency conditions in the power plant. Consequently, this presentation is restricted largely to material related to emergency conditions in the control room, though it is recognized that human engineering of control systems is of equal (or greater) importance for many other aspects of plant operation

  19. Department of Energy Emergency Management Functional Requirements Study

    International Nuclear Information System (INIS)

    1987-05-01

    This Study, the Emergency Management Functional Requirements Study (EMFRS), identifies the physical environment, information resources, and equipment required in the DOE Headquarters Emergency Operations Center (EOC) to support the DOE staff in managing an emergency. It is the first step toward converting the present Forrestal EOC into a practical facility that will function well in each of the highly diverse types of emergencies in which the Department could be involved. 2 figs

  20. Hungarian system for nuclear emergency preparedness

    International Nuclear Information System (INIS)

    Borsi, Laszlo; Szabo, Laszlo; Ronaky, Jozsef

    2000-01-01

    The Hungarian Government had established in 1989 on the basis of national and international experience the National System for Nuclear Emergency Preparedness (NSNEP). Its guidance is ad-ministered by the Governmental Commission for Nuclear Emergency Preparedness (GCNEP). The work of the Governmental Commission is designated to be assisted by the Secretariat, the Operational Staff and by the Technical Scientific Council. The leading and guiding duties of the relevant ministries and national agencies are performed by the Sectional Organisations for Nuclear Emergency Preparedness (SONEP), together with those of the Metropolitan Agencies and of the county agencies by the Metropolitan Local Committee (MLCNEP) and by County Local Committees. The chairman of the Governmental Commission is the Minister of the Interior whose authority covers the guidance of the NSNEP's activities. The Secretariat of the Governmental Commission (SGC) co-ordinates the activities of the bodies of the Governmental Commission, the sectional organisations, the local committees for nuclear emergency preparedness and those of the other bodies responsible for implementing action. The Emergency Information Centre (EIC) of GCNEP as the central body of the National Radiation Monitoring, Warning and Surveillance System provides the information needed for preparing decisions at Governmental Commission level. The technical-scientific establishment of the governmental decisions in preparation for nuclear emergency situations and the elimination of their consequences are tasks of the Technical-Scientific Council. The Centre for Emergency Response, Training and Analysis (CERTA) of the Hungarian Atomic Energy Authority (HAEA) may be treated as a body of the Governmental Commission as well. The National Radiation Monitoring, Warning and Surveillance System (NRMWSS) is integral part of the NSNEP. The NRMWSS consists of the elements operated by the ministries and the operation of nation-wide measuring network in

  1. 14th Biennial conference on reactor operating experience plant operations: The human element

    International Nuclear Information System (INIS)

    Anon.

    1989-01-01

    Separate abstracts were prepared for the papers presented in the following areas of interest: enhancing operator performance; structured approaches to maintenance standards and reliability-centered maintenance; human issues in plant operations and management; test, research, and training reactor utilization; methods and applications of root-cause analysis; emergency operating procedure enhancement programs; test, research, and training reactor upgrades; valve maintenance and diagnostics; recent operating experiences; and current maintenance issues

  2. The handling of nuclear emergencies in Argentina

    International Nuclear Information System (INIS)

    Hernandez, Daniel; Jordan, Osvaldo; Kunst, Juan; Bruno, Hector

    2008-01-01

    Full text: In 1998, the Executive signed the decree 1390, which defined the scope and the procedures corresponding to the Nuclear Activity Law. In this decree, the new functions of the Nuclear Regulatory Authority (ARN) are described, being the most important related to preparation and response for a nuclear emergency the following ones: 1) ARN must provide protection from harmful effects of ionizing radiations under normal conditions and emergency situations; 2) ARN must advise the Executive in case of radiological and nuclear emergencies; 3) ARN shall establish the criteria for the emergency plans of the facilities and train the members of neighbor public to the facilities in case of nuclear emergencies; 4) The emergency plans developed by local, provincial and national authorities must be approved by the ARN; 5) ARN shall lead the actions within the area covered by the emergency plans of the facilities. Security Forces and the Representatives of Civil Institutions shall report the designated ARN officer. The ARN recognized immediately the responsibility imposed by this law and, at the same time, the opportunity of improving the handling of emergencies through a centralized direction of the operations. Under this frame, ARN created the Radiological Emergencies Intervention System (SIER) with the goal of taking charge of the preparation and the handling of emergency situations. From the beginning, the purpose of the SIER was to improve the preparation and response to nuclear emergencies in a regular form, bearing in mind the cultural and socioeconomic situation of the country, as well as the local peculiarities. The first steep to achieve such a target was to gain the confidence of other organizations included in the response on the ARN technical and operational aptitude to lead the actions inside the emergency area and, later, to establish the pertinent arrangements. The strategy chosen by ARN to respond to nuclear emergencies consists in establishing an expert

  3. Creation of an emergency surgery service concentrates resident training in general surgical procedures.

    Science.gov (United States)

    Ahmed, Hesham M; Gale, Stephen C; Tinti, Meredith S; Shiroff, Adam M; Macias, Aitor C; Rhodes, Stancie C; Defreese, Marissa A; Gracias, Vicente H

    2012-09-01

    Emergency general surgery (EGS) is increasingly being provided by academic trauma surgeons in an acute care surgery model. Our tertiary care hospital recently changed from a model where all staff surgeons (private, subspecialty academic, and trauma academic) were assigned EGS call to one in which an emergency surgery service (ESS), staffed by academic trauma faculty, cares for all EGS patients. In the previous model, many surgeries were "not covered" by residents because of work-hour restrictions, conflicting needs, or private surgeon preference. The ESS was separate from the trauma service. We hypothesize that by creating a separate ESS, residents can accumulate needed and concentrated operative experience in a well-supervised academic environment. A prospectively accrued EGS database was retrospectively queried for the 18-month period: July 2010 to June 2011. The Accreditation Council for Graduate Medical Education (ACGME) databases were queried for operative numbers for our residency program and for national resident data for 2 years before and after creating the ESS. The ACGME operative requirements were tabulated from online sources. ACGME requirements were compared with surgical cases performed. During the 18-month period, 816 ESS operations were performed. Of these, 307 (38%) were laparoscopy. Laparoscopic cholecystectomy and appendectomy were most common (138 and 145, respectively) plus 24 additional laparoscopic surgeries. Each resident performed, on average, 34 basic laparoscopic cases during their 2-month rotation, which is 56% of their ACGME basic laparoscopic requirement. A diverse mixture of 70 other general surgical operations was recorded for the remaining 509 surgical cases, including reoperative surgery, complex laparoscopy, multispecialty procedures, and seldom-performed operations such as surgery for perforated ulcer disease. Before the ESS, the classes of 2008 and 2009 reported that only 48% and 50% of cases were performed at the main academic

  4. 45 CFR 673.5 - Emergency response plan.

    Science.gov (United States)

    2010-10-01

    ... ensure that: (a) The vessel owner's or operator's shipboard oil pollution emergency plan, prepared and... Pollution from Ships, 1973, as modified by the Protocol of 1978 relating thereto (MARPOL 73/78), has provisions for prompt and effective response action to such emergencies as might arise in the performance of...

  5. Emergency warning via automated distribution system

    International Nuclear Information System (INIS)

    Glasser, J.C.

    1981-01-01

    Due to the Three Mile Island Nuclear Power Plant accident of March 28, 1979, the Nuclear Regulatory Commission and the Federal Emergency Management Agency require a general upgrading of existing Emergency Preparedness Plans. NUREG-0654/FEMA REP-1, Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants, dated October 1980, describes the Emergency Plans required and includes the Plant Operator's Onsite Plan, as well as the State, County, and Local Offsite Plans. As part of these Emergency Preparedness Plans, an Emergency Notification System is required to alert the general population within the Emergency Planning Zone surrounding a Nuclear Power Plant that a general emergency has occurred and that they should tune to an Emergency Broadcast Station for further information and instructions. The emergency notification system for Beaver Valley Power Station is described. The system is the capability of alerting 100% of the population with 5 mi of Beaver Valley Power Station within 15 min, and the capability of alerting 100% of the population within 10 mi of Beaver Valley Power Station within 45 min

  6. Meaning Emergence in the Ecology of Dialogical Systems

    Directory of Open Access Journals (Sweden)

    Trasmundi Sarah Bro

    2016-12-01

    Full Text Available This article is an empirically based theoretical contribution to the investigation of meaningmaking in the ecology of human interaction and interactivity. It presents an ecological perspective on meaning-making that pivots on how agents pick up information directly in their organism-environment-system; i.e. as an activity that does not presuppose inner cognitive operations. We pursue this line of thought by presenting an analysis of how a doctor and a nurse make a decision about a specific medical procedure (catheterisation based on meaning-making activity. As we do not see meaning as a linguistic (symbolic or a cognitive (representational phenomenon external to an agent/user, but as emergent in coordinated interaction, we zoom in on how the practitioners recalibrate the organism-environmentsystem by shift ing between a multi-agentive mode and an individual mode. We use Cognitive Event Analysis to investigate how the agents oscillate between being a multi-agent-system with shared, tightly coordinated agency and a loosely coupled dialogical system where the individuals bring forth an understanding based on their professional backgrounds and expertise. On this view, an ecological approach to meaning-making takes a starting point in how local interaction is constrained by previous events, emergent affordances in the environment, and real-time inter-bodily dynamics. Accordingly, meaning-making is seen as a joint activity emerging from the system’s coordinative actions rather than as a result of individual interpretation of symbolic content.

  7. [The five commandments for preparing the Israeli healthcare system for emergencies].

    Science.gov (United States)

    Adini, Bruria; Laor, Danny; Cohen, Robert; Lev, Boaz; Israeli, Avi

    2010-07-01

    In the last decade, the Israeli healthcare system dealt with many casualties that resulted from terrorist actions and at the same time maintained preparedness for other potential hazards such as natural disasters, toxicological, chemical, radiological and biological events. There are various models for emergency preparedness that are utilized in different countries. The aim of the article is to present the structure and the methodology of the Israeli healthcare system for emergencies. Assuring emergency preparedness for the different scenarios is based on 5 major components that include: comprehensive contingency planning; control and command of operations; central control of readiness; capacity building; coordination and collaboration among the numerous emergency agencies. CLose working relationships between the military and civilian systems characterize the operations of the emergency system. There is a mutual sharing of information, coordinated operations to achieve risk assessment and determine priorities, and consensual allocation of resources. The ability of the medical system to operate in optimal coordination with interface bodies, including the Israel Defense Forces, is derived from three main elements: the shortage of resources necessitate that all agencies work together to develop an effective response to emergencies; the Israeli society is characterized by transition of personnel from the military to the civilian system which promotes joint operations, whereas in most other countries these systems are completely separated; and also developing mechanisms for continuous and coordinated operation in routine and emergency times, such as the Supreme Health Authority. The Israeli healthcare system was put to the test several times in the Last decade, during the terror wave that occurred between 2001-2006, the 2nd Lebanon War and in operation "Cast Lead". An extensive process of learning lessons, conducted during and following each of these periods, and the

  8. Emergency planning and preparedness for nuclear facilities

    International Nuclear Information System (INIS)

    1986-01-01

    In order to review the advances made over the past seven years in the area of emergency planning and preparedness supporting nuclear facilities and consider developments which are on the horizon, the IAEA at the invitation of the Government of Italy, organized this International Symposium in co-operation with the Italian Commission for Nuclear and Alternative Energy Sources, Directorate of Nuclear Safety and Health Protection (ENEA-DISP). There were over 250 designated participants and some 70 observers from 37 Member States and four international organizations in attendance at the Symposium. The Symposium presentations were divided into sessions devoted to the following topics: emergency planning (20 papers), accident assessment (30 papers), protective measures and recovery operations (10 papers) and emergency preparedness (16 papers). A separate abstract was prepared for each of these papers

  9. Rebuilding Emergency Care After Hurricane Sandy.

    Science.gov (United States)

    Lee, David C; Smith, Silas W; McStay, Christopher M; Portelli, Ian; Goldfrank, Lewis R; Husk, Gregg; Shah, Nirav R

    2014-04-09

    A freestanding, 911-receiving emergency department was implemented at Bellevue Hospital Center during the recovery efforts after Hurricane Sandy to compensate for the increased volume experienced at nearby hospitals. Because inpatient services at several hospitals remained closed for months, emergency volume increased significantly. Thus, in collaboration with the New York State Department of Health and other partners, the Health and Hospitals Corporation and Bellevue Hospital Center opened a freestanding emergency department without on-site inpatient care. The successful operation of this facility hinged on key partnerships with emergency medical services and nearby hospitals. Also essential was the establishment of an emergency critical care ward and a system to monitor emergency department utilization at affected hospitals. The results of this experience, we believe, can provide a model for future efforts to rebuild emergency care capacity after a natural disaster such as Hurricane Sandy. (Disaster Med Public Health Preparedness. 2014;0:1-4).

  10. 49 CFR 192.605 - Procedural manual for operations, maintenance, and emergencies.

    Science.gov (United States)

    2010-10-01

    ... operation of pressure-limiting and control devices. (6) Maintaining compressor stations, including... operations of a pipeline system commence. Appropriate parts of the manual must be kept at locations where..., operating and shutting down gas compressor units. (8) Periodically reviewing the work done by operator...

  11. Emergency preparedness 1995 site support plan WBS 6.7.2.3

    International Nuclear Information System (INIS)

    Faulk, S.M.

    1994-09-01

    The Emergency Preparedness Program provides an emergency management system including occurrence notification; development, coordination, and direction of planning, preparedness, and readiness assurance for response to emergency events on the Hanford Site; and emergency management support to Department of Energy, Richland Operations Office (RL)

  12. ARAC: A support capability for emergency managers

    Energy Technology Data Exchange (ETDEWEB)

    Pace, J.C.; Sullivan, T.J.; Baskett, R.L. [and others

    1995-08-01

    This paper is intended to introduce to the non-radiological emergency management community the 20-year operational history of the Atmospheric Release Advisory Capability (ARAC), its concept of operations, and its applicability for use in support of emergency management decision makers. ARAC is a centralized federal facility for assessing atmospheric releases of hazardous materials in real time, using a robust suite of three-dimensional atmospheric transport and diffusion models, extensive geophysical and source-description databases, automated meteorological data acquisition systems, and experienced staff members. Although originally conceived to respond to nuclear accidents, the ARAC system has proven to be extremely adaptable, and has been used successfully during a wide variety of nonradiological hazardous chemical situations. ARAC represents a proven, validated, operational support capability for atmospheric hazardous releases.

  13. Dungeness Power Station off-site emergency plan

    International Nuclear Information System (INIS)

    1993-01-01

    This off-site Emergency Plan in the event of an accidental release of radioactivity at the Dungeness Nuclear power station sets out the necessary management and coordination processes between Nuclear Electric, operators of the site, the emergency services and relevant local authorities. The objectives promoting the aim are identified and the activities which will be undertaken to protect the public and the environment in the event of an emergency are outlined. (UK)

  14. Analysis of human performance observed under simulated emergencies of nuclear power plants

    International Nuclear Information System (INIS)

    Park, Jin Kyun; Jung, Won Dea; Kim, Jae Whan; Ha, Jae Joo

    2005-01-01

    Previous studies have continuously and commonly revealed that human performance is decisive factor affecting the safety of complicated process systems. Subsequently, extensive effort has been spent to suggest serviceable countermeasures for human performance related problems under emergencies. However, several obstacles including very limited number of available data have hindered researchers from elucidating effective ways to cope with human performance related problems. In this study, human performance data under simulated emergencies have been extracted using a full scope simulator located in the reference NPP. The main purpose of this study is to provide plant-specific and domain-specific human performance data that can be used to premeditate human performance related problems under emergencies. To accomplish this goal, over 100 records that were collected from retraining sessions for licensed MCR operators have been analyzed by the time-line and protocol analysis technique. As a result, many kinds of useful information that can play a remarkable role in scrutinizing human performance related problems have been secured. Although it is still careful to make some predictions about human performance under a real situation on the basis of that under a simulated situation. However, it is also true that the simulator is a basic tool in observing human behaviors under emergencies. Thus, it is strongly believed that human performance data obtained from this study will be a concrete foundation in scrutinizing the change of human performance under emergencies

  15. Method for developing arrangements for response to a nuclear or radiological emergency. Updating IAEA-TECDOC-953. Emergency preparedness and response. Publication date: October 2003

    International Nuclear Information System (INIS)

    2003-09-01

    In 1997 the IAEA compiled, consolidated and organized existing information, and published the TECDOC-953 'Method for Development of Emergency Response Preparedness for Nuclear or Radiological Accidents'. Subsequently this publication was used extensively by the IAEA for training and for evaluation of emergency response programmes. In November 1999 a technical committee meeting (TCM) with representatives of over 20 States reviewed and provided feedback on IAEA-TECDOC-953. In March 2002, the IAEA's Board of Governors approved a Safety Requirements publication, 'Preparedness and Response for a Nuclear or Radiological Emergency', jointly sponsored by seven international organizations, which establishes the requirements for an adequate level of preparedness and response for a nuclear or radiological emergency in any State. The IAEA General Conference in resolution GC(46)/RES/9 encouraged Member States to implement, if necessary, instruments for improving their own preparedness and response capabilities for nuclear and radiological incidents and accidents, including their arrangements for responding to acts involving the malicious use of nuclear or radioactive material and to threats of such acts, and has further encouraged them to implement the Safety Requirements for Preparedness and Response to a Nuclear or Radiological Emergency. The obligations, responsibilities and requirements for preparedness and response for radiation emergencies are set out in the safety standards, in particular the 1996 'International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources'. Consensus information on relevant radiation protection criteria was established in 1994 and published in 'Intervention Criteria in a Nuclear or Radiation Emergency'. Several other guides and publications in the area of emergency preparedness and response had previously been issued. The present publication now being issued in the Emergency Preparedness and

  16. Bactericidal assessment of nano-silver on emerging and re-emerging human pathogens.

    Science.gov (United States)

    Anuj, Samir A; Gajera, Harsukh P; Hirpara, Darshna G; Golakiya, Baljibhai A

    2018-04-24

    With the threat of the growing number of bacteria resistant to antibiotics, the re-emergence of previously deadly infections and the emergence of new infections, there is an urgent need for novel therapeutic agent. Silver in the nano form, which is being used increasingly as antibacterial agents, may extend its antibacterial application to emerging and re-emerging multidrug-resistant pathogens, the main cause of nosocomial diseases worldwide. In the present study, a completely bottom up method to prepare green nano-silver was used. To explore the action of nano-silver on emerging Bacillus megaterium MTCC 7192 and re-emerging Pseudomonas aeruginosa MTCC 741 pathogenic bacteria, the study includes an analysis of the bacterial membrane damage through Scanning Electron Microscope (SEM) as well as alternation of zeta potential and intracellular leakages. In this work, we observed genuine bactericidal property of nano-silver as compare to broad spectrum antibiotics against emerging and re-emerging mode. After being exposed to nano-silver, the membrane becomes scattered from their original ordered arrangement based on SEM observation. Moreover, our results also suggested that alternation of zeta potential enhanced membrane permeability, and beyond a critical point, it leads to cell death. The leakages of intracellular constituents were confirmed by Gas Chromatography-Mass Spectrometry (GC-MS). In conclusion, the combine results suggested that at a specific dose, nano-silver may destroy the structure of bacterial membrane and depress its activity, which causes bacteria to die eventually. Copyright © 2018 Elsevier GmbH. All rights reserved.

  17. High-risk facilities. Emergency management in nuclear, chemical and hazardous waste facilities

    International Nuclear Information System (INIS)

    Kloepfer, Michael

    2012-01-01

    The book on emergency management in high-risk facilities covers the following topics: Change in the nuclear policy, risk management of high-risk facilities as a constitutional problem - emergency management in nuclear facilities, operational mechanisms of risk control in nuclear facilities, regulatory surveillance responsibilities for nuclear facilities, operational mechanism of the risk control in chemical plants, regulatory surveillance responsibilities for chemical facilities, operational mechanisms of the risk control in hazardous waste facilities, regulatory surveillance responsibilities for hazardous waste facilities, civil law consequences in case of accidents in high-risk facilities, criminal prosecution in case of accidents in high-risk facilities, safety margins as site risk for emission protection facilities, national emergency management - strategic emergency management structures, warning and self-protection of the public in case of CBRN hazards including aspects of the psych-social emergency management.

  18. Role of check operators in achieving operational excellence at Virginia Power's nuclear stations

    International Nuclear Information System (INIS)

    Shriver, B.L.; Williams, T.M.; Stewart, W.L.

    1987-01-01

    Virginia Power has implemented a Check Operator Program as a part of its commitment to excellence in the operation of the North Anna and Surry nuclear power stations. The Check Operator Program utilizes highly qualified licensed personnel to independently evaluate the performance of licensed operators and senior operators during normal, abnormal and simulated emergency conditions. Emphasis is placed upon individual and team performance as well as the procedures and training which support the operators. The check operators report to line management to ensure that their recommendations are implemented into the overall operations philosophy of the power station

  19. The Challenge of New and Emerging Information Operations

    National Research Council Canada - National Science Library

    Heath, James E; Woodcock, Alexander E

    1999-01-01

    Information operations as defined in Joint Publication 3-13 of the Joint Staff (1998) are aimed at influencing the information and information systems of an adversary and defending one's own information and information systems...

  20. Hanaro operation

    International Nuclear Information System (INIS)

    Lee, Ji Bok; Jeon, Byung Jin; Kwack, Byung Ho

    1997-01-01

    HANARO was configurated its first operating core in 1995. Long term operation test was conducted up to 3-1 cycle during 1996, in order to investigate the reactor characteristics due to fuel depletion and additional fuel loading. Now HANARO has accumulated 168.4 days of total operation time and 2,687.5 MWD of total thermal output. Reactor analysis, producing operation datum and its validation with test, periodic inspection and maintenance of the facility are continuously conducted for safe operation of the HANARO. Conducted the verification tests for installed utilization facilities, and successfully performed the radiation emergency drill. The shutdown report of TRIGA Mark II and III was submitted to MOST, and decommissioning will be started from 1997. (author). 70 tabs., 50 figs., 27 refs

  1. Abnormal Events for Emergency Trip in HANARO

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Guk Hun; Choi, M. J.; Park, S. I.; Kim, H. W.; Kim, S. J.; Park, J. H.; Kwon, I. C

    2006-12-15

    This report gathers abnormal events related to emergency trip of HANARO that happened during its operation over 10 years since the first criticality on February 1995. The collected examples will be utilized to the HANARO's operators as a useful guide.

  2. The Emergent Universe scheme and tunneling

    Energy Technology Data Exchange (ETDEWEB)

    Labraña, Pedro [Departamento de Física, Universidad del Bío-Bío, Avenida Collao 1202, Casilla 5-C, Concepción, Chile and Departament d' Estructura i Constituents de la Matèria and Institut de Ciències del Cosmos, Universitat (Spain)

    2014-07-23

    We present an alternative scheme for an Emergent Universe scenario, developed previously in Phys. Rev. D 86, 083524 (2012), where the universe is initially in a static state supported by a scalar field located in a false vacuum. The universe begins to evolve when, by quantum tunneling, the scalar field decays into a state of true vacuum. The Emergent Universe models are interesting since they provide specific examples of non-singular inflationary universes.

  3. The Emergence and Impact of MNC Centres of Excellence

    DEFF Research Database (Denmark)

    Holm, Ulf; Pedersen, Torben

    This study explores an important element in the development of the multinational corporation. Whilst previously the parent company was seen as the centre, and the foreign subsidiaries as the periphery, today, it is recognized that different subsidiaries have different roles, and are linked to each...... they emerge and analysing their impact on corporate strategy. In the development of the multinational corporation different subsidiaries have different roles, and some become "Centres of Excellence" (COE) controlling resources on which other parts of the corporation depend. This work investigates COEs...... other in a complicated pattern. One crucial aspect of this is that some subsidiaries become "Centres of Excellence" (COE) controlling resources on which other parts of the corporation depend for their operations. This work investigates the existence of COEs in different countries, examining why...

  4. Institutional Distance and International Business Strategies in Emerging Economies

    DEFF Research Database (Denmark)

    Ionascu, Delia Simona; Meyer, Klaus E.; Estrin, Saul

    2004-01-01

    The concept of `distance' has been used by international business scholars to explain variations in international business strategies and operations across countries. The more distant a host country is from the organizational centre of a multinational enterprise (MNE), the more it has to manage...... for the investing MNE. Using a unique dataset of foreign direct investment in emerging economies that incorporates multi-host as well as multi-home countries, we find empirical support for our propositions, and provide an explanation for apparently inconsistent results in the previous literature....... on Hofstede's work on culture. However, these measures capture only very partially the dimensions of distance of concern to international business. In this paper, we show how the broader theoretical concept of institutional distance, which incorporates normative, regulatory and cognitive aspects, affects...

  5. The Regional Environmental Emergency Team (REET)

    International Nuclear Information System (INIS)

    Maddock, M.

    2001-01-01

    This paper outlined the approach taken in Ontario to set up the Regional Environmental Emergency Team (REET) teams and the progress made in developing partnerships and coordination in response to environmental emergencies in Ontario. Environment Canada has been involved with the Ontario Regional Environmental Emergency Team (REET) Program for the past decade in order to review emergency response roles and responsibilities. REET is designed to enhance communication between emergency response agencies, foster recognition of the various responsibilities involved in an environmental emergency response and to increase the basic understanding of emergency response techniques and procedures within the emergency response community. During emergency response situations REET operates as a flexible and expandable multi-disciplinary and multi-agency team that provides comprehensive and coordinated environmental advice, information and assistance. The Ontario REET program currently consists of 18 area teams throughout the province with informal partnerships with Environment Canada, the Canadian Coast Guard, the Ontario Ministry of the Environment, Emergency Measures Ontario and the Ontario Ministry of Natural Resources. The program was inspired in 1970 and continues to provide an appropriate forum for environmental emergency planning and response. 6 refs., 1 fig

  6. Emergency management in health: key issues and challenges in the UK.

    Science.gov (United States)

    Lee, Andrew C K; Phillips, Wendy; Challen, Kirsty; Goodacre, Steve

    2012-10-19

    Emergency planning in the UK has grown considerably in recent years, galvanised by the threat of terrorism. However, deficiencies in NHS emergency planning were identified and the evidence-base that underpins it is questionable. Inconsistencies in terminologies and concepts also exist. Different models of emergency management exist internationally but the optimal system is unknown. This study examines the evidence-base and evidence requirements for emergency planning in the UK health context. The study involved semi-structured interviews with key stakeholders and opinion leaders. Purposive sampling was used to obtain a breadth of views from various agencies involved in emergency planning and response. Interviews were then analysed using a grounded approach using standard framework analysis techniques. We conducted 17 key informant interviews. Interviewees identified greater gaps in operational than technical aspects of emergency planning. Social and behavioural knowledge gaps were highlighted with regards to how individuals and organisations deal with risk and behave in emergencies. Evidence-based approaches to public engagement and for developing community resilience to disasters are lacking. Other gaps included how knowledge was developed and used. Conflicting views with regards to the optimal configuration and operation of the emergency management system were voiced. Four thematic categories for future research emerged:(i) Knowledge-base for emergency management: Further exploration is needed of how knowledge is acquired, valued, disseminated, adopted and retained.(ii) Social and behavioural issues: Greater understanding of how individuals approach risk and behave in emergencies is required.(iii) Organisational issues in emergencies: Several conflicting organisational issues were identified; value of planning versus plans, flexible versus standardized procedures, top-down versus bottom-up engagement, generic versus specific planning, and reactive versus

  7. Increased risk environment for emergency general surgery in the context of regionalization and specialization.

    Science.gov (United States)

    Beecher, S; O'Leary, D P; McLaughlin, R

    2015-09-01

    The pressures on tertiary hospitals with increased volume and complexity related to regionalization and specialization has impacted upon availability of operating theatres with consequent displacement of emergencies to high risk out of hours settings. A retrospective review of an electronic emergency theatre list prospectively maintained database was performed over a two year period. Data gathered included type of operation performed, Time to Theatre (TTT), operation start time and length of stay (LOS). Of 7041 emergency operations 25% were performed out of hours. 2949 patient had general surgical emergency procedures with 910 (30%) performed out of hours. 53% of all emergency laparotomies and 54% of appendicectomies were out of hours. 57% of cases operated on out of hours had been awaiting surgery during the day. Mean TTT was shorter for those admitted at the weekend compared to those admitted during the week (15.6 vs 24.9 h) (p emergency surgery is performed out of hours in a way unfavorable to good clinical outcomes. It is of concern that more than half of the most life threating procedures involving laparotomy, take place out of hours. Regionalization needs to be accompanied by infrastructure planning to accommodate emergency surgery. Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

  8. Emergent mechanics, quantum and un-quantum

    Science.gov (United States)

    Ralston, John P.

    2013-10-01

    There is great interest in quantum mechanics as an "emergent" phenomenon. The program holds that nonobvious patterns and laws can emerge from complicated physical systems operating by more fundamental rules. We find a new approach where quantum mechanics itself should be viewed as an information management tool not derived from physics nor depending on physics. The main accomplishment of quantum-style theory comes in expanding the notion of probability. We construct a map from macroscopic information as data" to quantum probability. The map allows a hidden variable description for quantum states, and efficient use of the helpful tools of quantum mechanics in unlimited circumstances. Quantum dynamics via the time-dependent Shroedinger equation or operator methods actually represents a restricted class of classical Hamiltonian or Lagrangian dynamics, albeit with different numbers of degrees of freedom. We show that under wide circumstances such dynamics emerges from structureless dynamical systems. The uses of the quantum information management tools are illustrated by numerical experiments and practical applications

  9. Autonomic nervous system activity as risk predictor in the medical emergency department: a prospective cohort study.

    Science.gov (United States)

    Eick, Christian; Rizas, Konstantinos D; Meyer-Zürn, Christine S; Groga-Bada, Patrick; Hamm, Wolfgang; Kreth, Florian; Overkamp, Dietrich; Weyrich, Peter; Gawaz, Meinrad; Bauer, Axel

    2015-05-01

    To evaluate heart rate deceleration capacity, an electrocardiogram-based marker of autonomic nervous system activity, as risk predictor in a medical emergency department and to test its incremental predictive value to the modified early warning score. Prospective cohort study. Medical emergency department of a large university hospital. Five thousand seven hundred thirty consecutive patients of either sex in sinus rhythm, who were admitted to the medical emergency department of the University of Tübingen, Germany, between November 2010 and March 2012. None. Deceleration capacity of heart rate was calculated within the first minutes after emergency department admission. The modified early warning score was assessed from respiratory rate, heart rate, systolic blood pressure, body temperature, and level of consciousness as previously described. Primary endpoint was intrahospital mortality; secondary endpoints included transfer to the ICU as well as 30-day and 180-day mortality. One hundred forty-two patients (2.5%) reached the primary endpoint. Deceleration capacity was highly significantly lower in nonsurvivors than survivors (2.9 ± 2.1 ms vs 5.6 ± 2.9 ms; p model yielded an area under the receiver-operator characteristic curve of 0.706 (0.667-0.750). Implementing deceleration capacity into the modified early warning score model led to a highly significant increase of the area under the receiver-operator characteristic curve to 0.804 (0.770-0.835; p capacity was also a highly significant predictor of 30-day and 180-day mortality as well as transfer to the ICU. Deceleration capacity is a strong and independent predictor of short-term mortality among patients admitted to a medical emergency department.

  10. Performance diagnostic system for emergency diesel generators

    International Nuclear Information System (INIS)

    Logan, K.P.

    1991-01-01

    Diesel generators are commonly used for emergency backup power at nuclear stations. Emergency diesel generators (EDGs) are subject to both start-up and operating failures, due to infrequent and fast-start use. EDG reliability can be critical to plant safety, particularly when station blackout occurs. This paper describes an expert diagnostic system designed to consistently evaluate the operating performance of diesel generators. The prototype system is comprised of a suite of sensor monitoring, cylinder combustion analyzing, and diagnostic workstation computers. On-demand assessments of generator and auxiliary equipment performance are provided along with color trend displays comparing measured performance to reference-normal conditions

  11. Internet protocol-based emergency services

    CERN Document Server

    Schulzrinne, Henning

    2013-01-01

    Written by international experts in the field, this book covers the standards, architecture and deployment issues related to IP-based emergency services This book brings together contributions from experts on technical and operational aspects within the international standardisation and regulatory processes relating to routing and handling of IP-based emergency calls.  Readers will learn how these standards work, how various standardization organizations contributed to them and about pilot projects, early deployment and current regulatory situation. Key Featur

  12. Relation between task complexity and variability of procedure progression during an emergency operation

    International Nuclear Information System (INIS)

    Kim, Yochan; Park, Jinkyun; Jung, Wondea

    2013-01-01

    Highlights: • The relation between task complexity and the variability of procedure progression was investigated. • The two quantitative measures, TACOM and VPP, were applied to this study. • The task complexity was positively related with the operator’s procedural variability. • The VPP measure can be useful for explaining the operator’s behaviors. - Abstract: In this study, the relation between task complexity and variability of procedure progression during an emergency operation was investigated by comparing the two quantitative measures. To this end, the TACOM measure and VPP measure were applied to evaluate the complexity of tasks and variability of procedure progression, respectively. The TACOM scores and VPP scores were obtained for 60 tasks in the OPERA database, and a correlation analysis between two measures and a multiple regression analysis between the sub-measures of the TACOM measure and VPP measure were conducted. The results showed that the TACOM measure is positively associated with the VPP measure, and the abstraction hierarchy complexity mainly affected the variability among the sub-measures of TACOM. From these findings, it was discussed that the task complexity is related to an operator’s procedural variability and VPP measure can be useful for explaining the operator’s behaviors

  13. Experiences and findings from the operators' point of view 'Emergency protection training'

    International Nuclear Information System (INIS)

    Grauf, E.

    1992-01-01

    To exercise in-plant emergency measures, under special marginal conditions, proves to be as useful and necessary as the training of design basis accidents. The strating phase which is particularly difficult for shift personnel, because it is labour-intensive, has to be exercised and considered with special attention and close to reality. That is the only way to detect weak spots and to get rid of them if necessary also in hardware installations, by well-aimed measures, such as modification of organizational sequences, optimization of emergency procedures. (orig.) [de

  14. Operational Law Handbook,2007

    National Research Council Canada - National Science Library

    2007-01-01

    ...), human rights, rules of engagement, emergency essential civilians supporting military operations, contingency contractor personnel, foreign and deployment, criminal law, environmental law, fiscal law...

  15. The Information Management Platform on Nuclear Emergency Resources of China

    International Nuclear Information System (INIS)

    Dong, L.

    2016-01-01

    Full text: The Chinese government has always attached great importance to nuclear emergency work, and has invested to form lots of nuclear emergency resources. Meanwhile, there also exist some management problems such as repeated investment, fragmented inventory list, inefficient management, etc. To achieve integrated management on the nuclear emergency resources of China, the Chinese government initiated the project “The Information Management Platform on Nuclear Emergency Resources of China”. The goal of the project is to support a timely, managed, controlled, coordinated and effective response while the resources managing process remains economically efficient. The project team firstly completed the nuclear emergency resources classification and encoding. Based on these, the nuclear emergency resources information management software system was developed. The pilot operation in the system was carried out both in Guangxi and Liaoning Province at the same time. Nuclear emergency resources survey was done as the relevant information was put into the database in these regions. The evaluation result on the pilot operation showed that, the information management platform on emergency resources would apparently improve efficiency of nuclear emergency preparedness and response, and it also would increase economical efficiency on inventory list, information management and invest decision. (author

  16. Analysis of emergency operating procedures effectiveness for core damage prevention using computer code RELAP for nuclear power plants with VVER-1000/B-320 in reference to primary to secondary circuit leak with external power loss and BRU-A stuck open failure

    International Nuclear Information System (INIS)

    Arkhangelski, L.; Sheveliov, D. V.

    1999-01-01

    This report presents analysis of development emergency operating procedures effectiveness for possible accident on nuclear power plant with WWER-1000 reactor type. Accident initiating event is the primary to secondary circuit leak caused by steam generator primary cover lift-up. In according to conservative assumptions the following additional failures were considered: dump valve BRU-A stuck open failure; loss of external power. The results of this work are represented as a comparative analysis of two possible ways of accident evolution: according to functioning automatic safety systems responses; according to accident management based on development emergency operating procedures with operator intervention. Developed emergency operating procedures assure the following significant goals to mitigate accident sequences: optimal use of ECCS water inventory; severe core damage prevention; mitigation of environment radioactive contamination. (authors)

  17. Employee Perceptions of Their Organization's Level of Emergency Preparedness Following a Brief Workplace Emergency Planning Educational Presentation

    Directory of Open Access Journals (Sweden)

    Lauren A. Renschler

    2016-06-01

    Full Text Available A brief emergency planning educational presentation was taught during work hours to a convenience sample of employees of various workplaces in Northern Missouri, USA. Participants were familiarized with details about how an emergency plan is prepared by management and implemented by management-employee crisis management teams – focusing on both employee and management roles. They then applied the presentation information to assess their own organization’s emergency preparedness level. Participants possessed significantly (p < 0.05 higher perceptions of their organization’s level of emergency preparedness than non-participants. It is recommended that an assessment of organizational preparedness level supplement emergency planning educational presentations in order to immediately apply the material covered and encourage employees to become more involved in their organization’s emergency planning and response. Educational strategies that involve management-employee collaboration in activities tailored to each workplace’s operations and risk level for emergencies should be implemented.

  18. Quantifying Information Flow During Emergencies

    Science.gov (United States)

    Gao, Liang; Song, Chaoming; Gao, Ziyou; Barabási, Albert-László; Bagrow, James P.; Wang, Dashun

    2014-02-01

    Recent advances on human dynamics have focused on the normal patterns of human activities, with the quantitative understanding of human behavior under extreme events remaining a crucial missing chapter. This has a wide array of potential applications, ranging from emergency response and detection to traffic control and management. Previous studies have shown that human communications are both temporally and spatially localized following the onset of emergencies, indicating that social propagation is a primary means to propagate situational awareness. We study real anomalous events using country-wide mobile phone data, finding that information flow during emergencies is dominated by repeated communications. We further demonstrate that the observed communication patterns cannot be explained by inherent reciprocity in social networks, and are universal across different demographics.

  19. Achieving High Reliability Operations Through Multi-Program Integration

    Energy Technology Data Exchange (ETDEWEB)

    Holly M. Ashley; Ronald K. Farris; Robert E. Richards

    2009-04-01

    Over the last 20 years the Idaho National Laboratory (INL) has adopted a number of operations and safety-related programs which has each periodically taken its turn in the limelight. As new programs have come along there has been natural competition for resources, focus and commitment. In the last few years, the INL has made real progress in integrating all these programs and are starting to realize important synergies. Contributing to this integration are both collaborative individuals and an emerging shared vision and goal of the INL fully maturing in its high reliability operations. This goal is so powerful because the concept of high reliability operations (and the resulting organizations) is a masterful amalgam and orchestrator of the best of all the participating programs (i.e. conduct of operations, behavior based safety, human performance, voluntary protection, quality assurance, and integrated safety management). This paper is a brief recounting of the lessons learned, thus far, at the INL in bringing previously competing programs into harmony under the goal (umbrella) of seeking to perform regularly as a high reliability organization. In addition to a brief diagram-illustrated historical review, the authors will share the INL’s primary successes (things already effectively stopped or started) and the gaps yet to be bridged.

  20. Feasibility of dynamic cardiac ultrasound transmission via mobile phone for basic emergency teleconsultation.

    Science.gov (United States)

    Lim, Tae Ho; Choi, Hyuk Joong; Kang, Bo Seung

    2010-01-01

    We assessed the feasibility of using a camcorder mobile phone for teleconsulting about cardiac echocardiography. The diagnostic performance of evaluating left ventricle (LV) systolic function was measured by three emergency medicine physicians. A total of 138 short echocardiography video sequences (from 70 subjects) was selected from previous emergency room ultrasound examinations. The measurement of LV ejection fraction based on the transmitted video displayed on a mobile phone was compared with the original video displayed on the LCD monitor of the ultrasound machine. The image quality was evaluated using the double stimulation impairment scale (DSIS). All observers showed high sensitivity. There was an improvement in specificity with the observer's increasing experience of cardiac ultrasound. Although the image quality of video on the mobile phone was lower than that of the original, a receiver operating characteristic (ROC) analysis indicated that there was no significant difference in diagnostic performance. Immediate basic teleconsulting of echocardiography movies is possible using current commercially-available mobile phone systems.