Transport engineering and reduction in crime: the Medellin case

Energy Technology Data Exchange (ETDEWEB)

Colomer Bea, D.

2016-07-01

This study analyses the impact of the aerial cable car public transport system, locally known as Metrocable, in Medellín (Colombia), on the reduction in crime. As part of the municipal policies of social urbanism, Metrocable has contributed to the social integration of the population in the outlying neighbourhoods, which has increased safety in Medellín. This case is clearly of great interest from the point of view of Criminal Sciences, demonstrating how crime can be combated by using tools beyond ius puniendi. (Author)

Designing, Prototyping and Evaluating Digital Mindfulness Applications: A Case Study of Mindful Breathing for Stress Reduction.

Science.gov (United States)

Zhu, Bin; Hedman, Anders; Feng, Shuo; Li, Haibo; Osika, Walter

2017-06-14

During the past decade, there has been a rapid increase of interactive apps designed for health and well-being. Yet, little research has been published on developing frameworks for design and evaluation of digital mindfulness facilitating technologies. Moreover, many existing digital mindfulness applications are purely software based. There is room for further exploration and assessment of designs that make more use of physical qualities of artifacts. The study aimed to develop and test a new physical digital mindfulness prototype designed for stress reduction. In this case study, we designed, developed, and evaluated HU, a physical digital mindfulness prototype designed for stress reduction. In the first phase, we used vapor and light to support mindful breathing and invited 25 participants through snowball sampling to test HU. In the second phase, we added sonification. We deployed a package of probes such as photos, diaries, and cards to collect data from users who explored HU in their homes. Thereafter, we evaluated our installation using both self-assessed stress levels and heart rate (HR) and heart rate variability (HRV) measures in a pilot study, in order to measure stress resilience effects. After the experiment, we performed a semistructured interview to reflect on HU and investigate the design of digital mindfulness apps for stress reduction. The results of the first phase showed that 22 of 25 participants (88%) claimed vapor and light could be effective ways of promoting mindful breathing. Vapor could potentially support mindful breathing better than light (especially for mindfulness beginners). In addition, a majority of the participants mentioned sound as an alternative medium. In the second phase, we found that participants thought that HU could work well for stress reduction. We compared the effect of silent HU (using light and vapor without sound) and sonified HU on 5 participants. Subjective stress levels were statistically improved with both

Cost reduction in the production process using the ABC and Lean tools: Case Study in the refrigeration components industry

Directory of Open Access Journals (Sweden)

Levi da Silva Guimarães

2015-03-01

Full Text Available This paper focuses on production management with respect to operating costs that relate directly to the value of the product. For this study, three methods were used, ABC - Activity Based Costing, which provides accurate information about the knowledge of the real costs, VSM - Value Stream Mapping and Lean Manufacturing. The method adopted for this research was the case study. The study was conducted at a refrigeration components company in the Industrial Center of Manaus. The analyses and observations initially went through the process of mapping the value stream, measuring the current state of activities (cycle time, setup, etc.. After analysis it was possible to map the cost for each activity and finally calculate the cost of the product before and after the improvements resulting from the lean methodology. The results obtained in this study showed a 20% reduction in product costs resulting from operational improvements. The activity-based cost led to a discovery of the real costs of waste. The steps for this study include process mapping through the value stream, measuring the current state of activities (cycle time, setup, etc., establishing the cost driver for each activity, and finally calculating the cost of the product before and after the application of lean improvements. The paper was conducted through literature and descriptive review, and used a case study method. It describes the model that has been tested in a production line for a refrigeration components company from the Manaus Industrial Center, achieving a 20% reduction in product cost.

Carbon reduction potentials of China's industrial parks: A case study of Suzhou Industry Park

International Nuclear Information System (INIS)

Wang, Hongsheng; Lei, Yue; Wang, Haikun; Liu, Miaomiao; Yang, Jie; Bi, Jun

2013-01-01

Industrial parks are the economic engines for many China regions, but they also consume a great deal of energy and emit greenhouse gases. However, few empirical studies have examined these special communities. We selected SIP (Suzhou Industrial Park) as a case study. Carbon emissions from SIP were accounted from the consumption perspective to analyze their characteristics. Results showed total carbon emissions grew 85.2% from 2005 to 2010, and carbon intensity (carbon emissions per unit of GDP (gross domestic product)) decreased by 9%. Scenario analysis was then used to depict emissions trajectories under three different pathways. The total carbon emissions and per capita carbon emissions for SIP will undoubtedly increase in the near future under a business-as-usual scenario, improved-policy scenario, and low-carbon scenario; the carbon intensity will decrease by 38% under low-carbon scenario, but it will still be difficult to reach the national mitigation target. In addition, geographic-boundary-based accounting methodology was applied for comparison analysis, carbon emissions show a large gap of 42.4–65.1% from 2005 to 2010, due to failure to account for cross-boundary emissions from imported electricity. Therefore, comprehensive analysis from a consumption perspective is necessary to provide a fair and comprehensive tool for China's local decision-makers to evaluate carbon mitigation potentials. - Highlights: ► Carbon reduction potentials of industrial parks, which are important communities in China, were analyzed. ► Comprehensive carbon emission inventories were developed for a China's industrial park. ► Policies were recommended for industrial parks to achieve low-carbon development target. ► Consumption-based emission inventory is necessary for local government to evaluate carbon reduction potentials

A parametric study of strength reduction factors for elasto-plastic ...

Indian Academy of Sciences (India)

A parametric study of strength reduction factors for elasto-plastic oscillators ... motion duration, earthquake magnitude, geological site conditions, and epicentral distance in case of (non-degrading) elasto-plastic oscillators. ... Sadhana | News.

Assessment of GHG Emission Reduction Potential from Source-separated Organic Waste (SOW) Management: Case Study in a Higher Educational Institution in Malaysia

International Nuclear Information System (INIS)

Ng, C.G.; Sumiani Yusoff

2015-01-01

In Malaysia, the greenhouse gases (GHGs) emissions reduction via composting of source-separated organic waste (SOW) in municipal solid waste (MSW) has not been assessed. Assessment of GHG emissions reduction via composting of SOW is important as environmental impacts from waste management are waste-specific and local-specific. The study presents the case study for potential carbon reduction via composting of SOW in University of Malaya (UM). In this study, a series of calculations were used to evaluate the GHG emission of different SOW management scenarios. The calculations based on IPCC calculation methods (AM0025) include GHGs emissions from land filling, fuel consumption in transportation and SOW composting activity. The methods were applied to assess the GHG emissions from five alternative SOW management scenarios in UM. From the baseline scenario (S0), a total of 1,636.18 tCO2e was generated. In conjunction with target of 22 % recycling rate, as shown in S1, 14 % reduction in potential GHG emission can be achieved. The carbon reduction can be further enhanced by increasing the SOW composting capacity. The net GHG emission for S1, S2, S3 and S4 were 1,399.52, 1,161.29, 857.70 and 1,060.48 tCO2e, respectively. In general, waste diversion for composting proved a significant net GHG emission reduction as shown in S3 (47 %), S4 (35 %) and S2 (29 %). Despite the emission due to direct on-site activity, the significant reduction in methane generation at landfill has reduced the net GHG emission. The emission source of each scenario was studied and analysed. (author)

The economics of gasoline subsidy cost reduction policy: Case study of Indonesia

Science.gov (United States)

Akimaya, Muhammad I.

only provides a subsidy for regular gasoline and in turn proposes an alternative policy that introduces a subsidy for premium gasoline at a lower rate to reduce the overall gasoline subsidy cost. There has yet to be any research that simulates price controls for gasoline with different grades. Simulations based on the calibrated demand are performed and the results confirm the existence of potential savings that are largely determined by the cross-price elasticities between regular and premium gasoline. The benchmark scenario, based on a recent study of substitutability between gasoline by grades, results in an 11.5% reduction in subsidy cost of around 950 million USD with a subsidy rate of Rp 2,254/liter. Furthermore, the optimal rate of subsidy for premium gasoline results in a reduction of inefficiency as consumers' welfare increase by 6.8 trillion rupiahs (or 560 million USD).

A two-domain real-time algorithm for optimal data reduction: a case study on accelerator magnet measurements

International Nuclear Information System (INIS)

Arpaia, Pasquale; Buzio, Marco; Inglese, Vitaliano

2010-01-01

A real-time algorithm of data reduction, based on the combination of two lossy techniques specifically optimized for high-rate magnetic measurements in two domains (e.g. time and space), is proposed. The first technique exploits an adaptive sampling rule based on the power estimation of the flux increments in order to optimize the information to be gathered for magnetic field analysis in real time. The tracking condition is defined by the target noise level in the Nyquist band required by the post-processing procedure of magnetic analysis. The second technique uses a data reduction algorithm in order to improve the compression ratio while preserving the consistency of the measured signal. The allowed loss is set equal to the random noise level in the signal in order to force the loss and the noise to cancel rather than to add, by improving the signal-to-noise ratio. Numerical analysis and experimental results of on-field performance characterization and validation for two case studies of magnetic measurement systems for testing magnets of the Large Hadron Collider at the European Organization for Nuclear Research (CERN) are reported

Source reduction for prevention of methylene chloride hazards: cases from four industrial sectors

Directory of Open Access Journals (Sweden)

Ellenbecker Michael J

2003-07-01

Full Text Available Abstract Background Source reduction, defined as chemical, equipment and process changes that intervene in an industrial process to eliminate or reduce hazards, has not figured as a front-line strategy for the protection of workers' health. Such initiatives are popular for environmental protection, but their feasibility and effectiveness as an industrial hygiene approach have not been well described. Methods We investigated four cases of source reduction as a hazard prevention strategy in Massachusetts companies that had used methylene chloride, an occupational carcinogen, for cleaning and adhesive thinning. Three cases were retrospective and one was prospective, where the researchers assisted with the source reduction process change. Data were collected using qualitative research methods, including in-depth interviews and site visits. Results Motivated by environmental restrictions, a new worker health standard, and opportunity for productivity improvements, three companies eliminated their use of methylene chloride by utilizing available technologies and drop-in substitutes. Aided by technical assistance from the investigators, a fourth case dramatically reduced its use of methylene chloride via process and chemistry changes. While the companies' evaluations of potential work environment impacts of substitutes were not extensive, and in two cases new potential hazards were introduced, the overall impact of the source reduction strategy was deemed beneficial, both from a worker health and a production standpoint. Conclusion The findings from these four cases suggest that source reduction should be considered potentially feasible and effective for reducing or eliminating the potential hazards of methylene chloride exposure. Especially when faced with a hazard that is both an environmental and worker health concern, companies may chose to change their processes rather than rely on local exhaust ventilation equipment or personal protective

Comparison of cost effectiveness of risk reduction among different energy systems: French case studies. Final report for the period 1 May 1982 - 20 February 1988

International Nuclear Information System (INIS)

Lochard, J.

1989-08-01

The report presents the three French case studies performed in the framework of the co-ordinated research programme on ''Comparison of Cost-Effectiveness of Risk Reduction Among Different Energy Systems'': cost-effectiveness of robotics and remote tooling for occupational risk reduction at a nuclear fuel fabrication facility; cost-effectiveness of protection actions to reduce occupational exposure in underground uranium mines; cost effectiveness of safety measures to reduce public risk associated with the transportation of UF 6 by truck and trains. Figs and tabs

Total Ownership Cost Reduction Case Study: AEGIS Radar Phase Shifters

National Research Council Canada - National Science Library

Bridger, Wray W; Ruiz, Mark D

2006-01-01

...., consolidated purchasing, lean and six sigma, productivity improvement projects, etc. This case study was conducted with the sponsorship and assistance of the Acquisition Research Program, Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA.

Opportunities and criticisms of voluntary emission reduction projects developed by Public Administrations: Analysis of 143 case studies implemented in Italy

International Nuclear Information System (INIS)

Gallo, Michela; Del Borghi, Adriana; Strazza, Carlo; Parodi, Lara; Arcioni, Livia; Proietti, Stefania

2016-01-01

Highlights: • 143 voluntary emission reduction projects have been analysed. • The projects belong to renewable energy, energy efficiency and transport sectors. • Voluntary emission reduction standards and methodologies have been applied. • The paper identified the main criticisms for each sector. • Energy efficiency projects are the most promising for public entities. - Abstract: The United Nations Framework Convention on Climate Change (UNFCCC) sets an overall framework for intergovernmental efforts to tackle the challenge posed by climate change. Besides the “flexibility mechanisms” defined by the Kyoto Protocol to lower the overall costs of achieving their emissions targets, The Voluntary Green House Gases (GHG) reduction projects can have a lead role in GHG reduction in “non Emissions Trading System ETS sectors”. Nowadays, the voluntary market is characterised by critical aspects, such as fragmentation, lack of accounting, monitoring and validation rules that have led to the low spread of voluntary emission reduction projects developed by local authorities in the European Union despite their high potentiality. The aim of this paper is to test the applicability of voluntary emission reduction projects in the public sector following a homogeneous and consistent pattern. A research has been performed at local level on 143 voluntary emission reduction projects implemented by Public Administrations in Northern and Central Italy in renewable energy, energy efficiency and transport sectors. The applicable standards and methodologies have been checked and the case studies have been analysed though a three-step process: Preliminary additionality assessment; Projects selection; Validation of the selected project. The assessment shows that energy efficiency projects, once overcoming additionality issues, are the most promising for public entities while renewable energy and transport projects resulted to be mainly affected by double counting problems and

A case study of the relative effects of power plant nitrogen oxides and sulfur dioxide emission reductions on atmospheric nitrogen deposition.

Science.gov (United States)

Vijayaraghavan, Krish; Seigneur, Christian; Bronson, Rochelle; Chen, Shu-Yun; Karamchandani, Prakash; Walters, Justin T; Jansen, John J; Brandmeyer, Jo Ellen; Knipping, Eladio M

2010-03-01

The contrasting effects of point source nitrogen oxides (NOx) and sulfur dioxide (SO2) air emission reductions on regional atmospheric nitrogen deposition are analyzed for the case study of a coal-fired power plant in the southeastern United States. The effect of potential emission reductions at the plant on nitrogen deposition to Escambia Bay and its watershed on the Florida-Alabama border is simulated using the three-dimensional Eulerian Community Multiscale Air Quality (CMAQ) model. A method to quantify the relative and individual effects of NOx versus SO2 controls on nitrogen deposition using air quality modeling results obtained from the simultaneous application of NOx and SO2 emission controls is presented and discussed using the results from CMAQ simulations conducted with NOx-only and SO2-only emission reductions; the method applies only to cases in which ambient inorganic nitrate is present mostly in the gas phase; that is, in the form of gaseous nitric acid (HNO3). In such instances, the individual effects of NOx and SO2 controls on nitrogen deposition can be approximated by the effects of combined NOx + SO2 controls on the deposition of NOy, (the sum of oxidized nitrogen species) and reduced nitrogen species (NHx), respectively. The benefit of controls at the plant in terms of the decrease in nitrogen deposition to Escambia Bay and watershed is less than 6% of the overall benefit due to regional Clean Air Interstate Rule (CAIR) controls.

Contributing to local policy making on GHG emission reduction through inventorying and attribution: A case study of Shenyang, China

International Nuclear Information System (INIS)

Xi Fengming; Geng Yong; Chen Xudong; Zhang Yunsong; Wang Xinbei; Xue Bing; Dong Huijuan; Liu Zhu; Ren Wanxia; Fujita, Tsuyoshi; Zhu Qinghua

2011-01-01

Cities consumed 84% of commercial energy in China, which indicates cities should be the main areas for GHG emissions reduction. Our case study of Shenyang in this paper shows how a clear inventory analysis on GHG emissions at city level can help to identify the major industries and societal sectors for reduction efforts so as to facilitate low-carbon policy-making. The results showed total carbon emission in 2007 was 57 Mt CO 2 equivalents (CO 2 e), of which 41 Mt CO 2 e was in-boundary emissions and 16 Mt CO 2 e was out-of-boundary emissions. The energy sector was dominant in the emission inventory, accounting for 93.1% of total emissions. Within energy sector, emissions from energy production industry, manufacturing and construction industry accounted for 88.4% of this sector. Our analysis showed that comparing with geographical boundary, setting system boundary based on single process standard could provide better information to decision makers for carbon emission reduction. After attributing electricity and heating consumption to final users, the resident and commercial sector became the largest emitter, accounting for 28.5% of total emissions. Spatial analysis of emissions showed that industrial districts such as Shenbei and Tiexi had the large potential to reduce their carbon emissions. Implications of results are finally discussed. - Highlights: → An inventory analysis can help identify key industries and societal sectors for reduction efforts. → Setting system boundary can provide better information for carbon emission reduction. → Urban districts with heavy industrial plants have potential to reduce their carbon emissions. → Policies that support urban energy structure optimization can accelerate low-carbon development.

Comparison of cost effectiveness of risk reduction among different energy systems: French case studies. Final report for the period 1 May 1982 - 20 February 1988

Energy Technology Data Exchange (ETDEWEB)

Lochard, J [CEPN Centre d` Etude sur l` Evaluation de la Protection dans le Domaine Nucleaire, Fontenay-Aux-Roses (France)

1989-08-01

The report presents the three French case studies performed in the framework of the co-ordinated research programme on ``Comparison of Cost-Effectiveness of Risk Reduction Among Different Energy Systems``: cost-effectiveness of robotics and remote tooling for occupational risk reduction at a nuclear fuel fabrication facility; cost-effectiveness of protection actions to reduce occupational exposure in underground uranium mines; cost effectiveness of safety measures to reduce public risk associated with the transportation of UF{sub 6} by truck and trains. Figs and tabs.

Urban passenger transport energy saving and emission reduction potential: A case study for Tianjin, China

International Nuclear Information System (INIS)

Peng, Binbin; Du, Huibin; Ma, Shoufeng; Fan, Ying; Broadstock, David C.

2015-01-01

Highlights: • Potential to reduce urban passenger transport is projected between 2010 and 2040. • Four scenarios reflecting different policy mixes are considered. • The potential for energy conservation and emission reductions are obtained. • Vehicle population regulation is most effective in energy saving and reducing overall GHG. • Emission standards are the most effective measure to reduce pollutant emissions. - Abstract: With rapid growth of the vehicle population, urban passenger transport in China is largely responsible for increases in energy consumption, greenhouse gas (GHG) emissions, and also atmospheric pollutants (NO x , CO, HC, PM). In this paper, we first develop an urban passenger transport energy saving and emission reduction potential evaluation model using the “Long Range Energy Alternatives Planning (LEAP)” tool; and then take Tianjin city as an empirical case to evaluate the reduction potential of final energy consumption, GHG emissions and pollutants emissions of Tianjin’s urban passenger transport sector between 2010 and 2040 under four scenarios, i.e. BAU (business as usual) scenario, PP (the 12th five-year plan policy) scenario, CP (comprehensive policy) scenario and HP (hybrid policy of PP and CP) scenario. The results show that due to the public transport promotion, energy consumption and CO 2 emissions in 2040 can be reduced by 22% and 22.6% in the PP scenario, compared to BAU. The largest reductions in energy consumption, CO 2 and atmospheric pollutants emissions can be achieved under CP scenario, in which vehicle population regulation is the most effective to be implemented. Emissions standard regulation is the most effective measure to reduce atmospheric pollutant emissions in all the scenarios and green energy promotion is especially effective to reduce NO x and PM

Strategies of Successful Poverty Reduction: Case Studies of Tanzania and Zambia

Science.gov (United States)

2015-03-01

Economic Update: Raising the Game , Can Tanzania Eradicate Extreme Poverty? The World Bank Poverty Reduction and Economic Management Unit Africa Region. No...poverty threshold were exceptionally modest and based on the minimum caloric requirement, which excludes meat and fish.259 The Zambian government...Tanzania Economic Update: Raising the Game , Can Tanzania Eradicate Extreme Poverty? The World Bank Poverty Reduction and Economic Management Unit Africa

Application of fundamental principles to mineral scale reduction : case studies

Science.gov (United States)

Peter W. Hart; Alan W. Rudie

2005-01-01

This paper will present several successful case studies where scale has been eliminated in mills including calcium carbonate scale in a white liquor strainer, calcium oxalate scale in the D0 stage, enzymatic treatment of brown stock to eliminate oxalate scale, and control of barium sulfate scale.

Ultrasound guided reduction of an ileocolic intussusception by a hydrostatic method by using normal saline enema in paediatric patients: a study of 30 cases.

Science.gov (United States)

Digant, Shastri Mona; Rucha, Seth; Eke, Dessai

2012-12-01

The conventional hydrostatic reduction of an intussusception with barium enema or the pneumatic reduction of an intussusception is associated with considerable ionizing radiations and a risk of perforation; while the hydrostatic reduction of an intussusception under ultrasound guidance is a very safe method because the whole procedure is visualized with real time ultrasound. Also, being a non-invasive method with a high success rate, this procedure has emerged as a useful alternative to a surgical intervention. The aim of this study was to evaluate the role of ultrasound and colour Doppler studies for the guidance of the hydrostatic reduction of a childhood intussusception by using normal saline. Among 41 children who were evaluated with ultrasonography for the confirmation of the presence of intussusceptions, hydrostatic reduction of intussusception were performed under a sonographic guidance in 30 patients, whereas 11 patients were excluded due to clinical contraindications. This disease was observed mostly at the ages of 6 months to 24 months. In 80% of the patients, there was a recent history of gastroenteritis and 40 % had a history of common cold. The most common site of the intussusception was the transverse colon near the hepatic flexor of the colon (90%), with a mean duration of 22.1±17.3 hours. The overall rate of a successful reduction was 87% and the mean reduction time was 14 minutes. None of the cases showed recurrence within 24 hrs. No complications were observed. We conclude that ultrasound with colour Doppler study is very useful for the diagnosis of intussusceptions, as well as for guided hydrostatic reductions by using normal saline enema. This is an optimal, simple, and a safe procedure for the treatment of intussusceptions in paediatric patients.

Jet Noise Reduction by Microjets - A Parametric Study

Science.gov (United States)

Zaman, K. B. M. Q.

2010-01-01

The effect of injecting tiny secondary jets (microjets ) on the radiated noise from a subsonic primary jet is studied experimentally. The microjets are injected on to the primary jet near the nozzle exit with variable port geometry, working fluid and driving pressure. A clear noise reduction is observed that improves with increasing jet pressure. It is found that smaller diameter ports with higher driving pressure, but involving less thrust and mass fraction, can produce better noise reduction. A collection of data from the present as well as past experiments is examined in an attempt to correlate the noise reduction with the operating parameters. The results indicate that turbulent mixing noise reduction, as monitored by OASPL at a shallow angle, correlates with the ratio of jet to primary jet driving pressures normalized by the ratio of corresponding diameters (p d /pjD). With gaseous injection, the spectral amplitudes decrease at lower frequencies while an increase is noted at higher frequencies. It is apparent that this amplitude crossover is at least partly due to shock-associated noise from the underexpanded jets themselves. Such crossover is not seen with water injection since the flow in that case is incompressible and there is no shock-associated noise. Centerline velocity data show that larger noise reduction is accompanied by faster jet decay as well as significant reduction in turbulence intensities. While a physical understanding of the dependence of noise reduction on p d /pjD remains unclear, given this correlation, an analysis explains the observed dependence of the effect on various other parameters.

A modelling case study to evaluate control strategies for ozone reduction in Southwestern Spain

Science.gov (United States)

Castell, N.; Mantilla, E.; Salvador, R.; Stein, A. F.; Millán, M.

2009-09-01

Ozone is a strong oxidant and when certain concentrations are reached it has adverse effects on health, vegetation and materials. With the aim of protecting human health and ecosystems, European Directive 2008/50/EC establishes target values for ozone concentrations, to be achieved from 2010 onwards. In our study area, located in southwestern Spain, ozone levels regularly exceed the human health protection threshold defined in the European Directive. Indeed, this threshold was exceeded on 92 days in 2007, despite the fact that the Directive stipulates that it should not be exceeded on more than 25 days per calendar year averaged over three years. It is urgent, therefore, to reduce the current ozone levels, but because ozone is a secondary pollutant, this reduction must necessarily involve limiting the emission of its precursors, primarily nitrogen oxides (NOx) and volatile organic compounds (VOC). During the central months of the year, southwestern Spain is under strong insolation and weak synoptic forcing, promoting the development of sea breezes and mountain-induced winds and creating re-circulations of pollutants. The complex topography of the area induces the formation of vertical layers, into which the pollutants are injected and subjected to long distance transport and compensatory subsidence. The characteristics of these highly complex flows have important effects on the pollutant dispersion. In this study two ozone pollution episodes have been selected to assess the ozone response to reductions in NOx and VOC emissions from industry and traffic. The first corresponds to a typical summer episode, with the development of breezes in an anticyclonic situation with low gradient pressure and high temperatures, while the second episode presents a configuration characteristic of spring or early summer, with a smooth westerly flow and more moderate temperatures. Air pollution studies in complex terrain require the use of high-resolution models to resolve the complex

Greenhouse gas and air pollutant emission reduction potentials of renewable energy--case studies on photovoltaic and wind power introduction considering interactions among technologies in Taiwan.

Science.gov (United States)

Kuo, Yu-Ming; Fukushima, Yasuhiro

2009-03-01

To achieve higher energy security and lower emission of greenhouse gases (GHGs) and pollutants, the development of renewable energy has attracted much attention in Taiwan. In addition to its contribution to the enhancement of reliable indigenous resources, the introduction of renewable energy such as photovoltaic (PV) and wind power systems reduces the emission of GHGs and air pollutants by substituting a part of the carbon- and pollutant-intensive power with power generated by methods that are cleaner and less carbon-intensive. To evaluate the reduction potentials, consequential changes in the operation of different types of existing power plants have to be taken into account. In this study, a linear mathematical programming model is constructed to simulate a power mix for a given power demand in a power market sharing a cost-minimization objective. By applying the model, the emission reduction potentials of capacity extension case studies, including the enhancement of PV and wind power introduction at different scales, were assessed. In particular, the consequences of power mix changes in carbon dioxide, nitrogen oxides, sulfur oxides, and particulates were discussed. Seasonally varying power demand levels, solar irradiation, and wind strength were taken into account. In this study, we have found that the synergetic reduction of carbon dioxide emission induced by PV and wind power introduction occurs under a certain level of additional installed capacity. Investigation of a greater variety of case studies on scenario development with emerging power sources becomes possible by applying the model developed in this study.

Integrative harm reduction psychotherapy: a case of substance use, multiple trauma, and suicidality.

Science.gov (United States)

Tatarsky, Andrew; Kellogg, Scott

2010-02-01

Harm reduction is a new paradigm that seeks to reduce the harmful consequences of substance use and other risky behaviors without requiring abstinence. This article discusses integrative harm reduction psychotherapy, one application of harm reduction principles to psychotherapy. Seven therapeutic tasks are described with attention to clinical process, skills, and strategies. A case is presented that illustrates the application of this approach with life-threatening substance use that was related to multiple trauma and suicidal depression. (c) 2010 Wiley Periodicals, Inc.

Contactless Abdominal Fat Reduction With Selective RF™ Evaluated by Magnetic Resonance Imaging (MRI): Case Study.

Science.gov (United States)

Downie, Jeanine; Kaspar, Miroslav

2016-04-01

Noninvasive body shaping methods seem to be an ascending part of the aesthetics market. As a result, the pressure to develop reliable methods for the collection and presentation of their results has also increased. The most used techniques currently include ultrasound measurements of fat thickness in the treated area, caliper measurements, bioimpedance-based scale measurements or circumferential tape measurements. Although these are the most used techniques, almost all of them have some limitations in reproducibility and/or accuracy. This study shows Magnetic Resonance Imaging (MRI) as the new method for the presentation of results in the body shaping industry. Six subjects were treated by a contactless selective radiofrequency device (BTL Vanquish ME, BTL Industries Inc., Boston, MA). The MRI fat thickness was measured at the baseline and at 4-weeks following the treatment. In addition to MRI images and measurements, digital photographs and anthropometric evaluations such as weight, abdominal circumference, and caliper fat thickness measurements were recorded. Abdominal fat thickness measurements from the MRI were performed from the same slices determined by the same tissue artefacts. The MRI fat thickness difference between the baseline measurement and follow up visit showed an average reduction of 5.36 mm as calculated from the data of 5 subjects. One subject dropped out of study due to non-study related issues. The results were statistically significant based on the Student's T-test evaluation. Magnetic resonance imaging abdominal fat thickness measurements seems to be the best method for the evaluation of fat thickness reduction after non-invasive body shaping treatments. In this study, this method shows average fat thickness reduction of 5.36 mm while the weight of the subjects didn't change significantly. A large spot size measuring 1317 cm(2) (204 square inches) covers the abdomen flank to flank. The average thickness of 5.36 mm of the fat layer reduced

Achieving carbon emission reduction through industrial and urban symbiosis: A case of Kawasaki

International Nuclear Information System (INIS)

Dong, Huijuan; Ohnishi, Satoshi; Fujita, Tsuyoshi; Geng, Yong; Fujii, Minoru; Dong, Liang

2014-01-01

Industry and fossil fuel combustion are the main sources for urban carbon emissions. Most studies focus on energy consumption emission reduction and energy efficiency improvement. Material saving is also important for carbon emission reduction from a lifecycle perspective. IS (Industrial symbiosis) and U r S (urban symbiosis) have been effective since both of them encourage byproduct exchange. However, quantitative carbon emission reduction evaluation on applying them is still lacking. Consequently, the purpose of this paper is to fill such a gap through a case study in Kawasaki Eco-town, Japan. A hybrid LCA model was employed to evaluate to the lifecycle carbon footprint. The results show that lifecycle carbon footprints with and without IS and U r S were 26.66 Mt CO 2 e and 30.92 Mt CO 2 e, respectively. The carbon emission efficiency was improved by 13.77% with the implementation of IS and U r S. The carbon emission reduction was mainly from “iron and steel” industry, cement industry and “paper making” industry, with figures of 2.76 Mt CO 2 e, 1.16 Mt CO 2 e and 0.34 Mt CO 2 e, respectively. Reuse of scrape steel, blast furnace slag and waste paper are all effective measures for promoting carbon emission reductions. Finally, policy implications on how to further promote IS and U r S are presented. - Highlights: • We evaluate carbon emission reduction of industrial and urban symbiosis (IS/U r S). • Hybrid LCA model was used to evaluate lifecycle carbon footprint. • Carbon emission efficiency was improved by 13.77% after applying IS/U r S. • The importance of U r S in responding carbon reduction was addressed in the paper

Reduction in language testing

DEFF Research Database (Denmark)

Dimova, Slobodanka; Jensen, Christian

2013-01-01

/video recorded speech samples and written reports produced by two experienced raters after testing. Our findings suggest that reduction or reduction-like pronunciation features are found in tested L2 speech, but whenever raters identify and comment on such reductions, they tend to assess reductions negatively......This study represents an initial exploration of raters' comments and actual realisations of form reductions in L2 test speech performances. Performances of three L2 speakers were selected as case studies and illustrations of how reductions are evaluated by the raters. The analysis is based on audio...

A case study of energy expenditure based on walking speed reduction during walking upstairs situation at a staircase in FKAAS, UTHM, Johor building

Science.gov (United States)

Abustan, M. S.; Ali, M. F. M.; Talib, S. H. A.

2018-04-01

Walking velocity is a vector quantity that can be determined by calculating the time taken and displacement of a moving objects. In Malaysia, there are very few researches that were done to determine the walking velocity of citizens to be compared with other countries such as the study about walking upstairs during evacuation process is important when emergency case happen, if there are people in underground garages, they have to walk upstairs for exits and look for shelter and the walking velocity of pedestrian in such cases are necessary to be analysed. Therefore, the objective of this study is to determine the walking speed of pedestrian during walking upstairs situation, finding the relationship between pedestrian walking speed and the characteristics of the pedestrian as well as analysing the energy reduction by comparing the walking speed of pedestrian at the beginning and at the end of staircase. In this case study, an experiment was done to determine the average walking speed of pedestrian. The pedestrian has been selected from different gender, physical character, and age. Based on the data collected, the average normal walking speed of male pedestrian was 1.03 m/s while female was 1.08 m/s. During walking upstairs, the walking speed of pedestrian decreased as the number of floor increased. The average speed for the first stairwell was 0.90 m/s and the number decreased to 0.73 m/s for the second stairwell. From the reduction of speed, the energy used has been calculated and the average kinetic energy used was 1.69 J. Hence, the data collected can be used for further research of staircase design and plan of evacuation process.

Sonocrystallization—Case Studies of Salicylamide Particle Size Reduction and Isoniazid Derivative Synthesis and Crystallization

Directory of Open Access Journals (Sweden)

Zhen-Yu Yang

2018-06-01

Full Text Available Two case studies of salicylamide particle size reduction and isoniazid derivative synthesis and crystallization realized using sonocrystallization were investigated. The size, habit, structure, thermal behavior, and spectrometric properties of sonocrystallized crystals were analyzed through scanning electron microscopy (SEM, powder X-ray diffractometry (PXRD, differential scanning calorimetry (DSC, and Fourier transform infrared (FTIR spectroscopy. The effects of the operating parameters, such as sonication intensity, sonication duration, and solution concentration, on sonocrystallization were compared. The crystal size of salicylamide was reduced from 595 μm (the original size and was efficiently manipulated to be between 40 and 80 μm. Moreover, compared with the crystal habits of unprocessed crystals and recrystallized crystals fabricated through conventional methods, the crystal habit of salicylamide could be modified to present a regular shape. The structure, thermal behavior, and spectrometric properties of sonocrystallized salicylamide were found to be in agreement with those of an unprocessed sample. For producing isoniazid derivative crystals, N′-(propan-2-ylidene-isonicotinohydrazide was synthesized using isoniazid in acetone at 318 K. The resulting solution was then cooled by applying power ultrasound to isolate N′-(propan-2-ylidene-isonicotinohydrazide crystals. The solid-state properties of the synthesized N′-(propan-2-ylidene-isonicotinohydrazide was verified through PXRD, DSC, and FTIR spectroscopy. The feasibility of particle size manipulation was then demonstrated through sonocrystallization.

Stress-reduction interventions in an Australian university: a case study.

Science.gov (United States)

Pignata, Silvia; Winefield, Anthony H

2015-02-01

We examined the effects of awareness of stress-reduction interventions on employee well-being and work attitudes using a mixed methods design. Cross-sectional data are presented from 247 employees who completed questionnaires in 2004 at one Australian university. Analyses indicated that employees, who reported that interventions had been undertaken, scored higher on job satisfaction, affective organizational commitment, perceived procedural justice and trust in senior management than those who were not aware of the measures, although they did not differ in psychological strain. Details of the stress-reduction interventions implemented by the Occupational Health and Safety department at the university are also reported. Thematic analyses of the perceived causes of both decreases and increases in stress for employees showed that staff reported workload and staffing pressures as key sources of increases in stress. On the other hand, new supervisors and/or management were identified as sources of decreased stress. Areas for consideration in future efforts to develop and refine stress interventions are also discussed. © 2013 John Wiley & Sons, Ltd.

Cost decreases in environmental technology. Evidence from four case studies

Energy Technology Data Exchange (ETDEWEB)

Oosterhuis, F. [Instituut for Environmental Studies, Vrije Universiteit VU, Amsterdam (Netherlands)

2007-07-15

The cost of a new technology tends to decrease as its uptake grows, and environmental technology is no exception to this general rule. Factors that can bring about such cost reductions include economies of scale, 'learning-by-doing', incremental technological improvements, and growing competition. In preparing environmental policies, the potential for future cost reductions is often disregarded. The present study aims to provide some additional empirical evidence on the cost decreases in environmental technology and the factors that lie behind them. To this end, four exemplary case studies have been selected. The first case (NOx emission abatement by Selective Catalytic Reduction (SCR)), shows a wide variety in cost estimates, without a clear trend. This is even true for the costs of a fairly homogeneous type of investment (SCR in coal fired power plants). Nevertheless, it is clear that an important cost decrease has been achieved by prolonging the lifetime of the catalyst, which is one of the main cost components in SCR. In the second case (NH3 emission abatement by chemical air scrubbers in pig farming) there is not yet sufficient experience with the technology to draw conclusions on the development of costs. However, it is already clear that economizing on the capacity of the system can contribute to important cost savings. Three-way catalytic converters in cars have shown significant price decreases following their large scale introduction on the European market in the early 1990s. Probably economies of scale have played an important role in this case, as the size of the market made mass production possible. To some extent, cost reductions may also be attributed to improvements such as the need for less materials (e.g. platinum). Furthermore, the performance of catalytic converters has improved, implying that the cost per unit of emission reduction has decreased even more than the cost of the device itself. Market prices of Compact Fluorescent Lamps

Semicircular Horizontal Approach in Breast Reduction: Clinical Experience in 38 Cases

Directory of Open Access Journals (Sweden)

Hee Su Shin

2015-07-01

Full Text Available BackgroundVarious techniques are used for performing breast reduction. Wise-pattern and vertical scar techniques are the most commonly employed approaches. However, a vertical scar in the mid-lower breast is prominent and aesthetically less pleasant. In contrast, a semicircular horizontal approach does not leave a vertical scar in the mid breast and transverse scars can be hidden in the inframammary fold. In this paper, we describe the experiences and results of semicircular horizontal breast reductions performed by a single surgeon.MethodsBetween September 1996 and October 2013, our senior author used this technique in 38 cases in the US and at our institution. We used a superiorly based semicircular incision, where the upper skin paddle was pulled down to the inframammary fold with the nipple-areola complex pulled through the keyhole.ResultsThe average total reduction per breast was 584 g, ranging from 286 to 794 g. The inferior longitudinal pedicle was used in all the cases. The average reduction of the distance from the sternal notch to the nipple was 13 cm (range, 11-15 cm. The mean decrease in the bra cup size was 1.7 cup sizes (range, a decrease of 1 to 3. We obtained very satisfactory results with a less noticeable scar, no complication such as necrosis of the nipple or the skin flap, wound infection, aseptic necrosis of the breast tissue, or wound dehiscence. One patient had a small hematoma that resolved spontaneously.ConclusionsThis technique is straightforward and easy to learn, and offers a safe, effective, and predictable way for treating mammary hypertrophy.

Case-control Studies on the Effectiveness of Breast Cancer Screening: Insights from the UK Age Trial.

Science.gov (United States)

van der Waal, Daniëlle; Broeders, Mireille J M; Verbeek, André L M; Duffy, Stephen W; Moss, Sue M

2015-07-01

Ongoing breast cancer screening programs can only be evaluated using observational study designs. Most studies have observed a reduction in breast cancer mortality, but design differences appear to have resulted in different estimates. Direct comparison of case-control and trial analyses gives more insight into this variation. Here, we performed case-control analyses within the randomized UK Age Trial. The Age Trial assessed the effect of screening on breast cancer mortality in women ages 40-49 years. In our approach, case subjects were defined as breast cancer deaths between trial entry (1991-1997) and 2004. Women were ages 39-41 years at entry. For every case subject, five control subjects were selected. All case subjects were included in analyses of screening invitation (356 case subjects, 1,780 controls), whereas analyses of attendance were restricted to women invited to screening (105 case subjects, 525 age-matched controls). Odds ratios (OR) were estimated with conditional logistic regression. We used and compared two methods to correct for self-selection bias. Screening invitation resulted in a breast cancer mortality reduction of 17% (95% confidence interval [CI]: -36%, +6%), similar to trial results. Different exposure definitions and self-selection adjustments influenced the observed breast cancer mortality reduction. Depending on the method, "ever screened" appeared to be associated with a small reduction (OR: 0.86, 95% CI: 0.40, 1.89) or no reduction (OR: 1.02, 95% CI: 0.48, 2.14) using the two methods of correction. Recent attendance resulted in an adjusted mortality reduction of 36% (95% CI: -69%, +31%) or 45% (95% CI: -71%, +5%). Observational studies, and particularly case-control studies, are an important monitoring tool for breast cancer screening programs. The focus should be on diminishing bias in observational studies and gaining a better understanding of the influence of study design on estimates of mortality reduction.

BioFleet case studies

International Nuclear Information System (INIS)

2007-01-01

These six case studies examined the use of different biodiesel blends as fuel supply sources for businesses in British Columbia (BC). In the first case study, 6 municipalities participated in a pilot program designed to compare the performance of biodiesel and diesel fuels. Each municipality operated 2 base vehicles running on conventional diesel along with 2 similar vehicles which used biodiesel. Real time emissions tests and analyses of the vehicles using biodiesel were also conducted by 2 of the participating municipalities. All municipalities participating in the study agreed to purchase significant volumes of biodiesel. The second case study described a pilot study conducted by the City of Vancouver's equipment services branch in 2004. As a result of the study, the city now has over 530 types of equipment that use biodiesel. The third case study described a program designed by TSI Terminals in Vancouver to assess the emission reduction impact of using biodiesel at its port facility. Six different pieces of equipment were used to confirm that biodiesel could be used throughout the terminal. Test results confirmed that biodiesel blends could be used to reduce emissions. Overall emissions were reduced by 30 per cent. The fourth case study described a waste renderer that used a fleet of 36 trucks to deliver raw products to its plants. The company made the decision to use only biodiesel for its entire fleet of trucks. Since July 2005, the company has logged over 1.7 million km using biodiesel blends. The fifth case study described a salmon hatchery that switched from diesel to biodiesel in order to reduce emissions. The biodiesel blends are used to fuel the hatchery's 2 diesel generators. The hatchery has reduced emissions of greenhouse gases (GHGs) by an estimated 1800 tonnes annually. The sixth case study described how the Township of Langley has started using biodiesel for its entire fleet of of approximately 250 pieces of equipment. The township has not

Waste reduction algorithm used as the case study of simulated bitumen production process

Directory of Open Access Journals (Sweden)

Savić Marina A.

2011-01-01

Full Text Available Waste reduction algorithm - WAR is a tool helping process engineers for environmental impact assessment. WAR algorithm is a methodology for determining the potential environmental impact (PEI of a chemical process. In particular, the bitumen production process was analyzed following three stages: a atmospheric distillation unit, b vacuum distillation unit, and c bitumen production unit. Study was developed for the middle sized oil refinery with capacity of 5000000 tones of crude oil per year. Results highlight the most vulnerable aspects of the environmental pollution that arise during the manufacturing process of bitumen. The overall rates of PEI leaving the system (PEI/h - Iout PEI/h are: a 2.14105, b 7.17104 and c 2.36103, respectively. The overall rates of PEI generated within the system - Igen PEI/h are: a 7.75104, b -4.31104 and c -4.32102, respectively. Atmospheric distillation unit have the highest overall rate of PEI while the bitumen production unit have the lowest overall rate of PEI. Comparison of Iout PEI/h and Igen PEI/h values for the atmospheric distillation unit, shows that the overall rate of PEI generated in the system is 36.21% of the overall rate of PEI leaving the system. In the cases of vacuum distillation and bitumen production units, the overall rate of PEI generated in system have negative values, i.e. the overall rate of PEI leaving the system is reduced at 60.11% (in the vacuum distillation unit and at 18.30% (in the bitumen production unit. Analysis of the obtained results for the overall rate of PEI, expressed by weight of the product, confirms conclusions.

Application of a TiO2 nanocomposite in earplugs, a case study of noise reduction.

Science.gov (United States)

Ibrahimi Ghavamabadi, Leila; Fouladi Dehaghi, Behzad; Hesampour, Morteza; Ahmadi Angali, Kambiz

2018-03-13

Use of hearing protection devices (HPDs) has become necessary when other control measures cannot reduce noise to a safe and standard level. In most countries, more effective hearing protection devices are in demand. The aim of this study was to examine the effects of titanium dioxide (TiO 2 ) nanoparticles on noise reduction efficiency in a polyvinyl chloride (PVC) earplug. An S-60 type PVC polymer as main matrix and TiO 2 with 30 nm size were used. PVC/TiO 2 nanocomposite was mixed at a temperature of 160 °C and 40 rounds per minute (rpm) and the samples were prepared with 0, 0.2 and 0.5 wt% of TiO 2 nanoparticle concentrations. Earplug samples with PVC/TiO 2 (0.2, 0.5 wt%) nanoparticles, when compared with raw earplugs, showed almost equal noise attenuation at low frequencies (500- 125 Hz). However, at high frequencies (2-8 kHz), the power of noise reduction of earplugs containing TiO 2 nanoparticles was significantly increased. The results of the present study showed that samples containing nanoparticles of TiO 2 had more noticeable noise reduction abilities at higher frequencies in comparison with samples without the nanoparticles.

Field Study of Infiltration Capacity Reduction of Porous Mixture Surfaces

Directory of Open Access Journals (Sweden)

Luis A. Sañudo-Fontaneda

2014-03-01

Full Text Available Porous surfaces have been used all over the world in source control techniques to minimize flooding problems in car parks. Several studies highlighted the reduction in the infiltration capacity of porous mixture surfaces after several years of use. Therefore, it is necessary to design and develop a new methodology to quantify this reduction and to identify the hypothetical differences in permeability between zones within the same car park bay due to the influence of static loads in the parked vehicles. With this aim, nine different zones were selected in order to check this hypothesis (four points under the wheels of a standard vehicle and five points between wheels. This article presents the infiltration capacity reduction results, using the LCS permeameter, of Polymer-Modified Porous Concrete (9 bays and Porous Asphalt (9 bays surfaces in the University of Cantabria Campus parking area (Spain 5 years after their construction. Statistical analysis methodology was proposed for assessing the results. Significant differences were observed in permeability and reduction in infiltration capacity in the case of porous concrete surfaces, while no differences were found for porous asphalt depending on the measurement zone.

Energy and environmental implications of carbon emission reduction targets: Case of Kathmandu Valley, Nepal

International Nuclear Information System (INIS)

Shrestha, Ram M.; Rajbhandari, Salony

2010-01-01

This paper analyzes the sectoral energy consumption pattern and emissions of CO 2 and local air pollutants in the Kathmandu Valley, Nepal. It also discusses the evolution of energy service demands, structure of energy supply system and emissions from various sectors under the base case scenario during 2005-2050. A long term energy system planning model of the Kathmandu Valley based on the MARKet ALlocation (MARKAL) framework is used for the analyses. Furthermore, the paper analyzes the least cost options to achieve CO 2 emission reduction targets of 10%, 20% and 30% below the cumulative emission level in the base case and also discusses their implications for total cost, technology-mix, energy-mix and local pollutant emissions. The paper shows that a major switch in energy use pattern from oil and gas to electricity would be needed in the Valley to achieve the cumulative CO 2 emission reduction target of 30% (ER30). Further, the share of electricity in the cumulative energy consumption of the transport sector would increase from 12% in the base case to 24% in the ER30 case.

Ultrasound guided reduction of childhood intussusception

International Nuclear Information System (INIS)

Yoon, Chong Hyun; Kim, Han Suk

1986-01-01

Following on from diagnosis using ultrasound, hydrostatic reduction using saline enema under ultrasound guidance was tried in 20 cases of childhood intussusception. The conclusions were as follows: 1. Success rates of saline enema under ultrasound guidance during a first-8 month period (P1) and a second-10 month period (P2) were 55.6% (5/9) and 54.5% (6/11) respectively. Average success rate was 55% (11/20). 2. During the periods of P1 and P2, no case was reduced by barium enema in 6 cases of failed reduction with saline enema. 3. During the period of P2, 5 cases of successful reduction with saline enema were confirmed by clinical follow-up without barium enema. 4. During the periods of P1 and P2, 9 cases of failed reduction with saline enema were operated, resulting in 6 cases of segmental resection and 3 cases of manual reduction. 5. The obvious advantages of this method are: 1. No radiation hazard. 2. No fear of barium peritonitis. 3. Detection of leading point. 6. With above results, this method could completely replace barium enema. And ultrasonography should be the initial study in the evaluation of intussusception in children and then if necessary, saline enema under ultrasound guidance should be done.

Risk Factors for Loss to Follow-Up among People Who Inject Drugs in a Risk Reduction Program at Karachi, Pakistan. A Case-Cohort Study.

Directory of Open Access Journals (Sweden)

Rab Nawaz Samo

Full Text Available Retention of male people who inject drugs (PWIDs is a major challenge for harm reduction programs that include sterile needle/syringe exchange in resource-limited settings like Pakistan. We assessed the risk factors for loss to follow-up among male PWIDs enrolled in a risk reduction program in Karachi, Pakistan.We conducted a prospective cohort study among 636 HIV-uninfected male PWIDs enrolled during March-June 2009 in a harm reduction program for the estimation of incidence rate. At 24 months post-enrollment, clients who had dropped out of the program were defined as lost to follow-up and included as cases for case-cohort study.The median age of the participants was 29 years (interquartile range: 23-36. Active outreach accounted for 76% (483/636 of cohort recruits. Loss to follow-up at 24 months was 25.5% (162/636. In multivariable logistic regression, younger age (AOR: 0.97, 95% CI: 0.92-0.99, p = 0.028, clients from other provinces than Sindh (AOR: 1.49, 95% CI: 1.01-2.22, p = 0.046, having no formal education (AOR: 3.44, 95% CI: 2.35-4.90, p<0.001, a history of incarceration (AOR: 1.68, 95% CI: 1.14-2.46, p<0.008, and being homeless (AOR: 1.47, 95% CI: 1.00-2.19, p<0.049 were associated with loss to follow-up.Our cohort retained 74.5% of male PWIDs in Karachi for 24 months. Its loss to follow up rate suggested substantial ongoing programmatic challenges. Programmatic enhancements are needed for the highest risk male PWIDs, i.e., younger men, men not from Sindh Province, men who are poorly educated, formerly incarcerated, and/or homeless.

Delayed Uterine Rupture After Fetal Reduction in a Case of Cornual Heterotopic Pregnancy

OpenAIRE

Su, Mei-Tsz; Kuo, Pao-Lin; Hsu, Keng-Fu

2005-01-01

Objective: Assisted reproductive technology has contributed to the rising rate of multiple and ectopic pregnancies. We report a case of heterotopic cornual pregnancy with delayed uterine rupture despite successful fetal reduction. To our knowledge, this has not been previously reported. Case Report: A 32-year-old woman, gravida 2, para 0, had secondary infertility. She had undergone laparoscopic tuboplasty for bilateral tubal obstruction and laparoscopic bilateral salpingectomy for hydrosa...

Vertical Patellar Dislocation: Reduction by the Push Up and Rotate Method, A Case Report and Literature Review.

Science.gov (United States)

Ahmad Khan, Hayat; Bashir Shah, Adil; Kamal, Younis

2016-11-01

Patellar dislocation is an emergency. Vertical patellar dislocation is rare, often seen in adolescents and mostly due to sports injuries or high-velocity trauma. Few cases have been reported in the literature. Closed or open reduction under general anesthesia is often needed. We report a case of vertical locked patellar dislocation in a 26-year-old male, which was reduced by a simple closed method under spinal anaesthesia. A literature review regarding the various methods of treatment is also discussed. A 26-year-old male experienced a trivial accident while descending stairs, sustaining patellar dislocation. The closed method of reduction was attempted, using a simple technique. Reduction was confirmed and postoperative rehabilitation was started. Follow-up was uneventful. Vertical patellar dislocations are encountered rarely in the emergency department. Adolescents are not the only victims, and high-velocity trauma is not the essential cause. Unnecessary manipulation should be avoided. The closed reduction method is simple, but the surgeon should be prepared for open reduction.

Establishing a greenhouse gas inventory and reduction goal: case study

International Nuclear Information System (INIS)

Carli, G.A.; Richardson, S.L.

2009-01-01

'Full text:' Since 1976, Conestoga-Rovers & Associates (CRA) has grown from a small, regional engineering company, to one of the world's most sought-after, multi-disciplinary engineering and consulting firms with over 90 offices and more than 2,700 people working on projects worldwide. CRA is committed to helping its clients meet or exceed their environmental performance goals while achieving its own sustainability objectives. CRA is continuously striving to implement social and environmental performance improvements in each and every work place where CRA conducts business. CRA's Corporate Sustainability, Social Responsibility, and Environmental Policy reflects this commitment. CRA is working to reduce its environmental footprint and invest in the communities in which we live and conduct business. CRA undertook a corporate-wide greenhouse gas (GHG) inventory and set aggressive GHG reduction goals. This presentation provides an overview of the steps CRA has taken to quantify corporate GHG emissions, including establishing boundary conditions, data collection activities, calculation of GHG emissions, and development of and inventory management plant consistent with the U.S. EPA Climate Leaders program. The presentation discusses the primary challenges addressed in developing a GHG inventory for multiple facilities located throughout North America, including obtaining verifiable data, addressing corporate travel, and communicating climate change goals within the organization. The presentation concludes with an overview of the key considerations necessary to establish a credible reduction goal. (author)

Applicabilities of ship emission reduction methods

Energy Technology Data Exchange (ETDEWEB)

Guleryuz, Adem [ARGEMAN Research Group, Marine Division (Turkey)], email: ademg@argeman.org; Kilic, Alper [Istanbul Technical University, Maritime Faculty, Marine Engineering Department (Turkey)], email: enviromarineacademic@yahoo.com

2011-07-01

Ships, with their high consumption of fossil fuels to power their engines, are significant air polluters. Emission reduction methods therefore need to be implemented and the aim of this paper is to assess the advantages and disadvantages of each emissions reduction method. Benefits of the different methods are compared, with their disadvantages and requirements, to determine the applicability of such solutions. The methods studied herein are direct water injection, humid air motor, sea water scrubbing, diesel particulate filter, selected catalytic reduction, design of engine components, exhaust gas recirculation and engine replacement. Results of the study showed that the usefulness of each emissions reduction method depends on the particular case and that an evaluation should be carried out for each ship. This study pointed out that methods to reduce ship emissions are available but that their applicability depends on each case.

[Manipulative reduction and external fixation with cardboard splint for the treatment of calcaneal fractures: a 60-case report].

Science.gov (United States)

Hao, Bo-Chuan; Xie, Ke-Bo

2014-07-01

To investigate the therapeutic effects of manipulative reduction for calcaneal fractures. From January 2009 to June 2012, 53 cases (60 affected feet) of Sanders type I-IV calcaneal fractures were treated by manipulative reduction and external fixation with cardboard splint,including 45 males and 8 females with an average age of (33.5 +/- 1.54) years old ranging from 18 to 65. The course of disease ranged 0.5 h to 7 d. Before treatment the feet were swelling, ache and activity limitation in evidence, some feet were wide flat deformity, the cortical bone was broken in the imaging examination. All selected cases were evaluated using Creighton-Nebraska health foundation assessment scale for fractures of calcaneus. All cases were followed up at 12 months after treatment, 13 feet got excellent curative effect, 34 good, 11 moderate and 2 poor. Manipulative reduction for Sanders type I-IV calcaneal fractures could get excellent curative effect. Manipulative reduction for calcaneal fractures could avoid surgical trauma while assure high curative effects. Manipulative reduction is not only economical and easy therapy, but also can restore maximum function of the calcaneus with few complications and facilitate early rehabilitation of ankle and joint function.

Reduction of radiation doses on patients. Practice cases

International Nuclear Information System (INIS)

Ruiz Perez de Villar, M.J.; Llorca Diaz, A.L.; Vano Carruana, E.

1993-01-01

The percentages of patient dose reduction achieved in chest, abdomen, lumbar spine and pelvis imaging as a result of the quality controls applied to X-ray generators and tubes are presented. Dosimetry was done with lithium fluoride thermoluminescent crystals. The absorbed doses were measured before and after the quality controls and were compared with reference doses provided by the European Community and by the Medical Physics department of the Universidad Complutense in Madrid. The procedures applied in the quality controls of generators and tubes were noninvasive. In chest studies, the reductions in dose ranged between 60 and 80%. In studies of abdomen, lumbar column and pelvis, it was possible to reduce the absorbed dose by 35%. (Author)

Acute quadriplegia following closed traction reduction of a cervical facet dislocation in the setting of ossification of the posterior longitudinal ligament: case report.

Science.gov (United States)

Wimberley, David W; Vaccaro, Alexander R; Goyal, Nitin; Harrop, James S; Anderson, D Greg; Albert, Todd J; Hilibrand, Alan S

2005-08-01

A case report of acute quadriplegia resulting from closed traction reduction of traumatic bilateral cervical facet dislocation in a 54-year-old male with concomitant ossification of the posterior longitudinal ligament (OPLL). To report an unusual presentation of a spinal cord injury, examine the approach to reversal of the injury, and review the treatment and management controversies of acute cervical facet dislocations in specific patient subgroups. The treatment of acute cervical facet dislocations is an area of ongoing controversy, especially regarding the question of the necessity of advanced imaging studies before closed traction reduction of the dislocated cervical spine. The safety of an immediate closed, traction reduction of the cervical spine in awake, alert, cooperative, and appropriately select patients has been reported in several studies. To date, there have been no permanent neurologic deficits resulting from awake, closed reduction reported in the literature. A case of temporary, acute quadriplegia with complete neurologic recovery following successful closed traction reduction of a bilateral cervical facet dislocation in the setting of OPLL is presented. The clinical neurologic examination, radiographic, and advanced imaging studies before and after closed, traction reduction of a cervical facet dislocation are evaluated and discussed. A review of the literature regarding the treatment of acute cervical facet dislocations is presented. Radiographs showed approximately 50% subluxation of the fifth on the sixth cervical vertebrae, along with computerized tomography revealing extensive discontinuous OPLL. The cervical facet dislocation was successfully reduced with an awake, closed traction reduction, before magnetic resonance imaging (MRI) evaluation. The patient subsequently had acute quadriplegia develop, with the ensuing MRI study illustrating severe spinal stenosis at the C5, C6 level as a result of OPLL or a large extruded disc herniation

Setup Time Reduction On Solder Paste Printing Machine – A Case Study

Directory of Open Access Journals (Sweden)

Rajesh Dhake

2013-06-01

Full Text Available Lean manufacturing envisages the reduction of the seven deadly wastes referred to as MUDA. Setup time forms a major component of the equipment downtime. It leads to lower machine utilization and restricts the output and product variety. This necessitates the requirement for quick setups. Single Minute Exchange of Die philosophy (a lean manufacturing tool here after referred as “SMED” is one of the important tool which aims at quick setups driving smaller lot sizes, lower production costs, improve productivity in terms of increased output, increased utilization of machine and labor hours, make additional capacity available (often at bottleneck resources, reduce scrap and rework, and increase flexibility[3]. This paper focuses on the application of Single Minute Exchange of Die[1] and Quick Changeover Philosophy[2] for reducing setup time on Solder Past Printing Machine (bottleneck machine in a electronic speedo-cluster manufacturing company. The four step SMED philosophy was adopted to effect reduction in setup time. The initial step was gathering information about the present setup times and its proportion to the total productive time. A detailed video based time study of setup activities was done to classify them into external and internal setup activities in terms of their need (i.e. preparation, replacement or adjustment, time taken and the way these could be reduced, simplified or eliminated. The improvements effected were of three categories viz., mechanical, procedural and organizational. The paper concludes by comparing the present and proposed (implemented methods of setup procedures.

An analysis of energy strategies for CO2 emission reduction in China. Case studies by MARKAL model

International Nuclear Information System (INIS)

Li Guangya

1994-12-01

The China's energy system has been analyzed by using the MARKAL model in this study and the time period is from the year 1990 to 2050. The MARKAL model is applied here to evaluate the cost effective energy strategies for CO 2 emission reduction in China. Firstly the Reference Energy System (RES) of China and its database were established, and the useful energy demand was projected on the basis of China's economic target and demographic forecasting. Four scenarios, BASE1-BASE4 were defined with different assumptions of crude oil and natural uranium availability. Analytical results show that without CO 2 emission constrains coal consumption will continue to hold a dominant position in primary energy supply, and CO 2 emissions in 2050 will be 9.55 BtCO 2 and 10.28 BtCO 2 with different natural uranium availability. Under the CO 2 emission constraints, nuclear and renewable energy will play important roles in CO 2 emission reduction, and feasible maximum CO 2 emission reduction estimated by this study is 3.16 BtCO 2 in 2050. The cumulative CO 2 emission from 1990 to 2050 will be 418.25 BtCO 2 and 429.16 BtCO 2 with different natural uranium availability. Total feasible maximum CO 2 emission reduction from 1990 to 2050 is 95.97 BtCO 2 . (author)

Update on open reduction and internal fixation of unstable pelvic fractures during pregnancy: case reports

Directory of Open Access Journals (Sweden)

Carlos Roberto Schwartsmann

Full Text Available ABSTRACT This article aims to report four cases of unstable pelvic fractures in pregnant women treated by open reduction and internal fixation. Cases report: The study included four cases of pregnant women with unstable pelvic fractures; their outcomes were analyzed and discussed. Data were obtained from two University Hospitals. The mean age of women was 23 years; most (3/4 were primiparous, with a mean pregnancy age of 23 weeks. Two women had Malgaigne-type fractures and the other two had symphyseal disjunction associated with acetabular fractures. All fractures were treated surgically. One foetus was dead on admission to hospital. The other three developed well, along with their mothers. Good evolution was only possible with careful pre-, peri-, and postoperative care for the mother, as well as foetal assessment by a multidisciplinary team. In complex cases such as those presented in the present study, pre-, peri-, and postoperative care are mandatory, as well as the presence of a multidisciplinary team. The mother's life always takes priority in acute clinical pictures, as it offers the best chance of survival to both mother and child.

Reductions in Transmission Risk Behaviors in HIV-Positive Clients Receiving Prevention Case Management Services: Findings from a Community Demonstration Project

Science.gov (United States)

Gasiorowicz, Mari; Llanas, Michelle R.; DiFranceisco, Wayne; Benotsch, Eric G.; Brondino, Michael J.; Catz, Sheryl L.; Hoxie, Neil J.; Reiser, William J.; Vergeront, James M.

2005-01-01

Prevention case management (PCM) for HIV-infected persons is an HIV risk reduction intervention designed to assist clients who are aware of their HIV infection and who continue to engage in risk transmission behaviors. PCM combines individual risk reduction counseling with case management to address the psychosocial factors affecting HIV…

A revision of communication strategies for effective disaster risk reduction: A case study of the South Durban basin, KwaZulu-Natal, South Africa

Directory of Open Access Journals (Sweden)

Chris Skinner

2014-11-01

Full Text Available The study examined how effective forms of communication are, or could be, impacting themore traditional forms of emergency and disaster management communication throughthe print and electronic media and how an integrated communication strategy involving allstakeholders could prove to be successful. This study was of an exploratory and descriptivenature, using a case study of the South Durban basin to demonstrate how media analysis,community discussions and internal and external evaluations of current practices in use bymajor industrial players in the basin has thus far failed to reach its full potential for effectivedisaster risk reduction. Strongly emerging from this study was the finding that, as a resultof these evaluations, new systems are now being planned to incorporate social media as anintegral part of an overall communication strategy, which could have far-reaching implicationsfor corporate communicators and strategic planners.

Long term energy and materials strategies for reduction of industrial CO2 emissions. A case study for the iron and steel industry

International Nuclear Information System (INIS)

Gielen, D.J.

1997-01-01

Greenhouse gas emissions emerged in the last decade as a key environmental problem on the political agenda. The most important greenhouse gas is carbon dioxide (CO 2 ). This gas results from the combustion of fossil fuels (natural gas, oil and coal). As a consequence, greenhouse gas emission reduction is closely related to energy policies. Even a stabilization of the atmospheric CO 2 concentrations at a level of 750 ppm (parts per million), more than twice the current level, implies a reduction of global emissions by 50% in the next century. The world population will simultaneously double and the capita energy consumption will increase. As a consequence, the Western industrialized countries will have to reduce their per capita emissions by more than a factor four. Such a policy goal will significantly affect the future industrial production structure. Approximately 4% of the global CO 2 emissions can be attributed to the production of iron and steel. This sector is the most important industrial source of CO 2 . The case study for the iron and steel industry will be discussed in this paper in order to illustrate the impact of significant CO 2 emission mitigation on the industry. The goal is to show the consequences of CO 2 policies for R and D planning and investment decisions. The notion that the iron and steel industry will be affected by CO 2 policies is not new; a number of studies have addressed this issue before. These studies have compared steel production technologies and emission reduction options within the iron and steel production sector. In this paper, the emission reduction in the iron and steel industry is analyzed within the framework of the changing (inter-)national energy and materials system configuration. This includes all production, conversion and consumption processes. The impact of CO 2 policies on the optimal choice of steel production technologies and on the competitiveness of steel compared to other materials will be discussed. This paper

Case Study: Testing with Case Studies

Science.gov (United States)

Herreid, Clyde Freeman

2015-01-01

This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses using case studies to test for knowledge or lessons learned.

Numerical investigation of the efficiency of emission reduction and heat extraction in a sedimentary geothermal reservoir: a case study of the Daming geothermal field in China.

Science.gov (United States)

Guo, Xuyang; Song, Hongqing; Killough, John; Du, Li; Sun, Pengguang

2018-02-01

The utilization of geothermal energy is clean and has great potential worldwide, and it is important to utilize geothermal energy in a sustainable manner. Mathematical modeling studies of geothermal reservoirs are important as they evaluate and quantify the complex multi-physical effects in geothermal reservoirs. However, previous modeling efforts lack the study focusing on the emission reduction efficiency and the deformation at geothermal wellbores caused by geothermal water extraction/circulation. Emission efficiency is rather relevant in geothermal projects introduced in areas characterized by elevated air pollution where the utilization of geothermal energy is as an alternative to burning fossil fuels. Deformation at geothermal wellbores is also relevant as significant deformation caused by water extraction can lead to geothermal wellbore instability and can consequently decrease the effectiveness of the heat extraction process in geothermal wells. In this study, the efficiency of emission reduction and heat extraction in a sedimentary geothermal reservoir in Daming County, China, are numerically investigated based on a coupled multi-physical model. Relationships between the efficiency of emission reduction and heat extraction, deformation at geothermal well locations, and geothermal field parameters including well spacing, heat production rate, re-injection temperature, rock stiffness, and geothermal well placement patterns are analyzed. Results show that, although large heat production rates and low re-injection temperatures can lead to decreased heat production in the last 8 years of heat extraction, they still improve the overall heat production capacity and emission reduction capacity. Also, the emission reduction capacity is positively correlated with the heat production capacity. Deformation at geothermal wellbore locations is alleviated by smaller well spacing, lower heat production rates, and smaller numbers of injectors in the well pattern, and by

Profile of elementary school science teacher instruction in disaster risk reduction: case study of volcano disaster

Science.gov (United States)

Pujianto; Prabowo; Wasis

2018-04-01

This study examined the profile of science' teacher instruction in Disaster Risk Reduction (DRR), as a feature of instructional quality, on students’ learning experiences. A qualitative study was done to observe teacher activities in teaching of disaster preparedness. Science teacher and 14 students at grade 4 of SDN (elementary school) Kiyaran 2 are involved as the subject of this study. Teacher’ instruction was coded with regard to preparation, action, and evaluation using observation sheets and documentation. Data analysis results showed a positive significant effect of the readiness during preparation on learning process of disaster risk reduction and an indirect effect of teacher’ action on students’ learning experiences. There is a lack of teaching materials about volcano disaster in the elementary school. Teacher found difficulties on evaluation of student achievement in disaster preparedness. These findings highlight the importance of DRR in uphold science teachers’ education. Items of teachers’ skill in preparing of DRR may be used to offer model of concrete instruction situation during university workshop for maintain teacher education.

Evaluating the need for economic support policies in promoting greenhouse gas emission reduction measures in the building sector: The case of Greece

International Nuclear Information System (INIS)

Georgopoulou, E.; Sarafidis, Y.; Mirasgedis, S.; Balaras, C.A.; Gaglia, A.; Lalas, D.P.

2006-01-01

During the last decade the CO 2 emissions from the residential and tertiary sectors have been rising continuously. This is cause for concern but also an area to be targeted for emission reduction measures in national action plans. This paper proposes a methodological framework, using the Greek building sector (characterized by an aging building stock constructed mostly in the period before 1980) as a case study for the examination of the economic attractiveness of possible measures, which incorporates crucial parameters such as local climate, use of buildings, age of building stock, etc. that affect the energy conservation potential and consequently the economic performance of available measures. Utilizing this framework, the approach is able to classify measures into three categories, namely 'win-win' cases (i.e. where the implementation of emission reduction measures presents a net economic benefit for end-users), measures that require the implementation of appropriate economic support policies in order to make them economically attractive for end-users, and measures that have excessive cost. The results indicate that the emissions reduction potential of 'win-win' cases is significant. They also demonstrate how individual measures can provide significant reductions if carefully targeted economic support policies are applied. Finally, sensitivity analyses performed with respect to the discount rate applied indicate that it has a substantial impact on the economic performance of some measures and consequently on the magnitude of the 'win-win' potential associated to emissions reduction

Draft Benzene Case Study Review - Second Prospective Report Study Science Advisory Board Review, March 2008

Science.gov (United States)

EPA developed a methodology for estimating the health benefits of benzene reductions and has applied it in a metropolitan-scale case study of the benefits of CAA controls on benzene emissions to accompany the main 812 analysis.

Benzene Case Study Final Report - Second Prospective Report Study Science Advisory Board Review, July 2009

Science.gov (United States)

EPA developed a methodology for estimating the health benefits of benzene reductions and has applied it in a metropolitan-scale case study of the benefits of CAA controls on benzene emissions to accompany the main 812 analysis.

Performance of air sparging systems -- A review of case studies

International Nuclear Information System (INIS)

Bass, D.H.; Brown, R.A.

1995-01-01

In situ air sparging is a commonly used remediation technology which volatilizes and enhances aerobic biodegradation of contamination in Groundwater and saturated zone soil. Recently, some questions have been raised regarding the effectiveness of air sparging. To address these questions the results of 21 sparging case studies have been compiled to shed light on how well air sparging achieves permanent reduction in groundwater contaminant concentrations. The case studies included both chlorinated solvents and petroleum hydrocarbon contamination, and covered a wide range of soil conditions and sparge system parameters. In each case study, groundwater concentrations were compared before sparging was initiated, just before sparging was terminated, and in the months following shutdown of the sparging system

Reduction operators of Burgers equation.

Science.gov (United States)

Pocheketa, Oleksandr A; Popovych, Roman O

2013-02-01

The solution of the problem on reduction operators and nonclassical reductions of the Burgers equation is systematically treated and completed. A new proof of the theorem on the special "no-go" case of regular reduction operators is presented, and the representation of the coefficients of operators in terms of solutions of the initial equation is constructed for this case. All possible nonclassical reductions of the Burgers equation to single ordinary differential equations are exhaustively described. Any Lie reduction of the Burgers equation proves to be equivalent via the Hopf-Cole transformation to a parameterized family of Lie reductions of the linear heat equation.

Low-Cost Radon Reduction Pilot Study

Energy Technology Data Exchange (ETDEWEB)

Rose, William B. [Partnership for Advanced Residential Retrofit, Champaign, IL (United States); Francisco, Paul W. [Partnership for Advanced Residential Retrofit, Champaign, IL (United States); Merrin, Zachary [Partnership for Advanced Residential Retrofit, Champaign, IL (United States)

2015-09-01

The aim of the research was to conduct a primary scoping study on the impact of air sealing between the foundation and the living space on radon transport reduction across the foundation-living space floor assembly. Fifteen homes in the Champaign, Illinois area participated in the study. These homes were instrumented for hourly continuous radon measurements and simultaneous temperature and humidity the foundation was improved. However, this improved isolation did not lead to significant reductions in radon concentration in the living space. Other factors such as outdoor temperature were shown to have an impact on radon concentration.

Risk reduction strategies in laparoscopic donor nephrectomy: A comparative study

Directory of Open Access Journals (Sweden)

T Manohar

2006-01-01

Full Text Available OBJECTIVES: As the advancements, modifications and standardization of laparoscopy are taking place, there is a need for the reduction in morbidity associated with laparoscopic live donor nephrectomy. This study was performed to determine and reconfirm the advantages of laparoscopic donor nephrectomy over its open counterpart. MATERIALS AND METHODS: Two hundred open live donor nephrectomy (ODN cases were compared to 264 cases of laparoscopic live donor nephrectomy (LDN. Pretransplant functional and radiological evaluation was done routinely by excretory urogram and renal arteriography. In case of vascular variations, CT angiography was preferred. Open cases were done by conventional method and laparoscopic group underwent certain technical and surgical modifications, including meticulous planning for the port placement. Operative time, analgesia requirement, start of the orals, hospital stay, blood loss, late allograft function, incidence of rejection, complications and technical problems were analyzed. RESULTS: Operative time was 135.8 ± 43 and 165 ± 44.4 min ( P < 0.0001, requirement of analgesia was 60.5 ± 40 and 320 ± 120 mg ( P < 0.0001, hospital stay was 4 ± 0.04 and 5.7 ± 2.03 days ( P < 0.0001, warm ischemia time was 6.1 ± 2.0 and 4.1 ± 0.80 min ( P < 0.0001 and time taken for the serum creatinine to stabilize in the recipient was 4.1 ± 1.6 and 4.32 ± 1.40 days ( P =0.06 for LDN and ODN groups respectively. There was a significant reduction in the blood loss in LDN group ( P =0.0005. Overall complications were 6.81 and 14.5% and ureteric injury was seen in 0.37 and 1% in LDN and ODN respectively. CONCLUSION: Laparoscopic live donor nephrectomy can now be performed with low morbidity and mortality to both donors and recipients and is proving to be the preferred operation to open donor nephrectomy. Our continued innovations in technical modifications have made this novel operation successful.

Analyzing Agricultural Sustainability Indicators,Under Energy Subsidy Reduction Policy(Case Study of Qorveh Plain

Directory of Open Access Journals (Sweden)

H. Balali

2016-03-01

Full Text Available Introduction: Generally, subsidies are the amounts of government payments in order to provide all society members with minimum well-being. In several countries such as Iran, the agriculture sector is supported by different methods to achieve goals such as increasing farmers' income, supporting domestic producers and eliminating dependence on imports, preserving employment and reducing poverty. A significant part of agriculture subsidies has been allocated to energy resources, chemical fertilizers, seeds, agriculture machines, vaccines, animal toxins, the interest on bank loans, insurance fees, certain airplane services, distributing young saplings, and government guaranteed purchase of products. However, examining the subsidies system in Iran reveals that most government payments are in the agriculture sector and more specifically on energy resources. Recently, the extra low cost of energy in the agriculture sector, which has had certain government supports, has resulted in low productivity and environmental damage, and has resulted in increased demand for agricultural products due to population growth, changes in life pattern, deviation in energy cost in agricultural sector, environment destruction and influences on sustainable agriculture indicators. Moreover, among different production units, agriculture has the closest relationship with the environment. This relationship is a mutual.On the one hand, erosion and destruction of the environment along with pollution growth and shortage of water resources negatively influences the production and efficiency of agricultural products, and on the other hand, agricultural pollutants and irregular use of chemical fertilizers in this sector impose indispensable damages to the environment.This study aims to apply a partial equilibrium model in order to examine direct and indirect effects of reduction of energy subsidies on economic and environmental indicators of agricultural sustainability in the Qorveh

Unusual inferior dislocation of shoulder: reduction by two-step maneuver: a case report

Directory of Open Access Journals (Sweden)

Patro Dilip K

2009-11-01

Full Text Available Abstract Dislocation of the shoulder is the commonest of all large joint dislocations. Inferior dislocation constitutes 0.5% of all shoulder dislocations. It characteristically presents with overhead abduction of the arm, the humerus being parallel to the spine of scapula. We present an unusual case of recurrent luxatio erecta in which the arm transformed later into an adducted position resembling the more common anterior shoulder dislocation. Such a case has not been described before in English literature. Closed reduction by the two-step maneuver was successful with a single attempt. MRI revealed posterior labral tear and a Hill-Sachs variant lesion on the superolateral aspect of humeral head. Immobilisation in a chest-arm bandage followed by physiotherapy yielded excellent results. The case is first of its kind; the unusual mechanism, unique radiological findings and alternate method of treatment are discussed.

A Competence-Based Science Learning Framework Illustrated through the Study of Natural Hazards and Disaster Risk Reduction

Science.gov (United States)

Oyao, Sheila G.; Holbrook, Jack; Rannikmäe, Miia; Pagunsan, Marmon M.

2015-01-01

This article proposes a competence-based learning framework for science teaching, applied to the study of "big ideas", in this case to the study of natural hazards and disaster risk reduction (NH&DRR). The framework focuses on new visions of competence, placing emphasis on nurturing connectedness and behavioral actions toward…

Social marketing's unique contribution to mental health stigma reduction and HIV testing: two case studies.

Science.gov (United States)

Thackeray, Rosemary; Keller, Heidi; Heilbronner, Jennifer Messenger; Dellinger, Laura K Lee

2011-03-01

Since its inception in 2005, articles in Health Promotion Practice's social marketing department have focused on describing social marketing's unique contributions and the application of each to the practice of health promotion. This article provides a brief review of six unique features (marketing mix, consumer orientation, segmentation, exchange, competition, and continuous monitoring) and then presents two case studies-one on reducing stigma related to mental health and the other a large-scale campaign focused on increasing HIV testing among African American youth. The two successful case studies show that social marketing principles can be applied to a wide variety of topics among various population groups.

Open reduction-internal fixation of a navicular body fracture with dorsal displacement of the first and second cuneiforms: a case report.

Science.gov (United States)

Andersen, Robert C; Neiderer, Katherine; Martin, Billy; Dancho, James

2013-01-01

Body fractures of the tarsal navicular are relatively uncommon. To date, there is little literature discussing a navicular body fracture with dorsal subluxation of the first and second cuneiforms over the navicular. This case study presents a 30-year-old patient with this injury. He underwent open reduction internal fixation of the navicular body fracture successfully but failed adequate reduction of the navicular cuneiform joint after ligamentous reconstruction. After revisional surgery, he also failed 6 weeks of percutanous pinning with Kirschner-wire fixation. When comparing the literature of a similar injury, the Lisfranc fracture disclocation, the same principles may apply. One should consider rigid open reduction internal fixation or even primary fusion to treat disclocation of the naviculocuneiform joint following a navicular body fracture.

Chronic Gastric Volvulus with Laparoscopic Gastropexy after Endoscopic Reduction: A Case Report.

Science.gov (United States)

Lee, Hye Yeon; Park, Jung Hyun; Kim, Sung Geun

2015-06-01

Gastric volvulus is an uncommon clinical entity. There are three types of gastric volvulus; organoaxial, mesenteroaxial and combined type. This condition can lead to a closed-loop obstruction or strangulation. Traditional surgical therapy for gastric volvulus is based on an open approach. Here we report a successful case of a patient with chronic gastric volvulus with a laparoscopic treatment. A 79-year-old woman came to the emergency department with epigastric pain accompanied by nausea for 2 weeks. Abdominal computed tomography revealed markedly distended stomach with transposition of gastroesophageal Junction and gastric antrum. Barium meal study revealed presence of the antrum was folded over 180 degrees that was located above gastroesophageal junction. We attempted an endoscopic reduction, but it was unsuccessful. The patient got laparoscopic anterior gastropexy. Based on our result, laparoscopic gastropexy can be considered as a good choice of the treatment for gastric volvulus.

Noise Exposure of Teachers in Nursery Schools-Evaluation of Measures for Noise Reduction When Dropping DUPLO Toy Bricks into Storage Cases by Sound Analyses.

Science.gov (United States)

Gebauer, Konstanze; Scharf, Thomas; Baumann, Uwe; Groneberg, David A; Bundschuh, Matthias

2016-07-04

Although noise is one of the leading work-related health risk factors for teachers, many nursery schools lack sufficient noise reduction measures. This intervention study evaluated the noise exposure of nursery school teachers when dropping DUPLO toy bricks into storage cases. Sound analyses of the impact included assessment of the maximum sound pressure level (LAFmax) as well as frequency analyses with 1/3 octave band filter. For the purpose of standardization, a customized gadget was developed. Recordings were performed in 11 cases of different materials and designs to assess the impact on sound level reduction. Thereby, the acoustic effects of three damping materials (foam rubber, carpet, and PU-foam) were investigated. The lowest LAFmax was measured in cases consisting of "metal grid" (90.71 dB) or of a woven willow "basket" (91.61 dB), whereas a case of "aluminium" (103.34 dB) generated the highest impact LAFmax. The frequency analyses determined especially low LAFmax in the frequency bands between 80 and 2500 Hz in cases designs "metal grid" and "basket". The insertion of PU-foam achieved the most significant attenuation of LAFmax (-13.88 dB) and, in the frequency analyses, the best sound damping. The dropping of DUPLO bricks in cases contributes to the high noise level in nursery schools, but measured LAFmax show no evidence for the danger of acute hearing loss. However, continuous exposure may lead to functional impairment of the hair cells and trigger stress reactions. We recommend noise reduction by utilizing cases of woven "basket" with an insert of PU-foam.

Case study: Bioremediation in the Aleutian Islands

International Nuclear Information System (INIS)

Steward, K.J.; Laford, H.D.

1995-01-01

This case study describes the design, construction, and operation of a bioremediation pile on Adak Island, which is located in the Aleutian Island chain. Approximately 1,900 m 3 of petroleum-contaminated soil were placed in the bioremediation pile. The natural bioremediation process was enhanced by an oxygen and nutrient addition system to stimulate microbial activity. Despite the harsh weather on the island, after the first 6 months of operation, laboratory analyses of soil samples indicated a significant (80%) reduction in diesel concentrations

Design and construction strategies for reducing embodied impacts from buildings – Case study analysis

DEFF Research Database (Denmark)

Malmqvist, Tove; Nehasilova, Marie; Moncaster, Alice

2018-01-01

, individual building projects. This is done by a systematic analysis of the Annex 57 case study collection as well as additional scientific literature. While it should be noted that the actual EEG savings at building level illustrated in this collection of studies are only applicable to each specific case...... of national energy mixes. Stakeholders therefore have a growing interest in understanding the possibilities for reducing em- bodied impacts in buildings. In the IEA EBC project ‘Annex 57’ a broad call for case studies was launched with the aim to identify design strategies for reducing embodied energy and GHG...... emissions (EEG) from buildings. The aim of this paper is to identify and provide a collected and comprehensive overview of quantitative reduction potentials of the particular EEG reduction strategies which should be considered by the stakeholders engaged in, and with the capacity to influence the outcome of...

MR image findings on advanced internal derangement of the temporomandibular joints. Cases of disc position changed from anterior disc displacement with reduction to without reduction

International Nuclear Information System (INIS)

Igarashi, Chinami; Kobayashi, Kaoru; Yuasa, Masao; Imanaka, Masahiro; Yamamoto, Akira

2005-01-01

This study was designed to evaluate the suggestion that the clinical findings and MR image findings of anterior disc displacement with reduction cases could not reduce the disc displacement within the follow-up period. We selected 26 joints without remarkable bone changes in the condylar head or glenoid fossa in which reduction disappeared during follow-up. Clinical evaluation focused on temporomandibular pain, trismus, and joint sound. MR imaging was targeted for configuration of articular disc, degree of disc displacement, and condylar head position. Clinical signs observed with progression of the condition were disappearance of joint sound in 12/26 joints (46.1%), temporomandibular pain in 15/26 joints (57.6%), and decreased distance of opening mouth in 19/26 joints (73%). MR image findings were disc configuration changes in 12/26 joints (46.1%), increased degree of anterior displacement of disc in 20/26 joints (76.9%), and condylar head position changes in 9/26 joints (34.6%). It is suggested that the advanced stage of internal derangement is closely associated with the degree of disc displacement. (author)

The economic benefits of rainwater-runoff reduction by urban green spaces: a case study in Beijing, China.

Science.gov (United States)

Zhang, Biao; Xie, Gaodi; Zhang, Canqiang; Zhang, Jing

2012-06-15

Urbanization involves the replacement of vegetated surfaces with impervious built surfaces, and it often results in an increase in the rate and volume of rainwater surface runoff. Urban green spaces play a positive role in rainwater-runoff reduction. However, few studies have explored the benefits of rainwater-runoff reduction by urban green spaces. Based on inventory data of urban green spaces in Beijing, the paper evaluated the economic benefits of rainwater-runoff reduction by urban green spaces, using the rainwater-runoff-coefficient method as well as the economic valuation methods. The results showed that, 2494 cubic meters of potential runoff was reduced per hectare of green area and a total volume of 154 million cubic meters rainwater was stored in these urban green spaces, which almost corresponds to the annual water needs of the urban ecological landscape in Beijing. The total economic benefit was 1.34 billion RMB in 2009 (RMB: Chinese currency, US$1=RMB6.83), which is equivalent to three-quarters of the maintenance cost of Beijing's green spaces; the value of rainwater-runoff reduction was 21.77 thousand RMB per hectare. In addition, the benefits in different districts and counties were ranked in the same order as urban green areas, and the average benefits per hectare of green space showed different trends, which may be related to the impervious surface index in different regions. This research will contribute to an understanding of the role that Beijing's green spaces play in rainwater regulation and in the creation and scientific management of urban green spaces. Copyright © 2012 Elsevier Ltd. All rights reserved.

Insurance, Public Assistance, and Household Flood Risk Reduction: A Comparative Study of Austria, England, and Romania.

Science.gov (United States)

Hanger, Susanne; Linnerooth-Bayer, Joanne; Surminski, Swenja; Nenciu-Posner, Cristina; Lorant, Anna; Ionescu, Radu; Patt, Anthony

2018-04-01

In light of increasing losses from floods, many researchers and policymakers are looking for ways to encourage flood risk reduction among communities, business, and households. In this study, we investigate risk-reduction behavior at the household level in three European Union Member States with fundamentally different insurance and compensation schemes. We try to understand if and how insurance and public assistance influence private risk-reduction behavior. Data were collected using a telephone survey (n = 1,849) of household decisionmakers in flood-prone areas. We show that insurance overall is positively associated with private risk-reduction behavior. Warranties, premium discounts, and information provision with respect to risk reduction may be an explanation for this positive relationship in the case of structural measures. Public incentives for risk-reduction measures by means of financial and in-kind support, and particularly through the provision of information, are also associated with enhancing risk reduction. In this study, public compensation is not negatively associated with private risk-reduction behavior. This does not disprove such a relationship, but the negative effect may be mitigated by factors related to respondents' capacity to implement measures or social norms that were not included in the analysis. The data suggest that large-scale flood protection infrastructure creates a sense of security that is associated with a lower level of preparedness. Across the board there is ample room to improve both public and private policies to provide effective incentives for household-level risk reduction. © 2017 The Authors Risk Analysis published by Wiley Periodicals, Inc. on behalf of Society for Risk Analysis.

A parathyroid scintigraphy case study

International Nuclear Information System (INIS)

O'Leary, Desiree

2005-01-01

Background: There has been much debate concerning the most suitable protocol for parathyroid scintigraphy; the merits of various radiopharmaceuticals versus the correct imaging protocol to visualise both ectopic and anatomically placed adenomas against the various equipment choices have been debated. Aim: To demonstrate, through the use of a case study, the necessity of changing imaging protocols for parathyroid scintigraphy where a definitive imaging diagnosis is absent in the face of strong clinical suspicion. Method: Use is made of Tc99mMIBI, full field chest scintigraphy, a clearly defined imaging protocol and SPECT imaging to locate ectopic parathyroid tissue in a female patient with significant symptoms of parathyroid hyperfunction. Results: A single hyperfunctioning adenoma is located in the pre-carinal area of the mediastinum. Using a radioguided surgical technique the hyperfunctioning tissue is excised and confirmed by histopathology. Conclusion: Whilst a dramatic reduction in patient symptoms was not seen immediately in this patient, the symptoms of the illness have been subsiding since January 2003. This case study demonstrates the necessity of changing imaging protocols for parathyroid scintigraphy where a definitive imaging diagnosis is absent in the face of strong clinical suspicion

seed Production and Poverty Reduction: Case of Dodoma Rural ...

African Journals Online (AJOL)

The contribution of seed production to poverty reduction at household level in the participating villages was studied. Food security and household income was used as proxy indicators of poverty. Data was collected through a cross section survey using a structured questionnaire. The average incomes / Adjusted Adult ...

Microbial reductive dehalogenation.

Science.gov (United States)

Mohn, W W; Tiedje, J M

1992-01-01

A wide variety of compounds can be biodegraded via reductive removal of halogen substituents. This process can degrade toxic pollutants, some of which are not known to be biodegraded by any other means. Reductive dehalogenation of aromatic compounds has been found primarily in undefined, syntrophic anaerobic communities. We discuss ecological and physiological principles which appear to be important in these communities and evaluate how widely applicable these principles are. Anaerobic communities that catalyze reductive dehalogenation appear to differ in many respects. A large number of pure cultures which catalyze reductive dehalogenation of aliphatic compounds are known, in contrast to only a few organisms which catalyze reductive dehalogenation of aromatic compounds. Desulfomonile tiedjei DCB-1 is an anaerobe which dehalogenates aromatic compounds and is physiologically and morphologically unusual in a number of respects, including the ability to exploit reductive dehalogenation for energy metabolism. When possible, we use D. tiedjei as a model to understand dehalogenating organisms in the above-mentioned undefined systems. Aerobes use reductive dehalogenation for substrates which are resistant to known mechanisms of oxidative attack. Reductive dehalogenation, especially of aliphatic compounds, has recently been found in cell-free systems. These systems give us an insight into how and why microorganisms catalyze this activity. In some cases transition metal complexes serve as catalysts, whereas in other cases, particularly with aromatic substrates, the catalysts appear to be enzymes. Images PMID:1406492

Noise Exposure of Teachers in Nursery Schools—Evaluation of Measures for Noise Reduction When Dropping DUPLO Toy Bricks into Storage Cases by Sound Analyses

Directory of Open Access Journals (Sweden)

Konstanze Gebauer

2016-07-01

Full Text Available Background: Although noise is one of the leading work-related health risk factors for teachers, many nursery schools lack sufficient noise reduction measures. Methods: This intervention study evaluated the noise exposure of nursery school teachers when dropping DUPLO toy bricks into storage cases. Sound analyses of the impact included assessment of the maximum sound pressure level (LAFmax as well as frequency analyses with 1/3 octave band filter. For the purpose of standardization, a customized gadget was developed. Recordings were performed in 11 cases of different materials and designs to assess the impact on sound level reduction. Thereby, the acoustic effects of three damping materials (foam rubber, carpet, and PU-foam were investigated. Results: The lowest LAFmax was measured in cases consisting of “metal grid” (90.71 dB or of a woven willow “basket” (91.61 dB, whereas a case of “aluminium” (103.34 dB generated the highest impact LAFmax. The frequency analyses determined especially low LAFmax in the frequency bands between 80 and 2500 Hz in cases designs “metal grid” and “basket”. The insertion of PU-foam achieved the most significant attenuation of LAFmax (−13.88 dB and, in the frequency analyses, the best sound damping. Conclusion: The dropping of DUPLO bricks in cases contributes to the high noise level in nursery schools, but measured LAFmax show no evidence for the danger of acute hearing loss. However, continuous exposure may lead to functional impairment of the hair cells and trigger stress reactions. We recommend noise reduction by utilizing cases of woven “basket” with an insert of PU-foam.

Case Study of Cardiovascular Risk Reduction in the Northwest Region and TRICARE Region 11

National Research Council Canada - National Science Library

Murphy, Rosemary

2003-01-01

... and TRICARE Lead Agent Region 11. The outcomes management team developed a cardiovascular risk reduction scorecard and metrics in which to evaluate the care being given to the TRICARE prime enrollees with a cardiovascular disease diagnosis...

Cost-Benefit Analysis of Green Infrastructures on Community Stormwater Reduction and Utilization: A Case of Beijing, China.

Science.gov (United States)

Liu, Wen; Chen, Weiping; Feng, Qi; Peng, Chi; Kang, Peng

2016-12-01

Cost-benefit analysis is demanded for guiding the plan, design and construction of green infrastructure practices in rapidly urbanized regions. We developed a framework to calculate the costs and benefits of different green infrastructures on stormwater reduction and utilization. A typical community of 54,783 m 2 in Beijing was selected for case study. For the four designed green infrastructure scenarios (green space depression, porous brick pavement, storage pond, and their combination), the average annual costs of green infrastructure facilities are ranged from 40.54 to 110.31 thousand yuan, and the average of the cost per m 3 stormwater reduction and utilization is 4.61 yuan. The total average annual benefits of stormwater reduction and utilization by green infrastructures of the community are ranged from 63.24 to 250.15 thousand yuan, and the benefit per m 3 stormwater reduction and utilization is ranged from 5.78 to 11.14 yuan. The average ratio of average annual benefit to cost of four green infrastructure facilities is 1.91. The integrated facilities had the highest economic feasibility with a benefit to cost ratio of 2.27, and followed by the storage pond construction with a benefit to cost ratio of 2.14. The results suggested that while the stormwater reduction and utilization by green infrastructures had higher construction and maintenance costs, their comprehensive benefits including source water replacements benefits, environmental benefits and avoided cost benefits are potentially interesting. The green infrastructure practices should be promoted for sustainable management of urban stormwater.

Reduction of intussusception by air insufflation in children: recent three-year experience

International Nuclear Information System (INIS)

Lee, In Jae; Lim, Hyo Keun; Lee, Kyung Hwan; Yun, Ku Sub; Seo, Gwy Suk; Bae, Sang Hoon

1994-01-01

This study was conducted to evaluate success and perforation rates of pneumatic reduction and to find the predictors of reduction failure. We reviewed 224 cases of pediatric intussusception diagnosed by air-enema between July, 1989 and June, 1992. The mean age was 9.8 months(range, 1 month to 3 years). Logistic regression analysis was used to find predictors of reduction failure. Successful reduction was achieved in 197 cases(87.9% of success rate). Bowel perforation occurred in two cases(0.9% of perforation rate). There were two statistically significant predictors of failure;(1) ileoileocolic intussusception(ρ < .001), (2) long duration of symptom (ρ < .001). Surgery was performed in 26 cases (11.6%), of which seven required bowel resection. Pneumatic reduction is a useful means in the management of pediatric intussusception with a high success rate and no mortality

Rapid reduction of acute subdural hematoma and redistribution of hematoma: case report.

Science.gov (United States)

Watanabe, Arata; Omata, Tomohiro; Kinouchi, Hiroyuki

2010-01-01

An 88-year-old woman presented with acute subdural hematoma (ASDH) which showed rapid resolution on computed tomography (CT) and magnetic resonance (MR) imaging. She was transferred to our hospital after falling out of bed. On admission, she was comatose with Japan Coma Scale score of 200 and Glasgow Coma Scale score of E1V1M2. Brain CT showed a thick left frontotemporal ASDH. Conservative treatment consisted of 200 ml of glycerol administered intravenously twice a day, and maintenance in the approximately 20 degree head-up position to reduce intracranial pressure. Three days later, her consciousness recovered to Japan Coma Scale score of 30 and Glasgow Coma Scale score of E2V4M5. CT showed obvious reduction of the hematoma without brain or scalp swelling. Spinal MR imaging detected no redistribution of hematoma to the spine. The present case illustrates that rapid spontaneous reduction of ASDH may occur by redistribution of hematoma, mainly to the supratentorial subdural space because of brain atrophy.

CASE STUDY CRITIQUE; UPPER CLINCH CASE STUDY

Science.gov (United States)

Case study critique: Upper Clinch case study (from Research on Methods for Integrating Ecological Economics and Ecological Risk Assessment: A Trade-off Weighted Index Approach to Integrating Economics and Ecological Risk Assessment). This critique answers the questions: 1) does ...

Reaction Engineering of Biocatalytic Enantioselective Reduction: A Case Study for Aliphatic Ketones

DEFF Research Database (Denmark)

Leuchs, Susanne; Lima-Ramos, Joana; Greiner, Lasse

2013-01-01

, 15, 167–176.). In the present work, the process metrics of the ketone reduction were calculated. A cost analysis revealed that the enzyme costs are negligible, but the cost for nicotinamide cofactor NADP+ is dominating the overall cost of the chemical raw material followed by the ionic liquid (TEGO...... IL K5) used as solubiliser and the buffer. The overall cost of chemicals was €148/kgproduct. To assess the environmental impact of the process, the E-factor (kgwaste/kgproduct) 132 and the process mass intensity 133 (PMI, kgsubstrate/kgproduct) were calculated. A process model based on initial rate...

Singular reduction of Nambu-Poisson manifolds

Science.gov (United States)

Das, Apurba

The version of Marsden-Ratiu Poisson reduction theorem for Nambu-Poisson manifolds by a regular foliation have been studied by Ibáñez et al. In this paper, we show that this reduction procedure can be extended to the singular case. Under a suitable notion of Hamiltonian flow on the reduced space, we show that a set of Hamiltonians on a Nambu-Poisson manifold can also be reduced.

Case-control study on infant mortality in Southern Brazil

Directory of Open Access Journals (Sweden)

Mendes Karina Giane

2006-01-01

Full Text Available OBJECTIVE: To identify risk factors associated with infant mortality and, more specifically, with neonatal mortality. METHODS: A case-control study was carried out in the municipality of Caxias do Sul, Southern Brazil. Characteristics of prenatal care and causes of mortality were assessed for all live births in the 2001-2002 period with a completed live-birth certificate and whose mothers lived in the municipality. Cases were defined as all deaths within the first year of life. As controls, there were selected the two children born immediately after each case in the same hospital, who were of the same sex, and did not die within their first year of life. Multivariate analysis was performed using conditional logistic regression. RESULTS: There was a reduction in infant mortality, the greatest reduction was observed in the post-neonatal period. The variables gestational age (<36 weeks, birth weight (<2,500 g, and 5-minute Apgar (<6 remained in the final model of the multivariate analysis, after adjustment. CONCLUSIONS: Perinatal conditions comprise almost the totality of neonatal deaths, and the majority of deaths occur at delivery. The challenge for reducing infant mortality rate in the city is to reduce the mortality by perinatal conditions in the neonatal period.

Ultramicroelectrode studies of oxygen reduction in polyelectrolyte membranes

Energy Technology Data Exchange (ETDEWEB)

Holdcroft, S.; Abdou, M.S.; Beattie, P.; Basura, V. [Simon Fraser Univ., Burnaby, BC (Canada). Dept. of Chemistry

1997-12-31

A study on the oxygen reduction reaction in a solid state electrochemical cell was presented. The oxygen reduction reaction is a rate limiting reaction in the operation of solid polymer electrolyte fuel cells which use H{sub 2} and O{sub 2}. Interest in the oxygen reduction reaction of platinum electrodes in contact with Nafion electrolytes stems from its role in fuel cell technology. The kinetics of the oxygen reduction reaction in different polyelectrolyte membranes, such as Nafion and non-Nafion membranes, were compared. The electrode kinetics and mass transport parameters of the oxygen reduction reaction in polyelectrolyte membranes were measured by ultramicroelectrode techniques. The major difference found between these two classes of membrane was the percentage of water, which is suggestive of superior electrochemical mass transport properties of the non-Nafion membranes. 2 refs. 1 fig.

Dose reduction and optimization studies (ALARA) at nuclear power facilities

International Nuclear Information System (INIS)

Baum, J.W.; Meinhold, C.B.

1983-01-01

Brookhaven National Laboratory (BNL) has been commissioned by the Nuclear Regulatory Commission (NRC) to study dose-reduction techniques and effectiveness of as low as reasonably achievable (ALARA) planning at LWR plants. These studies have the following objectives: identify high-dose maintenance tasks; identify dose-reduction techniques; examine incentives for dose reduction; evaluate cost-effectiveness and optimization of dose-reduction techniques; and compile an ALARA handbook on data, engineering modifications, cost-effectiveness calculations, and other information of interest to ALARA practioners

Study of transient burnout under flow reduction condition

International Nuclear Information System (INIS)

Iwamura, Takamichi

1986-09-01

Transient burnout characteristics of a fuel rod under a rapid flow reduction condition of a light water reactor were experimentally and analytically studied. The test sections were uniformly heated vertical tube and annulus with the heated length of 800 mm. Test pressures ranged 0.5 ∼ 3.9 MPa, heat fluxes 2,160 ∼ 3,860 KW/m 2 , and flow reduction rates 0.44 ∼ 770 %/s. The local flow condition during flow reduction transients were calculated with a separate flow model. The two-fluid/three-field thermal-hydraulic code, COBRA/TRAC, was also used to investigate the liquid film behavior on the heated surface. The major results obtained in the present study are as follows: The onset of burnout under a rapid flow reduction condition was caused by a liquid film dryout on the heated surface. With increasing flow reduction rate beyond a threshold, the burnout mass velocity at the inlet became lower than the steady-state burnout mass velocity. This is explained by the fact that the vapor flow rate continues to increase due to the delay of boiling boundary movement and the resultant high vapor velocity sustains the liquid film flow after the inlet flow rate reaches the steady-state burnout flow rate. The ratio of inlet burnout mass velocities between flow reduction transient and steady-state became smaller with increasing system pressure because of the lower vapor velocity due to the lower vapor specific volume. Flow reduction burnout occurred when the outlet quality agreed with the steady-state burnout quality within 10 %, suggesting that the local condition burnout model can be used for flow reduction transients. Based on this model, a method to predict the time to burnout under a flow reduction condition in a uniformly heated tube was developed. The calculated times to burnout agreed well with some experimental results obtained by the Author, Cumo et al., and Moxon et al. (author)

Rapid reduction of malaria following introduction of vector control interventions in Tororo District, Uganda: a descriptive study.

Science.gov (United States)

Oguttu, David W; Matovu, Joseph K B; Okumu, David C; Ario, Alex R; Okullo, Allen E; Opigo, Jimmy; Nankabirwa, Victoria

2017-05-30

In 2012, Tororo District had the highest malaria burden in Uganda with community Plasmodium prevalence of 48%. To control malaria in the district, the Ministry of Health introduced universal distribution of long lasting insecticide-treated nets (LLINs) in 2013 and added indoor residual spraying (IRS) in 2014. This study assessed malaria incidence, test positivity rates and outpatient (OPD) attendance due to malaria before and after vector control interventions. This study was based on analysis of Health Management Information System (HMIS) secondary malaria surveillance data of 2,727,850 patient records in OPD registers of 61 health facilities from 2012 to 2015. The analysis estimated monthly malaria incidence for the entire population and also separately for malaria cases in OPD. Chi square for trends was used to analyse annual change in malaria incidence and logistic regression for monthly reduction. Following universal LLINs coverage, the annual mean monthly malaria incidence fell from 95 cases in 2013 to 76 cases per 1000 in 2014 with no significant monthly reduction (OR = 0.99, 95% CI 0.96-1.01, P = 0.37). Among children malaria incidence reduced from 130 to 100 cases per 1000 (OR = 0.98, 95% CI 0.97-1.00, P = 0.08) when LLINs were used alone in 2014, but declined to 45 per 1000 in 2015 when IRS was combined with LLINs (OR = 0.94, 95% CI 0.91-0.996, P malaria incidence reduced from 59 to 52 cases per 1000 (OR = 0.99, 95% CI 0.97-1.02, P = 0.8) when LLINs were used alone in 2014, but reduced significantly to 25 per 1000 in 2015 (OR = 0.91, 95% CI 0.88-0.94, P Malaria test positivity rate reduced from 57% in 2013 to 30% (Chi = 15, P malaria incidence was observed in Tororo District following the introduction of IRS in addition to LLINs. There was no significant reduction in malaria incidence following universal distribution of LLINs to communities before introduction of IRS.

van Manen's method and reduction in a phenomenological hermeneutic study.

Science.gov (United States)

Heinonen, Kristiina

2015-03-01

To describe van Manen's method and concept of reduction in a study that used a phenomenological hermeneutic approach. Nurse researchers have used van Manen's method in different ways. Participants' lifeworlds are described in depth, but descriptions of reduction have been brief. The literature and knowledge review and manual search of research articles. Databases Web Science, PubMed, CINAHL and PsycINFO, without applying a time period, to identify uses of van Manen's method. This paper shows how van Manen's method has been used in nursing research and gives some examples of van Manen's reduction. Reduction enables us to conduct in-depth phenomenological hermeneutic research and understand people's lifeworlds. As there are many variations in adapting reduction, it is complex and confusing. This paper contributes to the discussion of phenomenology, hermeneutic study and reduction. It opens up reduction as a method for researchers to exploit.

The Role of Logistics in Practical Levelized Cost of Energy Reduction Implementation and Government Sponsored Cost Reduction Studies: Day and Night in Offshore Wind Operations and Maintenance Logistics

DEFF Research Database (Denmark)

Poulsen, Thomas; Hasager, Charlotte Bay; Jensen, Christian Munk

2017-01-01

This paper reveals that logistics make up at least 17% of annual operational expenditure costs for offshore wind farms. Annual operational expenditure is found to vary by a factor of 9.5, making its share of levelized cost of energy for offshore wind range from 13% to 57%. These are key findings...... contrast to the shore-based office personnel who develop studies directing cost reduction efforts. This paper details the company motivation to join industry-wide cost reduction initiatives. A business case for offshore wind operations and maintenance logistics yielding 1% savings in levelized cost...... of a 20-month research project targeting cost reduction initiatives for offshore wind systems. The findings reveal that cost-out measures are difficult to implement due to cultural differences. Implementation efforts are rendered by personnel located offshore in a harsh sea environment which is in stark...

Study on Vibration Reduction Method for a Subway Station in Soft Ground

Directory of Open Access Journals (Sweden)

Xian-Feng Ma

2017-01-01

Full Text Available With the rapid development of metro system in urban areas, vibration and its impact on adjacent structures caused by metro operation have drawn much attention of researches and worries relating to it have risen. This paper analyzed the vibration attenuation and the environment impact by a case study of a subway station in soft ground with adjacent laboratory building. A method of setting a compound separation barrier surrounding the station is checked and different materials used in the barrier have been tried and tested through numerical analysis. Key parameters of the material and the effects of vibration reduction are studied with the purpose that similar methodology and findings can be referenced in future practices.

Control assessment for heat integrated systems. An industrial case study for ethanol recovery

DEFF Research Database (Denmark)

Mauricio Iglesias, Miguel; Huusom, Jakob Kjøbsted; Sin, Gürkan

2013-01-01

Heat integration is essential for reducing the energy consumption of process industries. However, it may render the dynamic operation more interactive and difficult to control. This paper assesses the implications of heat integration in controllability and performance in energy reduction....... The assessment, both on open loop and closed loop, was carried out based on an industrial case study and compared to a modified case without heat integration. Although the heat integrated system displayed a certain deterioration of controllability, the control system made possible an efficient operation....... The reduction of energy consumption achieved thanks to heat integration was considerably larger than the losses due to poor control of the process, confirming the importance of heat integration in energy intensive processes....

Simulation and Evaluation of Pollution Load Reduction Scenarios for Water Environmental Management: A Case Study of Inflow River of Taihu Lake, China

Science.gov (United States)

Zhang, Ruibin; Qian, Xin; Zhu, Wenting; Gao, Hailong; Hu, Wei; Wang, Jinhua

2014-01-01

In the beginning of the 21st century, the deterioration of water quality in Taihu Lake, China, has caused widespread concern. The primary source of pollution in Taihu Lake is river inflows. Effective pollution load reduction scenarios need to be implemented in these rivers in order to improve the water quality of Taihu Lake. It is important to select appropriate pollution load reduction scenarios for achieving particular goals. The aim of this study was to facilitate the selection of appropriate scenarios. The QUAL2K model for river water quality was used to simulate the effects of a range of pollution load reduction scenarios in the Wujin River, which is one of the major inflow rivers of Taihu Lake. The model was calibrated for the year 2010 and validated for the year 2011. Various pollution load reduction scenarios were assessed using an analytic hierarchy process, and increasing rates of evaluation indicators were predicted using the Delphi method. The results showed that control of pollution from the source is the optimal method for pollution prevention and control, and the method of “Treatment after Pollution” has bad environmental, social and ecological effects. The method applied in this study can assist for environmental managers to select suitable pollution load reduction scenarios for achieving various objectives. PMID:25207492

Simulation and evaluation of pollution load reduction scenarios for water environmental management: a case study of inflow river of Taihu Lake, China.

Science.gov (United States)

Zhang, Ruibin; Qian, Xin; Zhu, Wenting; Gao, Hailong; Hu, Wei; Wang, Jinhua

2014-09-09

In the beginning of the 21st century, the deterioration of water quality in Taihu Lake, China, has caused widespread concern. The primary source of pollution in Taihu Lake is river inflows. Effective pollution load reduction scenarios need to be implemented in these rivers in order to improve the water quality of Taihu Lake. It is important to select appropriate pollution load reduction scenarios for achieving particular goals. The aim of this study was to facilitate the selection of appropriate scenarios. The QUAL2K model for river water quality was used to simulate the effects of a range of pollution load reduction scenarios in the Wujin River, which is one of the major inflow rivers of Taihu Lake. The model was calibrated for the year 2010 and validated for the year 2011. Various pollution load reduction scenarios were assessed using an analytic hierarchy process, and increasing rates of evaluation indicators were predicted using the Delphi method. The results showed that control of pollution from the source is the optimal method for pollution prevention and control, and the method of "Treatment after Pollution" has bad environmental, social and ecological effects. The method applied in this study can assist for environmental managers to select suitable pollution load reduction scenarios for achieving various objectives.

Use of intra-medullary stacked nailing in the reduction of proximal plastic deformity in a pediatric Monteggia fracture: a case report

Directory of Open Access Journals (Sweden)

Huntley James S

2011-04-01

Full Text Available Abstract Introduction In a Monteggia fracture dislocation, it is important to reduce the ulnar fracture completely. Extensive plastic deformation of the proximal ulna may make reduction by closed manipulation impossible. Case presentation We report the case of a four-year-old Caucasian boy in whom the plastic deformation of the proximal ulna was reduced, and this reduction was maintained, using intra-medullary stacked nailing. Conclusion The technique of stacked nailing is a useful addition to the armamentarium in the management of the potentially awkward Monteggia fracture.

Smoking reduction and biomarkers in two longitudinal studies

DEFF Research Database (Denmark)

Godtfredsen, Nina; Prescott, Eva; Vestbo, Jørgen

2006-01-01

AIMS: To measure reduction in exposure to smoke in two population-based studies of self-reported smoking reduction not using nicotine replacement. DESIGN: Cross-sectional analyses of biomarkers and smoking. SETTING: Data from two time-points in the Copenhagen City Heart Study (CCHS), 1981....../83 and 1991/94, and the Copenhagen Male Study (CMS) in 1976 and 1985/86, respectively. PARTICIPANTS: There were 3026 adults who were smokers at both time-points in the CCHS and 1319 men smoking at both time-points in the CMS. MEASUREMENTS: Smoking status and tobacco consumption were assessed by self...... a reduction in cigarettes per day of 50% or more without quitting were compared with continuing medium, heavy and light smokers (1-14 g/day) using linear regression. Sex (CCHS only), age, self-reported inhalation of smoke, duration of smoking, type of tobacco and amount smoked were included as covariates...

Model reduction of multiscale chemical langevin equations: a numerical case study.

Science.gov (United States)

Sotiropoulos, Vassilios; Contou-Carrere, Marie-Nathalie; Daoutidis, Prodromos; Kaznessis, Yiannis N

2009-01-01

Two very important characteristics of biological reaction networks need to be considered carefully when modeling these systems. First, models must account for the inherent probabilistic nature of systems far from the thermodynamic limit. Often, biological systems cannot be modeled with traditional continuous-deterministic models. Second, models must take into consideration the disparate spectrum of time scales observed in biological phenomena, such as slow transcription events and fast dimerization reactions. In the last decade, significant efforts have been expended on the development of stochastic chemical kinetics models to capture the dynamics of biomolecular systems, and on the development of robust multiscale algorithms, able to handle stiffness. In this paper, the focus is on the dynamics of reaction sets governed by stiff chemical Langevin equations, i.e., stiff stochastic differential equations. These are particularly challenging systems to model, requiring prohibitively small integration step sizes. We describe and illustrate the application of a semianalytical reduction framework for chemical Langevin equations that results in significant gains in computational cost.

Applying Value Stream Mapping Technique for Production Improvement in a Manufacturing Company: A Case Study

Science.gov (United States)

Jeyaraj, K. L.; Muralidharan, C.; Mahalingam, R.; Deshmukh, S. G.

2013-01-01

The purpose of this paper is to explain how value stream mapping (VSM) is helpful in lean implementation and to develop the road map to tackle improvement areas to bridge the gap between the existing state and the proposed state of a manufacturing firm. Through this case study, the existing stage of manufacturing is mapped with the help of VSM process symbols and the biggest improvement areas like excessive TAKT time, production, and lead time are identified. Some modifications in current state map are suggested and with these modifications future state map is prepared. Further TAKT time is calculated to set the pace of production processes. This paper compares the current state and future state of a manufacturing firm and witnessed 20 % reduction in TAKT time, 22.5 % reduction in processing time, 4.8 % reduction in lead time, 20 % improvement in production, 9 % improvement in machine utilization, 7 % improvement in man power utilization, objective improvement in workers skill level, and no change in the product and semi finished product inventory level. The findings are limited due to the focused nature of the case study. This case study shows that VSM is a powerful tool for lean implementation and allows the industry to understand and continuously improve towards lean manufacturing.

Simulation and Evaluation of Pollution Load Reduction Scenarios for Water Environmental Management: A Case Study of Inflow River of Taihu Lake, China

Directory of Open Access Journals (Sweden)

Ruibin Zhang

2014-09-01

Full Text Available In the beginning of the 21st century, the deterioration of water quality in Taihu Lake, China, has caused widespread concern. The primary source of pollution in Taihu Lake is river inflows. Effective pollution load reduction scenarios need to be implemented in these rivers in order to improve the water quality of Taihu Lake. It is important to select appropriate pollution load reduction scenarios for achieving particular goals. The aim of this study was to facilitate the selection of appropriate scenarios. The QUAL2K model for river water quality was used to simulate the effects of a range of pollution load reduction scenarios in the Wujin River, which is one of the major inflow rivers of Taihu Lake. The model was calibrated for the year 2010 and validated for the year 2011. Various pollution load reduction scenarios were assessed using an analytic hierarchy process, and increasing rates of evaluation indicators were predicted using the Delphi method. The results showed that control of pollution from the source is the optimal method for pollution prevention and control, and the method of “Treatment after Pollution” has bad environmental, social and ecological effects. The method applied in this study can assist for environmental managers to select suitable pollution load reduction scenarios for achieving various objectives.

Drag Reduction by Riblets & Sharkskin Denticles: A Numerical Study

Science.gov (United States)

Boomsma, Aaron

Riblet films are a passive method of turbulent boundary layer control that can reduce viscous drag. They have been studied with great detail for over 30 years. Although common riblet applications include flows with Adverse Pressure Gradients (APG), nearly all research thus far has been performed in channel flows. Recent research has provided motivation to study riblets in more complicated turbulent flows with claims that riblet drag reduction can double in mild APG common to airfoils at moderate angles of attack. Therefore, in this study, we compare drag reduction by scalloped riblet films between riblets in a zero pressure gradient and those in a mild APG using high-resolution large eddy simulations. In order to gain a fundamental understanding of the relationship between drag reduction and pressure gradient, we simulated several different riblet sizes that encompassed a broad range of s + (riblet width in wall units), similarly to many experimental studies. We found that there was only a slight improvement in drag reduction for riblets in the mild APG. We also observed that peak values of streamwise turbulence intensity, turbulent kinetic energy, and streamwise vorticity scale with riblet width. Primary Reynolds shear stresses and turbulence kinetic energy production however scale with the ability of the riblet to reduce skin-friction. Another turbulent roughness of similar shape and size to riblets is sharkskin. The hydrodynamic function of sharkskin has been under investigation for the past 30 years. Current literature conflicts on whether sharkskin is able to reduce skin friction similarly to riblets. To contribute insights toward reconciling these conflicting views, Direct Numerical Simulations (DNS) are carried out to obtain detailed flow fields around realistic denticles. A sharp interface immersed boundary method is employed to simulate two arrangements of actual sharkskin denticles (from Isurus oxyrinchus) in a turbulent boundary layer at Retau ≈ 180

SOFC anode reduction studied by in situ TEM

DEFF Research Database (Denmark)

Simonsen, Søren Bredmose; Wagner, Jakob Birkedal; Hansen, Thomas Willum

The Solid Oxide Fuel Cell (SOFC) is a promising part of future energy approaches due to a relatively high energy conversion efficiency and low environmental pollution. SOFCs are typically composed of ceramic materials which are highly complex at the nanoscale. TEM is routinely applied ex situ...... for studying these nanoscale structures, but only few SOFC studies have applied in situ TEM to observe the ceramic nanostructures in a reactive gas environment at elevated temperatures. The present contribution focuses on the reduction of an SOFC anode which is a necessary process to form the catalytically...... active Ni surface before operating the fuel cells. The reduction process was followed in the TEM while exposing a NiO/YSZ (YSZ = Y2O3-stabilized ZrO2) model anode to H2 at T = 250-1000⁰C. Pure NiO was used in reference experiments. Previous studies have shown that the reduction of pure Ni...

The role for low carbon electrification technologies in poverty reduction and climate change strategies: A focus on renewable energy mini-grids with case studies in Nepal, Peru and Kenya

International Nuclear Information System (INIS)

Yadoo, Annabel; Cruickshank, Heather

2012-01-01

As a potential poverty reduction and climate change strategy, this paper considers the advantages and disadvantages of using renewable energy technologies for rural electrification in developing countries. Although each case must be considered independently, given a reliable fuel source, renewable energy mini-grids powered by biomass gasifiers or micro-hydro plants appear to be the favoured option due to their lower levelised costs, provision of AC power, potential to provide a 24 h service and ability to host larger capacity systems that can power a wide range of electricity uses. Sustainability indicators are applied to three case studies in order to explore the extent to which sustainable welfare benefits can be created by renewable energy mini-grids. Policy work should focus on raising awareness about renewable energy mini-grids, improving institutional, technical and regulatory frameworks and developing innovative financing mechanisms to encourage private sector investments. Establishing joint technology and community engagement training centres should also be encouraged. - Highlights: ► Renewable mini-grids are a valuable climate change and poverty reduction strategy. ► They can be cheaper than diesel on a levelized basis and offer grid level service. ► Awareness about mini-grids should be raised and institutional frameworks improved. ► Financing mechanisms should be developed to encourage private sector investments. ► Joint technology and community engagement training centres should be established.

Electrochemical treatment of wastewater: A case study of reduction of DNT and oxidation of chlorinated phenols

Energy Technology Data Exchange (ETDEWEB)

Rodgers, J.D.; Bunce, N.J.; Jedral, W.

1999-07-01

Electrochemical treatment is under consideration as a treatment option for several recalcitrant compounds. In this work the authors investigate the oxidation of chlorophenols and the reduction of nitroaromatics. In the case of chlorinated phenols, they explore the problem of anode fouling which has hampered electrolytic treatment of phenolic compounds by examining phenols differing in the extent of chlorination, according to the mechanism of oxidation at different electrode types. Linear sweep voltammograms at a Pt anode were interpreted in terms of deposition of oligomers on the anode surface. Passivation increased in parallel with the uncompensated resistance of the solution and occurred only at potentials at which water is oxidized, suggesting that the formation of the oligomer film involves attack of hydroxyl radicals on electrochemically oxidized substrate. Relative reactivities of congeners were anode-dependent, due to different mechanisms of oxidation: direct electron transfer oxidation at PbO{sub 2} and hydroxyl radical attack at SnO{sub 2} and IrO{sub 2}. Voltammetry of 2,6-dinitrotoluene (DNT) was consistent with literature values. DNT was reduced at several cathodes with the most promising result at Ni-plated Ni wire. At current densities {lt} 0.1 mA cm{sup {minus}2}, current efficiencies {gt} 50% could be achieved with 4-chlorophenol at all three anodes and for 2,6-DNT at Ni-plated Ni wire.

Indications for repeated enema reduction of intussusception in children

Directory of Open Access Journals (Sweden)

Vujović Dragana

2014-01-01

Full Text Available Introduction. Intussusception is a common abdominal emergency in early childhood. It is idiopathic in more than 90% of cases with incidence of 1.5-4 per 1,000 live births. The treatment of choice is nonoperative hydrostatic or air enema reduction. Objective. The aim of the study was to evaluate the influence of clinical presentation and symptom duration in non-operative treatment, considering the indications for delayed enema reduction and its efficacy. Methods. From the total number of 107 patients with intusussception, aged from 2 months to 14 years (median 9 months, 102 (95% patients with ileo-colic intussusceptions were treated initially by ultrasound guided saline enema. Records were reviewed for patients with failed initial treatment and delayed repeated enemas or operative procedure. The predictor variable included duration of presenting symptoms. Results. Successful treatment by hydrostatic saline enemas had 58/102 (57% patients. Success in reduction was greater if symptom duration was 24 hours, (4/45 cases; 9%. Despite failed initial attempts, enema reduction was reattempted in 12 patients, with success in 7/12 (60% patients. Children with symptom duration >24 hours had a greater risk of requiring surgery (41/45 cases; 91%, p<0.001, including 5 (5% patients with ileo-ileal intussusceptions. Conclusion. The accuracy of ultrasound guided saline enema in intussusception reduction is high. Delay in presentation decreases success of non-operative treatment. Delayed enema reduction is important therapeutic option for intussusceptions. Surgical treatment is indicated in cases of complications.

Study of transient burnout characteristics under flow reduction condition

International Nuclear Information System (INIS)

Iwamura, Takamichi; Kuroyanagi, Toshiyuki

1984-03-01

As part of a study of the thermal behavior of fuel rods during Power-Cooling-Mismatch (PCM) accidents in light water reactors, burnout characteristics in a uniformly heated, vertically oriented tube or annulus, under flow reduction condition, were experimentally studied. Test pressures ranged 0.1--3.9 MPa and flow reduction rates 0.44--1100%/s. An analytical method is developed to obtain the local mass velocity during a transient condition. The major results are as follows: With increasing flow reduction rate beyond a threshold, transient burnout mass velocity at the inlet was lower than that in steady state tests under the experimental pressures. The higher system pressure resulted in the less transient effects. At pressures higher than 2.0 MPa and flow reduction rates lower than 20%/s, the local burnout mass velocity agreed with the steady state burnout mass velocity, whereas the local burnout mass velocity became higher than the steady state burnout mass velocity at flow reduction rates higher than 20%/s. At pressures lower than 1 MPa, with increasing flow reduction rate beyond the threshold value of 2%/s, the local burnout mass velocity was lower than the steady state burnout mass velocity. An empirical correlation is presented to give the ratio of the transient to the steady state burnout mass velocities at the burnout location as a function of the steam-water density ratio and the flow reduction rate. The experimental results by Cumo et al. agree with the correlation. The correlation, however, cannot predict the experimental results at higher flow reduction rates beyond 40%/s. (author)

Improving road transport operations through lean thinking: A case study

OpenAIRE

Villarreal, B.; Garza-Reyes, J. A.; Kumar, V.; Lim, M. K.

2017-01-01

Traditionally, logistics and transportation problems have been addressed through mathematical modelling, operations research, and simulation methods. This paper documents a case study where the road transport operations of a leading Mexican brewery organisation have been improved through lean thinking and waste reduction. Two lean-based principles and tools were combined; the Seven Transportation Extended Wastes (STEWs) and Transportation Value Stream Mapping (TVSM), and three systematic step...

Assessing the effectiveness of voluntary solid waste reduction policies: Methodology and a Flemish case study

International Nuclear Information System (INIS)

Jaeger, Simon de; Eyckmans, Johan

2008-01-01

The purpose of this paper is to illustrate the use of statistical techniques to evaluate the effectiveness of voluntary policy instruments for waste management. The voluntary character of these instruments implies that latent characteristics, unobserved by the analyst, might influence the subscription decision and might lead to biased estimates of the effectiveness of the policy instrument if standard techniques are used. We propose an extension of the difference-in-differences (DiD) estimator to evaluate the effectiveness of voluntary policy instruments, which is termed the dynamic difference-in-differences (or DDD) estimator. We illustrate the technique by estimating the effectiveness of voluntary cooperation agreements between the Flemish environmental administration and individual municipalities aimed at curbing residential solid waste. Using a dataset covering all 308 Flemish municipalities for the period 2000-2005, our results indicate that municipalities subscribing to the agreement accomplished less reduction of their waste levels compared to what could be expected on the basis of their own performance prior to subscription and the performance of the non-subscribers. This result might be explained by the rising marginal cost of extra residential solid waste reduction policies. In addition, there are indications that subscribing municipalities refrain from additional reduction efforts once the target waste level of the program is achieved. The more complicated DDD methodology is shown to generate additional insight over the ordinary DiD analysis

Defect-meditated efficient catalytic activity toward p-nitrophenol reduction: A case study of nitrogen doped calcium niobate system

International Nuclear Information System (INIS)

Su, Yiguo; Huang, Shushu; Wang, Tingting; Peng, Liman; Wang, Xiaojing

2015-01-01

Graphical abstract: A series of nitrogen doped Ca 2 Nb 2 O 7 was successfully prepared via ion-exchange method, which was found to be an efficient and green noble-metal-free catalyst toward catalytic reduction of p-nitrophenol. - Highlights: • Nitrogen doped Ca 2 Nb 2 O 7 was found to be an efficient and green noble-metal-free catalyst toward catalytic reduction of p-nitrophenol. • Defective nitrogen and oxygen species were found to play synergetic roles in the reduction of p-nitrophenol. • Nitrogen doped Ca 2 Nb 2 O 7 showed photo-synergistic promotion effects toward p-nitrophenol reduction under UV light irradiation. - Abstract: This work reported on the synthesis of a series of nitrogen doped Ca 2 Nb 2 O 7 with tunable nitrogen content that were found to be efficient and green noble-metal-free catalysts toward catalytic reduction of p-nitrophenol. XPS and ESR results indicated that the introduction of nitrogen in Ca 2 Nb 2 O 7 gave rise to a large number of defective nitrogen and oxygen species. Defective nitrogen and oxygen species were found to play synergetic roles in the reduction of p-nitrophenol. The underlying mechanism is completely different from those reported for metallic nanoparticles. Moreover, the more negative conduction band edge potential enabled nitrogen doped Ca 2 Nb 2 O 7 to show photo-synergistic effects that could accelerate the reduction rate toward p-nitrophenol under UV light irradiation. This work may provide a strategy for tuning the catalytic performance by modulating the chemical composition, electronic structure as well as surface defect chemistry

Clinical validation of a dose reduction study in paediatric abdomen MSCT scanning

International Nuclear Information System (INIS)

Ciccarone, A.; Fonda, C.; Zatelli, Giovanna; Mazzocchi, S.

2008-01-01

Full text: In our previous work an individual dose adaptation in abdomen of paediatric patients has been showed at the Meyer children hospital of Florence. For each kV really feasible in our MSCT scanner, a table of mAs versus abdomen thickness and width ratio has been developed only on the basis of water cylinder phantoms. The choice of the water arise by the fact that in pediatric patient the quantity of water inside the body is major than that of adult. In this way a reduction dose has showed with respect to the ordinary paediatric scanning protocol in use before and the same image quality has been preserved in the case of an optimized CT scanning technique of a standard adult patient of height 175 cm and weight 70 kg. However these results were only theoretical because relied on water phantoms. Now this work concerns the clinical validation of our dose reduction study on phantoms. So 50 examinations were acquired with the dose reduction scanning technique and scored randomly, without knowing weight and height of patient by three radiologists. These scores were compared with that of other 50 abdomen examination before dose reduction study. The scores refers to the noise perceived by radiologist and to the diagnostic quality of radiograph. As last, a score on the low contrast tissue separation between muscle and fat and a score on visibility of structure therein have been asked to the radiologists. The same work has concerned the abdomen examinations with iodine contrast medium. In this study the score of each radiographs has been catalogued in four range of age, 0 - 1; 1 - 3; 3 - 8; 8 - 13 years. Aligned rank and Wilcoxon's signed rank tests were used for statistical analyses. The table of modulating mAs with respect to the size of patient obtained with only water phantom study has been revised so that none reduced detection in low-visibility structures like fat or muscle or liver was evident. Nevertheless a reduction in CTDI of 30 % has been reached in our new

Cyclic voltammetry and reduction mechanistic studies of styrylpyrylium perchlorates

Directory of Open Access Journals (Sweden)

Y. L. Bonzi-Coulibaly

2013-04-01

Full Text Available The reduction and oxidation potentials of methylated 4-styrylpyrylium and 6-styrylpyrylium perchlorates have been evaluated using cyclic voltammetry, in comparison to their non-methylated derivatives values. The reduction peak of all studied compounds remained chemically irreversible. The presence of the electron-donating methyl group on pyrylium ring leads to a shift of the styrylpyrylium perchlorates reduction potential towards cathodic values. Kinetic studies on platinum electrodes based on the variation of the peak potential at different scan rates and upon substrate concentrations confirm, in another way, the mechanism of electron transfer.DOI: http://dx.doi.org/10.4314/bcse.v27i1.12

Applying TEAM in Regional Sketch Planning: Three Case Studies in Atlanta, Orlando, St. Louis

Science.gov (United States)

This EPA report documents 3 case studies of the application of TEAM (Travel Efficiency Assessment Method) to develop, assess and quantify regional greenhouse gas and criteria pollutant emission reductions from travel efficiency strategies in a cost effecti

Cyclic voltammetry and reduction mechanistic studies of ...

African Journals Online (AJOL)

styrylpyrylium perchlorates have been evaluated using cyclic voltammetry, in comparison to their non-methylated derivatives values. The reduction peak of all studied compounds remained chemically irreversible. The presence of the ...

Eighty Kilograms Weight Reduction in a Case of Obstructive Sleep Apnea with Several Comorbidities: Did the Conditions Improve?

Directory of Open Access Journals (Sweden)

Moein Foroughi

2016-05-01

Full Text Available Obstructive sleep apnea (OSA together with metabolic disorders is common in severely obese patients. Weight reduction is considered as a treatment modality in these cases while few of them can succeed in considerable weight loss. Here, we present a severely obese man with body mass index of 54 suffered from OSA, type 2 diabetes, hypothyroidism, and hypertension. He intentionally lost 80 kilograms weight during the 2-year follow-up. Diabetes and hypertension completely resolved with considerable improvement in OSA syndrome after this huge weight reduction.

The Role of Logistics in Practical Levelized Cost of Energy Reduction Implementation and Government Sponsored Cost Reduction Studies: Day and Night in Offshore Wind Operations and Maintenance Logistics

Directory of Open Access Journals (Sweden)

Thomas Poulsen

2017-04-01

Full Text Available This paper reveals that logistics make up at least 17% of annual operational expenditure costs for offshore wind farms. Annual operational expenditure is found to vary by a factor of 9.5, making its share of levelized cost of energy for offshore wind range from 13% to 57%. These are key findings of a 20-month research project targeting cost reduction initiatives for offshore wind systems. The findings reveal that cost-out measures are difficult to implement due to cultural differences. Implementation efforts are rendered by personnel located offshore in a harsh sea environment which is in stark contrast to the shore-based office personnel who develop studies directing cost reduction efforts. This paper details the company motivation to join industry-wide cost reduction initiatives. A business case for offshore wind operations and maintenance logistics yielding 1% savings in levelized cost of energy is included on how to expand working hours from daytime to also work at night.

trans-[Pt(BCat')Me(PCy3)2]: an experimental case study of reductive elimination processes in Pt-Boryls through associative mechanisms.

Science.gov (United States)

Braunschweig, Holger; Bertermann, Rüdiger; Brenner, Peter; Burzler, Michael; Dewhurst, Rian D; Radacki, Krzysztof; Seeler, Fabian

2011-10-10

A stable trans-(alkyl)(boryl) platinum complex trans-[Pt(BCat')Me(PCy(3))(2)] (Cat'=Cat-4-tBu; Cy=cyclohexyl=C(6)H(11)) was synthesised by salt metathesis reaction of trans-[Pt(BCat')Br(PCy(3))(2)] with LiMe and was fully characterised. Investigation of the reactivity of the title compound showed complete reductive elimination of Cat'BMe at 80 °C within four weeks. This process may be accelerated by the addition of a variety of alkynes, thereby leading to the formation of the corresponding η(2) -alkyne platinum complexes, of which [Pt(η(2)-MeCCMe)(PCy(3))(2)] was characterised by X-ray crystallography. Conversion of the trans-configured title compound to a cis derivative remained unsuccessful due to an instantaneous reductive elimination process during the reaction with chelating phosphines. Treatment of trans-[Pt(BCat')Me(PCy(3))(2)] with Cat(2)B(2) led to the formation of CatBMe and Cat'BMe. In the course of further investigations into this reaction, indications for two indistinguishable reaction mechanisms were found: 1) associative formation of a six-coordinate platinum centre prior to reductive elimination and 2) σ-bond metathesis of B-B and C-Pt bonds. Mechanism 1 provides a straightforward explanation for the formation of both methylboranes. Scrambling of diboranes(4) Cat(2)B(2) and Cat'(2)B(2) in the presence of [Pt(PCy(3))(2)], fully reductive elimination of CatBMe or Cat'BMe from trans-[Pt(BCat')Me(PCy(3))(2)] in the presence of sub-stoichiometric amounts of Cat(2)B(2), and evidence for the reversibility of the oxidative addition of Cat(2)B(2) to [Pt(PCy(3))(2)] all support mechanism 2, which consists of sequential equilibria reactions. Furthermore, the solid-state molecular structure of cis-[Pt(BCat)(2)(PCy(3))(2)] and cis-[Pt(BCat')(2)(PCy(3))(2)] were investigated. The remarkably short B-B separations in both bis(boryl) complexes suggest that the two boryl ligands in each case are more loosely bound to the Pt(II) centre than in related bis

Deep Energy Retrofits - Eleven California Case Studies

Energy Technology Data Exchange (ETDEWEB)

Less, Brennan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Fisher, Jeremy [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Walker, Iain [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2012-10-01

This research documents and demonstrates viable approaches using existing materials, tools and technologies in owner-conducted deep energy retrofits (DERs). These retrofits are meant to reduce energy use by 70% or more, and include extensive upgrades to the building enclosure, heating, cooling and hot water equipment, and often incorporate appliance and lighting upgrades as well as the addition of renewable energy. In this report, 11 Northern California (IECC climate zone 3) DER case studies are described and analyzed in detail, including building diagnostic tests and end-use energy monitoring results. All projects recognized the need to improve the home and its systems approximately to current building code-levels, and then pursued deeper energy reductions through either enhanced technology/ building enclosure measures, or through occupant conservation efforts, both of which achieved impressive energy performance and reductions. The beyond-code incremental DER costs averaged $25,910 for the six homes where cost data were available. DERs were affordable when these incremental costs were financed as part of a remodel, averaging a $30 per month increase in the net-cost of home ownership.

Case Study for the ARRA-funded GSHP Demonstration at University at Albany

Energy Technology Data Exchange (ETDEWEB)

Liu, Xiaobing [ORNL; Malhotra, Mini [ORNL; Xiong, Zeyu [ORNL

2015-03-01

High initial costs and lack of public awareness of ground-source heat pump (GSHP) technology are the two major barriers preventing rapid deployment of this energy-saving technology in the United States. Under the American Recovery and Reinvestment Act (ARRA), 26 GSHP projects have been competitively selected and carried out to demonstrate the benefits of GSHP systems and innovative technologies for cost reduction and/or performance improvement. This report highlights the findings of a case study of one of the ARRA-funded GSHP demonstration projects—a distributed GSHP system at a new 500-bed apartment-style student residence hall at the University at Albany. This case study is based on the analysis of detailed design documents, measured performance data, published catalog data of heat pump equipment, and actual construction costs. Simulations with a calibrated computer model are performed for both the demonstrated GSHP system and a baseline heating, ventilation, and airconditioning (HVAC) system to determine the energy savings and other related benefits achieved by the GSHP system. The evaluated performance metrics include the energy efficiency of the heat pump equipment and the overall GSHP system, as well as the pumping performance, energy savings, carbon emission reductions, and cost-effectiveness of the demonstrated GSHP system compared with the baseline HVAC system. This case study also identifies opportunities for improving the operational efficiency of the demonstrated GSHP system.

Competitiveness based on logistic management: a real case study

OpenAIRE

García Márquez, Fausto Pedro; Peña García Pardo, Isidro; Ramos M. Nieto, Marta

2014-01-01

An efficient and effective logistic system is a strategic objective in any produc- tive business. This paper presents a real case study of a routing problem in a food industry firm. This problem is solved as a Vehicle Routing Problem (VRP) using the Neural Net- work (NN) and Tabu Search (TS) algorithms. A customer selection based on a profitability analysis was carried out. The aforementioned algorithms were then applied, leading to a considerable reduction in the total logistic costs. This r...

[Application of nested case-control study on safe evaluation of post-marketing traditional Chinese medicine injection].

Science.gov (United States)

Xiao, Ying; Zhao, Yubin; Xie, Yanming

2011-10-01

The nested case-control study design (or the case-control in a cohort study) is described here as a new study design used in safe evaluation of post-marketing traditional Chinese medicine injection. In the nested case-control study, cases of a disease that occur in a defined cohort are identified and, for each, a specified number of matched controls is selected from among those in the cohort who have not developed the disease by the time of disease occurrence in the case. For many research questions, the nested case-control design potentially offers impressive reductions in costs and efforts of data collection and analysis compared with the full cohort approach, with relatively minor loss in statistical efficiency. The nested case-control design is particularly advantageous for studies in safe evaluation of post-marketing traditional Chinese medicine injection. Some examples of the application of nested case-control study were given.

Development of Flow Accelerated Corrosion Reduction Technology

Energy Technology Data Exchange (ETDEWEB)

Heo, Min Bum; Choi, Won Yeol; Lee, Jong Chan; Lim, Dong Seok; Kwon, Byung Il; Ku, Hee Kwon; Kim, Jong Uk [FNC Tech, Yongin (Korea, Republic of)

2015-10-15

Development of flow accelerated corrosion reduction technology is necessary for prevent this kind of accidents. This study deals with development of flow accelerated corrosion reduction technology through platinum injection and developed of flow accelerated corrosion reduction technology by imitating water chemical condition in PWR secondary system in practice. In addition, in order to get reliability of water chemical simulator in PWR secondary system, analyzed and compared with test result through CFD analysis. This study composed test device that can simulate water chemical environment in PWR secondary system, in order to develop flow accelerated corrosion reduction , and evaluated the ratio of corrosion in water chemical environment in PWR secondary system. In conclusion, corrosion ratio of low alloy steel material that includes more Cr and Mo was lower. And the results were confirmed to be the maximum corrosion rate in the case that replicate the 90 elbow. Additionally, inserted Pt nano particle for developing flow accelerated corrosion rate reduction technology, the test results, it was confirmed for about 80% of the flow accelerated corrosion rate reduction than before input.

Genetic variation at CYP3A is associated with age at menarche and breast cancer risk: a case-control study

OpenAIRE

Johnson, N. (Nichola); Dudbridge, Frank; Orr, Nick; Gibson, Lorna; Jones, Michael; Schoemaker, Minouk; Folkerd, E.J. (Elizabeth J.); Haynes, B.P. (Ben P.); Hopper, John; Southey, Melissa; Dite, G.S. (Gillian S.); Apicella, C. (Carmel); Schmidt, Marjanka; Broeks, Annegien; Veer, Laura

2014-01-01

textabstractINTRODUCTION: We have previously shown that a tag single nucleotide polymorphism (rs10235235), which maps to the CYP3A locus (7q22.1), was associated with a reduction in premenopausal urinary estrone glucuronide levels and a modest reduction in risk of breast cancer in women age ≤50 years.METHODS: We further investigated the association of rs10235235 with breast cancer risk in a large case control study of 47,346 cases and 47,570 controls from 52 studies participating in the Breas...

Genetic variation at CYP3A is associated with age at menarche and breast cancer risk: A case-control study

OpenAIRE

Johnson, Nichola; Dudbridge, Frank; Orr, Nick; Gibson, Lorna; Jones, Michael; Schoemaker, Minouk; Folkerd, E.J. (Elizabeth J.); Haynes, B.P. (Ben P.); Hopper, John; Southey, Melissa; Dite, Gillian; Apicella, Carmel; Schmidt, Marjanka; Broeks, Annegien; Veer, Laura

2014-01-01

textabstractIntroduction: We have previously shown that a tag single nucleotide polymorphism (rs10235235), which maps to the CYP3A locus (7q22.1), was associated with a reduction in premenopausal urinary estrone glucuronide levels and a modest reduction in risk of breast cancer in women age ≤50 years. Methods: We further investigated the association of rs10235235 with breast cancer risk in a large case control study of 47,346 cases and 47,570 controls from 52 studies participating in the Brea...

Study of reduction and complexation of technetium in the presence of humate

International Nuclear Information System (INIS)

Tkac, P.

2003-06-01

Reduction of pertechnetate was studied by different reduction systems: Sn 2+ , Fe 2+ , ascorbic acid, mixture of ascorbic acid and Fe 3+ , and thiourea. Reduction of pertechnetate by Sn 2+ ions (5 · 10 -2 - 5 · 10 -7 mol.dm -3 ) was studied in pH range of 0.94-6.4. For effective reduction of Tc(VII) an acidic environment (pH 2+ ions higher than 1 · 10 -5 mol.dm-3 was necessary. Reduction of Tc(VII) by Fe 2+ (0.01 mol.dm -3 FeSO 4 ) was strongly dependent on pH and for reduction yield higher than 95 %, pH = 8 and higher was needed. In the presence of ascorbic acid (1 - 5 %) no significant reduction was observed. When a 5 % solution of ascorbic acid was prepared by dilution of ascorbic acid in 2 mol.dm -3 HCl, 60 % reduction after 30 minutes of reaction was observed. Reduction of Tc(VII) in the presence of ascorbic acid was most effectively observed in the presence of Fe 3+ ions. The yield of reduction was about 98 % after 20 minutes of reaction. Reduction of pertechnetate by thiourea was studied in acidic solution (HCl). Different conditions were used for reduction of 99m TcO 4 - and 99 TcO 4 - , respectively. The best yield for a routine preparation of [ 99 Tc(tu) 6 ] 3+ (tu = thiourea) was observed when 70 mg of thiourea was dissolved in 5 ml of 0.5 mol.dm -3 HCl and 0.2 - 0.5 ml of 6 · 10 -2 mol.dm -3 TcO 4 - was added. The mixture was allowed to react at least 20 hours. In the case of 99m Tc, 35 mg of thiourea was diluted in 5 ml of 2 mol.dm -3 HCl and 0.1 - 0.5 ml of pertechnetate generator solution was added. Reaction mixture was heated at 100 grad C for at least 30 minutes under nitrogen atmosphere. The yield of pertechnetate reduction for both preparation methods was about 99 %. The thiourea complex of technetium was chosen for preparation of technetium-humic complex, because it is well known as the most suitable precursor for preparation of new technetium complexes with Tc 3+ . Gel chromatography of natrium humate was carried out before preparation of

Ground-source heat pump case studies and utility programs

Energy Technology Data Exchange (ETDEWEB)

Lienau, P.J.; Boyd, T.L.; Rogers, R.L.

1995-04-01

Ground-source heat pump systems are one of the promising new energy technologies that has shown rapid increase in usage over the past ten years in the United States. These systems offer substantial benefits to consumers and utilities in energy (kWh) and demand (kW) savings. The purpose of this study was to determine what existing monitored data was available mainly from electric utilities on heat pump performance, energy savings and demand reduction for residential, school and commercial building applications. In order to verify the performance, information was collected for 253 case studies from mainly utilities throughout the United States. The case studies were compiled into a database. The database was organized into general information, system information, ground system information, system performance, and additional information. Information was developed on the status of demand-side management of ground-source heat pump programs for about 60 electric utility and rural electric cooperatives on marketing, incentive programs, barriers to market penetration, number units installed in service area, and benefits.

Therapeutic platelet reduction: Use in postsplenectomy thrombocytosis

Directory of Open Access Journals (Sweden)

Gita Negi

2015-01-01

Full Text Available Therapeutic platelet reduction is an effective modality for the reduction of platelet count in patients with treatment of extreme thrombocytosis resulting from a variety of primary and secondary causes of thrombocytosis, which may be associated with thrombotic or hemorrhagic complications of varying degrees. These cases when symptomatic fall into the ASFA Category II indication for therapeutic platelet apheresis procedure. Here, we report a case of postsplenectomy secondary thrombocytosis presenting with extremely high platelet counts and subsequent thrombosis in the shunt and successful treatment after therapeutic platelet reduction. The case is being presented to bring forth the fact that therapeutic platelet reduction is an easy procedure that gives quick and good results and also to bring to the attention of transfusion specialists an associated but as yet unreported procedural finding.

An interdisciplinary approach to volcanic risk reduction under conditions of uncertainty: a case study of Tristan da Cunha

Science.gov (United States)

Hicks, A.; Barclay, J.; Simmons, P.; Loughlin, S.

2014-07-01

The uncertainty brought about by intermittent volcanic activity is fairly common at volcanoes worldwide. While better knowledge of any one volcano's behavioural characteristics has the potential to reduce this uncertainty, the subsequent reduction of risk from volcanic threats is only realised if that knowledge is pertinent to stakeholders and effectively communicated to inform good decision making. Success requires integration of methods, skills and expertise across disciplinary boundaries. This research project develops and trials a novel interdisciplinary approach to volcanic risk reduction on the remote volcanic island of Tristan da Cunha (South Atlantic). For the first time, volcanological techniques, probabilistic decision support and social scientific methods were integrated in a single study. New data were produced that (1) established no spatio-temporal pattern to recent volcanic activity; (2) quantified the high degree of scientific uncertainty around future eruptive scenarios; (3) analysed the physical vulnerability of the community as a consequence of their geographical isolation and exposure to volcanic hazards; (4) evaluated social and cultural influences on vulnerability and resilience; and (5) evaluated the effectiveness of a scenario planning approach, both as a method for integrating the different strands of the research and as a way of enabling on-island decision makers to take ownership of risk identification and management, and capacity building within their community. The paper provides empirical evidence of the value of an innovative interdisciplinary framework for reducing volcanic risk. It also provides evidence for the strength that comes from integrating social and physical sciences with the development of effective, tailored engagement and communication strategies in volcanic risk reduction.

The effect of health/hedonic claims on consumer hedonic and sensory perception of sugar reduction: Case study with orange/passionfruit nectars.

Science.gov (United States)

Oliveira, Denize; Ares, Gastón; Deliza, Rosires

2018-06-01

Sugar reduction in beverages can contribute to reduce consumption of this nutrient and to improve the health status of the population. However, such reduction can negatively affect consumer perception. Label information can be an effective tool to increase consumer interest in sugar-reduced products. In this context, the aim of the present work was to study the influence of health/hedonic claims on consumer hedonic and sensory perception of sugar reduction in orange/passionfruit nectars under expected and informed conditions. Sugar-reduced orange/passionfruit nectars (20% and 40% reduced in added sugar) featuring different claims (none, health claim or hedonic claim) were evaluated, together with a control product without reduction. Following a between-subjects experimental design, 206 participants evaluated the nectars under two experimental conditions: (a) expected, looking at the packages, and (b) informed, looking at the packages and tasting the nectars. In each experimental condition, participants evaluated their overall liking using a 9-point hedonic scale and answered a check-all-that-apply questions related to the sensory characteristics of the nectars. Results showed that although consumers did not have negative expectations about sugar-reduced nectars, the sensory characteristics of the products were the main determinants of consumers' hedonic reaction towards the nectars. The influence of claims on consumers' perception was modulated by their hedonic sensitivity towards sugar-reduction. The hedonic claim increased overall liking of those consumers with low hedonic sensitivity towards sugar reduction, whereas it had the opposite effect on the most sensitive consumers. Results from the present work suggest that although hedonic claims hold potential for a consumer segment, care must be taken to avoid the generation of unrealistic expectations about the sensory characteristics of sugar-reduced products. Copyright © 2018 Elsevier Ltd. All rights reserved.

Study on CO2 emission reduction using ENPEP in Korea

International Nuclear Information System (INIS)

Moon, K. H.; Kim, S. S.; Song, K. D.; Im, C. Y.

2003-01-01

ENPEP was used to analyze the role of nuclear power in mitigating carbon emission in power generation sector. In this study, base scenario reflects business as usual case in Korea. Additional two scenarios were established. One stands for fuel switch scenario, where nuclear power plants scheduled to be introduced after 2008 were assumed to be replaced by Coal Power Plant, the other one is established to see the impact of carbon tax. In this scenario carbon tax(50$/ton-C0 2 ) is imposed on coal power plants from 2008. It is resulted that fuel switch from nuclear to coal in power generation sector has a great effect on CO 2 emission, while carbon tax imposition makes a slight contribution to the reduction of CO 2 emission. These findings mean that the role of nuclear power in Korea is important in view of the GHG mitigation

Hybrid-Wing-Body Vehicle Composite Fuselage Analysis and Case Study

Science.gov (United States)

Mukhopadhyay, Vivek

2014-01-01

Recent progress in the structural analysis of a Hybrid Wing-Body (HWB) fuselage concept is presented with the objective of structural weight reduction under a set of critical design loads. This pressurized efficient HWB fuselage design is presently being investigated by the NASA Environmentally Responsible Aviation (ERA) project in collaboration with the Boeing Company, Huntington Beach. The Pultruded Rod-Stiffened Efficient Unitized Structure (PRSEUS) composite concept, developed at the Boeing Company, is approximately modeled for an analytical study and finite element analysis. Stiffened plate linear theories are employed for a parametric case study. Maximum deflection and stress levels are obtained with appropriate assumptions for a set of feasible stiffened panel configurations. An analytical parametric case study is presented to examine the effects of discrete stiffener spacing and skin thickness on structural weight, deflection and stress. A finite-element model (FEM) of an integrated fuselage section with bulkhead is developed for an independent assessment. Stress analysis and scenario based case studies are conducted for design improvement. The FEM model specific weight of the improved fuselage concept is computed and compared to previous studies, in order to assess the relative weight/strength advantages of this advanced composite airframe technology

Study of the X-Ray Diagnosis of Unstable Pelvic Fracture Displacements in Three-Dimensional Space and its Application in Closed Reduction.

Science.gov (United States)

Shi, Chengdi; Cai, Leyi; Hu, Wei; Sun, Junying

2017-09-19

ABSTRACTS Objective: To study the method of X-ray diagnosis of unstable pelvic fractures displaced in three-dimensional (3D) space and its clinical application in closed reduction. Five models of hemipelvic displacement were made in an adult pelvic specimen. Anteroposterior radiographs of the pelvis were analyzed in PACS. The method of X-ray diagnosis was applied in closed reductions. From February 2012 to June 2016, 23 patients (15 men, 8 women; mean age, 43.4 years) with unstable pelvic fractures were included. All patients were treated by closed reduction and percutaneous cannulate screw fixation of the pelvic ring. According to Tile's classification, the patients were classified into type B1 in 7 cases, B2 in 3, B3 in 3, C1 in 5, C2 in 3, and C3 in 2. The operation time and intraoperative blood loss were recorded. Postoperative images were evaluated by Matta radiographic standards. Five models of displacement were made successfully. The X-ray features of the models were analyzed. For clinical patients, the average operation time was 44.8 min (range, 20-90 min) and the average intraoperative blood loss was 35.7 (range, 20-100) mL. According to the Matta standards, 7 cases were excellent, 12 cases were good, and 4 were fair. The displacements in 3D space of unstable pelvic fractures can be diagnosed rapidly by X-ray analysis to guide closed reduction, with a satisfactory clinical outcome.

Comparisons of receive array interference reduction techniques under erroneous generalized transmit beamforming

KAUST Repository

Radaydeh, Redha Mahmoud

2014-02-01

This paper studies generalized single-stream transmit beamforming employing receive array co-channel interference reduction algorithms under slow and flat fading multiuser wireless systems. The impact of imperfect prediction of channel state information for the desired user spatially uncorrelated transmit channels on the effectiveness of transmit beamforming for different interference reduction techniques is investigated. The case of over-loaded receive array with closely-spaced elements is considered, wherein it can be configured to specified interfering sources. Both dominant interference reduction and adaptive interference reduction techniques for statistically ordered and unordered interferers powers, respectively, are thoroughly studied. The effect of outdated statistical ordering of the interferers powers on the efficiency of dominant interference reduction is studied and then compared against the adaptive interference reduction. For the system models described above, new analytical formulations for the statistics of combined signal-to-interference-plus-noise ratio are presented, from which results for conventional maximum ratio transmission and single-antenna best transmit selection can be directly deduced as limiting cases. These results are then utilized to obtain quantitative measures for various performance metrics. They are also used to compare the achieved performance of various configuration models under consideration. © 1972-2012 IEEE.

Artifact reduction of different metallic implants in flat detector C-arm CT.

Science.gov (United States)

Hung, S-C; Wu, C-C; Lin, C-J; Guo, W-Y; Luo, C-B; Chang, F-C; Chang, C-Y

2014-07-01

Flat detector CT has been increasingly used as a follow-up examination after endovascular intervention. Metal artifact reduction has been successfully demonstrated in coil mass cases, but only in a small series. We attempted to objectively and subjectively evaluate the feasibility of metal artifact reduction with various metallic objects and coil lengths. We retrospectively reprocessed the flat detector CT data of 28 patients (15 men, 13 women; mean age, 55.6 years) after they underwent endovascular treatment (20 coiling ± stent placement, 6 liquid embolizers) or shunt drainage (n = 2) between January 2009 and November 2011 by using a metal artifact reduction correction algorithm. We measured CT value ranges and noise by using region-of-interest methods, and 2 experienced neuroradiologists rated the degrees of improved imaging quality and artifact reduction by comparing uncorrected and corrected images. After we applied the metal artifact reduction algorithm, the CT value ranges and the noise were substantially reduced (1815.3 ± 793.7 versus 231.7 ± 95.9 and 319.9 ± 136.6 versus 45.9 ± 14.0; both P metallic objects and various sizes of coil masses. The rater study achieved an overall improvement of imaging quality and artifact reduction (85.7% and 78.6% of cases by 2 raters, respectively), with the greatest improvement in the coiling group, moderate improvement in the liquid embolizers, and the smallest improvement in ventricular shunting (overall agreement, 0.857). The metal artifact reduction algorithm substantially reduced artifacts and improved the objective image quality in every studied case. It also allowed improved diagnostic confidence in most cases. © 2014 by American Journal of Neuroradiology.

An environmental, economical and socio-political analysis of a variety of urban air-pollution reduction policies for primary PM10 and NOx: The case study of the Province of Milan (Northern Italy)

International Nuclear Information System (INIS)

Chiesa, M.; Perrone, M.G.; Cusumano, N.; Ferrero, L.; Sangiorgi, G.; Bolzacchini, E.; Lorenzoni, A.; Ballarin Denti, A.

2014-01-01

Highlights: • PM10 and NO x emission reduction by different policies have been estimated. • Various actions have been considered, in the transport and residential sectors. • Environmental, economic and socio-political data were jointly evaluated. • Results are reported for the case study of the Province of Milan (Northern Italy). • Bike use fostering best matches cost–benefit results and socio-political acceptance. - Abstract: In the frame of urban air-pollution reduction policies, economic costs and environmental benefits of a variety of actions have been quantitatively assessed for the Province of Milan (Northern Italy), focusing on PM10 and NO x emission sources. Short-to-mid-term interventions that have been taken into consideration include reduction of inner temperature in residential buildings, banning of residential biomass heating systems, banning of diesel fuelled domestic boilers, night-time streets washing, speed limit reduction on highways, circulation restrictions of oldest EURO vehicles, conversion of diesel buses to natural gas, car sharing/biking promotion, DPF adoption in diesel vehicles, extension of road lanes for urban buses, energy efficiency refurbishment in residential buildings. Re*sults emerged from the cost–benefit analysis integrated with socio-political indicators obtained through direct surveys, will contribute, with an holistic and multidisciplinary approach, to drive the local administrators to implement the most suitable actions in one of the most polluted areas in west-Europe

Feasibility study on reduction of gasoline emissions from oil depots and gasoline stations in Indonesia

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

A field survey was conducted of oil shipment depots in Java and Bali islands owned by Indonesia's state-run oil company to study measures for reduction in greenhouse effect gas emissions. Studies were made on the grasp of the amount of the hydrocarbon vapor emitted into the air, the amount of the gasoline recovered in case of adopting the vapor emission preventive technology, equipment cost/operational cost, etc. Concretely, the following three were studied: change of the gasoline storage tank to the inner floating roof type, and prevention of evaporation loss at the time of receiving and breathing loss caused by temperature changes; replacement with the vapor recovery type loading arm to recover gasoline vapor generated at the time of shipment/filling, and installation of the vapor recovery unit to recover vapor as gasoline; vapor balance system to recover in underground tank the gasoline vapor generated at the time of filling gasoline at gas station. As a result of the study, the recovered gasoline amount was 66,393 Kl/y and the CO2 reduction amount was 14,474 t/y at oil shipment depots and approximately 650 gasoline stations in Jakarta and Surabaya. (NEDO)

Rash with DERMABOND PRINEO Skin Closure System Use in Bilateral Reduction Mammoplasty: A Case Series.

Science.gov (United States)

Knackstedt, R W; Dixon, J A; O'Neill, P J; Herrera, F A

2015-01-01

Background. Bilateral reduction mammoplasty is a common plastic surgery procedure that can be complicated by unfavorable scar formation along incision sites. Surgical adhesives can be utilized as an alternative or as an adjunct to conventional suture closures to help achieve good wound tension and provide an adequate barrier with excellent cosmesis. The recently introduced DERMABOND PRINEO Skin Closure System Skin Closure System combines the skin adhesive 2-octyl cyanoacrylate with a self-adhering polyester-based mesh. Proposed benefits of wound closure with DERMABOND PRINEO Skin Closure System, used with or without sutures, include its watertight seal, easy removal, microbial barrier, even distribution of tension, and reduction in wound closure time. Although allergic reactions to 2-octyl cyanoacrylate have been reported, few allergic reactions to DERMABOND PRINEO Skin Closure System have been noted in the literature. This case series describes three patients who experienced an allergic reaction to DERMABOND PRINEO Skin Closure System after undergoing elective bilateral reduction mammoplasties at our institution to further explore this topic. Methods. Retrospective chart review of bilateral reduction mammoplasty patients who received DERMABOND PRINEO Skin Closure System dressing at our institution was performed. Results. Three patients were identified as having a rash in reaction to DERMABOND PRINEO Skin Closure System after bilateral reduction mammoplasty. All three patients required systemic steroid treatment to resolve the rash. One patient was identified as having a prior adhesive reaction. Conclusions. DERMABOND PRINEO Skin Closure System has demonstrated its efficacy in optimizing scar healing and appearance. However, as we demonstrate these three allergic reactions to DERMABOND PRINEO Skin Closure System, caution must be utilized in its usage, namely, in patients with a prior adhesive allergy and in sites where moisture or friction may be apparent.

Rash with DERMABOND PRINEO Skin Closure System Use in Bilateral Reduction Mammoplasty: A Case Series

Directory of Open Access Journals (Sweden)

R. W. Knackstedt

2015-01-01

Full Text Available Background. Bilateral reduction mammoplasty is a common plastic surgery procedure that can be complicated by unfavorable scar formation along incision sites. Surgical adhesives can be utilized as an alternative or as an adjunct to conventional suture closures to help achieve good wound tension and provide an adequate barrier with excellent cosmesis. The recently introduced DERMABOND PRINEO Skin Closure System Skin Closure System combines the skin adhesive 2-octyl cyanoacrylate with a self-adhering polyester-based mesh. Proposed benefits of wound closure with DERMABOND PRINEO Skin Closure System, used with or without sutures, include its watertight seal, easy removal, microbial barrier, even distribution of tension, and reduction in wound closure time. Although allergic reactions to 2-octyl cyanoacrylate have been reported, few allergic reactions to DERMABOND PRINEO Skin Closure System have been noted in the literature. This case series describes three patients who experienced an allergic reaction to DERMABOND PRINEO Skin Closure System after undergoing elective bilateral reduction mammoplasties at our institution to further explore this topic. Methods. Retrospective chart review of bilateral reduction mammoplasty patients who received DERMABOND PRINEO Skin Closure System dressing at our institution was performed. Results. Three patients were identified as having a rash in reaction to DERMABOND PRINEO Skin Closure System after bilateral reduction mammoplasty. All three patients required systemic steroid treatment to resolve the rash. One patient was identified as having a prior adhesive reaction. Conclusions. DERMABOND PRINEO Skin Closure System has demonstrated its efficacy in optimizing scar healing and appearance. However, as we demonstrate these three allergic reactions to DERMABOND PRINEO Skin Closure System, caution must be utilized in its usage, namely, in patients with a prior adhesive allergy and in sites where moisture or friction may

XAS studies on selenite reduction by pyrite

International Nuclear Information System (INIS)

Kang Mingliang; Liu Chunli; Chen Fanrong; Charlet, Laurnet

2012-01-01

The interaction of aqueous Se (IV) with pyrite were systematically investigated in light of thermodynamic calculations and X-ray Absorption Spectroscopy (XAS). The results from the speciation study reveal that the reduction product is Se (O) when natural pyrite reacts with Se (N) at pH≤5.65, while small amount of FeSeO 3 or iron selenides may be formed at pH 6.1. At pH≥6.94, due to the precipitation of Fe (Ⅲ) -oxyhydroxide, the formation of the thermodynamically most stable species, FeSe 2 , is inhibited. However, when the reactive nanopyrite-greigite was used for reaction, the thermodynamically most stable species, FeSe 2 , was found for the first time as the predominant product in the present study, suggesting that 79 Se can be immobilized in its most insoluble form, FeSe 2 , in Fe (Ⅱ) -sulfide containing environment. This study confirms that pyrite can significantly attenuate the mobility of Se by reductive precipitation, and that the reaction process does not produce protons under acidic or neutral condition when Se (O) is formed. (authors)

Case Study Research Methodology

Directory of Open Access Journals (Sweden)

Mark Widdowson

2011-01-01

Full Text Available Commenting on the lack of case studies published in modern psychotherapy publications, the author reviews the strengths of case study methodology and responds to common criticisms, before providing a summary of types of case studies including clinical, experimental and naturalistic. Suggestions are included for developing systematic case studies and brief descriptions are given of a range of research resources relating to outcome and process measures. Examples of a pragmatic case study design and a hermeneutic single-case efficacy design are given and the paper concludes with some ethical considerations and an exhortation to the TA community to engage more widely in case study research.

Project management case studies

CERN Document Server

Kerzner, Harold R

2013-01-01

A new edition of the most popular book of project management case studies, expanded to include more than 100 cases plus a ""super case"" on the Iridium Project Case studies are an important part of project management education and training. This Fourth Edition of Harold Kerzner''s Project Management Case Studies features a number of new cases covering value measurement in project management. Also included is the well-received ""super case,"" which covers all aspects of project management and may be used as a capstone for a course. This new edition:Contains 100-plus case studies drawn from re

Microfluidic platform for studying the electrochemical reduction of carbon dioxide

Science.gov (United States)

Whipple, Devin Talmage

Diminishing supplies of conventional energy sources and growing concern over greenhouse gas emissions present significant challenges to supplying the world's rapidly increasing demand for energy. The electrochemical reduction of carbon dioxide has the potential to address many of these issues by providing a means of storing electricity in chemical form. Storing electrical energy as chemicals is beneficial for leveling the output of clean, but intermittent renewable energy sources such as wind and solar. Electrical energy stored as chemicals can also be used as carbon neutral fuels for portable applications allowing petroleum derived fuels in the transportation sector to be replaced by more environmentally friendly energy sources. However, to be a viable technology, the electrochemical reduction of carbon dioxide needs to have both high current densities and energetic efficiencies (Chapter 1). Although many researchers have studied the electrochemical reduction of CO2 including parameters such as catalysts, electrolytes and temperature, further investigation is needed to improve the understanding of this process and optimize the performance (Chapter 2). This dissertation reports the development and validation of a microfluidic reactor for the electrochemical reduction of CO2 (Chapter 3). The design uses a flowing liquid electrolyte instead of the typical polymer electrolyte membrane. In addition to other benefits, this flowing electrolyte gives the reactor great flexibility, allowing independent analysis of each electrode and the testing of a wide variety of conditions. In this work, the microfluidic reactor has been used in the following areas: • Comparison of different metal catalysts for the reduction of CO2 to formic acid and carbon monoxide (Chapter 4). • Investigation of the effects of the electrolyte pH on the reduction of CO2 to formic acid and carbon monoxide (Chapter 5). • Study of amine based electrolytes for lowering the overpotentials for CO2

In-Situ Optical Studies of Oxidation/Reduction Kinetics on SOFC Cermet Anodes

Science.gov (United States)

2010-12-28

DATES COVERED (From - To) 1/29/10-9/30/10 4. TITLE AND SUBTITLE In situ optical studies of oxidation/reduction kinetics on SOFC cermet anodes 5a...0572 In-situ Optical Studies of Oxidation/Reduction Kinetics on SOFC Cermet Anodes Department of Chemistry and Biochemistry Montana State University...of Research In-situ Optical Studies of Oxidation/Reduction Kinetics on SOFC Cermet Anodes Principal Investigator Robert Walker Organization

Fluoroscopically guided closed reduction and internal fixation of fractures of the lateral portion of the humeral condyle: prospective clinical study of the technique and results in ten dogs.

Science.gov (United States)

Cook, J L; Tomlinson, J L; Reed, A L

1999-01-01

To report a technique for fluoroscopically guided closed reduction with internal fixation of fractures of the lateral portion of the humeral condyle (FLHC) and determine the long-term results in 10 clinical cases. Prospective clinical case study. Ten dogs with 11 fractures. Fractures of the lateral portion of the humeral condyle were stabilized with transcondylar screws and Kirschner wires. Closed reduction and implant placement were achieved using intraoperative fluoroscopic guidance. After fracture repair, postoperative radiographs were evaluated for articular alignment and implant placement. Dogs were evaluated after surgery by means of lameness scores, elbow range of motion (ROM), radiographic assessment, and owner evaluation of function. Postoperative reduction was considered anatomic in 6 fractures with all other fractures having ROM values between affected and unaffected elbows. All of the dogs in this study regained 90-100% of full function, based on owner assessment. Fluoroscopic guidance for closed reduction and internal fixation of FLHC in dogs is an effective technique.

Feasibility study on energy saving and the reduction of CO2 emission at Petrochemical Corporation of Singapore

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

A feasibility study has been executed on energy conservation and greenhouse gas emission reduction, taking up as the objects the first-period crackers and their utility related facilities at Petrochemical Corporation of Singapore (PCS). In the study, discussions were given on restructuring of the overall energy balance by using the pinch technology, adoption of the advanced recovery system (ARS) made by S and W, and a cogeneration system using gas turbine generators. As a result of the discussions for the case of using the pinch technology, ARS, and 45-MW gas turbines, the annual reduction in the fuel consumption was found to correspond to crude oil of 5.1, 3.1 and 39.0 kt, respectively. Furthermore, the annual greenhouse gas emission reduction would be 15.8, 9.7 and 120.6 kt. The total required fund for modification construction of the naphtha crackers for energy conservation would be 460 million yen, 3,700 million yen, and 5,460 million yen respectively for the pinch technology, ARS and 45-MW gas turbines. The internal profitability of the total investment would be 19% for the pinch technology, and 27% for the 45-MW gas turbines. (NEDO)

Feasibility of Applying Clean Development Mechanism and GHGs Emission Reductions in the Gold Mining Industry: A Case of Thailand

Science.gov (United States)

Kittipongvises, Suthirat

2015-12-01

There is presently overwhelming scientific consensus that global climate change is indeed occurring, and that human activities are the primary driver. An increasingly resource and carbon constrained world will continue to pose formidable challenges to major industries, including mining. Understanding the implications of climate change mitigation for the mining industry, however, remains limited. This paper presents the results of a feasibility study on the implementation of a clean development mechanism and greenhouse gases (GHGs) emission reductions in the gold mining industry. It draws upon and extends the analysis of a case study conducted on gold mining operations in Thailand. The results from the case study indicated that total GHGs emissions by company A were approximately 36,886 tons carbon dioxide equivalents (tCO2e) per annual gold production capacity that meet the eligibility criteria for small-scaled clean development mechanism (CDM) projects. The electrostatic separation process was found to release the lowest amount of GHGs, whereas comminution (i.e. crushing and grinding) generated the highest GHGs emissions. By scope, the emission from purchased electricity (scope 2) is the most significant source. Opportunities for CDM projects implementation in the gold mining sector can be found in employing energy efficiency measures. Through innovation, some technical efficiency and technological development in gold processing (i.e. high pressure grinding rolls (HPGR), vertical roller mills (VRM), gravity pre-concentration and microwave heating technologies) that have the potential to reduce energy use and also lower carbon footprint of the gold mining were further discussed. The evidence reviews found that HPGR and VRM abatement technologies have shown energy and climate benefits as electricity savings and CO2 reduction of about 8-25.93 kWh/ton ore processed and 1.8-26.66 kgCO2/ton ore processed, respectively. Implications for further research and practice were

Feasibility of Applying Clean Development Mechanism and GHGs Emission Reductions in the Gold Mining Industry: A Case of Thailand

Directory of Open Access Journals (Sweden)

Kittipongvises Suthirat

2015-12-01

Full Text Available There is presently overwhelming scientific consensus that global climate change is indeed occurring, and that human activities are the primary driver. An increasingly resource and carbon constrained world will continue to pose formidable challenges to major industries, including mining. Understanding the implications of climate change mitigation for the mining industry, however, remains limited. This paper presents the results of a feasibility study on the implementation of a clean development mechanism and greenhouse gases (GHGs emission reductions in the gold mining industry. It draws upon and extends the analysis of a case study conducted on gold mining operations in Thailand. The results from the case study indicated that total GHGs emissions by company A were approximately 36,886 tons carbon dioxide equivalents (tCO2e per annual gold production capacity that meet the eligibility criteria for small-scaled clean development mechanism (CDM projects. The electrostatic separation process was found to release the lowest amount of GHGs, whereas comminution (i.e. crushing and grinding generated the highest GHGs emissions. By scope, the emission from purchased electricity (scope 2 is the most significant source. Opportunities for CDM projects implementation in the gold mining sector can be found in employing energy efficiency measures. Through innovation, some technical efficiency and technological development in gold processing (i.e. high pressure grinding rolls (HPGR, vertical roller mills (VRM, gravity pre-concentration and microwave heating technologies that have the potential to reduce energy use and also lower carbon footprint of the gold mining were further discussed. The evidence reviews found that HPGR and VRM abatement technologies have shown energy and climate benefits as electricity savings and CO2 reduction of about 8-25.93 kWh/ton ore processed and 1.8-26.66 kgCO2/ton ore processed, respectively. Implications for further research and

A Spectroscopic Study of the effect of Ligand Complexation on the Reduction of Uranium(VI) by Anthraquinone-2,6-disulfonate (AH2DS)

International Nuclear Information System (INIS)

Wang, Zheming; Wagnon, Ken B.; Ainsworth, Calvin C.; Liu, Chongxuan; Rosso, Kevin M.; Fredrickson, Jim K.

2008-01-01

In this project, the reduction rate of uranyl complexes with hydroxide, carbonate, EDTA, and Desferriferrioxamine B (DFB) by anthraquinone-2,6-disulfonate (AH2DS), a potential electron shuttle for microbial reduction of metal ions (Newman and Kolter 2000), is studied by stopped-flow kinetics techniques under anoxic atmosphere. The apparent reaction rates varied with ligand type, solution pH, and U(VI) concentration. For each ligand, a single largest kobs within the studied pH range was observed, suggesting the influence of pH-dependent speciation on the U(VI) reduction rate. The maximum reaction rate found in each case followed the order of OH- > CO32- > EDTA > DFB, consistent with the same trend of the thermodynamic stability of the uranyl complexes and ionic sizes of the ligands. Increasing the stability of uranyl complexes and ligand size decreased the maximum reduction rate. The pH-dependent rates were modeled using a second-order rate expression that was assumed to be dependent on a single U(VI) complex and AH2DS species. By quantitatively comparing the calculated and measured apparent rate constants as a function of pH, species AHDS3- was suggested as the primary reductant in all cases examined. Species UO2CO3(aq) , UO2HEDTA-, and (UO2)2(OH)22+ were suggested as the principal electron acceptors among the U(VI) species mixture in carbonate, EDTA, and hydroxyl systems, respectively

A PROSPECTIVE STUDY OF SUPRACONDYLAR FRACTURES OF THE HUMERUS IN CHILDREN TREATED BY CLOSED REDUCTION

Directory of Open Access Journals (Sweden)

Ch. Imobi

2015-08-01

Full Text Available There is no universal agreement regarding the management of displaced supracondylar fracture of the humerous in children. According to some orthopaedic surgeon almost all supracondylar humeral fractures should be treated operatively by reduction and pinning. While according to others closed reduction and pinning should be used for Gartland type II and some type III fractures. We present 50 cases of displaced supracondylar fracture treated by closed manipulative reduction under G.A. and immobilization with a posterior plaster of paris slab and collar and cuff. OBJECTIVE : T o assess the functional results of the injured elbow and to study the incidence of change in the carrying angle of the elbow. MATERIALS AND METHODS: This prospective study was conducted in 50 patients with extension type of displaced supracondylar fractures of humerus in children (Gartland type II and type III treated by closed manipulative reduction and immobilization in flexion of the elbow with a posterior plaster of paris slab and collar and cuff. Patients were followed up for 6 months. Flexion type of supracondylar fracture and those fractures which are absolutely indicated for operative intervention, Viz an open fracture and severe vascular compromise were excluded from the study. The range of movement and carrying angle was measured with the help of a Goniometer and Flynn criteria were used for functional assessment. RESULTS: At the end of follow up period, the end results were graded as excellent in 40%, good in 42%, fair in 12% and poor in 6%. A satisfactory result was therefore obtained in 94% and unsatisfactory result in 6% of the 50 patients who were followed and evaluated. CONCLUSION: This closed method of treatment for all practical proposes produces least complications, shorter hospital stay, can be expected to yield reproducible consistent satisfactory results not surpassed by any other method of treatment.

Efficiency of an emissions payment system for nitrogen in sewage treatment plants - a case study.

Science.gov (United States)

Malmaeus, J Mikael; Ek, Mats; Åmand, Linda; Roth, Susanna; Baresel, Christian; Olshammar, Mikael

2015-05-01

An emissions payment system for nitrogen in Swedish sewage treatment plants (STPs) was evaluated using a semi-empirical approach. The system was based on a tariff levied on each unit of nitrogen emitted by STPs, and profitable measures to reduce nitrogen emissions were identified for twenty municipal STPs. This was done through direct involvement with the plant personnel and the results were scaled up to cover all treatment plants larger than 2000 person equivalents in the Swedish tributary areas of the Kattegat and the Baltic Proper. The sum of costs and nitrogen reductions were compared with an assumed command-and-control regulation requiring all STPs to obtain 80% total nitrogen reduction in their effluents. Costs for the latter case were estimated using a database containing standard estimates for reduction costs by six specified measures. For both cases a total reduction target of 3000 tonnes of nitrogen was set. We did not find that the emissions payment system was more efficient in terms of total reduction costs, although some practical and administrative advantages could be identified. Our results emphasize the need to evaluate the performance of policy instruments on a case-by-case basis since the theoretical efficiency is not always reflected in practice. Copyright © 2015 Elsevier Ltd. All rights reserved.

[Case and studies].

Science.gov (United States)

Schubert, András

2015-11-15

Case studies and case reports form an important and ever growing part of scientific and scholarly literature. The paper deals with the share and citation rate of these publication types on different fields of research. In general, evidence seems to support the opinion that an excessive number of such publications may negatively influence the impact factor of the journal. In the literature of scientometrics, case studies (at least the presence of the term "case study" in the titles of the papers) have a moderate share, but their citation rate is practically equal to that of other publication types.

Resolvent-based feedback control for turbulent friction drag reduction

Science.gov (United States)

Kawagoe, Aika; Nakashima, Satoshi; Luhar, Mitul; Fukagata, Koji

2017-11-01

Suboptimal control for turbulent friction drag reduction has been studied extensively. Nakashima et al. (accepted) extended resolvent analysis to suboptimal control, and for the control where the streamwise wall shear stress is used as an input (Case ST), they revealed the control effect across spectral space is mixed: there are regions of drag increase as well as reduction. This suggests that control performance may be improved if the control is applied for selective wavelengths, or if a new law is designed to suppress the spectral region leading to drag increase. In the present study, we first assess the effect of suboptimal control for selective wavelengths via DNS. The friction Reynolds number is set at 180. For Case ST, resolvent analysis predicts drag reduction at long streamwise wavelengths. DNS with control applied only for this spectral region, however, did not result in drag reduction. Then, we seek an effective control law using resolvent analysis and propose a new law. DNS results for this law are consistent with predictions from resolvent analysis, and about 10% drag reduction is attained. Further, we discuss how this law reduces the drag from a dynamical and theoretical point of view. This work was supported through Grant-in-Aid for Scientic Research (C) (No. 25420129) by Japan Society for the Promotion of Science (JSPS).

Time requirement for barium reduction in intussusception

International Nuclear Information System (INIS)

Hwang, Hye Eun; Kim, Seung Ho; Kang, In Young; Park, Byoung Lan; Kim, Byoung Geun

1988-01-01

During the period between January 1985 and December 1987, barium reduction was performed in 146 cases of intussusception who were admitted to Kwangju Christian Hospital. The results were as follows: 1. Success rate to the symptom duration is relatively constant. 2. The success rate in infants with severe dehydration was 50% but it was gradually increased in infants with moderate dehydration and in infants with mild dehydration, 83.3% and 100% respectively. 3. The success rate of 12 cases in severely dehydrated infants with positive dissection sign was 16.7%. 4. The success rate of 15 cases in moderately dehydrated infants with positive dissection sign was 66.7%. 5. The average time requirement for barium reduction was 58.3 minutes. No serious complications were noted during barium reduction, except mild vomiting. 6. With above results, it is desirable that barium reduction should be performed according to the patient's physical status and radiologic findings.

On distribution reduction and algorithm implementation in inconsistent ordered information systems.

Science.gov (United States)

Zhang, Yanqin

2014-01-01

As one part of our work in ordered information systems, distribution reduction is studied in inconsistent ordered information systems (OISs). Some important properties on distribution reduction are studied and discussed. The dominance matrix is restated for reduction acquisition in dominance relations based information systems. Matrix algorithm for distribution reduction acquisition is stepped. And program is implemented by the algorithm. The approach provides an effective tool for the theoretical research and the applications for ordered information systems in practices. For more detailed and valid illustrations, cases are employed to explain and verify the algorithm and the program which shows the effectiveness of the algorithm in complicated information systems.

Building theories from case study research: the progressive case study

NARCIS (Netherlands)

Steenhuis, H.J.; de Bruijn, E.J.

2006-01-01

Meredith (1998) argues for more case and field research studies in the field of operations management. Based on a literature review, we discuss several existing approaches to case studies and their characteristics. These approaches include; the Grounded Theory approach which proposes no prior

Energy reduction potential from the shift to electric vehicles: The Flores island case study

International Nuclear Information System (INIS)

Pina, André; Baptista, Patrícia; Silva, Carlos; Ferrão, Paulo

2014-01-01

The increase of fossil fuel demand raises concerns on availability of resources for future energy demand and on potential environmental impacts. Electric vehicles (EVs) appear as one alternative to shift from fossil fuels to renewable energy resources. This research work analyzes the benefits of the introduction of EVs in a small energy system, the Flores island, Azores, in terms of primary energy and CO 2 emissions. Four scenarios were designed considering different penetration rates of EVs (Low and High) and different time of recharging strategies (Fixed and Flexible). The high shares of RES in the electricity production system (60–62%) did not guarantee a significant use of RES for the recharging of EVs (10–40%), as the additional electricity required had to be produced mainly from the diesel generators. The flexible recharging strategies allowed doubling the share of RES in the recharging of the EVs when compared to fixed recharging, and consequently double the impact on the reduction of primary energy consumption and fossil fuels imports. While the reduction of primary energy ranged between 0.2% and 1.1%, for CO 2 emissions there was a decrease between 0.3 and 1.7%, proving that EVs can help improve the sustainability of energy systems. - highlights: • High shares of RES in electricity do not guarantee a low energy use by EVs. • The introduction of EVs can help reduce CO 2 emissions by 11% in 2030. • Flexible time of recharging strategies allows a 2.5 times higher share of RES

Energy Information Augmented Community-Based Energy Reduction

Directory of Open Access Journals (Sweden)

Mark Rembert

2012-06-01

Full Text Available More than one-half of all U.S. states have instituted energy efficiency mandates requiring utilities to reduce energy use. To achieve these goals, utilities have been permitted rate structures to help them incentivize energy reduction projects. This strategy is proving to be only modestly successful in stemming energy consumption growth. By the same token, community energy reduction programs have achieved moderate to very significant energy reduction. The research described here offers an important tool to strengthen the community energy reduction efforts—by providing such efforts energy information tailored to the energy use patterns of each building occupant. The information provided most importantly helps each individual energy customer understand their potential for energy savings and what reduction measures are most important to them. This information can be leveraged by the leading community organization to prompt greater action in its community. A number of case studies of this model are shown. Early results are promising.

Efficacy of US-guided Hydrostatic Reduction in Children with Intussusception

Energy Technology Data Exchange (ETDEWEB)

Kim, Young Min; Chung, Tae Woong; Yoon, Woong; Chang, Nam Kyu; Heo, Suk Hee; Shin, Sang Soo; Lim, Hyo Sun; Jeong, Yong Yeon; Kang, Heoung Keun [Chonnam National University Hospital, Gwangju (Korea, Republic of)

2007-09-15

To assess the success rate and efficacy of US-guided hydrostatic reduction in children with intussusception. We retrospectively evaluated the ultrasonographic findings and clinical features of 121 children (M:F=80:41, mean age= 18 months) who underwent US-guided hydrostatic reduction between November, 2002 and February, 2007 for the diagnosis and treatment of intussusception. The 121 patients underwent 147 procedures, including recurred cases. Successful reduction was achieved in 132 cases (89.8% success rate), as confirmed by post-procedure ultrasonography and clinical findings. Emergency operations were performed in the 10 (6.8%) cases of irreducible intussusceptions, 8 of ileocolic type and 2 of ileoileal type. Perforation occurred in 4 cases (2.7%), and seizure in 1 case during the procedure (0.7%). US-guided hydrostatic reduction is a safe and effective tool for the diagnosis and treatment of pediatric intussusception

A capital cost reduction study on the fast breeder reactor plant

International Nuclear Information System (INIS)

Taniyama, H.; Kamei, M.; Moriyama, M.

1991-01-01

A capital cost reduction study has been performed for large fast breeder reactor designs. The primary objective of this study is to show a trend of capital cost reduction between FBR plants at the prototype stage, the demonstration stage, and the future commercialization stage. For the FBR plant at the demonstration stage a construction cost comparison with a light water reactor has also been performed, and the target cost of FBR of below 1.5 times that of the light water reactor cost was achieved. To extend the capital cost reduction study, a feasibility study was made to achieve a capital cost of an FBR less than that of a light water reactor. The recommended design is shown as a future commercialization FBR design concept. (author)

Psychological reactions after multifetal pregnancy reduction: a 2-year follow-up study.

Science.gov (United States)

Garel, M; Stark, C; Blondel, B; Lefebvre, G; Vauthier-Brouzes, D; Zorn, J R

1997-03-01

This study had two objectives. Firstly we assessed the effects of multifetal pregnancy reduction on the mothers' emotional well-being and the relationship with the children during the 2 years following intervention. Secondly at 2 years we compared mothers who had a reduction with mothers who had not and had delivered triplets. The comparisons focused on the mothers' health and their relationship with the children. Women having had a reduction in two hospitals in Paris, between May 1992 and June 1993, were contacted just after intervention for a prospective study. In all, 18 women were included. At 1 and 2 years, 10 women participated. At 2 years, 10 additional women were included. The answers of these 20 mothers were compared to those of 11 consecutive mothers of 2 year old triplets, assessed by the same psychologist in a previous prospective study. Semi-structured interviews were conducted at home. The mothers' social characteristics, their parity, the children's condition at birth and 4 months were very similar between the reduction and triplet groups. One year after birth one-third of the women in the reduction group reported persistent depressive symptoms related to the reduction, mainly sadness and guilt. The others made medical and rational comments expressing no emotion. At 2 years all but two women seemed to have overcome the emotional pain associated with the reduction. The comparison with mothers of triplets indicated that the mothers' anxiety and depression, and difficult relationship with the children were less acute in the reduction group. These results presented some limitations, since a high number of women who miscarried or refused to participate in the follow-up were not assessed at 1 and 2 years. However, a majority of women who participated in the study 2 years after intervention seemed able to accept a multifetal pregnancy reduction to achieve parental goals.

On a New Variance Reduction Technique: Neural Network Biasing-a Study of Two Test Cases with the Monte Carlo Code Tripoli4

International Nuclear Information System (INIS)

Dumonteil, E.

2009-01-01

Various variance-reduction techniques are used in Monte Carlo particle transport. Most of them rely either on a hypothesis made by the user (parameters of the exponential biasing, mesh and weight bounds for weight windows, etc.) or on a previous calculation of the system with, for example, a deterministic solver. This paper deals with a new acceleration technique, namely, auto-adaptative neural network biasing. Indeed, instead of using any a priori knowledge of the system, it is possible, at a given point in a simulation, to use the Monte Carlo histories previously simulated to train a neural network, which, in return, should be able to provide an estimation of the adjoint flux, used then for biasing the simulation. We will describe this method, detail its implementation in the Monte Carlo code Tripoli4, and discuss its results on two test cases. (author)

A Novel Minimally Invasive Reduction Technique by Balloon and Distractor for Intra-Articular Calcaneal Fractures: A Report of 2 Cases

Directory of Open Access Journals (Sweden)

M. Prod’homme

2018-01-01

Full Text Available Treatment of displaced intra-articular fractures of the calcaneus remains a challenge for the orthopaedic surgeon. Conservative therapy is known to produce functional impairment. Surgical approach is plagued by soft-tissue complications and insufficient fracture reduction. We describe a minimally invasive technique that will hopefully improve these issues. We want to present our first experience through two cases. The first was a 46-year-old man who presented with a Sanders type IIBC calcaneal fracture, and the second was a 86-year-old woman with a type IIIBC calcaneal fracture. We introduced 2 Schanz screws in the talus and the calcaneus. After distraction, we introduced an inflatable balloon inside the calcaneus. By inflating the balloon, the articular surface was reduced by lifting it up. Then bone cement was injected in order to maintain the reduction. Additional screw fixation was used in the young patient. Postoperative imaging showed good congruence of the subtalar joint without leakage of cement, for the two cases. After 2 months, the patients had no pain and were without soft-tissue complications. We advocate this technique to perform a minimally invasive reduction and fixation of intra-articular calcaneal fractures because it preserves soft-tissues and provides good clinical results with early weight-bearing.

Case study for ARRA-funded ground-source heat pump (GSHP) demonstration at Oakland University

Energy Technology Data Exchange (ETDEWEB)

Im, Piljae [ORNL; Liu, Xiaobing [ORNL

2015-09-01

High initial costs and lack of public awareness of ground-source heat pump (GSHP) technology are the two major barriers preventing rapid deployment of this energy-saving technology in the United States. Under the American Recovery and Reinvestment Act (ARRA), 26 GSHP projects have been competitively selected and carried out to demonstrate the benefits of GSHP systems and innovative technologies for cost reduction and/or performance improvement. This paper highlights the findings of a case study of one of the ARRA-funded GSHP demonstration projects, a ground-source variable refrigerant flow (GS-VRF) system installed at the Human Health Building at Oakland University in Rochester, Michigan. This case study is based on the analysis of measured performance data, maintenance records, construction costs, and simulations of the energy consumption of conventional central heating, ventilation, and air-conditioning (HVAC) systems providing the same level of space conditioning as the demonstrated GS-VRF system. The evaluated performance metrics include the energy efficiency of the heat pump equipment and the overall GS-VRF system, pumping performance, energy savings, carbon emission reductions, and cost-effectiveness of the GS-VRF system compared with conventional HVAC systems. This case study also identified opportunities for reducing uncertainties in the performance evaluation, improving the operational efficiency, and reducing the installed cost of similar GSHP systems in the future.

Harvard University: Green Loan Fund. Green Revolving Funds in Action: Case Study Series

Science.gov (United States)

Foley, Robert

2011-01-01

The Green Loan Fund at Harvard University has been an active source of capital for energy efficiency and waste reduction projects for almost a decade. This case study examines the revolving fund's history from its inception as a pilot project in the 1990s to its regeneration in the early 2000s to its current operations today. The green revolving…

Breast cancer screening effect across breast density strata: A case-control study.

Science.gov (United States)

van der Waal, Daniëlle; Ripping, Theodora M; Verbeek, André L M; Broeders, Mireille J M

2017-01-01

Breast cancer screening is known to reduce breast cancer mortality. A high breast density may affect this reduction. We assessed the effect of screening on breast cancer mortality in women with dense and fatty breasts separately. Analyses were performed within the Nijmegen (Dutch) screening programme (1975-2008), which invites women (aged 50-74 years) biennially. Performance measures were determined. Furthermore, a case-control study was performed for women having dense and women having fatty breasts. Breast density was assessed visually with a dichotomized Wolfe scale. Breast density data were available for cases. The prevalence of dense breasts among controls was estimated with age-specific rates from the general population. Sensitivity analyses were performed on these estimates. Screening performance was better in the fatty than in the dense group (sensitivity 75.7% vs 57.8%). The mortality reduction appeared to be smaller for women with dense breasts, with an odds ratio (OR) of 0.87 (95% CI 0.52-1.45) in the dense and 0.59 (95% CI 0.44-0.79) in the fatty group. We can conclude that high density results in lower screening performance and appears to be associated with a smaller mortality reduction. Breast density is thus a likely candidate for risk-stratified screening. More research is needed on the association between density and screening harms. © 2016 UICC.

Sediment studies of the biological factors controlling the reduction of U(VI)

International Nuclear Information System (INIS)

Lovley, Derek R.

2004-01-01

Studies were conducted primarily with sediments, both in laboratory incubations and in a field experiment, with supporting studies with pure cultures. To our knowledge the sediment studies were the first on microbial U(VI) reduction in actual uranium-contaminated subsurface sediments, under conditions that mimic those found in situ. Important findings included: (1) U(VI) reduction is a biotic process in subsurface sediments. (2) U(VI) reduction can be stimulated most effectively with the addition of acetate. Although it had been speculated that microbial U(VI) reduction might be capable of this type of environmental remediation ever since the discovery of microbial U(VI) reduction, this had not been previously demonstrated under environmentally relevant conditions. (3) U(VI) is reduced concurrently with Fe(III) and prior to sulfate reduction. U(VI) and Fe(III) reduction proceeded concurrently, accompanied by a dramatic enrichment in organisms in the Geobacteraceae. Sulfate-reducing microorganisms do not appear to be important components of the microbial community reducing U(VI) in these subsurface sediments. (4) Nitrate has important influences on U(VI) reduction. Nitrate inhibits the reduction of metals until nitrate is depleted. Fe(III)-reducing microorganisms such as Geobacter metallireducens and Desulfitobacterium species can oxidize Fe(II) with the reduction of nitrate which is an important consideration because our previous studies have demonstrated that freshly precipitated Fe(III) oxides can reoxidize U(IV) to U(VI). The discovery that G. metallireducens can ''run backwards'' and oxidize U(IV) when nitrate is present reveals another mechanism preventing precipitation of U(IV) in the presence of nitrate as well as potential novel strategy for removing uranium from the subsurface after a site has been remediated. (5) Importance of understanding Fe(III) forms available for microbial reduction. Fe(III) is orders of magnitude more abundant than U(VI) as an

Upper bounds on minimum cardinality of exact and approximate reducts

KAUST Repository

Chikalov, Igor

2010-01-01

In the paper, we consider the notions of exact and approximate decision reducts for binary decision tables. We present upper bounds on minimum cardinality of exact and approximate reducts depending on the number of rows (objects) in the decision table. We show that the bound for exact reducts is unimprovable in the general case, and the bound for approximate reducts is almost unimprovable in the general case. © 2010 Springer-Verlag Berlin Heidelberg.

Do substantial BMI reduction episodes among Swedish schoolchildren have any impact on their final height?

Science.gov (United States)

Nilsen, Bente B; Yngve, Agneta; Werner, Bo

2018-02-06

This study investigated whether substantial body mass index (BMI) reductions in Swedish schoolchildren aged seven years to 19 years, caused by disease, healthy or unhealthy behaviour, had any impact on their final height. We used height and weight data on 6572 subjects from two nationally representative longitudinal samples of Swedish children born in 1973 and 1981. These provided information on their final height and any BMI reduction episodes. Of the 6572 subjects (50.9% boys), among individuals with information on final height, 1118 had a BMI reduction of 5% and BMI reduction of 10% or more. On a group level, there was no statistically significant difference in the final height of individuals with BMI reductions of 10% or more and those without. The findings were independent of age and the subject's BMI at the start of the reduction episode. However, there were a number of cases where a substantial BMI reduction probably had an impact on the subject's final height. Our study found no evidence that a substantial BMI reduction had any impact on final height on a group level, but further analyses of specific case studies are necessary to determine whether substantial BMI reduction might have an impact on final height. ©2018 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

A PROSPECTIVE STUDY ON FUNCTIONAL OUTCOME OF HUMERUS SHAFT FRACTURES TREATED WITH OPEN REDUCTION AND INTERNAL FIXATION WITH DYNAMIC COMPRESSION PLATE AND SCREWS

Directory of Open Access Journals (Sweden)

Vidyadhar S. Donimath

2017-12-01

Full Text Available BACKGROUND Fracture of the humerus shaft accounts to 3% to 5% of all fractures. Majority of the fractures are unstable due to distraction force of the gravity in the upper limb and strong muscle contraction leading to displacement. Internal fixation and early mobilisation is more stressed on than splinting and prolonged immobilisation to allow earlier mobilisation and rapid return to work. The aim of the study was to study the union rates and the functional outcome and complications associated with shaft humerus fractures in KIMS Hospital. MATERIALS AND METHODS A prospective study which was carried out from October 2015 to September 2017 in Karnataka Institute of Medical Sciences, Hubballi, Karnataka State, India. In this study period, 25 cases of fracture shaft of the humerus were treated by open reduction and internal fixation using DCP. Skeletally mature patients with fresh humerus diaphysis fractures were included in the study. Pathological fractures and Tscherne grade 2 and above, Gustilo Anderson type2 and above were excluded from the study. RESULTS In our series of 25 cases, there were 21 men and 4 women with average age of 42.5 years. Sixteen (64% cases were due to RTA and with predominance of right side. Transverse fractures were most common that is 15 (60% patients. Eleven (31% cases were having associated injuries. 92% of the fractures united with good to excellent outcome. There were 2 (8% cases of non-union due to infection and comminution. CONCLUSION Open reduction and internal fixation with dynamic compression plate is still the standard treatment of choice for fracture shaft of humerus achieving excellent to good functional outcome.

Global Obesity Study on Drivers for Weight Reduction Strategies

Directory of Open Access Journals (Sweden)

Carola Grebitus

2015-01-01

Full Text Available Objective: To assess factors determining the reaction of individuals to the threats of overweight and obesity and to examine the interdependencies between weight-reducing strategies. Methods: Cross-country survey covering 19 countries and 13,155 interviews. Data were analysed using a bivariate probit model that allows simultaneously analysing two weight-reducing strategies. Results: Results show that weight-reducing strategies chosen are not independent from each other. Findings also reveal that different strategies are chosen by different population segments. Women are more likely to change their dietary patterns and less likely to become physically active after surpassing a weight threshold. In addition, the probability of a dietary change in case of overweight differs considerably between countries. The study also reveals that attitudes are an important factor for the strategy choice. Conclusions: It is vital for public health policies to understand determinants of citizens' engagement in weight reduction strategies once a certain threshold is reached. Thus, results can support the design of public health campaigns and programmes that aim to change community or national health behaviour trends taking into account, e.g., national differences.

Bilateral Breast Reduction Without Opioid Analgesics: A Comparative Study.

Science.gov (United States)

Parsa, Fereydoun Don; Cheng, Justin; Stephan, Brad; Castel, Nikki; Kim, Leslie; Murariu, Daniel; Parsa, Alan A

2017-09-01

Breast reduction has traditionally been performed under general anesthesia with adjunct opioid use. However, opioids are associated with a wide variety of adverse effects, including nausea, vomiting, constipation, postoperative sedation, dizziness, and addiction. This study compares bilateral breast reduction using a multimodal opioid-free pain management regimen vs traditional general anesthesia with adjunct opioids. A total of 83 female patients were enrolled in this study. Group 1 includes a retrospective series of 39 patients that underwent breast reduction via general anesthesia with adjunct opioid use. This series was compared to 2 prospective groups of patients who did not receive opioids either preoperatively or intraoperatively. In group 2, twenty-six patients underwent surgery under intravenous sedation and local anesthesia. In group 3, eighteen patients underwent surgery with general anesthesia. All patients in groups 2 and 3 received preoperative gabapentin and celecoxib along with infiltration of local anesthetics during the operation and prior to discharge to the Post-Anesthesia Care Unit (PACU). Primary outcome measures included the duration of surgery, time from end of operation to discharge home, postoperative opioid and antiemetic use, and unplanned postoperative hospitalizations. When compared to group 1, groups 2 and 3 experienced a shorter time from end of operation to discharge home (P opioid use (P opioid-free bilateral breast reduction either under local or general anesthesia as an outpatient. This method resulted in significantly less morbidity, use of opioids postoperatively, as well as unplanned hospital admissions compared to "traditional" breast reduction under general anesthesia with the use of opioids. 3. © 2017 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com

The Hospital-Acquired Conditions (HAC) reduction program: using cranberry treatment to reduce catheter-associated urinary tract infections and avoid Medicare payment reduction penalties.

Science.gov (United States)

Saitone, T L; Sexton, R J; Sexton Ward, A

2018-01-01

The Affordable Care Act (ACA) established the Hospital-Acquired Condition (HAC) Reduction Program. The Centers for Medicare and Medicaid Services (CMS) established a total HAC scoring methodology to rank hospitals based upon their HAC performance. Hospitals that rank in the lowest quartile based on their HAC score are subject to a 1% reduction in their total Medicare reimbursements. In FY 2017, 769 hospitals incurred payment reductions totaling $430 million. This study analyzes how improvements in the rate of catheter-associated urinary tract infections (CAUTI), based on the implementation of a cranberry-treatment regimen, impact hospitals' HAC scores and likelihood of avoiding the Medicare-reimbursement penalty. A simulation model is developed and implemented using public data from the CMS' Hospital Compare website to determine how hospitals' unilateral and simultaneous adoption of cranberry to improve CAUTI outcomes can affect HAC scores and the likelihood of a hospital incurring the Medicare payment reduction, given results on cranberry effectiveness in preventing CAUTI based on scientific trials. The simulation framework can be adapted to consider other initiatives to improve hospitals' HAC scores. Nearly all simulated hospitals improved their overall HAC score by adopting cranberry as a CAUTI preventative, assuming mean effectiveness from scientific trials. Many hospitals with HAC scores in the lowest quartile of the HAC-score distribution and subject to Medicare reimbursement reductions can improve their scores sufficiently through adopting a cranberry-treatment regimen to avoid payment reduction. The study was unable to replicate exactly the data used by CMS to establish HAC scores for FY 2018. The study assumes that hospitals subject to the Medicare payment reduction were not using cranberry as a prophylactic treatment for their catheterized patients, but is unable to confirm that this is true in all cases. The study also assumes that hospitalized catheter

[Case-control study on bone setting manipulation for the treatment of over degree II supination-eversion fractures of ankle joint].

Science.gov (United States)

Qi, Yue-Feng; Chen, Fa-Lin; Bao, Shu-Ren; Li, Cheng-Huan; Zhao, Xing-Wei; Liu, Shi-Ming; Chen, Wen-Xue; Li, Ye; Wang, Peng

2012-08-01

To explore therapeutic effects of bone setting manipulation for the treatment of over degree II supination-eversion fractures of ankle,and analyze manipulative reduction mechanism. From 2005 to 2008, 95 patients with over degree II supination-eversion fractures of ankle were treated respectively by manipulation and operation. There were 43 cases [11 males and 32 females with an average age of (44.95 +/- 12.65) years] in manipulation group, and 2 cases were degree II, 11 cases were degree III, and 30 cases were degree IV. There were 52 cases [21 males and 31 females with an average age of (39.96 +/- 13.28) years] in operative group,and 6 cases were degree II, 18 cases were degree III, and 28 cases were degree IV. Bone setting manipulation and hard splint external fixation were applied to manipulative group. Operative reduction internal fixation was performed in operative group. X-ray was used to evaluate reduction of fracture before and after treatment, 2 months after treatment. Ankle joint function was evaluated according to Olerud-Molander scoring system after 6 months treatment. All patients were followed up with good reduction. Three cases occurred wound complication in operative group, but not in manipulative group. In manipulation group, 19 cases got excellent results, 20 cases good and 4 cases fair; while in operative group, 30 cases got excellent results, 20 cases good and 2 cases poor. There were no significant differences in fracture reduction and ankle joint function recovery between two groups (P > 0.05). Efficacy of operative treatment was better than that of manipulative treatment at degree IV fracture (P ankle joint fractures, which has advantages of simple and safe operation, reliable efficacy. For ankle join fracture at degree IV, manipulative reduction should be adopted earlier, and operative treatment also necessary

Reduction in tuberculosis incidence in the UK from 2011 to 2015: a population-based study.

Science.gov (United States)

Thomas, H Lucy; Harris, Ross J; Muzyamba, Morris C; Davidson, Jennifer A; Lalor, Maeve K; Campbell, Colin N J; Anderson, Sarah R; Zenner, Dominik

2018-04-19

Following nearly two decades of increasing tuberculosis in the UK, TB incidence decreased by 32% from 2011 to 2015. Explaining this reduction is crucial to informing ongoing TB control efforts. We stratified TB cases notified in the UK and TB cases averted in the UK through pre-entry screening (PES) between 2011 and 2015 by country of birth and time since arrival. We used population estimates and migration data to establish denominators, and calculated incidence rate ratios (IRRs) between 2011 and 2015. We calculated the contribution of changing migrant population sizes, PES and changes in TB rates to the reduction in TB notifications. TB IRRs fell in all non-EU migrant and UK-born populations between 2011 and 2015 (0.61; 95%  CI 0.59 to 0.64 and 0.78; 0.73 to 0.83 respectively), with the greatest decrease in recent non-EU migrants (0.54; 0.48 to 0.61). 61.9% of the reduction in TB notifications was attributable to decreases in TB rates, 33.4% to a fall in the number of recent/mid-term non-EU migrants and 11.4% to PES. A small increase in notifications in EU-born migrants offset the reduction by 6.6%. Large decreases in TB rates in almost all populations accounted for the majority of the reduction in TB notifications, providing evidence of the impact of recent interventions to improve UK TB control. The particularly large decrease in TB rates in recent non-EU migrants provides evidence of the effectiveness of screening interventions that target this population. These findings will inform ongoing improvements to TB control. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

A comparative study on Benzydamine HCL 0.5% and Acetaminophen Codeine in pain reduction following periodontal surgery

Directory of Open Access Journals (Sweden)

Khoshkhoonejad AA.

2004-07-01

Full Text Available Statement of Problem: Systemic analgesics are frequently prescribed for pain reduction following periodontal surgery. This type of treatment, however, brings about some disadvantages due to its late effect and inherent side effects. Benzydamine hydrochloride mouth wash is a non steroidal anti-inflammatory drug with local anaesthetic properties. Side effects of benzydamine are minor such as tissue numbness, burning and stinging. It brings relief to pain and inflammation rapidly. Purpose: The goal of this study was to compare benzydamine HCL 0.15% and Acetaminophen codeine as analgesics following periodontal surgery. Materials and Methods: This clinical study was performed on 18 patients referred to periodontics Department, Faculty of Dentistry, Tehran University of Medical Sciences. All patients were affected with chronic mild or moderate periodontitis and required surgery at least at two oral sites with similar lesions. Each patient received benzdamine HCL after first surgery and Acetaminophen codein following second operation. Pain reduction was evaluated by Visual Analog Scale (VAS. Data were analyzed with Wilcoxon-Signed and Mann-Whitney non-parametric tests. Results: Analgesic effect of Acetaminophene codeine was significantly more than that of benzydamine HCL following Reriodontal surgery (P=0.008. No significant difference was found between analgesic effects of Acetaminophene codeine and benzydamine HCL in patients with chronic mild periodontitis (P=0.9, and in cases that osteoplasty (P=0-31 or no osseous surgery (P=0.18 were performed. Conclusion: In cases with mild post-operative pain following periodontal surgery, Benzydamine HCL and be prescribed as an analgesic. However, in other cases this mouth wash should be prescribed along with Acetaminophene codein to reduce systemic drugs consumption.

Emissions reductions from expanding state-level renewable portfolio standards.

Science.gov (United States)

Johnson, Jeremiah X; Novacheck, Joshua

2015-05-05

In the United States, state-level Renewable Portfolio Standards (RPS) have served as key drivers for the development of new renewable energy. This research presents a method to evaluate emissions reductions and costs attributable to new or expanded RPS programs by integrating a comprehensive economic dispatch model and a renewable project selection model. The latter model minimizes incremental RPS costs, accounting for renewable power purchase agreements (PPAs), displaced generation and capacity costs, and net changes to a state's imports and exports. We test this method on potential expansions to Michigan's RPS, evaluating target renewable penetrations of 10% (business as usual or BAU), 20%, 25%, and 40%, with varying times to completion. Relative to the BAU case, these expanded RPS policies reduce the CO2 intensity of generation by 13%, 18%, and 33% by 2035, respectively. SO2 emissions intensity decreased by 13%, 20%, and 34% for each of the three scenarios, while NOx reductions totaled 12%, 17%, and 31%, relative to the BAU case. For CO2 and NOx, absolute reductions in emissions intensity were not as large due to an increasing trend in emissions intensity in the BAU case driven by load growth. Over the study period (2015 to 2035), the absolute CO2 emissions intensity increased by 1% in the 20% RPS case and decreased by 6% and 22% for the 25% and 40% cases, respectively. Between 26% and 31% of the CO2, SO2, and NOx emissions reductions attributable to the expanded RPS occur in neighboring states, underscoring the challenges quantifying local emissions reductions from state-level energy policies with an interconnected grid. Without federal subsidies, the cost of CO2 mitigation using an RPS in Michigan is between $28 and $34/t CO2 when RPS targets are met. The optimal renewable build plan is sensitive to the capacity credit for solar but insensitive to the value for wind power.

Waste reduction and recycling initiatives in Japanese cities: lessons from Yokohama and Kamakura.

Science.gov (United States)

Hotta, Yasuhiko; Aoki-Suzuki, Chika

2014-09-01

Waste reduction and recycling at the city level will acquire greater significance in the near future due to rising global volumes of waste. This paper seeks to identify policy-relevant drivers for successful promotion of waste reduction and recycling. Factors influencing the success of waste reduction and recycling campaigns are identified. Two case study cities in Japan which depict the successful use of the 3Rs (reduce, reuse and recycle) at the municipal level are presented. In these cases, the existence of incinerators, which are generally considered as disincentives for recycling, was not functioning as a disincentive but rather as an incentive for waste reduction. Owing to the high cost of incineration facilities, the movement to close incinerators has become a strong incentive for waste reduction and recycling in these two cities. The study suggests that careful consideration is necessary when making decisions concerning high-cost waste treatment facilities with high installation, maintenance and renewal outlays. In addition, intensive source separation and other municipal recycling initiatives have a high potential for producing positive results. © The Author(s) 2014.

Options for utilizing the CDM for global emission reductions

Energy Technology Data Exchange (ETDEWEB)

Butzengeiger-Geyer, Sonja; Castro, Paula; Harthan, Ralph O.; Hayashi, Daisuke; Healy, Sean; Maribu, Karl Magnus; Michaelowa, Axel; Okubo, Yuri; Schneider, Lambert; Storroe, Ingunn [Zuerich Univ. (Switzerland); Oeko-Institut e.V., Berlin (Germany); Perspectives GmbH, Hamburg (Germany); Point Carbon A/S, Oslo (Norway)

2010-11-15

The study describes and discusses in detail how four CDM reform alternatives, namely discounting of emission reductions, ambitious baselines, purchase and cancellation of CERs and reinvestment of CER levies, could be integrated in a Post-2012 climate regime. The study assesses these alternatives, according to their impacts on GHG emission reductions, contribution to sustainable development, cost-efficiency, technical feasibility, incentives and distributional effects as well as negotiability. The study shows that the introduction of discounting and ambitious baselines is technically feasible but politically a massive challenge. With the help of an economic model the study shows that the introduction of reform alternatives increases the amount of emission reductions but in comparison to the current CDM the impact is rather limited. But a CDM reform can in any case increase the credibility and improve the environmental integrity of the mechanism. (orig.)

Exploring Paradigms of Crime Reduction

DEFF Research Database (Denmark)

Soothill, Keith; Christoffersen, Mogens N.; Hussain, Azhar

2010-01-01

Using Danish registers for a 1980 birth cohort of 29,944 males with parental information and following up these cases for 25 years, the study considers four paradigms of crime reduction (parental child rearing, structural factors around adolescence, locality and individual resources). Focusing on...... have more widespread benefits, but the assumed causal links need to be further explored. The use of population registers, under controlled conditions, provides an important window on criminal careers....

A reductive aminase from Aspergillus oryzae

Science.gov (United States)

Aleku, Godwin A.; France, Scott P.; Man, Henry; Mangas-Sanchez, Juan; Montgomery, Sarah L.; Sharma, Mahima; Leipold, Friedemann; Hussain, Shahed; Grogan, Gideon; Turner, Nicholas J.

2017-10-01

Reductive amination is one of the most important methods for the synthesis of chiral amines. Here we report the discovery of an NADP(H)-dependent reductive aminase from Aspergillus oryzae (AspRedAm, Uniprot code Q2TW47) that can catalyse the reductive coupling of a broad set of carbonyl compounds with a variety of primary and secondary amines with up to >98% conversion and with up to >98% enantiomeric excess. In cases where both carbonyl and amine show high reactivity, it is possible to employ a 1:1 ratio of the substrates, forming amine products with up to 94% conversion. Steady-state kinetic studies establish that the enzyme is capable of catalysing imine formation as well as reduction. Crystal structures of AspRedAm in complex with NADP(H) and also with both NADP(H) and the pharmaceutical ingredient (R)-rasagiline are reported. We also demonstrate preparative scale reductive aminations with wild-type and Q240A variant biocatalysts displaying total turnover numbers of up to 32,000 and space time yields up to 3.73 g l-1 d-1.

Integrated vibration-based maintenance: an approach for continuous reduction in LCC. A case study

Energy Technology Data Exchange (ETDEWEB)

Najjar, B [ER Konsult Utveckling AB, Vaexjoe (Sweden)

1999-12-31

The biggest thread in achieving and maintaining high equipment effectiveness can be stated as: whether the improved manufacturing processes capable of producing quality products at a competitive cost. The effect of a new vibration-based maintenance concept, called Total Quality Maintenance (TQMain), is introduced. It aims to make intensive use of the real-time data acquisition and analysis to detect causes behind product quality deviation and failures in machinery, and following defect development at an early stage to increase machine mean effective life and improve company`s economics. The effect of TQMain on LCC of machinery and company`s economics is discussed. A case study to reveal savings in maintenance cost when a vibration-based policy involved, is presented. Using TQMain, company`s economics can be improved effectively through continuous improvement of the technical and economic effectiveness of production processes. (orig.) 14 refs.

Integrated vibration-based maintenance: an approach for continuous reduction in LCC. A case study

Energy Technology Data Exchange (ETDEWEB)

Najjar, B. [ER Konsult Utveckling AB, Vaexjoe (Sweden)

1998-12-31

The biggest thread in achieving and maintaining high equipment effectiveness can be stated as: whether the improved manufacturing processes capable of producing quality products at a competitive cost. The effect of a new vibration-based maintenance concept, called Total Quality Maintenance (TQMain), is introduced. It aims to make intensive use of the real-time data acquisition and analysis to detect causes behind product quality deviation and failures in machinery, and following defect development at an early stage to increase machine mean effective life and improve company`s economics. The effect of TQMain on LCC of machinery and company`s economics is discussed. A case study to reveal savings in maintenance cost when a vibration-based policy involved, is presented. Using TQMain, company`s economics can be improved effectively through continuous improvement of the technical and economic effectiveness of production processes. (orig.) 14 refs.

Monitoring Progress in Child Poverty Reduction: Methodological Insights and Illustration to the Case Study of Bangladesh

Science.gov (United States)

Roche, Jose Manuel

2013-01-01

Important steps have been taken at international summits to set up goals and targets to improve the wellbeing of children worldwide. Now the world also has more and better data to monitor progress. This paper presents a new approach to monitoring progress in child poverty reduction based on the Alkire and Foster adjusted headcount ratio and an…

Evaluating performance of local case-mix system by international comparison: a case study in Beijing, China.

Science.gov (United States)

Jian, Wei-Yan; Lu, Ming; Cui, Tao; Hu, Mu

2011-01-01

Case-mix is an important tool for health planning and management in many countries. As a major developing country, China is considering the introduction of the case-mix system in the health reform. Beijing, the capital of China, developed a local case-mix version whose performance needs to be evaluated before utilization. The objective of this study was to evaluate the performance of the case-mix system developed in Beijing by comparing it with those used in Australia and the U.S.A. A total of 1.3 million inpatient records from 154 hospitals in Beijing in 2008 were grouped respectively using three case-mix systems: (i) Beijing Diagnosis Related Groups (BJ-DRGs); (ii) US-based All Patient DRGs; and (iii) Australian Refined DRGs. Coefficient of variation (CV) and reduction in variance (RIV) were used to measure the performance of DRGs system. The BJ-DRGs produced the best CV and RIV results for expenditure. However, at the level of Major Diagnostic Category (MDC), three MDCs of BJ-DRGs gave the poorest RIVs for both expenditure and length of stay. Although the performance of BJ-DRGs was acceptable, further revision and improvement is needed. Comparisons with other mature DRGs versions can assist in identifying the improvement priorities of the local version. Copyright © 2011 John Wiley & Sons, Ltd.

Mycobacterium Abscessus Skin Infection Following Mesotherapy for Fat Reduction: A Case Report

Directory of Open Access Journals (Sweden)

Thanawan Iamphonrat

2016-07-01

Full Text Available Mesotherapy is referred to as a minimally invasive technique by using intradermal or subcutaneous injection with liquid containing a mixture of compounds for the treatment of varying medical and cosmetic conditions. Although noninvasive cosmetic procedures gain increasing popularity, mesotherapy remains a controversial treatment according to lack of scientific standpoint, standard formulas, and treatment protocol. In addition, a wide variety of side effects from mesotherapy have been reported. We reported a case of a 30-year-old Thai male, immunocompetent patient, who underwent mesotherapy for facial fat reduction at a private clinic and developed erythematous nodules on both cheeks 3 weeks after injection. The skin biopsy was then performed and histopathology showed mixed cell granuloma in deep dermis. Tissue culture was positive for Mycobacterium abscessus. He received a combination of clarithromycin and ciprofloxacin for six months with very good response. The nodules were healed with atrophic scar and post inflammatory hyperpigmentation without recurrence until eight months follow up.

The Hitchin model, Poisson-quasi-Nijenhuis, geometry and symmetry reduction

International Nuclear Information System (INIS)

Zucchini, Roberto

2007-01-01

We revisit our earlier work on the AKSZ-like formulation of topological sigma model on generalized complex manifolds, or Hitchin model, [20]. We show that the target space geometry geometry implied by the BV master equations is Poisson-quasi-Nijenhuis geometry recently introduced and studied by Stienon and Xu (in the untwisted case) in [44]. Poisson-quasi-Nijenhuis geometry is more general than generalized complex geometry and comprises it as a particular case. Next, we show how gauging and reduction can be implemented in the Hitchin model. We find that the geometry resulting form the BV master equation is closely related to but more general than that recently described by Lin and Tolman in [40, 41], suggesting a natural framework for the study of reduction of Poisson-quasi-Nijenhuis manifolds

Information and Communication Technologies and Poverty Reduction in Developing Countries : the Case of Sub Saharan Africa countries

Directory of Open Access Journals (Sweden)

Lot Tcheeko

2006-12-01

Full Text Available There is a growing interest in using Information and Communication Technologies (ICTs to support poverty reduction efforts and strategies in the framework of the Millennium Development Goals (MDGs. These interest ended up revealing how much the Poverty Reduction Strategy Papers (PRSPs of many african nations have underestimated the importance of ICTs as a development tool. The fact that so little was mentionned about the use of ICTs for poverty alleviation and creation of employment highlighted the confusion, and uncertainty of decision makers. At the country level, ICT is still to be effectively integrated into national poverty alleviation and development strategies. The question then is how ICTs can help achieve those objectives. How can ICTs be used as tools to fight against poverty? Poverty is widely recognized as multidimensional, encompassing food security, health, education, rights, security and dignity, amongst others as stressed by Bachelor and al in a model showing the intricate linkages between ICTs and most PRSP goals. The link between ICTs and poverty reduction strategy is therefore not that obvious. Although, researchers and development partners involved in poverty alleviation recognize more easily the linkage between ICT and poverty reduction strategies. In any case, it is a prerequisite to have a conducive environment and country readiness for ICTs implementation. Unfortunately, in many Sub-Saharan Africa countries, there is not yet a clear and effective policy and strategy for the use of ICT.

Experimental study of drag reduction in flumes and spillway tunnels

Directory of Open Access Journals (Sweden)

Ying-kui Wang

2010-06-01

Full Text Available Experiments in an open flume model and spillway tunnel model were carried out using drag reduction techniques. Two drag reduction techniques were adopted in the experiments: polymer addition and coating. The drag reduction effect of a polyacrylamide (PAM solution and dimethyl silicone oil coating were studied in the flume model experiments, and the results were analyzed. Experiments were then carried out with a model of the Xiluodu Hydropower Station, the second largest dam in China. In order to reduce the resistance, the spillway tunnels were internally coated with dimethyl silicone oil. This is the first time that these drag reduction techniques have been applied to so large a hydraulic model. The experimental results show that the coating technique can effectively increase flood discharge. The outlet velocity and the jet trajectory distance are also increased, which enhances the energy dissipation of the spillway tunnel.

Current practices of construction waste reduction through 3R practice among contractors in malaysia: Case study in penang

Science.gov (United States)

Ng, L. S.; Tan, L. W.; Seow, T. W.

2017-11-01

The effectiveness of the implementation of construction waste reduction through 3R reflects the sustainability in construction waste management. Weak implementation of construction waste reduction through 3R among contractors will lead to unsustainable construction waste management. Increase in construction waste on landfills is critical especially on islands where land is very limited for solid waste disposal. This aim of this paper is to investigate current practice of construction waste reduction through 3R practice among contractors in Penang, Malaysia. The findings reported herein is based on feedbacks from 143 construction contractors of grade CIDB G7, G6 and G5 in Penang and experts from Penang Local Authority, CIDB in Penang and its Headquarters, National Solid Waste Management Department, and Headquarters of Solid Waste and Public Cleansing Management Corporation. Interviews and questionnaire surveys have been found that 3R practice is not mandatory in construction waste management in Penang. Only 39.8% construction contractors practiced 3R in managing their waste. Therefore, 3R practices should be emphasized in construction industry. Reducing wastes through 3R practices in construction industry is a way forward towards sustainable construction waste management especially in expanding the lifetime of landfill.

Unleaded gasoline with reduction in benzene and aromatics

International Nuclear Information System (INIS)

Ahmed, I.

2003-01-01

The trend today is towards making gasoline more environment and human friendly or in other words making gasoline a really clean fuel. This paper covers the ill effects of benzene and aromatics and the driving force behind their reduction in gasoline worldwide. It addresses health concerns specifically, and the theme is unleaded gasoline without simultaneously addressing reduction in benzene and aromatics is more harmful. The paper cites worldwide case studies, and also the World Bank (WB), Government of Pakistan (GoP), and United Nations (UN) efforts in this area in Pakistan. (author)

The MIND method: A decision support for optimization of industrial energy systems - Principles and case studies

International Nuclear Information System (INIS)

Karlsson, Magnus

2011-01-01

Changes in complex industrial energy systems require adequate tools to be evaluated satisfactorily. The MIND method (Method for analysis of INDustrial energy systems) is a flexible method constructed as decision support for different types of analyses of industrial energy systems. It is based on Mixed Integer Linear Programming (MILP) and developed at Linkoeping University in Sweden. Several industries, ranging from the food industry to the pulp and paper industry, have hitherto been modelled and analyzed using the MIND method. In this paper the principles regarding the use of the method and the creation of constraints of the modelled system are presented. Two case studies are also included, a dairy and a pulp and paper mill, that focus some measures that can be evaluated using the MIND method, e.g. load shaping, fuel conversion and introduction of energy efficiency measures. The case studies illustrate the use of the method and its strengths and weaknesses. The results from the case studies are related to the main issues stated by the European Commission, such as reduction of greenhouse gas emissions, improvements regarding security of supply and increased use of renewable energy, and show great potential as regards both cost reductions and possible load shifting.

The study of reductive reextraction of plutonium in the Purex process

International Nuclear Information System (INIS)

Poczynajlo, A.

1985-01-01

The methods of separation of U and Pu in the Purex process and the thermodynamic and kinetic properties of Pu(4) reductants are discussed. The kinetic equation of the process of reductive reextraction of plutonium for the first order reaction with respect to Pu(4) is derived. The kinetics of plutonium reextraction with the use of uranium (4), ascorbic acid and other reductants has been studied. The necessity of application of the stoichiometric excess of reductant has been explained by simultaneously occured reoxidation process of plutonium. The method of calculation of the steady- state plutonium concentration profiles has been elaborated for counter-current separation of U and Pu in multistage contactor. 90 refs., 20 tabs., 29 figs. (author)

Final report on case studies

DEFF Research Database (Denmark)

Ljungberg, Daniel; McKelvey, Maureen; Lassen, Astrid Heidemann

2012-01-01

Case study as a research design means investigating a single or multiple instance(s) or setting(s) (i.e. a case) and its entire context to explain a phenomenon and its processes. This is achieved through detailed understanding, usually comprised of multiple sources of information. In this way, case...... studies attempt to provide as a complete an understanding of a (complex) phenomenon as possible. Within the AEGIS project, survey and case study research are complementary. They are complementary in the sense that the former can provide more generalizable evidence on a phenomenon in terms of cross......-sectional data, while the latter can provide more in-depth (qualitative) understanding on specific issues. In systematically examining the case studies, however, this report goes beyond a typical single case study. Here we provide a synthesis of 86 case studies. Multiple case studies, following similar focus...

A stage model as an analysis framework for studying voluntary change in food choices - The case of beef consumption reduction in Norway.

Science.gov (United States)

Klöckner, Christian A

2017-01-01

This paper studies the application of a stage-based model of consumer behavior change on describing the processes behind the reduction of beef consumption in two Norwegian samples (N = 746, N = 2967). The way to reduce beef consumption is modeled through a progression through four stages (predecision, decision, action, and postaction) with a chain of first forming goal intentions, then more concrete behavioral intentions and finally implementation intentions. The analyzes show that general goal intentions to reduce beef consumption are determined by perceived social norms and awareness of a behaviors negative consequences through the activation of personal norms. Attitudes are the main determinant of choosing the alternative behavior (reduction of portion size, substitution of beef with other meats or seafood, or vegetarian meals), but perceived difficulty of behavior also has an impact for some alternatives. Not all alternative behaviors correspond to reduced beef consumption. The pattern of means in beef consumption and intentions for consumers in different stages of change mostly matched predictions by the model, most importantly, showing beef consumption reduction only for consumers in the last stage of change. Implications for interventions are discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

Contribution of cooperative sector recycling to greenhouse gas emissions reduction: A case study of Ribeirão Pires, Brazil

International Nuclear Information System (INIS)

King, Megan F.; Gutberlet, Jutta

2013-01-01

Highlights: • Cooperative recycling achieves environmental, economic and social objectives. • We calculate GHG emissions reduction for a recycling cooperative in São Paulo, Brazil. • The cooperative merits consideration as a Clean Development Mechanism (CDM) project. • A CDM project would enhance the achievements of the recycling cooperative. • National and local waste management policies support the recycling cooperative. - Abstract: Solid waste, including municipal waste and its management, is a major challenge for most cities and among the key contributors to climate change. Greenhouse gas emissions can be reduced through recovery and recycling of resources from the municipal solid waste stream. In São Paulo, Brazil, recycling cooperatives play a crucial role in providing recycling services including collection, separation, cleaning, stocking, and sale of recyclable resources. The present research attempts to measure the greenhouse gas emission reductions achieved by the recycling cooperative Cooperpires, as well as highlight its socioeconomic benefits. Methods include participant observation, structured interviews, questionnaire application, and greenhouse gas accounting of recycling using a Clean Development Mechanism methodology. The results show that recycling cooperatives can achieve important energy savings and reductions in greenhouse gas emissions, and suggest there is an opportunity for Cooperpires and other similar recycling groups to participate in the carbon credit market. Based on these findings, the authors created a simple greenhouse gas accounting calculator for recyclers to estimate their emissions reductions

Contribution of cooperative sector recycling to greenhouse gas emissions reduction: A case study of Ribeirão Pires, Brazil

Energy Technology Data Exchange (ETDEWEB)

King, Megan F., E-mail: mfking@uvic.ca [The Community-Based Research Laboratory, Department of Geography, University of Victoria, PO Box 3060 STN CSC, Victoria, BC V8W 3R4 (Canada); Gutberlet, Jutta, E-mail: gutber@uvic.ca [Department of Geography, University of Victoria, PO Box 3060 STN CSC, Victoria, BC V8W 3R4 (Canada)

2013-12-15

Highlights: • Cooperative recycling achieves environmental, economic and social objectives. • We calculate GHG emissions reduction for a recycling cooperative in São Paulo, Brazil. • The cooperative merits consideration as a Clean Development Mechanism (CDM) project. • A CDM project would enhance the achievements of the recycling cooperative. • National and local waste management policies support the recycling cooperative. - Abstract: Solid waste, including municipal waste and its management, is a major challenge for most cities and among the key contributors to climate change. Greenhouse gas emissions can be reduced through recovery and recycling of resources from the municipal solid waste stream. In São Paulo, Brazil, recycling cooperatives play a crucial role in providing recycling services including collection, separation, cleaning, stocking, and sale of recyclable resources. The present research attempts to measure the greenhouse gas emission reductions achieved by the recycling cooperative Cooperpires, as well as highlight its socioeconomic benefits. Methods include participant observation, structured interviews, questionnaire application, and greenhouse gas accounting of recycling using a Clean Development Mechanism methodology. The results show that recycling cooperatives can achieve important energy savings and reductions in greenhouse gas emissions, and suggest there is an opportunity for Cooperpires and other similar recycling groups to participate in the carbon credit market. Based on these findings, the authors created a simple greenhouse gas accounting calculator for recyclers to estimate their emissions reductions.

Suicide risk reduction in youths with attention-deficit/hyperactivity disorder prescribed methylphenidate: A Taiwan nationwide population-based cohort study.

Science.gov (United States)

Liang, Sophie Hsin-Yi; Yang, Yao-Hsu; Kuo, Ting-Yu; Liao, Yin-To; Lin, Tzu-Chin; Lee, Yena; McIntyre, Roger S; Kelsen, Brent A; Wang, Tsu-Nai; Chen, Vincent Chin-Hung

2018-01-01

Attention-deficit/hyperactivity disorder (ADHD) youths have increased suicide risk. Nevertheless, the beneficial effects of methylphenidate (MPH) on suicide attempt have received relatively little attention. To investigate the MPH usage and the risk of suicide attempt among ADHD youths. We identified 84,898 youths less than 18 years old with ADHD diagnosis between 1997 and 2013 from National Health Insurance, and examined whether MPH use affected suicide attempt risk using Cox proportional-hazards models. Among ADHD youths, reduction of suicide risk was found in patients prescribed 90-180days of MPH after adjusting for confounding factors (hazard ratio (HR): 0.41, 95% confidence interval (CI): 0.19-0.90) and a greater reduction in those prescribed more than 180days of MPH (HR: 0.28, 95% CI: 0.17-0.48). We observed a 59% suicide attempt risk reduction among ADHD youths prescribed between 90 and 180days and a 72% risk reduction in those prescribed more than 180days of MPH. The protective benefit observed by the group prescribed MPH for longer duration underscores the importance of psychoeducation and compliance enhancement as part of ADHD management. Indication bias is identified as a limitation of this study, and future self-case control study to investigate the association between suicide attempt and ADHD medication is suggested. This nationwide population-based cohort study showed that among ADHD youths, reduction of suicide risk was observed in patients prescribed MPH for duration 90days and longer, underscoring the importance of appropriate ADHD pharmacotherapy and enhancing drug compliance. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Electricity price, energy production and emissions impact : evaluating proposed GHG emission reduction frameworks for the Alberta electricity industry : updated reference case and sensitivity results prepared for CASA EPT Greenhouse Gas Allocation Subgroup

International Nuclear Information System (INIS)

2004-01-01

This document presents the results of a study which quantified the potential impact of various greenhouse gas (GHG) policy scenarios on Alberta generators' energy production, airborne emissions and electricity wholesale market price. The study examined proactive policy frameworks compared to business as usual scenarios. A reference case scenario was included to represent the status quo environment where electricity demand continues on its current path. Five additional sensitivity cases were examined, of which 3 evaluated the impact of many key assumptions regarding progressive GHG reduction levels and costs related to meeting GHG requirements. The other two evaluated an all-coal future electricity supply both with and without GHG emission reduction costs. Environmental costs were also evaluated in terms of emissions of nitrous oxides, sulphurous oxides, mercury and particulate matter. The impact of generation retirement and renewable energy source development was also analyzed. Demand and supply forecasts for oil, natural gas, electric energy and energy sales were presented along with generation supply forecasts for the reference case scenario, coal generation and natural gas fired retirements. refs., tabs., figs

The economics of radwaste volume reduction strategies

International Nuclear Information System (INIS)

Giuffre, M.; Ensminger, D.; Nalbandian, J.; Naughton, M.

1984-01-01

A recently concluded EPRI study has generated much of the information needed by utilities when they consider the purchase of volume reduction equipment. This paper presents some of the study's results on volume reduction economics. The paper contains two types of results. The first is a detailed look at the economics of fourteen equipment options at a hypothetical reactor station. Costs were calculated with VRTECH, a radwaste economics computer program developed by TASC. This analysis illustrates the major points of the project conclusions. Second, the effects of the major assumptions used in the hypothetical case are examined. This analysis shows that the radwaste generation rate and the burial cost escalation rate are primary considerations when evaluating the benefit of each option

Liposuction breast reduction: a prospective trial in African American women.

Science.gov (United States)

Moskovitz, Martin J; Baxt, Sherwood A; Jain, Aridaman K; Hausman, Robert E

2007-02-01

Recently published case reports and outcome studies support the use of liposuction alone as an effective technique for ameliorating symptoms of breast hypertrophy. This study is the first prospective trial to examine the effectiveness of liposuction breast reduction as a primary modality of breast reduction. In addition, this study examines the role that liposuction breast reduction can play in the treatment of African American women, given the known scarring difficulties that darker skinned patients can encounter with traditional breast reduction surgery. Twenty African American women were recruited through newspaper and Internet advertisements. Patients aged 20 to 60 years were serially accepted to the study. Patients with a chief complaint of breast ptosis were excluded. No other exclusion criteria were used. Previously validated questionnaire instruments were used preoperatively and postoperatively to measure breast-related symptoms, general patient health perception, bodily pain, and self-esteem. Comorbid conditions, demographics, financial status, prior treatments, and smoking history were also documented. Seventeen patients completed the preoperative and postoperative questionnaires. An average of 1075 cc of tissue was removed per breast during liposuction breast reduction surgery. Postoperative assessment showed a significant decrease in breast-related symptoms, a significant decrease in patient pain, and a significant improvement in overall patient health perception. Liposuction breast reduction is a useful breast reduction modality in the properly selected patient. African American women, who may traditionally forego breast reduction surgery because of scarring, are excellent candidates for this type of reduction procedure.

Methodological and hermeneutic reduction - a study of Finnish multiple-birth families.

Science.gov (United States)

Heinonen, Kristiina

2015-07-01

To describe reduction as a method in methodological and hermeneutic reduction and the hermeneutic circle using van Manen's principles, with the empirical example of the lifeworlds of multiple-birth families in Finland. Reduction involves several levels that can be distinguished for their methodological usefulness. Researchers can use reduction in different ways and dimensions for their methodological needs. Open interviews with public health nurses, family care workers and parents of twins. The systematic literature and knowledge review shows there were no articles on multiple-birth families that used van Manen's method. This paper presents reduction as a method that uses the hermeneutic circle. The lifeworlds of multiple-birth families consist of three core themes: 'A state of constant vigilance'; 'Ensuring that they can continue to cope'; and 'Opportunities to share with other people'. Reduction allows us to perform deep phenomenological-hermeneutic research and understand people's lifeworlds. It helps to keep research stages separate but also enables a consolidated view. Social care and healthcare professionals have to hear parents' voices better to comprehensively understand their situation; they also need further tools and training to be able to empower parents of twins. The many variations in adapting reduction mean its use can be very complex and confusing. This paper adds to the discussion of phenomenology, hermeneutic study and reduction.

Quantum theory without reduction

International Nuclear Information System (INIS)

Cini, Marcello; Levy-Leblond, J.-M.

1990-01-01

Quantum theory offers a strange, and perhaps unique, case in the history of science. Although research into its roots has provided important results in recent years, the debate goes on. Some theorists argue that quantum theory is weakened by the inclusion of the so called 'reduction of the state vector' in its foundations. Quantum Theory without Reduction presents arguments in favour of quantum theory as a consistent and complete theory without this reduction, and which is capable of explaining all known features of the measurement problem. This collection of invited contributions defines and explores different aspects of this issue, bringing an old debate into a new perspective, and leading to a more satisfying consensus about quantum theory. (author)

A potentiodynamic study of the reduction of oxygen on copper

International Nuclear Information System (INIS)

King, F.; Litke, C.D.

1994-07-01

The reduction of oxygen on copper has been studied in 0.1 mol·dm -3 NaCl solutions using potentiodynamic techniques. Experiments were carried out in unbuffered and phosphate-buffered solutions at pH 7. Additional experiments in NaCl solution were performed at pH 10, with the bulk pH adjusted by adding NaOH. Some voltammetric studies in deaerated electrolytes were carried out to examine the nature of the surface films formed on the electrode. The reduction of oxygen on copper is dominated by the 4-electron reduction to OH - . Limited quantities of peroxide were detected by the ring electrode at disc potentials in the joint- and kinetic-control regions. No peroxide was detected in the transport-limiting region. The rate of reduction of oxygen is influenced by the nature of the surface film on the electrode. At interfacial pH values of ∼10, a catalytic surface film forms, thought to be submonolayer Cu(OH) ads or submonolayer Cu 2 O. simultaneously, a peak is observed on the current-potential curve. This peak is observed in neutral solutions with atmospheres of 50% O 2 /N 2 and 100% O 2 and in pH 10 solution with atmospheres >∼10% O 2 /N 2 . The peak is not observed in phosphate-buffered solution because of the buffering action on the interfacial pH. At potentials positive of the peak potential, a thin Cu 2 O layer forms in unbuffered solutions on which the rate of oxygen reduction is partially inhibited. (author). 44 refs., 17 figs

Risk factors for cataract: A case control study

Directory of Open Access Journals (Sweden)

Ughade Suresh

1998-01-01

Full Text Available The present study was designed as a hospital-based, group-matched, case-control investigation into the risk factors associated with age-related cataract in central India. The study included 262 cases of age-related cataract and an equal number of controls. A total of 21 risk factors were evaluated: namely, low socioeconomic status (SES, illiteracy, marital status, history of diarrhoea, history of diabetes, glaucoma, use of cholinesterase inhibitors, steroids, spironolactone, nifedipine, analgesics, myopia early in life, renal failure, heavy smoking, heavy alcohol consumption, hypertension, low body mass index (BMI, use of cheaper cooking fuel, working in direct sunlight, family history of cataract, and occupational exposure. In univariate analysis, except marital status, low BMI, renal failure, use of steroids, spironolactone, analgesics, and occupational exposure, all 14 other risk factors were found significantly associated with age-related cataract. Unconditional multiple logistic regression analysis confirmed the significance of low SES, illiteracy, history of diarrhoea, diabetes, glaucoma, myopia, smoking, hypertension and cheap cooking fuel. The etiological role of these risk factors in the outcome of cataract is confirmed by the estimates of attributable risk proportion. The estimates of population attributable risk proportion for these factors highlight the impact of elimination of these risk factors on the reduction of cataract in this population.

Study on the High Volume Reduction of Radioactive Wastes

Energy Technology Data Exchange (ETDEWEB)

Kim, Ki Hong; Sik, Kang Il; Seok, Hong Dae [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Ho, Jeon Gil [RADIN Co. Ltd., Daejeon (Korea, Republic of)

2013-10-15

The solidification of radioactive wastes by the mixing method always increases their volume due to the limitation of incorporation ratio (waste/solidification agent). But if the powdered wastes can be compacted as the high density pellets and also the pellets can be filled up in a waste drum as much as possible while solidifying them with a very sticky solidification agent including a void formed in the filling step of pellets, it might be more desirable to reduce the waste volume as compared with the mixing method. So in this study, we designed and manufactured a high volume reduction machine which has the special size and shape of a pellet pocket, which the pellets can be extracted from easily and filled up in a large amount in drum, a pressurizing device to press 2 rolls, and the uniform feeding device of powder to the roll tyre. Some operational parameters which affect the formation of pellets from a powder were investigated, and then the volume reduction of a powder was evaluated. The briquetting machine, popular in general industry, was modified to apply for the volume reduction of the powered radioactive wastes (dried concentrate, sludge, spent ion-exchange resin, ash, depleted uranium powder, and etc.). In this developed high volume reduction machine, the capacity was 25 ∼ 62.5 kg/h at the optimum conditions, and the estimated volume reduction was about 2.95 (2.74/0.93) on the basis of between a powder (bulk density = 0.93 g/cm{sup 3}) and the pellet (2.74 g/cm{sup 3}). But on the basis of 200L drum, the calculated volume reduction was about 1.34 in consideration of a void volume originated in the filling step of the pellets.

SWOT analysis of program design and implementation: a case study on the reduction of maternal mortality in Afghanistan.

Science.gov (United States)

Ahmadi, Qudratullah; Danesh, Homayoon; Makharashvili, Vasil; Mishkin, Kathryn; Mupfukura, Lovemore; Teed, Hillary; Huff-Rousselle, Maggie

2016-07-01

This case study analyzes the design and implementation of the Basic Package of Health Services (BPHS) in Afghanistan by synthesizing the literature with a focus on maternal health services. The authors are a group of graduate students in the Brandeis University International Health Policy and Management Program and Sustainable International Development Program who used the experience in Afghanistan to analyze an example of successfully implementing policy; two of the authors are Afghan physicians with direct experience in implementing the BPHS. Data is drawn from a literature review, and a unique aspect of the case study is the application of the business-oriented SWOT analysis to the design and implementation of the program that successfully targeted lowering maternal mortality in Afghanistan. It provides a useful example of how SWOT analysis can be used to consider the reasons for, or likelihood of, successful or unsuccessful design and implementation of a policy or program. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

The identification and treatment of poor durability Karoo dolerite base course aggregate – evidence from case studies

CSIR Research Space (South Africa)

Leyland, RC

2016-03-01

Full Text Available that the poor performance of the case study materials was likely due to the poor durability of the materials, manifesting as a reduction in resistance to abrasion and attrition. The identification of the observed poor durability could not have been performed...

[Case-non case studies: Principles, methods, bias and interpretation].

Science.gov (United States)

Faillie, Jean-Luc

2017-10-31

Case-non case studies belongs to the methods assessing drug safety by analyzing the disproportionality of notifications of adverse drug reactions in pharmacovigilance databases. Used for the first time in the 1980s, the last few decades have seen a significant increase in the use of this design. The principle of the case-non case study is to compare drug exposure in cases of a studied adverse reaction with that of cases of other reported adverse reactions and called "non cases". Results are presented in the form of a reporting odds ratio (ROR), the interpretation of which makes it possible to identify drug safety signals. This article describes the principle of the case-non case study, the method of calculating the ROR and its confidence interval, the different modalities of analysis and how to interpret its results with regard to the advantages and limitations of this design. Copyright © 2017 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

Carbothermic reduction of uranium oxides into solvent metallic baths

International Nuclear Information System (INIS)

Guisard Restivo, Thomaz A.; Capocchi, Jose D.T.

2004-01-01

The carbothermic reduction of UO 2 and U 3 O 8 is studied employing tin and silicon solvent metallic baths in thermal analysis equipment, under Ar inert and N 2 reactive atmospheres. The metallic solvents are expected to lower the U activity by several orders of magnitude owing to strong interactions among the metals. The reduction products are composed of the solvent metal matrix and intermetallic U compounds. Silicon is more effective in driving the reduction since there is no residual UO 2 after the reaction. The gaseous product detected by mass spectrometer (MS) during the reduction is CO. A kinetic study for the Si case was accomplished by the stepwise isothermal analysis (SAI) method, leading to the identification of the controlling mechanisms as chemical reaction at the surface and nucleation, for UO 2 and U 3 O 8 charges, respectively. One example for another system containing Al 2 O 3 is also shown

Biotechnological reduction of sulfide in an industrial primary wastewater treatment system: A sustainable and successful case study

Energy Technology Data Exchange (ETDEWEB)

Rajamani, S. [Central Leather Research Institute, Madras (India)

1996-12-31

The leather industry is an important export-oriented industry in India, with more than 3,000 tanneries located in different clusters. Sodium sulfide, a toxic chemical, is used in large quantities to remove hair and excess flesh from hides and skins. Most of the sodium sulfide used in the process is discharged as waste in the effluent, which causes serious environmental problems. Reduction of sulfide in the effluent is generally achieved by means of chemicals in the pretreatment system, which involves aerobic mixing using large amounts of chemicals and high energy, and generating large volumes of sludge. A simple biotechnological system that uses the residual biosludge from the secondary settling tank was developed, and the commercial-scale application established that more than 90% of the sulfide could be reduced in the primary treatment system. In addition to the reduction of sulfide, foul smells, BOD and COD are reduced to a considerable level. 3 refs., 2 figs., 1 tab.

Thermogravimetric study of the kinetics of lithium titanate reduction by hydrogen

International Nuclear Information System (INIS)

Sonak, Sagar; Rakesh, R.; Jain, Uttam; Mukherjee, Abhishek; Kumar, Sanjay; Krishnamurthy, Nagaiyar

2014-01-01

Highlights: • Li 2 TiO 3 powder is synthesized by the gel combustion route. • Activation energy of reduction of Li 2 TiO 3 by H 2 found out to be 27.45 kJ/mol H 2 . • Non-stoichiometric phase of Li 2 TiO 3 is formed in hydrogen atmosphere. • One-dimensional diffusion appears to be the most probable mechanism of reduction. - Abstract: The lithium titanate powder was synthesized by gel-combustion route. The mechanism and the kinetics of hydrogen interaction with lithium titanate powder were studied using non-isothermal thermogravimetric technique. Lithium titanate underwent reduction in hydrogen atmosphere which led to the formation of oxygen deficient non-stoichiometric compound in lithium titanate. One-dimensional diffusion appeared to be the most probable reaction mechanism. The activation energy for reduction of lithium titanate under hydrogen atmosphere was found to be 27.4 kJ/mol/K. Structural changes after hydrogen reduction in lithium titanate were observed in X-ray diffraction analysis

Infinitary Combinatory Reduction Systems

DEFF Research Database (Denmark)

Ketema, Jeroen; Simonsen, Jakob Grue

2011-01-01

We define infinitary Combinatory Reduction Systems (iCRSs), thus providing the first notion of infinitary higher-order rewriting. The systems defined are sufficiently general that ordinary infinitary term rewriting and infinitary ¿-calculus are special cases. Furthermore,we generalise a number...

Regional recurrence of oropharyngeal cancer after definitive radiotherapy: a case control study

International Nuclear Information System (INIS)

Söderström, Karin; Nilsson, Per; Dalianis, Tina; Kjellén, Elisabeth; Zackrisson, Björn

2015-01-01

Elective treatment of lymph nodes in oropharyngeal cancer (OPC) has impact on both regional recurrences (RR) and risk of late side effects. This study was performed to quantify the dose-dependent impact on RR and overall survival (OS) in a prospectively collected cohort of OPC from the ARTSCAN study with emphasis on elective treatment. ARTSCAN is a previously published prospective, randomized, multicentre study of altered radiotherapy (RT) fractionation in head and neck cancer. In ARTSCAN the elective treatment volume for node positive OPC varied significantly between centres due to local treatment principles. All patients with OPC in complete response after primary treatment were eligible for the present case–control study. Cases were patients with RR during five years follow-up. Patients with no recurrence were eligible as controls. Four controls per case were matched according to T- and N-stage. Mean (D mean ) and median (D 50% ) dose for the lymph node level (LNL) of RR in the cases and the corresponding LNL in the controls were analysed with conditional logistic regression. OS was estimated with the Kaplan-Meier method and evaluated by multivariate Cox regression analysis. There was a dose-dependent risk reduction for D 50% in the interval that represented elective treatment (40–50 Gy) (OR = 0.18, p < 0.05) and a trend in the same dose interval for D mean (OR = 0.19, p = 0.07). OS rates at five years were 0.39 (0.24-0.65) for cases and 0.70 (0.62–0.81) for controls (p < 0.001). The Kaplan-Meier and the Cox regression analysis for cases categorised by delivered dose showed an inverse relationship between dose and survival. The cases with RR in a LNL outside planning target volume (PTV) (D mean < 40 Gy) had an OS rate comparable to that of all patients, and those with RR in a LNL in PTV elective (D mean 40–60 Gy) or PTV tumour (D mean >60 Gy) did significantly worse (p < 0.05). The same inverse relationship was also shown for a small subset of patient

Canadian options for greenhouse gas emission reduction (COGGER)

International Nuclear Information System (INIS)

Robinson, J.; Fraser, M.; Haites, E.; Harvey, D.; Jaccard, M.; Reinsch, A.; Torrie, R.

1993-09-01

A panel was formed to assess the feasibility and cost of energy-related greenhouse gas (GHG) emissions reduction in Canada. The panel studies focused on the potential for increased energy efficiency and fuel switching and their effect in reducing CO 2 emissions by reviewing the extensive literature available on those topics and assessing their conclusions. Economically feasible energy savings are estimated mostly in the range of 20-40% savings by the year 2010 relative to a reference-case projection, with a median of 23%. The panel concluded that achieving the identified economic potential for increased energy efficiency by 2010 will depend on development of additional demand-side management or energy efficiency programs that go well beyond current policies and programs. Fuel switching will play a much smaller role in stabilizing energy-related CO 2 emissions than improved energy efficiency. Technology substitution and broader structural change would enable Canada to achieve significant reductions in CO 2 emissions; however, more research is needed on achieving emission reductions that would approach the levels estimated to be required globally for stabilization of atmospheric CO 2 concentrations. Achieving such emissions reductions would likely require a combination of significant improvements in energy efficiency, major changes in energy sources, and substantial changes in economic activity and life styles, relative to that projected in most reference-case forecasts. 5 refs., 1 fig., 10 tabs

Clinical efficacy of open reduction and semirigid internal fixation in management of displaced pediatric mandibular fractures: A series of 10 cases and surgical guidelines

OpenAIRE

Samir Joshi; Rajesh Kshirsagar; Akshay Mishra; Rahul Shah

2015-01-01

Aim: To evaluate the efficacy of open reduction and semirigid internal fixation in the management of displaced pediatric mandibular fractures. Method: Ten patients with displaced mandibular fractures treated with 1.5 mm four holed titanium mini-plate and 4 mm screws which were removed within four month after surgery. Results: All cases showed satisfactory bone healing without any growth disturbance. Conclusion: Open reduction and rigid internal fixation (ORIF) with 1.5 mm titanium mini- plate...

Determination of the extent of reduction of dense UO{sub 2} cathodes from direct electrochemical reduction studies in molten chloride medium

Energy Technology Data Exchange (ETDEWEB)

Sri Maha Vishnu, D.; Sanil, N. [Fuel Chemistry Division, Chemistry Group, Indira Gandhi Centre for Atomic Research, Kalpakkam 603 102 (India); Murugesan, N. [Materials Chemistry Division, Chemistry Group, Indira Gandhi Centre for Atomic Research, Kalpakkam 603 102 (India); Shakila, L. [Fuel Chemistry Division, Chemistry Group, Indira Gandhi Centre for Atomic Research, Kalpakkam 603 102 (India); Ramesh, C. [Materials Chemistry Division, Chemistry Group, Indira Gandhi Centre for Atomic Research, Kalpakkam 603 102 (India); Mohandas, K.S., E-mail: ksmd@igcar.gov.in [Fuel Chemistry Division, Chemistry Group, Indira Gandhi Centre for Atomic Research, Kalpakkam 603 102 (India); Nagarajan, K. [Fuel Chemistry Division, Chemistry Group, Indira Gandhi Centre for Atomic Research, Kalpakkam 603 102 (India)

2012-08-15

Electro-reduction of solid UO{sub 2} to U has been studied with molten CaCl{sub 2} or LiCl as the electrolyte medium. Electro-reduction of thick (>3 mm), powder compacted and sintered pellets of UO{sub 2} showed incomplete reduction resulting in a mixture of uranium metal and UO{sub 2}. The extent of reduction of UO{sub 2} to U was determined by employing a novel method called 'metal estimation by hydrogen sensor (MEHS)', in which the hydrogen evolved during the reaction of U metal in the reduced product with con. HBr was measured using an in-house developed polymer electrolyte based amperometric hydrogen sensor. The results of our investigations on incompletely reduced UO{sub 2} pellets in both CaCl{sub 2} and LiCl melts showed that the extent of reduction of different regions of the oxide pellet was different. It varied from 88.3% on the surface of the pellet as against 3.7% towards the centre bulk during electro-reduction in CaCl{sub 2} (at 1173 K). The metallisation was found restricted to the surface of the pellets reduced in LiCl melt (at 923 K). Electro-reduction of small chunks of UO{sub 2} pellet in CaCl{sub 2} melt resulted in products with lower extent of reduction. Based on the measurements, a probable mechanism on the propagation of reduction through the solid UO{sub 2} matrix during the electrochemical reduction process has been proposed.

Depleted uranium plasma reduction system study

International Nuclear Information System (INIS)

Rekemeyer, P.; Feizollahi, F.; Quapp, W.J.; Brown, B.W.

1994-12-01

A system life-cycle cost study was conducted of a preliminary design concept for a plasma reduction process for converting depleted uranium to uranium metal and anhydrous HF. The plasma-based process is expected to offer significant economic and environmental advantages over present technology. Depleted Uranium is currently stored in the form of solid UF 6 , of which approximately 575,000 metric tons is stored at three locations in the U.S. The proposed system is preconceptual in nature, but includes all necessary processing equipment and facilities to perform the process. The study has identified total processing cost of approximately $3.00/kg of UF 6 processed. Based on the results of this study, the development of a laboratory-scale system (1 kg/h throughput of UF6) is warranted. Further scaling of the process to pilot scale will be determined after laboratory testing is complete

Myopathy in hyperthyroidism as a consequence of rapid reduction of thyroid hormone: A case report.

Science.gov (United States)

Li, Qianrui; Liu, Yuping; Zhang, Qianying; Tian, Haoming; Li, Jianwei; Li, Sheyu

2017-07-01

Myalgia and elevated creatine kinase (CK) are occasionally observed during the treatment of hyperthyroid patients. Relative hypothyroidism resulted from rapid thyroid hormone reduction had been promoted as a plausible cause of these myopathic changes, however rarely reported. We hereby presented a 20-year-old female with Grave's disease, who developed myopathy and elevated CK during rapid correction of thyroid hormone. Relative hypothyroidism-induced myopathy. Antithyroid drug (ATD) dosage was reduced without levothyroxine replacement. The muscular symptoms were recovered with CK level returned to normal after adoption of the euthyroid status. Differentiation of relative hypothyroidism from other causes of myopathy, especially with the effect of ATD, is important for clinical practice, although difficult in many cases.

Case-control studies in neurosurgery.

Science.gov (United States)

Nesvick, Cody L; Thompson, Clinton J; Boop, Frederick A; Klimo, Paul

2014-08-01

Observational studies, such as cohort and case-control studies, are valuable instruments in evidence-based medicine. Case-control studies, in particular, are becoming increasingly popular in the neurosurgical literature due to their low cost and relative ease of execution; however, no one has yet systematically assessed these types of studies for quality in methodology and reporting. The authors performed a literature search using PubMed/MEDLINE to identify all studies that explicitly identified themselves as "case-control" and were published in the JNS Publishing Group journals (Journal of Neurosurgery, Journal of Neurosurgery: Pediatrics, Journal of Neurosurgery: Spine, and Neurosurgical Focus) or Neurosurgery. Each paper was evaluated for 22 descriptive variables and then categorized as having either met or missed the basic definition of a case-control study. All studies that evaluated risk factors for a well-defined outcome were considered true case-control studies. The authors sought to identify key features or phrases that were or were not predictive of a true case-control study. Those papers that satisfied the definition were further evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. The search detected 67 papers that met the inclusion criteria, of which 32 (48%) represented true case-control studies. The frequency of true case-control studies has not changed with time. Use of odds ratios (ORs) and logistic regression (LR) analysis were strong positive predictors of true case-control studies (for odds ratios, OR 15.33 and 95% CI 4.52-51.97; for logistic regression analysis, OR 8.77 and 95% CI 2.69-28.56). Conversely, negative predictors included focus on a procedure/intervention (OR 0.35, 95% CI 0.13-0.998) and use of the word "outcome" in the Results section (OR 0.23, 95% CI 0.082-0.65). After exclusion of nested case-control studies, the negative correlation between focus on a procedure

A reductive aminase from Aspergillus oryzae

OpenAIRE

Grogan, Gideon James; Aleku, Godwin; France, Scott; Man, Henry Wing-Hong; Mangas-Sanchez, Juan; Sharma, Mahima; Montgomery, Sarah L; Leipold, Friedemann; Hussain, Shahed; Turner, Nicholas

2017-01-01

Reductive amination is one of the most important methods for the synthesis of chiral amines. Here we report the discovery of an NADP(H)-dependent reductive aminase from Aspergillus oryzae (AspRedAm, Uniprot code Q2TW47) which can catalyse the reductive coupling of a broad set of carbonyl compounds with a variety of primary and secondary amines with up to >98% conversion and with up to >98% enantiomeric excess. In cases where both carbonyl and amine show high reactivity, it is possible to empl...

Case based reasoning applied to medical diagnosis using multi-class classifier: A preliminary study

Directory of Open Access Journals (Sweden)

D. Viveros-Melo

2017-02-01

Full Text Available Case-based reasoning (CBR is a process used for computer processing that tries to mimic the behavior of a human expert in making decisions regarding a subject and learn from the experience of past cases. CBR has demonstrated to be appropriate for working with unstructured domains data or difficult knowledge acquisition situations, such as medical diagnosis, where it is possible to identify diseases such as: cancer diagnosis, epilepsy prediction and appendicitis diagnosis. Some of the trends that may be developed for CBR in the health science are oriented to reduce the number of features in highly dimensional data. An important contribution may be the estimation of probabilities of belonging to each class for new cases. In this paper, in order to adequately represent the database and to avoid the inconveniences caused by the high dimensionality, noise and redundancy, a number of algorithms are used in the preprocessing stage for performing both variable selection and dimension reduction procedures. Also, a comparison of the performance of some representative multi-class classifiers is carried out to identify the most effective one to include within a CBR scheme. Particularly, four classification techniques and two reduction techniques are employed to make a comparative study of multiclass classifiers on CBR

EFFECTS OF REMITTANCES ON POVERTY REDUCTION: THE CASE OF INDONESIA

Directory of Open Access Journals (Sweden)

Faiza Husnayeni Nahar

2017-09-01

Full Text Available Remittances have been reported as a tool for fighting poverty in some selected countries, such as Indonesia. An increase of income through remittances tends to improve the economic status of the migrant’s household. Once they get a high salary, they will remit money (a remittance to their household in Indonesia via formal institutions, such as banks. The migrant’s household can fulfil their basic needs and can use the remittance for educational investment and productive activities. The education investment aims to educate the children or grandchildren of migrants, which will be beneficial for the future generations of the family, allowing them the chance of a more prosperous life. The poverty rate would be reduced gradually, and economic welfare can be achieved. The main objectives of this paper are first to estimate the effects of remittances on poverty in Indonesia from 1983 to 2015 and second, to propose several strategic policies related to remittances and poverty reduction. Other variables considered include inflation, exchange rates, income, income inequality and the labor force participation rate. An Ordinary Least Square (OLS method was used to explore the econometric and estimated results. The study found that an increase in remittances led to a reduction in poverty by 2.56%. Inflation and the exchange rate have positive and negative effects on poverty, respectively. The small effect of remittances on poverty’s reduction could possibly be explained by the low educational background of the migrants, low wage jobs, expensive remittance costs, and migrants not knowing how to remit money through formal financial institutions. Hence, to reduce the poverty level, the government needs to first facilitate skills training for the workers so that they could get a better job and earn more, second, lower the transaction costs of remittances, and lastly, provide agents at Indonesian banks overseas to provide better facilities to Indonesian

A spectroscopic study of the effect of ligand complexation on the reduction of uranium(VI) by anthraquinone-2,6-disulfonate (AH2DS)

International Nuclear Information System (INIS)

Wang, Z.; Wagnon, K.B.; Ainsworth, C.C.; Liu, C.; Rosso, K.M.; Fredrickson, J.K.

2008-01-01

In this paper, the reduction rate of uranyl complexes with hydroxide, carbonate, EDTA, and desferriferrioxamine B (DFB) by anthraquinone-2,6-disulfonate (AH 2 DS) is studied by stopped-flow kinetic technique under anoxic atmosphere. The apparent reaction rates varied with ligand type, solution pH, and U(VI) concentration. For each ligand, a single largest pseudo-1 st order reaction rate constant, k obs , within the studied pH range was observed, suggesting the influence of pH-dependent speciation on the U(VI) reduction rate. The maximum reaction rate found in each case followed the order of OH - > CO 3 2- > EDTA > DFB, in reverse order of the trend of the thermodynamic stability of the uranyl complexes and ionic sizes of the ligands. The pH-dependent rates were modeled using a second-order rate expression that was assumed to be dependent on a single U(VI) complex and an AH 2 DS species. By quantitatively comparing the calculated and measured apparent rate constants as a function of pH, species AHDS 3- was suggested as the primary reductant in all cases examined. Species UO 2 CO 3 (aq), UO 2 HEDTA - , and (UO 2 ) 2 (OH) 2 2+ were suggested as the principal electron acceptors among the U(VI) species mixture in each of the carbonate, EDTA, and hydroxyl systems, respectively. (orig.)

Surgical management of low grade isthmic spondylolisthesis; a randomized controlled study of the surgical fixation with and without reduction

Directory of Open Access Journals (Sweden)

Bashaireh Khaldoon M

2011-07-01

Full Text Available Abstract Background spondylolisthesis is a condition in which a vertebra slips out of the proper position onto the bone below it as a result of pars interarticularis defect. The slipped segment produces abnormal positioning of the vertebrae in relation to each other along the spinal column and causes mechanical back pain and neural breach. Materials and methods A randomized and double blinded study consisted of 41 patients aged 36-69 years (18 females and 28 males treated for symptomatic spondylolisthesis between December,2006 and December, 2009. All patients were randomly distributed into two groups I and II. Twenty patients were in Group I; they underwent reduction of the slipped vertebrae by using Reduction-Screw Technique and posterior lumbar interbody fixation (PLIF. Group II consisted of twenty one patients who underwent only surgical fixation (PLIF without reduction. All patients in this study had same pre and post operative management. Results only one case had broken rod in group I that required revision. Superficial wound infection was experienced in two patients and one patient, from group II, developed wound hematoma. The outcome in both groups was variable on the short term but was almost the same on the long term follow up. Conclusion surgical management of symptomatic low grade spondylolisthesis should include neural decompression and surgical fixation. Reduction of slipped vertebral bodies is unnecessary as the ultimate outcome will be likely similar.

Comparative life cycle assessment of biowaste to resource management systems - A Danish case study

DEFF Research Database (Denmark)

Thomsen, Marianne; Seghetta, Michele; Mikkelsen, Mette Hjorth

2017-01-01

Waste to Energy combustion plants currently process most of the organic fraction of the household waste. This study presents an assessment of the environmental performance of an increased circular bioresource management system obtained by reallocating the organic fraction of the household waste...... from combustion (Reference Scenario) to biogas and fertilizer production (Alternative Scenario). The goals defined in the Danish National resource action plan for waste management, i.e. 33% reduction of organic fraction household waste dry weight, is taken as a case study. A comparative life cycle...... assessment of the diverting of the organic fraction of the household waste away from a Waste to Energy combustion plant towards sludge- and manure-based biogas plants in North Zealand (Denmark) shows a net increase in renewable electricity production of 39% at the expense of a reduction in heat production...

Galactorrhea after reduction mammaplasty

NARCIS (Netherlands)

Schuurman, A. H.; Assies, J.; van der Horst, C. M.; Bos, K. E.

1993-01-01

A case of extremely painful swelling of the breasts following a reduction mammaplasty is presented. There were no signs of an abscess or hematoma. A milky white fluid due to galactorrhea was evacuated at operation, and further galactorrhea was inhibited by medication. The pathogenesis of

Study of noise reduction characteristics of double-wall panels

Science.gov (United States)

Navaneethan, R.; Quayle, B.; Stevenson, S.; Graham, M.

1983-05-01

The noise reduction characteristics of general aviation type, flat, double-wall structures were investigated. The experimental study was carried out on 20-by-20 inch panels with an exposed area of 18 by 18 inches. A frequency range from 20 to 5000 Hz was covered. The experimental results, in general, follow the expected trends. At low frequencies the double-wall structures are no better than the single-wall structures. However, for depths normally used in the general aviation industry, the double-wall panels are very attractive. The graphite-spoxy skin panels have higher noise reduction at very low frequencies ( 100 Hz) than the Kevlar skin panels. But the aluminum panels have higher noise reduction in the high frequency region, due to their greater mass. Use of fiberglass insulation is not effective in the low frequency region, and at times it is even negative. But the insulation is effective in the high-frequency region. The theoretical model for predicting the transmission loss of these multilayered panels is also discussed.

Case Study: Mini-Case Studies: Small Infusions of Active Learning for Large-Lecture Courses

Science.gov (United States)

Carloye, Lisa

2017-01-01

In this article, the author introduces the usage of case studies to be an excellent method for engaging students through stories. The author notes she developed a series of mini-case studies that can be implemented, with a little advance preparation, within a 10- to 15-minute window during lecture. What makes them "mini" case studies?…

Comparative study of synthesis and reduction methods for graphene oxide

KAUST Repository

Alazmi, Amira; Rasul, Shahid; Patole, Shashikant P.; Da Costa, Pedro M. F. J.

2016-01-01

Graphene oxide (GO) and reduced graphene oxide (rGO) have congregated much interest as promising active materials for a variety of applications such as electrodes for supercapacitors. Yet, partially given the absence of comparative studies in synthesis methodologies, a lack of understanding persists on how to best tailor these materials. In this work, the effect of using different graphene oxidation-reduction strategies in the structure and chemistry of rGOs is systematically discussed. Two of the most popular oxidation routes in the literature were used to obtain GO. Subsequently, two sets of rGO powders were synthesised employing three different reduction routes, totalling six separate products. It is shown that the extension of the structural rearrangement in rGOs is not just dependent on the reduction step but also on the approach followed for the initial graphite oxidation.

Comparative study of synthesis and reduction methods for graphene oxide

KAUST Repository

Alazmi, Amira

2016-05-14

Graphene oxide (GO) and reduced graphene oxide (rGO) have congregated much interest as promising active materials for a variety of applications such as electrodes for supercapacitors. Yet, partially given the absence of comparative studies in synthesis methodologies, a lack of understanding persists on how to best tailor these materials. In this work, the effect of using different graphene oxidation-reduction strategies in the structure and chemistry of rGOs is systematically discussed. Two of the most popular oxidation routes in the literature were used to obtain GO. Subsequently, two sets of rGO powders were synthesised employing three different reduction routes, totalling six separate products. It is shown that the extension of the structural rearrangement in rGOs is not just dependent on the reduction step but also on the approach followed for the initial graphite oxidation.

Investigating reduction of dimensionality during single-joint elbow movements: a case study on muscle synergies

Directory of Open Access Journals (Sweden)

Enrico eChiovetto

2013-02-01

Full Text Available A long standing hypothesis in the neuroscience community is that the CNS generates the muscle activities to accomplish movements by combining a relatively small number of stereotyped patterns of muscle activations, often referred to as muscle synergies. Different definitions of synergies have been given in the literature. The most well-known are those of synchronous, time-varying and temporal muscle synergies. Each one of them is based on a different mathematical model used to factor some EMG array recordings collected during the execution of variety of motor tasks into a well-determined spatial, temporal or spatio-temporal organization. This plurality of definitions and their separate application to complex tasks have so far complicated the comparison and interpretation of the results obtained across studies, and it has always remained unclear why and when one synergistic decomposition should be preferred to another one. By using well-understood motor tasks such as elbow flexions and extensions, we aimed in this study to clarify better what are the motor features characterized by each kind of decomposition and to assess whether, when and why one of them should be preferred to the others. We found that three temporal synergies, each one of them accounting for specific temporal phases of the movements could account for the majority of the data variation. Similar performances could be achieved by two synchronous synergies, encoding the agonist-antagonist nature of the two muscles considered, and by two time-varying muscle synergies, encoding each one a task-related feature of the elbow movements, specifically their direction. Our findings support the notion that each EMG decomposition provides a set of well-interpretable muscle synergies, identifying reduction of dimensionality in different aspects of the movements. Taken together, our findings suggest that all decompositions are not equivalent and may imply different neurophysiological substrates

US enrichment reduction studies

International Nuclear Information System (INIS)

1979-06-01

A major national program, the Reduced Enrichment Research and Test Reactor (RERTR) Program, is currently under way in the U.S., centered at the Argonne National Laboratory (ANL), to reduce the potential of research and test reactor fuels for increasing the proliferation of nuclear explosive devices. The main objective of the program is to provide the technical means by which the uranium enrichment to be used in these reactors can be reduced to less than 20% without significant economic and performance penalties. The criteria, basis and goals of the program are consistent with the results of a number of case studies which have been performed as part of the program

An adaptive approach to metal artifact reduction in helical computed tomography for radiation therapy treatment planning: Experimental and clinical studies

International Nuclear Information System (INIS)

Yazdia, Mehran; Gingras, Luc; Beaulieu, Luc

2005-01-01

Purpose: In this article, an approach to metal artifact reduction is proposed that is practical for clinical use in radiation therapy. It is based on a new interpolation scheme of the projections associated with metal implants in helical computed tomography (CT) scanners. Methods and Materials: A three-step approach was developed consisting of an automatic algorithm for metal implant detection, a correction algorithm for helical projections, and a new, efficient algorithm for projection interpolation. The modified raw projection data are transferred back to the CT scanner device where CT slices are regenerated using the built-in reconstruction operator. The algorithm was tested on a CT calibration phantom in which the density of inserted objects are known and on clinical prostate cases with two hip prostheses. The results are evaluated using the CT number and shape of the objects. Results: The validations on a CT calibration phantom with various inserts of known densities show that the algorithm improved the overall image quality by restoring the shape and the representative CT number of the objects in the image. For the clinical hip replacement cases, a large fraction of the bladder, rectum, and prostate that were not visible on the original CT slices were recovered using the algorithm. Precise contouring of the target volume was thus feasible. Without this enhancement, physicians would have drawn bigger margins to be sure to include the target and, at the same time, could have prescribed a lower dose to keep the same level of normal tissue toxicity. Conclusions: In both phantom experiment and patient studies, the algorithm resulted in significant artifact reduction with increases in the reliability of planning procedure for the case of metallic hip prostheses. This algorithm is now clinically used as a preprocessing before treatment planning for metal artifact reduction

The Casual Nexus of Banking Sector Development and Poverty Reduction

Directory of Open Access Journals (Sweden)

Gazi Salah Uddin

2012-01-01

Full Text Available The paper aims to investigate the inter-temporal causal relationship between banking sector development and poverty reduction in Bangladesh from 1976 to 2010. We have applied new methods using modern time series econometrics techniques based on simulations that are robust to the violation of statistical assumptions, especially when the sample size is small, as is the case in this paper. The results reveal that there is a long-term equilibrium relationship between banking sector development and poverty reduction in the case of Bangladesh. Surprisingly, poverty reduction appears to be a long-term forcing variable to the explanation of Bangladesh’s banking sector development. There is bidirectional causality between these variables. The diagnostic tests show that the underlying desirable assumptions are fulfilled. Time series data on poverty in many developing countries, particularly in Bangladesh, is scant and inadequate. The empirical results of this study will help policy makers determine whether poverty reduction in Bangladesh is a spur to financial sector development. This implies that, in the long term, Bangladeshi policy makers can influence the reduction of poverty through financial sector development. Although several attempts have been made to investigate the relationship between financial development and growth, this paper is the first of its kind to empirically examine the causal relationship between poverty and the development of the banking sector in Bangladesh.

Quantum Hamiltonian reduction in superspace formalism

International Nuclear Information System (INIS)

Madsen, J.O.; Ragoucy, E.

1994-02-01

Recently the quantum Hamiltonian reduction was done in the case of general sl(2) embeddings into Lie algebras and superalgebras. The results are extended to the quantum Hamiltonian reduction of N=1 affine Lie superalgebras in the superspace formalism. It is shown that if we choose a gauge for the supersymmetry, and consider only certain equivalence classes of fields, then our quantum Hamiltonian reduction reduces to quantum Hamiltonian reduction of non-supersymmetric Lie superalgebras. The super energy-momentum tensor is constructed explicitly as well as all generators of spin 1 (and 1/2); thus all generators in the superconformal, quasi-superconformal and Z 2 *Z 2 superconformal algebras are constructed. (authors). 21 refs

Infinitary Combinatory Reduction Systems: Normalising Reduction Strategies

NARCIS (Netherlands)

Ketema, J.; Simonsen, Jakob Grue

2010-01-01

We study normalising reduction strategies for infinitary Combinatory Reduction Systems (iCRSs). We prove that all fair, outermost-fair, and needed-fair strategies are normalising for orthogonal, fully-extended iCRSs. These facts properly generalise a number of results on normalising strategies in

Describing Case Study Method and Identifying the Factors that Contribute to the Successful Conduct of Case Studies

OpenAIRE

Ahmad H. Juma'h; Mustafa Cavus

2001-01-01

This article has attempted to describe case study, the limitations and critiques on case study methodology and how the proponents have responded to these. Our special focus have been on the debate on theory building from case study research, and a framework for conducting case study research as well as the factors for a successful case study research. The overall conclusion is that the case study has been inappropriately used to generate theories.

Dimensional reduction of a generalized flux problem

International Nuclear Information System (INIS)

Moroz, A.

1992-01-01

In this paper, a generalized flux problem with Abelian and non-Abelian fluxes is considered. In the Abelian case we shall show that the generalized flux problem for tight-binding models of noninteracting electrons on either 2n- or (2n + 1)-dimensional lattice can always be reduced to an n-dimensional hopping problem. A residual freedom in this reduction enables one to identify equivalence classes of hopping Hamiltonians which have the same spectrum. In the non-Abelian case, the reduction is not possible in general unless the flux tensor factorizes into an Abelian one times are element of the corresponding algebra

Enema reduction of intussusception: the success rate of hydrostatic and pneumatic reduction.

Science.gov (United States)

Khorana, Jiraporn; Singhavejsakul, Jesda; Ukarapol, Nuthapong; Laohapensang, Mongkol; Wakhanrittee, Junsujee; Patumanond, Jayanton

2015-01-01

Intussusception is a common surgical emergency in infants and children. The incidence of intussusception is from one to four per 2,000 infants and children. If there is no peritonitis, perforation sign on abdominal radiographic studies, and nonresponsive shock, nonoperative reduction by pneumatic or hydrostatic enema can be performed. The purpose of this study was to compare the success rates of both the methods. Two institutional retrospective cohort studies were performed. All intussusception patients (ICD-10 code K56.1) who had visited Chiang Mai University Hospital and Siriraj Hospital from January 2006 to December 2012 were included in the study. The data were obtained by chart reviews and electronic databases, which included demographic data, symptoms, signs, and investigations. The patients were grouped according to the method of reduction followed into pneumatic reduction and hydrostatic reduction groups with the outcome being the success of the reduction technique. One hundred and seventy episodes of intussusception occurring in the patients of Chiang Mai University Hospital and Siriraj Hospital were included in this study. The success rate of pneumatic reduction was 61% and that of hydrostatic reduction was 44% (P=0.036). Multivariable analysis and adjusting of the factors by propensity scores were performed; the success rate of pneumatic reduction was 1.48 times more than that of hydrostatic reduction (P=0.036, 95% confidence interval [CI] =1.03-2.13). Both pneumatic and hydrostatic reduction can be performed safely according to the experience of the radiologist or pediatric surgeon and hospital setting. This study showed that pneumatic reduction had a higher success rate than hydrostatic reduction.

Prognostic indicators for failed nonsurgical reduction of intussusception

Directory of Open Access Journals (Sweden)

Khorana J

2016-08-01

Full Text Available Jiraporn Khorana,1 Jesda Singhavejsakul,1 Nuthapong Ukarapol,2 Mongkol Laohapensang,3 Jakraphan Siriwongmongkol,1 Jayanton Patumanond4 1Division of Pediatric Surgery, Department of Surgery, 2Division of Gastroenterology, Department of Pediatrics, Chiang Mai University Hospital, Chiang Mai, 3Division of Pediatric Surgery, Department of Surgery, Siriraj Hospital, Mahidol University, Bangkok, 4Center of Excellence in Applied Epidemiology, Thammasat University Hospital, Pathumthani, Thailand Purpose: To identify the risk factors for failure of nonsurgical reduction of intussusception. Methods: Data from intussusception patients who were treated with nonsurgical reduction in Chiang Mai University Hospital and Siriraj Hospital between January 2006 and December 2012 were collected. Patients aged 0–15 years and without contraindications (peritonitis, abdominal X-ray signs of perforation, and/or hemodynamic instability were included for nonsurgical reduction. The success and failure groups were divided according to the results of the reduction. Prognostic indicators for failed reduction were identified by using generalized linear model for exponential risk regression. The risk ratio (RR was used to report each factor. Results: One hundred and ninety cases of intussusception were enrolled. Twenty cases were excluded due to contraindications. A total of 170 cases of intussusception were included for the final analysis. The significant risk factors for reduction failure clustered by an age of 3 years were weight <12 kg (RR =1.48, P=0.004, symptom duration >3 days (RR =1.26, P<0.001, vomiting (RR =1.63, P<0.001, rectal bleeding (RR =1.50, P<0.001, abdominal distension (RR =1.60, P=0.003, temperature >37.8°C (RR =1.51, P<0.001, palpable abdominal mass (RR =1.26, P<0.001, location of mass (left over right side (RR =1.48, P<0.001, poor prognostic signs on ultrasound scans (RR =1.35, P<0.001, and method of reduction (hydrostatic over pneumatic (RR =1

How To Set Up Your Own Small Business. Service Company Case Study. Manufacturing Firm Case Study. Retail Store Case Study.

Science.gov (United States)

Fallek, Max

This collection of case studies is intended for use in a course in setting up a small business. The first, a case study of the process of setting up a service company, covers analyzing the pros and cons of starting one's own business, assessing the competition and local market, and selecting a site for and financing the business. The principal…

Shining the light on smart grid investments : a Duke energy case study

International Nuclear Information System (INIS)

Jackson, J.

2010-01-01

Utilities and other agencies must fully consider the costs, benefits, and strategies required for smart grid implementation. While pilot programs are useful for evaluating the features of utility smart grid applications, they do not provide an accurate account of peak period load savings for utility service areas over time. In addition, many factors are likely to influence peak hour electricity in the future, and may also influence smart grid savings projections. In this study, the market analysis and information system (MAISY) residential agent-based model was used to simulate a smart grid program at the individual customer level by smoothing individual central air conditioner and heating hourly loads over peak hours. The model was developed to reflect utility and customer-sited control technologies as well as reductions in electricity use based on price responsiveness. The model provided a more reliable simulation approach than aggregate elasticity modelling methods as it was able to estimate hourly load reductions based on real end use data. A case study of the Duke Energy Indiana service area was used to demonstrate the model. 3 figs.

Theory Testing Using Case Studies

DEFF Research Database (Denmark)

Møller, Ann-Kristina Løkke; Dissing Sørensen, Pernille

2014-01-01

The appropriateness of case studies as a tool for theory testing is still a controversial issue, and discussions about the weaknesses of such research designs have previously taken precedence over those about its strengths. The purpose of the paper is to examine and revive the approach of theory...... testing using case studies, including the associated research goal, analysis, and generalisability. We argue that research designs for theory testing using case studies differ from theorybuilding case study research designs because different research projects serve different purposes and follow different...... research paths....

Theory testing using case studies

DEFF Research Database (Denmark)

Dissing Sørensen, Pernille; Løkke Nielsen, Ann-Kristina

2006-01-01

on the strengths of theory-testing case studies. We specify research paths associated with theory testing in case studies and present a coherent argument for the logic of theoretical development and refinement using case studies. We emphasize different uses of rival explanations and their implications for research...... design. Finally, we discuss the epistemological logic, i.e., the value to larger research programmes, of such studies and, following Lakatos, conclude that the value of theory-testing case studies lies beyond naïve falsification and in their contribution to developing research programmes in a progressive......Case studies may have different research goals. One such goal is the testing of small-scale and middle-range theories. Theory testing refers to the critical examination, observation, and evaluation of the 'why' and 'how' of a specified phenomenon in a particular setting. In this paper, we focus...

Intraocular pressure variations during zygomatic fracture reduction and fixation: a clinical study.

LENUS (Irish Health Repository)

Murray, Dylan J

2012-02-03

BACKGROUND: The reduction of midface fractures has been associated with the rare but devastating complication of blindness. An increase in intraocular pressure is important in the mechanism of blindness in this setting. In this study, the authors assessed the intraocular pressure in patients who underwent zygomatic fracture reduction (with or without fixation). METHODS: Using applanation tonometry, 29 patients underwent intraocular pressure measurements before, during, and after fracture fixation. The contralateral pressures were measured and used as the control. RESULTS: There were 29 patients with a mean age of 35 years, and the mean time to surgery was 5 days. Preoperatively, all patients had normal intraocular pressures and normal visual acuity. All patients underwent a Gillies lift and 18 patients required open reduction and fixation of the frontozygomatic suture (n = 4) or the infraorbital margin (n = 2), and the remainder (n = 12) required fixation of both points. There was no statistically significant increase in the intraocular pressures following the reduction of uncomplicated zygomatic fractures. Statistically significant pressure reductions were noted immediately after reduction and fixation. CONCLUSIONS: The surgical reduction of uncomplicated zygomatic fractures has no adverse effect on the intraocular pressure. It is the authors\\' opinion that adjunctive measures to reduce the pressures are unnecessary.

Five Misunderstandings About Case-Study Research

DEFF Research Database (Denmark)

Flyvbjerg, Bent

2006-01-01

This article examines five common misunderstandings about case-study research: (a) theoretical knowledge is more valuable than practical knowledge; (b) one cannot generalize from a single case, therefore, the single-case study cannot contribute to scientific development; (c) the case study is most...... useful for generating hypotheses, whereas other methods are more suitable for hypotheses testing and theory building; (d) the case study contains a bias toward verification; and (e) it is often difficult to summarize specific case studies. This article explains and corrects these misunderstandings one...

Impact of Psychoanalysis in Nigeria: A Case Study

Directory of Open Access Journals (Sweden)

Ebigbo Peter Onyekwere

2015-12-01

Full Text Available The authors set out to examine the impact of Psychoanalysis in Nigeria. In doing this they selected a significant stakeholder, who trained in Germany and returned to Nigeria as a case study. Examining the activities as he set out to indigenize psychotherapy in Nigeria, it was found that psychoanalytic thinking helped in the psychodynamic observations on the frequent somatic complaints of psychological origin which helped to make treatment possible. Family therapy based on psychoanalysis was modeled to treat patients classified as traditional, mixed and westernized. Dream analysis and hypnosis were also used for treatment in Nigeria with good results. Finally the harmony restoration theory was put forward whereby the African is healthy when he is at peace with his world of relationship (cosmos comprising endocosmos – mind body relationship, mesocosmos relationship with significant others and exocosmos relationship with spirits, ancestors, deities, gods, God. He/she is sick when there is a distortion in the person’s world of relationship. Treatment is restoration of harmony. In every one there is a yearning to reach out to others (cosmic expansion drive and an inclination to be interested in the self (cosmic reduction drive at the various levels of the cosmos. Eight personality types were worked out of the combination of expansion and reduction drives. The conclusion was that psychoanalysis has come to stay in Nigeria.

Evaluation of the Stryker S2 IM Nail Distal Targeting Device for reduction of radiation exposure: a case series study.

Science.gov (United States)

Anastopoulos, George; Ntagiopoulos, Panagiotis G; Chissas, Dionisios; Loupasis, George; Asimakopoulos, Antonios; Athanaselis, Eustratios; Megas, Panagiotis

2008-10-01

Distal locking is one challenging step during intramedullary nailing of femoral shaft fractures that can lead to an increase of radiation exposure. In the present study, the authors describe a technique for the distal locking of femoral nails, implementing a new targeting device in an attempt to reduce radiation exposure and operational time. Over a 2-year period, 127 consecutive cases of femoral shaft fractures were included in the study. All cases were treated with nailing of femoral shaft fractures with an unslotted reamed antegrade femoral nail and distal locking was performed with the use of a proximally mounted aiming device. Mean duration of the procedure was 63.5 18.1 min while the duration for distal locking was 6.6 +/- 2.6 min. In all successful cases, exposure from intraoperative fluoroscopy was 17.2 +/- 7.4 s for the whole operative procedure, and for distal locking was 2 shots, 1.35 s (range, 0.9-2.2 s) and 1.9 mGy (range, 1.1-2.9 mGy). Five cases (3.9%) were unsuccessful, but overall no intraoperative complications were encountered from the application of this technique. The ability of the device to correspond to the level of nail deformation and to properly identify the distal holes, reduced exposure to radiation compared to other published reports, and should be considered as a valuable tool for distal locking of femoral fractures.

Performance Limits of Photoelectrochemical CO2 Reduction Based on Known Electrocatalysts and the Case for Two-Electron Reduction Products

DEFF Research Database (Denmark)

Vesborg, Peter Christian Kjærgaard; Seger, Brian

2016-01-01

Solar-drivenreduction of CO2 to solar fuels as an alternative to H2 via water splitting is an intriguing proposition. We modelthe solar-to-fuel (STF) efficiencies using realistic parameters basedon recently reported CO2 reduction catalysts with a highperformance tandem photoabsorber structure. CO...... due to excessiveoverpotentials and poor selectivity. This work considers breakingup the multielectron reduction pathway into individually optimized,separate two-electron steps as a way forward....

Climate change, security risks and conflict reduction in Africa. A case study of farmer-herder conflicts over natural resources in Cote d'Ivoire, Ghana and Burkina Faso 1960-2000

International Nuclear Information System (INIS)

Cabot, Charlene

2017-01-01

Millions of people are already affected by weather-related shocks every year in West Africa and climate change is highly likely to increase these threats. In the wake of climate change, rising temperatures, increasingly irregular rainfall and more frequent natural hazards will endanger the ways of life of vulnerable population groups in this region and destabilize their human security. A surge in violence and conflicts could take place. One of the conflict constellations could be between farmers and herders. These groups are highly vulnerable to climate change due to their dependence on natural resources Millions of people are already affected by weather-related shocks every year in West Africa and climate change is highly likely to increase these threats. In the wake of climate change, rising temperatures, increasingly irregular rainfall and more frequent natural hazards will endanger the ways of life of vulnerable population groups in this region and destabilize their human security. A surge in violence and conflicts could take place. One of the conflict constellations could be between farmers and herders. These groups are highly vulnerable to climate change due to their dependence on natural resources for their subsistence. Furthermore, they are historically prone to enter into conflict over issues of access to natural resources. However, social, economic and political circumstances fundamentally influence environmental conflicts. There might thus be opportunities to face the societal challenges of climate change in a peaceful way and the political and institutional framework could play an important role in reducing conflict and violence. In order to explore such a path, this study analyses the potential of political factors (policies and institutions) for the reduction of climate-change-induced or aggravated conflicts between farmers and herders. After a theoretical demonstration, a case study of agro-pastoral conflicts in Burkina Faso, Cote d'Ivoire, and Ghana

[Thrombopenia and radial aplasia: 2 cases with platelet function and ultrastructural studies of megakaryocytes and platelets (author's transl)].

Science.gov (United States)

Juhan, I; Bayle, J; Mattei, J F; Thevenieau, D; Perrimond, H; Muratore, R

1979-10-01

The authors report on two cases of congenital thrombopenia with radial aplasia. Both children display several formative abnormalities and a mild thrombopenia; hemorragic manifestations occurred in the first case only. Megacryoblastic to platelets series, as studied with electronic microscopy, show small-sized, "microcytic" and hypogranular megacaryocytes, displaying a maturative disorder (dysmegacaryocytopoiesis). In functional studies, platelets of the first patient show an imperfect nucleotidic release and do not agregate normally with ristocetin. The second case exhibits mostly a PF3 reduction. The variety of expression of the megacaryocytic-platelets disorders appears likewise in the squelettal and visceral malformations. The whole disorder could be ascribed to a pleiotropic abnormal gene with a variable expressivity.

From Science to e-Science to Semantic e-Science: A Heliosphysics Case Study

Science.gov (United States)

Narock, Thomas; Fox, Peter

2011-01-01

The past few years have witnessed unparalleled efforts to make scientific data web accessible. The Semantic Web has proven invaluable in this effort; however, much of the literature is devoted to system design, ontology creation, and trials and tribulations of current technologies. In order to fully develop the nascent field of Semantic e-Science we must also evaluate systems in real-world settings. We describe a case study within the field of Heliophysics and provide a comparison of the evolutionary stages of data discovery, from manual to semantically enable. We describe the socio-technical implications of moving toward automated and intelligent data discovery. In doing so, we highlight how this process enhances what is currently being done manually in various scientific disciplines. Our case study illustrates that Semantic e-Science is more than just semantic search. The integration of search with web services, relational databases, and other cyberinfrastructure is a central tenet of our case study and one that we believe has applicability as a generalized research area within Semantic e-Science. This case study illustrates a specific example of the benefits, and limitations, of semantically replicating data discovery. We show examples of significant reductions in time and effort enable by Semantic e-Science; yet, we argue that a "complete" solution requires integrating semantic search with other research areas such as data provenance and web services.

Study of radiation dose reduction of buildings of different sizes and materials

International Nuclear Information System (INIS)

Furuta, Takuya; Takahashi, Fumiaki

2015-01-01

The dependence of radiation dose reduction on the sizes and materials of buildings was studied by numerical analyses using the Monte Carlo simulation code, PHITS. The dose rates inside the buildings were calculated by simulating gamma-ray transport from radioactive cesium deposited at the ground surface. Three building models were developed: the wooden house, the open-space concrete building, and the thin-wall building, to study the effect of building size and construction material on dose reduction inside these structures. Here the floor-area sizes of the building models were varied to clarify the influence of building configuration on dose reduction. The results demonstrated that the dose rates inside the buildings linearly decreased with increasing floor area on a logarithmic scale for all types of buildings considered. The calculated dose distribution inside a building indicated that the distance from the outer walls was a determining factor for the dose rate at each position in the building. The obtained tendency was verified by comparison with data reflecting the dose reduction of typical buildings in Japan. (author)

Diphtheria in the Dominican Republic: reduction of cases following a large outbreak.

Science.gov (United States)

Garib, Zacarías; Danovaro-Holliday, M Carolina; Tavarez, Yira; Leal, Irene; Pedreira, Cristina

2015-10-01

To describe the most recent outbreak of diphtheria in the Dominican Republic and the disease's occurrence and vaccination coverage in 2004-2013. Clinical data of diphtheria cases that occurred in 2004 and that met the study's case definition were reviewed along with socioeconomic and epidemiological information from the cases' families. Univariate and multivariate analyses were performed to assess risk factors for fatal diphtheria. Routine surveillance and vaccination coverage data are presented. From January 2004-April 2005, a total of 145 diphtheria cases were reported; 80 (66%) of the 122 cases reported in 2004 met the case definition; 26 were fatal (case-fatality rate: 32.5%). Incidence was highest in the group 1-4 years of age at 5.3 per 100 000; 62.5% were male. Of the 80 cases, 61 (76%) where hospitalized in Hospital A, 17 in Hospital B, and 2 in two other hospitals. Earlier onset (first half of 2004), birth order, and tracheotomy were associated with fatal diphtheria (P diphtheria incidence was 4.91 cases/1 million people in 2000-2003, climbed to 8.8 cases per million in 2004-2005, and dropped to 0.38 in 2006-2014; no diphtheria cases have been reported since 2011. DTP3 vaccination coverage ranged from 72%-81% in 2000-2004 and from 81%-89% in 2005-2013. The 2004-2005 diphtheria outbreak in the Dominican Republic resulted in important and avoidable morbidity and mortality. Annual cases declined and no cases have been reported in recent years. Maintaining high vaccination coverage and diligent surveillance are crucial to preventing diphtheria outbreaks and controlling the disease.

Fuzzy-Set Case Studies

Science.gov (United States)

Mikkelsen, Kim Sass

2017-01-01

Contemporary case studies rely on verbal arguments and set theory to build or evaluate theoretical claims. While existing procedures excel in the use of qualitative information (information about kind), they ignore quantitative information (information about degree) at central points of the analysis. Effectively, contemporary case studies rely on…

Quantifying the uncertainty of wave energy conversion device cost for policy appraisal: An Irish case study

International Nuclear Information System (INIS)

Farrell, Niall; Donoghue, Cathal O’; Morrissey, Karyn

2015-01-01

Wave Energy Conversion (WEC) devices are at a pre-commercial stage of development with feasibility studies sensitive to uncertainties surrounding assumed input costs. This may affect decision making. This paper analyses the impact these uncertainties may have on investor, developer and policymaker decisions using an Irish case study. Calibrated to data present in the literature, a probabilistic methodology is shown to be an effective means to carry this out. Value at Risk (VaR) and Conditional Value at Risk (CVaR) metrics are used to quantify the certainty of achieving a given cost or return on investment. We analyse the certainty of financial return provided by the proposed Irish Feed-in Tariff (FiT) policy. The influence of cost reduction through bulk discount is also discussed, with cost reduction targets for developers identified. Uncertainty is found to have a greater impact on the profitability of smaller installations and those subject to lower rates of cost reduction. This paper emphasises that a premium is required to account for cost uncertainty when setting FiT rates. By quantifying uncertainty, a means to specify an efficient premium is presented. - Highlights: • Probabilistic model quantifies uncertainty for wave energy feasibility analyses. • Methodology presented and applied to an Irish case study. • A feed-in tariff premium of 3–4 c/kWh required to account for cost uncertainty. • Sensitivity of uncertainty and cost to rates of technological change analysed. • Use of probabilistic model for investors and developers also demonstrated

Diphtheria in the Dominican Republic: reduction of cases following a large outbreak

Directory of Open Access Journals (Sweden)

Zacarías Garib

Full Text Available OBJECTIVE: To describe the most recent outbreak of diphtheria in the Dominican Republic and the disease's occurrence and vaccination coverage in 2004-2013. METHODS: Clinical data of diphtheria cases that occurred in 2004 and that met the study's case definition were reviewed along with socioeconomic and epidemiological information from the cases' families. Univariate and multivariate analyses were performed to assess risk factors for fatal diphtheria. Routine surveillance and vaccination coverage data are presented. RESULTS: From January 2004-April 2005, a total of 145 diphtheria cases were reported; 80 (66% of the 122 cases reported in 2004 met the case definition; 26 were fatal (case-fatality rate: 32.5%. Incidence was highest in the group 1-4 years of age at 5.3 per 100 000; 62.5% were male. Of the 80 cases, 61 (76% where hospitalized in Hospital A, 17 in Hospital B, and 2 in two other hospitals. Earlier onset (first half of 2004, birth order, and tracheotomy were associated with fatal diphtheria (P < 0.05; cases in Hospital A were also more likely to be fatal (P = 0.066. The average annual diphtheria incidence was 4.91 cases/1 million people in 2000-2003, climbed to 8.8 cases per million in 2004-2005, and dropped to 0.38 in 2006-2014; no diphtheria cases have been reported since 2011. DTP3 vaccination coverage ranged from 72%-81% in 2000-2004 and from 81%-89% in 2005-2013. CONCLUSIONS: The 2004-2005 diphtheria outbreak in the Dominican Republic resulted in important and avoidable morbidity and mortality. Annual cases declined and no cases have been reported in recent years. Maintaining high vaccination coverage and diligent surveillance are crucial to preventing diphtheria outbreaks and controlling the disease.

An Account for Implementing Just-in-time: A Case Study of the Automotive Industry in China

Directory of Open Access Journals (Sweden)

Bo Hou

2013-07-01

Full Text Available Just-in-time (JIT has been a popular operation strategy partly because of its success in the japanese automobile industry. Various benefits such as inventory reduction, improved operations efficiency, and faster response, have been studied widely in previous studies. Therefore, successful implementation of JIT is vital to many companies. This research makes use of a case study to explore five key research themes, which are information system, production planning, inventory management, quality management, and suppliers management, and the success factors surrounding implementation of JIT for an automotive company. This case study also provides evidences for supporting the benefits of employing JIT. Semi-structured interviews were conducted to collect relevant data. The research finding indicates that JIT system is crucial for the success of automobile companies, and operates JIT system can lead to many advantages to the case company. The major contribution of this paper lies in the discussions of the successful factors as a practical guide to implement JIT systems.

Pulse radiolysis study of the reduction mechanism of an antitumor antibiotic, mitomycin C

International Nuclear Information System (INIS)

Machtalere, G.; Houee-Levin, C.; Gardes-Albert, M.; Ferradini, C.; Hickel, B.

1988-01-01

Mitomycin C is a quinonic antitumor metabolized in vivo by one-electron reduction. We have studied the mechanism of the one-electron reduction of this drug by pulse radiolysis using C00 .- free radicals as reductants. Semiquinonic and hydroquinonic intermediates are formed. The hydroquinonic form undergoes a methanol elimination leading to a transient which can disappear in one of two ways: by either internal redox reaction or hydrolysis of the aziridine. 17 refs [fr

Case Study: Guidelines for Producing Videos to Accompany Flipped Cases

Science.gov (United States)

Prud'homme-Généreux, Annie; Schiller, Nancy A.; Wild, John H.; Herreid, Clyde Freeman

2017-01-01

Three years ago, the "National Center for Case Study Teaching in Science" (NCCSTS) was inspired to merge the case study and flipped classroom approaches. The resulting project aimed to create the materials required to teach a flipped course in introductory biology by assigning videos as homework and case studies in the classroom. Three…

Implications of Biodiesel-Induced Land-Use Changes for CO2 Emissions: Case Studies in Tropical America, Africa, and Southeast Asia

Directory of Open Access Journals (Sweden)

Wouter M. J. Achten

2011-12-01

Full Text Available Biofuels are receiving growing negative attention. Direct and/or indirect land-use changes that result from their cultivation can cause emissions due to carbon losses in soils and biomass and could negate any eventual greenhouse gas (GHG reduction benefit. This paper evaluates the implications of land-use change emission on the climate-change mitigation potential of different biofuel production systems in 12 case studies in six countries. We calculated carbon debts created by conversion of different land-use types, ranging from annual cropland to primary forest. We evaluated case studies using three different biofuel crops: oil palm, Jatropha, and soybean. The time needed for each biofuel production system to pay back its carbon debt was calculated based on a life-cycle assessment of the GHG reduction potentials of the system. Carbon debts range from 39 to 1743.7 Mg C02 ha-1. The oil palm case studies created the largest carbon debts (472.8-1743.7 t C02 ha-1 because most of the area expansion came at the expense of dense tropical forest. The highest debt was associated with plantation on peatland. For all cases evaluated, only soybean in Guarantã do Norte and Alta Floresta, Brazil needed less than one human generation (30 years to repay the initial carbon debt. Highest repayment times were found for Jatropha (76-310 years and oil palm (59-220 years case studies. Oil palm established in peatlands had the greatest repayment times (206-220 years. High repayment times for Jatropha resulted from the combined effects of land-cover change and low CO2 emission reduction rate. These outcomes raise serious questions about the sustainability of biofuel production. The carbon implications of conversion of (semi-natural systems with medium to high biomass indicate that, in order to generate climate benefits, cultivation of biofuel feedstocks should be restricted to areas that already have low carbon content.

The Case in Favor of E-Cigarettes for Tobacco Harm Reduction

Directory of Open Access Journals (Sweden)

Joel L. Nitzkin

2014-06-01

Full Text Available A carefully structured Tobacco Harm Reduction (THR initiative, with e-cigarettes as a prominent THR modality, added to current tobacco control programming, is the most feasible policy option likely to substantially reduce tobacco-attributable illness and death in the United States over the next 20 years. E-cigarettes and related vapor products are the most promising harm reduction modalities because of their acceptability to smokers. There are about 46 million smokers in the United States, and an estimated 480,000 deaths per year attributed to cigarette smoking. These numbers have been essentially stable since 2004. Currently recommended pharmaceutical smoking cessation protocols fail in about 90% of smokers who use them as directed, even under the best of study conditions, when results are measured at six to twelve months. E-cigarettes have not been attractive to non-smoking teens or adults. Limited numbers non-smokers have experimented with them, but hardly any have continued their use. The vast majority of e-cigarette use is by current smokers using them to cut down or quit cigarettes. E-cigarettes, even when used in no-smoking areas, pose no discernable risk to bystanders. Finally, addition of a THR component to current tobacco control programming will likely reduce costs by reducing the need for counseling and drugs.

Fetal tachyarrhythmia: literature data and case study

Directory of Open Access Journals (Sweden)

Lukianova I.S.

2016-03-01

Full Text Available Fetal tachyarrhythmia is unfeigned in most cases and occurs in about 1–3% of the total number of pregnancies. Most of it's kinds are ectopic intraatrial reductions. FA is usually diagnosed during the routine, starting from 18 weeks of gestation, ultrasound assessment of the fetal heart rate. Approximately 10% of fetuses with rhythm disorders are at high risk of sudden death. Supraventricular tachycardia and atrial fibrillation are the most common causes of sudden death, the same is observed for bradyarrhythmias: manifest sinus bradycardia (hypoxic genesis and expressed AV-blockade. The examination of all fetuses with arrhythmia was strongly recommended in cases of intrauterine cardiac arrest or death of the fetus in families. Arrhythmias which have been revealed during scheduled prenatal examination of the fetuses are in need of expert echocardiography assessment to determine the extent of possible pre- and postnatal risk of sudden death and the paril of arrhythmogenic cardiomyopathy formation. In case of identified life-threatening arrhythmia in fetus the pharmacological therapy, which greatly affects the favorable outcome is strongly recommended. It should be based on hemodynamic of pregnant and aimed to prevent the development of decompensation or arrhythmogenic cardiomyopathy.

Energy conserving site design: Greenbrier case study, Chesapeake, Virginia. Final report

Energy Technology Data Exchange (ETDEWEB)

1980-04-01

A specific case study of project planning for energy conservation for a major planned unit development at the 3000-acre Greenbrier development site in Chesapeake, Virginia, is summarized. The research suggests that very considerable reductions in energy conservation can be achieved within the confines of private-sector land development and residential construction with increased incremental costs of $200.00 to $3150.00 per dwelling unit. It is hypothesized that energy consumption at Greenbrier can be reduced by one-half with an average annual savings of 21,275 kWh per residential unit, using state-of-the-art technology with careful planning and control. This represents an annual savings $750.00 per unit at the current utility rate of 3.5 cents per kWh. These savings can be achieved through reduction in heating and cooling loads and application of more-efficient heating and cooling of the remaining loads. The reduction in loads are achieved by redesign of the land plan to include a higher percentage of south-facing lots, use of vegetation to modify microclimate, decreases in air infiltration, the use of 2 x 6 framing, better insulation, and the use of an insulated slab-on-grade foundation. Further energy savings can be expected by increased efficiencies in mechanical systems used for space heating and cooling and domestic hot water. When applied to the single-family portion of Greenbrier, containing 541 dwelling units, these options reduce the total end-use energy consumption 54.7%. This reduction represents an annual savings of $432,800.00 for an initial capital investment of $1.7 million.

A randomized trial of pneumatic reduction versus hydrostatic reduction for intussusception in pediatric patients.

Science.gov (United States)

Xie, Xiaolong; Wu, Yang; Wang, Qi; Zhao, Yiyang; Chen, Guobin; Xiang, Bo

2017-08-08

Data of randomly controlled trials comparing the hydrostatic and pneumatic reduction for intussusception in pediatric patients as initial therapy are lacking. The aim of this study was to conduct a randomly controlled trial to compare the effectiveness and safety of the hydrostatic and pneumatic reduction techniques. All intussusception patients who visited West China Hospital of Sichuan University from January 2014 to December 2015 were enrolled in this study in which they underwent pneumatic reduction or hydrostatic reduction. Patients were randomized into ultrasound-guided hydrostatic or X-ray-guided pneumatic reduction group. The data collected includes demographic data, symptoms, signs, and investigations. The primary outcome of the study was the success rate of reduction. And the secondary outcomes of the study were the rates of intestinal perforations and recurrence. A total of 124 children with intussusception who had met the inclusion criteria were enrolled. The overall success rate of this study was 90.32%. Univariable analysis showed that the success rate of hydrostatic reduction with normal saline (96.77%) was significantly higher than that of pneumatic reduction with air (83.87%) (p=0.015). Perforation after reduction was found in only one of the pneumatic reduction group. The recurrence rate of intussusception in the hydrostatic reduction group was 4.84% compared with 3.23% of pneumatic reduction group. Our study found that ultrasound-guided hydrostatic reduction is a simple, safe and effective nonoperative treatment for pediatric patients suffering from intussusceptions, and should be firstly adopted in the treatment of qualified patients. Therapeutic study TYPE OF STUDY: Prospective study. Copyright © 2017 Elsevier Inc. All rights reserved.

Study of the reduction mechanism of ironsands with addition of blast furnace bag dust

Science.gov (United States)

Xing, Xiangdong; Chen, Yunfei; Liu, Yiran

2018-02-01

To improve the reduction properties of ironsands carbon-containing briquettes, the behavior of ironsand during reduction by the addition of blast furnace bag dust (BFBD) is studied using a high temperature resistance furnace, X-ray diffraction (XRD) analysis and scanning electron microscopy. Additionally, the reduction mechanism is discussed in this study. The results showed that the reduction level and compressive strength of ironsand carbon-containing briquettes could be promoted by increasing the proportion of BFBD. When the addition rate of BFBD was 31.25%, the metallization rate and compressive strength increased from 82.1% and 21.5 N/a to 91.4% and 172.5 N/a, respectively. Metallic iron reduced from BFBD particles favored the carbon gasification reaction, which enhanced the internal CO concentration, and then promoted the FeTiO3 reduction to Fe in ironsand. Meanwhile, a large amount of the liquid phase generated during the reduction process also favored Fe2+ diffusion, spread of iron joined crystals and the growth of crystals, which resulted in the improvement of the compressive strength of the ironsand carbon-containing briquettes.

Arthroscopy-Assisted Reduction and Fixation of a Transversal Glenoid Fracture: About a Case

Directory of Open Access Journals (Sweden)

David Zbili

2017-01-01

Full Text Available An articular glenoid fracture is an uncommon injury. Usually significantly displaced intra-articular glenoid fractures are treated with open reduction surgery. Conventional open surgery techniques involve high morbidity. Here we describe an arthroscopy-assisted reduction and fixation method of an Ideberg type III glenoid fracture. This method provides good articular reduction without extensive exposure or soft tissue dissection and without nerve and/or vascular lesion.

Five misunderstandings about case study research

DEFF Research Database (Denmark)

Flyvbjerg, Bent

2004-01-01

This article examines five common misunderstandings about case-study research: (1) Theoretical knowledge is more valuable than practical knowledge; (2) One cannot generalize from a single case, therefore the single case study cannot contribute to scientific development; (3) The case study is most...... useful for generating hypotheses, while other methods aremore suitable for hypotheses testing and theory building; (4) The case study contains a bias toward verification; and (5) It is often difficult to summarize specific case studies. The article explains and corrects these misunderstandings one by one...... and concludes with the Kuhnian insight that a scientific discipline without a large number of thoroughly executed case studies is a discipline without systematic production of exemplars, and that a discipline without exemplars is an ineffective one. Social science may be strengthened by the execution of more...

Risk reduction by filtered venting in PWR large dry-containments

International Nuclear Information System (INIS)

Gazzillo, F.; Kastenberg, W.E.

1984-01-01

The potential risk reduction associated with a Filtered-Vented Containment System is evaluated. A low-volume venting strategy has been considered and data referring to the Zion power plant, along with the results of the Zion Probabilistic Safety Study, have been used. An estimate of the reduction factor is first made for a single core melt accident sequence whose containment failure mode is late overpressure. The result, interpreted as a reduction factor applicable to the release category associated with containment late overpressure is then used for the estimation of the overall risk reduction factor. In particular, the case of internal and external risk for the Zion power plant are considered. Because the contribution from seismic events dominates the overall risk, the importance of different assumptions for seismic fragility is also assessed. Finally an uncertainty analysis of the risk reduction factor for a single accident sequence is performed. An estimate is also obtained on the level of confidence with which certain required values of risk reduction can be achieved. (orig.)

Multigas reduction strategy under climate stabilization target

Energy Technology Data Exchange (ETDEWEB)

Kurosawa, A. [Inst. of Applied Energy, Tokyo (Japan)

2005-07-01

Global warming can be mitigated through the abatement of carbon dioxide (CO{sub 2}), methane (CH{sub 4}), nitrous oxide (N{sub 2}O), hydrofluorocarbons (HFCs), perfluorocarbons (PFCs) and sulfur hexafluoride (SF{sub 6}). This study argued that multiple gas reduction flexibility should be assessed when considering effective greenhouse gas (GHG) mitigation strategies. Emissions of non-CO{sub 2} GHGs were calculated endogenously using an integrated assessment model. Multigas reduction potential was measured in relation to long-term atmospheric temperature targets, and the effects on gas life as well as abatement timing uncertainty were considered in terms of cost and technological availability. The model consisted of 5 nodules which considered issues related to energy, climate, land use, macroeconomics, and environmental impacts. The time horizon of the model was 2000 to 2100. An economic utility maximization technology was used to consider global trade balances. Emissions of non-CO{sub 2} gases from specific sources was calculated by multiplying the emission factor and the endogenous parameters within the model. Results were presented for GHG emissions and concentrations in 2 simulation cases: (1) a no climate policy case (NCP); and (2) a transient temperature stabilization (TTS) case. Actions to reduce non-CO{sub 2} GHGs included activity level changes in production and consumption, and additional reductions in abatement costs without sector activity changes. Results of the study showed that reducing global dependency on fossil fuels was an effective way to reduce GHG effects from CO{sub 2}, CH{sub 4} and N{sub 2}O. Additional abatements to reduce N{sub 2}O emissions are required in the agricultural sector. Economic incentives and public outreach programs are needed to offset the high transaction costs of GHG mitigation strategies. It was concluded that both short-term and long-term policies are required to reduce GHG in all sectors. Multigas mitigation is needed to

Clinical efficacy of open reduction and semirigid internal fixation in management of displaced pediatric mandibular fractures: A series of 10 cases and surgical guidelines

Directory of Open Access Journals (Sweden)

Samir Joshi

2015-01-01

Full Text Available Aim: To evaluate the efficacy of open reduction and semirigid internal fixation in the management of displaced pediatric mandibular fractures. Method: Ten patients with displaced mandibular fractures treated with 1.5 mm four holed titanium mini-plate and 4 mm screws which were removed within four month after surgery. Results: All cases showed satisfactory bone healing without any growth disturbance. Conclusion: Open reduction and rigid internal fixation (ORIF with 1.5 mm titanium mini- plates and 4 mm screws is a reliable and safe method in treatment of displaced paediatric mandibular fractures.

Clinical efficacy of open reduction and semirigid internal fixation in management of displaced pediatric mandibular fractures: a series of 10 cases and surgical guidelines.

Science.gov (United States)

Joshi, Samir; Kshirsagar, Rajesh; Mishra, Akshay; Shah, Rahul

2015-01-01

To evaluate the efficacy of open reduction and semirigid internal fixation in the management of displaced pediatric mandibular fractures. Ten patients with displaced mandibular fractures treated with 1.5 mm four holed titanium mini-plate and 4 mm screws which were removed within four month after surgery. All cases showed satisfactory bone healing without any growth disturbance. Open reduction and rigid internal fixation (ORIF) with 1.5 mm titanium mini- plates and 4 mm screws is a reliable and safe method in treatment of displaced paediatric mandibular fractures.

Spatial Heat Planning and Heat Demand Reductions in Buildings

DEFF Research Database (Denmark)

Nielsen, Steffen

2013-01-01

to an energy system based 100% on renewable energy is not just a fi-ne-tuning of the existing system, but is a fundamental change of the entire energy system. However, similar to the use of fossil fuels, biomass re-sources, which account of a large share of the renewable energy sources, are limited in relation...... long-term savings in investments in production capacity and fuel costs. Through a case study, the amount of these long-term sav-ings is compared to the costs of implementing heat savings. The case study shows that heat reductions of roughly 50% are feasible if the long-term costs are included. Savings...

Uncovering opportunity of low-carbon city promotion with industrial system innovation: Case study on industrial symbiosis projects in China

International Nuclear Information System (INIS)

Dong, Liang; Gu, Fumei; Fujita, Tsuyoshi; Hayashi, Yoshitsugu; Gao, Jie

2014-01-01

There is a dilemma for rapid industrializing China to balance economic growth and low carbonization. Industrial symbiosis (IS) provides a system innovation to utilize the industry to fight climate change and pursue sustainable urban development, while few attentions are paid in literatures. Under this circumstance, this study reviews the low-carbon city practice in China and conducts a case study to calculate the CO 2 emissions reduction potential under promoting IS projects in two cities of China, named Jinan and Liuzhou. With the real national project in Jinan as advanced example, new scenarios related to IS are designed for Liuzhou, including comprehensive energy network, waste plastics recycling, scrap tires recycling and flying ash recycling. The material/waste and energy exchange is quantified in the IS network, as well as the related environmental benefit. The material/energy exchange is over 10 million ton and 20 thousands tce in Jinan's case, and 2.5 million ton and 45 thousand tce in Liuzhou's case. Results highlight that IS could effectively reduce CO 2 emissions. The total reduction potential amounts to 3944.05 thousands tCO 2 /year and 2347.88 thousands tCO 2 /year in Jinan and Liuzhou. Finally, policy implications on the ever-improvement of industrial symbiosis and China's sustainable urban development are proposed and discussed. - Highlights: • Investigate two real industrial symbiosis projects in Jinan and Liuzhou of China. • Quantify the material exchange and the CO 2 reduction potential of the IS network. • CO 2 reduction potential is 3944.05 and 2347.88 ktCO 2 /year in Jinan and Liuzhou. • In current China, IS is main in term of material symbiosis. • How to coordinate IS and low-carbon city is discussed

Case Study: A Picture Worth a Thousand Words? Making a Case for Video Case Studies

Science.gov (United States)

Pai, Aditi

2014-01-01

A picture, they say, is worth a thousand words. If a mere picture is worth a thousand words, how much more are "moving pictures" or videos worth? The author poses this not merely as a rhetorical question, but because she wishes to make a case for using videos in the traditional case study method. She recommends four main approaches of…

Constructing a holistic approach to disaster risk reduction: the significance of focusing on vulnerability reduction.

Science.gov (United States)

Palliyaguru, Roshani; Amaratunga, Dilanthi; Baldry, David

2014-01-01

As a result of the increase in natural disaster losses, policy-makers, practitioners, and members of the research community around the world are seeking effective and efficient means of overcoming or minimising them. Although various theoretical constructs are beneficial to understanding the disaster phenomenon and the means of minimising losses, the disaster risk management process becomes less effective if theory and practice are set apart from one another. Consequently, this paper seeks to establish a relationship between two theoretical constructs, 'disaster risk reduction (DRR)' and 'vulnerability reduction', and to develop a holistic approach to DRR with particular reference to improving its applicability in practical settings. It is based on a literature review and on an overall understanding gained through two case studies of post-disaster infrastructure reconstruction projects in Sri Lanka and three expert interviews in Sri Lanka and the United Kingdom. © 2014 The Author(s). Disasters © Overseas Development Institute, 2014.

Comparison of image quality in head CT studies with different dose-reduction strategies

DEFF Research Database (Denmark)

Johansen, Jeppe; Nielsen, Rikke; Fink-Jensen, Vibeke

The number of multi-detector CT examinations is increasing rapidly. They allow high quality reformatted images providing accurate and precise diagnosis at maximum speed. Brain examinations are the most commonly requested studies, and although they come at a lower effective dose than body CT, can...... account to a considerable radiation dose as many patients undergo repeated studies. Therefore, various dose-reduction strategies are applied such as automated tube current and voltage modulation and recently different iterative reconstruction algorithms. However, the trade-off of all dose......-reduction maneuvers is reduction of image quality due to image noise or artifacts. The aim of our study was therefore to find the best diagnostic images with lowest possible dose. We present results of dose- and image quality optimizing strategies of brain CT examinations at our institution. We compare sequential...

A study of performance parameters on drag and heat flux reduction efficiency of combinational novel cavity and opposing jet concept in hypersonic flows

Science.gov (United States)

Sun, Xi-wan; Guo, Zhen-yun; Huang, Wei; Li, Shi-bin; Yan, Li

2017-02-01

The drag reduction and thermal protection system applied to hypersonic re-entry vehicles have attracted an increasing attention, and several novel concepts have been proposed by researchers. In the current study, the influences of performance parameters on drag and heat reduction efficiency of combinational novel cavity and opposing jet concept has been investigated numerically. The Reynolds-average Navier-Stokes (RANS) equations coupled with the SST k-ω turbulence model have been employed to calculate its surrounding flowfields, and the first-order spatially accurate upwind scheme appears to be more suitable for three-dimensional flowfields after grid independent analysis. Different cases of performance parameters, namely jet operating conditions, freestream angle of attack and physical dimensions, are simulated based on the verification of numerical method, and the effects on shock stand-off distance, drag force coefficient, surface pressure and heat flux distributions have been analyzed. This is the basic study for drag reduction and thermal protection by multi-objective optimization of the combinational novel cavity and opposing jet concept in hypersonic flows in the future.

Five misunderstandings about Case-study Research

DEFF Research Database (Denmark)

Flyvbjerg, Bent

This article examines five common misunderstandings about case-study research: (1) Theoretical knowledge is more valuable than practical knowledge; (2) One cannot generalize from a single case, therefore the single case study cannot contribute to scientific development; (3) The case study is most...... useful for generating hypotheses, while other methods aremore suitable for hypotheses testing and theory building; (4) The case study contains a bias toward verification; and (5) It is often difficult to summarize specific case studies. The article explains and corrects these misunderstandings one by one...... and concludes with the Kuhnian insight that a scientific discipline without a large number of thoroughly executed case studies is a discipline without systematic production of exemplars, and that a discipline without  exemplars is an ineffective one. Social science may be strengthened by the execution of more...

[Case control study of fractures-dislocations of ankle joint with conservative and operative treatment].

Science.gov (United States)

Zhang, Song-Tu; Lin, Yi-Rong; Chen, Lian-Yuan

2010-10-01

To compare the clinical efficacy of grade III, IV supination-eversion fractures-dislocations of ankle joint between manipulative treatment and operative treatment. From September 2007 to December 2008, the clinical data of 60 patients with grade III, IV supination-eversion fractures-dislocations of ankle joint were retrospectively analyzed. There were 32 males and 28 females, ranging in age from 18 to 70 years with an average age of 38.17 years. All patients were respectively treated with manipulative treatment (conservative group, 30 cases) and operative treatment (operative group, 30 cases). The joint function was compared with Mazur standard; the reduction and shifting of fractures were observed with X-ray; the hospitalization day and the therapeutic cost were compared between two groups. All patients were followed up with an average of 15.27 months (ranged, 6 to 25 months). In conservative group, 16 cases got excellent result in joint function, 10 good, 3 fair, 1 poor; in operative group, 20 cases got excellent result, 8 good, 2 fair, 0 poor. In conservative group in the X-ray showed 25 cases obtained excellent and good reduction, 4 fair, 1 poor; and in operative group in the X-ray showed 28 cases obtained excellent and good reduction, 2 fair, 0 poor. There was no significant difference at the joint function and X-ray film after treatment between two groups (P > 0.05). The hospital day was respectively (7.87 +/- 3.34), (17.37 +/- 4.64) d in conservative group and operative group; and the therapeutic cost was respectively (2 506.67 +/- 649.10), (11 473.33 +/- 1 564.90) yuan. There was significant difference at hospital day and therapeutic cost between two groups (P fractures and dislocations of ankle joint. However, conservative treatment has advantage of high safety factor, low therapeutic cost, can reduce medical costs for patients.

Shortening treatment time in robotic radiosurgery using a novel node reduction technique

Energy Technology Data Exchange (ETDEWEB)

Water, Steven van de; Hoogeman, Mischa S.; Breedveld, Sebastiaan; Heijmen, Ben J. M. [Department of Radiation Oncology, Erasmus MC-Daniel den Hoed Cancer Center, Groene Hilledijk 301, 3075 EA Rotterdam (Netherlands)

2011-03-15

Purpose: The fraction duration of robotic radiosurgery treatments can be reduced by generating more time-efficient treatment plans with a reduced number of node positions, beams, and monitor units (MUs). Node positions are preprogramed locations where the robot can position the focal spot of the x-ray beam. As the time needed for the robot to travel between node positions takes up a large part of the treatment time, the aim of this study was to develop and evaluate a node reduction technique in order to reduce the treatment time per fraction for robotic radiosurgery. Methods: Node reduction was integrated into the inverse planning algorithm, developed in-house for the robotic radiosurgery modality. It involved repeated inverse optimization, each iteration excluding low-contribution node positions from the planning and resampling new candidate beams from the remaining node positions. Node reduction was performed until the exclusion of a single node position caused a constraint violation, after which the shortest treatment plan was selected retrospectively. Treatment plans were generated with and without node reduction for two lung cases of different complexity, one oropharyngeal case and one prostate case. Plan quality was assessed using the number of node positions, beams and MUs, and the estimated treatment time per fraction. All treatment plans had to fulfill all clinical dose constraints. Extra constraints were added to maintain the low-dose conformality and restrict skin doses during node reduction. Results: Node reduction resulted in 12 residual node positions, on average (reduction by 77%), at the cost of an increase in the number of beams and total MUs of 28% and 9%, respectively. Overall fraction durations (excluding patient setup) were shortened by 25% (range of 18%-40%), on average. Dose distributions changed only little and dose in low-dose regions was effectively restricted by the additional constraints. Conclusions: The fraction duration of robotic

Shortening treatment time in robotic radiosurgery using a novel node reduction technique

International Nuclear Information System (INIS)

Water, Steven van de; Hoogeman, Mischa S.; Breedveld, Sebastiaan; Heijmen, Ben J. M.

2011-01-01

Purpose: The fraction duration of robotic radiosurgery treatments can be reduced by generating more time-efficient treatment plans with a reduced number of node positions, beams, and monitor units (MUs). Node positions are preprogramed locations where the robot can position the focal spot of the x-ray beam. As the time needed for the robot to travel between node positions takes up a large part of the treatment time, the aim of this study was to develop and evaluate a node reduction technique in order to reduce the treatment time per fraction for robotic radiosurgery. Methods: Node reduction was integrated into the inverse planning algorithm, developed in-house for the robotic radiosurgery modality. It involved repeated inverse optimization, each iteration excluding low-contribution node positions from the planning and resampling new candidate beams from the remaining node positions. Node reduction was performed until the exclusion of a single node position caused a constraint violation, after which the shortest treatment plan was selected retrospectively. Treatment plans were generated with and without node reduction for two lung cases of different complexity, one oropharyngeal case and one prostate case. Plan quality was assessed using the number of node positions, beams and MUs, and the estimated treatment time per fraction. All treatment plans had to fulfill all clinical dose constraints. Extra constraints were added to maintain the low-dose conformality and restrict skin doses during node reduction. Results: Node reduction resulted in 12 residual node positions, on average (reduction by 77%), at the cost of an increase in the number of beams and total MUs of 28% and 9%, respectively. Overall fraction durations (excluding patient setup) were shortened by 25% (range of 18%-40%), on average. Dose distributions changed only little and dose in low-dose regions was effectively restricted by the additional constraints. Conclusions: The fraction duration of robotic

Close reduction and per cutaneous pinning of supracondylar fractures of humerus in children

International Nuclear Information System (INIS)

Iqbal, S.; Maqbool, N.

2014-01-01

The purpose of this study was to assess outcome and complications associated with closed reduction and internal fixation of supracondylar fractures type III of humerus in children. Study Design: Quasi - experimental. Place and Duration of Study: Department of Orthopedics, Fauji Foundation Hospital Rawalpindi and Railway General Hospital (RGH), Rawalpindi, from June 2011 to August 2012. Material and Method: The study group included 16 boys and 8 girls aged 4-12 years with supracondyle Type III fractures of humerus, having no neurovascular injury and no appreciable edema. Relevant history and clinical details were taken. All those cases having any neurovascular injury or moderate to severe edema at elbow and presenting late more than two weeks were excluded. These cases were treated with closed reduction and internal fixation. Follow up was done for 6 months to assess the level of cosmetic and function according to the system described by Flynn's et al as excellent, good, fair and poor. Results: Study was completed on 24 patients (16 males and 8 females). All fractures were united in acceptable alignment. At final assessment there were 16 excellent, 5 good, 3 fair. No one was poor. The fair clinical outcome was higher in children above 10 years of age. Conclusion: Closed reduction and internal fixation with cast stabilization can provide precise and good fracture reduction, maintains stabilization for fracture healing, results in good cosmetic outcome, cost effective and facilitates easy removal of implants after treatment. (author)

E-cigarette Regulation and Harm Reduction: The Case of Hong Kong.

Science.gov (United States)

Churk, Shue Sing

Harm reduction is an internationally recognized tobacco control strategy. E-cigarettes, being a less harmful alternative to smoking, have the potential to achieve harm reduction. Within this context, this article critiques Hong Kong’s legal regime governing e-cigarettes and the proposed prohibition of the product. It is argued that the current law is uncertain and inadequate. Although a reform of laws relating to e-cigarettes is needed, it is argued that banning the product altogether as a means to reducing the harm of tobacco use is unsupported by evidence.

Dihydropyridine-fused and pyridine-fused coumarins: Reduction on a glassy carbon electrode in dimethylformamide

International Nuclear Information System (INIS)

Nuñez-Vergara, Luis J.; Pardo-Jiménez, V.; Barrientos, C.; Olea-Azar, C.A.; Navarrete-Encina, P.A.; Squella, J.A.

2012-01-01

In this study, two series of dihydropyridine-fused and pyridine-fused coumarins were synthesised and electrochemically characterised in aprotic medium. In both series, the most easily reducible groups were the endocyclic carbonyl groups. The electrochemical mechanism for both types of compounds is strongly dependent on the experimental time-scale. Cyclic voltammetric (CV) reduction on a glassy carbon electrode (GCE) of the endocyclic carbonyl group of dihydropyridine-fused coumarins involves an ECEC mechanism with two electron transfer steps that are coupled with chemical reactions to produce the corresponding hemiacetal derivative. In the case of pyridine-fused coumarins, CV reduction of the endocyclic carbonyl group involves an EEC mechanism. ESR studies revealed the presence of a stabilised intermediate only for the pyridine-fused derivatives. Our theoretical study showed a spin density map of radical species delocalised mainly within the coumarin ring, indicating the reduction of the endocyclic carbonyl group. In the case of the dihydropyridine-fused derivatives, the mildly acid hydrogen of the dihydropyridine ring destabilises the radical via a father–son type reaction.

Open Reduction in Pediatric Condylar Fracture.

Science.gov (United States)

Barbosa, Alexandre Agostini; Mariano, Ronaldo Célio

2017-05-01

Facial fractures in children are rare. Lack of pneumatization, fat pockets, mixed dentition, contribute to the elasticity and bone stability. When mandibular fractures occur in children, most often involve the condyle by indirect trauma. Such fractures are the center of discussion on the form of treatment if this should be performed conservatively, or held the reduction and fixation of the fracture with surgical exposure of the fragments. In condylar fractures in children, in most patients, the proposed treatment is closed reduction. Treatment with open reduction and fixation has its specific indications. In this case, the authors report a patient cycling accident victim, with cut-contusion injury in ment with limited mouth opening and left condylar fracture with medial rotation. The treatment was the reduction and fixation of fragments by open process.

Upgraded biogas from municipal solid waste for natural gas substitution and CO2 reduction--a case study of Austria, Italy, and Spain.

Science.gov (United States)

Starr, Katherine; Villalba, Gara; Gabarrell, Xavier

2015-04-01

Biogas is rich in methane and can be further purified through biogas upgrading technologies, presenting a viable alternative to natural gas. Landfills and anaerobic digestors treating municipal solid waste are a large source of such biogas. They therefore offer an attractive opportunity to tap into this potential source of natural gas while at the same time minimizing the global warming impact resulting from methane emissions in waste management schemes (WMS) and fossil fuel consumption reduction. This study looks at the current municipal solid waste flows of Spain, Italy, and Austria over one year (2009), in order to determine how much biogas is generated. Then it examines how much natural gas could be substituted by using four different biogas upgrading technologies. Based on current waste generation rates, exploratory but realistic WMS were created for each country in order to maximize biogas production and potential for natural gas substitution. It was found that the potential substitution of natural gas by biogas resulting from the current WMS seems rather insignificant: 0.2% for Austria, 0.6% for Italy and 0.3% for Spain. However, if the WMS is redesigned to maximize biogas production, these figures can increase to 0.7% for Austria, 1% for Italy and 2% for Spain. Furthermore, the potential CO2 reduction as a consequence of capturing the biogas and replacing fossil fuel can result in up to a 93% reduction of the annual national waste greenhouse gas emissions of Spain and Italy. Copyright © 2015 Elsevier Ltd. All rights reserved.

Redesign of an in-market food processor for manufacturing cost reduction using DFMA methodology

Directory of Open Access Journals (Sweden)

Akshay Harlalka

2016-01-01

Full Text Available Reducing the time and cost involved in the product development is very important to stay competitive in the market. Design for Manufacturing and Assembly (DFMA is a cost-reduction framework for designers to evaluate manufacturing aspects of a product design. A case study on an in-market food processor, this paper aims to demonstrate the significance of DFMA implementation on an Indian consumer product. Even though many DFMA case studies have been published till date, very few have dealt with the Indian consumer durables category. In this paper, various cost-reduction opportunities are identified in the design of a food processor manufactured by a reputed company in India. Using the DFMA study, design ideas are developed with an objective of reducing the overall manufacturing cost of the product. As a result of DFMA implementation, significant improvement in terms of the product’s architecture, assembly time and design efficiency is identified. Overall cost reduction of 0.25 USD (United States Dollar was achieved and an improvement in the Design for Assembly (DFA index from 15.99 to 19.93 is reported. This procedure utilized in this paper can be adopted for any consumer durable products of similar type and design improvements and cost reduction can be achieved.

Studies on biological reduction of chromate by Streptomyces griseus

International Nuclear Information System (INIS)

Poopal, Ashwini C.; Laxman, R. Seeta

2009-01-01

Chromium is a toxic heavy metal used in various industries and leads to environmental pollution due to improper handling. The most toxic form of chromium Cr(VI) can be converted to less toxic Cr(III) by reduction. Among the actinomycetes tested for chromate reduction, thirteen strains reduced Cr(VI) to Cr(III), of which one strain of Streptomyces griseus (NCIM 2020) was most efficient showing complete reduction within 24 h. The organism was able to use a number of carbon sources as electron donors. Sulphate, nitrate, chloride and carbonate had no effect on chromate reduction during growth while cations such as Cd, Ni, Co and Cu were inhibitory to varying degrees. Chromate reduction was associated with the bacterial cells and sonication was the best method of cell breakage to release the enzyme. The enzyme was constitutive and did not require presence of chromate during growth for expression of activity. Chromate reduction with cell free extract (CFE) was observed without added NADH. However, addition of NAD(P)H resulted in 2-3-fold increase in activity. Chromate reductase showed optimum activity at 28 deg. C and pH 7.

Ethical Responsibility of Governance for Integrating Disaster Risk Reduction with Development

Science.gov (United States)

Parkash Gupta, Surya

2015-04-01

The development in the public as well as the private sectors is controlled and regulated, directly or indirectly by the governments at federal, provincial and local levels. If this development goes haphazard and unplanned, without due considerations to environmental constraints and potential hazards; it is likely to cause disasters or may get affected by disasters. Therefore, it becomes an ethical responsibility of the people involved in governance sector to integrate disaster risk reduction with development in their administrative territories through enforcement of appropriate policies, guidelines and regulatory mechanisms. Such mechanisms should address the social, scientific, economic, environmental, and legal requirements that play significant role in planning, implementation of developmental activities as well as disaster management. The paper focuses on defining the ethical responsibilities for the governance sector for integrating disaster risk reduction with development. It highlights the ethical issues with examples from two case studies, one from the Uttarakhand state and the other Odhisa state in India. The case studies illustrates how does it make a difference in disaster risk reduction if the governments own or do not own ethical responsibilities. The paper considers two major disaster events, flash floods in Uttarakhand state and Cyclone Phailin in Odhisa state, that happened during the year 2013. The study points out that it makes a great difference in terms of consequences and response to disasters when ethical responsibilities are owned by the governance sector. The papers attempts to define these ethical responsibilities for integrating disaster risk reduction with development so that the governments can be held accountable for their acts or non-actions.

Climate change, security risks and conflict reduction in Africa. A case study of farmer-herder conflicts over natural resources in Cote d'Ivoire, Ghana and Burkina Faso 1960-2000

Energy Technology Data Exchange (ETDEWEB)

Cabot, Charlene

2017-02-01

Millions of people are already affected by weather-related shocks every year in West Africa and climate change is highly likely to increase these threats. In the wake of climate change, rising temperatures, increasingly irregular rainfall and more frequent natural hazards will endanger the ways of life of vulnerable population groups in this region and destabilize their human security. A surge in violence and conflicts could take place. One of the conflict constellations could be between farmers and herders. These groups are highly vulnerable to climate change due to their dependence on natural resources Millions of people are already affected by weather-related shocks every year in West Africa and climate change is highly likely to increase these threats. In the wake of climate change, rising temperatures, increasingly irregular rainfall and more frequent natural hazards will endanger the ways of life of vulnerable population groups in this region and destabilize their human security. A surge in violence and conflicts could take place. One of the conflict constellations could be between farmers and herders. These groups are highly vulnerable to climate change due to their dependence on natural resources for their subsistence. Furthermore, they are historically prone to enter into conflict over issues of access to natural resources. However, social, economic and political circumstances fundamentally influence environmental conflicts. There might thus be opportunities to face the societal challenges of climate change in a peaceful way and the political and institutional framework could play an important role in reducing conflict and violence. In order to explore such a path, this study analyses the potential of political factors (policies and institutions) for the reduction of climate-change-induced or aggravated conflicts between farmers and herders. After a theoretical demonstration, a case study of agro-pastoral conflicts in Burkina Faso, Cote d'Ivoire, and

Theoretical pluralism in psychoanalytic case studies.

Science.gov (United States)

Willemsen, Jochem; Cornelis, Shana; Geerardyn, Filip M; Desmet, Mattias; Meganck, Reitske; Inslegers, Ruth; Cauwe, Joachim M B D

2015-01-01

The aim of this study is to provide an overview of the scientific activity of different psychoanalytic schools of thought in terms of the content and production of case studies published on ISI Web of Knowledge. Between March 2013 and November 2013, we contacted all case study authors included in the online archive of psychoanalytic and psychodynamic case studies (www.singlecasearchive.com) to inquire about their psychoanalytic orientation during their work with the patient. The response rate for this study was 45%. It appears that the two oldest psychoanalytic schools, Object-relations psychoanalysis and Ego psychology or "Classical psychoanalysis" dominate the literature of published case studies. However, most authors stated that they feel attached to two or more psychoanalytic schools of thought. This confirms that the theoretical pluralism in psychoanalysis stretches to the field of single case studies. The single case studies of each psychoanalytic school are described separately in terms of methodology, patient, therapist, or treatment features. We conclude that published case studies features are fairly similar across different psychoanalytic schools. The results of this study are not representative of all psychoanalytic schools, as some do not publish their work in ISI ranked journals.

Theoretical pluralism in psychoanalytic case studies

Science.gov (United States)

Willemsen, Jochem; Cornelis, Shana; Geerardyn, Filip M.; Desmet, Mattias; Meganck, Reitske; Inslegers, Ruth; Cauwe, Joachim M. B. D.

2015-01-01

The aim of this study is to provide an overview of the scientific activity of different psychoanalytic schools of thought in terms of the content and production of case studies published on ISI Web of Knowledge. Between March 2013 and November 2013, we contacted all case study authors included in the online archive of psychoanalytic and psychodynamic case studies (www.singlecasearchive.com) to inquire about their psychoanalytic orientation during their work with the patient. The response rate for this study was 45%. It appears that the two oldest psychoanalytic schools, Object-relations psychoanalysis and Ego psychology or “Classical psychoanalysis” dominate the literature of published case studies. However, most authors stated that they feel attached to two or more psychoanalytic schools of thought. This confirms that the theoretical pluralism in psychoanalysis stretches to the field of single case studies. The single case studies of each psychoanalytic school are described separately in terms of methodology, patient, therapist, or treatment features. We conclude that published case studies features are fairly similar across different psychoanalytic schools. The results of this study are not representative of all psychoanalytic schools, as some do not publish their work in ISI ranked journals. PMID:26483725

[An improved reduction technique for depression fractures of lateral tibial plateau].

Science.gov (United States)

Wang, Hongchuan; Lou, Hua; Liu, Kai; Jiang, Junwei

2013-01-01

To investigate the improved reduction technique for depression fractures of the lateral tibial plateau and its effectiveness. Between January 2008 and December 2010; 48 patients (48 knees) with depression fractures of the lateral tibial plateau (Schatzker II or III fractures) were treated. There were 32 males and 16 females with an average age of 45.8 years (range, 16-79 years). All fractures were fresh closed fractures, which were caused by traffic accident in 27 cases, by falling from height in 5 cases, by crushing in 8 cases, and by sustained falls in 8 cases. According to Schatzker classification, 29 cases were classified as type II and 19 cases as type III. The lateral cortex was cut off to expose the depression and compacted cancellous bone was elevated to reset the articular surface. After reduction, autologous iliac bone graft and locking plate internal fixation were used. Healing of incision by first intention was achieved in all patients, and no complication occurred. All patients were followed up 1.7 years on average (range, 1-3 years). At last follow-up, the knee extension was (-0.5 +/- 0.3) degrees, and the knee flexion was (136.9 +/- 8.8) degrees. X-ray films showed that the fracture healing time was 52 weeks and no breakage of internal fixation occurred. According to Rasmussen clinical score, the results were excellent in 35 cases, good in 10 cases, and fair in 3 cases. According to Rasmussen radiographical score, the results were excellent in 41 cases, good in 7 cases; there were 41 excellent scores and 7 good scores of articular reduction; all gained good recovery of coronal and sagittal alignment and condylar width. The articular surface collapse was (1.0 +/- 0.7) mm at immediate postoperatively and (1.2 +/- 0.7) mm at last follow-up, showing no significant difference (t = -1.42, P = 0.20), but significant differences were found when compared with that at preoperation [(12.2 +/- 8.0) mm, P fracture reduction and can avoid loss of reduction. The

Elderly patient's mortality and morbidity following trochanteric fracture. A prospective study of 100 cases.

Science.gov (United States)

Mnif, H; Koubaa, M; Zrig, M; Trabelsi, R; Abid, A

2009-11-01

Trochanteric fractures are a major source of mortality, morbidity and functional impairment in the elderly. Morbidity is closely related to the degree of instability and comminution and is substantially influenced by the quality of reduction and internal fixation. Advanced age and associated co-morbidities are two decisive factors of mortality secondary to trochanteric fracture. This prospective study examined the epidemiological profile of trochanteric fractures and assessed mortality and morbidity with the aim of establishing management guidelines and improving prevention strategies. One hundred patients were included; 60% were male. Mean age was 76 years (range, 60-96 yrs). One, or more than one, co-morbidities were present in 68% of cases. The fractures were caused by a simple fall in 90% of cases. Fractures were classified according to the criteria of Ramadier and the ones of Ender. Sixty-five percent of these fractures were unstable. A dynamic hip screw was systematically used as the standard means of internal fixation. Anatomic and functional results were analyzed in 82 patients (18 had died within the first year following fracture occurrence). Mean follow-up period was 24 months (range, 12-36 months). Bone healing was achieved in 96% of cases. There were numerous postoperative complications (four cases of thromboembolism, fourteen immobility-related complications, two infections, six secondary displacement combined to loss of fixation, four non-unions, and nine malunions). At 2 years follow-up, 28 patients had died. Mortality was strongly correlated with older age (over 90 years), associated co-morbidity and fracture instability. Good functional outcomes (72%) correlated with younger age (60-74 years), fracture stability, adequate reduction and internal fixation. In stable trochanteric fractures, osteosynthesis by dynamic screw-plate is more effective than alternative techniques (blade-plate, nail-plate, Ender nail or even trochanteric nail). In unstable

Benzene degradation coupled with chlorate reduction in soil column study

NARCIS (Netherlands)

Tan, N.C.G.; Doesburg, van W.C.J.; Langenhoff, A.A.M.; Stams, A.J.M.

2006-01-01

Perchlorate and chlorate are electron acceptors that during reduction result in the formation of molecular oxygen. The produced oxygen can be used for activation of anaerobic persistent pollutants, like benzene. In this study chlorate was tested as potential electron acceptor to stimulate benzene

BARIUM REDUCTION OF INTUSSUSCEPTION IN INFANCY

Science.gov (United States)

Denenholz, Edward J.; Feher, George. S.

1955-01-01

Barium enema reduction was used as the initial routine treatment in 29 infants with intussusception. In 22 of them the intussusception was reduced by this means. In three of eight patients operated upon the intussusception was found to be reduced. Four of the remaining five patients had clinical or x-ray evidence of complications before reduction by barium enema was attempted. Twenty-one of the patients, all of whom were observed in private practice, were treated without admission to the hospital. After reduction, these patients were observed closely by the clinician. None of these patients showed clinical or x-ray signs of complications before reduction. Certain clinical and roentgen criteria must be satisfied before it can be concluded that reduction by barium enema is complete. If there are clinical signs of complications with x-ray evidence of small bowel obstruction, only a very cautious attempt at hydrostatic reduction should be made. As the time factor is generally a reliable clinical guide to reducibility, the late cases should be viewed with greater caution. Long duration of symptoms, however, is not per se a contraindication to an attempt at hydrostatic reduction. PMID:13230908

Bioremediation case studies: Abstracts. Final report

International Nuclear Information System (INIS)

Devine, K.

1992-03-01

The report contains abstracts of 132 case studies of bioremediation technology applied to hazardous waste clean-up. It was prepared to compile bioremediation studies in a variety of locations and treating diverse contaminants, most of which were previously undocumented. All data are based on vendor-supplied information and there was no opportunity to independently confirm its accuracy. These 132 case studies, from 10 different biotechnology companies, provide users with reference information about on-going and/or completed field applications and studies. About two-thirds of the cases were at full-scale clean-up level with the remainder at pilot or laboratory scale. In 74 percent of the cases, soil was at least one of the media treated. Soil alone accounts for 46 percent of the cases. Petroleum-related wastes account for the largest contaminant with 82 cases. Thirty-one states are represented in the case studies

Silicene Catalyzed Reduction of Nitrobenzene to Aniline: a Computational Study

Science.gov (United States)

Morrissey, Christopher; He, Haiying

The reduction of nitrobenzene to aniline has a broad range of applications in the production of rubbers, dyes, agrochemicals, and pharmaceuticals. Currently, use of metal catalysts is the most popular method of performing this reaction on a large scale. These metal catalysts usually require high-temperature and/or high-pressure reaction conditions, and produce hazardous chemicals. This has led to a call for more environmentally friendly nonmetal catalysts. Recent studies suggest that silicene, the recently discovered silicon counterpart of graphene, could potentially work as a nonmetal catalyst due to its unique electronic property and strong interactions with molecules containing nitrogen and oxygen. In this computational study, we have investigated the plausibility of using silicene as a catalyst for the reduction of nitrobenzene. Possible reaction mechanisms will be discussed with a highlight of the difference between silicene and metal catalysts. . All calculations were performed in the framework of density functional theory.

Management of Transjugular Intrahepatic Portosystemic Shunt (TIPS)-associated Refractory Hepatic Encephalopathy by Shunt Reduction Using the Parallel Technique: Outcomes of a Retrospective Case Series

International Nuclear Information System (INIS)

Cookson, Daniel T.; Zaman, Zubayr; Gordon-Smith, James; Ireland, Hamish M.; Hayes, Peter C.

2011-01-01

Purpose: To investigate the reproducibility and technical and clinical success of the parallel technique of transjugular intrahepatic portosystemic shunt (TIPS) reduction in the management of refractory hepatic encephalopathy (HE). Materials and Methods: A 10-mm-diameter self-expanding stent graft and a 5–6-mm-diameter balloon-expandable stent were placed in parallel inside the existing TIPS in 8 patients via a dual unilateral transjugular approach. Changes in portosystemic pressure gradient and HE grade were used as primary end points. Results: TIPS reduction was technically successful in all patients. Mean ± standard deviation portosystemic pressure gradient before and after shunt reduction was 4.9 ± 3.6 mmHg (range, 0–12 mmHg) and 10.5 ± 3.9 mmHg (range, 6–18 mmHg). Duration of follow-up was 137 ± 117.8 days (range, 18–326 days). Clinical improvement of HE occurred in 5 patients (62.5%) with resolution of HE in 4 patients (50%). Single episodes of recurrent gastrointestinal hemorrhage occurred in 3 patients (37.5%). These were self-limiting in 2 cases and successfully managed in 1 case by correction of coagulopathy and blood transfusion. Two of these patients (25%) died, one each of renal failure and hepatorenal failure. Conclusion: The parallel technique of TIPS reduction is reproducible and has a high technical success rate. A dual unilateral transjugular approach is advantageous when performing this procedure. The parallel technique allows repeat bidirectional TIPS adjustment and may be of significant clinical benefit in the management of refractory HE.

451 Case studies Cardiac

African Journals Online (AJOL)

Marinda

Case Studies. 29 ... A case of a 26-year-old ASA I physical status male undergoing septoplasty had an abrupt ... myocardial infarction, severe hypertensive crisis, cerebral .... or no formal management is required in an ASA I patient.8 One.

Bio-reduction of plutonyl and neptunyl by Shewanella alga

International Nuclear Information System (INIS)

Reed, D.T.; Lucchini, J.F; Rittmann, B.E.; Songkasiri, W.

2005-01-01

Full text of publication follows: The results of a concurrent experimental and modeling study to investigate the bio-reduction of higher-valent plutonium and neptunium by Shewanella alga strain BrY are presented. S. Alga, as a facultative metal reducer, is representative of bacteria that will be important in defining the mobility of plutonium and neptunium species as they migrate from oxic to anoxic zones. This is also an important consideration in defining the long-term stability of bio-precipitated 'immobilized' plutonium phases under changing redox conditions in biologically active systems and subsequently the effectiveness of remediation/containment approaches used for bio-remediation. Neptunium (VI) is readily reduced in groundwaters by many organics. In biologically active systems, it is unlikely, for this reason, that this oxidation state of neptunium will be important. Under all conditions investigated, neptunium (V) was reduced to neptunium (IV) when anaerobic conditions were established for a wide variety of electron donors. This was evidences by 3-4 orders of magnitude reduction in solution concentration and confirmed by XANES analysis. This led to high bio-association and/or precipitation of the neptunium. Plutonium (VI), as was the case with neptunium (VI) was reduced by the organics typically present in biologically active systems. Analogous bio-reduction experiments with plutonium (V) and plutonium (VI) are in progress and are expected to show that bio-reduction will predominate under anaerobic conditions, as was the case with neptunium. These results for neptunium and plutonium show S. Alga to be an effective microbe for the bio-reduction, and consequently the immobilization, of these important actinide contaminants. (authors)

Reliability of sickness certificates in detecting potential sick leave reduction by modifying working conditions: a clinical epidemiology study

Directory of Open Access Journals (Sweden)

Johnsen Roar

2004-03-01

Full Text Available Abstract Background Medical sickness certificates are generally the main source for information when scrutinizing the need for aimed intervention strategies to avoid or reduce the individual and community side effects of sick leave. This study explored the value of medical sickness certificates related to daily work in Norwegian National Insurance Offices to identify sick-listed persons, where modified working conditions might reduce the ongoing sick leave. Methods The potential for reducing the ongoing sick leave by modifying working conditions was individually assessed on routine sickness certificates in 999 consecutive sick leave episodes by four Norwegian National Insurance collaborators, two with and two without formal medical competence. The study took place in Northern Norway in 1997 and 1998. Agreement analysed with differences against mean, kappa, and proportional-agreement analysis within and between groups of assessors was used in the judgement. Agreements between the assessors and the self-assessment of sick-listed subjects were additionally analysed in 159 sick-leave episodes. Results Both sick-listed subjects and National Insurance collaborators anticipated a potential reduction in sick leave in 20–30% of cases, and in another 20% the potential was assessed as possible. The chance corrected agreements, however, were poor (k Conclusion Information in medical sickness certificates proved ineffective in detecting cases where modified working conditions may reduce sick leave, and focusing on medical certificates may prevent identification of needed interventions. Strategies on how to communicate directly with sick-listed subjects would enable social authorities to exploit more of the sick leave reduction potential by modifying the working conditions than strategies on improving medical information.

Spontaneous wave packet reduction

International Nuclear Information System (INIS)

Ghirardi, G.C.

1994-06-01

There are taken into account the main conceptual difficulties met by standard quantum mechanics in dealing with physical processes involving macroscopic system. It is stressed how J.A.Wheeler's remarks and lucid analysis have been relevant to pinpoint and to bring to its extreme consequences the puzzling aspects of quantum phenomena. It is shown how the recently proposed models of spontaneous dynamical reduction represent a consistent way to overcome the conceptual difficulties of the standard theory. Obviously, many nontrivial problems remain open, the first and more relevant one being that of generalizing the model theories considered to the relativistic case. This is the challenge of the dynamical reduction program. 43 refs, 2 figs

The kinetics of ulvoespinel reduction - Synthetic study and applications to lunar rocks.

Science.gov (United States)

Mccallister, R. H.; Taylor, L. A.

1973-01-01

The kinetics of Fe2TiO4 reduction to FeTiO3 + Fe were studied using CO-CO2 gas mixtures with fO2 measured by a solid ceramic (calcia-zirconia) oxygen electrolyte cell. Isothermal rate studies at 900 C suggest that the mechanism of Fe2TiO4 reduction is one of nucleation and growth, where the growth stage may be controlled by the diffusion of the reactant through the product layer or volume diffusion. The activation energy for the growth stage of the process was determined to be 46 plus or minus 4 kcal/mole.

Influenza vaccination and risk of stroke: Self-controlled case-series study.

Science.gov (United States)

Asghar, Zahid; Coupland, Carol; Siriwardena, Niroshan

2015-10-05

Stroke may be triggered by respiratory infections, including influenza. Influenza vaccination could therefore reduce risk of stroke. Previous studies of this association have shown conflicting results. We aimed to investigate whether influenza vaccination was associated with reduced risk of stroke. We used a self-controlled case series design. The General Practice Research Database (GPRD) was used to extract records of patients aged 18 years or over recorded with stroke (fatal or non-fatal) from September 2001 to May 2009. Statistical modelling with conditional Poisson regression was employed to compute incidence rate ratios (IRR). The incidence rate of stroke in fixed time periods after influenza vaccination was compared with the incidence rate during a baseline period. There were 17,853 eligible individuals who received one or more influenza vaccinations and experienced a stroke during the observation period. The incidence of stroke was significantly reduced in the first 59 days following influenza vaccination compared with the baseline period. We found reductions of 55% (IRR 0.45; 95% CI 0.36-0.57) in the first 1-3 days after vaccination, 36% (0.64; 0.53-0.76) at 4-7 days, 30% (0.70; 0.61-0.79) at 8-14 days, 24% (0.76; 0.70-0.84) at 15-28 days and 17% (0.83; 0.77-0.89) at 29-59 days after vaccination. Early vaccination between 1 September and 15 November showed a greater reduction in IRR compared to later vaccination given after mid-November. Influenza vaccination is associated with a reduction in incidence of stroke. This study supports previous studies which have shown a beneficial association of influenza vaccination for stroke prevention. Copyright © 2015 Elsevier Ltd. All rights reserved.

Valuation of storage under zonal pricing market structure. Case study: Italy

International Nuclear Information System (INIS)

Oprescu, Bogdan; Quoilin, Sylvain

2016-01-01

The European Commission has proposed to reduce the greenhouse gas emissions to 80-95% below 1990 levels by 2050. Intermediately there is a binding legislation regarding the climate and energy targets for 2020. These targets, known as the ''20-20-20'' targets, set three key objectives for 2020: a 20% reduction in EU greenhouse gas emissions from 1990 levels, raising the share of EU energy consumption produced from renewable resources to 20% and a 20% improvement in the EU's energy efficiency. This policy is to be followed by the actions proposed in a policy framework for climate and energy in the period from 2020 to 2030: a new reduction target for domestic GHG emissions of 40% compared to 1990 for the year 2030, a target at European level for renewable energy of at least 27% for the year 2030 and a proposal for a 30% energy savings target for 2030. The 2020 targets for Italy translate into a 17% share of gross final energy consumption being delivered by Electricity from Renewable Energy Sources (RES-E). Various studies consider the integration of energy storage at the same time as RES-E as a solution to provide more flexibility in the energy system. Even though some studies model the electricity in higher detail, the case of Italy is rarely covered as an individual country. The goal of this paper is to evaluate the impact of adding storage in the Italian power system under different assumptions. The base case is the simplified assumption of a copper plate system where no transmission constraints are considered. This is then compared to the zonal dispatch which considers a simplified grid to underline the importance of locational signals for storage.

Valuation of storage under zonal pricing market structure. Case study: Italy

Energy Technology Data Exchange (ETDEWEB)

Oprescu, Bogdan [CentraleSupelec, Gif-sur-Yvette (France). Joint Research Centre; Quoilin, Sylvain [Liege Univ. (Belgium). Joint Research Centre

2016-07-01

The European Commission has proposed to reduce the greenhouse gas emissions to 80-95% below 1990 levels by 2050. Intermediately there is a binding legislation regarding the climate and energy targets for 2020. These targets, known as the ''20-20-20'' targets, set three key objectives for 2020: a 20% reduction in EU greenhouse gas emissions from 1990 levels, raising the share of EU energy consumption produced from renewable resources to 20% and a 20% improvement in the EU's energy efficiency. This policy is to be followed by the actions proposed in a policy framework for climate and energy in the period from 2020 to 2030: a new reduction target for domestic GHG emissions of 40% compared to 1990 for the year 2030, a target at European level for renewable energy of at least 27% for the year 2030 and a proposal for a 30% energy savings target for 2030. The 2020 targets for Italy translate into a 17% share of gross final energy consumption being delivered by Electricity from Renewable Energy Sources (RES-E). Various studies consider the integration of energy storage at the same time as RES-E as a solution to provide more flexibility in the energy system. Even though some studies model the electricity in higher detail, the case of Italy is rarely covered as an individual country. The goal of this paper is to evaluate the impact of adding storage in the Italian power system under different assumptions. The base case is the simplified assumption of a copper plate system where no transmission constraints are considered. This is then compared to the zonal dispatch which considers a simplified grid to underline the importance of locational signals for storage.

Case management: a randomized controlled study comparing a neighborhood team and a centralized individual model.

Science.gov (United States)

Eggert, G M; Zimmer, J G; Hall, W J; Friedman, B

1991-10-01

This randomized controlled study compared two types of case management for skilled nursing level patients living at home: the centralized individual model and the neighborhood team model. The team model differed from the individual model in that team case managers performed client assessments, care planning, some direct services, and reassessments; they also had much smaller caseloads and were assigned a specific catchment area. While patients in both groups incurred very high estimated health services costs, the average annual cost during 1983-85 for team cases was 13.6 percent less than that of individual model cases. While the team cases were 18.3 percent less expensive among "old" patients (patients who entered the study from the existing ACCESS caseload), they were only 2.7 percent less costly among "new" cases. The lower costs were due to reductions in hospital days and home care. Team cases averaged 26 percent fewer hospital days per year and 17 percent fewer home health aide hours. Nursing home use was 48 percent higher for the team group than for the individual model group. Mortality was almost exactly the same for both groups during the first year (about 30 percent), but was lower for team patients during the second year (11 percent as compared to 16 percent). Probable mechanisms for the observed results are discussed.

Lessons learned from community-based approaches to sodium reduction.

Science.gov (United States)

Kane, Heather; Strazza, Karen; Losby, Jan L; Lane, Rashon; Mugavero, Kristy; Anater, Andrea S; Frost, Corey; Margolis, Marjorie; Hersey, James

2015-01-01

This article describes lessons from a Centers for Disease Control and Prevention initiative encompassing sodium reduction interventions in six communities. A multiple case study design was used. This evaluation examined data from programs implemented in six communities located in New York (Broome County, Schenectady County, and New York City); California (Los Angeles County and Shasta County); and Kansas (Shawnee County). Participants (n = 80) included program staff, program directors, state-level staff, and partners. Measures for this evaluation included challenges, facilitators, and lessons learned from implementing sodium reduction strategies. The project team conducted a document review of program materials and semistructured interviews 12 to 14 months after implementation. The team coded and analyzed data deductively and inductively. Five lessons for implementing community-based sodium reduction approaches emerged: (1) build relationships with partners to understand their concerns, (2) involve individuals knowledgeable about specific venues early, (3) incorporate sodium reduction efforts and messaging into broader nutrition efforts, (4) design the program to reduce sodium gradually to take into account consumer preferences and taste transitions, and (5) identify ways to address the cost of lower-sodium products. The experiences of the six communities may assist practitioners in planning community-based sodium reduction interventions. Addressing sodium reduction using a community-based approach can foster meaningful change in dietary sodium consumption.

A Comparative Study of Uncertainty Reduction Theory in High- and Low-Context Cultures.

Science.gov (United States)

Kim, Myoung-Hye; Yoon, Tae-Jin

To test the cross-cultural validity of uncertainty reduction theory, a study was conducted using students from South Korea and the United States who were chosen to represent high- and low-context cultures respectively. Uncertainty reduction theory is based upon the assumption that the primary concern of strangers upon meeting is one of uncertainty…

Study of the selenite reduction in Rhodobacter sphaeroides f. sp. denitrificans

International Nuclear Information System (INIS)

Bernier-Pierru, B.

2006-05-01

Selenium is an essential element for all living organisms at the low level; however it becomes toxic and mutagenic at higher concentrations. The predominant forms of selenium in natural environments are selenate and selenite which are toxic. Bacteria can use several mechanisms of detoxification such as methylation in volatile compounds or reduction in elemental selenium. In this way, our model, Rhodobacter sphaeroides f. sp. denitrificans, is able to reduce selenite into selenium. We have combined biochemical and molecular approaches to better characterize the mechanism and protagonists of this reduction. After studying the physiological response of the bacterium in the presence of selenite, we screened a transposon library in order to isolate mutants with a weakened reduction ability. Two of these selected mutants are affected in genes involved in the molybdenum cofactor synthesis, moaA and mogA. Several reductases, the molybdo enzymes, required this cofactor. Furthermore the addition of tungsten, a competitor for the molybdenum, in the culture medium, dramatically reduces the rate of selenite reduction. These results strongly suggest that a molybdo enzyme is involved in one of the selenite reduction pathways. The potential role of different proteins has been investigated, especially for the nitrate reductase, the DMSO reductase and the biotin sulfoxide reductase. We have also selected a mutant affected in the smoM gene which encodes a peri-plasmic component of a TRAP transporter. The phenotype of this mutant suggests the involvement of this transporter in the selenite import. (author)

CASE STUDY

African Journals Online (AJOL)

2011-06-02

Jun 2, 2011 ... immunosuppression associated with HIV/AIDS puts them at a higher risk of developing oesophageal cancer. 47. CASE STUDY. A 49-year-old man was diagnosed as HIV infected, with a CD4 count of 60 cells/µl. He was started on an antiretroviral treatment regimen comprising zidovudine, lamivudine and ...

Casing study

Energy Technology Data Exchange (ETDEWEB)

Roche, P.

2000-12-01

An unorthodox method of casing drilling used by Tesco Corporation at a gas well in Wyoming to drill deeper using casings as drillpipe is discussed. The process involves either rotating the casing as drill string or using a downhole mud motor to rotate the bit. In this instance, the surface hole and the production hole were casing-drilled to a record 8,312 feet by rotating the casing. The 8 1/2-inch surface hole was drilled with 7-inch casing to 1,200 feet using a Tesco underreamer and a polycrystalline pilot bit; drilling and cementing was completed in 12 1/2 hours. The 6 1/4-inch production hole was drilled with 4 1/2-inch casing and the bottomhole assembly was retrieved after 191 hours rotating. This case was the first in which the entire well was casing-drilled from surface to TD. Penetration rate compared favorably with conventional methods: 12 1/2 hours for casing-drilling to 18.9 hours for conventional drilling, despite the fact that the casing-drilling technology is still in its infancy. It is suggested that casing-drilling has the potential to eliminate the need for the drillpipe entirely. If these expectations were to be realised, casing-drilling could be one of the most radical drilling changes in the history of the oil and gas industry. 1 photo.

Buffer Size Design in Pharmaceutical Packaging Lines: an Analytical Methodology Proposal and Case Study

Directory of Open Access Journals (Sweden)

Miriam Benedetti

2014-11-01

increasing overall equipment effectiveness (OEE of production lines (activities that had previously been somewhat neglected in the pharmaceutical sector. In this paper, the paradigm of buffer design for availability (BDFA - an approach developed to conciliate these apparently conflicting strategies to achieve performance improvement and cost reduction - is briefly recalled and discussed, being contextualized in the state-of-the-art of buffer design research. Its valuable practical applicability and effectiveness is then demonstrated by the means of a real case study application, and future developments are eventually presented.

Predicted national productivity implications of calorie and sodium reductions in the American diet.

Science.gov (United States)

Dall, Timothy M; Fulgoni, Victor L; Zhang, Yiduo; Reimers, Kristin J; Packard, Patricia T; Astwood, James D

2009-01-01

To model the potential long-term national productivity benefits from reduced daily intake of calories and sodium. Simulation based on secondary data analysis; quantitative research. Measures include absenteeism, presenteeism, disability, and premature mortality under various hypothetical dietary changes. United States. Two hundred twenty-five million adults. Findings come from a Nutrition Impact Model that combines information from national surveys, peer-reviewed studies, and government reports. We compare current estimates of national productivity loss associated with overweight, obesity, and hypertension to estimates for hypothetical scenarios in which national prevalence of these risk factors is lower. Using the simulation model, we illustrate how modest dietary change can achieve lower national prevalence of excess weight and hypertension. We estimate that permanent 100-kcal reductions in daily intake among the overweight/obese would eliminate approximately 71.2 million cases of overweight/obesity. In the long term, this could increase national productivity by $45.7 billion annually. Long-term sodium reductions of 400 mg in those with uncontrolled hypertension would eliminate about 1.5 million cases, potentially increasing productivity by $2.5 billion annually. More aggressive diet changes of 500 kcal and 1100 mg of sodium reductions yield potential productivity benefits of $133.3 and $5.8 billion, respectively. The potential long-term benefit of reduced calories and sodium, combining medical cost savings with productivity increases, ranges from $108.5 billion for moderate reductions to $255.6 billion for aggressive reductions. These findings help inform public health policy and the business case for improving diet. (AmJ Health Promot 2009;23[6]:423-430.)

Experimental Studies on the Physics and Technology of Polymer Drag-Reduction

National Research Council Canada - National Science Library

Hanratty, Thomas

2004-01-01

.... Rheo-optical studies in a Couette device showed that effective polymer solutions develop turbidity over a range of shear rates characteristic of those used in the flow loop. This study shows that the drag reduction can be enhanced by using mixing and delivery procedures which enhance the formation aggregates.

The Effect of Carbonaceous Reductant Selection on Chromite Pre-reduction

Science.gov (United States)

Kleynhans, E. L. J.; Beukes, J. P.; Van Zyl, P. G.; Bunt, J. R.; Nkosi, N. S. B.; Venter, M.

2017-04-01

Ferrochrome (FeCr) production is an energy-intensive process. Currently, the pelletized chromite pre-reduction process, also referred to as solid-state reduction of chromite, is most likely the FeCr production process with the lowest specific electricity consumption, i.e., MWh/t FeCr produced. In this study, the effects of carbonaceous reductant selection on chromite pre-reduction and cured pellet strength were investigated. Multiple linear regression analysis was employed to evaluate the effect of reductant characteristics on the aforementioned two parameters. This yielded mathematical solutions that can be used by FeCr producers to select reductants more optimally in future. Additionally, the results indicated that hydrogen (H)- (24 pct) and volatile content (45.8 pct) were the most significant contributors for predicting variance in pre-reduction and compressive strength, respectively. The role of H within this context is postulated to be linked to the ability of a reductant to release H that can induce reduction. Therefore, contrary to the current operational selection criteria, the authors believe that thermally untreated reductants ( e.g., anthracite, as opposed to coke or char), with volatile contents close to the currently applied specification (to ensure pellet strength), would be optimal, since it would maximize H content that would enhance pre-reduction.

MRI case studies

International Nuclear Information System (INIS)

Huggett, S.; Barber, J.

1989-01-01

Three case studies are presented to show the value of magnetic resonance imaging used in conjunction with other imaging techniques. In each case MRI proved a vital diagnostic tool and superior to CT in showing firstly the haematoma in a patient with aphasia and right-sided weakness, secondly the size of the disc herniation in a patient with severe leg and ankle pains and thirdly the existence of a metastatic lesion in a patient with a previous history of breast cancer. 11 figs

Silicene catalyzed reduction of nitrobenzene to aniline: A mechanistic study

Science.gov (United States)

Morrissey, Christopher; He, Haiying

2018-03-01

The reduction of nitrobenzene to aniline has broad applications in chemical and pharmaceutical industries. The high reaction temperatures and pressures and unavoidable hazardous chemicals of current metal catalysts call for more environmentally friendly non-metal catalysts. In this study, the plausibility of silicene as a potential catalyst for nitrobenzene reduction is investigated with a focus on the distinct reaction mechanism based on the density functional theory. The direct reaction pathway was shown to be distinctly different from the Haber mechanism following PhNO2∗ → PhNO∗ → PhNHO∗ → PhNH2O∗ → PhNH2∗. The hydroxyl groups remain bound to silicene after aniline is formed and acquire a high activation barrier to remove.

IMPLEMENTATION OF LEAN MANUFACTURING IN FISH CANNING COMPANY: A CASE STUDY OF A CANNED SARDINES PRODUCTION COMPANY IN MOROCCO

Directory of Open Access Journals (Sweden)

I. Idrıssi

2015-12-01

Full Text Available Lean is a powerful tool, which can bring significant benefit to manufacturing industries by creating value through reduction of waste. Although the lean concept has become very popular in mass production industries such as the automotive industry, more recently the concept has been adopted in different batch processing industries and service sectors. The application of lean tools into the food processing industry has not received the same level of attention compared to the traditional manufacturing industries. The paper discusses how the lean concept could be applied to a fish manufacturing company. The paper first presents the lean concept tools. The empirical section discusses how a case company, operating as a contract manufacturer in the food industry, has applied the lean production concept and tools. In the case study, three analysis tools are examined and the structures of demand chains of different customers are presented. The delivery times will decrease and more flexibility will be needed from the contract manufacturer. The case study shows that much movement is possible toward the lean supply chain and partnership-based cooperation. By implementing the lean concept, food companies can increase customer value through cost reduction or through provision of additional value-enhanced services.

Roasting of sulphide using carbothermal reduction

OpenAIRE

Orozco, Ivana Marcela; Bazan, Vanesa Lucia; Diaz, Andrea Alejandra; Lara, Rodolfo Francisco

2016-01-01

The carbothermic reduction process is a direct reduction of sulfides. It allows a roasting in which higher concentrations of metals such as molybdenum are obtained by using both a reducing agent (in this case, carbon C) and a sulfur scavenger, such as CaO so as to prevent air toxic gases pollution such as SO2. In this paper, we analyze sulfur concentrates rich in copper, iron, and molybdenum that are obtained through rougher flotation and differential floats, which give rise to different laws...

A study on "mobbing" in maritime field: a case study in the Turkish maritime industry.

Science.gov (United States)

Kum, Serdar; Ertas, Yildiray

2016-01-01

Nowadays, there are many reasons for people to be stressful and restless in their working environments. One of the reasons leading to this situation is known as "mobbing". The term "mobbing" means "bullying of an individual by a group". It usually happens among employees. The main effects of mobbing are the generation of stress and reduction of employee performance at work. In general, research shows that mobbing is particularly common in the public sector. The aim of this research is to understand the frequency of mobbing on employees in the Turkish maritime industry as a case study. In this study, a questionnaire survey on ship, shipyard, public and private company workers was applied to understand how often employees are exposed to mobbing. After analysing the results, it is also aimed to obtain information about the reasons and causes of mobbing, and then we can get some advice for this issue.

[Should surgeons keep performing drainage after breast reduction?

Science.gov (United States)

Vidali, N; Chevet-Noel, A; Ringenbach, P; Andreoletti, J B

2018-04-09

Despite the absence of "evidence-based medicine", the use of closed suction drainage in breast surgery is currently the standard practice. Its goal is to minimize the amount of fluid at the operation site, the dead space that can involve postoperative complications. The purpose of this study is to demonstrate that with or without drainage the complication rate is unchanged. We conducted a retrospective and comparative study of two groups of breast reduction with and without drainage. Every complication has been recorded and statistically analyzed: seroma and hematoma, infections, wound breakdown, skin flap or nipple-areola complex necrosis, fat necrosis and reoperation. A total of 138 breast reductions were performed (37 drained patients and 32 non-drained). Data collection of complications was done on average 10months after the operation (1-15). There was no statistical difference between the two groups regarding the complication rate. Our results confirm the ones found in the literature. Except for specific cases (e.g. gigantomasty), this study demonstrates that after breast reduction, drainage is not appropriate. Drains do not reduce postoperative complications and can increase hospitalization length of stay (inducing higher costs). Furthermore, it is often source of pain, anxiety and discomfort for patients. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Deep Energy Retrofit Performance Metric Comparison: Eight California Case Studies

Energy Technology Data Exchange (ETDEWEB)

Walker, Iain [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Fisher, Jeremy [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Less, Brennan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2014-06-01

In this paper we will present the results of monitored annual energy use data from eight residential Deep Energy Retrofit (DER) case studies using a variety of performance metrics. For each home, the details of the retrofits were analyzed, diagnostic tests to characterize the home were performed and the homes were monitored for total and individual end-use energy consumption for approximately one year. Annual performance in site and source energy, as well as carbon dioxide equivalent (CO₂e) emissions were determined on a per house, per person and per square foot basis to examine the sensitivity to these different metrics. All eight DERs showed consistent success in achieving substantial site energy and CO₂e reductions, but some projects achieved very little, if any source energy reduction. This problem emerged in those homes that switched from natural gas to electricity for heating and hot water, resulting in energy consumption dominated by electricity use. This demonstrates the crucial importance of selecting an appropriate metric to be used in guiding retrofit decisions. Also, due to the dynamic nature of DERs, with changes in occupancy, size, layout, and comfort, several performance metrics might be necessary to understand a project’s success.

Orthopaedic resident preparedness for closed reduction and pinning of pediatric supracondylar fractures is improved by e-learning: a multisite randomized controlled study.

Science.gov (United States)

Hearty, Thomas; Maizels, Max; Pring, Maya; Mazur, John; Liu, Raymond; Sarwark, John; Janicki, Joseph

2013-09-04

There is a need to provide more efficient surgical training methods for orthopaedic residents. E-learning could possibly increase resident surgical preparedness, confidence, and comfort for surgery. Using closed reduction and pinning of pediatric supracondylar humeral fractures as the index case, we hypothesized that e-learning could increase resident knowledge acquisition for case preparation in the operating room. An e-learning surgical training module was created on the Computer Enhanced Visual Learning platform. The module provides a detailed and focused road map of the procedure utilizing a multimedia format. A multisite prospective randomized controlled study design compared residents who used a textbook for case preparation (control group) with residents who used the same textbook plus completed the e-learning module (test group). All subjects completed a sixty-question test on the theory and methods of the case. After completion of the test, the control group then completed the module as well. All subjects were surveyed on their opinion regarding the effectiveness of the module after performing an actual surgical case. Twenty-eight subjects with no previous experience in this surgery were enrolled at four academic centers. Subjects were randomized into two equal groups. The test group scored significantly better (p < 0.001) and demonstrated competence on the test compared with the control group; the mean correct test score (and standard deviation) was 90.9% ± 6.8% for the test group and 73.5% ± 6.4% for the control group. All residents surveyed (n = 27) agreed that the module is a useful supplement to traditional methods for case preparation and twenty-two of twenty-seven residents agreed that it reduced their anxiety during the case and improved their attention to surgical detail. E-learning using the Computer Enhanced Visual Learning platform significantly improved preparedness, confidence, and comfort with percutaneous closed reduction and pinning of a

Reduction of central neuropathic pain with ketamine infusion in a patient with Ehlers-Danlos syndrome: a case report.

Science.gov (United States)

Lo, Tony Chung Tung; Yeung, Stephen Tung; Lee, Sujin; Skavinski, Kira; Liao, Solomon

2016-01-01

Ehlers-Danlos syndrome frequently causes acute and chronic pain because of joint subluxations and dislocations secondary to hypermobility. Current treatments for pain related to Ehlers-Danlos syndrome and central pain syndrome are inadequate. This case report discusses the therapeutic use of ketamine intravenous infusion as an alternative. A 27-year-old Caucasian female with a history of Ehlers-Danlos syndrome and spinal cord ischemic myelopathy resulting in central pain syndrome, presented with severe generalized body pain refractory to multiple pharmacological interventions. After a 7-day course of ketamine intravenous infusion under controlled generalized sedation in the intensive care unit, the patient reported a dramatic reduction in pain levels from 7-8 out of 10 to 0-3 out of 10 on a numeric rating scale and had a significant functional improvement. The patient tolerated a reduction in her pain medication regimen, which originally included opioids, gabapentin, pregabalin, tricyclic antidepressants, and nonsteroidal anti-inflammatory drugs. Ketamine infusion treatment has been used in various pain syndromes, including central neuropathic pain, ischemic pain, and regional pain syndrome. Reports have suggested that ketamine modulates pain by the regression of N-methyl-D-aspartate receptor to a resting state. As such, propagation of nociceptive signal to brain is interrupted allowing for the restoration of physiological balance between pain inhibition and facilitation. The present report shows that this treatment option can be used in patients with refractory central pain syndrome in the setting of spinal cord myelopathy secondary to Ehlers-Danlos syndrome. In addition, as seen in this case, this protocol can potentially decrease the chronic use of pain medication, such as opioids.

Qualitative Case Study Guidelines

Science.gov (United States)

2013-11-01

Introduction to Sociological Methods. 2nd ed. New York, McGraw-Hill 14. Denzin , N. K. and Lincoln , Y. S. (2011) The SAGE Handbook of Qualitative...The Art of Science. In: Denzin , N. K. and Lincoln , Y. S. (eds.) Handbook of Qualitative Research. Thousand Oaks, Sage 19. GAO (1990) Case Study...Rinehart & Winston 39. Stake, R. E. (1994) Case Studies. In: Denzin , N. K. and Lincoln , Y. S. (eds.) Handbook of Qualitative Research. Thousand Oaks, Sage

XPS study of graphene oxide reduction induced by (100) and (111)-oriented Si substrates

Science.gov (United States)

Priante, F.; Salim, M.; Ottaviano, L.; Perrozzi, F.

2018-02-01

The reduction of graphene oxide (GO) has been extensively studied in literature in order to let GO partially recover the properties of graphene. Most of the techniques proposed to reduce GO are based on high temperature annealing or chemical reduction. A new procedure, based on the direct reduction of GO by etched Si substrate, was recently proposed in literature. In the present work, we accurately investigated the Si-GO interaction with x-ray photoelectron spectroscopy. In order to avoid external substrate oxidation factors we used EtOH as the GO solvent instead of water, and thermal annealing was carried out in UHV. We investigated the effect of Si(100), Si(111) and Au substrates on GO, to probe the role played by both the substrate composition and substrate orientation during the reduction process. A similar degree of GO reduction was observed for all samples but only after thermal annealing, ruling out the direct reduction effect of the substrate.

Thermodynamic and kinetic modelling of the reduction of concentrated nitric acid

International Nuclear Information System (INIS)

Sicsic, David

2011-01-01

This research thesis aimed at determining and quantifying the different stages of the reduction mechanism in the case of concentrated nitric acid. After having reported the results of a bibliographical study on the chemical and electrochemical behaviour of concentrated nitric media (generalities, chemical equilibriums, NOx reactivity, electrochemical reduction of nitric acid), the author reports the development and discusses the results of a thermodynamic simulation of a nitric environment at 25 C. This allowed the main species to be identified in the liquid and gaseous phases of nitric acid solutions. The author reports an experimental electrochemical investigation coupled with analytic techniques (infrared and UV-visible spectroscopy) and shows that the reduction process depends on the cathodic overvoltage, and identifies three potential areas. A kinetic modelling of the stationary state and of the impedance is then developed in order to better determine, discuss and quantify the reduction process. The application of this kinetic model to the preliminary results of an electrochemical study performed on 304 L steel is then discussed [fr

Ultrasound-guided hydrostatic reduction of intussusception with saline: Safe and effective.

Science.gov (United States)

Karadağ, Çetin Ali; Abbasoğlu, Latif; Sever, Nihat; Kalyoncu, Meltem Kaba; Yıldız, Abdullah; Akın, Melih; Candan, Mustafa; Dokucu, Ali İhsan

2015-09-01

The study was undertaken to assess the efficacy of ultrasound-guided saline enema in reducing intussusception and to determine the role of age and duration of symptoms on this event. The case records of patients who were treated for intussusception at our institutions over the past 10 years were retrospectively analyzed. A total of 419 patients were treated for intussusception and 375 of them were included into the study. Patients were excluded if they had symptoms and signs of acute abdominal disease and required surgery as an initial treatment. Hydrostatic reduction was successful in 313 of the 375 patients (83.46%). The procedure-related complication rate was nil. There were 29 episodes of recurrences in 23 patients, and recurrence rates did not differ between patients who responded to hydrostatic reduction and those who required surgery. Younger age [median (range); 11 months (3-108 months) vs. 20 months (1-180 months); phydrostatic reduction. Ultrasound-guided hydrostatic reduction is an easy, safe and effective method for the treatment of intussusception in the absence of acute abdominal findings. Copyright © 2015 Elsevier Inc. All rights reserved.

A Case Study Based Analysis of Performance Metrics for Green Infrastructure

Science.gov (United States)

Gordon, B. L.; Ajami, N.; Quesnel, K.

2017-12-01

Aging infrastructure, population growth, and urbanization are demanding new approaches to management of all components of the urban water cycle, including stormwater. Traditionally, urban stormwater infrastructure was designed to capture and convey rainfall-induced runoff out of a city through a network of curbs, gutters, drains, and pipes, also known as grey infrastructure. These systems were planned with a single-purpose and designed under the assumption of hydrologic stationarity, a notion that no longer holds true in the face of a changing climate. One solution gaining momentum around the world is green infrastructure (GI). Beyond stormwater quality improvement and quantity reduction (or technical benefits), GI solutions offer many environmental, economic, and social benefits. Yet many practical barriers have prevented the widespread adoption of these systems worldwide. At the center of these challenges is the inability of stakeholders to know how to monitor, measure, and assess the multi-sector performance of GI systems. Traditional grey infrastructure projects require different monitoring strategies than natural systems; there are no overarching policies on how to best design GI monitoring and evaluation systems and measure performance. Previous studies have attempted to quantify the performance of GI, mostly using one evaluation method on a specific case study. We use a case study approach to address these knowledge gaps and develop a conceptual model of how to evaluate the performance of GI through the lens of financing. First, we examined many different case studies of successfully implemented GI around the world. Then we narrowed in on 10 exemplary case studies. For each case studies, we determined what performance method the project developer used such as LCA, TBL, Low Impact Design Assessment (LIDA) and others. Then, we determined which performance metrics were used to determine success and what data was needed to calculate those metrics. Finally, we

Dose reduction strategies for cardiac CT

International Nuclear Information System (INIS)

Midgley, S.M.; Einsiedel, P.; Langenberg, F.; Lui, E.

2010-01-01

Full text: Recent advances in CT technology have produced brighter X-ray sources. gantries capable of increased rotation speeds, faster scintil lation materials arranged into multiple rows of detectors, and associated advances in 3D reconstruction methods. These innovations have allowed multi-detector CT to be turned to the diagnosis of cardiac abnormalities and compliment traditional imaging techniques such as coronary angiography. This study examines the cardiac imaging solution offered by the Siemens Somatom Definition Dual Source 64 slice CT scanner. Our dose reduction strategies involve optimising the data acquisition protocols according to diagnostic task, patient size and heart rate. The relationship between scan parameters, image quality and patient dose is examined and verified against measurements with phantoms representing the standard size patient. The dose reduction strategies are reviewed with reference to survey results of patient dose. Some cases allow the insertion of shielding to protect radiosensitive organs, and results are presented to quantify the dose saving.

Carbon Reduction Measures-Based LCA of Prefabricated Temporary Housing with Renewable Energy Systems

Directory of Open Access Journals (Sweden)

Ling Dong

2018-03-01

Full Text Available Temporary housing plays an important role in providing secure, hygienic, private, and comfortable shelter in the aftermath of disaster (such as flood, fire, earthquake, etc.. Additionally, temporary housing can also be used as a sustainable form of on-site residences for construction workers. While most of the building components used in temporary housing can be manufactured in a plant, prefabrication technology improves the production efficiency of temporary housing; furthermore, integrated renewable energy systems, for example, solar photovoltaic (PV system, offer benefits for temporary housing operations. In order to assess the environmental impacts of prefabricated temporary housing equipped with renewable energy systems, this study first divides the life cycle of temporary housing into six stages, and then establishes a life cycle assessment (LCA model for each stage. Furthermore, with the aim of reducing the environmental impacts, life cycle carbon reduction measures are proposed for each stage of temporary housing. The proposed methodology is demonstrated using a case study in China. Based on the proposed carbon reduction measures, the LCA of a prefabricated temporary housing case study building equipped with renewable energy systems indicates a carbon emissions intensity of 35.7 kg/m2·per year, as well as a reduction in material embodied emissions of 18%, assembly emissions of 17.5%, and operational emissions of 91.5%. This research proposes a carbon reduction-driven LCA of temporary housing and contributes to promoting sustainable development of prefabricated temporary housing equipped with renewable energy systems.

An interdisciplinary approach to volcanic risk reduction under conditions of uncertainty: a case study of Tristan da Cunha

Science.gov (United States)

Hicks, A.; Barclay, J.; Simmons, P.; Loughlin, S.

2013-12-01

This research project adopted an interdisciplinary approach to volcanic risk reduction on the remote volcanic island of Tristan da Cunha (South Atlantic). New data were produced that: (1) established no spatio-temporal pattern to recent volcanic activity; (2) quantified the high degree of scientific uncertainty around future eruptive scenarios; (3) analysed the physical vulnerability of the community as a consequence of their geographical isolation and exposure to volcanic hazards; (4) evaluated social and cultural influences on vulnerability and resilience. Despite their isolation and prolonged periods of hardship, islanders have demonstrated an ability to cope with and recover from adverse events. This resilience is likely a function of remoteness, strong kinship ties, bonding social capital, and persistence of shared values and principles established at community inception. While there is good knowledge of the styles of volcanic activity on Tristan, given the high degree of scientific uncertainty about the timing, size and location of future volcanism, a qualitative scenario planning approach was used as a vehicle to convey this information to the islanders. This deliberative, anticipatory method allowed on-island decision makers to take ownership of risk identification, management and capacity building within their community. This paper demonstrates the value of integrating social and physical sciences with development of effective, tailored communication strategies in volcanic risk reduction.

[Leeches, phytotherapy and physiotherapy in osteo-arthrosis of the knee--a geriatric case study].

Science.gov (United States)

Teut, Michael; Warning, Albrecht

2008-10-01

Chronic pain is a serious problem for geriatric patients. Conventional pharmacotherapy with nonsteroidal anti-inflammatory drugs or opiates is often accompanied by serious side effects. An 87-year-old woman with severe joint pain due to osteoarthritis of the knee presented with side effects from fentanyl therapy. She was subsequently treated in an inpatient setting with leeches, phytotherapy, physiotherapy and three single doses of metamizol. Prospective single-case study. Pain reduction was assessed with a numeric rating scale (0-10; 0 = minimum; 10 = maximum), mobility by walking distance, and activities of daily living by Barthel index. The association between complementary therapy and the changes observed in the patient under treatment were evaluated using cognition-based medicine. Under complementary therapy, the patient experienced a clear reduction in pain (from 8 to 3 points on the numeric rating scale); regained the ability to walk (increase in walking distance from 0 to 70 m); and showed improvements in activities of daily living (increase in Barthel index from 45 to 65). An association between pain reduction and the complementary treatment setting seems likely. The role of complementary pain therapy in geriatric patients should be evaluated systematically. 2008 S. Karger AG, Basel

Case Study: The Chemistry of Cocaine

Science.gov (United States)

Dewprashad, Brahmadeo

2011-01-01

This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's case study focuses on the chemistry of cocaine to teach a number of core concepts in organic chemistry. It also requires that students read and analyze an original research paper on…

Synaptic dysbindin-1 reductions in schizophrenia occur in an isoform-specific manner indicating their subsynaptic location.

Directory of Open Access Journals (Sweden)

Konrad Talbot

Full Text Available BACKGROUND: An increasing number of studies report associations between variation in DTNBP1, a top candidate gene in schizophrenia, and both the clinical symptoms of the disorder and its cognitive deficits. DTNBP1 encodes dysbindin-1, reduced levels of which have been found in synaptic fields of schizophrenia cases. This study determined whether such synaptic reductions are isoform-specific. METHODOLOGY/PRINCIPAL FINDINGS: Using Western blotting of tissue fractions, we first determined the synaptic localization of the three major dysbindin-1 isoforms (A, B, and C. All three were concentrated in synaptosomes of multiple brain areas, including auditory association cortices in the posterior half of the superior temporal gyrus (pSTG and the hippocampal formation (HF. Tests on the subsynaptic tissue fractions revealed that each isoform is predominantly, if not exclusively, associated with synaptic vesicles (dysbindin-1B or with postsynaptic densities (dysbindin-1A and -1C. Using Western blotting on pSTG (n = 15 and HF (n = 15 synaptosomal fractions from schizophrenia cases and their matched controls, we discovered that synaptic dysbindin-1 is reduced in an isoform-specific manner in schizophrenia without changes in levels of synaptophysin or PSD-95. In pSTG, about 92% of the schizophrenia cases displayed synaptic dysbindin-1A reductions averaging 48% (p = 0.0007 without alterations in other dysbindin-1 isoforms. In the HF, by contrast, schizophrenia cases displayed normal levels of synaptic dysbindin-1A, but 67% showed synaptic reductions in dysbindin-1B averaging 33% (p = 0.0256, while 80% showed synaptic reductions in dysbindin-1C averaging 35% (p = 0.0171. CONCLUSIONS/SIGNIFICANCE: Given the distinctive subsynaptic localization of dysbindin-1A, -1B, and -1C across brain regions, the observed pSTG reductions in dysbindin-1A are postsynaptic and may promote dendritic spine loss with consequent disruption of auditory information

The role of radionuclide studies in emergency cases

International Nuclear Information System (INIS)

Nishimura, Tsunehiko; Hayashida, Kohei; Uehara, Toshiisa

1982-01-01

Radionuclide studies have been performed popularly because of its noninvasive and simple method recently. In this study, we applied this technique for the evaluation of emergency cases in cardiovascular diseases. There were 93 cases (1.5%) out of 6163 cases, done during 1981. The subjects were 34 cases of cardiac studies (9 cases of sup(99m)Tc-PYP myocardial imaging, 12 cases of thallium myocardial imaging, 13 cases of cardioangiography), 23 cases of peripheral diseases (12 cases of peripheral angiography, 11 cases of venography), 16 cases of pulmonary imaging, 10 cases of renal studies (6 cases of renal angiography, 9 cases of renal imaging) and 5 cases of brain angiography. These studies were proven to be useful clinically for the evaluation of emergency cases and follow-up studies. In the near future, ''emergency radionuclide studies'' would be benefit for the high-risk patients noninvasively. (author)

Municipal climate change policies. A case study for Amsterdam

International Nuclear Information System (INIS)

Schol, E.; Van den Bosch, A.; Ligthart, F.A.T.M.; Roemer, J.C.; Ruijg, G.J.; Schaeffer, G.J.; Dinkelman, G.H.; Kok, I.C.; De Paauw, K.F.B.

1999-01-01

Insight in the local policy options with respect to climate change is provided, in this case within the sphere of influence of Amsterdam local authorities. A list of new policy options for CO 2 reduction has been made with the assistance of local policy makers and representatives of interest groups. These policy options have been divided into three qualitative scenarios: Institutional Cultural Change, Technological Innovation and Least-Regrets. The environmental, economic and other effects have been described for each policy option. The three most interesting policy options have been selected by local policymakers and representatives of interest groups during a workshop. Implementation strategies have been developed for the options selected. These strategies have been discussed during a second workshop. The reduction target, stabilisation of CO 2 emissions in 2015 compared to 1993, can be reached by a combination of all the new policy options. The three selected policy options count for 40% of this total CO 2 emission reduction. Finally, a general outline on the methodology can also be applied to other cities and municipalities. For example, this methodology can be used by participants of Cities for Climate Protection, an initiative of the International Council for Local Environmental Initiatives, or the Netherlands Climate Association. 136 refs

Reduction of radiation exposure and image quality using dose reduction tool on computed tomography fluoroscopy

International Nuclear Information System (INIS)

Sakabe, Daisuke; Tochihara, Syuichi; Ono, Michiaki; Tokuda, Masaki; Kai, Noriyuki; Nakato, Kengo; Hashida, Masahiro; Funama, Yoshinori; Murazaki, Hiroo

2012-01-01

The purpose of our study was to measure the reduction rate of radiation dose and variability of image noise using the angular beam modulation (ABM) on computed tomography (CT) fluoroscopy. The Alderson-Rando phantom and the homemade phantom were used in our study. These phantoms were scanned at on-center and off-center positions at -12 cm along y-axis with and without ABM technique. Regarding the technique, the x-ray tube is turned off in a 100-degree angle sector at the center of 12 o'clock, 10 o'clock, and 2 o'clock positions during CT fluoroscopy. CT fluoroscopic images were obtained with tube voltages, 120 kV; tube current-time product per reconstructed image, 30 mAs; rotation time, 0.5 s/rot; slice thickness, 4.8 mm; and reconstruction kernel B30s in each scanning. After CT scanning, radiation exposure and image noise were measured and the image artifacts were evaluated with and without the technique. The reduction rate for radiation exposure was 75-80% with and without the technique at on-center position regardless of each angle position. In the case of the off-center position at -12 cm, the reduction rate was 50% with and without the technique. In contrast, image noise remained constant with and without the technique. Visual inspection for image artifacts almost have the same scores with and without the technique and no statistical significance was found in both techniques (p>0.05). ABM is an appropriate tool for reducing radiation exposure and maintaining image-noise and artifacts during CT fluoroscopy. (author)

Traumatic Floating 1st Metacarpal in a 14-Year-Old Boy Managed by Close Reduction and Thumb Spica Immobilization: A Rare Case Report.

Science.gov (United States)

Tyagi, Himanshu Ravindra; Kamat, Nandan; Wajekar, Sagar; Mandalia, Saumil H

2014-01-01

Double dislocation of thumb metacarpal (MC) is a rare injury which may be secondarily complicated by growth plate injury in children. The management of floating 1st MC is also controversial since the treatment ranges from simple reduction to complex reconstruction surgeries. It is also important to understand the long-term results of different management strategies (close reduction, K-wire fixation, ligament reconstruction) as any residual stiffness or instability of thumb may result in severe disability of the hand. A 14-year-old boy with an alleged history of injury to the thumb due to a fall. The postulated mechanism of injury was forced hyperextension of thumb and axial loading of hand in the prone position. On examination, there was prominent bony swelling over the dorsal aspect of carpometacarpal (CMC) and metacarpophalangeal (MCP) joints which was very tender with diffuse swelling over entire thumb. X-ray showed dorsal dislocation of both MCP and CMC joints, without any fracture (bony avulsion) or volar plate avulsion. Treatment was by way of closed reduction performed by axial traction followed by forced flexion at MCP joint with continuous pressure over the dorsal aspect of the joint. The reduction of CMC joint was done by direct pressure over the dorsal aspect and full abduction of thumb. Following reduction, the thumb was immobilized in a thumb spica. Thus, we conclude it is possible to manage a case of floating 1st MC by closed reduction and immobilization, using proper reduction technique. However, a careful clinical and radiological assessment should be done beforehand for signs of bony injury or ligamentous instability.

eCompetence Case Studies

DEFF Research Database (Denmark)

Jensen, Helle Bækkelund

2006-01-01

In this paper we present some details of the processes undertaken in the European eCompetence Initiative. We present two illustrative and representative case studies. The research aims to identify and understand patterns of individual and organisational eCompetence approaches.......In this paper we present some details of the processes undertaken in the European eCompetence Initiative. We present two illustrative and representative case studies. The research aims to identify and understand patterns of individual and organisational eCompetence approaches....

Reduction of the Areolar Diameter After Ultrasound-Assisted Liposuction for Gynecomastia.

Science.gov (United States)

Keskin, Mustafa; Sutcu, Mustafa; Hanci, Mustafa; Cigsar, Bulent

2017-08-01

One of the clinical aspects characterizing gynecomastia is the enlargement of the nipple-areolar complex (NAC) due to hypertrophic breast glands, and the excessive fatty tissue underneath. The purpose of this study was to quantify the reduction of the areolar diameter after ultrasound-assisted liposuction (UAL) of the male breast. The horizontal diameters of the NACs of 30 men who underwent UAL were measured before surgery, 1 month after surgery and 6 months after surgery in a standard fashion. Those patients with surgical gland removals of any kind were not included in this study. The mean age of the patients was 27.9 years, and all of the patients had bilateral grade I, II, or III gynecomastia. The mean diameter of the NACs before surgery was 35.36 mm (range, 26-55 mm), and after surgery, the mean diameter of the NACs was initially reduced to 28.8 mm (range, 23-44 mm) and later to 28.57 mm (range, 23-42 mm). The mean volume of breast tissue aspirated was 382 mL per breast, and the percentage of reduction was 17.3%. The reduction of areola diameter was statistically significant after first month. A significant positive correlation was identified between the liposuction volume and areolar diameter reduction. In cases of gynecomastia, the removal of the glandular and fatty tissue underneath the areola releases the expanding forces and pressure that enlarge it. In many cases of gynecomastia, UAL alone is effective in reducing the size of the NAC and allows the surgeon to avoid placing scars on the breast.

Case Study Methodology and Homelessness Research

Directory of Open Access Journals (Sweden)

Jill Pable

2013-10-01

Full Text Available This paper describes the potential suitability of case study methodology for inquiry with the homeless population. It references a research study that uses case study research method to build theory. This study's topic is the lived experience of destitute individuals who reside in homeless shelters, and explores the homeless shelter built environment's potential influence on resident satisfaction and recovery. Case study methodology may be appropriate because it explores real-life contextual issues that characterize homelessness and can also accommodate the wide range of homeless person demographics that make this group difficult to study in a generalized fashion. Further, case study method accommodates the need within research in this area to understand individualized treatments as a potential solution for homelessness.

Assembling a Case Study Tool Kit: 10 Tools for Teaching with Cases

Science.gov (United States)

Prud'homme-Généreux, Annie

2017-01-01

This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. The author shares the strategies and tools that teachers can use to manage a case study classroom effectively.

Defect reduction for fabric cutting process to produce polo shirts : a case study of garment factory

Directory of Open Access Journals (Sweden)

Panicha Suttanako

2014-09-01

Full Text Available This research aims to study the factors affecting the crooked fabric cutting and to present the new cutting procedure that complies with the factors affecting the crooked fabric cutting of a case study. The defect in fabric cutting process was crooked fabric making nonconforming product. The cause and effect diagram was utilized to analyze and suggest related factors leading to the problem. It was showed that the number of times of knife sharpening and the number of layers in fabric paving would affect the crooked fabric cutting the design of experiment was applied to determine appropriate the level of these factors. The main factor significantly affected the crooked fabric cutting (p < 0.05 was the number of times of knife sharpening, but the number of layers in fabric paving and interaction between both factors would not significantly affect the crooked fabric cutting. The number of times of knife sharpening in the level 4 had been sharpened twenty times in each cutting round. The least average defective proportion was 0.0173. Then the new cutting procedure would significantly reduce average defective proportion. It could reduce the average number of defective items as 5.74 pieces in each cutting round or 70.52 percents.

Study on effectiveness of flood control based on risk level: case study of Kampung Melayu Village and Bukit Duri Village

Directory of Open Access Journals (Sweden)

Farid Mohammad

2017-01-01

Full Text Available Jakarta, the capital city of Indonesia, experiences flood which causes activities disruption and losses almost every year. Many studies have been done to mitigate the impact of flooding. Most of them focus on reducing the inundated area as an indicator of the effectiveness of flood control. This study aims to evaluate the effectiveness of several flood control alternatives based on risk level reduction. The case study is located in Kampung Melayu Village and Bukit Duri Village which are densely populated with several economic area and almost every year experiencing severe flooding in Jakarta. Risk level analysis was carried out by the method based on guidelines issued by the Head of National Disaster Management Agency (BNPB No. 2/2012 with few modifications. The analysis is conducted on five alternatives of flood control which are diversion channel to East Flood Canal (KBT, diversion channel to the West Flood Canal (KBB in Pasar Minggu, river improvement, capacity enhancement on all components, and capacity enhancement focusing on one component. From the results, it is showed that enhancing capacity which focus on preparedness component by two levels are the best in terms of investment value to risk level reduction.

Low-cost Radon Reduction Pilot Study

Energy Technology Data Exchange (ETDEWEB)

Rose, William B. [Univ. of Illinois, Urbana-Champaign, IL (United States); Francisco, Paul W. [Univ. of Illinois, Urbana-Champaign, IL (United States); Merrin, Zachary [Univ. of Illinois, Urbana-Champaign, IL (United States)

2015-09-01

The U.S. Department of Energy's Building America research team Partnership for Advanced Residential Retrofits conducted a primary scoping study on the impact of air sealing between the foundation and the living space on radon transport reduction across the foundation and living space floor assembly. Fifteen homes in the Champaign, Illinois, area participated in the study. These homes were instrumented for hourly continuous radon measurements and simultaneous temperature and humidity measurements. Blower door and zone pressure diagnostics were conducted at each house. The treatments consisted of using air-sealing foams at the underside of the floor that separated the living space from the foundation and providing duct sealing on the ductwork that is situated in the foundation area. The hypothesis was that air sealing the floor system that separated the foundation from the living space should better isolate the living space from the foundation; this isolation should lead to less radon entering the living space from the foundation. If the hypothesis had been proven, retrofit energy-efficiency programs may have chosen to adopt these isolation methods for enhanced radon protection to the living space.

On misunderstandings in connection with case-studies

DEFF Research Database (Denmark)

Flyvbjerg, Bent

2005-01-01

This article examines five common misunderstandings about case-study research: (1) Theoretical knowledge is more valuable than practical knowledge; (2) One cannot generalize from a single case, therefore the single case study cannot contribute to scientific development; (3) The case study is most...

TPM and autonomous maintenance: case study in a metal mechanic company

Directory of Open Access Journals (Sweden)

Norberto Carvalho Biehl

2015-12-01

Full Text Available The purpose of this article was to describe a case of autonomous maintenance implementation in a pilot area of a metal mechanical industry company. The TPM – Total Productive Maintenance is a managerial technology that can help companies to reduce failures and breakages of machines. One of the most important issues of TPM is autonomous maintenance. The method of research was the case study. A program of twelve points was structured and adopted as stand-alone maintenance deployment guide. The program began in a pilot area, including three machining centers. The main results of the pilot program were: increasing by more than 700% the Mean Time between Failure, reducing by more than 40% in the Mean Time to Repair, as well as the consequent increase of more than five percentage points on the availability of the three machines and almost 60% reduction in the cost of maintenance materials. The main conclusion was that the TPM, and in particular the autonomous maintenance, can increase the efficiency of maintenance as strategic factor, which enhances the competitiveness of manufacturing in industrial companies.

System Reduction in Nonlinear Multibody Dynamics of Wind Turbines

DEFF Research Database (Denmark)

Holm-Jørgensen, Kristian; Nielsen, Søren R.K.; Rubak, Rune

2007-01-01

In this paper the system reduction in nonlinear multibody dynamics of wind turbines is investigated for various updating schemes of the moving frame of reference. In one case, the moving frame of reference is updated to a stiff body, relative to which the elastic deformations are fixed at one end....... In the other case, the stiff body motion is defined as the chord line connecting the end points of the beam, and the elastic deformations are simply supported at the end points. The system reduction is performed by discretizing the spatial motion into a set of rigid body modes and linear elastic eigenmodes...

Qualitative Case Study Research as Empirical Inquiry

Science.gov (United States)

Ellinger, Andrea D.; McWhorter, Rochell

2016-01-01

This article introduces the concept of qualitative case study research as empirical inquiry. It defines and distinguishes what a case study is, the purposes, intentions, and types of case studies. It then describes how to determine if a qualitative case study is the preferred approach for conducting research. It overviews the essential steps in…

Gradual reduction of sugar in soft drinks without substitution as a strategy to reduce overweight, obesity, and type 2 diabetes: a modelling study.

Science.gov (United States)

Ma, Yuan; He, Feng J; Yin, Yunjian; Hashem, Kawther M; MacGregor, Graham A

2016-02-01

Sugar-sweetened beverages are a major source of free sugar intake in both children and adults, and are an important contributor to obesity and obesity-related diseases, including type 2 diabetes. We proposed an incremental and stepwise reduction in free sugars added to sugar-sweetened beverages by 40% over 5 years without the use of artificial sweeteners and assessed the effect of the proposed strategy on energy intake and weight status. In this modelling study, we used nationally representative data from the National Diet and Nutrition Survey rolling programme (NDNS RP) from 2008-12 and British Soft Drinks Association annual reports to calculate sugar-sweetened beverage consumption (both with and without fruit juices) and its contribution to free sugar and energy intake in the UK population. We then estimated the predicted reduction in energy intake resulting from the proposed strategy at an individual level. We further predicted the reduction in steady-state bodyweight for each adult using a weight loss model. By scaling up the distribution of the predicted bodyweight in the NDNS RP to the UK adult population, we estimated reductions in the number of overweight and obese adults, and the number of adults with type 2 diabetes. A 40% reduction in free sugars added to sugar-sweetened beverages over 5 years would lead to an average reduction in energy intake of 38·4 kcal per day (95% CI 36·3-40·7) by the end of the fifth year. This would lead to an average reduction in steady-state bodyweight of 1·20 kg (1·12-1·28) in adults, resulting in a reduction in the prevalence in adults of overweight by 1·0 percentage point (from 35·5% to 34·5%) and obesity by 2·1 percentage points (from 27·8% to 25·7%). This reduction would lead to a reduction of roughly 0·5 million adults from being overweight and 1 million adults from being obese, which in turn would prevent about 274,000-309,000 incident cases of obesity-related type 2 diabetes over the two decades after the

Lessons Learned From Community-Based Approaches to Sodium Reduction

Science.gov (United States)

Kane, Heather; Strazza, Karen; Losby PhD, Jan L.; Lane, Rashon; Mugavero, Kristy; Anater, Andrea S.; Frost, Corey; Margolis, Marjorie; Hersey, James

2017-01-01

Purpose This article describes lessons from a Centers for Disease Control and Prevention initiative encompassing sodium reduction interventions in six communities. Design A multiple case study design was used. Setting This evaluation examined data from programs implemented in six communities located in New York (Broome County, Schenectady County, and New York City); California (Los Angeles County and Shasta County); and Kansas (Shawnee County). Subjects Participants (n = 80) included program staff, program directors, state-level staff, and partners. Measures Measures for this evaluation included challenges, facilitators, and lessons learned from implementing sodium reduction strategies. Analysis The project team conducted a document review of program materials and semi structured interviews 12 to 14 months after implementation. The team coded and analyzed data deductively and inductively. Results Five lessons for implementing community-based sodium reduction approaches emerged: (1) build relationships with partners to understand their concerns, (2) involve individuals knowledgeable about specific venues early, (3) incorporate sodium reduction efforts and messaging into broader nutrition efforts, (4) design the program to reduce sodium gradually to take into account consumer preferences and taste transitions, and (5) identify ways to address the cost of lower-sodium products. Conclusion The experiences of the six communities may assist practitioners in planning community-based sodium reduction interventions. Addressing sodium reduction using a community-based approach can foster meaningful change in dietary sodium consumption. PMID:24575726

Methodology for the case studies

NARCIS (Netherlands)

Smits, M.J.W.; Woltjer, G.B.

2017-01-01

This document is about the methodology and selection of the case studies. It is meant as a guideline for the case studies, and together with the other reports in this work package can be a source of inform ation for policy officers, interest groups and researchers evaluating or performing impact

Performable Case Studies in Ethics Education.

Science.gov (United States)

Robeson, Richard; King, Nancy M P

2017-09-12

Bioethics education often includes the study of short stories, novels, plays, and films, because such materials present case examples that can highlight relevant issues and questions especially vividly for a wide range of students. In addition, creative writing is widely used in the education of health professional students and in continuing education settings for health professionals. There are very few academic or professional disciplines that do not use case studies, but the case study in dialogic form has not been standard practice for thousands of years. Dramatic arts casuistry-the creation and performance of short case studies designed specifically to raise bioethics issues for discussion-represents an application of literature and the medical humanities that is both unique and uniquely valuable. This essay describes the development and history of a course that has been successfully taught to medical students and graduate bioethics students, in which the class researches, writes, and performs a case study designed to elicit reflection and discussion about a topic and set of bioethics issues of current interest to both academic and general audiences. The model is also suited to the presentation and discussion of existing case studies, both live and via on-demand audio.

Emotion, Engagement, and Case Studies

Science.gov (United States)

Herreid, Clyde Freeman; Terry, David R.; Lemons, Paula; Armstrong, Norris; Brickman, Peggy; Ribbens, Eric

2014-01-01

Three college faculty taught large general biology classes using case studies and personal response systems (clickers). Each instructor taught the same eight cases in two different sections, except the questions within the cases differed. In one section the questions were lower order (LO) factual inquiries, and in the other they were largely…

EBV-associated post-transplantation B-cell lymphoproliferative disorder following allogenic stem cell transplantation for acute lymphoblastic leukaemia: tumor regression after reduction of immunosuppression - a case report

Directory of Open Access Journals (Sweden)

Niedobitek Gerald

2010-03-01

Full Text Available Abstract Epstein-Barr virus (EBV-associated B-cell post-transplantation lymphoproliferative disorder (PTLD is a severe complication following stem cell transplantation. This is believed to occur as a result of iatrogenic immunosuppression leading to a relaxation of T-cell control of EBV infection and thus allowing viral reactivation and proliferation of EBV-infected B-lymphocytes. In support of this notion, reduction of immunosuppressive therapy may lead to regression of PTLD. We present a case of an 18-year-old male developing a monomorphic B-cell PTLD 2 months after receiving an allogenic stem cell transplant for acute lymphoblastic leukemia. Reduction of immunosuppressive therapy led to regression of lymphadenopathy. Nevertheless, the patient died 3 months afterwards due to extensive graft-vs.-host-disease and sepsis. As a diagnostic lymph node biopsy was performed only after reduction of immunosuppressive therapy, we are able to study the histopathological changes characterizing PTLD regression. We observed extensive apoptosis of blast cells, accompanied by an abundant infiltrate comprising predominantly CD8-positive, Granzyme B-positive T-cells. This observation supports the idea that regression of PTLD is mediated by cytotoxic T-cells and is in keeping with the observation that T-cell depletion, represents a major risk factor for the development of PTLD.

The Global Earthquake Model and Disaster Risk Reduction

Science.gov (United States)

Smolka, A. J.

2015-12-01

Advanced, reliable and transparent tools and data to assess earthquake risk are inaccessible to most, especially in less developed regions of the world while few, if any, globally accepted standards currently allow a meaningful comparison of risk between places. The Global Earthquake Model (GEM) is a collaborative effort that aims to provide models, datasets and state-of-the-art tools for transparent assessment of earthquake hazard and risk. As part of this goal, GEM and its global network of collaborators have developed the OpenQuake engine (an open-source software for hazard and risk calculations), the OpenQuake platform (a web-based portal making GEM's resources and datasets freely available to all potential users), and a suite of tools to support modelers and other experts in the development of hazard, exposure and vulnerability models. These resources are being used extensively across the world in hazard and risk assessment, from individual practitioners to local and national institutions, and in regional projects to inform disaster risk reduction. Practical examples for how GEM is bridging the gap between science and disaster risk reduction are: - Several countries including Switzerland, Turkey, Italy, Ecuador, Papua-New Guinea and Taiwan (with more to follow) are computing national seismic hazard using the OpenQuake-engine. In some cases these results are used for the definition of actions in building codes. - Technical support, tools and data for the development of hazard, exposure, vulnerability and risk models for regional projects in South America and Sub-Saharan Africa. - Going beyond physical risk, GEM's scorecard approach evaluates local resilience by bringing together neighborhood/community leaders and the risk reduction community as a basis for designing risk reduction programs at various levels of geography. Actual case studies are Lalitpur in the Kathmandu Valley in Nepal and Quito/Ecuador. In agreement with GEM's collaborative approach, all

Experimental studies on the simultaneous reduction of NO and SO2 emissions by re burning

International Nuclear Information System (INIS)

Sun, Rui; Yu, Leibo; Fei, Jun; Mu, Yangyang; Zhang, Xin; Sun, Shaozeng; Wu, Shaohua

2010-01-01

The simultaneous reduction of NO and SO 2 by pulverized coal re burning was studied in a drop tube furnace (DTF). A bituminous pulverized coal was chosen as the re burning fuel, and calcium oxide was added as desulfurizer. The influences of stoichiometric ratio (SR), re burning temperature, calcium to sulfur ratio (Ca/ S), and residence time on efficiency of removing NO and SO 2 were studied by DTF hot experiments. The experiment results showed that, at the condition of the re burning temperature 1200 degree Celsius, Ca/ S=1.5, NO reduction efficiency decreased with the increase of re burning fuels stoichiometric ratio, but SO 2 reduction efficiency increased. When the re burning temperature increased from 1000 degree Celsius to 1200 degree Celsius, NO and SO 2 reduction efficiencies initially increased, but then decreased as temperature higher than 1100 degree Celsius. NO reduction efficiency decreased when Ca/ S changed from 1.0 to 2.5, and SO 2 reduction efficiency increased at all times, in spite of the increasing trend became flat when Ca/ S was higher than 2.0. Among all tests, high SO 2 and NO reduction ratios were obtained at SR of 0.8∼0.9 and Ca/ S of 1.5. The mechanisms of desulfurization and denitrification are also discussed and presented to explain the reactions routine in the DTF. (author)

Using Correspondence Analysis in Multiple Case Studies

NARCIS (Netherlands)

Kienstra, Natascha; van der Heijden, Peter G.M.

2015-01-01

In qualitative research of multiple case studies, Miles and Huberman proposed to summarize the separate cases in a so-called meta-matrix that consists of cases by variables. Yin discusses cross-case synthesis to study this matrix. We propose correspondence analysis (CA) as a useful tool to study

Using correspondence analysis in multiple case studies

NARCIS (Netherlands)

Kienstra, N.H.H.; van der Heijden, P.G.M.

2015-01-01

In qualitative research of multiple case studies, Miles and Huberman proposed to summarize the separate cases in a so-called meta-matrix that consists of cases by variables. Yin discusses cross-case synthesis to study this matrix. We propose correspondence analysis (CA) as a useful tool to study

[DESIGN AND CLINICAL APPLICATION OF LESSER TROCHANTERIC REDUCTION FIXATION SYSTEM].

Science.gov (United States)

Guo, Xiaoze; Zhang, Ying; Xiao, Jin; Xie, Huibin; Yu, Jiefeng

2015-02-01

To design and produce a lesser trochanteric reduction fixation system and verify its value and effectiveness. A lesser trochanteric reduction fixation system was designed and produced according to the anatomical features of the lesser trochanteric fractures. Sixty-six patients with intertrochanteric fractures of Evans type III were included between January 2010 and July 2012. Of 66 patients, 32 were treated with dynamic hip screw (DHS) assisted with the lesser trochanteric reduction fixation system (study group), and 34 cases were treated with DHS only (control group). The 2 groups were comparable with no significant difference in gender, age, the reasons, and the types of the fractures (P > 0.05). The operation time, intraoperative blood loss, neck-shaft angle, bone healing time, ratio of successful fixations, and the functional evaluation of the hip joint after operation were compared between 2 groups. The study group had shorter operation time [(58.4 ± 5.3) minutes] and less intraoperative blood loss [(186.3 ± 6.6) mL than the control group [(78.5 ± 6.2)minutes and (246.2 ± 8.7) mL], showing significant differences (t = -14.040, P = 0.000; t = -31.145, P = 0.000). There was no significant difference in neck-shaft angle between study group [(138.6 ± 3.0)] and control group [(139.4 ± 2.9) degrees] (t = -1.044, P = 0.301). The wounds healed by first intention in both groups. The 30 and 31 patients were followed up 12 to 24 months (mean, 15 months) in the study group, and 13 to 25 months (mean, 16 months) in the control group, respectively. All fractures healed well in 2 groups. The study group had significantly shorter healing time [(8.8 ± 2.0) weeks] than the control group [(10.7 ± 3.4) weeks] (t = -2.871, P = 0.006). At 12 months after operation, coxa vara happened in 2 cases of the study group with a successful fixation ratio of 93.3% and in 10 cases of the control group with a successful fixation ratio of 67.7%, showing significant difference (Χ2 = 6

Iron alloy Fischer-tropsch catalysts--1. Oxidation-reduction studies of the Fe-Ni system

Energy Technology Data Exchange (ETDEWEB)

Unmuth, E.E.; Schwartz, L.H.; Butt, J.B.

1980-01-01

Catalysts containing 5% iron, nickel, or 4:1 iron-nickel on silica were hydrogen-reduced at 425/sup 0/C for 12 or 24 hr, reoxidized in air for 2 or 4 hr, reduced again in hydrogen for 12 hr, and studied at each treatment step by Moessbauer spectroscopy, X-ray diffraction, and temperature-programed desorption. The nickel was reduced directly to the metal, redispersed during the oxidation, and gave 20% smaller particles in the second reduction than in the first reduction. The ..cap alpha..-Fe/sub 2/O/sub 3/ reduced via an Fe/sub 3/O/sub 4/ intermediate and yielded approx. 70% metallic iron and the second reduction produced about the same particle size as the first reduction. The alloy catalyst reduced into a mixture of two phases, a face-centered cubic phase containing approx. 37.5% Ni, i.e., the bulk equilibrium value, and a body-centered cubic phase, and the particle sizes obtained in the first and second reductions were similar. The activation energies for the reduction were determined.

Surgical treatment for pilon fracture of the ankle-open reduction and internal fixation.

Science.gov (United States)

Chen, Y W; Huang, P J; Hsu, C Y; Kuo, C H; Cheng, Y M; Lin, S Y; Chen, L H; Chiang, H C

1998-01-01

From 1991 to 1994, 39 ankles of 38 patients underwent surgical open reduction and internal fixation for pilon fractures. These patients included 29 males and 9 females with an average age of 38.6 y/o (range 28 y/o-58 y/o). The follow up and evaluation period averaged 31.7 months (range 22Ms-44Ms), during which time a standing x-ray for arthrosis grading and functional scale was used for clinical evaluation. Complications included 1 case of infection, 1 case of loss reduction, 2 cases of partial skin necrosis and 2 cases of delayed union. Post-traumatic arthritis occurred in 23 ankles (59%) but only 4 ankles of grade 4 arthrosis resulted in poor functional scale and the overall satisfactory rate was 82%. It was found that anatomic reduction, rigid fixation and early motion exercise are important to successful treatment of ankle fractures. Regarding pilon fracture, specifically the severity of fracture pattern and delay of reduction are important problems to overcome to ensure successful results. Therefore, adequate surgical approach for entire view of ankle joint, reduction and fixation of fibula, sufficient bone graft for articular support, intraoperative x-ray check and postoperative immobilization are essential for the achievement of better clinical results.

Case matching and the reduction of selection bias in quasi-experiments: The relative importance of pretest measures of outcome, of unreliable measurement, and of mode of data analysis.

Science.gov (United States)

Cook, Thomas D; Steiner, Peter M

2010-03-01

In this article, we note the many ontological, epistemological, and methodological similarities between how Campbell and Rubin conceptualize causation. We then explore 3 differences in their written emphases about individual case matching in observational studies. We contend that (a) Campbell places greater emphasis than Rubin on the special role of pretest measures of outcome among matching variables; (b) Campbell is more explicitly concerned with unreliability in the covariates; and (c) for analyzing the outcome, only Rubin emphasizes the advantages of using propensity score over regression methods. To explore how well these 3 factors reduce bias, we reanalyze and review within-study comparisons that contrast experimental and statistically adjusted nonexperimental causal estimates from studies with the same target population and treatment content. In this context, the choice of covariates counts most for reducing selection bias, and the pretest usually plays a special role relative to all the other covariates considered singly. Unreliability in the covariates also influences bias reduction but by less. Furthermore, propensity score and regression methods produce comparable degrees of bias reduction, though these within-study comparisons may not have met the theoretically specified conditions most likely to produce differences due to analytic method.

Teaching Business French through Case Studies: Presentation of a Marketing Case.

Science.gov (United States)

Federico, Salvatore; Moore, Catherine

The use of case studies as a means for teaching business French is discussed. The approach is advocated because of the realism of case studies, which are based on actual occurrences. Characteristics of a good case are noted: it tells a story, focuses on interest-arousing issues, is set in the past 10 years, permits empathy with the main…

Case Study: Puttin' on the Ritz: How to Put Science into Cases

Science.gov (United States)

Herreid, Clyde Freeman

2017-01-01

There are multiple ways to put science into a case. This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses different ways of presenting science in case studies.

[Manipulative reduction and small splint fixation combined with micromovement exercise for treatment of humeral shaft fractures].

Science.gov (United States)

Tang, Hao-chen; Xiang, Ming; Chen, Hang; Hu, Xiao-chuan; Yang, Guo-yong

2016-01-01

To investigate the therapeutic efficacy of bone-setting manipulative reduction and small splint fixation combined with micro-movement theory exercise for treatment of humeral shaft fractures. From March 2011 to February 2014, 64 cases of humeral shaft fractures were treated by bone-setting manipulative reduction and small splint fixation including 28 males and 36 females with an average age of 38.1 years old ranging from 22 to 67 years old. According to the classification of AO/OTA, there were 10 cases of type A1, 12 cases of type A2,11 cases of type A3,10 cases of type B1,12 cases of type B2, 7 cases of type B3, 2 cases of type C1, 1 case of type C2, 1 case of type C3. After close reduction early functional exercise performed according to micro-movement theory. All patients had no other parts of the fractures, neurovascular injury, and serious medical problems. Patients were followed up for fracture healing, shoulder and elbow joint function recovery, and curative effect. All patients were followed up from 10 to 12 months with an average of 10.3 months. Of them, 2 cases had a small amount of callus growth at 3 months after close reduction, so instead of operation; 2 cases appeared radial nerve symptoms after close reduction ,so instead of operation. Other patients were osseous healing, the time was 8 to 12 weeks with an average of 10.2 weeks. After osseous healing, according to Constant-Murley score system ,the average score was (93.5 ± 3.2) points, the result was excellent in 29 cases, good in 29 cases, fair in 6 cases, excellent and good rate was 90.3%; according to the Mayo score system, the average score was (93.7 ± 4.2) points, the result was excellent in 35 cases, good in 23 cases, fair in 6 cases, excellent and good rate was 91.9%. Bone-setting manipulative reduction and small splint fixation combined with micromovement theory exercise for treatment of humeral shaft fractures has advantage of positive effect, easy and inexpensive method, the treatment has

Case Study Observational Research: A Framework for Conducting Case Study Research Where Observation Data Are the Focus.

Science.gov (United States)

Morgan, Sonya J; Pullon, Susan R H; Macdonald, Lindsay M; McKinlay, Eileen M; Gray, Ben V

2017-06-01

Case study research is a comprehensive method that incorporates multiple sources of data to provide detailed accounts of complex research phenomena in real-life contexts. However, current models of case study research do not particularly distinguish the unique contribution observation data can make. Observation methods have the potential to reach beyond other methods that rely largely or solely on self-report. This article describes the distinctive characteristics of case study observational research, a modified form of Yin's 2014 model of case study research the authors used in a study exploring interprofessional collaboration in primary care. In this approach, observation data are positioned as the central component of the research design. Case study observational research offers a promising approach for researchers in a wide range of health care settings seeking more complete understandings of complex topics, where contextual influences are of primary concern. Future research is needed to refine and evaluate the approach.

Beyond Clinical Case Studies in Psychoanalysis: A Review of Psychoanalytic Empirical Single Case Studies Published in ISI-Ranked Journals

Science.gov (United States)

Meganck, Reitske; Inslegers, Ruth; Krivzov, Juri; Notaerts, Liza

2017-01-01

Single case studies are at the origin of both theory development and research in the field of psychoanalysis and psychotherapy. While clinical case studies are the hallmark of psychoanalytic theory and practice, their scientific value has been strongly criticized. To address problems with the subjective bias of retrospective therapist reports and uncontrollability of clinical case studies, systematic approaches to investigate psychotherapy process and outcome at the level of the single case have been developed. Such empirical case studies are also able to bridge the famous gap between academic research and clinical practice as they provide clinically relevant insights into how psychotherapy works. This study presents a review of psychoanalytic empirical case studies published in ISI-ranked journals and maps the characteristics of the study, therapist, patient en therapies that are investigated. Empirical case studies increased in quantity and quality (amount of information and systematization) over time. While future studies could pay more attention to providing contextual information on therapist characteristics and informed consent considerations, the available literature provides a basis to conduct meta-studies of single cases and as such contribute to knowledge aggregation. PMID:29046660

Effective dose at pneumatic reduction of paediatric intussusception

International Nuclear Information System (INIS)

Heenan, S.D.; Kyriou, J.; Fitzgerald, M.; Adam, E.J.

2000-01-01

AIM: The purpose of this study was to assess screening times and resulting dose implication at pneumatic reduction of intussusception in the paediatric age group and to examine the relationship with the outcome of the procedure. MATERIALS AND METHODS: We retrospectively reviewed the case notes and departmental records of 143 children who had undergone a total of 153 pneumatic reductions in our department over a 4-year period. Success rates, screening times and available dose-area products (DAP) were recorded. The DAPs were converted to effective dose (ED) for 77 procedures. RESULTS: A 76.5% (117/153) success rate was achieved with a recurrence rate of 6.5% and only one complication: a perforation. Screening times were recorded in 137 reductions and ranged from 15 s to 22.6 min. Although the longest screening time was associated with an unsuccessful outcome, the second longest time of 21 min was successful. This gave a DAP of 1278 cGy cm 2 and an ED of 12.73 mSv, which is equivalent to approximately 400 abdominal films for a 1-year-old. A lifetime risk of fatal cancer of one in 1000 was achieved, assuming the worst case, after a screening time of 30 min on our conventional fluoroscopy unit. CONCLUSION: Our success rate compares well with other centres. Our institution is a tertiary referral centre and the occasional long screening time may reflect the delay and complex nature of the patients referred. Persistence at air reduction may be successful and the success rate increases with delayed attempts but the risks of the increasing radiation burden must be weighed against the risks of emergency surgery and anaesthesia. Heenan, S.D. (2000)

How Expensive Is Expensive Enough? Opportunities for Cost Reductions in Offshore Wind Energy Logistics

Directory of Open Access Journals (Sweden)

Thomas Poulsen

2016-06-01

Full Text Available This paper reveals that logistics may conservatively amount to 18% of the levelized cost of energy for offshore wind farms. This is the key finding from an extensive case study carried out within the organization of the world’s leading offshore wind farm developer and operator. The case study aimed to, and produced, a number of possible opportunities for offshore wind cost reductions through logistics innovation; however, within the case study company, no company-wide logistics organization existed to focus horizontally on reducing logistics costs in general. Logistics was not well defined within the case study company, and a logistics strategy did not exist. With full life-cycle costs of offshore wind farms still high enough to present a political challenge within the European Union in terms of legislation to ensure offshore wind diffusion beyond 2020, our research presents logistics as a next frontier for offshore wind constituencies. This important area of the supply chain is ripe to academically and professionally cultivate and harvest in terms of offshore wind energy cost reductions. Our paper suggests that a focused organizational approach for logistics both horizontally and vertically within the company organizations could be the way forward, coupled with a long-term legislative environment to enable the necessary investments in logistics assets and transport equipment.

Sonography-guided hydrostatic reduction of ileocolic intussusception in children: analysis of failure and success in consecutive patients presenting timely to the hospital.

Science.gov (United States)

Menke, Jan; Kahl, Fritz

2015-03-01

In children with ileocolic intussusception sonography is increasingly being used for diagnosis, whereas fluoroscopy is frequently used for guiding non-invasive reduction. This study assessed the success rate of radiation-free sonography-guided hydrostatic reduction in children with ileocolic intussusception, using novel well-defined success rate indices. All children were evaluated who presented from 2005 to 2013 to the local university hospital with ileocolic intussusception. The patients were treated with sonography-guided hydrostatic reduction unless primary surgery was clinically indicated. The according success rate was determined by indices of Bekdash et al. They represent the ratio of persistently successful non-surgical reductions versus four different denominators, depending on including/excluding cases with primary surgery and including/excluding cases requiring bowel resection/intervention. Fifty-six consecutive patients were included (age, 3 months to 7.8 years). About 80% of the patients presented until 24 h and 20% until 48 h after the onset of symptoms. Seven patients underwent primary surgery, with bowel resection required in three cases. Hydrostatic reduction was attempted in 49 patients, being permanently successful in 41 cases (selective reduction rate 41/49 = 83.7%; crude reduction rate 41/56 = 73.2%). The remaining eight patients underwent secondary surgery, with just two patients not requiring surgical bowel resection/intervention (corrected selective reduction rate 41/43 = 95.3%). The composite reduction rate was 87.2% (successful/feasible reductions, 41/47). Radiation-free sonography-guided hydrostatic reduction has a good success rate in children with ileocolic intussusception. It may be particularly valuable in centers that are already experienced with using sonography for the diagnosis.

Epoxide reduction with hydrazine on graphene: a first principles study.

Science.gov (United States)

Kim, Min Chan; Hwang, Gyeong S; Ruoff, Rodney S

2009-08-14

Mechanisms for epoxide reduction with hydrazine on a single-layer graphene sheet are examined using quantum mechanical calculations within the framework of gradient-corrected spin-polarized density-functional theory. We find that the reduction reaction is mainly governed by epoxide ring opening which is initiated by H transfer from hydrazine or its derivatives. In addition, our calculations suggest that the epoxide reduction by hydrazine may predominantly follow a direct Eley-Rideal mechanism rather than a Langmuir-Hinshelwood mechanism. We also discuss the generation of various hydrazine derivatives during the reduction of graphene oxide with hydrazine and their potential contribution to lowering the barrier height of epoxide ring opening.

New approaches to cost reduction on the UK continental shelf

Energy Technology Data Exchange (ETDEWEB)

Curtis, M I

1994-12-31

The conference paper deals with cost reduction on the UK continental shelf. New approaches on the reduction of field development costs are compared with the cases if traditional approaches had been followed. Field developments where success in aligning the goals and objectives of the contractors and owners which led to projects being delivered on time but more than 20% below budget, are exemplified. The contractors in the alliance received 55% of the savings in addition to their normal profit. The procedure to follow in such cases, is discussed

New approaches to cost reduction on the UK continental shelf

International Nuclear Information System (INIS)

Curtis, M.I.

1994-01-01

The conference paper deals with cost reduction on the UK continental shelf. New approaches on the reduction of field development costs are compared with the cases if traditional approaches had been followed. Field developments where success in aligning the goals and objectives of the contractors and owners which led to projects being delivered on time but more than 20% below budget, are exemplified. The contractors in the alliance received 55% of the savings in addition to their normal profit. The procedure to follow in such cases, is discussed

Evidence of a reduction over time in the behavioral severity of autistic disorder diagnoses.

Science.gov (United States)

Whitehouse, Andrew J O; Cooper, Matthew N; Bebbington, Keely; Alvares, Gail; Lin, Ashleigh; Wray, John; Glasson, Emma J

2017-01-01

The increasing prevalence of Autism Spectrum Disorders (ASD) may in part be due to a shift in the diagnostic threshold that has led to individuals with a less severe behavioral phenotype receiving a clinical diagnosis. This study examined whether there were changes over time in the qualitative and quantitative phenotype of individuals who received the diagnosis of Autistic Disorder. Data were from a prospective register of new diagnoses in Western Australia (n = 1252). From 2000 to 2006, we examined differences in both the percentage of newly diagnosed cases that met each criterion as well as severity ratings of the behaviors observed (not met, partially met, mild/moderate and extreme). Linear regression determined there was a statistically significant reduction from 2000 to 2006 in the percentage of new diagnoses meeting two of 12 criteria. There was also a reduction across the study period in the proportion of new cases rated as having extreme severity on six criteria. There was a reduction in the proportion of individuals with three or more criteria rated as extreme from 2000 (16.0%) to 2006 (1.6%), while percentage of new cases with no "extreme" rating on any criteria increased from 58.5% to 86.6% across the same period. This study provides the first clear evidence of a reduction over time in the behavioral severity of individuals diagnosed with Autistic Disorder during a period of stability in diagnostic criteria. A shift toward diagnosing individuals with less severe behavioral symptoms may have contributed to the increasing prevalence of Autistic Disorder diagnoses. Autism Res 2017, 10: 179-187. © 2016 International Society for Autism Research, Wiley Periodicals, Inc. © 2017 International Society for Autism Research, Wiley Periodicals, Inc.

Reduction of central neuropathic pain with ketamine infusion in a patient with Ehlers–Danlos syndrome: a case report

Directory of Open Access Journals (Sweden)

Lo TC

2016-09-01

Full Text Available Tony Chung Tung Lo,1,* Stephen Tung Yeung,2,* Sujin Lee,1 Kira Skavinski,3 Solomon Liao,4 1Department of Physical Medicine and Rehabilitation, University of California Irvine, Orange, CA, 2Department of Immunology, University of Connecticut School of Medicine, Farmington, CT, 3Department of Palliative Medicine, University of California San Diego, La Jolla, 4Department of Palliative Medicine, University of California Irvine, Orange, CA, USA *These authors contributed equally to this work Objective: Ehlers–Danlos syndrome frequently causes acute and chronic pain because of joint subluxations and dislocations secondary to hypermobility. Current treatments for pain related to Ehlers–Danlos syndrome and central pain syndrome are inadequate. This case report discusses the therapeutic use of ketamine intravenous infusion as an alternative. Case report: A 27-year-old Caucasian female with a history of Ehlers–Danlos syndrome and spinal cord ischemic myelopathy resulting in central pain syndrome, presented with severe generalized body pain refractory to multiple pharmacological interventions. After a 7-day course of ketamine intravenous infusion under controlled generalized sedation in the intensive care unit, the patient reported a dramatic reduction in pain levels from 7–8 out of 10 to 0–3 out of 10 on a numeric rating scale and had a significant functional improvement. The patient tolerated a reduction in her pain medication regimen, which originally included opioids, gabapentin, pregabalin, tricyclic antidepressants, and nonsteroidal anti-inflammatory drugs. Conclusion: Ketamine infusion treatment has been used in various pain syndromes, including central neuropathic pain, ischemic pain, and regional pain syndrome. Reports have suggested that ketamine modulates pain by the regression of N-methyl-D-aspartate receptor to a resting state. As such, propagation of nociceptive signal to brain is interrupted allowing for the restoration of

Relativistic dynamical reduction models and nonlocality

International Nuclear Information System (INIS)

Ghirardi, G.C.; Grassi, R.

1990-09-01

We discuss some features of continuous dynamical models yielding state vector reduction and we briefly sketch some recent attempts to get a relativistic generalization of them. Within the relativistic context we analyze in detail the local an nonlocal features of the reduction mechanism and we investigate critically the possibility of attributing objective properties to individual systems in the micro and macroscopic cases. At the nonrelativistic level, two physically equivalent versions of continuous reduction mechanisms have been presented. However, only one of them can be taken as a starting point for the above considered relativistic generalization. By resorting to counterfactual arguments we show that the reason for this lies in the fact that the stochasticity involved in the two approaches has different conceptual implications. (author). 7 refs, 4 figs

Study on Reduction Kinetics of Briquettes of Hematite Fines with Boiler Grade Coal and Coke Dust in Two Different Forms: Intermixing and Multilayered