WorldWideScience

Sample records for reported mixed results

  1. Communicating patient-reported outcome scores using graphic formats: results from a mixed-methods evaluation.

    Science.gov (United States)

    Brundage, Michael D; Smith, Katherine C; Little, Emily A; Bantug, Elissa T; Snyder, Claire F

    2015-10-01

    Patient-reported outcomes (PROs) promote patient-centered care by using PRO research results ("group-level data") to inform decision making and by monitoring individual patient's PROs ("individual-level data") to inform care. We investigated the interpretability of current PRO data presentation formats. This cross-sectional mixed-methods study randomized purposively sampled cancer patients and clinicians to evaluate six group-data or four individual-data formats. A self-directed exercise assessed participants' interpretation accuracy and ratings of ease-of-understanding and usefulness (0 = least to 10 = most) of each format. Semi-structured qualitative interviews explored helpful and confusing format attributes. We reached thematic saturation with 50 patients (44 % < college graduate) and 20 clinicians. For group-level data, patients rated simple line graphs highest for ease-of-understanding and usefulness (median 8.0; 33 % selected for easiest to understand/most useful) and clinicians rated simple line graphs highest for ease-of-understanding and usefulness (median 9.0, 8.5) but most often selected line graphs with confidence limits or norms (30 % for each format for easiest to understand/most useful). Qualitative results support that clinicians value confidence intervals, norms, and p values, but patients find them confusing. For individual-level data, both patients and clinicians rated line graphs highest for ease-of-understanding (median 8.0 patients, 8.5 clinicians) and usefulness (median 8.0, 9.0) and selected them as easiest to understand (50, 70 %) and most useful (62, 80 %). The qualitative interviews supported highlighting scores requiring clinical attention and providing reference values. This study has identified preferences and opportunities for improving on current formats for PRO presentation and will inform development of best practices for PRO presentation. Both patients and clinicians prefer line graphs across group-level data and individual

  2. Protocol Fuel Mix reporting

    International Nuclear Information System (INIS)

    2002-07-01

    The protocol in this document describes a method for an Electricity Distribution Company (EDC) to account for the fuel mix of electricity that it delivers to its customers, based on the best available information. Own production, purchase and sale of electricity, and certificates trading are taken into account. In chapter 2 the actual protocol is outlined. In the appendixes additional (supporting) information is given: (A) Dutch Standard Fuel Mix, 2000; (B) Calculation of the Dutch Standard fuel mix; (C) Procedures to estimate and benchmark the fuel mix; (D) Quality management; (E) External verification; (F) Recommendation for further development of the protocol; (G) Reporting examples

  3. Milestone M4900: Simulant Mixing Analytical Results

    Energy Technology Data Exchange (ETDEWEB)

    Kaplan, D.I.

    2001-07-26

    This report addresses Milestone M4900, ''Simulant Mixing Sample Analysis Results,'' and contains the data generated during the ''Mixing of Process Heels, Process Solutions, and Recycle Streams: Small-Scale Simulant'' task. The Task Technical and Quality Assurance Plan for this task is BNF-003-98-0079A. A report with a narrative description and discussion of the data will be issued separately.

  4. GHEP-ISFG collaborative exercise on mixture profiles (GHEP-MIX06). Reporting conclusions: Results and evaluation.

    Science.gov (United States)

    Barrio, P A; Crespillo, M; Luque, J A; Aler, M; Baeza-Richer, C; Baldassarri, L; Carnevali, E; Coufalova, P; Flores, I; García, O; García, M A; González, R; Hernández, A; Inglés, V; Luque, G M; Mosquera-Miguel, A; Pedrosa, S; Pontes, M L; Porto, M J; Posada, Y; Ramella, M I; Ribeiro, T; Riego, E; Sala, A; Saragoni, V G; Serrano, A; Vannelli, S

    2018-07-01

    One of the main goals of the Spanish and Portuguese-Speaking Group of the International Society for Forensic Genetics (GHEP-ISFG) is to promote and contribute to the development and dissemination of scientific knowledge in the field of forensic genetics. Due to this fact, GHEP-ISFG holds different working commissions that are set up to develop activities in scientific aspects of general interest. One of them, the Mixture Commission of GHEP-ISFG, has organized annually, since 2009, a collaborative exercise on analysis and interpretation of autosomal short tandem repeat (STR) mixture profiles. Until now, six exercises have been organized. At the present edition (GHEP-MIX06), with 25 participant laboratories, the exercise main aim was to assess mixture profiles results by issuing a report, from the proposal of a complex mock case. One of the conclusions obtained from this exercise is the increasing tendency of participating laboratories to validate DNA mixture profiles analysis following international recommendations. However, the results have shown some differences among them regarding the edition and also the interpretation of mixture profiles. Besides, although the last revision of ISO/IEC 17025:2017 gives indications of how results should be reported, not all laboratories strictly follow their recommendations. Regarding the statistical aspect, all those laboratories that have performed statistical evaluation of the data have employed the likelihood ratio (LR) as a parameter to evaluate the statistical compatibility. However, LR values obtained show a wide range of variation. This fact could not be attributed to the software employed, since the vast majority of laboratories that performed LR calculation employed the same software (LRmixStudio). Thus, the final allelic composition of the edited mixture profile and the parameters employed in the software could explain this data dispersion. This highlights the need, for each laboratory, to define through internal

  5. Warm mix asphalt : final report.

    Science.gov (United States)

    2014-11-01

    The performance of pavements constructed using warm mix asphalt (WMA) technology were : compared to the performance of conventional hot mix asphalt (HMA) pavements placed on the : same project. Measurements of friction resistance, rutting/wear, ride ...

  6. Mixed Waste Working Group report

    International Nuclear Information System (INIS)

    1993-01-01

    The treatment of mixed waste remains one of this country's most vexing environmental problems. Mixed waste is the combination of radioactive waste and hazardous waste, as defined by the Resource Conservation and Recovery Act (RCRA). The Department of Energy (DOE), as the country's largest mixed waste generator, responsible for 95 percent of the Nation's mixed waste volume, is now required to address a strict set of milestones under the Federal Facility Compliance Act of 1992. DOE's earlier failure to adequately address the storage and treatment issues associated with mixed waste has led to a significant backlog of temporarily stored waste, significant quantities of buried waste, limited permanent disposal options, and inadequate treatment solutions. Between May and November of 1993, the Mixed Waste Working Group brought together stakeholders from around the Nation. Scientists, citizens, entrepreneurs, and bureaucrats convened in a series of forums to chart a course for accelerated testing of innovative mixed waste technologies. For the first time, a wide range of stakeholders were asked to examine new technologies that, if given the chance to be tested and evaluated, offer the prospect for better, safer, cheaper, and faster solutions to the mixed waste problem. In a matter of months, the Working Group has managed to bridge a gap between science and perception, engineer and citizen, and has developed a shared program for testing new technologies

  7. High rates of HIV seroconversion in pregnant women and low reported levels of HIV testing among male partners in Southern Mozambique: results from a mixed methods study.

    Directory of Open Access Journals (Sweden)

    Caroline De Schacht

    Full Text Available INTRODUCTION: Prevention of acute HIV infections in pregnancy is required to achieve elimination of pediatric HIV. Identification and support for HIV negative pregnant women and their partners, particularly serodiscordant couples, are critical. A mixed method study done in Southern Mozambique estimated HIV incidence during pregnancy, associated risk factors and factors influencing partner's HIV testing. METHODS: Between April 2008 and November 2011, a prospective cohort of 1230 HIV negative pregnant women was followed during pregnancy. A structured questionnaire, HIV testing, and collection of dried blood spots were done at 2-3 scheduled visits. HIV incidence rates were calculated by repeat HIV testing and risk factors assessed by Poisson regression. A qualitative study including 37 individual interviews with men, women, and nurses and 11 focus group discussions (n = 94 with men, women and grandmothers explored motivators and barriers to uptake of male HIV testing. RESULTS: HIV incidence rate was estimated at 4.28/100 women-years (95%CI: 2.33-7.16. Significant risk factors for HIV acquisition were early sexual debut (RR 3.79, 95%CI: 1.04-13.78, p = 0.04 and living in Maputo Province (RR 4.35, 95%CI: 0.97-19.45, p = 0.05. Nineteen percent of women reported that their partner had tested for HIV (93% knew the result with 8/213 indicating an HIV positive partner, 56% said their partner had not tested and 19% did not know their partner test status. Of the 14 seroconversions, only one reported being in a serodiscordant relationship. Fear of discrimination or stigma was reported as a key barrier to male HIV testing, while knowing the importance of getting tested and receiving care was the main motivator. CONCLUSIONS: HIV incidence during pregnancy is high in Southern Mozambique, but knowledge of partners' HIV status remains low. Knowledge of both partners' HIV status is critical for maximal effectiveness of prevention and treatment services to reach

  8. Recent charm mixing results from BABAR, Belle, and CDF

    International Nuclear Information System (INIS)

    Charles, M.

    2009-01-01

    A summary of the results of several recent studies of charm mixing is presented. A number of different methods were used, including the measurement of lifetime ratios for final states of different CP, time dependence of wrong-sign hadronic decays, fits to time-dependent Dalitz plots, and searches for wrong-sign semi-leptonic decays. Taken together, they suggest mixing is of order 1%. The status of searches for indirect CP violation is also reported

  9. Recent charm mixing results from BABAR, Belle, and CDF

    International Nuclear Information System (INIS)

    Charles, M.J.

    2008-01-01

    A summary of the results of several recent studies of charm mixing is presented. A number of different methods were used, including the measurement of lifetime ratios for final states of different CP, time dependence of wrong-sign hadronic decays, fits to time-dependent Dalitz plots, and searches for wrong-sign semi-leptonic decays. Taken together, they suggest mixing is of order 1%. The status of searches for indirect CP violation is also reported

  10. LHCb: LHCb results on $B$ meson mixing

    CERN Multimedia

    Eitschberger, U

    2013-01-01

    On the poster three LHCb results on B meson mixing using a datasample of 1 fb$^{-1}$ of $pp$ collisions at $\\sqrt{s} =$ 7 TeV are presented. The B meson oscillation frequencies are measured as $\\Delta m_d = 0.5156 \\pm 0.0051 (\\text{stat}) \\pm 0.0033 (\\text{syst}) \\text{ps}^{-1}$ and $\\Delta m_s = 17.768 \\pm 0.023 (\\text{stat}) \\pm 0.006 (\\text{syst}) \\text{ps}^{-1}$. The CP violation observables in the decay channel $B^0 \\rightarrow J/\\psi K^0_S$ are determined as $S_{J/\\psi K^0_S} = 0.73 \\pm 0.07 (\\text{stat})\\pm 0.04 (\\text{syst})$ and $C_{J/\\psi K^0_S} = 0.03 \\pm 0.09 (\\text{stat})\\pm 0.01 (\\text{syst})$.

  11. Scientific results - report 1981

    International Nuclear Information System (INIS)

    1982-01-01

    During the year under report 1981, five working groups were active in the field of nuclear chemistry: neutron diffraction, radiation damage in solids, reactor chemistry, trace element research in bio-medicine and geo-chemistry. The objectives of the R+D projects ranged from the more basic research to the development of technological processes. Nuclear inspection methodes that have already been developed (e.g. neutron diffraction, trace element analysis) have increasingly been used in an interdisciplinary way. Besides these R+D projects the project of increase of power of the BER II was pursued also in 1981, and further planning documents on the extension of the BER II have been established. The report informs about the most important results of the single sections. A list of the publications (with abstracts) and lectures, also by guest scientists, is attached. (RB) [de

  12. Scientific results report 1980

    International Nuclear Information System (INIS)

    1981-01-01

    The report describes in concise form the research tasks and results of the work groups pulsed irradiation, reaction kinematics and insulators and plastics in the field of 'radiation chemistry' of the Hahn-Meitner Institute, Berlin. The main topic of investigation was the kinetics and dynamics of fast chemical processes, the setting-up of chemical reaction mechanisms and research of chemical physical properties of highly reactive species (radicals, ions, electrons). A list of publications and lectures as well as teaching contributions of the institute's scientists, diploma and doctor theses performed in the institute and guest lectures held there is also given. (RB) [de

  13. Report on Results 2000

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    This report discusses work being carried out in Norway to promote energy efficiency and the production of new renewable energy. An overall review of the quantifiable results of last year's activities at national level is available. It will serve to initiate an annual reporting tradition. The report represents a step towards an ongoing process for improved targeting and management of national efforts. During the course of the year 2000, NVE has evaluated and adjusted its activities and established a system involving indicators and reporting procedures. It is also important to take notice of the long-term work being undertaken to influence people's attitudes, even though this work is difficult to assess. NVE is investing in i.a. measures aimed at children and young people. Apart from directly influencing future energy users, this investment is also having an effect due to the children's encouragement of their parents to engage in more energy and environment-friendly behaviour. Published in 2000, the IEA report ''Trends in Norwegian Stationary Energy Use'' shows that total Norwegian energy consumption per GDP is not much higher than in other IEA countries, when adjusted for cold climate and industrial structure. However, Norwegians do stand out as intensive users of electricity. The IEA report shows a reduction of 10 TWh in energy usage when compared to the projected post 1990 figures. Energy efficiency activities have contributed towards this reduction. However, the potential for a more rational use of energy in Norway is still substantial and well documented. Based on experience most enterprises could save around 10% of energy used just by making changes to their operations, i.e. without major investments. Furthermore, the potential is growing because of massive technological developments in respect of energy usage, production and distribution. With this in mind, it is necessary to take full advantage of the extensive knowledge

  14. Performance life of HMA mixes : final report.

    Science.gov (United States)

    2016-01-01

    A number of hot mix asphalt (HMA) types, such as permeable friction course (PFC), stone mastic asphalts : (SMA), performance design mixes and conventional dense graded mixes are currently used to construct or overlay : roads. One of the important inp...

  15. ERIC/EECE Report. Mixed Age Grouping.

    Science.gov (United States)

    Cesarone, Bernard

    1995-01-01

    Summarizes eight recent ERIC documents and seven journal articles on mixed-age grouping. Includes discussions of teaching in the multiage classroom, Kentucky's Primary Program, developmentally appropriate practices in the primary grades, thematic instruction, attitudes toward mixed-age grouping, and questions and answers about mixed-age grouping.…

  16. Coolant mixing in LMFBR rod bundles and outlet plenum mixing transients. Final report

    International Nuclear Information System (INIS)

    Todreas, N.E.; Cheng, S.K.; Basehore, K.

    1984-08-01

    This project principally undertook the investigation of the thermal hydraulic performance of wire wrapped fuel bundles of LMFBR configuration. Results obtained included phenomenological models for friction factors, flow split and mixing characteristics; correlations for predicting these characteristics suitable for insertion in design codes; numerical codes for analyzing bundle behavior both of the lumped subchannel and distributed parameter categories and experimental techniques for pressure velocity, flow split, salt conductivity and temperature measurement in water cooled mockups of bundles and subchannels. Flow regimes investigated included laminar, transition and turbulent flow under forced convection and mixed convection conditions. Forced convections conditions were emphasized. Continuing efforts are underway at MIT to complete the investigation of the mixed convection regime initiated here. A number of investigations on outlet plenum behavior were also made. The reports of these investigations are identified

  17. Mixing in the $D^0$ system Results from collider experiments

    CERN Document Server

    Grothe, Monika

    2003-01-01

    Mixing in the $D^0$ system may provide a sensitive probe for new physics beyond the Standard Model (SM) but has so far eluded experimental observation. The SM predictions are typically small ($< 10^{-3}$) for the mixing parameters $x$, $y$ which, in the absence of charge-parity ($CP$) symmetry violation, measure the mass ($x= Delta m/ Gamma$) and lifetime ($y= Delta Gamma / 2 Gamma$) difference of the $CP$ eigenstates in the $D^0$ system. The asymmetric $B$-factory experiments BABAR and Belle open up the opportunity of measuring $x$, $y$ with unprecedented statistical precision and sample purities. Results from BABAR and Belle, and from CLEO are reviewed.

  18. Report of scientific results 1977

    International Nuclear Information System (INIS)

    1977-01-01

    The scientific progress report of the HMI for 1977 gives a survey of the main results of HMI research in the fields of neutron scattering, radiation damage in solids, reactor chemistry, trace element research in biomedicine, geochemistry, reactor operation, and radionuclide production. After this, short summaries are given of HMI publications and papers in the above fields. (HK) [de

  19. Review of weak mixing angle results at SLC and LEP

    International Nuclear Information System (INIS)

    Woods, M.

    1995-10-01

    In this paper, the authors review recent precise measurements of the weak mixing angle by the SLD experiment at SLC and by the ALEPH, DELPHI, L3, and OPAL experiments at LEP. If they assume that the Minimal Standard Model provides a complete description of the quark and lepton couplings to the Z boson, they find sin 2 θ W eff = 0.23143 ± 0.00028. If this assumption is relaxed to apply to lepton couplings only, they find sin 2 θ W eff = 0.23106 ± 0.00035. They compare these results with other precision electroweak tests

  20. Reporting of Diagnostic Cytogenetic Results.

    Science.gov (United States)

    Giersch, Anne B S; Bieber, Frederick R; Dubuc, Adrian M; Fletcher, Jonathan A; Ligon, Azra H; Mason-Suares, Heather; Morton, Cynthia C; Weremowicz, Stanislawa; Xiao, Sheng; Dal Cin, Paola

    2016-04-01

    This appendix, developed by the staff at the Center for Advanced Molecular Diagnostics in the Department of Pathology at the Brigham and Women's Hospital, includes a comprehensive list of current "macros" or standardized statements used to facilitate reporting of cytogenetic results. These are provided as a useful reference for other laboratories. The statements are organized under the general categories of constitutional or acquired abnormalities and subdivided into analysis type (GTG-banding, FISH, or chromosomal microarray). Multi-specimen usage macros are included that can be applied to two or more specimen types. Copyright © 2016 John Wiley & Sons, Inc.

  1. Exact statistical results for binary mixing and reaction in variable density turbulence

    Science.gov (United States)

    Ristorcelli, J. R.

    2017-02-01

    We report a number of rigorous statistical results on binary active scalar mixing in variable density turbulence. The study is motivated by mixing between pure fluids with very different densities and whose density intensity is of order unity. Our primary focus is the derivation of exact mathematical results for mixing in variable density turbulence and we do point out the potential fields of application of the results. A binary one step reaction is invoked to derive a metric to asses the state of mixing. The mean reaction rate in variable density turbulent mixing can be expressed, in closed form, using the first order Favre mean variables and the Reynolds averaged density variance, ⟨ρ2⟩ . We show that the normalized density variance, ⟨ρ2⟩ , reflects the reduction of the reaction due to mixing and is a mix metric. The result is mathematically rigorous. The result is the variable density analog, the normalized mass fraction variance ⟨c2⟩ used in constant density turbulent mixing. As a consequence, we demonstrate that use of the analogous normalized Favre variance of the mass fraction, c″ ⁣2˜ , as a mix metric is not theoretically justified in variable density turbulence. We additionally derive expressions relating various second order moments of the mass fraction, specific volume, and density fields. The central role of the density specific volume covariance ⟨ρ v ⟩ is highlighted; it is a key quantity with considerable dynamical significance linking various second order statistics. For laboratory experiments, we have developed exact relations between the Reynolds scalar variance ⟨c2⟩ its Favre analog c″ ⁣2˜ , and various second moments including ⟨ρ v ⟩ . For moment closure models that evolve ⟨ρ v ⟩ and not ⟨ρ2⟩ , we provide a novel expression for ⟨ρ2⟩ in terms of a rational function of ⟨ρ v ⟩ that avoids recourse to Taylor series methods (which do not converge for large density differences). We have derived

  2. Audiological results with Baha in conductive and mixed hearing loss.

    Science.gov (United States)

    Pfiffner, Flurin; Caversaccio, Marco-Domenico; Kompis, Martin

    2011-01-01

    The level of improvement in the audiological results of Baha(®) users mainly depends on the patient's preoperative hearing thresholds and the type of Baha sound processor used. This investigation shows correlations between the preoperative hearing threshold and postoperative aided thresholds and audiological results in speech understanding in quiet of 84 Baha users with unilateral conductive hearing loss, bilateral conductive hearing loss and bilateral mixed hearing loss. Secondly, speech understanding in noise of 26 Baha users with different Baha sound processors (Compact, Divino, and BP100) is investigated. Linear regression between aided sound field thresholds and bone conduction (BC) thresholds of the better ear shows highest correlation coefficients and the steepest slope. Differences between better BC thresholds and aided sound field thresholds are smallest for mid-frequencies (1 and 2 kHz) and become larger at 0.5 and 4 kHz. For Baha users, the gain in speech recognition in quiet can be expected to lie in the order of magnitude of the gain in their hearing threshold. Compared to its predecessor sound processors Baha(®) Compact and Baha(®) Divino, Baha(®) BP100 improves speech understanding in noise significantly by +0.9 to +4.6 dB signal-to-noise ratio, depending on the setting and the use of directional microphone. For Baha users with unilateral and bilateral conductive hearing loss and bilateral mixed hearing loss, audiological results in aided sound field thresholds can be estimated with the better BC hearing threshold. The benefit in speech understanding in quiet can be expected to be similar to the gain in their sound field hearing threshold. The most recent technology of Baha sound processor improves speech understanding in noise by an order of magnitude that is well perceived by users and which can be very useful in everyday life. Copyright © 2011 S. Karger AG, Basel.

  3. Tank 241-AZ-101 criticality assessment resulting from pump jet mixing: Sludge mixing simulation

    Energy Technology Data Exchange (ETDEWEB)

    Onishi, Y.; Recknagle, K.

    1997-04-01

    Tank 241-AZ-101 (AZ-101) is one of 28 double-shell tanks located in the AZ farm in the Hanford Site`s 200 East Area. The tank contains a significant quantity of fissile materials, including an estimated 9.782 kg of plutonium. Before beginning jet pump mixing for mitigative purposes, the operations must be evaluated to demonstrate that they will be subcritical under both normal and credible abnormal conditions. The main objective of this study was to address a concern about whether two 300-hp pumps with four rotating 18.3-m/s (60-ft/s) jets can concentrate plutonium in their pump housings during mixer pump operation and cause a criticality. The three-dimensional simulation was performed with the time-varying TEMPEST code to determine how much the pump jet mixing of Tank AZ-101 will concentrate plutonium in the pump housing. The AZ-101 model predicted that the total amount of plutonium within the pump housing peaks at 75 g at 10 simulation seconds and decreases to less than 10 g at four minutes. The plutonium concentration in the entire pump housing peaks at 0.60 g/L at 10 simulation seconds and is reduced to below 0.1 g/L after four minutes. Since the minimum critical concentration of plutonium is 2.6 g/L, and the minimum critical plutonium mass under idealized plutonium-water conditions is 520 g, these predicted maximums in the pump housing are much lower than the minimum plutonium conditions needed to reach a criticality level. The initial plutonium maximum of 1.88 g/L still results in safety factor of 4.3 in the pump housing during the pump jet mixing operation.

  4. Tank 241-AZ-101 criticality assessment resulting from pump jet mixing: Sludge mixing simulation

    International Nuclear Information System (INIS)

    Onishi, Y.; Recknagle, K.

    1997-04-01

    Tank 241-AZ-101 (AZ-101) is one of 28 double-shell tanks located in the AZ farm in the Hanford Site's 200 East Area. The tank contains a significant quantity of fissile materials, including an estimated 9.782 kg of plutonium. Before beginning jet pump mixing for mitigative purposes, the operations must be evaluated to demonstrate that they will be subcritical under both normal and credible abnormal conditions. The main objective of this study was to address a concern about whether two 300-hp pumps with four rotating 18.3-m/s (60-ft/s) jets can concentrate plutonium in their pump housings during mixer pump operation and cause a criticality. The three-dimensional simulation was performed with the time-varying TEMPEST code to determine how much the pump jet mixing of Tank AZ-101 will concentrate plutonium in the pump housing. The AZ-101 model predicted that the total amount of plutonium within the pump housing peaks at 75 g at 10 simulation seconds and decreases to less than 10 g at four minutes. The plutonium concentration in the entire pump housing peaks at 0.60 g/L at 10 simulation seconds and is reduced to below 0.1 g/L after four minutes. Since the minimum critical concentration of plutonium is 2.6 g/L, and the minimum critical plutonium mass under idealized plutonium-water conditions is 520 g, these predicted maximums in the pump housing are much lower than the minimum plutonium conditions needed to reach a criticality level. The initial plutonium maximum of 1.88 g/L still results in safety factor of 4.3 in the pump housing during the pump jet mixing operation

  5. Fast-mixed spectrum reactor interim report initial feasibility study

    International Nuclear Information System (INIS)

    Fischer, G.J.; Cerbone, R.J.

    1979-01-01

    The report summarizes the results of an initial four-month feasibility study of the Fast-Mixed Spectrum Reactor (FMSR). Reactor physics, fuel cycle, and thermal-hydraulic analyses were performed on a reference design. These results when coupled to a fuel and materials evaluation performed in cooperation with the Argonne National Laboratory indicate that the FMSR is feasible provided the fuels, cladding, and subassembly ducts can survive a peak fuel burnup of 15 to 20 atom percent heavy metal and peak fluences of 8 x 10 23 (nvt > 0.1 MeV). The results of this short study have also provided a basis for exploring alternative designs requiring significantly lower peak burnup and fluences for their operation

  6. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative

    National Research Council Canada - National Science Library

    Harris, Daniel M; Westfall, John M; Fernald, Douglas H; Duclos, Christine W; West, David R; Niebauer, Linda; Marr, Linda; Quintela, Javan; Main, Deborah S

    2005-01-01

    .... This paper presents a mixed methods approach to analyzing narrative error event reports. Mixed methods studies integrate one or more qualitative and quantitative techniques for data collection and analysis...

  7. Low-level and mixed waste incinerator survey report

    International Nuclear Information System (INIS)

    Garcia, E.C.

    1988-10-01

    The Low-Level and Mixed Waste Survey Task was initiated to investigate and document current and planned incinerator facilities in the Department of Energy Defense Programs (DOE-DP) system. A survey was mailed to the DOE field offices requesting information regarding existing or planned incinerator facilities located under their jurisdiction. The information requested included type, capacities, uses, costs, and mechanical description of the incinerators. The results of this survey are documented in this report. Nine sites responded to the survey, with eight sites listing nine incineration units in several stages of operations. The Idaho National Engineering Laboratory listed two operational facilities. There are four incinerators that are planned for start-up in 1991. Of the existing incinerators, three are used mostly for low-level wastes, while the planned units will be used for low-level, mixed, and hazardous wastes. This report documents the current state of the incineration facilities in the DOE-DP system and provides a preliminary strategy for management of low-level wastes and a basis for implementing this strategy. 5 refs., 4 figs., 14 tabs

  8. Waste Quantity, Mix and Throughput Study Report

    International Nuclear Information System (INIS)

    Ovadia E, Lev

    1997-01-01

    This report describes the impact that waste stream parameters have on repository design, including surface, subsurface and waste package designs. Two design basis waste streams and corresponding design levels are established for two documented inventories of wastes: (a) Mined Geologic Design System (MGDS) Baseline (Viability Assessment) (VA) and (b) Extended Baseline. The MGDS Baseline VA inventory is currently used as the basis for the VA design of the repository, and is limited by statutes to a total of 70,000 MTU. The Extended Baseline includes the total documented inventories of commercial spent nuclear fuel, high-level waste and US Department of Energy spent nuclear fuel. Impacts of the two design bases on surface, subsurface and waste package designs are projected. The impact of potential disposal of additional commercial and Department of Energy miscellaneous wastes on design is assessed qualitatively

  9. 1999 Annual report -- Generating results

    International Nuclear Information System (INIS)

    2000-01-01

    The Athabasca Oil Sands Trust was created in 1995 by Athabasca Oil Sand Investments Inc. acquiring the Province of Alberta's 11.74 per cent working interest in the Syncrude Project, providing the first modern day opportunity for direct public investment in Syncrude and oil sands development in northern Alberta. Syncrude operates major oil sands mines, a utilities plant and bitumen extraction and upgrading facilities at Mildred Lake, near Fort McMurray. In 1999, Syncrude produced a record 81.4 million barrels of Syncrude Sweet Blend (SSB), a light 32 degree API sweet crude oil, meeting about 12 per cent of Canada's crude oil requirements. The average 1999 price received by the Trust for Syncrude Sweet Blend was $ 26.04 ber barrel. More robust oil prices, record annual volumes of production averaging 26,000 barrels per day (The Trust's share of Syncrude production) and the lowest ever operating costs ($ 12.55 per barrel) combined to produce record earnings for the Trust of $ 82.6 million, or 60 cents per unit for the year. In 1997, Syncrude owners announced a $ 6.0 billion expansion plan that would double production to more than 150 million barrels per year by 2007. In October 1999, the owners reaffirmed their commitment to continue working toward the four-stage expansion plan and propose to increase production in 2000 to 92 million barrels per year and to 165 million barrels per year by 2008. With the anticipated start-up of the Aurora Mine in late May of 2000, the Trust expects Syncrude volumes in excess of 90 million barrels at an average cost of $12.25 per barrel in 2000. The Trust's share of the projected volume is 10.6 million barrels or 29,000 barrels per day. Based on commitment to continuing the expansion, and assuming that oil prices remain buoyant, the Trust expects to maintain distributions at or above 1999 levels. The annual report contains a detailed discussion of the expansion plans, management's discussion and analysis of operational and financial

  10. Orbital Apex Syndrome Resulting from Mixed Bacterial Sphenoid Sinusitis

    Directory of Open Access Journals (Sweden)

    Mengfei Xiong

    2018-05-01

    Full Text Available Orbital apex syndrome (OAS is an uncommon disorder characterized by visual loss, ophthalmoplegia, ptosis and hypoaesthesia of the forehead[1]. OAS may result from a variety of inflammatory, infectious, neoplastic and vascular conditions that cause damage to the superior orbital fissure (with resultant oculomotor (III, trochlear (IV, abducens (VI and ophthalmic branch of the trigeminal nerve (V1 palsies and to the optic canal leading to optic nerve (II dysfunction. This case report describes the clinical development of OAS in a patient with bacterial sphenoid sinusitis.

  11. Fiscal 2000 report on results. Development of technology for intermediate processing system for recycling mixed waste plastics; 2000 nendo kongo haipra saishohinka no tame no chukan shori system gijutsu no kaihatsu seika hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    R and D was conducted concerning intermediate processing technology for recycling mixed waste plastics, a technology for processing household waste plastics such as plastic containers and packaging into plastic pellets of suitable grain sizes, with fiscal 2000 results compiled. In the development of the element technologies, an air clutch structure was added that generates rotor slip when foreign matters were engaged, thereby unnecessitating pre-sorting work for locating and removing metallic foreign matters. Addition of an air separator and a sieving machine also helped to achieve a useful-plastics recovery rate of 75% or more in the PVC separation equipment. In the operation of a demonstration plant, a continuous operation was carried out in a three-shift 24-hour system for five days, with the data obtained. Further, waste plastics to which the Containers and Packaging Recycling Law was applicable were treated, resulting in the processing capacity of 0.51 t/h and the production capacity of 0.38 t/h, which both exceeded the target. In the evaluation of the intermediate processing system, the cost of waste plastics treatment turned out to be about 50,000 yen per ton in the case of a plant having a processing capacity of 6,000 tons per year and about 30,000 yen per ton in the case of a plant of 24,000 tons per year. (NEDO)

  12. GHEP-ISFG collaborative exercise on mixture profiles of autosomal STRs (GHEP-MIX01, GHEP-MIX02 and GHEP-MIX03): results and evaluation.

    Science.gov (United States)

    Crespillo, M; Barrio, P A; Luque, J A; Alves, C; Aler, M; Alessandrini, F; Andrade, L; Barretto, R M; Bofarull, A; Costa, S; García, M A; García, O; Gaviria, A; Gladys, A; Gorostiza, A; Hernández, A; Herrera, M; Hombreiro, L; Ibarra, A A; Jiménez, M J; Luque, G M; Madero, P; Martínez-Jarreta, B; Masciovecchio, M V; Modesti, N M; Moreno, F; Pagano, S; Pedrosa, S; Plaza, G; Prat, E; Puente, J; Rendo, F; Ribeiro, T; Sala, A; Santamaría, E; Saragoni, V G; Whittle, M R

    2014-05-01

    One of the main objectives of the Spanish and Portuguese-Speaking Group of the International Society for Forensic Genetics (GHEP-ISFG) is to promote and contribute to the development and dissemination of scientific knowledge in the area of forensic genetics. Due to this fact, GHEP-ISFG holds different working commissions that are set up to develop activities in scientific aspects of general interest. One of them, the Mixture Commission of GHEP-ISFG, has organized annually, since 2009, a collaborative exercise on analysis and interpretation of autosomal short tandem repeat (STR) mixture profiles. Until now, three exercises have been organized (GHEP-MIX01, GHEP-MIX02 and GHEP-MIX03), with 32, 24 and 17 participant laboratories respectively. The exercise aims to give a general vision by addressing, through the proposal of mock cases, aspects related to the edition of mixture profiles and the statistical treatment. The main conclusions obtained from these exercises may be summarized as follows. Firstly, the data show an increased tendency of the laboratories toward validation of DNA mixture profiles analysis following international recommendations (ISO/IEC 17025:2005). Secondly, the majority of discrepancies are mainly encountered in stutters positions (53.4%, 96.0% and 74.9%, respectively for the three editions). On the other hand, the results submitted reveal the importance of performing duplicate analysis by using different kits in order to reduce errors as much as possible. Regarding the statistical aspect (GHEP-MIX02 and 03), all participants employed the likelihood ratio (LR) parameter to evaluate the statistical compatibility and the formulas employed were quite similar. When the hypotheses to evaluate the LR value were locked by the coordinators (GHEP-MIX02) the results revealed a minor number of discrepancies that were mainly due to clerical reasons. However, the GHEP-MIX03 exercise allowed the participants to freely come up with their own hypotheses to

  13. FY 1999 report on the results of the development of the preparation system technology for recycling of mixed waste plastics; 1999 nendo seika hokokusho. Kongo haipura saishohinka no tameno chukan shori system gijutsu no kaihatsu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    By operating the demonstrative plant for the preparation system to recycle mixed waste plastics and process them into such a shape that the transportation can be easier, conducted were the development of element technology necessary for the preparation and the evaluation study of process cost, economical efficiency, environmental effects, etc. The FY 1999 results were summed up. As to the operation of the demonstrative plant for the preparation completed in September 1999, the target waste plastic processing capacity of 3,000 t/y was expected to be achieved. Further, conditions were obtained for effectively separating/removing metal foreign matters such as iron and aluminum and heavy materials such as glass and plaster and for separating/removing chlorine resins such as PVC and reducing the chlorine concentration of the agglomerate to 2% or below. Concerning the development of the agglomeration technology by frictional heat, the target processing capacity of about 350 kg/h was expected to be achieved. In the plant assumed of the actual machine of process capacity of 6,000 t/y, the waste plastic processing cost was estimated to be about 70,000 yen/t. Moreover, the CO2 emission reduction amount of the agglomerate by coke substitution was quantitatively evaluated. (NEDO)

  14. Steel slag in hot mix asphalt concrete : final report

    Science.gov (United States)

    2000-04-01

    In September 1994, steel slag test and control sections were constructed in Oregon to evaluate the use of steel slag in hot mix asphalt concrete (HMAC). This report covers the construction and five-year performance of a pavement constructed with 30% ...

  15. Learning Financial Reports From Mixed Symbolic-Spatial Graphs

    Science.gov (United States)

    Tanlamai, Uthai; Soongswang, Oranuj

    2011-01-01

    Mixed visuals of numbers and graphs are available in various financial reports that demonstrate the financial status and risks of a firm. GWN (graphs with numbers) and TWG (table of numbers with graphs) were used as two alternative visuals derived from the actual data of two large public companies, one from food manufacturing industry (food) and…

  16. Mixed parents, mixed results : Testing the effects of cross-nativity partnership on children's educational attainment

    NARCIS (Netherlands)

    Emonds, Viktor; van Tubergen, F.A.

    2015-01-01

    In this article, we have used panel data from the Children of Immigrants Longitudinal Survey (N = 3,337) to test several mechanisms (English proficiency, friends with native parents, parental socioeconomic status [SES], educational attitudes, bilingualism, and family stability) by which mixed

  17. DOE Land Disposal Restrictions Strategy Report for Radioactive Mixed Waste

    International Nuclear Information System (INIS)

    1989-09-01

    This report represents an effort by the Department of Energy (DOE) and its contractors to develop a strategy for achieving radioactive mixed waste (RMW) compliance with the Resource Conservation and Recovery Act (RCRA) Land Disposal Restrictions (LDR). Preliminary information provided by the Operations Offices has been reviewed to formulate an overall strategy that will enable DOE operations to comply with the Land Disposal Restrictions. The effort has concluded that all DOE Operations Offices are impacted by LDR due to the inability to meet existing and future LDR storage prohibition requirements or treatment standards for RMW. A total of 178 RMW streams subject to LDR are identified in this report. Quantities of RMW impacted by LDR have been estimated at approximately 710,785 cubic meters. DOE must place a high priority on resolving LDR compliance issues. Failure to resolve these issues could result in the curtailment of waste generating operations at DOE facilities. Actions will be required from both DOE (Headquarters and Operations Offices) and EPA in order to achieve DOE complex-wide compliance. Specific recommendations are included. 1 fig., 4 tabs

  18. Delta-tilde interpretation of standard linear mixed model results

    DEFF Research Database (Denmark)

    Brockhoff, Per Bruun; Amorim, Isabel de Sousa; Kuznetsova, Alexandra

    2016-01-01

    effects relative to the residual error and to choose the proper effect size measure. For multi-attribute bar plots of F-statistics this amounts, in balanced settings, to a simple transformation of the bar heights to get them transformed into depicting what can be seen as approximately the average pairwise...... data set and compared to actual d-prime calculations based on Thurstonian regression modeling through the ordinal package. For more challenging cases we offer a generic "plug-in" implementation of a version of the method as part of the R-package SensMixed. We discuss and clarify the bias mechanisms...

  19. Soil washing results for mixed waste pond soils at Hanford

    International Nuclear Information System (INIS)

    Gerber, M.A.; Freeman, H.D.; Baker, E.G.; Riemath, W.F.

    1991-01-01

    Soil washing technology was assessed as a means for remediating soil contaminated with mixed wastes primarily composed of heavy metals and radionuclides. The soils at the US Department of Energy's Hanford Site are considered suitable for soil washing because of their relatively low quantities of silt and clay. However, in a limited number of soil washing experiments using soils from different locations in the north pond of the 300 Area, the degree of decontamination achieved for the coarse fraction of the soil varied considerably. Part of this variation appears to be due to the presence of a discrete layer of contaminated sediment found in some of the samples

  20. Mixed Waste Salt Encapsulation Using Polysiloxane - Final Report

    International Nuclear Information System (INIS)

    Miller, C.M.; Loomis, G.G.; Prewett, S.W.

    1997-01-01

    A proof-of-concept experimental study was performed to investigate the use of Orbit Technologies polysiloxane grouting material for encapsulation of U.S. Department of Energy mixed waste salts leading to a final waste form for disposal. Evaporator pond salt residues and other salt-like material contaminated with both radioactive isotopes and hazardous components are ubiquitous in the DOE complex and may exceed 250,000,000 kg of material. Current treatment involves mixing low waste percentages (less than 10% by mass salt) with cement or costly thermal treatment followed by cementation to the ash residue. The proposed technology involves simple mixing of the granular salt material (with relatively high waste loadings-greater than 50%) in a polysiloxane-based system that polymerizes to form a silicon-based polymer material. This study involved a mixing study to determine optimum waste loadings and compressive strengths of the resultant monoliths. Following the mixing study, durability testing was performed on promising waste forms. Leaching studies including the accelerated leach test and the toxicity characteristic leaching procedure were also performed on a high nitrate salt waste form. In addition to this testing, the waste form was examined by scanning electron microscope. Preliminary cost estimates for applying this technology to the DOE complex mixed waste salt problem is also given

  1. Macroencapsulated and elemental lead mixed waste sites report

    International Nuclear Information System (INIS)

    Kalia, A.; Jacobson, R.

    1996-09-01

    The purpose of this study was to compile a list of the Macroencapsulated (MACRO) and Elemental Lead (EL) Mixed Wastes sites that will be treated and require disposal at the Nevada Test Site within the next five to ten years. The five sites selected were: Hanford Site, Richland, Washington; Idaho National Engineering Laboratory (INEL), Idaho Falls, Idaho; Oak Ridge National Laboratory (ORNL), Oak Ridge, Tennessee; Rocky Flats Environmental Technology (RF), Golden, Colorado; and Savannah River (SRS), Charleston, South Carolina. A summary of total lead mixed waste forms at the five selected DOE sites is described in Table E-1. This table provides a summary of total waste and grand total of the current inventory and five-year projected generation of lead mixed waste for each site. This report provides conclusions and recommendations for further investigations. The major conclusions are: (1) the quantity of lead mixed current inventory waste is 500.1 m 3 located at the INEL, and (2) the five sites contain several other waste types contaminated with mercury, organics, heavy metal solids, and mixed sludges

  2. Soil washing results for mixed waste pond soils at Hanford

    International Nuclear Information System (INIS)

    Gerber, M.A.

    1991-09-01

    Soil washing technology was assessed as a means for remediating soil contaminated with mixed wastes primarily composed of heavy metals and radionuclides. The soils at the US Department of Energy's Hanford Site are considered suitable for soil washing because of their relatively low quantities of silt and clay. However, in a limited number of soil washing experiments using soils from different locations in the north pond of the 300 Area, the degree of decontamination achieved for the coarse fraction of the soil varied considerably. Part of this variation appears to be due to the presence of a discrete layer of contaminated sediment found in some of the samples. 7 refs., 2 figs., 4 tabs

  3. Mixed-methods research in pharmacy practice: recommendations for quality reporting. Part 2.

    Science.gov (United States)

    Hadi, Muhammad Abdul; Alldred, David Phillip; Closs, S José; Briggs, Michelle

    2014-02-01

    This is the second of two papers that explore the use of mixed-methods research in pharmacy practice. This paper discusses the rationale, applications, limitations and challenges of conducting mixed-methods research. As with other research methods, the choice of mixed-methods should always be justified because not all research questions require a mixed-methods approach. Mixed-methods research is particularly suitable when one dataset may be inadequate in answering the research question, an explanation of initial results is required, generalizability of qualitative findings is desired or broader and deeper understanding of a research problem is necessary. Mixed-methods research has its own challenges and limitations, which should be considered carefully while designing the study. There is a need to improve the quality of reporting of mixed-methods research. A framework for reporting mixed-methods research is proposed, for researchers and reviewers, with the intention of improving its quality. Pharmacy practice research can benefit from research that uses both 'numbers' (quantitative) and 'words' (qualitative) to develop a strong evidence base to support pharmacy-led services. © 2013 Royal Pharmaceutical Society.

  4. Adjusting case mix payment amounts for inaccurately reported comorbidity data.

    Science.gov (United States)

    Sutherland, Jason M; Hamm, Jeremy; Hatcher, Jeff

    2010-03-01

    Case mix methods such as diagnosis related groups have become a basis of payment for inpatient hospitalizations in many countries. Specifying cost weight values for case mix system payment has important consequences; recent evidence suggests case mix cost weight inaccuracies influence the supply of some hospital-based services. To begin to address the question of case mix cost weight accuracy, this paper is motivated by the objective of improving the accuracy of cost weight values due to inaccurate or incomplete comorbidity data. The methods are suitable to case mix methods that incorporate disease severity or comorbidity adjustments. The methods are based on the availability of detailed clinical and cost information linked at the patient level and leverage recent results from clinical data audits. A Bayesian framework is used to synthesize clinical data audit information regarding misclassification probabilities into cost weight value calculations. The models are implemented through Markov chain Monte Carlo methods. An example used to demonstrate the methods finds that inaccurate comorbidity data affects cost weight values by biasing cost weight values (and payments) downward. The implications for hospital payments are discussed and the generalizability of the approach is explored.

  5. Spectral results for mixed problems and fractional elliptic operators,

    DEFF Research Database (Denmark)

    Grubb, Gerd

    2015-01-01

    In the first part of the paper we show Weyl type spectral asymptotic formulas for pseudodifferential operators P a of order 2a, with type and factorization index a  ∈ R +, restricted to compact sets with boundary; this includes fractional powers of the Laplace operator. The domain...... and the regularity of eigenfunctions is described. In the second part, we apply this in a study of realizations A χ,Σ+ in L 2( Ω ) of mixed problems for a second-order strongly elliptic symmetric differential operator A on a bounded smooth set Ω ⊂ R n; here the boundary ∂Ω=Σ is partioned smoothly into Σ......=Σ_∪Σ+, the Dirichlet condition γ0u=0 is imposed on Σ_, and a Neumann or Robin condition χu=0 is imposed on Σ+. It is shown that the Dirichlet-to-Neumann operator Pγ,χ is principally of type 1/2 with factorization index 1/2, relative to Σ+. The above theory allows a detailed description of D (Aχ,Σ_+) with singular...

  6. Mixed waste focus area technical baseline report. Volume 2

    International Nuclear Information System (INIS)

    1997-04-01

    As part of its overall program, the MWFA uses a national mixed waste data set to develop approaches for treating mixed waste that cannot be treated using existing capabilities at DOE or commercial facilities. The current data set was originally compiled under the auspices of the 1995 Mixed Waste Inventory Report. The data set has been updated over the past two years based on Site Treatment Plan revisions and clarifications provided by individual sites. The current data set is maintained by the MWFA staff and is known as MWFA97. In 1996, the MWFA developed waste groupings, process flow diagrams, and treatment train diagrams to systematically model the treatment of all mixed waste in the DOE complex. The purpose of the modeling process was to identify treatment gaps and corresponding technology development needs for the DOE complex. Each diagram provides the general steps needed to treat a specific type of waste. The NWFA categorized each MWFA97 waste stream by waste group, treatment train, and process flow. Appendices B through F provide the complete listing of waste streams by waste group, treatment train, and process flow. The MWFA97 waste strewn information provided in the appendices is defined in Table A-1

  7. Fast-Mixed Spectrum Reactor. Progress report for 1979

    International Nuclear Information System (INIS)

    Fischer, G.J.; Cerbone, R.J.

    1980-05-01

    This report summarizes the progress of the Fast Mixed Spectrum Reactor (FMSR) since the publication of the Interim Report in January 1979. The FMSR program was initiated to determine the feasibility of a breeder reactor concept which operated on a once-through-and-store fuel cycle and for which the only feed would be natural uranium. A first or startup core enriched to a maximum of about eleven percent in uranium-235 would be required. The concept has excellent antiproliferation advantages. In the once-through and store mode, the FMSR has a resource utilization which is a factor of four higher than a light water reactor

  8. Hanford Site annual dangerous waste report: Volume 4, Waste Management Facility report, Radioactive mixed waste

    International Nuclear Information System (INIS)

    1994-01-01

    This report contains information on radioactive mixed wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, handling method and containment vessel, waste number, waste designation and amount of waste

  9. Hanford Site annual dangerous waste report: Volume 2, Generator dangerous waste report, radioactive mixed waste

    International Nuclear Information System (INIS)

    1994-01-01

    This report contains information on radioactive mixed wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, waste number, waste designation, weight, and waste designation

  10. New results on Bs mixing and CP violation from LHCb

    CERN Multimedia

    CERN. Geneva

    2013-01-01

    Oscillation effects in the Bs meson system provide a window on physics beyond the Standard Model. The latest results from LHCb on the mass and width differences between the two physical eigenstates, and the CP violating phase measured in the Bs -> J/psi phi decay channel are presented. In addition, results of a first study of the CP violating phase in the penguin-dominated Bs -> phiphi decays are shown.

  11. Alabama warm mix asphalt field study : final report.

    Science.gov (United States)

    2010-05-01

    The Alabama Department of Transportation hosted a warm mix asphalt field demonstration in August 2007. The warm mix asphalt technology demonstrated was Evotherm Dispersed Asphalt Technology. The WMA and hot mix asphalt produced for the demonstration ...

  12. 183-H Basin Mixed Waste Analysis and Testing Report

    International Nuclear Information System (INIS)

    1995-01-01

    The purpose of this sampling and analysis report is to provide data necessary to support treatment and disposal options for the low-level mixed waste from the 183-H solar evaporation ponds. In 1973, four of the 16 flocculation and sedimentation basins were designated for use as solar evaporation basins to provide waste reduction by natural evaporation of liquid chemical wastes from the 300 Area fuel fabrication facilities. The primary purpose of this effort is to gather chemical and bulk property data for the waste in the drums/boxes of sediment removed from the basin at Central Waste Complex

  13. HIV quality report cards: impact of case-mix adjustment and statistical methods.

    Science.gov (United States)

    Ohl, Michael E; Richardson, Kelly K; Goto, Michihiko; Vaughan-Sarrazin, Mary; Schweizer, Marin L; Perencevich, Eli N

    2014-10-15

    There will be increasing pressure to publicly report and rank the performance of healthcare systems on human immunodeficiency virus (HIV) quality measures. To inform discussion of public reporting, we evaluated the influence of case-mix adjustment when ranking individual care systems on the viral control quality measure. We used data from the Veterans Health Administration (VHA) HIV Clinical Case Registry and administrative databases to estimate case-mix adjusted viral control for 91 local systems caring for 12 368 patients. We compared results using 2 adjustment methods, the observed-to-expected estimator and the risk-standardized ratio. Overall, 10 913 patients (88.2%) achieved viral control (viral load ≤400 copies/mL). Prior to case-mix adjustment, system-level viral control ranged from 51% to 100%. Seventeen (19%) systems were labeled as low outliers (performance significantly below the overall mean) and 11 (12%) as high outliers. Adjustment for case mix (patient demographics, comorbidity, CD4 nadir, time on therapy, and income from VHA administrative databases) reduced the number of low outliers by approximately one-third, but results differed by method. The adjustment model had moderate discrimination (c statistic = 0.66), suggesting potential for unadjusted risk when using administrative data to measure case mix. Case-mix adjustment affects rankings of care systems on the viral control quality measure. Given the sensitivity of rankings to selection of case-mix adjustment methods-and potential for unadjusted risk when using variables limited to current administrative databases-the HIV care community should explore optimal methods for case-mix adjustment before moving forward with public reporting. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  14. Gender equity and health sector reform in Colombia: mixed state-market model yields mixed results.

    Science.gov (United States)

    Ewig, Christina; Bello, Amparo Hernández

    2009-03-01

    In 1993, Colombia carried out a sweeping health reform that sought to dramatically increase health insurance coverage and reduce state involvement in health provision by creating a unitary state-supervised health system in which private entities are the main insurers and health service providers. Using a quantitative comparison of household survey data and an analysis of the content of the reforms, we evaluate the effects of Colombia's health reforms on gender equity. We find that several aspects of these reforms hold promise for greater gender equity, such as the resulting increase in women's health insurance coverage. However, the reforms have not achieved gender equity due to the persistence of fees which discriminate against women and the introduction of a two-tier health system in which women heads of household and the poor are concentrated in a lower quality health system.

  15. Bipolar mixed features - Results from the comparative effectiveness for bipolar disorder (Bipolar CHOICE) study.

    Science.gov (United States)

    Tohen, Mauricio; Gold, Alexandra K; Sylvia, Louisa G; Montana, Rebecca E; McElroy, Susan L; Thase, Michael E; Rabideau, Dustin J; Nierenberg, Andrew A; Reilly-Harrington, Noreen A; Friedman, Edward S; Shelton, Richard C; Bowden, Charles L; Singh, Vivek; Deckersbach, Thilo; Ketter, Terence A; Calabrese, Joseph R; Bobo, William V; McInnis, Melvin G

    2017-08-01

    DSM-5 changed the criteria from DSM-IV for mixed features in mood disorder episodes to include non-overlapping symptoms of depression and hypomania/mania. It is unknown if, by changing these criteria, the same group would qualify for mixed features. We assessed how those meeting DSM-5 criteria for mixed features compare to those meeting DSM-IV criteria. We analyzed data from 482 adult bipolar patients in Bipolar CHOICE, a randomized comparative effectiveness trial. Bipolar diagnoses were confirmed through the MINI International Neuropsychiatric Interview (MINI). Presence and severity of mood symptoms were collected with the Bipolar Inventory of Symptoms Scale (BISS) and linked to DSM-5 and DSM-IV mixed features criteria. Baseline demographics and clinical variables were compared between mood episode groups using ANOVA for continuous variables and chi-square tests for categorical variables. At baseline, the frequency of DSM-IV mixed episodes diagnoses obtained with the MINI was 17% and with the BISS was 20%. Using DSM-5 criteria, 9% of participants met criteria for hypomania/mania with mixed features and 12% met criteria for a depressive episode with mixed features. Symptom severity was also associated with increased mixed features with a high rate of mixed features in patients with mania/hypomania (63.8%) relative to those with depression (8.0%). Data on mixed features were collected at baseline only and thus do not reflect potential patterns in mixed features within this sample across the study duration. The DSM-5 narrower, non-overlapping definition of mixed episodes resulted in fewer patients who met mixed criteria compared to DSM-IV. Copyright © 2017. Published by Elsevier B.V.

  16. Results of Propellant Mixing Variable Study Using Precise Pressure-Based Burn Rate Calculations

    Science.gov (United States)

    Stefanski, Philip L.

    2014-01-01

    A designed experiment was conducted in which three mix processing variables (pre-curative addition mix temperature, pre-curative addition mixing time, and mixer speed) were varied to estimate their effects on within-mix propellant burn rate variability. The chosen discriminator for the experiment was the 2-inch diameter by 4-inch long (2x4) Center-Perforated (CP) ballistic evaluation motor. Motor nozzle throat diameters were sized to produce a common targeted chamber pressure. Initial data analysis did not show a statistically significant effect. Because propellant burn rate must be directly related to chamber pressure, a method was developed that showed statistically significant effects on chamber pressure (either maximum or average) by adjustments to the process settings. Burn rates were calculated from chamber pressures and these were then normalized to a common pressure for comparative purposes. The pressure-based method of burn rate determination showed significant reduction in error when compared to results obtained from the Brooks' modification of the propellant web-bisector burn rate determination method. Analysis of effects using burn rates calculated by the pressure-based method showed a significant correlation of within-mix burn rate dispersion to mixing duration and the quadratic of mixing duration. The findings were confirmed in a series of mixes that examined the effects of mixing time on burn rate variation, which yielded the same results.

  17. Mixed Waste Focus Area: Department of Energy complex needs report

    International Nuclear Information System (INIS)

    Roach, J.A.

    1995-01-01

    The Assistant Secretary for the Office of Environmental Management (EM) at the US Department of Energy (DOE) initiated a new approach in August of 1993 to environmental research and technology development. A key feature of this new approach included establishment of the Mixed Waste Characterization, Treatment, and Disposal Focus Area (MWFA). The mission of the MWFA is to identify, develop, and implement needed technologies such that the major environmental management problems related to meeting DOE's commitments for treatment of mixed wastes under the Federal Facility Compliance Act (FFCA), and in accordance with the Land Disposal Restrictions (LDR) of the Resource Conservation and Recovery Act (RCRA), can be addressed, while cost-effectively expending the funding resources. To define the deficiencies or needs of the EM customers, the MWFA analyzed Proposed Site Treatment Plans (PSTPs), as well as other applicable documents, and conducted site visits throughout the summer of 1995. Representatives from the Office of Waste Management (EM-30), the Office of Environmental Restoration (EM-40), and the Office of Facility Transition and Management (EM-60) at each site visited were requested to consult with the Focus Area to collaboratively define their technology needs. This report documents the needs, deficiencies, technology gaps, and opportunities for expedited treatment activities that were identified during the site visit process. The defined deficiencies and needs are categorized by waste type, namely Wastewaters, Combustible Organics, Sludges/Soils, Debris/Solids, and Unique Wastes, and will be prioritized based on the relative affect the deficiency has on the DOE Complex

  18. Low level mixed waste thermal treatment technical basis report

    Energy Technology Data Exchange (ETDEWEB)

    Place, B.G.

    1994-12-01

    Detailed characterization of the existing and projected Hanford Site Radioactive Mixed Waste (RMW) inventory was initiated in 1993 (Place 1993). This report presents an analysis of the existing and projected RMW inventory. The subject characterization effort continues to be in support of the following engineering activities related to thermal treatment of Hanford Site RMW: (1) Contracting for commercial thermal treatment; (2) Installation and operation of an onsite thermal treatment facility (Project W-242); (3) Treatment at another Department of Energy (DOE) site. The collation of this characterization information (data) has emphasized the establishment of a common data base for the entire existing RMW inventory so that the specification of feed streams destined for different treatment facilities can be coordinated.

  19. Low level mixed waste thermal treatment technical basis report

    International Nuclear Information System (INIS)

    Place, B.G.

    1994-12-01

    Detailed characterization of the existing and projected Hanford Site Radioactive Mixed Waste (RMW) inventory was initiated in 1993 (Place 1993). This report presents an analysis of the existing and projected RMW inventory. The subject characterization effort continues to be in support of the following engineering activities related to thermal treatment of Hanford Site RMW: (1) Contracting for commercial thermal treatment; (2) Installation and operation of an onsite thermal treatment facility (Project W-242); (3) Treatment at another Department of Energy (DOE) site. The collation of this characterization information (data) has emphasized the establishment of a common data base for the entire existing RMW inventory so that the specification of feed streams destined for different treatment facilities can be coordinated

  20. Waste receiving and processing module 2A mixing tests status report

    International Nuclear Information System (INIS)

    Weber, J.R.; Hull, K.J.

    1994-01-01

    The purpose of this report is to document the Phase II test conditions, observations, and results of this work. This report provides additional mixing performance test data and rheologic data that provide further indications that there are clear and distinct advantages in the preliminary choice of high-shear mixing alone, and high-shear dispersion in combination with, or followed by, a low-speed type mixer/stirrer for WRAP 2A facility design. Another objective was to determine if significant scale-up problems might exist in the various mix and mixer designs. In the later Phase 2 tests the test material quantities were significantly larger than in the Phase 1 tests

  1. 1998 report on Hanford Site land disposal restrictions for mixed waste

    International Nuclear Information System (INIS)

    Black, D.G.

    1998-01-01

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone M-26-01H. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of managing land-disposal-restricted mixed waste at the Hanford Facility. The US Department of Energy, its predecessors, and contractors on the Hanford Facility were involved in the production and purification of nuclear defense materials from the early 1940s to the late 1980s. These production activities have generated large quantities of liquid and solid mixed waste. This waste is regulated under authority of both the Resource Conservation and Recovery Act of l976 and the Atomic Energy Act of 1954. This report covers only mixed waste. The Washington State Department of Ecology, US Environmental Protection Agency, and US Department of Energy have entered into the Tri-Party Agreement to bring the Hanford Facility operations into compliance with dangerous waste regulations. The Tri-Party Agreement required development of the original land disposal restrictions (LDR) plan and its annual updates to comply with LDR requirements for mixed waste. This report is the eighth update of the plan first issued in 1990. The Tri-Party Agreement requires and the baseline plan and annual update reports provide the following information: (1) Waste Characterization Information -- Provides information about characterizing each LDR mixed waste stream. The sampling and analysis methods and protocols, past characterization results, and, where available, a schedule for providing the characterization information are discussed. (2) Storage Data -- Identifies and describes the mixed waste on the Hanford Facility. Storage data include the Resource Conservation and Recovery Act of 1976 dangerous waste codes, generator process knowledge needed to identify the waste and to make LDR determinations, quantities

  2. 1998 report on Hanford Site land disposal restrictions for mixed waste

    Energy Technology Data Exchange (ETDEWEB)

    Black, D.G.

    1998-04-10

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone M-26-01H. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of managing land-disposal-restricted mixed waste at the Hanford Facility. The US Department of Energy, its predecessors, and contractors on the Hanford Facility were involved in the production and purification of nuclear defense materials from the early 1940s to the late 1980s. These production activities have generated large quantities of liquid and solid mixed waste. This waste is regulated under authority of both the Resource Conservation and Recovery Act of l976 and the Atomic Energy Act of 1954. This report covers only mixed waste. The Washington State Department of Ecology, US Environmental Protection Agency, and US Department of Energy have entered into the Tri-Party Agreement to bring the Hanford Facility operations into compliance with dangerous waste regulations. The Tri-Party Agreement required development of the original land disposal restrictions (LDR) plan and its annual updates to comply with LDR requirements for mixed waste. This report is the eighth update of the plan first issued in 1990. The Tri-Party Agreement requires and the baseline plan and annual update reports provide the following information: (1) Waste Characterization Information -- Provides information about characterizing each LDR mixed waste stream. The sampling and analysis methods and protocols, past characterization results, and, where available, a schedule for providing the characterization information are discussed. (2) Storage Data -- Identifies and describes the mixed waste on the Hanford Facility. Storage data include the Resource Conservation and Recovery Act of 1976 dangerous waste codes, generator process knowledge needed to identify the waste and to make LDR determinations, quantities

  3. Writing a Mixed Methods Report in Social Work Research

    Science.gov (United States)

    Bronstein, Laura R.; Kovacs, Pamela J.

    2013-01-01

    This article briefly chronicles the development of mixed methods research and its use in social work. We then move onto a discussion of terms and designs, reasons for (and for not) using mixed methods. Drawing upon exemplars, we address how to write up a mixed methods study when (1) the sample is single; single for one part, with a subset for the…

  4. 10 CFR 26.169 - Reporting Results.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Reporting Results. 26.169 Section 26.169 Energy NUCLEAR... specific gravity test. (4) For a specimen that has an invalid result, the laboratory shall contact the MRO... transmission and ensure only authorized access to any data transmission, storage, and retrieval system. (f) For...

  5. Steam reforming of low-level mixed waste. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-06-01

    ThermoChem has successfully designed, fabricated and operated a nominal 90 pound per hour Process Development Unit (PDU) on various low-level mixed waste surrogates. The design, construction, and testing of the PDU as well as performance and economic projections for a 300-lb/hr demonstration and commercial system are described. The overall system offers an environmentally safe, non-incinerating, cost-effective, and publicly acceptable method of processing LLMW. The steam-reforming technology was ranked the No. 1 non-incineration technology for destruction of hazardous organic wastes in a study commissioned by the Mixed Waste Focus Area and published in April 1997. The ThermoChem steam-reforming system has been developed over the last 13 years culminating in this successful test campaign on LLMW surrogates. Six surrogates were successfully tested including a 750-hour test on material simulating a PCB- and Uranium-contaminated solid waste found at the Portsmouth Gaseous Diffusion Plant. The test results indicated essentially total (> 99.9999%) destruction of RCRA and TSCA hazardous halogenated organics, significant levels of volume reduction (> 400 to 1), and retention of radionuclides in the volume-reduced solids. Economic evaluations have shown the steam-reforming system to be very cost competitive with more conventional and other emerging technologies.

  6. Steam reforming of low-level mixed waste. Final report

    International Nuclear Information System (INIS)

    1998-06-01

    ThermoChem has successfully designed, fabricated and operated a nominal 90 pound per hour Process Development Unit (PDU) on various low-level mixed waste surrogates. The design, construction, and testing of the PDU as well as performance and economic projections for a 300-lb/hr demonstration and commercial system are described. The overall system offers an environmentally safe, non-incinerating, cost-effective, and publicly acceptable method of processing LLMW. The steam-reforming technology was ranked the No. 1 non-incineration technology for destruction of hazardous organic wastes in a study commissioned by the Mixed Waste Focus Area and published in April 1997. The ThermoChem steam-reforming system has been developed over the last 13 years culminating in this successful test campaign on LLMW surrogates. Six surrogates were successfully tested including a 750-hour test on material simulating a PCB- and Uranium-contaminated solid waste found at the Portsmouth Gaseous Diffusion Plant. The test results indicated essentially total (> 99.9999%) destruction of RCRA and TSCA hazardous halogenated organics, significant levels of volume reduction (> 400 to 1), and retention of radionuclides in the volume-reduced solids. Economic evaluations have shown the steam-reforming system to be very cost competitive with more conventional and other emerging technologies

  7. Mixed

    Directory of Open Access Journals (Sweden)

    Pau Baya

    2011-05-01

    Full Text Available Remenat (Catalan (Mixed, "revoltillo" (Scrambled in Spanish, is a dish which, in Catalunya, consists of a beaten egg cooked with vegetables or other ingredients, normally prawns or asparagus. It is delicious. Scrambled refers to the action of mixing the beaten egg with other ingredients in a pan, normally using a wooden spoon Thought is frequently an amalgam of past ideas put through a spinner and rhythmically shaken around like a cocktail until a uniform and dense paste is made. This malleable product, rather like a cake mixture can be deformed pulling it out, rolling it around, adapting its shape to the commands of one’s hands or the tool which is being used on it. In the piece Mixed, the contortion of the wood seeks to reproduce the plasticity of this slow heavy movement. Each piece lays itself on the next piece consecutively like a tongue of incandescent lava slowly advancing but with unstoppable inertia.

  8. Reporting Statistical Results in Medical Journals

    Science.gov (United States)

    Arifin, Wan Nor; Sarimah, Abdullah; Norsa’adah, Bachok; Najib Majdi, Yaacob; Siti-Azrin, Ab Hamid; Kamarul Imran, Musa; Aniza, Abd Aziz; Naing, Lin

    2016-01-01

    Statistical editors of the Malaysian Journal of Medical Sciences (MJMS) must go through many submitted manuscripts, focusing on the statistical aspect of the manuscripts. However, the editors notice myriad styles of reporting the statistical results, which are not standardised among the authors. This could be due to the lack of clear written instructions on reporting statistics in the guidelines for authors. The aim of this editorial is to briefly outline reporting methods for several important and common statistical results. It will also address a number of common mistakes made by the authors. The editorial will serve as a guideline for authors aiming to publish in the MJMS as well as in other medical journals. PMID:27904419

  9. Annual report on electricity quality - 2013 results

    International Nuclear Information System (INIS)

    2014-01-01

    Every year, RTE, The French transmission system operator, evaluates the electricity quality of the French grid. Quality covers two aspects: the continuity of supply (percentage of outages) and the voltage wave quality (temporary or continuous disturbances). This report presents: the 2013 key figures and highlights, RTE's electricity quality commitments, RTE's technical results and quality assurance, and RTE's action for grid performances improvement

  10. Annual report on electricity quality - 2008 results

    International Nuclear Information System (INIS)

    2009-01-01

    Every year, RTE, The French transmission system operator, evaluates the electricity quality of the French grid. Quality covers two aspects: the continuity of supply (percentage of outages) and the voltage wave quality (temporary or continuous disturbances). This report presents: the 2008 key figures and highlights, RTE's electricity quality commitments, RTE's technical results and quality assurance, and RTE's action for grid performances improvement

  11. Annual report on electricity quality - 2009 results

    International Nuclear Information System (INIS)

    2010-01-01

    Every year, RTE, The French transmission system operator, evaluates the electricity quality of the French grid. Quality covers two aspects: the continuity of supply (percentage of outages) and the voltage wave quality (temporary or continuous disturbances). This report presents: the 2009 key figures and highlights, RTE's electricity quality commitments, RTE's technical results and quality assurance, and RTE's action for grid performances improvement

  12. Annual report on electricity quality - 2011 results

    International Nuclear Information System (INIS)

    2012-01-01

    Every year, RTE, The French transmission system operator, evaluates the electricity quality of the French grid. Quality covers two aspects: the continuity of supply (percentage of outages) and the voltage wave quality (temporary or continuous disturbances). This report presents: the 2011 key figures and highlights, RTE's electricity quality commitments, RTE's technical results and quality assurance, and RTE's action for grid performances improvement

  13. Annual report on electricity quality - 2016 results

    International Nuclear Information System (INIS)

    2016-01-01

    Every year, RTE, The French transmission system operator, evaluates the electricity quality of the French grid. Quality covers two aspects: the continuity of supply (percentage of outages) and the voltage wave quality (temporary or continuous disturbances). This report presents: the 2016 key figures and highlights, RTE's electricity quality commitments, RTE's technical results and quality assurance, and RTE's action for grid performances improvement

  14. Annual report on electricity quality - 2014 results

    International Nuclear Information System (INIS)

    2015-01-01

    Every year, RTE, The French transmission system operator, evaluates the electricity quality of the French grid. Quality covers two aspects: the continuity of supply (percentage of outages) and the voltage wave quality (temporary or continuous disturbances). This report presents: the 2014 key figures and highlights, RTE's electricity quality commitments, RTE's technical results and quality assurance, and RTE's action for grid performances improvement

  15. Annual report on electricity quality - 2015 results

    International Nuclear Information System (INIS)

    2016-01-01

    Every year, RTE, The French transmission system operator, evaluates the electricity quality of the French grid. Quality covers two aspects: the continuity of supply (percentage of outages) and the voltage wave quality (temporary or continuous disturbances). This report presents: the 2015 key figures and highlights, RTE's electricity quality commitments, RTE's technical results and quality assurance, and RTE's action for grid performances improvement

  16. Annual report on electricity quality - 2012 results

    International Nuclear Information System (INIS)

    2013-01-01

    Every year, RTE, the French transmission system operator, evaluates the electricity quality of the French grid. Quality covers two aspects: the continuity of supply (percentage of outages) and the voltage wave quality (temporary or continuous disturbances). This report presents: the 2012 key figures and highlights, RTE's electricity quality commitments, RTE's technical results and quality assurance, and RTE's action for grid performances improvement

  17. Annual report on electricity quality - 2010 results

    International Nuclear Information System (INIS)

    2011-01-01

    Every year, RTE, The French transmission system operator, evaluates the electricity quality of the French grid. Quality covers two aspects: the continuity of supply (percentage of outages) and the voltage wave quality (temporary or continuous disturbances). This report presents: the 2010 key figures and highlights, RTE's electricity quality commitments, RTE's technical results and quality assurance, and RTE's action for grid performances improvement

  18. Characterization of Black Carbon Mixing State Field Campaign Report

    Energy Technology Data Exchange (ETDEWEB)

    Sedlacek, A. [Brookhaven National Lab. (BNL), Upton, NY (United States); Davidovits, P. [Boston College, Chestnut Hill, MA (United States); Lewis, E. R. [Brookhaven National Lab. (BNL), Upton, NY (United States); Onasch, T. B. [Aerodyne Research, Billerica, MA (United States)

    2016-04-01

    Interpreting the temporal relationship between the scattering and incandescence signals recorded by the Single Particle Soot Photometer (SP2), Sedlacek et al. (2012) reported that 60% of the refractory black carbon containing particles in a plume containing biomass burning tracers exhibited non-core-shell structure. Because the relationship between the rBC (refractory black carbon) incandescence and the scattering signals had not been reported in the peer-reviewed literature, and to further evaluate the initial interpretation by Sedlacek et al., a series of experiments was undertaken to investigate black carbon-containing particles of known morphology using Regal black (RB), a proxy for collapsed soot, as the light-absorbing substance to characterize this signal relationship. Particles were formed by coagulation of RB with either a solid substance (sodium chloride or ammonium sulfate) or a liquid substance (dioctyl sebacate), and by condensation with dioctyl sebacate, the latter experiment forming particles in a core-shell configuration. Each particle type experienced fragmentation (observed as negative lagtimes), and each yielded similar lagtime responses in some instances, confounding attempts to differentiate particle morphology using current SP2 lagtime analysis. SP2 operating conditions, specifically laser power and sample flow rate, which in turn affect the particle heating and dissipation rates, play an important role in the behavior of particles in the SP2, including probability of fragmentation. This behavior also depended on the morphology of the particles and on the thermochemical properties of the non-RB substance. Although these influences cannot currently be unambiguously separated, the SP2 analysis may still provide useful information on particle mixing states and black carbon particle sources. This work was communicated in a 2015 publication (Sedlacek et al. 2015)

  19. Global Attractivity Results for Mixed-Monotone Mappings in Partially Ordered Complete Metric Spaces

    Directory of Open Access Journals (Sweden)

    Kalabušić S

    2009-01-01

    Full Text Available We prove fixed point theorems for mixed-monotone mappings in partially ordered complete metric spaces which satisfy a weaker contraction condition than the classical Banach contraction condition for all points that are related by given ordering. We also give a global attractivity result for all solutions of the difference equation , where satisfies mixed-monotone conditions with respect to the given ordering.

  20. In situ enhanced soil mixing. Innovative technology summary report

    International Nuclear Information System (INIS)

    1996-02-01

    In Situ Enhanced Soil Mixing (ISESM) is a treatment technology that has been demonstrated and deployed to remediate soils contaminated with volatile organic compounds (VOCs). The technology has been developed by industry and has been demonstrated with the assistance of the U.S. Department of Energy's Office of Science and Technology and the Office of Environmental Restoration. The technology is particularly suited to shallow applications, above the water table, but can be used at greater depths. ISESM technologies demonstrated for this project include: (1) Soil mixing with vapor extraction combined with ambient air injection. [Contaminated soil is mixed with ambient air to vaporize volatile organic compounds (VOCs). The mixing auger is moved up and down to assist in removal of contaminated vapors. The vapors are collected in a shroud covering the treatment area and run through a treatment unit containing a carbon filter or a catalytic oxidation unit with a wet scrubber system and a high efficiency particulate air (HEPA) filter.] (2) soil mixing with vapor extraction combined with hot air injection [This process is the same as the ambient air injection except that hot air or steam is injected.] (3) soil mixing with hydrogen peroxide injection [Contaminated soil is mixed with ambient air that contains a mist of diluted hydrogen peroxide (H 2 O 2 ) solution. The H 2 O 2 solution chemically oxidizes the VOCs to carbon dioxide (CO 2 ) and water.] (4) soil mixing with grout injection for solidification/stabilization [Contaminated soil is mixed as a cement grout is injected under pressure to solidify and immobilize the contaminated soil in a concrete-like form.] The soils are mixed with a single-blade auger or with a combination of augers ranging in diameter from 3 to 12 feet

  1. Building America Residential System Research Results. Achieving 30% Whole House Energy Savings Level in Hot-Dry and Mixed-Dry Climates

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, R. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Hendron, R. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Eastment, M. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Jalalzadeh-Azar, A. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2006-01-01

    This report summarizes Building America research results for the 30% energy savings level and demonstrates that lead builders can successfully provide 30% homes in the Hot-Dry/Mixed-Dry Climate Region on a cost-neutral basis.

  2. Building America Residential System Research Results: Achieving 30% Whole House Energy Savings Level in Mixed-Humid Climates; January 2006 - December 2006

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, R. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Hendron, R. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Eastment, M. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Jalalzadeh-Azar, A. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2006-12-01

    This report summarizes research results for the 30% energy savings level and demonstrates that lead builders can successfully provide 30% homes in the Mixed-Humid Climate Region on a cost-neutral basis.

  3. Why does self-reported emotional intelligence predict job performance? A meta-analytic investigation of mixed EI.

    Science.gov (United States)

    Joseph, Dana L; Jin, Jing; Newman, Daniel A; O'Boyle, Ernest H

    2015-03-01

    Recent empirical reviews have claimed a surprisingly strong relationship between job performance and self-reported emotional intelligence (also commonly called trait EI or mixed EI), suggesting self-reported/mixed EI is one of the best known predictors of job performance (e.g., ρ = .47; Joseph & Newman, 2010b). Results further suggest mixed EI can robustly predict job performance beyond cognitive ability and Big Five personality traits (Joseph & Newman, 2010b; O'Boyle, Humphrey, Pollack, Hawver, & Story, 2011). These criterion-related validity results are problematic, given the paucity of evidence and the questionable construct validity of mixed EI measures themselves. In the current research, we update and reevaluate existing evidence for mixed EI, in light of prior work regarding the content of mixed EI measures. Results of the current meta-analysis demonstrate that (a) the content of mixed EI measures strongly overlaps with a set of well-known psychological constructs (i.e., ability EI, self-efficacy, and self-rated performance, in addition to Conscientiousness, Emotional Stability, Extraversion, and general mental ability; multiple R = .79), (b) an updated estimate of the meta-analytic correlation between mixed EI and supervisor-rated job performance is ρ = .29, and (c) the mixed EI-job performance relationship becomes nil (β = -.02) after controlling for the set of covariates listed above. Findings help to establish the construct validity of mixed EI measures and further support an intuitive theoretical explanation for the uncommonly high association between mixed EI and job performance--mixed EI instruments assess a combination of ability EI and self-perceptions, in addition to personality and cognitive ability. PsycINFO Database Record (c) 2015 APA, all rights reserved.

  4. Mixing of process heels, process solutions, and recycle streams: Results of the small-scale radioactive tests

    International Nuclear Information System (INIS)

    Lumetta, G.J.; Bramson, J.P.; Farmer III, O.T.; Greenwood, L.R.; Hoopes, F.V.; Mann, M.A.; Steele, M.J.; Steele, R.T.; Swoboda, R.G.; Urie, M.W.

    2000-01-01

    Various recycle streams will be combined with the low-activity waste (LAW) or the high-level waste (HLW) feed solutions during the processing of the Hanford tank wastes by BNFL, Inc. In addition, the LAW and HLW feed solutions will also be mixed with heels present in the processing equipment. This report describes the results of a test conducted by Battelle to assess the effects of mixing specific process streams. Observations were made regarding adverse reactions (mainly precipitation) and effects on the Tc oxidation state (as indicated by K d measurements with SuperLigreg s ign 639). The work was conducted according to test plan BNFL-TP-29953-023, Rev. 0, Small Scale Mixing of Process Heels, Solutions, and Recycle Streams. The test went according to plan, with only minor deviations from the test plan. The deviations from the test plan are discussed in the experimental section

  5. Clozapine-induced severe mixed hyperlipidemia: a case report.

    LENUS (Irish Health Repository)

    Ahmed, Mohamed

    2009-01-01

    To highlight the association between the use of clozapine and the early development of severe mixed hyperlipidemia, a condition that substantially increases the risk of cardiovascular events and other medical complications.

  6. Installation report on porous friction course hot plant mix.

    Science.gov (United States)

    1972-01-01

    An investigation was initiated in the spring of 1972 to develop surface mixes with high skid resistance for use at special locations. The porous friction course will hopefully provide high skid coefficients where water drainage and hydroplaning may b...

  7. Mixing Processes in High-Level Waste Tanks - Final Report

    International Nuclear Information System (INIS)

    Peterson, P.F.

    1999-01-01

    The mixing processes in large, complex enclosures using one-dimensional differential equations, with transport in free and wall jets is modeled using standard integral techniques. With this goal in mind, we have constructed a simple, computationally efficient numerical tool, the Berkeley Mechanistic Mixing Model, which can be used to predict the transient evolution of fuel and oxygen concentrations in DOE high-level waste tanks following loss of ventilation, and validate the model against a series of experiments

  8. IMO Fireball report form: results and prospects

    Science.gov (United States)

    Hankey, M.; Perlerin, V.

    2015-01-01

    At the 2014 IMC, we presented the new IMO (International Meteor Organization) online, Fireball report (available at fireballs.imo.net). This fireball report form was specifically designed for use by people with no astronomy experience who witnessed a fireball, a bolide or a suspected similar phenomenon. The IMO version of the form has been officially launched in February 2015. Since then, the form has been translated in different languages and customized for organizations around the world. In this paper, we will present preliminary results of the form and provide tips to improve the online presence of local organizations, in order to promote usage. We will also highlight procedures to be followed by local organizations to get a custom version of the form.

  9. Searching for rigour in the reporting of mixed methods population health research: a methodological review.

    Science.gov (United States)

    Brown, K M; Elliott, S J; Leatherdale, S T; Robertson-Wilson, J

    2015-12-01

    The environments in which population health interventions occur shape both their implementation and outcomes. Hence, when evaluating these interventions, we must explore both intervention content and context. Mixed methods (integrating quantitative and qualitative methods) provide this opportunity. However, although criteria exist for establishing rigour in quantitative and qualitative research, there is poor consensus regarding rigour in mixed methods. Using the empirical example of school-based obesity interventions, this methodological review examined how mixed methods have been used and reported, and how rigour has been addressed. Twenty-three peer-reviewed mixed methods studies were identified through a systematic search of five databases and appraised using the guidelines for Good Reporting of a Mixed Methods Study. In general, more detailed description of data collection and analysis, integration, inferences and justifying the use of mixed methods is needed. Additionally, improved reporting of methodological rigour is required. This review calls for increased discussion of practical techniques for establishing rigour in mixed methods research, beyond those for quantitative and qualitative criteria individually. A guide for reporting mixed methods research in population health should be developed to improve the reporting quality of mixed methods studies. Through improved reporting, mixed methods can provide strong evidence to inform policy and practice. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  10. Integrating Quantitative and Qualitative Results in Health Science Mixed Methods Research Through Joint Displays

    Science.gov (United States)

    Guetterman, Timothy C.; Fetters, Michael D.; Creswell, John W.

    2015-01-01

    PURPOSE Mixed methods research is becoming an important methodology to investigate complex health-related topics, yet the meaningful integration of qualitative and quantitative data remains elusive and needs further development. A promising innovation to facilitate integration is the use of visual joint displays that bring data together visually to draw out new insights. The purpose of this study was to identify exemplar joint displays by analyzing the various types of joint displays being used in published articles. METHODS We searched for empirical articles that included joint displays in 3 journals that publish state-of-the-art mixed methods research. We analyzed each of 19 identified joint displays to extract the type of display, mixed methods design, purpose, rationale, qualitative and quantitative data sources, integration approaches, and analytic strategies. Our analysis focused on what each display communicated and its representation of mixed methods analysis. RESULTS The most prevalent types of joint displays were statistics-by-themes and side-by-side comparisons. Innovative joint displays connected findings to theoretical frameworks or recommendations. Researchers used joint displays for convergent, explanatory sequential, exploratory sequential, and intervention designs. We identified exemplars for each of these designs by analyzing the inferences gained through using the joint display. Exemplars represented mixed methods integration, presented integrated results, and yielded new insights. CONCLUSIONS Joint displays appear to provide a structure to discuss the integrated analysis and assist both researchers and readers in understanding how mixed methods provides new insights. We encourage researchers to use joint displays to integrate and represent mixed methods analysis and discuss their value. PMID:26553895

  11. The Mixed Waste Management Facility, monthly report, February 1995

    International Nuclear Information System (INIS)

    Streit, R.D.

    1995-03-01

    Technical progress continued in general accordance with the Mixed Waste Management Facility (MWMF) FY95 Plan. Engineering development and design continued in support of preliminary design of MWMF major subsystems. Peer reviews have begun in preparation for system preliminary design reviews. Procurements in support of engineering design/development have continued to increase. Significant effort to provide technical and cost trade-off information for the Project Baseline Revision 1.2 (PB1.2) and FY97 Validation was completed. Management focus during February centered upon addressing the rebaseline for MWMF for the FY97 Validation in March, and upon completing the permitting strategy. We completed a consistent baseline plan for Validation that satisfied the DOE constraints of integration with DWTF, schedule stretchout, overall Project cost, and FY cost profiles. The revised permitting strategy was completed and reviewed by a number of stakeholders (LLNL, DOE, State). The proposed strategy involves no RCRA RD ampersand D permit, since all technology demonstrations can be done with surrogates and using limited treatability studies. The expenses for February continue to run somewhat below the plan due to the limited new hiring. This is a result of uncertain DOE funding and guidance to keep personnel to a minimum. However, the spending rate is picking up due to initiation of procurements for engineering development and a minimum of essential new hires. A significant imbalance in the OPEX/CENRTC funding split for FY95 exists (about $2.1M); DOE/OAK began to seek resolution this month. Critical-path items are DWTF construction, NEPA, and permitting (for both MWMF and DWTF). Contractual issues have delayed award of the A ampersand E contract for DWTF, but work-arounds are in progress to avoid schedule impact. NEPA and permitting issues are discussed below. Progress on preliminary design for MWMF is close to schedule

  12. A rare case report of 46XY mixed gonadal dysgenesis

    Directory of Open Access Journals (Sweden)

    Rakesh Arora

    2013-01-01

    Full Text Available A 16-year-old person, reared as female presented with complaints of genital ambiguity and primary amenorrhoea along with lack of secondary sexual characters, but without short stature and Turner′s stigmata. She was taking steroids after being misdiagnosed as congenital adrenal hyperplasia (CAH. Karyotype analysis revealed 46XY karyotype. There was no evidence of hypocortisolemia (cortisol 9.08 μg/dl, adrenocorticotropic hormone [ACTH] 82.5 pg/ml or elevated level of 17-OH-progesterone (0.16 ng/ml. Pooled luteinizing hormone (LH was 11.79 mIU/ml and follicle-stimulating hormone (FSH was 66.37 mIU/ml. Serum estradiol level was 25 pg/ml (21-251. Basal and 72 h post beta-human chorionic gonadotropin (hCG levels of androstenedione and testosterone levels were done (basal testosterone of 652 ng/dl and basal androstenedione of 1.17 ng/ml; 72 h post hCG testosterone of 896 ng/dl and androstenedione of 1.34 ng/ml. Magnetic resonance imaging (MRI pelvis (with ultrasonogrphy [USG] correlation revealed uterus didelphys with obstructed right moiety and bilateral ovarian-like structures. Right sided gonads and adjacent tubal structures were visualized laparoscopically and removed. Left sided gonads were not visualized and Mullerian remnants were adhered to sigmoid colon. Histopathological examination revealed presence of testicular tissue showing atrophic seminiferous tubules with hyperplasia of Leydig cells. No ovarian tissue was seen. Based on these results a diagnosis of 46XY mixed gonadal dysgenesis (MGD was made, which is rare and is difficult to distinguish from 46XY ovotesticular disorder of sexual differentiation (OT-DSD. The patient was managed with a multidisciplinary approach and fertility issues discussed with the patient′s caregivers.

  13. Integrating Quantitative and Qualitative Results in Health Science Mixed Methods Research Through Joint Displays.

    Science.gov (United States)

    Guetterman, Timothy C; Fetters, Michael D; Creswell, John W

    2015-11-01

    Mixed methods research is becoming an important methodology to investigate complex health-related topics, yet the meaningful integration of qualitative and quantitative data remains elusive and needs further development. A promising innovation to facilitate integration is the use of visual joint displays that bring data together visually to draw out new insights. The purpose of this study was to identify exemplar joint displays by analyzing the various types of joint displays being used in published articles. We searched for empirical articles that included joint displays in 3 journals that publish state-of-the-art mixed methods research. We analyzed each of 19 identified joint displays to extract the type of display, mixed methods design, purpose, rationale, qualitative and quantitative data sources, integration approaches, and analytic strategies. Our analysis focused on what each display communicated and its representation of mixed methods analysis. The most prevalent types of joint displays were statistics-by-themes and side-by-side comparisons. Innovative joint displays connected findings to theoretical frameworks or recommendations. Researchers used joint displays for convergent, explanatory sequential, exploratory sequential, and intervention designs. We identified exemplars for each of these designs by analyzing the inferences gained through using the joint display. Exemplars represented mixed methods integration, presented integrated results, and yielded new insights. Joint displays appear to provide a structure to discuss the integrated analysis and assist both researchers and readers in understanding how mixed methods provides new insights. We encourage researchers to use joint displays to integrate and represent mixed methods analysis and discuss their value. © 2015 Annals of Family Medicine, Inc.

  14. The relationship between team climate and interprofessional collaboration: Preliminary results of a mixed methods study.

    Science.gov (United States)

    Agreli, Heloise F; Peduzzi, Marina; Bailey, Christopher

    2017-03-01

    Relational and organisational factors are key elements of interprofessional collaboration (IPC) and team climate. Few studies have explored the relationship between IPC and team climate. This article presents a study that aimed to explore IPC in primary healthcare teams and understand how the assessment of team climate may provide insights into IPC. A mixed methods study design was adopted. In Stage 1 of the study, team climate was assessed using the Team Climate Inventory with 159 professionals in 18 interprofessional teams based in São Paulo, Brazil. In Stage 2, data were collected through in-depth interviews with a sample of team members who participated in the first stage of the study. Results from Stage 1 provided an overview of factors relevant to teamwork, which in turn informed our exploration of the relationship between team climate and IPC. Preliminary findings from Stage 2 indicated that teams with a more positive team climate (in particular, greater participative safety) also reported more effective communication and mutual support. In conclusion, team climate provided insights into IPC, especially regarding aspects of communication and interaction in teams. Further research will provide a better understanding of differences and areas of overlap between team climate and IPC. It will potentially contribute for an innovative theoretical approach to explore interprofessional work in primary care settings.

  15. Annual report 2011. Results and activities

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-25

    Enova is a state-owned enterprise, owned by the Norwegian Ministry of Petroleum and Energy. Over a period of ten years, the enterprise has worked to trigger energy efficiency measures and renewable energy production by supporting proactive players that have paved the way for others. In the period 2002-2011, Enova has contracted an energy result of 16.6 TWh, Enova's Annual Report 2011 shows. This corresponds to the annual energy end-use of more than 35 per cent of Norways 2.2 million private households. Enova has allocated NOK 9 billion in support over ten years. This has resulted in project owners and other financiers investing about Nok 45 billion in capital for environmentally friendly energy projects in Norway, says Nils Kristian Nakstad, CEO of Enova. In 2011, Enova supported projects with an overall energy result of 1.35 TWh using resources from the Energy Fund, equally distributed between energy efficiency and renewable heating. The greatest contributors in 2011 are within energy conversion to renewable heating and energy efficiency measures in buildings.The climate impact of all of the projects where Enova has entered into contracts corresponds to 9.3 million tonnes in reduced CO2 emissions annually. The latter constitutes 17 per cent of domestic greenhouse gas emissions. (au)

  16. Annual report 2011. Results and activities

    International Nuclear Information System (INIS)

    2012-01-01

    Enova is a state-owned enterprise, owned by the Norwegian Ministry of Petroleum and Energy. Over a period of ten years, the enterprise has worked to trigger energy efficiency measures and renewable energy production by supporting proactive players that have paved the way for others. In the period 2002-2011, Enova has contracted an energy result of 16.6 TWh, Enova's Annual Report 2011 shows. This corresponds to the annual energy end-use of more than 35 per cent of Norways 2.2 million private households. Enova has allocated NOK 9 billion in support over ten years. This has resulted in project owners and other financiers investing about Nok 45 billion in capital for environmentally friendly energy projects in Norway, says Nils Kristian Nakstad, CEO of Enova. In 2011, Enova supported projects with an overall energy result of 1.35 TWh using resources from the Energy Fund, equally distributed between energy efficiency and renewable heating. The greatest contributors in 2011 are within energy conversion to renewable heating and energy efficiency measures in buildings.The climate impact of all of the projects where Enova has entered into contracts corresponds to 9.3 million tonnes in reduced CO2 emissions annually. The latter constitutes 17 per cent of domestic greenhouse gas emissions. (au)

  17. Solar neutrino masses and mixing from bilinear R-parity broken supersymmetry: Analytical versus numerical results

    Science.gov (United States)

    Díaz, M.; Hirsch, M.; Porod, W.; Romão, J.; Valle, J.

    2003-07-01

    We give an analytical calculation of solar neutrino masses and mixing at one-loop order within bilinear R-parity breaking supersymmetry, and compare our results to the exact numerical calculation. Our method is based on a systematic perturbative expansion of R-parity violating vertices to leading order. We find in general quite good agreement between the approximate and full numerical calculations, but the approximate expressions are much simpler to implement. Our formalism works especially well for the case of the large mixing angle Mikheyev-Smirnov-Wolfenstein solution, now strongly favored by the recent KamLAND reactor neutrino data.

  18. New results of almost periodic solutions for cellular neural networks with mixed delays

    International Nuclear Information System (INIS)

    Zhao Weirui; Zhang Huanshui

    2009-01-01

    In this paper, for cellular neural networks with mixed delays, we prove some new results on the existence of almost periodic solutions by contraction principle. The global exponential stability of almost periodic solutions is discussed further, and conditions for exponential convergence are given. The conditions we obtained are weaker than the previously known ones and can be easily reduced to several special cases.

  19. Mixing and overshooting in surface convection zones of DA white dwarfs: first results from ANTARES

    Science.gov (United States)

    Kupka, F.; Zaussinger, F.; Montgomery, M. H.

    2018-03-01

    We present results of a large, high-resolution 3D hydrodynamical simulation of the surface layers of a DA white dwarf (WD) with Teff = 11 800 K and log (g) = 8 using the ANTARES code, the widest and deepest such simulation to date. Our simulations are in good agreement with previous calculations in the Schwarzschild-unstable region and in the overshooting region immediately beneath it. Farther below, in the wave-dominated region, we find that the rms horizontal velocities decay with depth more rapidly than the vertical ones. Since mixing requires both vertical and horizontal displacements, this could have consequences for the size of the region that is well mixed by convection, if this trend is found to hold for deeper layers. We discuss how the size of the mixed region affects the calculated settling times and inferred steady-state accretion rates for WDs with metals observed in their atmospheres.

  20. The Mixed Waste Management Facility monthly report, April 1995

    International Nuclear Information System (INIS)

    Streit, R.D.

    1995-05-01

    During late April, we modified the budget and work plan for FY95 to reflect a $2000K funding reduction for this fiscal year. These changes incorporate both the delayed start and slow ramp-up due to DOE funding uncertainties, as well as new and real reductions in Project activities. Due to the significant budgeting impact, this report reflects the resulting budget changes (for April). Scope and schedule impact, however, will be documented in the May report due to the additional effort involved in assessing schedule impact. We will combine the May Monthly Report and the Revised FY95 Plan for cost efficiency; we will submit the FY95 Plan Rebaseline for approval by DOE in May. Technical progress continued during April, but was redirected toward the new FY95 Plan. Key changes in the revised plan are to delete MEO from Project scope and wrap up work to date, defer further major procurements for the Project from FY95, delete MSO staff additions (with milestones), and defer work and milestones in other WBS elements. Engineering development, preliminary design, and peer reviews continued in preparation for the Project Preliminary Design Review. The budget reduction is executed to delay the Project Preliminary Design Review until Ql of FY96

  1. Mixed Waste Management Facility (MWMF) groundwater monitoring report

    International Nuclear Information System (INIS)

    1993-06-01

    During first quarter 1993, eight constituents exceeded final Primary Drinking Water Standards in groundwater samples from downgradient monitoring wells at the Mixed Waste anagement Facility, the Old Burial Ground, the E-Area Vaults, and the proposed Hazardous Waste/Mixed Waste Disposal Vaults (HWMWDV). As in previous quarters, tritium and trichloroethylene were the most widespread constituents. Tetrachloroethylene, chloroethene, 1,1-dichloroethylene, gross alpha, lead, or nonvolatile beta levels also exceeded standards in one or more wells. The elevated constituents were found primarily in Aquifer Zone IIB 2 (Water Table) and Aquifer Zone IIB 1 , (Barnwell/McBean) wells. However, several Aquifer Unit IIA (Congaree) wells also contained elevated constituent levels. The groundwater flow directions and rates in the three hydrostratigraphic units were similar to previous quarters

  2. EDF - 2007 results, 2007 Financial report

    International Nuclear Information System (INIS)

    Gadonneix, Pierre

    2008-01-01

    As the world's biggest electricity generator, the EDF Group covers every sector of expertise, from generation to trading and transmission grids. EDF builds on the expertise of its people, its R and D and engineering skills, its experience as a leading industry operator and the attentive support of its customers to deliver competitive solutions that successfully reconcile economic growth with climate protection. This document presents the 2007 annual results and Consolidated financial statements of the Group at 31 December 2007: Consolidated income statements; Consolidated balance sheets; Consolidated cash flow statements; Changes in consolidated equity; Notes to the consolidated financial statements: Group accounting standards; Summary of the principal accounting and valuation methods; Public electricity distribution concessions in France and concession agreements for other activities; Comparability; Significant events and transactions of 2007 and 2006; Changes in the scope of consolidation; Segment reporting; Sales; Fuel and energy purchases; Other external expenses; Contractual obligations and commitments; Personnel expenses; Other operating income and expenses; Impairments / reversals; Other operating income and expenses; Financial result; Income taxes; Goodwill; Other intangible assets; Property, plant and equipment operated under French public electricity distribution concessions; Property, plant and equipment operated under concessions for other activities; Property, plant and equipment used in generation and other tangible assets owned by the Group; Investments in companies accounted for under the equity method; Current and non-current financial assets; Inventories, including work-in-process; Trade receivables; Other receivables; Cash and cash equivalents; Held-for-sale assets and liabilities; Equity; Provisions; Specific French public electricity distribution concession liabilities for existing assets and assets to be replaced; Current and non

  3. Mitigation of tank 241-SY-101 by pump mixing: Results of full-scale testing

    International Nuclear Information System (INIS)

    Stewart, C.W.; Hudson, J.D.; Friley, J.R.; Panisko, F.E.; Antoniak, Z.I.; Irwin, J.J.; Fadeff, J.G.; Efferding, L.F.; Michener, T.E.; Kirch, N.W.

    1994-06-01

    The Full-Scale Mixer Pump Test Program was performed in Hanford Tank 241-SY-101 from February 4 to April 13, 1994, to confirm the long-term operational strategy for flammable gas mitigation and to demonstrate that mixing can control the gas release and waste level. Since its installation on July 3, 1993, the current pump, operating only a few hours per week, has proved capable of mixing the waste sufficiently to release gas continuously instead of in large episodic events. The results of Full-Scale Testing demonstrated that the pump can control gas release and waste level for long-term mitigation, and the four test sequences formed the basis for the long-term operating schedule. The last test sequence, jet penetration tests, showed that the current pump jet creates flow near the tank wall and that it can excavate portions of the bottom sludge layer if run at maximum power. Pump mixing has altered the open-quote normal close-quote configuration of the waste; most of the original nonconvective sludge has been mixed with the supernatant liquid into a mobile convective slurry that has since been maintained by gentle pump operation and does not readily return to sludge

  4. 1993 report on Hanford Site land disposal restrictions for mixed wastes

    International Nuclear Information System (INIS)

    Black, D.

    1993-04-01

    Since the early 1940s, the contractors at the Hanford Site have been involved in the production and purification of nuclear defense materials. These production activities have resulted in the generation of large quantities of liquid and solid radioactive mixed waste (RMW). This waste is subject to regulation under authority of both the Resource Conservation and Recovery Act of 1976 2 (RCRA) and Atomic Energy Act 3 . This report covers mixed waste only. Hazardous waste that is not contaminated with radionuclides is not addressed in this report. The Washington State Department of Ecology, US Environmental Protection Agency, and US Department of Energy have entered into an agreement, the Hanford Federal Facility Agreement and Consent Order 1 (commonly referred to as the Tri-Party Agreement) to bring the Hanford Site operations into compliance with dangerous waste regulations. The Tri-Party Agreement required development of the original land disposal restrictions (LDR) plan and its annual updates to comply with LDR requirements for RMW. This report is the third update of the plan first issued in 1990. The Tri-Party Agreement requires, and the baseline plan and annual update reports provide, the information that follows: Waste characterization information; storage data; treatment information; waste reduction information; schedule; and progress

  5. Methodological Reporting in Qualitative, Quantitative, and Mixed Methods Health Services Research Articles

    Science.gov (United States)

    Wisdom, Jennifer P; Cavaleri, Mary A; Onwuegbuzie, Anthony J; Green, Carla A

    2012-01-01

    Objectives Methodologically sound mixed methods research can improve our understanding of health services by providing a more comprehensive picture of health services than either method can alone. This study describes the frequency of mixed methods in published health services research and compares the presence of methodological components indicative of rigorous approaches across mixed methods, qualitative, and quantitative articles. Data Sources All empirical articles (n = 1,651) published between 2003 and 2007 from four top-ranked health services journals. Study Design All mixed methods articles (n = 47) and random samples of qualitative and quantitative articles were evaluated to identify reporting of key components indicating rigor for each method, based on accepted standards for evaluating the quality of research reports (e.g., use of p-values in quantitative reports, description of context in qualitative reports, and integration in mixed method reports). We used chi-square tests to evaluate differences between article types for each component. Principal Findings Mixed methods articles comprised 2.85 percent (n = 47) of empirical articles, quantitative articles 90.98 percent (n = 1,502), and qualitative articles 6.18 percent (n = 102). There was a statistically significant difference (χ2(1) = 12.20, p = .0005, Cramer's V = 0.09, odds ratio = 1.49 [95% confidence interval = 1,27, 1.74]) in the proportion of quantitative methodological components present in mixed methods compared to quantitative papers (21.94 versus 47.07 percent, respectively) but no statistically significant difference (χ2(1) = 0.02, p = .89, Cramer's V = 0.01) in the proportion of qualitative methodological components in mixed methods compared to qualitative papers (21.34 versus 25.47 percent, respectively). Conclusion Few published health services research articles use mixed methods. The frequency of key methodological components is variable. Suggestions are provided to increase the

  6. Fast-mixed spectrum reactor. Progress report for 1980

    International Nuclear Information System (INIS)

    Fischer, G.J.; Galperin, A.; Shenoy, S.; Atefi, B.

    1980-10-01

    Reactor physics, fuel cycle, thermal-hydraulics and fuel cycle cost studies have been performed for this concept and are reported. The most serious drawback of previous FMSR designs, namely the level of irradiation damage to the stainless steel of the cladding and duct materials, has been greatly reduced by the new design. The peak fuel burnup level is also reduced. Work continued on earlier FMSR designs, and in particular, the centrally-moderated FMSR. Emphasis was placed on defining the first core and then the total sequence of core histories over the 30-year life of the reactor. It was found possible to define a two-year fuel cycle with limited reactivity swing over the cycle. Fuel cycle cost studies were begun. The results indicate a modest fuel cycle cost advantage for the FMSR, but the basic cost assumptions must be improved for metal fuel. Improved thermal-hydraulic analysis capabilities have greatly improved the understanding of heat transfer behavior, particularly where thter catalyst were synthesized, and seven were tested in the gas phase. In Task 3, the distributor plate foen conversion can be controlled by adjusting external variables of the coss two- fatigue stren obtained

  7. Nurses' reporting of suspect adverse drug reactions: a mixed-methods study

    Directory of Open Access Journals (Sweden)

    Alessia De Angelis

    2015-12-01

    Full Text Available OBJECTIVE: To assess nurses' knowledge, attitudes and practices (KAP towards spontaneous adverse drug reactions (ADRs reporting. METHODS: The mixed-method study was conducted following a quanti-qualitative sequential approach: a survey (using a KAP questionnaire followed by a focus group was performed. RESULTS: In the quantitative findings, responders (570 hospital nurses declared that they were unaware of the pharmacovigilance system (58.1%, n = 331; where to find the reporting form (63.5%, n = 362; how fill it in (71.6%, n = 408; to whom and how to send it (65.8%, n = 375. Only 11.1% (n = 63 reported ADRs. The qualitative phase supported the quantitative findings and provided new information about other factors that condition ADR reporting: misinterpretation of the meaning of "reporting", unawareness of nurses' autonomy in ADR reporting and fear of consequences after ADR reporting. CONCLUSION: Nurses are not fully aware of their role in ADR reporting. We recommend educational interventions and management changes.

  8. DOE Land Disposal Restrictions strategy report for radioactive mixed waste

    International Nuclear Information System (INIS)

    1989-09-01

    This report is based on preliminary information available at the time of the Land Disposal Restrictions (LDR) Strategy Workshop in June 1989, and the critical review of the workshop data conducted by the Office Of Defense Programs and the affected Operations Offices in July and August 1989. The purpose of the workshop and this subsequent report is to identify the magnitude and scope of LDR issues and impacts regarding the storage, treatment, and disposal of RMW, and to suggest potential strategies for addressing LDR requirements. This report was prepared under the overall direction and coordination of the Department of Energy (DOE) Headquarters Environmental Guidance Division, RCRA/CERCLA Unit (EH-231). The report is a product of the LDR Strategy Workshop held during the month of June 1989. The workshop was divided into two work groups: a Land Disposal Restriction compliance strategy group and a RMW Best Demonstrated Available Technology and National Capacity Variance group

  9. Mixed-mode chaotic circuit with Wien-bridge configuration: The results of experimental verification

    Energy Technology Data Exchange (ETDEWEB)

    Kilic, Recai [Erciyes University, Department of Electronic Engineering, 38039 Kayseri (Turkey)]. E-mail: kilic@erciyes.edu.tr

    2007-05-15

    In this paper, we deal with the experimentally implementation of inductorless Wien bridge-based mixed-mode chaotic circuit (MMCC) which is capable to exhibit both linear and nonlinear oscillations. The results of experimental implementation agree with the results of theoretical and computer simulation presented in literature. Since the proposed implementation of MMCC circuit uses different design blocks such as Wien bridge-based autonomous circuit part, CFOA (current feedback operational amplifier)-based floating inductance simulator, CFOA-based Chua's diode and switching mechanism, it offers very versatile chaotic circuit model for studying autonomous and nonautonomous chaotic dynamics.

  10. Mixed-mode chaotic circuit with Wien-bridge configuration: The results of experimental verification

    International Nuclear Information System (INIS)

    Kilic, Recai

    2007-01-01

    In this paper, we deal with the experimentally implementation of inductorless Wien bridge-based mixed-mode chaotic circuit (MMCC) which is capable to exhibit both linear and nonlinear oscillations. The results of experimental implementation agree with the results of theoretical and computer simulation presented in literature. Since the proposed implementation of MMCC circuit uses different design blocks such as Wien bridge-based autonomous circuit part, CFOA (current feedback operational amplifier)-based floating inductance simulator, CFOA-based Chua's diode and switching mechanism, it offers very versatile chaotic circuit model for studying autonomous and nonautonomous chaotic dynamics

  11. Mixed Waste Management Facility groundwater monitoring report: Third quarter 1994

    International Nuclear Information System (INIS)

    1994-12-01

    Currently, 125 wells monitor groundwater quality in the uppermost aquifer beneath the Mixed Waste Management Facility (MWMF) at the Savannah River Site. Samples from the wells are analyzed for selected heavy metals, herbicides/pesticides, indicator parameters, radionuclides, volatile organic compounds, and other constituents. As in previous quarters, tritium and trichloroethylene were the most widespread elevated constituents during third quarter 1994. Sixty-four (51%) of the 125 monitoring wells contained elevated tritium activities. Trichloroethylene concentrations exceeded the final PDWS in 22 (18%) wells. Chloroethene, 1,1-dichloroethylene, and tetrachloroethylene, elevated in one or more wells during third quarter 1994, also occurred in elevated levels during second quarter 1994. These constituents generally were elevated in the same wells during both quarters. Gross alpha, which was elevated in only one well during second quarter 1994, was elevated again during third quarter. Mercury, which was elevated during first quarter 1994, was elevated again in one well. Dichloromethane was elevated in two wells for the first time in several quarters

  12. Mixed Waste Management Facility (MWMF) groundwater monitoring report

    International Nuclear Information System (INIS)

    1993-03-01

    During fourth quarter 1992, nine constituents exceeded final Primary Drinking Water Standards (PDWS) in one or more groundwater samples from monitoring wells at the Mixed Waste Management Facility (MWMF) and adjacent facilities. As in previous quarters, tritium and trichloroethylene were the most widespread constituents. Fifty-seven (48%) of the 120 monitoring wells, contained elevated tritium activities, and 23 (19%) contained elevated trichloroethylene concentrations. Total alpha-emitting radium, tetrachloroethylene, chloroethene, cadmium, 1,1-dichloroethylene, lead, or nonvolatile beta levels exceeded standards in one or more wells. During 1992, elevated levels of 13 constituents were found in one or more of 80 of the 120 groundwater monitoring wells (67%) at the MWMF and adjacent facilities. Tritium and trichloroethylene exceeded their final PDWS more frequently and more consistently than did other constituents. Tritium activity exceeded its final PDWS m 67 wells and trichloroethylene was. elevated in 28 wells. Lead, tetrachloroethylene, total alpha-emitting radium, gross alpha, cadmium, chloroethene, 1,1-dichloroethylene 1,2-dichloroethane, mercury, or nitrate exceeded standards in one or more wells during the year. Nonvolatile beta exceeded its drinking water screening level in 3 wells during the year

  13. Mitigation of Tank 241-SY-101 by pump mixing: Results of testing phases A and B

    Energy Technology Data Exchange (ETDEWEB)

    Allemann, R.T.; Antoniak, Z.I.; Chvala, W.D.; Friley, J.R.; Gregory, W.B.; Hudson, J.D.; Michener, T.E.; Panisko, F.E.; Stewart, C.W.; Wise, B.M. [Pacific Northwest Lab., Richland, WA (United States); Efferding, L.E.; Fadeff, J.G.; Irwin, J.J.; Kirch, N.W. [Westinghouse Hanford Co., Richland, WA (United States)

    1994-03-01

    A spare mixing pump from the Hanford Grout Program was installed in Hanford double-shell waste Tank 241-SY-101 on July 3, 1993, after being modified to take advantage of waste stratification. It was anticipated that pump mixing would prevent large episodic flammable gas releases that had been occurring about every 100-150 days. A cautious initial test plan, called Phase A, was run to find how the pump and tank would behave in response to very brief and gentle pump operation. No large gas releases were triggered, and the pump performed well except for two incidents of nozzle plugging. On October 21, 1993, the next test series, Phase B, began, and the pump was applied more aggressively to mix the tank contents and mitigate uncontrolled gas releases. Orienting the pump in new directions released large volumes of gas and reduced the waste level to a near-record low. Results of the entire period from pump installation to the end of Phase B on December 17, 1993, are presented in detail in this document. Though long-term effects require further evaluation, we conclude from these data that the jet mixer pump is an effective means of controlling flammable gas release and that it has met the success criteria for mitigation in this tank.

  14. Functional results of Vibrant Soundbridge middle ear implants in conductive and mixed hearing losses.

    Science.gov (United States)

    Bernardeschi, Daniele; Hoffman, Caroline; Benchaa, Tarek; Labassi, Samia; Beliaeff, Michel; Sterkers, Olivier; Grayeli, Alexis Bozorg

    2011-01-01

    Our purpose was to evaluate the results of Vibrant Soundbridge (VSB) in conductive or mixed hearing loss. Twenty-five adult patients (29 ears) with a mixed or conductive hearing loss and various etiologies were included in this retrospective study. The preoperative ipsilateral pure tone average was 71 ± 3.0 dB, and the average bone conduction threshold was 42 ± 2.8 dB (n = 29). The transducer was placed on the long apophysis of the incus (n = 16), in the round window (n = 10) or on the stapes (n = 3). No complications were noted. The bone conduction threshold remained unchanged. VSB was activated in all cases. The postoperative pure tone average without VSB was 63 ± 3.9 dB (n = 24) and with VSB in free-field condition 24 ± 2.1 dB (n = 22). VSB is safe and efficacious for auditory rehabilitation in conductive and mixed hearing losses. Copyright © 2011 S. Karger AG, Basel.

  15. Enova results report 2005; Enova resultatrapport 2005

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    In 2005 Enova entered into agreements with 186 projects that together provided an energy result of 2 TWh. The result is almost evenly divided between projects providing higher energy production and projects that reduce energy use. The energy production consists of 585 GWh in new wind power and 409 GWh in new heat energy in 2005. Overall for the period 2001 to 2005, Enova contracted for energy results of well over 6.6 TWh. Enova is doing well in relation to the objectives set for its activities.

  16. Organizational results : annual report, fiscal year 2010.

    Science.gov (United States)

    2010-01-01

    What can you do in five years? Pay off a car? Send your kid to college? How about change an : organizations culture? Over the past five years thats what Organizational Results has attempted to do. : By placing business process experts and resea...

  17. Coolant mixing in pressurized water reactors. Pt. 1. Feasibility of closed analytical solutions and simulation of the mixing with CFX-4. Final report

    International Nuclear Information System (INIS)

    Grunwald, G.; Hoehne, T.; Prasser, H.M.; Rohde, U.

    2001-10-01

    The project was aimed at the analytical and numerical simulation of coolant mixing in the downcomer and the lower plenum of PWRs. Generally, the coolant mixing is of relevance for two classes of accident scenarios - boron dilution and cold water transients. For the investigation of the relevant mixing phenomena, the Rossendorf test facility ROCOM has been designed. ROCOM is a 1:5 scaled Plexiglas trademark model of the PWR Konvoi allowing velocity measurements by the LDA technique. Design and construction of the ROCOM facility including the measurement equipment were performed in a second part of the project. For the design of the facility, CFD calculations were performed to analyze the scaling of the model. It was found, that the scaling of 1:5 to the prototype meets both: physical and economical demands. A theoretical 2D-model of the downcomer flow was developed based on the potential theory. The coolant inlet is represented by mass sources. Potential vortices were superposed to describe large scale recirculations. However, the method requires an a-priory knowledge of the location and intensity of the vorticity sources. Therefore, the main goal of the project was the numerical simulation of the coolant mixing of different PWRs. The temperature and boron concentration fields established by the coolant mixing during nominal and transient flow conditions in the pressure vessel of the PWR Konvoi and the Russian type WWER-440 were investigated. The calculations were carried out with the CFD-code CFX 4. The results of the CFD calculation are found in the final report. The report is based on the Ph.D. work of T. Hoehne. (orig.) [de

  18. GIANT MIXED EPITHELIAL OVARIAN TUMOUR: A CASE REPORT

    OpenAIRE

    Sunanda; Sudha; Akhila

    2014-01-01

    Ovarian cysts represent intra-abdominal neoplasms which attain a size large enough to fill the abdominal cavity. Cystic abdominal tumours are extremely common and nowadays are diagnosed more frequently due to availability of better imaging modalities. Presentations of huge cysts have become rare as most of them are diagnosed and treated early. Still we get reports of patients with huge benign abdominal cysts and majority of them are serous cystadenoma of ovary with less th...

  19. Report of the scientific results 1976

    International Nuclear Information System (INIS)

    1976-01-01

    The activities and results in research, development and education are shown in the following fields: 1) HMI-computer-network; 2) Mathematical software and computer graphics; 3) Software development for process control; 4) Real time computer systems - hardware, measurement and control; 5) On-line data processing in medicine; 6) Research on semiconductor devices and irradiation tests. A list of the publication of the staff is given. (WB) [de

  20. Case-mix & patients' reports of outcome in Independent Sector Treatment Centres: Comparison with NHS providers.

    Science.gov (United States)

    Browne, John; Jamieson, Liz; Lewsey, Jim; van der Meulen, Jan; Copley, Lynn; Black, Nick

    2008-04-09

    report post-operative problems than those treated in NHS facilities for cataract surgery (Adjusted Odds Ratio 0.35; 95% CI 0.17-0.70), hernia repair (0.42; 0.28-0.63) and knee replacement (0.44; 0.28-0.69). Most patients described the result of their operation as excellent, very good or good, regardless of where they were treated. The case-mix of patients treated in ISTCs differs from that in NHS providers, in line with the intention of the contracts. Caution is needed in interpreting the observation that patients treated in ISTCs reported slightly better outcomes as very few ISTCs participated, case-mix adjustment might have been insufficient, and patients' reports might have been biased as they were more likely to be satisfied with the way they were treated.

  1. Annual report 2010. Results and activities

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-07-01

    In 2010, 926 G Wh of renewable heating was contracted. This is nearly on par with the record-breaking year of 2009, when Enova had extra funds to distribute through the Governments Stimulus Package in response to the financial crisis. District heating has been developed, or is in the process of being developed, in most major cities.We also expect new developments in smaller communities and extensions of existing facilities in cities. We expect this to result in an increased number of applications for smaller projects. (au)

  2. Annual report 2010. Results and activities

    International Nuclear Information System (INIS)

    2011-01-01

    In 2010, 926 G Wh of renewable heating was contracted. This is nearly on par with the record-breaking year of 2009, when Enova had extra funds to distribute through the Governments Stimulus Package in response to the financial crisis. District heating has been developed, or is in the process of being developed, in most major cities.We also expect new developments in smaller communities and extensions of existing facilities in cities. We expect this to result in an increased number of applications for smaller projects. (au)

  3. Plasma/arc melter review for vitrification of mixed wastes: Results

    Energy Technology Data Exchange (ETDEWEB)

    Eddy, T.L.; Soelberg, N.R.; Raivo, B.D. [MeltTran, Inc., Idaho Falls, ID (United States)

    1995-12-31

    In October of 1994, the Idaho Waste Treatment Program (IWTP) sponsored a workshop to review the results of a plasma/arc melter system preliminary design for treating mixed waste. Attention focused on (1) the melter design, (2) the offgas system design, and (3) the overall system design. The inclusion of feed preparation and handling systems, as well as monitoring and control systems, were considered premature until decisions regarding the melter and offgas treatment were resolved. The evaluation was based on the constraints of the transuranic-contaminated mixed waste in the Radioactive Waste Management Complex (RWMC) at the Idaho National Engineering Laboratory (INEL). Major factors are the retention of the transuranics in the basaltic slag, maintenance in a radioactive environment, reliability of components to prevent any major problems, upsets, or safety concerns, and the collection, elimination, or reduction of hazardous materials for appropriate stabilization. Several modifications were recommended by the group at large, discussed by the subcommittees, and accepted as the preferred options by the design team. Though all questions were not answered, the preferred systems for mixed waste treatment were the arc melters with graphite electrode systems with appropriate cooling which reduced maintenance and the possibility of eruptions that have occurred with plasma torches. Arc melters can also result in the minimum footprint and shielding. The preferred offgas systems were the wet/dry systems, that essentially eliminate the formation of carcinogenic compounds so they do not have to be destroyed down stream. This system also puts all of the particulate matter into one stream, instead of two.

  4. Active and passive computed tomography mixed waste focus area final report

    International Nuclear Information System (INIS)

    Becker, G K; Camp, D C; Decman, D J; Jackson, J A; Martz, H E; Roberson, G P.

    1998-01-01

    The Mixed Waste Focus Area (MWFA) Characterization Development Strategy delineates an approach to resolve technology deficiencies associated with the characterization of mixed wastes. The intent of this strategy is to ensure the availability of technologies to support the Department of Energy s (DOE) mixed-waste, low-level or transuranic (TRU) contaminated waste characterization management needs. To this end the MWFA has defined and coordinated characterization development programs to ensure that data and test results necessary to evaluate the utility of non-destructive assay technologies are available to meet site contact handled waste management schedules. Requirements used as technology development project benchmarks are based in the National TRU Program Quality Assurance Program Plan. These requirements include the ability to determine total bias and total measurement uncertainty. These parameters must be completely evaluated for waste types to be processed through a given nondestructive waste assay system constituting the foundation of activities undertaken in technology development projects. Once development and testing activities have been completed, Innovative Technology Summary Reports are generated to provide results and conclusions to support EM-30, -40, or -60 end user or customer technology selection. The active and passive computed tomography non-destructive assay system is one of the technologies selected for development by the MWFA. Lawrence Livermore National Laboratory (LLNL) has developed the active and passive computed tomography (A ampersand XT) nondestructive assay (NDA) technology to identify and accurately quantify all detectable radioisotopes in closed containers of waste. This technology will be applicable to all types of waste regardless of their classification-low level, transuranic or mixed. Mixed waste contains radioactivity and hazardous organic species. The scope of our technology is to develop a non-invasive waste-drum scanner that

  5. Mixed Waste Management Facility, monthly report June 1994

    International Nuclear Information System (INIS)

    Streit, R.

    1994-07-01

    This monthly report for June 1994 presents general progress in the development of the MWMF including bugetary considerations. During June, the outstanding issues of Project guidance and OPEX/CENRTC funding were essentially resolved. A letter from DOE/OAK on June 28 provided the KD-1 decision and provided revised scope and budget guidance for the Project. Prior to this, during June, an agreement with DOE for release of funds to mitigate the OPEX/CENRTC funding levels was also completed. In response to KD-1 guidance, work to provide a revised Project schedule and budget profile began. Preliminary design activities have been on hold since May 1

  6. Enova results and activities report 2007

    Energy Technology Data Exchange (ETDEWEB)

    2008-07-01

    Enova's primary task is to utilise the Norwegian Energy Fund to contribute to environmentally friendly restructuring of energy consumption and generation. Enova's management of the Energy Fund is governed by an agreement between the Ministry of Petroleum and Energy and Enova. Restructuring national energy consumption is a comprehensive task, which includes identifying barriers and fine-tuning policy instruments to achieve changes in the market. In 2007, Enova achieved contractual commitments for an energy result of about 2.4 TWh, while 10.1 TWh was contracted in the period 2001-2007. A 28 million euro wind power project received support in 2007, and counting this project, Enova has granted subsidies totalling 100 million euros for 11 different windmill parks located around Norway. A significant commitment was made in the heating area in 2007. An energy result of 751 GWh in renewable heating energy was contracted, distributed among 69 projects with total funding amounting to 40 million euros. Bio fuel processing projects received 0.6 million euros, divided among four projects totalling 163 GWh. From 2008, three new heating programs will replace the existing heating program, and the solid bio fuel production program will be discontinued. In 2007, Enova received 30 applications for the new technology program, of which 21 were connected to the joint effort with the Research Council of Norway and Innovation Norway. A total of ten projects have received pledges of support from Enova in 2007, totalling 10 million euros. The program for energy consumption in buildings achieved a contractual energy result of 365 GWh in 2007. An evaluation was carried out in 2007 that will be used as a basis for tailoring the program activities to the market. The work aimed at energy efficiency and conversion to renewable energy carriers in industry has contributed a total contracted energy result of 814 GWh in 2007. The main program has been confirmed and maintained in 2007. The

  7. Enova results and activities report 2006

    Energy Technology Data Exchange (ETDEWEB)

    2007-07-01

    Energy was high on the agenda in 2006. The higher than normal electricity prices, Norway's strong dependence on electricity, and the increased focus on climate change resulted in a lot of interest in environmentally friendly energy solutions. For Enova this meant an exciting and demanding year. At the same time it has been important to take into account the long-term perspective of the activities. Enova is supposed to be a driving force for future oriented energy solutions and to contribute to a lasting change in Norway's generation and use of energy. During the past year better knowledge about what is happening to our world has had a positive effect on Enova's efforts. This increased attention has provided Enova with the opportunity to demonstrate that energy efficiency and renewable energy are the keys to a sustainable energy future. Moreover, the general focus on energy has enabled Enova to more effectively provide business and industry, households and the public authorities with good energy advice. refs., figs., tabs., ills

  8. Enova results and activities report 2007

    Energy Technology Data Exchange (ETDEWEB)

    2008-07-01

    Enova's primary task is to utilise the Norwegian Energy Fund to contribute to environmentally friendly restructuring of energy consumption and generation. Enova's management of the Energy Fund is governed by an agreement between the Ministry of Petroleum and Energy and Enova. Restructuring national energy consumption is a comprehensive task, which includes identifying barriers and fine-tuning policy instruments to achieve changes in the market. In 2007, Enova achieved contractual commitments for an energy result of about 2.4 TWh, while 10.1 TWh was contracted in the period 2001-2007. A 28 million euro wind power project received support in 2007, and counting this project, Enova has granted subsidies totalling 100 million euros for 11 different windmill parks located around Norway. A significant commitment was made in the heating area in 2007. An energy result of 751 GWh in renewable heating energy was contracted, distributed among 69 projects with total funding amounting to 40 million euros. Bio fuel processing projects received 0.6 million euros, divided among four projects totalling 163 GWh. From 2008, three new heating programs will replace the existing heating program, and the solid bio fuel production program will be discontinued. In 2007, Enova received 30 applications for the new technology program, of which 21 were connected to the joint effort with the Research Council of Norway and Innovation Norway. A total of ten projects have received pledges of support from Enova in 2007, totalling 10 million euros. The program for energy consumption in buildings achieved a contractual energy result of 365 GWh in 2007. An evaluation was carried out in 2007 that will be used as a basis for tailoring the program activities to the market. The work aimed at energy efficiency and conversion to renewable energy carriers in industry has contributed a total contracted energy result of 814 GWh in 2007. The main program has been confirmed and maintained in 2007. The program

  9. Final Technical Report: Results of Phase 1

    Energy Technology Data Exchange (ETDEWEB)

    Narang, David, J.; Hambrick, Joshua; Srinivasan, Devarajan; Ayyannar, Raja; O' Brien, Kathleen

    2011-09-28

    Arizona Public Service Company (APS) expects that by 2027, renewable energy will account for 6,590 GWh in energy consumption by its customers. While much of this future energy will come from large centrally-located power plants, distributed renewable energy, sited at the point of end-use will also play an important role in meeting the needs of APS customers and is expected to provide 1,734 GWh. With increasing penetration of residential and commercial photovoltaic (PV) systems at the point of end-use, PV power generation not only offsets the load, but could also cause significant shifts in power flow patterns through the distribution system, and could possibly cause reversal of flow through some branches of a distribution circuit. Significant changes to power flow introduced into existing distribution systems due to the increased amount of PV systems may cause operational issues, including over-voltage on the distribution feeder (loss of voltage regulation) and incorrect operation of control equipment, which may lead to an increase in the number of operations and related equipment wear that could affect equipment reliability and customer power quality. Additionally, connecting generation resources to a distribution feeder can introduce additional sources of short-circuit current to the distribution system. This could potentially result in increased short-circuit currents, potentially reaching damaging levels, causing protection desensitization and a potential loss of protection coordination. These effects may be further compounded by variability of PV production due to shading by clouds. The effects of these phenomena in distributed PV applications are not well understood, and there is a great need to characterize this variability. This project will contribute to understanding the effects of high-penetration solar electricity on the design and operation of distribution systems by demonstrating how a high penetration of PV systems affects grid operations of a

  10. Technical area status report for low-level mixed waste final waste forms

    International Nuclear Information System (INIS)

    Mayberry, J.L.; Huebner, T.L.; Ross, W.; Nakaoka, R.; Schumacher, R.; Cunnane, J.; Singh, D.; Darnell, R.; Greenhalgh, W.

    1993-08-01

    This report presents information on low-level mixed waste forms.The descriptions of the low-level mixed waste (LLMW) streams that are considered by the Mixed Waste Integrated Program (MWIP) are given in Appendix A. This information was taken from descriptions generated by the Mixed Waste Treatment Program (MWTP). Appendix B provides a list of characteristic properties initially considered by the Final Waste Form (FWF) Working Group (WG). A description of facilities available to test the various FWFs discussed in Volume I of DOE/MWIP-3 are given in Appendix C. Appendix D provides a summary of numerous articles that were reviewed on testing of FWFS. Information that was collected by the tests on the characteristic properties considered in this report are documented in Appendix D. The articles reviewed are not a comprehensive list, but are provided to give an indication of the data that are available

  11. 1996 Hanford site report on land disposal restrictions for mixed waste

    Energy Technology Data Exchange (ETDEWEB)

    Black, D.G.

    1996-04-01

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order milestone M-26-OIF. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of land disposal-restricted mixed waste management at the Hanford Site.

  12. 1999 Report on Hanford Site land disposal restriction for mixed waste

    International Nuclear Information System (INIS)

    BLACK, D.G.

    1999-01-01

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone M-26-011. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of managing land-disposal-restricted mixed waste at the Hanford Facility

  13. 1996 Hanford site report on land disposal restrictions for mixed waste

    International Nuclear Information System (INIS)

    Black, D.G.

    1996-04-01

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order milestone M-26-OIF. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of land disposal-restricted mixed waste management at the Hanford Site

  14. 1999 Report on Hanford Site land disposal restriction for mixed waste

    Energy Technology Data Exchange (ETDEWEB)

    BLACK, D.G.

    1999-03-25

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone M-26-011. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of managing land-disposal-restricted mixed waste at the Hanford Facility.

  15. Critical report of current fisheries management measures implemented for the North Sea mixed demersal fisheries

    DEFF Research Database (Denmark)

    Nielsen, J. Rasmus; Ulrich, Clara; Hegland, Troels J.

    The present report is an EU-FP7-SOCIOEC Report giving an overview and critical evaluation of the current management measures implemented for the North Sea mixed demersal fisheries and the fish stocks involved in this. Also, this involves review and critical evaluation of the scientific advice...

  16. Mixed Waste Management Facility (MWMF) closure, Savannah River Plant: Clay cap test section construction report

    Energy Technology Data Exchange (ETDEWEB)

    1988-02-26

    This report contains appendices 3 through 6 for the Clay Cap Test Section Construction Report for the Mixed Waste Management Facility (MWMF) closure at the Savannah River Plant. The Clay Cap Test Program was conducted to evaluate the source, lab. permeability, in-situ permeability, and compaction characteristics, representative of kaolin clays from the Aiken, South Carolina vicinity. (KJD)

  17. Methodological reporting in qualitative, quantitative, and mixed methods health services research articles.

    Science.gov (United States)

    Wisdom, Jennifer P; Cavaleri, Mary A; Onwuegbuzie, Anthony J; Green, Carla A

    2012-04-01

    Methodologically sound mixed methods research can improve our understanding of health services by providing a more comprehensive picture of health services than either method can alone. This study describes the frequency of mixed methods in published health services research and compares the presence of methodological components indicative of rigorous approaches across mixed methods, qualitative, and quantitative articles. All empirical articles (n = 1,651) published between 2003 and 2007 from four top-ranked health services journals. All mixed methods articles (n = 47) and random samples of qualitative and quantitative articles were evaluated to identify reporting of key components indicating rigor for each method, based on accepted standards for evaluating the quality of research reports (e.g., use of p-values in quantitative reports, description of context in qualitative reports, and integration in mixed method reports). We used chi-square tests to evaluate differences between article types for each component. Mixed methods articles comprised 2.85 percent (n = 47) of empirical articles, quantitative articles 90.98 percent (n = 1,502), and qualitative articles 6.18 percent (n = 102). There was a statistically significant difference (χ(2) (1) = 12.20, p = .0005, Cramer's V = 0.09, odds ratio = 1.49 [95% confidence interval = 1,27, 1.74]) in the proportion of quantitative methodological components present in mixed methods compared to quantitative papers (21.94 versus 47.07 percent, respectively) but no statistically significant difference (χ(2) (1) = 0.02, p = .89, Cramer's V = 0.01) in the proportion of qualitative methodological components in mixed methods compared to qualitative papers (21.34 versus 25.47 percent, respectively). Few published health services research articles use mixed methods. The frequency of key methodological components is variable. Suggestions are provided to increase the transparency of mixed methods studies and

  18. Mixed Schools versus Single-Sex Schools: Are There Differences in the Academic Results for Boys and Girls in Catalonia?

    Science.gov (United States)

    Garcia-Gracia, Maribel; Donoso Vázquez, Trinidad

    2016-01-01

    This study carries out a comparative analysis of achievement according to gender between mixed and single-sex schools in the region of Catalonia, Spain, for the subjects of Spanish, Catalan, English and Mathematics. After a brief contextualisation, a review of the main findings from international studies on differences in results for mixed schools…

  19. Identifying barriers to chronic disease reporting in Chicago Public Schools: a mixed-methods approach.

    Science.gov (United States)

    Rivkina, Victoria; Tapke, David E; Cardenas, Lilliana D; Harvey-Gintoft, Blair; Whyte, Stephanie A; Gupta, Ruchi S

    2014-12-06

    Chronic disease among school-aged children is a public health concern, particularly for asthma and food allergy. In Chicago Public Schools (CPS), rates of asthma and food allergy among students are underreported. The aim of this study was to determine the barriers to chronic disease reporting as experienced by CPS parents and school nurses. A mixed-methods approach included focus groups and key informant interviews with parents and school nurses, and a cross-sectional survey was completed by parents. Qualitative data analysis was performed and survey data were analyzed to determine the significant demographic and knowledge variables associated with successfully completing the reporting process. The three main barriers identified were 1) a lack of parental process knowledge; 2) limited communication from schools; and 3) insufficient availability of school nurses. Parents were significantly more likely to successfully complete the reporting process if they knew about special accommodations for chronic diseases, understood the need for physician verification, and/or knew the school nurse. These findings suggest that increasing parental knowledge of the reporting process will allow schools to better identify and manage their students' chronic conditions. A parent-focused intervention informed by these results has been completed.

  20. VERTICAL MIXING AND CHEMISTRY OVER AN ARID URBAN SITE: FIRST RESULTS FROM AIRCRAFT OBSERVATIONS MADE DURING THE PHOENIX SUNRISE CAMPAIGN

    International Nuclear Information System (INIS)

    BERKOWITZ, C.M.; SPRINGSTON, S.R.; DORAN, J.C.; FAST, J.D.

    2002-01-01

    The role of boundary layer mixing is increasingly recognized as an important factor in determining the concentrations of ozone and other trace gases near the surface. While the concentrations at the surface can vary widely due to horizontal transport of chemical plumes, the boundary layer is also characterized by turbulence that follows a diurnal cycle in height and intensity. Surface oxidant concentrations can therefore undergo significant changes even in the absence of photochemistry. A central goal of the Phoenix 2001 Field Campaign was to study vertical mixing with the onset of convection and to quantify the effect of this mixing on chemistry within an urban boundary layer. As part of this study, a series of low altitude aircraft sampling flights were made over the Greater Phoenix area between June 16-30, 2001. The resulting observations, in conjunction with a series of surface measurements and meteorological observations, are being used to study the vertical transport and reactivity of ozone and ozone-precursors shortly after sunrise. Additional details of this campaign are given in Doran, et al. (2002). It was anticipated that turbulence over Phoenix at night would be suppressed as a result of cooling of the boundary layer over the city. By sampling shortly after sunrise, we hoped to collect measurements above the residual nocturnal stable layer and to continue sampling through the developmental period of a convectively active boundary layer. We report here on the first analysis of these observations, made from a Gulstream-1 (G-1) aircraft operated by the U.S. Department of Energy

  1. Improved Process Used to Treat Aqueous Mixed Waste Results in Cost Savings and Improved Worker Safety

    International Nuclear Information System (INIS)

    Hodge, D.S.; Preuss, D.E.; Belcher, K.J.; Rock, C.M.; Bray, W.S.; Herman, J.P.

    2006-01-01

    This paper describes an improved process implemented at Argonne National Laboratory (ANL) to treat aqueous mixed waste. This waste is comprised of radioactively-contaminated corrosive liquids with heavy metals. The Aqueous Mixed Waste Treatment System (AMWTS) system components include a reaction tank and a post-treatment holding tank with ancillary piping and pumps; and a control panel with pumping/mixing controls; tank level, temperature and pH/Oxidation Reduction Potential (ORP) indicators. The process includes a neutralization step to remove the corrosive characteristic, a chromium reduction step to reduce hexavalent chromium to trivalent chromium, and a precipitation step to convert the toxic metals into an insoluble form. Once the toxic metals have precipitated, the resultant sludge is amenable to stabilization and can be reclassified as a low-level waste if the quantity of leachable toxic metals, as determined by the TCLP, is below Universal Treatment Standards (UTS). To date, six batches in eight have passed the UTS. The AMWTS is RCRA permitted and allows for the compliant treatment of mixed waste prior to final disposal at a Department of Energy (DOE) or commercial radioactive waste disposal facility. Mixed wastes eligible for treatment include corrosive liquids (pH 12.5) containing EPA-regulated toxic metals (As, Ba, Pb, Cd, Cr, Ag, Se, Hg) at concentrations greater than the RCRA Toxicity Characteristic Leaching Procedure (TCLP) limit. The system has also been used to treat corrosive wastes with small quantities of fissionable materials. The AMWTS is a significant engineered solution with many improvements over the more labor intensive on-site treatment method being performed within a ventilation hood used previously. The previously used treatment system allowed for batch sizes of only 15-20 gallons whereas the new AMWTS allows for the treatment of batches up to 75 gallons; thereby reducing batch labor and supply costs by 40-60% and reducing analytical

  2. Coolant mixing in LMFBR rod bundles and outlet plenum mixing transients. Progress report, December 1, 1975--February 29, 1976

    International Nuclear Information System (INIS)

    Todreas, N.E.; Golay, M.W.

    1976-01-01

    Progress is summarized in the following task areas: assessment of available data, experimental water mixing investigations, analytic model development, and analytical and experimental investigation of velocity and temperature fields in outlet plenum flow mixing

  3. Diagnosis of intracranial mixed tumor with CT and MRI (report of 7 cases)

    International Nuclear Information System (INIS)

    Guan Changqun; Zhou Huaiwei; Xue Hongli; Zhang Yuzhong; Hu Lianyuan

    1998-01-01

    Purpose: To recognize the images of intracranial mixed tumor. Materials and methods: Seven cases were studied with CT and MRI. All were proved by pathology, including mixed tumor of meningioma with glioblastoma 2 cases, meningioma with pituitary tumor 2 cases, glioblastoma multiform with angioblastoma 1 cases, cholesteatoma with melanoma 1 case, and pituitary tumor with meningioma 1 case. The authors analysed the CT and MRI manifestations of intracranial mixed tumor retrospectively. Results: The CT and MRI manifestations of intracranial mixed tumor were exactly like meningioma, glioma, and hypophysoma, etc, therefore it was usually misdiagnosed the common tumor. Four cases intracranial mixed tumor displayed two kinds of characteristic CT and MRI manifestation on the same region of the same tumor in contrast with the clinic and pathologic change. Conclusion: There were no characteristic CT and MRI manifestations; the diagnosis should be made in combination with clinical information

  4. Drug and alcohol testing results 2009 annual report

    Science.gov (United States)

    2013-11-01

    This is the 15th annual report of the results of the Federal Transit Administrations (FTA) Drug and Alcohol Testing Program. This report summarizes the reporting requirements for calendar year 2009, the requirements of the overall drug and alcohol...

  5. Drug and alcohol testing results 2007 annual report

    Science.gov (United States)

    2009-05-01

    This is the 13th annual report of the results of the Federal Transit Administrations (FTA) Drug and Alcohol Testing Program. This report summarizes the reporting requirements for calendar year 2007, the requirements of the overall drug and alcohol...

  6. Drug and Alcohol Testing Results 2008 Annual Report

    Science.gov (United States)

    2010-09-01

    This is the 14th annual report of the results of the Federal Transit Administration's (FTA) Drug and Alcohol Testing : Program. This report summarizes the reporting requirements for calendar year 2008, the requirements of the overall : drug and alcoh...

  7. Drug and alcohol testing results 2006 annual report.

    Science.gov (United States)

    2008-08-01

    This is the 12th annual report of the results of the Federal Transit Administration's (FTA) Drug and Alcohol Testing Program. This report summarizes the reporting requirements for calendar year 2006, the requirements of the overall drug and alcohol t...

  8. Interim report: Waste management facilities cost information for mixed low-level waste

    International Nuclear Information System (INIS)

    Feizollahi, F.; Shropshire, D.

    1994-03-01

    This report contains preconceptual designs and planning level life-cycle cost estimates for treating alpha and nonalpha mixed low-level radioactive waste. This report contains information on twenty-seven treatment, storage, and disposal modules that can be integrated to develop total life cycle costs for various waste management options. A procedure to guide the US Department of Energy and its contractor personnel in the use of estimating data is also summarized in this report

  9. Calendar Year 2002 Hanford Site mixed waste land disposal restrictions report (section 1 thru 3)

    International Nuclear Information System (INIS)

    MISKHO, A.G.

    2003-01-01

    Volume 1 presents information concerning the storage and minimization of mixed waste and the potential sources for the generation of additional mixed waste. This information, presented in accordance with ''Hanford Federal Facility Agreement and Consent Order'' (Tri-Party Agreement) (Ecology et al. 2001) Milestone M-26-01M, is Volume 1 of a two-volume report on the status of Hanford Site land disposal restricted mixed waste, other mixed waste, and other waste that the U.S. Department of Energy (DOE), Washington State Department of Ecology (Ecology), and US. Environmental Protection Agency (EPA) have agreed to include in this report. This volume contains the approval page for both volumes and includes the storage report. Information pertaining to waste characterization and treatment are addressed in Volume 2. Appendix A lists the land disposal restrictions (LDR) reporting requirements and explains where the requirements are addressed in this report. The reporting period for this document is from January 1, 2002, to December 31, 2002. Clearance form only sent to RHA

  10. CY2000 Hanford Site Mixed Waste Land Disposal Restrictions Report Vol. 1 Storage Report and Vol 2: Characterization and Treatment Report [SEC 1 thru SEC 4

    International Nuclear Information System (INIS)

    MCDONALD, K.M.

    2001-01-01

    This volume presents information about the storage and minimization of mixed waste and potential sources for the generation of additional mixed waste. This information is presented in accordance with Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) (Ecology et al. 1996) Milestone M-26-01K. It is Volume 1 of a two-volume report on the status of Hanford Site land-disposal-restricted mixed waste, other mixed waste, and other waste that the parties have agreed to include in this report. This volume also contains the approval page for both volumes and assumptions, accomplishments, and some other information that also pertains to waste characterization and treatment, which are addressed in Volume 2. Appendix A lists the land disposal restriction (LDR) reporting requirements and explains where they are addressed in this report. The reporting period for this document is from January 1, 2000, to December 31, 2000

  11. Project report for the commercial disposal of mixed low-level waste debris

    International Nuclear Information System (INIS)

    Andrews, G.; Balls, V.; Shea, T.; Thiesen, T.

    1994-05-01

    This report summarizes the basis for the commercial disposal of Idaho National Engineering Laboratory (INEL) mixed low-level waste (MLLW) debris and the associated activities. Mixed waste is radioactive waste plus hazardous waste as defined by the Resource Conservation and Recovery Act (RCRA). The critical factors for this project were DOE 5820.2A exemption, contracting mechanism, NEPA documentation, sampling and analysis, time limitation and transportation of waste. This report also will provide a guide or a starting place for future use of Envirocare of Utah or other private sector disposal/treatment facilities, and the lessons learned during this project

  12. Project report for the commercial disposal of mixed low-level waste debris

    Energy Technology Data Exchange (ETDEWEB)

    Andrews, G.; Balls, V.; Shea, T.; Thiesen, T.

    1994-05-01

    This report summarizes the basis for the commercial disposal of Idaho National Engineering Laboratory (INEL) mixed low-level waste (MLLW) debris and the associated activities. Mixed waste is radioactive waste plus hazardous waste as defined by the Resource Conservation and Recovery Act (RCRA). The critical factors for this project were DOE 5820.2A exemption, contracting mechanism, NEPA documentation, sampling and analysis, time limitation and transportation of waste. This report also will provide a guide or a starting place for future use of Envirocare of Utah or other private sector disposal/treatment facilities, and the lessons learned during this project.

  13. US Department of Energy interim mixed waste inventory report: Waste streams, treatment capacities and technologies

    International Nuclear Information System (INIS)

    1993-04-01

    The United States Department of Energy (DOE) has prepared this report to provide an inventory of its mixed wastes and treatment capacities and technologies in response to section 3021(a) of the Resource Conservation and Recovery Act (RCRA), as amended by section 105(a) of the Federal Facility Compliance Act (FFCA) of 1992 (Pub. L. No. 102-386). DOE has prepared this report for submission to EPA and the States in which DOE stores, generates, or treats mixed wastes. As required by the FFCA, this report contains: a national inventory of all mixed wastes in the DOE system that are currently stored or will be generated over the next five years, including waste stream name, description, EPA waste codes, basis for characterization (i.e., sampling and analysis or process knowledge), effect of radionuclides on treatment, quantity stored that is subject to the Land Disposal Restrictions (LDRs) storage prohibition, quantity stored that is not subject to the LDRS, expected generation over the next five years, Best Demonstrated Available Technology (BDAT) used for developing the LDR requirements, and waste minimization activities; and a national inventory of mixed waste treatment capacities and technologies, including information such as the descriptions, capacities, and locations of all existing and proposed treatment facilities, explanations for not including certain existing facilities in capacity evaluations, information to support decisions on unavailability of treatment technologies for certain mixed wastes, and the planned technology development activities

  14. Flavour mixing and fermion mass generation as a result of symmetry breaking

    International Nuclear Information System (INIS)

    Fritzsch, H.; Max-Planck-Institut fuer Physik und Astrophysik, Muenchen

    1994-01-01

    It is shown that a simple breaking of the subnuclear democracy leads to a successful description of the mixing between the second and third family. In the lepton channel the ν μ - ν τ oscillations are expected to be described by a mixing angle of 2.65 deg which might be observed soon in neutrino experiments. (author). 11 refs

  15. Green technological change. Renewable energies, policy mix and innovation. Results of the GRETCHEN project on the impact of policy mixes on the technological and structural change in renewable energy electricity production technologies in Germany; Gruener Wandel. Erneuerbare Energien, Policy Mix und Innovation. Ergebnisse des GRETCHEN-Projektes zum Einfluss des Policy Mixes auf technologischen und strukturellen Wandel bei erneuerbaren Stromerzeugungstechnologien in Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Rogge, Karoline S.; Breitschopf, Barbara; Mattes, Katharina [Fraunhofer-Institut fuer System- und Innovationsforschung (ISI), Karlsruhe (Germany); Cantner, Uwe; Graf, Holger; Herrmann, Johannes; Kalthaus, Martin [Jena Univ. (Germany); Lutz, Christian; Wiebe, Kirsten [Gesellschaft fuer Wirtschaftliche Strukturforschung mbH (GWS), Osnabrueck (Germany)

    2015-09-15

    The report on the GRETCHEN project that was concerned with the impact of policy mixes on the technological and structural change in renewable energy electricity production technologies in Germany covers the following issues: market and technology development of renewable energy electricity production technologies; the policy mix for renewable electricity production technologies, innovative impact of the policy mix; subordinate conclusions for politics and research.

  16. Case-mix & patients' reports of outcome in Independent Sector Treatment Centres: Comparison with NHS providers

    Directory of Open Access Journals (Sweden)

    van der Meulen Jan

    2008-04-01

    Full Text Available Abstract Background There has been considerable concern expressed about the outcomes achieved in Independent Sector Treatment Centres (ISTCs introduced in England since 2003. Our aim was to compare the case-mix and patients' reported outcomes of surgery in ISTCs and in NHS providers. Methods Prospective cohort study of 769 patients treated in six ISTCs and 1895 treated in 20 NHS providers (acute hospitals and treatment centres in England during 2006–07. Participants underwent one of three day surgery procedures (inguinal hernia repair, varicose vein surgery, cataract extraction or hip or knee replacement. Change in patient-reported health status and health related quality of life (measured using a disease-specific and a generic (EQ-5D instrument was assessed either 3-months (day surgery or 6-months (hip/knee after surgery. In addition patient-reported post-operative complications and an overall assessment of success of surgery were collected. Outcome measures were adjusted (using multivariable regression for patient characteristics (disease severity, duration of symptoms, age, sex, socioeconomic status, general health, previous similar surgery, comorbidity. Results Post-operative response rates varied by procedure (73%–88% and were similar for those treated in ISTCs and NHS facilities. Patients treated in ISTCs were healthier, were less likely to have any comorbidity and, for those undergoing cataract surgery or joint replacement, their primary condition was less severe. Those undergoing hernia repair or joint replacement were less likely to have had similar surgery before. When adjustment was made for pre-operative characteristics, patients undergoing cataract surgery or hip replacement in ISTCs achieved a slightly greater improvement in functional status and quality of life than those treated in NHS facilities, while the opposite was true of patients undergoing hernia repair. No significant differences were found for the two other

  17. Chemical compatibility screening results of plastic packaging to mixed waste simulants

    International Nuclear Information System (INIS)

    Nigrey, P.J.; Dickens, T.G.

    1995-01-01

    We have developed a chemical compatibility program for evaluating transportation packaging components for transporting mixed waste forms. We have performed the first phase of this experimental program to determine the effects of simulant mixed wastes on packaging materials. This effort involved the screening of 10 plastic materials in four liquid mixed waste simulants. The testing protocol involved exposing the respective materials to ∼3 kGy of gamma radiation followed by 14 day exposures to the waste simulants of 60 C. The seal materials or rubbers were tested using VTR (vapor transport rate) measurements while the liner materials were tested using specific gravity as a metric. For these tests, a screening criteria of ∼1 g/m 2 /hr for VTR and a specific gravity change of 10% was used. It was concluded that while all seal materials passed exposure to the aqueous simulant mixed waste, EPDM and SBR had the lowest VTRs. In the chlorinated hydrocarbon simulant mixed waste, only VITON passed the screening tests. In both the simulant scintillation fluid mixed waste and the ketone mixture simulant mixed waste, none of the seal materials met the screening criteria. It is anticipated that those materials with the lowest VTRs will be evaluated in the comprehensive phase of the program. For specific gravity testing of liner materials the data showed that while all materials with the exception of polypropylene passed the screening criteria, Kel-F, HDPE, and XLPE were found to offer the greatest resistance to the combination of radiation and chemicals

  18. Results of the irradiation of mixed UO2 - PuO2 oxide fuel elements

    International Nuclear Information System (INIS)

    Mikailoff, H.; Mustelier, J.P.; Bloch, J.; Ezran, L.; Hayet, L.

    1966-01-01

    In order to study the behaviour of fuel elements used for the first charge of the reactor Rapsodie, a first batch of eleven needles was irradiated in the reactor EL3 and then examined. These needles (having a shape very similar lo that of the actual needles to be used) were made up of a stack of sintered mixed-oxide pellets: UO 2 containing about 10 per cent of PuO 2 . The density was 85 to 97 per cent of the theoretical, value. The diametral gap between the oxide and the stainless steel can was between 0,06 and 0,27 mm. The specific powers varied from 1230 to 2700 W/cm 3 and the can temperature was between 450 and 630 C. The maximum burn-up attained was 22000 MW days/tonne. Examination of the needles (metrology, radiography and γ-spectrography) revealed certain macroscopic changes, and the evolution of the fuel was shown by micrographic studies. These observations were used, together with flux measurements results, to calculate the temperature distribution inside the fuel. The volume of the fission gas produced was measured in some of the samples; the results are interpreted taking into account the temperature distribution in the oxide and the burn-up attained. Finally a study was made both of the behaviour of a fuel element whose central part was molten during irradiation, and of the effect of sodium which had penetrated into some of the samples following can rupture. (author) [fr

  19. Case-mix adjustment of consumer reports about managed behavioral health care and health plans.

    Science.gov (United States)

    Eselius, Laura L; Cleary, Paul D; Zaslavsky, Alan M; Huskamp, Haiden A; Busch, Susan H

    2008-12-01

    To develop a model for adjusting patients' reports of behavioral health care experiences on the Experience of Care and Health Outcomes (ECHO) survey to allow for fair comparisons across health plans. Survey responses from 4,068 individuals enrolled in 21 managed behavioral health plans who received behavioral health care within the previous year (response rate = 48 percent). Potential case-mix adjustors were evaluated by combining information about their predictive power and the amount of within- and between-plan variability. Changes in plan scores and rankings due to case-mix adjustment were quantified. The final case-mix adjustment model included self-reported mental health status, self-reported general health status, alcohol/drug treatment, age, education, and race/ethnicity. The impact of adjustment on plan report scores was modest, but large enough to change some plan rankings. Adjusting plan report scores on the ECHO survey for differences in patient characteristics had modest effects, but still may be important to maintain the credibility of patient reports as a quality metric. Differences between those with self-reported fair/poor health compared with those in excellent/very good health varied by plan, suggesting quality differences associated with health status and underscoring the importance of collecting quality information.

  20. Meeting Ontario's electricity needs : a critical review of the Ontario Power Authority's supply mix advice report

    International Nuclear Information System (INIS)

    Gibbons, J.; Fracassi, J.

    2006-01-01

    In December, 2005 the Ontario Power Authority (OPA) outlined its proposed blueprint for meeting Ontario's electricity needs to 2025 in the document entitled Supply Mix Advice Report. As a result of the actions taken by the current government, the OPA believes that Ontario will have adequate electricity supplies to meet the province's needs until 2013. However, it stated that Ontario will require an additional 15,000 megawatts of new generation capacity between 2013 and 2025. The OPA also recommends that a significant proportion of this new generation capacity be nuclear. The Ontario Clean Air Alliance undertook a review of the OPA report and identified several discrepancies including an over-estimation of Ontario's rate of electricity load growth from 2005 to 2025; an under-estimation of the potential for electricity productivity improvements to reduce electricity demand and raise living standards; an under-estimation of renewable energy supply potential; an under-estimation of the potential for biomass and natural gas fired combined heat and power plants to meet electricity needs and increase the competitiveness of Ontario's industries; an under-estimation of the economic costs and risks of nuclear power; and a biased recommendation for a 70 million dollar resource acquisition budget against energy efficiency investments that would reduce demand and raise living standards. This report provides the Ontario Clean Air Alliances' analysis of the OPA report and presents it own recommendations for how Ontario can increase its electricity productivity and meet its electricity supply needs until 2025. The report concluded that the Government of Ontario should direct the OPA to develop a long-term strategy to raise the price of electricity up to its full cost without raising the electricity bills of low income consumers or impairing the competitiveness of Ontario's industries. It was suggested that Ontario's electricity productivity should be increased to the same level as

  1. Computational Fluid Dynamics Modeling Of Scaled Hanford Double Shell Tank Mixing - CFD Modeling Sensitivity Study Results

    International Nuclear Information System (INIS)

    Jackson, V.L.

    2011-01-01

    The primary purpose of the tank mixing and sampling demonstration program is to mitigate the technical risks associated with the ability of the Hanford tank farm delivery and celtification systems to measure and deliver a uniformly mixed high-level waste (HLW) feed to the Waste Treatment and Immobilization Plant (WTP) Uniform feed to the WTP is a requirement of 24590-WTP-ICD-MG-01-019, ICD-19 - Interface Control Document for Waste Feed, although the exact definition of uniform is evolving in this context. Computational Fluid Dynamics (CFD) modeling has been used to assist in evaluating scaleup issues, study operational parameters, and predict mixing performance at full-scale.

  2. Omohyoid Muscle Syndrome in a Mixed Martial Arts Athlete: A Case Report.

    Science.gov (United States)

    Lee, Alexander D; Yu, Alexander; Young, Shayne B; Battaglia, Patrick J; Ho, C John

    2015-01-01

    Omohyoid muscle syndrome is a rare cause of an X-shaped bulging lateral neck mass that occurs on swallowing. This is a diagnostic case report of a 22-year-old mixed martial arts athlete who acquired this condition. © 2014 The Author(s).

  3. Evaluation of recycled hot mix asphalt concrete on Route 220 : final report.

    Science.gov (United States)

    1985-01-01

    This report describes the performance of an approximately 8-mi section of roadway on which the rod two layers of asphalt concrete were milled, recycled through a conventional asphalt batch plant, and relaid. The recycled mix consisted of about 40% re...

  4. Inter-provider comparison of patient-reported outcomes: developing an adjustment to account for differences in patient case mix.

    Science.gov (United States)

    Nuttall, David; Parkin, David; Devlin, Nancy

    2015-01-01

    This paper describes the development of a methodology for the case-mix adjustment of patient-reported outcome measures (PROMs) data permitting the comparison of outcomes between providers on a like-for-like basis. Statistical models that take account of provider-specific effects form the basis of the proposed case-mix adjustment methodology. Indirect standardisation provides a transparent means of case mix adjusting the PROMs data, which are updated on a monthly basis. Recently published PROMs data for patients undergoing unilateral knee replacement are used to estimate empirical models and to demonstrate the application of the proposed case-mix adjustment methodology in practice. The results are illustrative and are used to highlight a number of theoretical and empirical issues that warrant further exploration. For example, because of differences between PROMs instruments, case-mix adjustment methodologies may require instrument-specific approaches. A number of key assumptions are made in estimating the empirical models, which could be open to challenge. The covariates of post-operative health status could be expanded, and alternative econometric methods could be employed. © 2013 Crown copyright.

  5. 1/6TH SCALE STRIP EFFLUENT FEED TANK-MIXING RESULTS USING MCU SOLVENT

    Energy Technology Data Exchange (ETDEWEB)

    Hansen, E

    2006-02-01

    The purpose of this task was to determine if mixing was an issue for the entrainment and dispersion of the Modular Caustic Side Solvent Extraction (CSSX) Unit (MCU) solvent in the Defense Waste Processing Facility (DWPF) Strip Effluent Feed Tank (SEFT). The MCU strip effluent stream containing the Cs removed during salt processing will be transferred to the DWPF for immobilization in HLW glass. In lab-scale DWPF chemical process cell testing, mixing of the solvent in the dilute nitric acid solution proved problematic, and the Savannah River National Laboratory (SRNL) was requested to perform scaled SEFT mixing tests to evaluate whether the problem was symptomatic of the lab-scale set-up or of the solvent. The solvent levels tested were 228 and 235 ppm, which represented levels near the estimated DWPF solvent limit of 239 ppm in 0.001M HNO{sub 3} solution. The 239 ppm limit was calculated by Norato in X-CLC-S-00141. The general approach for the mixing investigation was to: (1) Investigate the use of fluorescent dyes to aid in observing the mixing behavior. Evaluate and compare the physical properties of the fluorescent dyed MCU solvents to the baseline Oak Ridge CSSX solvent. Based on the data, use the dyed MCU solvent that best approximates the physical properties. (2) Use approximately a 1/6th linear scale of the SEFT to replicate the internal configuration for DWPF mixing. (3) Determine agitator speed(s) for scaled testing based on the DWPF SEFT mixing speed. (4) Perform mixing tests using the 1/6th SEFT and determine any mixing issues (entrainment/dispersion, accumulation, adhesion) through visual observations and by pulling samples to assess uniformity. The mixing tests used MCU solvent fabricated at SRNL blended with Risk Reactor DFSB-K43 fluorescent dye. This dyed SRNL MCU solvent had equivalent physical properties important to mixing as compared to the Oak Ridge baseline solvent, blended easily with the MCU solvent, and provided an excellent visual aid.

  6. Modifications to JLab 12 GeV Refrigerator and Wide Range Mix Mode Performance Testing Results

    Science.gov (United States)

    Knudsen, P.; Ganni, V.; Hasan, N.; Dixon, K.; Norton, R.; Creel, J.

    2017-02-01

    Analysis of data obtained during the spring 2013 commissioning of the new 4.5 K refrigeration system at Jefferson Lab (JLab) for the 12 GeV upgrade indicated a wide capacity range with good efficiency and minimal operator interaction. Testing also showed that the refrigerator required higher liquid nitrogen (LN) consumption for its pre-cooler than anticipated by the design. This does not affect the capacity of the refrigerator, but it does result in an increased LN utility cost. During the summer of 2015 the modifications were implemented by the cold box manufacturer, according to a design similar to the JLab 12 GeV cold box specification. Subsequently, JLab recommissioned the cold box and performed extensive performance testing, ranging from 20% to 100% of the design maximum capacity, and in various modes of operation, ranging from pure refrigeration, pure liquefaction, half-and-half mix mode and at selected design modes using the Floating Pressure - Ganni Cycle. The testing demonstrated that the refrigerator system has a good and fairly constant performance over a wide capacity range and different modes of operation. It also demonstrated the modifications resulted in a LN consumption that met the design for the pure refrigeration mode (which is the most demanding) and was lower than the design for the nominal and maximum capacity modes. In addition, a pulsed-load test, similar to what is expected for cryogenic systems supporting fusion experiments, was conducted to observe the response using the Floating Pressure - Ganni Cycle, which was stable and robust. This paper will discuss the results and analysis of this testing pertaining to the LN consumption, the system efficiency over a wide range of capacity and different modes and the behaviour of the system to a pulsed load.

  7. Measuring cognitive load: mixed results from a handover simulation for medical students.

    Science.gov (United States)

    Young, John Q; Irby, David M; Barilla-LaBarca, Maria-Louise; Ten Cate, Olle; O'Sullivan, Patricia S

    2016-02-01

    The application of cognitive load theory to workplace-based activities such as patient handovers is hindered by the absence of a measure of the different load types. This exploratory study tests a method for measuring cognitive load during handovers. The authors developed the Cognitive Load Inventory for Handoffs (CLI4H) with items for intrinsic, extraneous, and germane load. Medical students completed the measure after participating in a simulated handover. Exploratory factor and correlation analyses were performed to collect evidence for validity. Results yielded a two-factor solution for intrinsic and germane load that explained 50 % of the variance. The extraneous load items performed poorly and were removed from the model. The score for intrinsic load correlated with the Paas Cognitive Load scale (r = 0.31, p = 0.004) and was lower for students with more prior handover training (p = 0.036). Intrinsic load did not, however, correlate with performance. Germane load did not correlate with the Paas Cognitive Load scale but did correlate as expected with performance (r = 0.30, p = 0.005) and was lower for those students with more prior handover training (p = 0.03). The CLI4H yielded mixed results with some evidence for validity of the score from the intrinsic load items. The extraneous load items performed poorly and the use of only a single item for germane load limits conclusions. The instrument requires further development and testing. Study results and limitations provide guidance to future efforts to measure cognitive load during workplace-based activities, such as handovers.

  8. Green technological change. Renewable energies, policy mix and innovation. Results of the GRETCHEN project on the impact of policy mixes on the technological and structural change in renewable energy electricity production technologies in Germany

    International Nuclear Information System (INIS)

    Rogge, Karoline S.; Breitschopf, Barbara; Mattes, Katharina; Cantner, Uwe; Graf, Holger; Herrmann, Johannes; Kalthaus, Martin; Lutz, Christian; Wiebe, Kirsten

    2015-09-01

    The report on the GRETCHEN project that was concerned with the impact of policy mixes on the technological and structural change in renewable energy electricity production technologies in Germany covers the following issues: market and technology development of renewable energy electricity production technologies; the policy mix for renewable electricity production technologies, innovative impact of the policy mix; subordinate conclusions for politics and research.

  9. 40 CFR 141.706 - Reporting source water monitoring results.

    Science.gov (United States)

    2010-07-01

    ... systems serving at least 10,000 people must report the results from the initial source water monitoring... reporting monitoring results that EPA approves. (c) Systems serving fewer than 10,000 people must report.... PWS ID. 2. Facility ID. 3. Sample collection date. 4. Analytical method number. 5. Method type. 6...

  10. Mixed cryoglobulinemia-associated Sjögren's syndrome leading to spontaneous rupture of the kidney: a case report

    Directory of Open Access Journals (Sweden)

    Haddiya I

    2016-03-01

    Full Text Available Intissar Haddiya,1 Hakim Hamzaoui,1 Zitouna Alhamany,2 Fatime-zohra Berkchi,1 Hakima Rhou,1 Loubna Benamar,1 Naima Ouzeddoun,1 Rabea Bayahia1 1Department of Nephrology-Dialysis-Renal Transplantation, Ibn Sina University Hospital, Rabat, Morocco; 2Department of Pathology, Rabat Children's Hospital, Ibn Sina University Hospital, Rabat, Morocco Background: Spontaneous rupture of the kidney is uncommon and is mainly caused by renal tumors. Only a few cases are caused by vasculitis. We report here the first case of spontaneous rupture of kidney resulting from mixed cryoglobulinemia. Case presentation: A 44-year-old man presented with sudden onset of fever, acute pulmonary edema, left flank abdominal pain unassociated with trauma, and rapidly progressive renal failure requiring dialysis. Computed tomography of the abdomen revealed a large perirenal hematoma of the left kidney. During conservative surgery, the patient underwent renal biopsy that showed renal vasculitis and membranoproliferative glomerulonephritis with intracapillary microthrombi. Tests were positive for mixed cryoglobulinemia caused by Sjögren's syndrome. The patient was better after immunosuppressive therapy, with the disappearance of clinical symptoms and the recovery of baseline renal function. Conclusion: We report on this case and discuss a possible link between spontaneous rupture of kidney and mixed cryoglobulinemia-associated Sjögren's syndrome. Keywords: mixed cryoglobulinemia, Sjögren's syndrome, spontaneous rupture of kidney, renal hematoma, Wünderlich syndrome

  11. Orthodontic Management of a Severely Rotated Maxillary Central Incisor in the Mixed Dentition: A Case Report

    Directory of Open Access Journals (Sweden)

    Arezoo Jahanbin

    2014-06-01

    Full Text Available The aim of this case report was to introduce an appliance for correcting severe rotation of anterior teeth in the mixed dentition period. A 9-year-old Iranian boy with a mixed dentition Class I malocclusion complained of a severely rotated of upper right central incisor. There was a mesiodens between the central incisors. The supernumerary tooth was first extracted and then a Whip appliance which is composed of a removable plate, a cantilever spring and a central bracket on the rotated tooth was utilized. After 8 months, the upper right central incisor was orthodontically brought into proper alignment. Circumferential supracrestal fibrotomy was performed on the overcorrected tooth. One week after surgery, the device was removed and the retention was started. The whip appliance is a removable appliance that can effectively correct severe rotation of anterior teeth especially during the mixed dentition period.

  12. 1995 Report on Hanford site land disposal restrictions for mixed waste

    International Nuclear Information System (INIS)

    Black, D.G.

    1995-04-01

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order Milestone M-26-01E. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of land disposal restricted mixed waste at the Hanford Site. The U.S. Department of Energy, its predecessors, and contractors at the Hanford Site were involved in the production and purification of nuclear defense materials from the early 1940s to the late 1980s. These production activities have generated large quantities of liquid and solid radioactive mixed waste. This waste is subject to regulation under authority of both the Resource Conservation and Recovery Act of 1976 and Atomic Energy Act of 1954. This report covers mixed waste only. The Washington State Department of Ecology, U.S. Environmental Protection Agency, and U.S. Department of Energy have entered into an agreement, the Hanford Federal Facility Agreement and Consent Order (commonly referred to as the Tri-Party Agreement) to bring the Hanford Site operations into compliance with dangerous waste regulations. The Tri-Party Agreement required development of the original land disposal restrictions (LDRs) plan and its annual updates to comply with LDR requirements for radioactive mixed waste. This report is the fifth update of the plan first issued in 1990. Tri-Party Agreement negotiations completed in 1993 and approved in January 1994 changed and added many new milestones. Most of the changes were related to the Tank Waste Remediation System and these changes are incorporated into this report

  13. 1995 Report on Hanford site land disposal restrictions for mixed waste

    Energy Technology Data Exchange (ETDEWEB)

    Black, D.G.

    1995-04-01

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order Milestone M-26-01E. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of land disposal restricted mixed waste at the Hanford Site. The U.S. Department of Energy, its predecessors, and contractors at the Hanford Site were involved in the production and purification of nuclear defense materials from the early 1940s to the late 1980s. These production activities have generated large quantities of liquid and solid radioactive mixed waste. This waste is subject to regulation under authority of both the Resource Conservation and Recovery Act of 1976 and Atomic Energy Act of 1954. This report covers mixed waste only. The Washington State Department of Ecology, U.S. Environmental Protection Agency, and U.S. Department of Energy have entered into an agreement, the Hanford Federal Facility Agreement and Consent Order (commonly referred to as the Tri-Party Agreement) to bring the Hanford Site operations into compliance with dangerous waste regulations. The Tri-Party Agreement required development of the original land disposal restrictions (LDRs) plan and its annual updates to comply with LDR requirements for radioactive mixed waste. This report is the fifth update of the plan first issued in 1990. Tri-Party Agreement negotiations completed in 1993 and approved in January 1994 changed and added many new milestones. Most of the changes were related to the Tank Waste Remediation System and these changes are incorporated into this report.

  14. Coolant mixing in LMFBR rod bundles and outlet plenum mixing transients. Progress report, March 1, 1977--May 31, 1977

    International Nuclear Information System (INIS)

    Todreas, N.E.; Golay, M.W.; Wolf, L.

    1977-01-01

    Progress is summarized in the following tasks: (1) bundle flow studies (wrapped and bare rods); (2) subchannel flow studies (bare rods); (3) LMFBR outlet plenum flow mixing; and (4) theoretical determination of local temperature fields in LMFBR fuel rod bundles

  15. Reporting Newborn Audiologic Results to State EHDI Programs.

    Science.gov (United States)

    Chung, Winnie; Beauchaine, Kathryn L; Grimes, Alison; O'Hollearn, Tammy; Mason, Craig; Ringwalt, Sharon

    All US states and territories have an Early Hearing Detection and Intervention (EHDI) program to facilitate early hearing evaluation and intervention for infants who are deaf or hard of hearing. To ensure efficient coordination of care, the state EHDI programs rely heavily on audiologists' prompt reporting of a newborn's hearing status. Several states have regulations requiring mandatory reporting of a newborn's hearing status. This is an important public health responsibility of pediatric audiologists. Reasons for failing to report vary. The Early Hearing Detection and Intervention-Pediatric Audiology Links to Services (EHDI) facility survey was used to inform reporting compliance of audiology facilities throughout the United States. The survey was disseminated via articles, newsletters, and call-to-action notices to audiologists. Among 1024 facilities surveyed, 88 (8.6%) reported that they did not report newborn's hearing findings to their state EHDI program. Not knowing how to report to the state EHDI program was the most frequently chosen reason (60%). However, among the 936 facilities that were compliant with the reporting requirements, 51 estimated that they reported less than two-third of all hearing evaluation results (5.4%). Some facilities did not report a normal-hearing result and some failed to report because they assumed another facility would report the hearing results. Survey results indicated that audiologists were compliant reporting hearing results to the state EHDI programs. However, there is room for improvement. Regular provider outreach and training by the state EHDI program is necessary to ensure those who are not reporting will comply and to clarify reporting requirements for those who are already compliant.

  16. Developing a bone mineral density test result letter to send to patients: a mixed-methods study

    Directory of Open Access Journals (Sweden)

    Edmonds SW

    2014-06-01

    Full Text Available Stephanie W Edmonds,1,2 Samantha L Solimeo,3 Xin Lu,1 Douglas W Roblin,4,8 Kenneth G Saag,5 Peter Cram6,7 1Department of Internal Medicine, 2College of Nursing, University of Iowa, Iowa City, IA, USA; 3Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA; 4Kaiser Permanente of Atlanta, Atlanta, GA, USA; 5Department of Rheumatology, University of Alabama at Birmingham, Birmingham, AL, USA; 6Faculty of Medicine, University of Toronto, Toronto, ON, Canada; 7University Health Network and Mount Sinai Hospital, Toronto, ON, Canada; 8School of Public Health, Georgia State University, Atlanta, GA, USA Purpose: To use a mixed-methods approach to develop a letter that can be used to notify patients of their bone mineral density (BMD results by mail that may activate patients in their bone-related health care. Patients and methods: A multidisciplinary team developed three versions of a letter for reporting BMD results to patients. Trained interviewers presented these letters in a random order to a convenience sample of adults, aged 50 years and older, at two different health care systems. We conducted structured interviews to examine the respondents’ preferences and comprehension among the various letters. Results: A total of 142 participants completed the interview. A majority of the participants were female (64.1% and white (76.1%. A plurality of the participants identified a specific version of the three letters as both their preferred version (45.2%; P<0.001 and as the easiest to understand (44.6%; P<0.01. A majority of participants preferred that the letters include specific next steps for improving their bone health. Conclusion: Using a mixed-methods approach, we were able to develop and optimize a printed letter for communicating a complex test result (BMD to patients. Our results may offer guidance to clinicians, administrators, and researchers who are

  17. The (mis)reporting of statistical results in psychology journals

    OpenAIRE

    Bakker, Marjan; Wicherts, Jelte M.

    2011-01-01

    In order to study the prevalence, nature (direction), and causes of reporting errors in psychology, we checked the consistency of reported test statistics, degrees of freedom, and p values in a random sample of high- and low-impact psychology journals. In a second study, we established the generality of reporting errors in a random sample of recent psychological articles. Our results, on the basis of 281 articles, indicate that around 18% of statistical results in the psychological literature...

  18. Mixed waste focus area integrated technical baseline report. Phase I, Volume 2: Revision 0

    International Nuclear Information System (INIS)

    1996-01-01

    This document (Volume 2) contains the Appendices A through J for the Mixed Waste Focus Area Integrated Technical Baseline Report Phase I for the Idaho National Engineering Laboratory. Included are: Waste Type Managers' Resumes, detailed information on wastewater, combustible organics, debris, unique waste, and inorganic homogeneous solids and soils, and waste data information. A detailed list of technology deficiencies and site needs identification is also provided

  19. Macroencapsulation of mixed waste debris at the Hanford Nuclear Reservation -- Final project report by AST Environmental Services, LLC

    International Nuclear Information System (INIS)

    Baker, T.L.

    1998-01-01

    This report summarizes the results of a full-scale demonstration of a high density polyethylene (HDPE) package, manufactured by Arrow Construction, Inc. of Montgomery, Alabama. The HDPE package, called ARROW-PAK, was designed and patented by Arrow as both a method to macroencapsulation of radioactively contaminated lead and as an improved form of waste package for treatment and interim and final storage and/or disposal of drums of mixed waste. Mixed waste is waste that is radioactive, and meets the criteria established by the United States Environmental Protection Agency (US EPA) for a hazardous material. Results from previous testing conducted for the Department of Energy (DOE) at the Idaho National Engineering Laboratory in 1994 found that the ARROW-PAK fabrication process produces an HDPE package that passes all helium leak tests and drop tests, and is fabricated with materials impervious to the types of environmental factors encountered during the lifetime of the ARROW-PAK, estimated to be from 100 to 300 years. Arrow Construction, Inc. has successfully completed full-scale demonstration of its ARROW-PAK mixed waste macroencapsulation treatment unit at the DOE Hanford Site. This testing was conducted in accordance with Radiological Work Permit No. T-860, applicable project plans and procedures, and in close consultation with Waste Management Federal Services of Hanford, Inc.'s project management, health and safety, and quality assurance representatives. The ARROW-PAK field demonstration successfully treated 880 drums of mixed waste debris feedstock which were compacted and placed in 149 70-gallon overpack drums prior to macroencapsulation in accordance with the US EPA Alternate Debris Treatment Standards, 40 CFR 268.45. Based on all of the results, the ARROW-PAK process provides an effective treatment, storage and/or disposal option that compares favorably with current mixed waste management practices

  20. Unilateral irradiation of pigs in a mixed neutrons+gamma field. Early results

    International Nuclear Information System (INIS)

    Lemaitre, Guy; Maas, Jean.

    1982-08-01

    Pigs (16-20kg) were irradiated with 60 Co gamma or in a mixed field (neutron + gamma from the pulsed reactor SILENE). Pigs were unilaterally exposed by the left side. Each experimental group was composed of twelve animals and one control. Within the dose range explored (reference dose is mid-line tissue dose): 4-9.8 Gy of gamma rays only; 4.6 - 5.7 Gy of neutrons and gamma rays, pigs presented the haematopioetic form of the acute radiation sickness. At 5 Gy mixed field was more harmful than gamma rays only. Therefore the numerical value of neutron RBE (lethality 50 p cent within 30 days) is more than one. Experiments will be carried out in order to determine RBE values more accurately. Bone marrow dose will also be determined [fr

  1. Cesium relocation in mixed-oxide fuel pins resulting from increased temperature reirradiation

    International Nuclear Information System (INIS)

    Lawrence, L.A.; Woodley, R.E.; Weber, E.T.

    1976-06-01

    Mixed-oxide fuel pins from EBR-II test subassemblies PNL-3 and PNL-4 were reirradiated in the GETR to study effects of increased fuel and cladding temperatures on chemical and thermomechanical behavior. Radial and axial distributions of cesium were obtained using postirradiation nondestructive precision gamma-scanning techniques. Data presented relate to the dependence of cesium distribution and transport processes on temperature gradients which were altered after substantial steady-state operation

  2. The relationship between team climate and interprofessional collaboration: preliminary results of a mixed methods study

    OpenAIRE

    Bailey, Christopher; Agreli, Heloise F.; Peduzzi, Marina

    2016-01-01

    Relational and organisational factors are key elements of interprofessional collaboration (IPC) and team climate. Few studies have explored the relationship between IPC and team climate. This article presents a study that 10 aimed to explore IPC in primary healthcare teams and understand how the assessment of team climate may provide insights into IPC. A mixed methods study design was adopted. In Stage 1 of the study, team climate was assessed using the Team Climate Inventory with 159 profess...

  3. Pathogens\\' Reduction in Vermicompost Process Resulted from the Mixed Sludge Treatments-Household Wastes

    OpenAIRE

    Hossien Karimi; Mohammad Rezvani; Morteza Mohammadzadeh; Yaser Eshaghi; Mehdi Mokhtari

    2016-01-01

    Introduction: The presence of pathogenic microbial agents and pathogens in organic fertilizers causes health problems and disease transmission. The aim of this study was to evaluate the efficiency of vermicomposting process in improve the microbial quality of the compost produced. Materials and Methods: This experimental study was conducted as a pilot-scale one, in the laboratory of school of Health. In order to produce vermicompost, some perishable domestic waste were mixed whit sludge o...

  4. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative

    National Research Council Canada - National Science Library

    Harris, Daniel M; Westfall, John M; Fernald, Douglas H; Duclos, Christine W; West, David R; Niebauer, Linda; Marr, Linda; Quintela, Javan; Main, Deborah S

    2005-01-01

    The Applied Strategies for Improving Patient Safety (ASIPS) collaborative developed an ambulatory primary care patient safety reporting system through an Agency for Healthcare Research and Quality (AHRQ...

  5. Thermal conductivity of beginning-of-life uranium-plutonium mixed oxide fuel for fast reactor (Interim report)

    International Nuclear Information System (INIS)

    Inoue, Masaki; Mizuno, Tomoyasu; Asaga, Takeo

    1997-11-01

    Thermal conductivity of uranium-plutonium mixed oxide fuel for fast reactor at beginning-of-life was correlated based on the recent results in order to apply to the fuel design and the fuel performance analysis. A number of experimental results of unirradiated fuel specimens were corrected from open literatures and PNC internal reports and examined for the database. In this work two porosity correction factors were needed for high density fuel and low density fuel (around the current Monju specification). The universal porosity correction factor was not determined in this work. In the next step, theoretical and analytical considerations should be taken into account. (J.P.N.)

  6. Clinical and psychometric characterization of depression in mixed mania: a report from the French National Cohort of 1090 manic patients.

    Science.gov (United States)

    Hantouche, E G; Akiskal, H S; Azorin, J M; Châtenet-Duchêne, L; Lancrenon, S

    2006-12-01

    suicide attempts. Cross-sectional study. The data deriving from EPIMAN, the largest and only national study ever conducted on mania, provide definitive characterization of the clinical and psychotic structure of mixed mania, which accounts for 1 out of 3 patients who present with mania. This figure is more accurate than higher rates reported in the literature because, in describing "mixity", we eliminated depressive features that could be contaminated by mania. Despite the prominent affective features described herein, the bipolar nature of mixed mania is often missed, with the result that these patients are diagnosed as having anxiety and/or personality disorders. It is of great public health significance for psychiatrists to recognize the bipolar nature of this condition that has been known as a major phase of manic-depressive illness since at least Magnan, a disciple of Falret and Baillarger.

  7. Mixed Waste Focus Area integrated technical baseline report, Phase 1: Volume 1

    International Nuclear Information System (INIS)

    1996-01-01

    The Department of Energy (DOE) established the Mixed Waste Characterization, Treatment, and Disposal Focus Area (MWFA) to develop and facilitate implementation of technologies required to meet the Department's commitments for treatment of mixed low-level and transuranic wastes. The mission of the MWFA is to provide acceptable treatment systems, developed in partnership with users and with participation of stakeholders, tribal governments, and regulators, that are capable of treating DOE's mixed waste. These treatment systems include all necessary steps such as characterization, pretreatment, and disposal. To accomplish this mission, a technical baseline is being established that forms the basis for determining which technology development activities will be supported by the MWFA. The technical baseline is the prioritized list of deficiencies, and the resulting technology development activities needed to overcome these deficiencies. This document presents Phase I of the technical baseline development process, which resulted in the prioritized list of deficiencies that the MWFA will address. A summary of the data and the assumptions upon which this work was based is included, as well as information concerning the DOE Office of Environmental Management (EM) mixed waste technology development needs. The next phase in the technical baseline development process, Phase II, will result in the identification of technology development activities that will be conducted through the MWFA to resolve the identified deficiencies

  8. An economic evaluation of introducing a skills mix approach to CT head reporting in clinical practice

    International Nuclear Information System (INIS)

    Lockwood, P.

    2016-01-01

    Background: Computed Tomography (CT) head examinations are a common diagnostic examination in National Health Service (NHS) acute hospital trusts. Current NHS England and Royal College of Radiologist (RCR) reports estimate the year on year increase of examinations to be 10%, with the designated workforce of radiologists disproportionate to the increase in demand of imaging reporting. Objective: To determine an economic evaluation of cost, risk and feasibility of introducing skills mix CT head reporting by radiographers. Design: Applying a PICO framework study to evaluate the patient workflow demand from retrospective audit data of CT head examination attendance (n = 7266) at an acute NHS district general hospital (DGH) to model an example workflow demand over 12 months. Reviewing potential outcome risk data (diagnostic thresholds), and feasibility (workforce capacity) of both interventions. The economic evaluation calculated hourly unit costs for comparison estimation of consultant radiologists and reporting radiographers using Netten et al.'s Ready Reckoner. Report unit costs were calculated utilising the Gishen's Ready Reckoner to estimate the uninterrupted time of reporting a non-complex CT report using RCR, Centre for Workforce Intelligence (CfWI) and Department of Health (DoH) estimates for both interventions. Conclusions: The economic evaluation of introducing a skills mix reporting service model to the benefit of service delivery with the NHS has shown a potential £299,359–£124,514 per annum cost saving using a generic acute DGH workload model. Research into recorded discrepancy/error audit data for potential detrimental risk to patient outcomes identified a paucity of evidence, and recommends further research is needed. - Highlights: • There was 5.2 million CT scans from April 2013 to March 2014 in the UK. • In 2015 the RCR estimated there were up to 3693 unreported CT scans. • Comparison of workforce, reference standards, unit costs

  9. Optimization of Rhodium-Based Catalysts for Mixed Alcohol Synthesis – 2012 Progress Report

    Energy Technology Data Exchange (ETDEWEB)

    Gerber, Mark A.; Gray, Michel J.; Albrecht, Karl O.; Thompson, Becky L.

    2012-11-01

    Pacific Northwest National Laboratory has been conducting research to investigate the feasibility of producing mixed alcohols from biomass-derived synthesis gas (syngas). In recent years, this research has primarily involved the further development of catalysts containing rhodium and manganese based on the results of earlier catalyst screening tests. Testing continued in FY 2012 to further improve the Ir-promoted RhMn catalysts on both silica and carbon supports for producing mixed oxygenates from synthesis gas. This testing re-examined selected alternative silica and carbon supports to follow up on some uncertainties in the results with previous test results. Additional tests were conducted to further optimize the total and relative concentrations of Rh, Mn, and Ir, and to examine selected promoters and promoter combinations based on earlier results. To establish optimum operating conditions, the effects of the process pressure and the feed gas composition also were evaluated.

  10. Irradiation and examination results of the AC-3 mixed-carbide test

    International Nuclear Information System (INIS)

    Mason, R.E.; Hoth, C.W.; Stratton, R.W.; Botta, F.

    1992-01-01

    The AC-3 test was a cooperative Swiss/US irradiation test of mixed-carbide, (U,Pr)C, fuel pins in the Fast Flux Test Facility. The test included 25 Swiss-fabricated sphere-pac-type fuel pins and 66 U.S. fabricated pellet-type fuel pins. The test was designed to operate at prototypical fast reactor conditions to provide a direct comparison of the irradiation performance of the two fuel types. The test design and fuel fabrication processes used for the AC-3 test are presented

  11. Idaho National Engineering Laboratory hazardous and radioactive mixed waste identification and characterization report for CY 1986

    International Nuclear Information System (INIS)

    Nishimoto, D.D.

    1987-05-01

    This report provides updated tabulations of the hazardous and radioactive mixed wastes generated and/or handled during CY 1986 at each INEL facility operated by EG and G, or any other operating contractor at the Site. These wastes are described in tabular form, providing information such as composition, generating process, contact person, EPA hazardous waste designation, quantity shipped off site (if applicable), and quantity in storage. Waste generation projections for the next ten years are also included for all INEL facilities. Finally, since many of EG and G's inactive disposal sites may prove to be significant sources of either hazardous or radioactive mixed wastes as remedial action activities under RCRA or CERCLA progress, information on these sites is provided. 2 refs., 1 fig., 8 tabs

  12. MIXED HYALINE VASCULAR AND PLASMA CELL TYPE CASTLEMAN’S DISEASE: REPORT OF A CASE

    Directory of Open Access Journals (Sweden)

    F. Asgarani

    2006-05-01

    Full Text Available Castleman’s disease (angiofollicular lymphoid hyperplasia includes a heterogeneous group of lymphoproliferative disorders. The cause of this disease remains uncertain. There are two types of localized Castleman’s disease: the more common hyaline vascular and the plasma cell types. Mixed variant is an uncommon localized lesion in general population. The lesions can occur in any part of the body that contains lymphoid tissue, although seventy percent are found in the anterior mediastinum. We report a thirty years old boy with Castleman’s disease who presented with fever, anorexia, weight loss,sweating, anemia and abdominal mass. The histologic examination of the biopsy specimens revealed a mixed hyaline vascular and plasma cell type of Castleman’s disease.

  13. Malignant mixed mullerian tumor arising from the uterine cervix: A case report

    International Nuclear Information System (INIS)

    Shim, Jong Joon; Shim, Jae Chan; Lee, Kyoung Eun; Lee, Ghi Jai; Kim, Ho Kyun; Suh, Jung Ho; Lee, Hye Kyung

    2012-01-01

    Malignant mixed mullerian tumors (MMMTs) are a rare uterine tumor and contribute to approximately 1-3% of all corpus malignant tumors. MMMTs are usually in the uterine corpus, but can also arise from the uterine cervix, vagina, ovaries and fallofian tubes. MMMTs of the uterine cervix are extremely rare. MMMTs are highly malignant and tend to maintain a rapid growth and exhibit a high rate of recurrence. Therefore, the prognosis of patients diagnosed with these types of tumors is extremely poor. We report a rare case of a malignant mixed mullerian tumor arising from the uterine cervix and introduce CT and MRI findings. CT and magnetic resonance findings of the uterine cervical MMMT in our case show highly aggressive features, such as parametrial involvement, pelvic and paraaortic lymphadenopathy, and distant metastasis and high enhancement

  14. Morphometric analysis of three normal facial types in mixed dentition using posteroanterior cephalometric radiographs: preliminary results

    Directory of Open Access Journals (Sweden)

    Renato Bigliazzi

    2017-08-01

    Full Text Available The aim of the present investigation was to evaluate the craniofacial features of subjects with normal occlusion with different vertical patterns in the mixed dentition using morphometric analysis (Thin-Plate Spline analysis - TPS applied to posteroanterior (PA films. The sample comprised 39 individuals (18 females and 21 males, all in mixed dentition, aged from 8.4 to 10 years with satisfactory occlusion and balanced profile and with no history of orthodontic or facial orthopedic treatment. The sample was divided into three groups (mesofacial, brachyfacial and dolichofacial according to the facial types proposed by Ricketts (1989. The average craniofacial configurations of each study group were obtained by orthogonal superimposition of Procrustes, thereby eliminating size differences and allowing only shape differences between groups to be analyzed by viewing the TPS deformation grid. Significant differences were found among the three facial types but were more remarkable between mesofacials and dolichofacials than between mesofacials and brachyfacials. TPS morphometric analysis proved efficient for accurate visualization of transverse and vertical differences among facial types even before pubertal growth spurt. These differences cannot be easily detected by traditional posteroanterior cephalometry.

  15. Report on results in research and development 1990

    International Nuclear Information System (INIS)

    1991-01-01

    This presentation of results of R and D work represents for the Karlsruhe Nuclear Research Centre its scientific annual report for the year 1990, as required by its constitution. This report is divided according to the main areas of work of the KfK in a similar manner to the R and D planning. The indivudual reports were prepared by the participating institutes and main departments and were then grouped thematically with a note of their origin. This report shows the progress of studies on each project named in the KfK R and D program. The correlation to the R and D programme is meant to facilitate the comparison of aims with achievements and explain the complete context of what are often individual tasks carried out by several institutes. Detailed results can be found in the quoted scientific-technical publications on internal preliminary reports. (orig./HP) [de

  16. Competition for water vapour results in suppression of ice formation in mixed-phase clouds

    Directory of Open Access Journals (Sweden)

    E. L. Simpson

    2018-05-01

    Full Text Available The formation of ice in clouds can initiate precipitation and influence a cloud's reflectivity and lifetime, affecting climate to a highly uncertain degree. Nucleation of ice at elevated temperatures requires an ice nucleating particle (INP, which results in so-called heterogeneous freezing. Previously reported measurements for the ability of a particle to nucleate ice have been made in the absence of other aerosol which will act as cloud condensation nuclei (CCN and are ubiquitous in the atmosphere. Here we show that CCN can outcompete INPs for available water vapour thus suppressing ice formation, which has the potential to significantly affect the Earth's radiation budget. The magnitude of this suppression is shown to be dependent on the mass of condensed water required for freezing. Here we show that ice formation in a state-of-the-art cloud parcel model is strongly dependent on the criteria for heterogeneous freezing selected from those previously hypothesised. We have developed an alternative criteria which agrees well with observations from cloud chamber experiments. This study demonstrates the dominant role that competition for water vapour can play in ice formation, highlighting both a need for clarity in the requirements for heterogeneous freezing and for measurements under atmospherically appropriate conditions.

  17. Competition for water vapour results in suppression of ice formation in mixed-phase clouds

    Science.gov (United States)

    Simpson, Emma L.; Connolly, Paul J.; McFiggans, Gordon

    2018-05-01

    The formation of ice in clouds can initiate precipitation and influence a cloud's reflectivity and lifetime, affecting climate to a highly uncertain degree. Nucleation of ice at elevated temperatures requires an ice nucleating particle (INP), which results in so-called heterogeneous freezing. Previously reported measurements for the ability of a particle to nucleate ice have been made in the absence of other aerosol which will act as cloud condensation nuclei (CCN) and are ubiquitous in the atmosphere. Here we show that CCN can outcompete INPs for available water vapour thus suppressing ice formation, which has the potential to significantly affect the Earth's radiation budget. The magnitude of this suppression is shown to be dependent on the mass of condensed water required for freezing. Here we show that ice formation in a state-of-the-art cloud parcel model is strongly dependent on the criteria for heterogeneous freezing selected from those previously hypothesised. We have developed an alternative criteria which agrees well with observations from cloud chamber experiments. This study demonstrates the dominant role that competition for water vapour can play in ice formation, highlighting both a need for clarity in the requirements for heterogeneous freezing and for measurements under atmospherically appropriate conditions.

  18. The Common Technique for Analyzing the Financial Results Report

    Directory of Open Access Journals (Sweden)

    Pasternak Maria M.

    2017-04-01

    Full Text Available The article is aimed at generalizing the theoretical approaches to the structure and elements of the technique for analysis of the Financial results report (Cumulative income report and providing suggestions for its improvement. The current methods have been analyzed, relevance of the application of a common technique for such analysis has been substantiated. A common technique for analyzing the Financial results report has been proposed, which includes definition of the objectives and tasks of analysis, subjects and objects of analysis, sources of its information. Stages of such an analysis were allocated and described. The findings of the article can be used to theoretically substantiate and to practically develop a technique for analyzing the Financial results report in the branches of Ukrainian economy.

  19. The (mis)reporting of statistical results in psychology journals.

    Science.gov (United States)

    Bakker, Marjan; Wicherts, Jelte M

    2011-09-01

    In order to study the prevalence, nature (direction), and causes of reporting errors in psychology, we checked the consistency of reported test statistics, degrees of freedom, and p values in a random sample of high- and low-impact psychology journals. In a second study, we established the generality of reporting errors in a random sample of recent psychological articles. Our results, on the basis of 281 articles, indicate that around 18% of statistical results in the psychological literature are incorrectly reported. Inconsistencies were more common in low-impact journals than in high-impact journals. Moreover, around 15% of the articles contained at least one statistical conclusion that proved, upon recalculation, to be incorrect; that is, recalculation rendered the previously significant result insignificant, or vice versa. These errors were often in line with researchers' expectations. We classified the most common errors and contacted authors to shed light on the origins of the errors.

  20. Primary malignant mixed müllerian tumor of the peritoneum a case report with review of the literature

    DEFF Research Database (Denmark)

    Kurshumliu, Fisnik; Rung-Hansen, Helle; Skovlund, Vibeke Ravn

    2011-01-01

    Malignant mixed Müllerian tumor is a rare malignancy of the genital tract and extremely uncommon in extragenital sites. This report describes a case of malignant mixed Müllerian tumor arising in the lower peritoneum of a 72-year-old female patient. The patient presented with ascites, lower...

  1. 1999 Annual Mixed Waste Management Facility Groundwater Correction - Action Report (Volumes I, II, and III)

    International Nuclear Information System (INIS)

    Chase, J.

    2000-01-01

    This Corrective Action Report (CAR) for the Mixed Waste Management Facility (MWMF) is being prepared to comply with the Resource Conservation and Recovery Act (RCRA) Permit Number SC1 890 008 989, dated October 31, 1999. This CAR compiles and presents all groundwater sampling and monitoring activities that are conducted at the MWMF. As set forth in previous agreements with South Carolina Department of Health and Environmental Control (SCDHEC), all groundwater associated with the Burial Ground Complex (BGC) (comprised of the MWMF, Low-Level Radioactive Waste Disposal Facility, and Old Radioactive Waste Burial Ground) will be addressed under this RCRA Permit. This CAR is the first to be written for the MWMF and presents monitoring activities and results as an outcome of Interim Status and limited Permitted Status activities. All 1999 groundwater monitoring activities were conducted while the MWMF was operated during Interim Status. Changes to the groundwater monitoring program were made upon receipt of the RCRA Permit, where feasible. During 1999, 152 single-screened and six multi-screened groundwater monitoring wells at the BGC monitored groundwater quality in the uppermost aquifer as required by the South Carolina Hazardous Waste Management Regulations (SCHWMR), settlement agreements 87-52-SW and 91-51-SW, and RCRA Permit SC1 890 008 989. However, overall compliance with the recently issued RCRA Permit could not be implemented until the year 2000 due to the effective date of the RCRA Permit and scheduling of groundwater monitoring activities. Changes have been made to the groundwater monitoring network to meet Permit requirements for all 2000 sampling events

  2. Mechanical Properties of Warm Mix Asphalt Prepared Using Foamed Asphalt Binders : Executive Summary Report

    Science.gov (United States)

    2011-03-01

    Hot mix asphalt (HMA) is a mixture containing aggregates and asphalt binders prepared at specified : proportions. The aggregates and asphalt binder proportions are determined through a mix design : procedure such as the Marshall Mix Design or the Sup...

  3. Results from five years of treatability studies using hydraulic binders to stabilize low-level mixed waste at the INEL

    International Nuclear Information System (INIS)

    Gering, K.L.; Schwendiman, G.L.

    1997-01-01

    This paper summarizes work involving bench-scale solidification of nonincinerable, land disposal restricted low-level mixed waste. Waste forms included liquids, sludges, and solids; treatment techniques included hydraulic systems (Portland cement with and without additives), proprietary commercial formulations, and sulphur polymer cement. Solidification was performed to immobilize hazardous heavy metals (including mercury, lead, chromium, and cadmium), and volatile and semivolatile organic compounds. Pretreatment options for mixed wastes are discussed, using a decision tree based on the form of mixed waste and the type of hazardous constituents. Hundreds of small concrete monoliths were formed for a variety of waste types. The experimental parameters used for the hydraulic concrete systems include the ratio of waste to dry binder (Portland cement, proprietary materials, etc.), the total percentage of water in concrete, and the amount of concrete additives. The only parameter that was used for the sulfur polymer-based monoliths is ratio of waste to binder. Optimum concrete formulations or open-quotes recipesclose quotes for a given type of waste were derived through this study, as based on results from the Toxicity Characteristic Leaching Procedure analyses and a free liquids test. Overall results indicate that high waste loadings in the concrete can be achieved while the monolithic mass maintains excellent resistance to leaching of heavy metals. In our study the waste loadings in the concrete generally fell within the range of 0.5 to 2.0 kg mixed waste per kg dry binder. Likewise, the most favorable amount of water in concrete, which is highly dependent upon the concrete constituents, was determined to be generally within the range of 300 to 330 g/kg (30-33% by weight). The results of this bench-scale study will find applicability at facilities where mixed or hazardous waste solidification is a planned or ongoing activity. 19 refs., 1 fig., 5 tabs

  4. School Counselors: Closing Achievement Gaps and Writing Results Reports

    Science.gov (United States)

    Hartline, Julie; Cobia, Debra

    2012-01-01

    Charged with closing the achievement gap for marginalized students, school counselors need to be able to identify gaps, develop interventions, evaluate effectiveness, and share results. This study examined 100 summary results reports submitted by school counselors after having received four days of training on the ASCA National Model. Findings…

  5. Generalist palliative care in hospital - Cultural and organisational interactions. Results of a mixed-methods study.

    Science.gov (United States)

    Bergenholtz, Heidi; Jarlbaek, Lene; Hølge-Hazelton, Bibi

    2016-06-01

    It can be challenging to provide generalist palliative care in hospitals, owing to difficulties in integrating disease-oriented treatment with palliative care and the influences of cultural and organisational conditions. However, knowledge on the interactions that occur is sparse. To investigate the interactions between organisation and culture as conditions for integrated palliative care in hospital and, if possible, to suggest workable solutions for the provision of generalist palliative care. A convergent parallel mixed-methods design was chosen using two independent studies: a quantitative study, in which three independent datasets were triangulated to study the organisation and evaluation of generalist palliative care, and a qualitative, ethnographic study exploring the culture of generalist palliative nursing care in medical departments. A Danish regional hospital with 29 department managements and one hospital management. Two overall themes emerged: (1) 'generalist palliative care as a priority at the hospital', suggesting contrasting issues regarding prioritisation of palliative care at different organisational levels, and (2) 'knowledge and use of generalist palliative care clinical guideline', suggesting that the guideline had not reached all levels of the organisation. Contrasting issues in the hospital's provision of generalist palliative care at different organisational levels seem to hamper the interactions between organisation and culture - interactions that appear to be necessary for the provision of integrated palliative care in the hospital. The implementation of palliative care is also hindered by the main focus being on disease-oriented treatment, which is reflected at all the organisational levels. © The Author(s) 2015.

  6. Conversion trials in mixed coppices of Gargano (Puglia, Italy: first results

    Directory of Open Access Journals (Sweden)

    2009-03-01

    Full Text Available Six plots have been drawn in an mixed aged coppice stand, 40 years after last coppicing; they represent a typical expression of Doronico-Carpinetum phytosociological association and they are characteristic of many woods of Gargano’s territory, composed by Quercus cerris L. (turkey oak, Quercus pubescens Willd. (downy oak, Acer opalus Mill. (italian maple, Carpinus betulus L. (european hornbeam, Ostrya carpinifolia Scop. (hop hornbeam. Compared treatments are: natural evolution of the coppice without thinning versus two thinning regimes with different intensity, both aimed to convert the stands into high forests. 1200 and 1600 stems per hectare were released in the conversion plots. Plots, control and treated in 2001, have been measured before and immediately after thinning and remeasured five years later. At the present time, stands are characterized by a basically monolayered structure, in which turkey oak is prevalent in term of basal area. Moreover in thinned areas, losses on the released shoots number are unimportant both in absolute and in percent terms; in control plot, instead, competition by plants of upper storey on the dominated ones means high values of mortality.

  7. 1997 Hanford site report on land disposal restrictions for mixed waste

    International Nuclear Information System (INIS)

    Black, D.G.

    1997-01-01

    The baseline land disposal restrictions (LDR) plan was prepared in 1990 in accordance with the Hanford Federal Facility Agreement and Consent Order (commonly referred to as the Tn-Party Agreement) Milestone M-26-00 (Ecology et al, 1989). The text of this milestone is below. ''LDR requirements include limitations on storage of specified hazardous wastes (including mixed wastes). In accordance with approved plans and schedules, the U.S. Department of Energy (DOE) shall develop and implement technologies necessary to achieve full compliance with LDR requirements for mixed wastes at the Hanford Site. LDR plans and schedules shall be developed with consideration of other action plan milestones and will not become effective until approved by the U.S. Environmental Protection Agency (EPA) (or Washington State Department of Ecology [Ecology]) upon authorization to administer LDRs pursuant to Section 3006 of the Resource Conservation and Recovery Act of 1976 (RCRA). Disposal of LDR wastes at any time is prohibited except in accordance with applicable LDR requirements for nonradioactive wastes at all times. The plan will include, but not be limited to, the following: Waste characterization plan; Storage report; Treatment report; Treatment plan; Waste minimization plan; A schedule depicting the events necessary to achieve full compliance with LDR requirements; and A process for establishing interim milestones

  8. 1997 Hanford site report on land disposal restrictions for mixed waste

    Energy Technology Data Exchange (ETDEWEB)

    Black, D.G.

    1997-04-07

    The baseline land disposal restrictions (LDR) plan was prepared in 1990 in accordance with the Hanford Federal Facility Agreement and Consent Order (commonly referred to as the Tn-Party Agreement) Milestone M-26-00 (Ecology et al, 1989). The text of this milestone is below. ''LDR requirements include limitations on storage of specified hazardous wastes (including mixed wastes). In accordance with approved plans and schedules, the U.S. Department of Energy (DOE) shall develop and implement technologies necessary to achieve full compliance with LDR requirements for mixed wastes at the Hanford Site. LDR plans and schedules shall be developed with consideration of other action plan milestones and will not become effective until approved by the U.S. Environmental Protection Agency (EPA) (or Washington State Department of Ecology [Ecology]) upon authorization to administer LDRs pursuant to Section 3006 of the Resource Conservation and Recovery Act of 1976 (RCRA). Disposal of LDR wastes at any time is prohibited except in accordance with applicable LDR requirements for nonradioactive wastes at all times. The plan will include, but not be limited to, the following: Waste characterization plan; Storage report; Treatment report; Treatment plan; Waste minimization plan; A schedule depicting the events necessary to achieve full compliance with LDR requirements; and A process for establishing interim milestones.

  9. How important is the land use mix measure in understanding walking behaviour? Results from the RESIDE study

    Directory of Open Access Journals (Sweden)

    Hooper Paula

    2011-06-01

    Full Text Available Abstract Background Understanding the relationship between urban design and physical activity is a high priority. Different representations of land use diversity may impact the association between neighbourhood design and specific walking behaviours. This study examined different entropy based computations of land use mix (LUM used in the development of walkability indices (WIs and their association with walking behaviour. Methods Participants in the RESIDential Environments project (RESIDE self-reported mins/week of recreational, transport and total walking using the Neighbourhood Physical Activity Questionnaire (n = 1798. Land use categories were incrementally added to test five different LUM models to identify the strongest associations with recreational, transport and total walking. Logistic regression was used to analyse associations between WIs and walking behaviour using three cut points: any (> 0 mins, ≥ 60 mins and ≥ 150 mins walking/week. Results Participants in high (vs. low walkable neighbourhoods reported up to almost twice the amount of walking, irrespective of the LUM measure used. However, different computations of LUM were found to be relevant for different types and amounts of walking (i.e., > 0, ≥ 60 or ≥ 150 mins/week. Transport walking (≥ 60 mins/week had the strongest and most significant association (OR = 2.24; 95% CI:1.58-3.18 with the WI when the LUM included 'residential', 'retail', 'office', 'health, welfare and community', and 'entertainment, culture and recreation'. However, any (> 0 mins/week recreational walking was more strongly associated with the WI (OR = 1.36; 95% CI:1.04-1.78 when land use categories included 'public open space', 'sporting infrastructure' and 'primary and rural' land uses. The observed associations were generally stronger for ≥ 60 mins/week compared with > 0 mins/week of transport walking and total walking but this relationship was not seen for recreational walking. Conclusions

  10. The primary results for the mixed carbon material used for high flux steady-state tokamak operation in China

    International Nuclear Information System (INIS)

    Guo, Q.G.; Li, J.G.; Zhai, G.T.; Liu, L.; Song, J.R.; Zhang, L.F.; He, Y.X.; Chen, J.L.

    2001-01-01

    Several types of carbon mixed materials have been developed in China to be used for high flux steady-state tokamak operation. Performance evaluation of these materials is necessary to determine their applicability as PFCs for high flux steady state. This paper describes the primary results of carbon mixed materials and the effects of dopants on properties are primarily discussed. Test results reveal that bulk boronized graphite has excellent physical and mechanical properties while their thermal conductivity is no more than 73 W/m K due to the formation of a uniform boron-carbon solid solution. In case of multi-element doped graphite, titanium dopant or a decreased boron content is favorable to enhance thermal conductivity. A kind of doped graphite has been developed with thermal conductivity as high as 278 W/m K by optimizing the compositions. Correlations among compositions, microstructure and properties of such doped graphite are discussed

  11. Expedited demonstration of molten salt mixed waste treatment technology. Final report

    International Nuclear Information System (INIS)

    1995-01-01

    This final report discusses the molten salt mixed waste project in terms of the various subtasks established. Subtask 1: Carbon monoxide emissions; Establish a salt recycle schedule and/or a strategy for off-gas control for MWMF that keeps carbon monoxide emission below 100 ppm on an hourly averaged basis. Subtask 2: Salt melt viscosity; Experiments are conducted to determine salt viscosity as a function of ash composition, ash concentration, temperature, and time. Subtask 3: Determine that the amount of sodium carbonate entrained in the off-gas is minimal, and that any deposited salt can easily be removed form the piping using a soot blower or other means. Subtask 4: The provision of at least one final waste form that meets the waste acceptance criteria of a landfill that will take the waste. This report discusses the progress made in each of these areas

  12. On reporting results from randomized controlled trials with recurrent events

    Directory of Open Access Journals (Sweden)

    Sobolev Boris G

    2008-05-01

    Full Text Available Abstract Background Evidence-based medicine has been advanced by the use of standards for reporting the design and methodology of randomized controlled trials (RCT. Indeed, without this information it is difficult to assess the quality of evidence from an RCT. Although a variety of statistical methods are available for the analysis of recurrent events, reporting the effect of an intervention on outcomes that recur is an area that remains poorly understood in clinical research. The purpose of this paper is to outline guidelines for reporting results from RCTs where the outcome of interest is a recurrent event. Methods We used a simulation study to relate an event process and results from analyses of the gamma-Poisson, independent-increment, conditional, and marginal Cox models. We reviewed the utility of regression models for the rate of a recurrent event by articulating the associated study questions, preenting the risk sets, and interpreting the regression coefficients. Results Based on a single data set produced by simulation, we reported and contrasted results from statistical methods for evaluating treatment effect from an RCT with a recurrent outcome. We showed that each model has different study questions, assumptions, risk sets, and rate ratio interpretation, and so inferences should consider the appropriateness of the model for the RCT. Conclusion Our guidelines for reporting results from an RCT involving a recurrent event suggest that the study question and the objectives of the trial, such as assessing comparable groups and estimating effect size, should determine the statistical methods. The guidelines should allow clinical researchers to report appropriate measures from an RCT for understanding the effect of intervention on the occurrence of a recurrent event.

  13. Preferences on technical report format - Results of a survey

    Science.gov (United States)

    Pinelli, T. E.; Cordle, V. M.; Glassman, M.; Vondran, R. F.

    1984-01-01

    A survey of 513 engineers and scientists employed at the National Aeronautics and Space Administration Langley Research Center and 600 engineers and scientists from three professional/technical societies solicited the opinions of report users concerning the format of NASA technical reports. The results indicate that a summary as well as an abstract should be included, that the definitions of symbols and glossary of terms should be located in the front of the report, and that the illustrative material should be integrated with the text rather than grouped at the end of the report. Citation of references by number, one-column, ragged-right-margin layout, and third-person writing style are also preferred by a majority of the respondents.

  14. Nuclear Power Safety Reporting System. Final evaluation results

    International Nuclear Information System (INIS)

    Finlayson, F.C.; Newton, R.D.

    1986-02-01

    This document presents the results of a study conducted by the US Nuclear Regulatory Commission of an unobtrusive, voluntary, anonymous third-party managed, nonpunitive human factors data gathering system (the Nuclear power Safety Reporting System - NPSRS) for the nuclear electric power production industry. The data to be gathered by the NPSRS are intended for use in identifying and quantifying the factors that contribute to the occurrence of significant safety incidents involving humans in nuclear power plants. The NPSRS has been designed to encourage participation in the System through guarantees of reporter anonymity provided by a third-party organization that would be responsible for NPSRS management. As additional motivation to reporters for contributing data to the NPSRS, conditional waivers of NRC disciplinary action would be provided to individuals. These conditional waivers of immunity would apply to potential violations of NRC regulations that might be disclosed through reports submitted to the System about inadvertent, noncriminal incidents in nuclear plants. This document summarizes the overall results of the study of the NPSRS concept. In it, a functional description of the NPSRS is presented together with a review and assessment of potential problem areas that might be met if the System were implemented. Conclusions and recommendations resulting from the study are also presented. A companion volume (NUREG/CR-4133, Nuclear Power Safety Reporting System: Implementation and Operational Specifications'') presented in detail the elements, requirements, forms, and procedures for implementing and operating the System. 13 refs

  15. KEEP Motivational Research: Strategy and Results. Technical Report #24.

    Science.gov (United States)

    Gallimore, Ronald; Tharp, Roland G.

    This report briefly summarizes the motivation research strategy and results from the Kamehameha Early Education Program (KEEP). The rationale behind KEEP's use of on-task behavior to measure student motivation is discussed and the two strategies of motivation enhancement researched are described. These two strategies were: (1) staff training in…

  16. Report of scientific results 1976. Section nuclear chemistry and reactor

    International Nuclear Information System (INIS)

    1976-01-01

    The report of the section Nuclear Chemistry and Reactor presents the results of R and D in the fields of neutron scattering, radiation damage in solids, reactor chemistry, trace elements research in biomedicine, geochemistry, reactor operation, radioisotope production, and gives a survey of publications and lectures. (HK) [de

  17. Scientific report of results No. 4/1975

    International Nuclear Information System (INIS)

    1975-01-01

    In this report, the HMI Berlin for nuclear research describes the results of work done in the data processing and electronics section, the general scientific-technical facilities of this section, as well as cooperative work, publications and lectures together with the names of the participants. (HK) [de

  18. 7 CFR 91.24 - Reports of test results.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Reports of test results. 91.24 Section 91.24 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS...

  19. 7 CFR 1205.206 - Reporting results of referendum.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Reporting results of referendum. 1205.206 Section 1205.206 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE COTTON...

  20. Looking Ahead: A Report on the Latest Survey Results.

    Science.gov (United States)

    Technology & Learning, 1995

    1995-01-01

    Reports on the results of a survey of software publishers and market researchers for educators that was conducted to determine development, purchasing, and upgrading plans for educational computer technology. Highlights include operating systems, including Macintosh, DOS, and Windows; equipment needs, including memory, monitors, and special…

  1. 48 CFR 3045.508-2 - Reporting results of inventories.

    Science.gov (United States)

    2010-10-01

    ...: (1) Land and rights therein; (2) Other real property; (3) Plant equipment; (4) Special test equipment... SECURITY, HOMELAND SECURITY ACQUISITION REGULATION (HSAR) CONTRACT MANAGEMENT GOVERNMENT PROPERTY Management of Government Property in the Possession of Contractors 3045.508-2 Reporting results of...

  2. Evapotranspiration Cover for the 92-Acre Area Retired Mixed Waste Pits:Interim CQA Report

    International Nuclear Information System (INIS)

    2011-01-01

    This Interim Construction Quality Assurance (CQA) Report is for the 92-Acre Evapotranspiration Cover, Area 5 Waste Management Division (WMD) Retired Mixed Waste Pits, Nevada National Security Site, Nevada for the period of January 20, 2011 to May 12, 2011. This Interim Construction Quality Assurance (CQA) Report is for the 92-Acre Evapotranspiration Cover, Area 5 Waste Management Division (WMD) Retired Mixed Waste Pits, Nevada National Security Site, Nevada for the period of January 20, 2011 to May 12, 2011. Construction was approved by the Nevada Division of Environmental Protection (NDEP) under the Approval of Corrective Action Decision Document/Corrective Action Plan (CADD/CAP) for Corrective Action Unit (CAU) 111: Area 5 WMD Retired Mixed Waste Pits, Nevada National Security Site, Nevada, on January 6, 2011, pursuant to Subpart XII.8a of the Federal Facility Agreement and Consent Order. The project is located in Area 5 of the Radioactive Waste Management Complex (RWMC) at the Nevada National Security Site (NNSS), formerly known as the Nevada Test Site, located in southern Nevada, approximately 65 miles northwest of Las Vegas, Nevada, in Nye County. The project site, in Area 5, is located in a topographically closed basin approximately 14 additional miles north of Mercury Nevada, in the north-central part of Frenchman Flat. The Area 5 RWMS uses engineered shallow-land burial cells to dispose of packaged waste. The 92-Acre Area encompasses the southern portion of the Area 5 RWMS, which has been designated for the first final closure operations. This area contains 13 Greater Confinement Disposal (GCD) boreholes, 16 narrow trenches, and 9 broader pits. With the exception of two active pits (P03 and P06), all trenches and pits in the 92-Acre Area had operational covers approximately 2.4 meters thick, at a minimum, in most areas when this project began. The units within the 92-Acre Area are grouped into the following six informal categories based on physical location

  3. Evapotranspiration Cover for the 92-Acre Area Retired Mixed Waste Pits:Interim CQA Report

    Energy Technology Data Exchange (ETDEWEB)

    The Delphi Groupe, Inc., and J. A. Cesare and Associates, Inc.

    2011-06-20

    This Interim Construction Quality Assurance (CQA) Report is for the 92-Acre Evapotranspiration Cover, Area 5 Waste Management Division (WMD) Retired Mixed Waste Pits, Nevada National Security Site, Nevada for the period of January 20, 2011 to May 12, 2011. This Interim Construction Quality Assurance (CQA) Report is for the 92-Acre Evapotranspiration Cover, Area 5 Waste Management Division (WMD) Retired Mixed Waste Pits, Nevada National Security Site, Nevada for the period of January 20, 2011 to May 12, 2011. Construction was approved by the Nevada Division of Environmental Protection (NDEP) under the Approval of Corrective Action Decision Document/Corrective Action Plan (CADD/CAP) for Corrective Action Unit (CAU) 111: Area 5 WMD Retired Mixed Waste Pits, Nevada National Security Site, Nevada, on January 6, 2011, pursuant to Subpart XII.8a of the Federal Facility Agreement and Consent Order. The project is located in Area 5 of the Radioactive Waste Management Complex (RWMC) at the Nevada National Security Site (NNSS), formerly known as the Nevada Test Site, located in southern Nevada, approximately 65 miles northwest of Las Vegas, Nevada, in Nye County. The project site, in Area 5, is located in a topographically closed basin approximately 14 additional miles north of Mercury Nevada, in the north-central part of Frenchman Flat. The Area 5 RWMS uses engineered shallow-land burial cells to dispose of packaged waste. The 92-Acre Area encompasses the southern portion of the Area 5 RWMS, which has been designated for the first final closure operations. This area contains 13 Greater Confinement Disposal (GCD) boreholes, 16 narrow trenches, and 9 broader pits. With the exception of two active pits (P03 and P06), all trenches and pits in the 92-Acre Area had operational covers approximately 2.4 meters thick, at a minimum, in most areas when this project began. The units within the 92-Acre Area are grouped into the following six informal categories based on physical location

  4. Malignant mixed Mullerian tumour of the prolapsed cervix: A case report.

    Science.gov (United States)

    Massinde, Anthony N; Rumanyika, Richard R; Kihunrwa, Albert; Rambau, Peter; Magoma, Moke

    2012-04-01

    Malignant mixed Mullerian tumour is a rare gynaecological tumour commonly presenting with vaginal bleeding, abdominal pain or mass in the uterine cavity, cervix or vagina. The neoplasms are commonly seen in postmenopausal women although it has been observed in younger women. Ovaries and the corpus of the uterus are commonly involved, whereas involvement of the cervix and vagina is rare. A 37 year-old Tanzania lady para 7 with a previous history of two genital polypectomies presented with history of recurrent vaginal mass which was associated with abnormal vaginal bleeding and foul smelling discharge. Vaginal examination revealed a prolapsed uterus with giant fungating cervical mass which was ulcerated, friable, and bled easily on touch. Impression was grade three uterine prolapse with infected cervical polyp/cervical sarcoma. Excision of the tumour through trans-vaginal hysterectomy was performed, no lymphadenopathy was found, no adnexa abnormalities, and no involvement of the vaginal wall. Histological diagnosis of Malignant mixed Mullerian tumour of the cervix was made. Patient recovery was unremarkable; however she was lost to follow up. The patient's mass was initially suspected to be prolapsed uterus with decubitus ulcer but the histological results were of a malignant condition. Lack of clear management guidelines for some rare mixed tumours remains a challenge for clinicians in low resource settings.

  5. Mixed Waste Integrated Program interim evaluation report on thermal treatment technologies

    International Nuclear Information System (INIS)

    Gillins, R.L.; DeWitt, L.M.; Wollerman, A.L.

    1993-02-01

    The Mixed Waste Integrated Program (MWIP) is one of several US Department of Energy (DOE) integrated programs established to organize and coordinate throughout the DOE complex the development of technologies for treatment of specific waste categories. The goal of the MWIP is to develop and deploy appropriate technologies for -the treatment of DOE mixed low-level and alpha-contaminated wastes in order to bring all affected DOE installations and projects into compliance with environmental laws. Evaluation of treatment technologies by the MWIP will focus on meeting waste form performance requirements for disposal. Thermal treatment technologies were an early emphasis for the MWIP because thermal treatment is indicated (or mandated) for many of the hazardous constituents in DOE mixed waste and because these technologies have been widely investigated for these applications. An advisory group, the Thermal Treatment Working Group (TTWG), was formed during the program's infancy to assist the MWIP in evaluating and prioritizing thermal treatment technologies suitable for development. The results of the overall evaluation scoring indicate that the four highest-rated technologies were rotary kilns, slagging kilns, electric-arc furnaces, and plasma-arc furnaces. The four highest-rated technologies were all judged to be applicable on five of the six waste streams and are the only technologies in the evaluation with this distinction. Conclusions as to the superiority of one technology over others are not valid based on this preliminary study, although some general conclusions can be drawn

  6. Report on results in research and development 1989

    International Nuclear Information System (INIS)

    1990-01-01

    This presentation of results of R and D work represents for the Karlsruhe Nuclear Research Centre its scientific annual report for the year 1989, as required by its constitution. The report is divided according to the main areas of work of the KfK in a similar manner to the R and D planning. The individual reports were prepared by the participating institutes and main departments and were then grouped thematically with a note of their origins. The main areas of work are the Fast Breeder Project, the separation nozzle method, the Nuclear Fusion Project, the Reprocessing and Waste Treatment Project, terminal storage, environment and safety solids and matter research, nuclear and particle physics, microtechnology, handling and other research plans (for example, the Advanced Pressurized Water Reactor). This report shows the progress of studies on each project named in the KfK R and D programme. The correlation to the R and D programme is meant to facilitate the comparison of aims with achievements and explain the complete context of what are often individual tasks carried out by several institutes. Detailed results can be found in the quoted scientific-technical publications on internal preliminary reports. (orig./HK) [de

  7. Newspaper reporting and the emergence of charcoal burning suicide in Taiwan: A mixed methods approach.

    Science.gov (United States)

    Chen, Ying-Yeh; Tsai, Chi-Wei; Biddle, Lucy; Niederkrotenthaler, Thomas; Wu, Kevin Chien-Chang; Gunnell, David

    2016-03-15

    It has been suggested that extensive media reporting of charcoal burning suicide was a key factor in the rapid spread of this novel method in many East Asian countries. But very few empirical studies have explored the relationship between media reporting and the emergence of this new method of suicide. We investigated the changing pattern of media reporting of charcoal burning suicides in Taiwan during 1998-2002 when this method of suicide increased most rapidly, assessing whether the characteristics of media reporting were associated with the changing incidence of suicide using this method. A mixed method approach, combining quantitative and qualitative analysis of newspaper content during 1998-2002 was used. We compared differences in reporting characteristics before and after the rapid increase in charcoal burning suicide. Point-biserial and Pearson correlation coefficients were calculated to quantify the associations between the media item content and changes in suicide rates. During the period when charcoal burning suicide increased rapidly, the number of reports per suicide was considerably higher than during the early stage (0.31 vs. 0.10). Detailed reporting of this new method was associated with a post-reporting increase in suicides using the method. Qualitative analysis of news items revealed that the content of reports of suicide by charcoal burning changed gradually; in the early stages of the epidemic (1999-2000) there was convergence in the terminology used to report charcoal burning deaths, later reports gave detailed descriptions of the setting in which the death occurred (2001) and finally the method was glamourized and widely publicized (2001-2002). Our analysis was restricted to newspaper reports and did not include TV or the Internet. Newspaper reporting was associated with the evolution and establishment of charcoal burning suicide. Working with media and close monitoring of changes in the incidence of suicide using a new method might help

  8. Patient safety in palliative care: A mixed-methods study of reports to a national database of serious incidents.

    Science.gov (United States)

    Yardley, Iain; Yardley, Sarah; Williams, Huw; Carson-Stevens, Andrew; Donaldson, Liam J

    2018-06-01

    Patients receiving palliative care are vulnerable to patient safety incidents but little is known about the extent of harm caused or the origins of unsafe care in this population. To quantify and qualitatively analyse serious incident reports in order to understand the causes and impact of unsafe care in a population receiving palliative care. A mixed-methods approach was used. Following quantification of type of incidents and their location, a qualitative analysis using a modified framework method was used to interpret themes in reports to examine the underlying causes and the nature of resultant harms. Reports to a national database of 'serious incidents requiring investigation' involving patients receiving palliative care in the National Health Service (NHS) in England during the 12-year period, April 2002 to March 2014. A total of 475 reports were identified: 266 related to pressure ulcers, 91 to medication errors, 46 to falls, 21 to healthcare-associated infections (HCAIs), 18 were other instances of disturbed dying, 14 were allegations against health professions, 8 transfer incidents, 6 suicides and 5 other concerns. The frequency of report types differed according to the care setting. Underlying causes included lack of palliative care experience, under-resourcing and poor service coordination. Resultant harms included worsened symptoms, disrupted dying, serious injury and hastened death. Unsafe care presents a risk of significant harm to patients receiving palliative care. Improvements in the coordination of care delivery alongside wider availability of specialist palliative care support may reduce this risk.

  9. Final Report on SSD2 pilot results in Denmark

    DEFF Research Database (Denmark)

    Andersen, Jens Hinge; Jørgensen, Kevin; Jensen, Louise Grønhøj Hørbye

    This document is the “Report on SSD2 pilot results” of the project OC/EFSA/DCM/2013/05: “Pilot project on the implementation of SSD2 in the frame of the electronic transmission of harmonised data collection of analytical results to EFSA”. The report includes a description of the software and tools...... used, a description of the challenges encountered in migrating data structure from SSD1/XML to SSD2 in the national data repositories, a summary of the experience gained in testing SSD2 and recommendations for EFSA on effectiveness and suitability of the SSD2 in the different domains. The following...

  10. Report of joint utilization results in fiscal year 1994

    International Nuclear Information System (INIS)

    1995-01-01

    Joint utilization seems to aim at the effective use of limited funds by concentrating facilities. There is a demerit that for doing experiment, it is necessary to take a trouble of going to the place. However by utilizing jointly one facility, there is the possibility of the occurrence of sympathizing phenomena directly connected to new ideas among researchers, and it is just the state joint utilization should be in. In fiscal year 1994, the Yayoi and the linac were put to joint utilization as expected, and many results of researches were obtained by the users. In this book, in addition to the report of the results of joint utilization, the report of the Yayoi research meetings held in fiscal year 1994 is included. Eight lectures on fast neutron science, the reports of joint utilization results of 15 Yayoi on-pile studies, 9 Yayoi off-pile studies and 16 linac studies, and the reports of 11 Yayoi research meetings are included in this book. The list of the events held in the Nuclear Engineering Research Laboratory, University of Tokyo, in fiscal year 1994, the list of the names of various committee members, and the list of the names of the persons in charge of joint utilization experiments are attached. (K.I.)

  11. Status report on geochemical field results from Atlantic study sites

    International Nuclear Information System (INIS)

    Wilson, T.R.S.; Thomson, J.; Hydes, D.J.; Colley, S.

    1983-01-01

    This report summarises the results of preliminary geochemical investigations at three North Atlantic study areas. The two eastern sites, on the Cape Verde abyssal plain (CV2) and east of Great Meteor Seamount (GME) were visited during 1982. The results presented are preliminary. Studies in the western Atlantic, close to the Nares Abyssal Plain study site are more detailed and are presented in a separate paper. The report shows for the first time the relative redox status of the three sites. The differences are unexpectedly large, the most reduced cores being recovered at GME and the most oxidised at CV2. The sporadic nature of Recent sediment accumulation at these sites is also emphasised. In order to place these preliminary results in context their relevance to the production of mathematical system models is discussed in a closing section. The necessity for such models to rest on sound foundations of geochemical understanding is noted. Suggestions on future research priorities are offered for discussion. (author)

  12. Sylgard® Mixing Study

    Energy Technology Data Exchange (ETDEWEB)

    Bello, Mollie [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Welch, Cynthia F. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Goodwin, Lynne Alese [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Keller, Jennie [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2014-08-22

    Sylgard® 184 and Sylgard® 186 silicone elastomers form Dow Corning® are used as potting agents across the Nuclear Weapons Complex. A standardized mixing procedure is required for filled versions of these products. The present study is a follow-up to a mixing study performed by MST-7 which established the best mixing procedure to use when adding filler to either 184 or 186 base resins. The most effective and consistent method of mixing resin and curing agent for three modified silicone elastomer recipes is outlined in this report. For each recipe, sample size, mixing type, and mixing time was varied over 10 separate runs. The results show that the THINKY™ Mixer gives reliable mixing over varying batch sizes and mixing times. Hand Mixing can give improved mixing, as indicated by reduced initial viscosity; however, this method is not consistent.

  13. Health Literacy Demands of Patient-Reported Evaluation Tools in Orthopedics: A Mixed-Methods Case Study.

    Science.gov (United States)

    Hadden, Kristie; Prince, Latrina Y; Barnes, C Lowry

    In response to an assessment of organizational health literacy practices at a major academic health center, this case study evaluated the health literacy demands of patient-reported outcome measures commonly used in orthopedic surgery practices to identify areas for improvement. A mixed-methods approach was used to analyze the readability and patient feedback of orthopedic patient-reported outcome materials. Qualitative results were derived from focus group notes, observations, recordings, and consensus documents. Results were combined to formulate recommendations for quality improvement. Readability results indicated that narrative portions of sample patient outcome tools were written within or below the recommended eighth-grade reading level (= 5.9). However, document literacy results were higher than the recommended reading level (= 9.8). Focus group results revealed that participants had consensus on 8 of 12 plain language best practices, including use of bullet lists and jargon or technical words in both instruments. Although the typical readability of both instruments was not exceedingly high, appropriate readability formula and assessment methods gave a more comprehensive assessment of true readability. In addition, participant feedback revealed the need to reduce jargon and improve formatting to lessen the health literacy demands on patients. As clinicians turn more toward patient-reported measures to assess health care quality, it is important to consider the health literacy demands that are inherent in the instruments they are given in our health systems.

  14. Continuous glucose monitoring with Humalog Mix 25 versus Humalog Mix 50, twice daily: A comparative pilot study -Results from the Jikei-EValuation of insulin Lispro mixture on pharmacodynamics and glycemic VariancE (J-EVOLVE study

    Directory of Open Access Journals (Sweden)

    Morimoto Aya

    2010-05-01

    Full Text Available Abstract Objective To evaluate glycemic variability associated with two different premixed insulin analogue formulations when used in a twice-daily regimen. Patients and Methods Subjects comprised type 2 diabetic patients aged 20-79 years, treated with twice daily premixed insulin or insulin analogue formulations. All subjects were hospitalized for 6 days and randomized to receive either Humalog Mix 25 (Mix 25 or Humalog Mix 50 (Mix 50. They were then crossed over to the other arm between day 3 and day 4 of the study. Continuous glucose monitoring (CGM was performed on all subjects to examine the differences in glycemic variability. Results Eleven type 2 diabetic patients were enrolled. No significant difference was found in 24-hour mean glucose values and their SDs, pre-meal glucose values, increases from pre-meal to peak glucose values, or time to peak glucose levels between either group. However, the mean glucose values observed during 0-8 hrs were significantly lower with Mix 25 compared to Mix 50 (128 vs. 147 mg/dL; p = 0.024. Conclusions The twice-daily Mix 25 regimen provided superior overnight glycemic control compared to the Mix 50 regimen in Japanese patients with type 2 diabetes. However, both twice-daily regimens with either Mix 25 or Mix 50 provided inadequate post-lunch glycemic control. Trial Registration Current Controlled Trials UMIN000001327

  15. Integrated process analyses studies on mixed low level and transuranic wastes. Summary report

    International Nuclear Information System (INIS)

    1997-12-01

    Options for integrated thermal and nonthermal treatment systems for mixed low-level waste (MLLW) are compared such as total life cycle cost (TLCC), cost sensitivities, risk, energy requirements, final waste volume, and aqueous and gaseous effluents. The comparisons were derived by requiring all conceptual systems to treat the same composition of waste with the same operating efficiency. Thus, results can be used as a general guideline for the selection of treatment and disposal concepts. However, specific applications of individual systems will require further analysis. The potential for cost saving options and the research and development opportunities are summarized

  16. Integrated process analyses studies on mixed low level and transuranic wastes. Summary report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-01

    Options for integrated thermal and nonthermal treatment systems for mixed low-level waste (MLLW) are compared such as total life cycle cost (TLCC), cost sensitivities, risk, energy requirements, final waste volume, and aqueous and gaseous effluents. The comparisons were derived by requiring all conceptual systems to treat the same composition of waste with the same operating efficiency. Thus, results can be used as a general guideline for the selection of treatment and disposal concepts. However, specific applications of individual systems will require further analysis. The potential for cost saving options and the research and development opportunities are summarized.

  17. COMPILATION OF LABORATORY SCALE ALUMINUM WASH AND LEACH REPORT RESULTS

    International Nuclear Information System (INIS)

    Harrington, S.J.

    2011-01-01

    This report compiles and analyzes all known wash and caustic leach laboratory studies. As further data is produced, this report will be updated. Included are aluminum mineralogical analysis results as well as a summation of the wash and leach procedures and results. Of the 177 underground storage tanks at Hanford, information was only available for five individual double-shell tanks, forty-one individual single-shell tanks (e.g. thirty-nine 100 series and two 200 series tanks), and twelve grouped tank wastes. Seven of the individual single-shell tank studies provided data for the percent of aluminum removal as a function of time for various caustic concentrations and leaching temperatures. It was determined that in most cases increased leaching temperature, caustic concentration, and leaching time leads to increased dissolution of leachable aluminum solids.

  18. COMPILATION OF LABORATORY SCALE ALUMINUM WASH AND LEACH REPORT RESULTS

    Energy Technology Data Exchange (ETDEWEB)

    HARRINGTON SJ

    2011-01-06

    This report compiles and analyzes all known wash and caustic leach laboratory studies. As further data is produced, this report will be updated. Included are aluminum mineralogical analysis results as well as a summation of the wash and leach procedures and results. Of the 177 underground storage tanks at Hanford, information was only available for five individual double-shell tanks, forty-one individual single-shell tanks (e.g. thirty-nine 100 series and two 200 series tanks), and twelve grouped tank wastes. Seven of the individual single-shell tank studies provided data for the percent of aluminum removal as a function of time for various caustic concentrations and leaching temperatures. It was determined that in most cases increased leaching temperature, caustic concentration, and leaching time leads to increased dissolution of leachable aluminum solids.

  19. Foothill Transit Battery Electric Bus Demonstration Results: Second Report

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, Leslie [National Renewable Energy Lab. (NREL), Golden, CO (United States); Jeffers, Matthew [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2017-06-28

    This report summarizes results of a battery electric bus (BEB) evaluation at Foothill Transit, located in the San Gabriel and Pomona Valley region of Los Angeles County, California. Foothill Transit is collaborating with the California Air Resources Board and the U.S. Department of Energy's (DOE's) National Renewable Energy Laboratory to evaluate its fleet of Proterra BEBs in revenue service. The focus of this evaluation is to compare performance of the BEBs to that of conventional technology and to track progress over time toward meeting performance targets. This project has also provided an opportunity for DOE to conduct a detailed evaluation of the BEBs and charging infrastructure. This is the second report summarizing the results of the BEB demonstration at Foothill Transit and it provides data on the buses from August 2015 through December 2016. Data are provided on a selection of compressed natural gas buses as a baseline comparison.

  20. Perforated mixed carcinoid-adenocarcinoma in transverse colon and at gastroenterostomy site: case report

    Directory of Open Access Journals (Sweden)

    Karakaş Barış R

    2010-12-01

    Full Text Available Abstract Goblet cell carcinoid of the large intestine is a rare neoplasm, usually located in ascending colon and rectum. A 60-year-old male patient underwent surgery after the diagnosis of acute abdomen. Exploratory laparotomy revealed perforation with a diameter of 1 cm at the site of the previously performed gastroenterostomy and dilatation of the right colic flexure, secondary to a solid obstructive mass located in the mid-portion of transverse colon. Histopathological investigation of the biopsies, taken from the gastroenterostomy site and the tumor, revealed mixed carcinoid-adenocarcinoma with carcinoid component, predominantly composed of goblet cells. Three cycles of FOLFOX-4 protocol was administered. Following respiratory distress secondary to pulmonary metastasis, the patient's condition deteriorated and subsequently died in the fourth postoperative month. Our aim with this paper is to point out that more cases should be reported for more effective diagnosis, histopathological study, clinical investigation, treatment and prognosis of this specific neoplasm.

  1. Evaluation and perceived results of moral case deliberation: A mixed methods study

    NARCIS (Netherlands)

    Janssens, R.; van Zadelhoff, E.; van Loo, G.; Widdershoven, G.A.; Molewijk, A.C.

    2015-01-01

    Background: Moral case deliberation is increasingly becoming part of various Dutch healthcare organizations. Although some evaluation studies of moral case deliberation have been carried out, research into the results of moral case deliberation within aged care is scarce. Research questions: How did

  2. Single-course specific immunotherapy with mixed pollen allergoids: results of a multi-centre study.

    Science.gov (United States)

    Drachenberg, K J; Pröll, S; Urban, E; Woroniecki, S R

    2003-01-01

    A short-term immunotherapy vaccine for the treatment of pollen allergy has been developed utilising L-tyrosine adsorbed allergoids. The reduced number of injections could provide advantages over long-term therapy schedules. This would improve compliance and support application of specific immunotherapy (SIT) to a greater extent. We report a multicenter study to evaluate the efficacy and safety of this treatment in a clinical practice setting. Patients (n = 1808) with a diagnosis of sensitivities to various pollens and symptoms of allergic asthma and/or allergic rhinitis and/or allergic conjunctivitis were selected. The vaccine formulation was made up according to individual sensitivities and contained L-tyrosine adsorbed allergoids. The patients were treated with a 3-injection initial course followed by a 3-injection maintenance course. Efficacy was measured by consumption of symptomatic anti-allergic medication compared with that in the previous season and by physician assessment using a 5-point scale. All adverse events were recorded. Efficacy was demonstrated by a considerable decrease in regular and frequent use of medication compared with that in the previous season (p allergoid/L-tyrosine vaccine in a clinical practice setting provided a high level of efficacy with a low incidence of mainly mild adverse events.

  3. Endometrial stromal sarcoma in combination with mixed type endometrial carcinomas: A case report and literature review.

    Science.gov (United States)

    Xiu, Xiao-Xin; Wang, Hua-Li; Yun-Yi, Lv; Fan-Dou, Kong; Jin-Ping, Hou

    2017-12-01

    Endometrial stromal sarcoma (ESS) is rare, representing only approximately 0.2% of all uterine malignancies. Mixed type endometrial carcinomas (MT-ECs) are rare tumors with both type I and II features, and are difficult to diagnose. Cases of ESS and MT-ECs coexisting in the same patient are extremely rare. This study aimed to describe a case of ESS in combination with MT-ECs in a 47-year-old premenopausal woman. A woman presented to the hospital complaining of occasional abdominal pain and had high tumor markers: cancer antigen (CA) 19-9 (263.6 U/mL) and CA 125 (428.0 U/mL). Transvaginal ultrasound examination revealed a complex mass (12.3 × 9.1 × 6.3 cm) with solid and cystic components on the right rear wall of the uterus. Abdominopelvic computed tomography images showed a pelvic cystic-solid mixed mass. The patient underwent an exploratory midline laparotomy. The mass was hypothesized to be malignant on the uterine posterior wall. Tumor deposits were found on bilateral parametrium. On peritoneal implantation, multiple metastases were seen on the serosal surface of the bowel and greater omentum. A frozen section revealed a spindle cell sarcoma. Pathological reports following surgery revealed concurrent ESS and MT-ECs. The patient underwent a total abdominal hysterectomy, bilateral salpingo-oophorectomy, total omentectomy, and macroscopic clearance of the tumor. Adjuvant chemotherapy was given. The patient was still alive when this report was written. Considering the rarity of ESS in combination with MT-ECs, this study presented an overview of the literature and discussed a number of histological and clinical issues. Nevertheless, etiology and pathogenesis of these tumors need further investigation.

  4. Performance Assessment of Warm Mix Asphalt (WMA) Pavements : Executive Summary Report

    Science.gov (United States)

    2009-09-01

    Warm Mix Asphalt (WMA) is a new technology which was : introduced in 1995 in Europe. WMA is gaining attention all : over the world because it offers several advantages over : conventional asphalt concrete mixes. The benefits include: : (1) Reduced en...

  5. Phosphaturic mesenchymal tumor, mixed connective tissue variant, of the mandible: report of a case and review of the literature.

    Science.gov (United States)

    Woo, Victoria L; Landesberg, Regina; Imel, Erik A; Singer, Steven R; Folpe, Andrew L; Econs, Michael J; Kim, Taeyun; Harik, Lara R; Jacobs, Thomas P

    2009-12-01

    Tumor-induced osteomalacia (TIO) is a rare paraneoplastic syndrome that results in renal phosphate wasting with hypophosphatemia. In most cases, the underlying cause of TIO is a small mesenchymal neoplasm that is often difficult to detect, resulting in delayed diagnosis. One such neoplasm is the phosphaturic mesenchymal tumor, mixed connective tissue variant (PMTMCT), an unusual entity with unique morphologic and biochemical features. Most of these tumors are found at appendicular sites with only rare cases reported in the jaws. We describe a PMTMCT involving the mandible in a patient with a protracted history of osteomalacia. A review of the current literature is provided with emphasis on the clinical and histologic features, etiopathogenesis, and management of PMTMCT in the setting of TIO.

  6. Some deficiencies in analyzing leachates and reporting results

    International Nuclear Information System (INIS)

    Sill, C.W.

    1980-01-01

    Determination of the leachability of elements from various radioactive waste forms for long-term retention requires chemical analysis of both the leachate and waste form. Neither the precision of the leaching procedure nor the accuracy of the results can be determined unambiguously if gross uncertainties exist. It should be demonstrated beforehand that all participating laboratories can obtain the same analytical result within some stated uncertainty. Special precautions must be taken to ensure that all material leached from the waste form is recovered from the leaching container and that all refractory particles are dissolved completely before analysis is begun. The actual results obtained should be reported, including negative signs if present, avoiding all subjective and quantitatively nondescriptive statements such as nil, none, not detected, etc. Each result must be accompanied by an estimate of its uncertainty. Problems involved in interlaboratory comparisons are discussed

  7. Mixed Connective Tissue Disease and Papillary Thyroid Cancer: A Case Report.

    Science.gov (United States)

    Thongpooswan, Supat; Tushabe, Rachel; Song, Jeffrey; Kim, Paul; Abrudescu, Adriana

    2015-08-06

    Mixed connective tissue disease (MCTD) is a connective tissue disorder characterized by high titers of distinct antibodies: U1 ribonucleoprotein with clinical features seen in systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), dermatomyositis (DM), polymyositis, and scleroderma. The association of SLE and DM with various cancers of the thyroid has been reported in the literature. However, there have been no reports associating MCTD with thyroid cancer. We present a 58-year-old woman diagnosed with MCTD with co-morbid interstitial lung disease that has remained stable for 10 years, who developed papillary thyroid carcinoma (PTC) 10 years after initial diagnosis. We theorize that: 1) MCTD may have been a primary diagnosis complicated by PTC, or 2) MCTD may have been an initial presentation of paraneoplastic syndrome of silent PTC, because her symptoms of MCTD significantly improved after total thyroidectomy. To the best of our knowledge, this is the first case report to associate MCTD with PTC. It highlights the importance of maintaining a high index of suspicion for thyroid malignancy in MCTD patients.

  8. Molecular energy transfer by fluid mixing. Progress report, 1 January 1968--1 January 1971

    International Nuclear Information System (INIS)

    Cool, T.A.

    1971-01-01

    Highlights are discussed of a program on the use of rapid mixing techniques and high speed flows for laser power enhancement. Three tasks are reviewed: (1) continuous wave chemical laser development, (2) N 2 --CO 2 electrically excited fluid mixing laser techniques, and (3) gas dynamic mixing behind shock waves. Purely chemical HF and DF laser operation is also discussed

  9. Mixed results in the safety performance of computerized physician order entry.

    Science.gov (United States)

    Metzger, Jane; Welebob, Emily; Bates, David W; Lipsitz, Stuart; Classen, David C

    2010-04-01

    Computerized physician order entry is a required feature for hospitals seeking to demonstrate meaningful use of electronic medical record systems and qualify for federal financial incentives. A national sample of sixty-two hospitals voluntarily used a simulation tool designed to assess how well safety decision support worked when applied to medication orders in computerized order entry. The simulation detected only 53 percent of the medication orders that would have resulted in fatalities and 10-82 percent of the test orders that would have caused serious adverse drug events. It is important to ascertain whether actual implementations of computerized physician order entry are achieving goals such as improved patient safety.

  10. Progress Report on SAM Reduced-Order Model Development for Thermal Stratification and Mixing during Reactor Transients

    Energy Technology Data Exchange (ETDEWEB)

    Hu, R. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2017-09-01

    This report documents the initial progress on the reduced-order flow model developments in SAM for thermal stratification and mixing modeling. Two different modeling approaches are pursued. The first one is based on one-dimensional fluid equations with additional terms accounting for the thermal mixing from both flow circulations and turbulent mixing. The second approach is based on three-dimensional coarse-grid CFD approach, in which the full three-dimensional fluid conservation equations are modeled with closure models to account for the effects of turbulence.

  11. The Mix of Accountancy Policy and Tax Strategy in Company’s Financial Result

    Directory of Open Access Journals (Sweden)

    Rafał Marciniak

    2009-07-01

    Full Text Available The use of legally possible accountancy methods may influence entrepreneurs real economic situation as well as their ability to perform in the future. This article presents an introduction to the problems of decision dilemmas in the area of balance law. A future result-oriented approach to the accountancy policy requires devising a method which would help choose an optimal variant among the least risky ones. Since a choice dilemma deals with future and uncertain events, it is necessary to apply statistical analysis with its rules of inference. Because of the changing environment, this issue poses a complex decision problem in conditions of uncertainty. It, therefore, means that the rules of probability theory need to be used in the inference process. With subjective probability it is then possible to calculate the value of expected profits and define the risk of the variants within the discussed accountancy policy.

  12. Functional results after Bonebridge implantation in adults and children with conductive and mixed hearing loss.

    Science.gov (United States)

    Rahne, Torsten; Seiwerth, Ingmar; Götze, Gerrit; Heider, Cornelia; Radetzki, Florian; Herzog, Michael; Plontke, Stefan K

    2015-11-01

    In patients with conductive hearing loss caused by middle ear disorders or atresia of the ear canal, a Bonebridge implantation can improve hearing by providing vibratory input to the temporal bone. The expected results are improved puretone thresholds and speech recognition. In the European Union, approval of the Bonebridge implantation was recently extended to children. We evaluated the functional outcome of a Bonebridge implantation for eight adults and three children. We found significant improvement in the puretone thresholds, with improvement in the air-bone gap. Speech recognition after surgery was significantly higher than in the best-aided situation before surgery. The Bonebridge significantly improved speech recognition in noisy environments and sound localization. In situations relevant to daily life, hearing deficits were nearly completely restored with the Bonebridge implantation in both adults and children.

  13. Evaluation and perceived results of moral case deliberation: A mixed methods study.

    Science.gov (United States)

    Janssens, Rien M J P A; van Zadelhoff, Ezra; van Loo, Ger; Widdershoven, Guy A M; Molewijk, Bert A C

    2015-12-01

    Moral case deliberation is increasingly becoming part of various Dutch healthcare organizations. Although some evaluation studies of moral case deliberation have been carried out, research into the results of moral case deliberation within aged care is scarce. How did participants evaluate moral case deliberation? What has moral case deliberation brought to them? What has moral case deliberation contributed to care practice? Should moral case deliberation be further implemented and, if so, how? Quantitative analysis of a questionnaire study among participants of moral case deliberation, both caregivers and team leaders. Qualitative analysis of written answers to open questions, interview study and focus group meetings among caregivers and team leaders. Caregivers and team leaders in a large organization for aged care in the Netherlands. A total of 61 moral case deliberation sessions, carried out on 16 care locations belonging to the organization, were evaluated and perceived results were assessed. Participants gave informed consent and anonymity was guaranteed. In the Netherlands, the law does not prescribe independent ethical review by an Institutional Review Board for this kind of research among healthcare professionals. Moral case deliberation was evaluated positively by the participants. Content and atmosphere of moral case deliberation received high scores, while organizational issues regarding the moral case deliberation sessions scored lower and merit further attention. Respondents indicated that moral case deliberation has the potential to contribute to care practice as relationships among team members improve, more openness is experienced and more understanding for different perspectives is fostered. If moral case deliberation is to be successfully implemented, top-down approaches should go hand in hand with bottom-up approaches. The relevance of moral case deliberation for care practice received wide acknowledgement from the respondents. It can contribute

  14. Multicenter Clinical Trial of Vibroplasty Couplers to Treat Mixed/Conductive Hearing Loss: First Results.

    Science.gov (United States)

    Zahnert, Thomas; Löwenheim, Hubert; Beutner, Dirk; Hagen, Rudolf; Ernst, Arneborg; Pau, Hans-Wilhelm; Zehlicke, Thorsten; Kühne, Hilke; Friese, Natascha; Tropitzsch, Anke; Lüers, Jan-Christoffer; Mlynski, Robert; Todt, Ingo; Hüttenbrink, Karl-Bernd

    2016-01-01

    To evaluate the safety and effectiveness of round window (RW), oval window (OW), CliP and Bell couplers for use with an active middle ear implant. This is a multicenter, long-term, prospective trial with consecutive enrollment, involving 6 university hospitals in Germany. Bone conduction, air conduction, implant-aided warble-tone thresholds and Freiburger monosyllable word recognition scores were compared with unaided preimplantation results in 28 moderate-to-profound hearing-impaired patients after 12 months of follow-up. All patients had previously undergone failed reconstruction surgeries (up to 5 or more). In a subset of patients, additional speech tests at 12 months postoperatively were used to compare the aided with the unaided condition after implantation with the processor switched off. An established quality-of-life questionnaire for hearing aids was used to determine patient satisfaction. Postoperative bone conduction remained stable. Mean functional gain for all couplers was 37 dB HL (RW = 42 dB, OW = 35 dB, Bell = 38 dB, CliP = 27 dB). The mean postoperative Freiburger monosyllable score was 71% at 65 dB SPL. The postimplantation mean SRT50 (speech reception in quiet for 50% understanding of words in sentences) improved on average by 23 dB over unaided testing and signal-to-noise ratios also improved in all patients. The International Outcome Inventory for Hearing Aids (IOI-HA)quality-of-life questionnaire was scored very positively by all patients. A significant improvement was seen with all couplers, and patients were satisfied with the device at 12 months postoperatively. These results demonstrate that an active implant is an advantage in achieving good hearing benefit in patients with prior failed reconstruction surgery. © 2016 S. Karger AG, Basel.

  15. Malnutrition in Healthy Individuals Results in Increased Mixed Cytokine Profiles, Altered Neutrophil Subsets and Function

    Science.gov (United States)

    Takele, Y.; Adem, E.; Getahun, M.; Tajebe, F.; Kiflie, A.; Hailu, A.; Raynes, J.; Mengesha, B.; Ayele, T. A.; Shkedy, Z.; Lemma, M.; Diro, E.; Toulza, F.; Modolell, M.; Munder, M.; Müller, I.; Kropf, P.

    2016-01-01

    Malnutrition is commonly associated with increased infectious disease susceptibility and severity. Whereas malnutrition might enhance the incidence of disease as well as its severity, active infection can in turn exacerbate malnutrition. Therefore, in a malnourished individual suffering from a severe infection, it is not possible to determine the contribution of the pre-existing malnutrition and/or the infection itself to increased disease severity. In the current study we focussed on two groups of malnourished, but otherwise healthy individuals: moderately malnourished (BMI: 18.4–16.5) and severely malnourished (BMI <16.5) and compared several immune parameters with those of individuals with a normal BMI (≥18.5). Our results show a similar haematological profile in all three groups, as well as a similar ratio of CD4+ and CD8+ T cells. We found significant correlations between low BMI and increased levels of T helper (Th) 1 (Interferon (IFN)-γ, (interleukin (IL)-2, IL-12), Th2 (IL-4, IL-5, IL-13), as well as IL-10, IL-33 and tumor necrosis factor-α, but not IL-8 or C reactive protein. The activities of arginase, an enzyme associated with immunosuppression, were similar in plasma, peripheral blood mononuclear cells (PBMC) and neutrophils from all groups and no differences in the expression levels of CD3ζ, a marker of T cell activation, were observed in CD4+ and CD8+T cells. Furthermore, whereas the capacity of neutrophils from the malnourished groups to phagocytose particles was not impaired, their capacity to produce reactive oxygen species was impaired. Finally we evaluated the frequency of a subpopulation of low-density neutrophils and show that they are significantly increased in the malnourished individuals. These differences were more pronounced in the severely malnourished group. In summary, our results show that even in the absence of apparent infections, healthy malnourished individuals display dysfunctional immune responses that might contribute to

  16. Effects of patient safety auditing in hospital care: results of a mixed-method evaluation (part 1).

    Science.gov (United States)

    Hanskamp-Sebregts, Mirelle; Zegers, Marieke; Westert, Gert P; Boeijen, Wilma; Teerenstra, Steven; van Gurp, Petra J; Wollersheim, Hub

    2018-06-15

    To evaluate the effectiveness of internal auditing in hospital care focussed on improving patient safety. A before-and-after mixed-method evaluation study was carried out in eight departments of a university medical center in the Netherlands. Internal auditing and feedback focussed on improving patient safety. The effect of internal auditing was assessed 15 months after the audit, using linear mixed models, on the patient, professional, team and departmental levels. The measurement methods were patient record review on adverse events (AEs), surveys regarding patient experiences, safety culture and team climate, analysis of administrative hospital data (standardized mortality rate, SMR) and safety walk rounds (SWRs) to observe frontline care processes on safety. The AE rate decreased from 36.1% to 31.3% and the preventable AE rate from 5.5% to 3.6%; however, the differences before and after auditing were not statistically significant. The patient-reported experience measures regarding patient safety improved slightly over time (P audit. The SWRs showed that medication safety and information security were improved (P auditing was associated with improved patient experiences and observed safety on wards. No effects were found on adverse outcomes, safety culture and team climate 15 months after the internal audit.

  17. Misleading reporting and interpretation of results in major infertility journals.

    Science.gov (United States)

    Glujovsky, Demian; Sueldo, Carlos E; Borghi, Carolina; Nicotra, Pamela; Andreucci, Sara; Ciapponi, Agustín

    2016-05-01

    To evaluate the proportion of randomized controlled trials (RCTs) published in top infertility journals indexed on PubMed that reported their results with proper effect estimates and their precision estimation, while correctly interpreting both measures. Cross-sectional study evaluating all the RCTs published in top infertility journals during 2014. Not applicable. Not applicable. Not applicable. Proportion of RCTs that reported both relative and absolute effect size measures and its precision. Among the 32 RCTs published in 2014 in the top infertility journals reviewed, 37.5% (95% confidence interval [CI], 21.1-56.3) did not mention in their abstracts whether the difference among the study arms was statistically or clinically significant, and only 6.3% (95% CI, 0.8-20.8) used a CI of the absolute difference. Similarly, in the results section, these elements were observed in 28.2% (95% CI, 13.7-46.7) and 15.6% (95% CI, 5.3-32.8), respectively. Only one study clearly expressed the minimal clinically important difference in their methods section, but we found related proxies in 53% (95% CI, 34.7-70.9). None of the studies used CIs to draw conclusions about the clinical or statistical significance. We found 13 studies where the interpretation of the findings could be misleading. Recommended reporting items are underused in top infertility journals, which could lead to misleading interpretations. Authors, reviewers, and editorial boards should emphasize their use to improve reporting quality. Copyright © 2016 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  18. Processing results of 1800 gallons of mercury and radioactively contaminated mixed waste rinse solution

    International Nuclear Information System (INIS)

    Thiesen, B.P.

    1993-01-01

    Mercury-contaminated rinse solution was successfully treated at the Idaho National Engineering Laboratory. This waste was generated during the decontamination of the Heat Transfer Reactor Experiment 3 reactor shield tank. Approximately 6.8 m 3 (1,800 pi) of waste was generated and placed into 33 drums. Each drum contained precipitated sludge material ranging from 2--5 cm in depth, with the average depth of about 6 cm. The pH of each drum varied from 3--11. The bulk liquid waste had a mercury level of 7.0 mg/l, which exceeded the Resource Conservation and Recovery Act limit of 0.2 mg/l. The average liquid bulk radioactivity was about 2.1 pCi/mL while the average sludge contamination was about 13,800 pCi/g. Treatment of the waste required separation of the liquid from the sludge, filtration, pH adjustment, and ion exchange. The resulting solution after treatment had mercury levels at 0.0186 mg/l and radioactivity of 0.282 pCi/ml

  19. Emergency medicine summary code for reporting CT scan results: implementation and survey results.

    Science.gov (United States)

    Lam, Joanne; Coughlin, Ryan; Buhl, Luce; Herbst, Meghan; Herbst, Timothy; Martillotti, Jared; Coughlin, Bret

    2018-06-01

    The purpose of the study was to assess the emergency department (ED) providers' interest and satisfaction with ED CT result reporting before and after the implementation of a standardized summary code for all CT scan reporting. A summary code was provided at the end of all CTs ordered through the ED from August to October of 2016. A retrospective review was completed on all studies performed during this period. A pre- and post-survey was given to both ED and radiology providers. A total of 3980 CT scans excluding CTAs were ordered with 2240 CTs dedicated to the head and neck, 1685 CTs dedicated to the torso, and 55 CTs dedicated to the extremities. Approximately 74% CT scans were contrast enhanced. Of the 3980 ED CT examination ordered, 69% had a summary code assigned to it. Fifteen percent of the coded CTs had a critical or diagnostic positive result. The introduction of an ED CT summary code did not show a definitive improvement in communication. However, the ED providers are in consensus that radiology reports are crucial their patients' management. There is slightly increased satisfaction with the providers with less than 5 years of experience with the ED CT codes compared to more seasoned providers. The implementation of a user-friendly summary code may allow better analysis of results, practice improvement, and quality measurements in the future.

  20. Processing results of 1,800 gallons of mercury and radioactively contaminated mixed waste rinse solution

    International Nuclear Information System (INIS)

    Thiesen, B.P.

    1993-01-01

    The mercury-contaminated rinse solution (INEL waste ID number-sign 123; File 8 waste) was successfully treated at the Idaho National Engineering Laboratory (INEL). This waste was generated during the decontamination of the Heat Transfer Reactor Experiment 3 (HTRE-3) reactor shield tank. Approximately 1,800 gal of waste was generated and was placed into 33 drums. Each drum contained precipitated sludge material ranging from 1--10 in. in depth, with the average depth of about 2.5 in. The pH of each drum varied from 3--11. The bulk liquid waste had a mercury level of 7.0 mg/l, which exceeded the Resource Conservation and Recovery Act (RCRA) limit of 0.2 mg/l. The average liquid bulk radioactivity was about 2.1 pCi/ml, while the average sludge contamination was about 13,800 pci/g. Treatment of the waste required separation of the liquid from the sludge, filtration, pH adjustment, and ion exchange. Because of difficulties in processing, three trials were required to reduce the mercury levels to below the RCRA limit. In the first trial, insufficient filtration of the waste allowed solid particulate produced during pH adjustment to enter into the ion exchange columns and ultimately the waste storage tank. In the second trial, the waste was filtered down to 0.1 μ to remove all solid mercury compounds. However, before filtration could take place, a solid mercury complex dissolved and mercury levels exceeded the RCRA limit after filtration. In the third trial, the waste was filtered through 0.3-A filters and then passed through the S-920 resin to remove the dissolved mercury. The resulting solut

  1. Are studies reporting significant results more likely to be published?

    Science.gov (United States)

    Koletsi, Despina; Karagianni, Anthi; Pandis, Nikolaos; Makou, Margarita; Polychronopoulou, Argy; Eliades, Theodore

    2009-11-01

    Our objective was to assess the hypothesis that there are variations of the proportion of articles reporting a significant effect, with a higher percentage of those articles published in journals with impact factors. The contents of 5 orthodontic journals (American Journal of Orthodontics and Dentofacial Orthopedics, Angle Orthodontist, European Journal of Orthodontics, Journal of Orthodontics, and Orthodontics and Craniofacial Research), published between 2004 and 2008, were hand-searched. Articles with statistical analysis of data were included in the study and classified into 4 categories: behavior and psychology, biomaterials and biomechanics, diagnostic procedures and treatment, and craniofacial growth, morphology, and genetics. In total, 2622 articles were examined, with 1785 included in the analysis. Univariate and multivariate logistic regression analyses were applied with statistical significance as the dependent variable, and whether the journal had an impact factor, the subject, and the year were the independent predictors. A higher percentage of articles showed significant results relative to those without significant associations (on average, 88% vs 12%) for those journals. Overall, these journals published significantly more studies with significant results, ranging from 75% to 90% (P = 0.02). Multivariate modeling showed that journals with impact factors had a 100% increased probability of publishing a statistically significant result compared with journals with no impact factor (odds ratio [OR], 1.99; 95% CI, 1.19-3.31). Compared with articles on biomaterials and biomechanics, all other subject categories showed lower probabilities of significant results. Nonsignificant findings in behavior and psychology and diagnosis and treatment were 1.8 (OR, 1.75; 95% CI, 1.51-2.67) and 3.5 (OR, 3.50; 95% CI, 2.27-5.37) times more likely to be published, respectively. Journals seem to prefer reporting significant results; this might be because of authors

  2. Summary of the most significant results reported in this session

    CERN Document Server

    Sens, J C

    1980-01-01

    D1e most interesting although speculative result is the observation of a 4 standard deviation effect at 5. 3 GeV in the l)JK 0TI - and lj!K- 'ff+ mass plots (SPS Exp. WJ\\11) with a crosssection of 180 nb (assuming 1 % branching ratio). This is a cancliclatc bare b-state. + Tiw next most significant experimental result is the observation of Ac at the CERN Intersecting Storage Rings (ISR). TI1is state was discovered at BNL by Samios et al. and has since been seen in several neutrino experiments. It was seen at the ISR by Lockman ct al. about a year ago (reported at Budapest) but not in a convincing way. The analysis has now been improved, and the result shows a peak which is most clearly present in the stnnmed A(31T)+ and K-p1T+ mass spectra. 'TI1e signal has furthennore been seen in Exp. R606 (reported - + by F. Muller in this parallel session) in both A3TI and pK TI . 111e most convincing signal comes from the Spli t-Ficlcl Magnet (SFM) in K-pn + 'TI1e three observations together, all at the ISR, make this an...

  3. Genetic Engineering of a Radiation-Resistant Bacterium for Biodegradation of Mixed Wastes. Final Report

    International Nuclear Information System (INIS)

    Lidstrom, Mary E.

    2003-01-01

    Aqueous mixed low level wastes (MLLW) containing radionuclides, solvents, and/or heavy metals represent a serious current and future problem for DOE environmental management and cleanup. In order to provide low-cost treatment alternatives under mild conditions for such contained wastes, we have proposed to use the radiation-resistant bacterium, Deinococcus radiodurans. This project has focused on developing D. radiodurans strains for dual purpose processes: cometabolic treatment of haloorganics and other solvents and removal of heavy metals from waste streams in an above-ground reactor system. The characteristics of effective treatment strains that must be attained are: (a) high biodegradative and metal binding activity; (b) stable treatment characteristics in the absence of selection and in the presence of physiological stress; (c) survival and activity under harsh chemical conditions, including radiation. The result of this project has been a suite of strains with high biodegradative capabilities that are candidates for pilot stage treatment systems. In addition, we have determined how to create conditions to precipitate heavy metals on the surface of the bacterium, as the first step towards creating dual-use treatment strains for contained mixed wastes of importance to the DOE. Finally, we have analyzed stress response in this bacterium, to create the foundation for developing treatment processes that maximize degradation while optimizing survival under high stress conditions

  4. Treatability studies for polyethylene encapsulation of INEL low-level mixed wastes. Final report

    International Nuclear Information System (INIS)

    Lageraaen, P.R.; Patel, B.R.; Kalb, P.D.; Adams, J.W.

    1995-10-01

    Treatability studies for polyethylene encapsulation of Idaho National Engineering Laboratory (INEL) low-level mixed wastes were conducted at Brookhaven National Laboratory. The treatability work, which included thermal screening and/or processibility testing, was performed on priority candidate wastes identified by INEL to determine the applicability of polyethylene encapsulation for the solidification and stabilization of these mixed wastes. The candidate wastes selected for this preliminary study were Eutectic Salts, Ion Exchange Resins, Activated Carbons, Freon Contaminated Rags, TAN TURCO Decon 4502, ICPP Sodium Bearing Liquid Waste, and HTRE-3 Acid Spill Clean-up. Thermal screening was conducted for some of these wastes to determine the thermal stability of the wastes under expected pretreatment and processing conditions. Processibility testing to determine whether the wastes were amenable to extrusion processing included monitoring feed consistency, extruder output consistency, waste production homogeneity, and waste form performance. Processing parameters were not optimized within the scope of this study. However, based on the treatability results, polyethylene encapsulation does appear applicable as a primary or secondary treatment for most of these wastes

  5. Hanford coring bit temperature monitor development testing results report

    International Nuclear Information System (INIS)

    Rey, D.

    1995-05-01

    Instrumentation which directly monitors the temperature of a coring bit used to retrieve core samples of high level nuclear waste stored in tanks at Hanford was developed at Sandia National Laboratories. Monitoring the temperature of the coring bit is desired to enhance the safety of the coring operations. A unique application of mature technologies was used to accomplish the measurement. This report documents the results of development testing performed at Sandia to assure the instrumentation will withstand the severe environments present in the waste tanks

  6. Analysis of low-level wastes. Review of hazardous waste regulations and identification of radioactive mixed wastes. Final report

    International Nuclear Information System (INIS)

    Bowerman, B.S.; Kempf, C.R.; MacKenzie, D.R.; Siskind, B.; Piciulo, P.L.

    1985-12-01

    Regulations governing the management and disposal of hazardous wastes have been promulgated by the US Environmental Protection Agency under authority of the Resource Conservation and Recovery Act. These were reviewed and compared with the available information on the properties and characteristics of low-level radioactive wastes (LLW). In addition, a survey was carried out to establish a data base on the nature and composition of LLW in order to determine whether some LLW streams could also be considered hazardous as defined in 40 CFR Part 261. For the survey, an attempt was made to obtain data on the greatest volume of LLW; hence, as many large LLW generators as possible were contacted. The list of 238 generators contacted was based on information obtained from NRC and other sources. The data base was compiled from completed questionnaires which were returned by 97 reactor and non-reactor facilities. The waste volumes reported by these respondents corresponded to approximately 29% of all LLW disposed of in 1984. The analysis of the survey results indicated that three broad categories of LLW may be radioactive mixed wastes. They include: waste containing organic liquids, disposed of by all types of generators; wastes containing lead metal, i.e., discarded shielding or lead containers; wastes containing chromates, i.e., nuclear power plant process wastes where chromates are used as corrosion inhibitors. Certain wastes, specific to particular generators, were identified as potential mixed wastes as well. 8 figs., 48 tabs

  7. Principal scientific and technical results. Scientific report 1994

    International Nuclear Information System (INIS)

    1995-01-01

    On January, 1, 1994, the French Bureau de Recherches Geologiques et Minieres has developed a new organization to carry out its scientific research in applied geosciences. With the exception of cartography and geologic synthesis which are dependent on the Direction of the National Geologic Service, a research management has been created with 90 engineers-searchers and 20 technicians for the execution of the research program. This report comprises two parts. The first part is a summary of the objectives and principal results for each research project of 1994, and the second part is a more detailed presentation of the main results for about a third of the projects. (J.S.). 568 refs., 54 figs., 2 tabs., 3 photos

  8. Computer and compiler effects on code results: status report

    International Nuclear Information System (INIS)

    1996-01-01

    Within the framework of the international effort on the assessment of computer codes, which are designed to describe the overall reactor coolant system (RCS) thermalhydraulic response, core damage progression, and fission product release and transport during severe accidents, there has been a continuous debate as to whether the code results are influenced by different code users or by different computers or compilers. The first aspect, the 'Code User Effect', has been investigated already. In this paper the other aspects will be discussed and proposals are given how to make large system codes insensitive to different computers and compilers. Hardware errors and memory problems are not considered in this report. The codes investigated herein are integrated code systems (e. g. ESTER, MELCOR) and thermalhydraulic system codes with extensions for severe accident simulation (e. g. SCDAP/RELAP, ICARE/CATHARE, ATHLET-CD), and codes to simulate fission product transport (e. g. TRAPMELT, SOPHAEROS). Since all of these codes are programmed in Fortran 77, the discussion herein is based on this programming language although some remarks are made about Fortran 90. Some observations about different code results by using different computers are reported and possible reasons for this unexpected behaviour are listed. Then methods are discussed how to avoid portability problems

  9. Preliminary results of lab-scale investigations of products of incomplete combustion during incineration of primary and mixed digested sludge.

    Science.gov (United States)

    Braguglia, C M; Bagnuolo, G; Gianico, A; Mininni, G; Pastore, C; Mascolo, G

    2016-03-01

    Separation between primary and secondary sludge treatment could be a valuable solution for sludge management. According to this approach, secondary sludge can be conveniently used in agriculture while primary sludge could be easily dried and incinerated. It follows that some concern may arise from incinerating primary sludge with respect to the current practice to incinerate mixed digested sludge. Incineration of primary and mixed digested municipal sludge was investigated with a lab-scale equipment in terms of emissions of products of incomplete combustion (PICs) during incineration failure modes. PICs can be grouped in three sub-categories, namely aliphatic hydrocarbons (alkanes and alkenes), compounds with a single aromatic ring, and polycyclic aromatic hydrocarbons (PAHs). After-burning temperature was the most important parameter to be controlled in order to minimize emissions of alkanes and alkenes. As for mono-aromatic compounds, benzene and toluene are the most thermally resistant compounds, and in some cases, an after-burning temperature of 1100 °C was not enough to get the complete destruction of benzene leading to a residual emission of 18 mg/kgsludge. PAHs showed an opposite trend with respect to aliphatic and mono-aromatic hydrocarbons being the thermal failure mode the main responsible of PIC emissions. A proper oxygen concentration is more important than elevated temperature thus reflecting the high thermal stability of PAHs. Overall, obtained results, even though obtained under flameless conditions that are different from those of the industrial plants, demonstrated that separation of primary and secondary sludge does not pose any drawbacks or concern regarding primary sludge being disposed of by incineration even though it is more contaminated than mixed digested sludge in terms of organic pollutants.

  10. Save Energy Now Assessments Results 2008 Detailed Report

    Energy Technology Data Exchange (ETDEWEB)

    Wright, Anthony L [ORNL; Martin, Michaela A [ORNL; Nimbalkar, Sachin U [ORNL; Quinn, James [U.S. Department of Energy; Glatt, Ms. Sandy [DOE Industrial Technologies Program; Orthwein, Mr. Bill [U.S. Department of Energy

    2010-09-01

    independently replicate the assessment process at the company's other facilities. Another important element of the Save Energy Now assessment process is the follow-up process used to identify how many of the recommended savings opportunities from individual assessments have been implemented in the industrial plants. Plant personnel involved with the Save Energy Now assessments are contacted 6 months, 12 months, and 24 months after individual assessments are completed to determine implementation results. A total of 260 Save Energy Now assessments were successfully completed in calendar year 2008. This means that a total of 718 assessments were completed in 2006, 2007, and 2008. As of July 2009, we have received a total of 239 summary reports from the ESAs that were conducted in year 2008. Hence, at the time that this report was prepared, 680 final assessment reports were completed (200 from year 2006, 241 from year 2007, and 239 from year 2008). The total identified potential cost savings from these 680 assessments is $1.1 billion per year, including natural gas savings of about 98 TBtu per year. These results, if fully implemented, could reduce CO{sub 2} emissions by about 8.9 million metric tons annually. When this report was prepared, data on implementation of recommended energy and cost savings measures from 488 Save Energy Now assessments were available. For these 488 plants, measures saving a total of $147 million per year have been implemented, measures that will save $169 million per year are in the process of being implemented, and plants are planning implementation of measures that will save another $239 million per year. The implemented recommendations are already achieving total CO{sub 2} reductions of about 1.8 million metric tons per year. This report provides a summary of the key results for the Save Energy Now assessments completed in 2008; details of the 6-month, 12-month, and 24-month implementation results obtained to date; and an evaluation of these

  11. Critical report of current fisheries management measures implemented for the North Sea mixed demersal fisheries

    DEFF Research Database (Denmark)

    Nielsen, J. Rasmus; Ulrich, Clara; Hegland, Troels J.

    the scientific advice, the development in recent years has been towards this gap being reduced. Management of the fisheries has undergone a number of structural and behavioral changes, and these have already yielded some positive results as the state of the demersal stocks in the North Sea have globally improved......, at least in the prosperous countries around the North Sea, provides only few jobs. Despite the above trends indicating positive effects of the most recent fisheries management of the North Sea mixed demersal fisheries there are a row of general problems in the present management. Population dynamics...... states’ ministers in the Council have exercised strong control over the fisheries management measures which have been developed and adopted on the background of proposals from the Commission and the Parliament, though since the ratification of the Lisbon Treaty the Parliament has assumed a role of co...

  12. L4 Milestone Report for MixEOS 2016 experiments and simulations

    Energy Technology Data Exchange (ETDEWEB)

    Loomis, Eric Nicholas [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Bradley, Paul Andrew [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Merritt, Elizabeth Catherine [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Guzik, Joyce Ann [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Denne, Patrick Hagen [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-08-01

    Accurate simulations of fluid and plasma flows require accurate thermodynamic properties of the fluids or plasmas. This thermodynamic information is represented by the equations of state of the materials. For pure materials, the equations of state may be represented by analytical models for idealized circumstances, or by tabular means, such as the Sesame tables. However, when a computational cell has a mixture of two or more fluids, the equations of state are not well understood, particularly under the circumstances of high energy densities. This is a particularly difficult issue for Eulerian codes, wherein mixed cells arise simply due to the advection process. LANL Eulerian codes typically assume an “Amagat’s Law” (or Law of Partial Volumes) for the mixture in which the pressures and temperatures of fluids are at an equilibrium that is consistent with the fluids being segregated within the cell. However, for purposes of computing other EOS properties, e.g., bulk modulus, or sound speed, the fluids are considered to be fully “mixed”. LANL has also been investigating implementing instead “Dalton’s Law” in which the total pressure is considered to be the sum of the partial pressures within the cell. For ideal gases, these two laws give the same result. Other possibilities are nonpressure- temperature-equilibrated approaches in which the two fluids are not assumed to “mix” at all, and the EOS properties of the cell are computed from, say, volume-weighted averages of the individual fluid properties. The assumption of the EOS properties within a mixed cell can have a pronounced effect on the behavior of the cell, resulting in, for example, different shock speeds, pressures, temperatures and densities within the cell. There is no apparent consensus as to which approach is best under HED conditions, though we note that under typical atmospheric and near atmospheric conditions the differences may be slight.

  13. Recent results of three-dimensional CFD simulations of coolant mixing in VVER-440/213 reactor pressure vessel

    International Nuclear Information System (INIS)

    Kiss, B.; Boros, I.; Aszodi, A.

    2008-01-01

    The Budapest University of Technology and Economics, Institute of Nuclear Techniques has been working since 2001 on the three-dimensional CFD model of the reactor pressure vessel of the VVER-440 type reactor. During this time period - due to the development of the available computational capacity - a very complex and detailed model of the RPV has been developed. The aim of the construction of the new model is to describe further internal structures of the RPV (e.g. correct modeling of brake tubes, or internals in the upper mixing chamber) and to perform an extensive sensitivity analysis on the different modeling and calculation parameters (e.g. porous region models vs. detailed modeling, or n different turbulence models). The new model can be applied for steady state calculation during normal operational condition and for different transient analyses as well. One interesting application is the participation in a planned benchmark exercise on the start-up of the sixth main coolant pump, which is aimed to compare the capabilities of mixing models of one-dimensional system codes with the results of CFD simulation. (authors)

  14. Neutrino mixing, flavor states and dark energy

    International Nuclear Information System (INIS)

    Blasone, M.; Capolupo, A.; Capozziello, S.; Vitiello, G.

    2008-01-01

    We shortly summarize the quantum field theory formalism for the neutrino mixing and report on recent results showing that the vacuum condensate induced by neutrino mixing can be interpreted as a dark energy component of the Universe

  15. Irradiation effects test series, test IE-5. Test results report

    International Nuclear Information System (INIS)

    Croucher, D.W.; Yackle, T.R.; Allison, C.M.; Ploger, S.A.

    1978-01-01

    Test IE-5, conducted in the Power Burst Facility at the Idaho National Engineering Laboratory, employed three 0.97-m long pressurized water reactor type fuel rods, fabricated from previously irradiated zircaloy-4 cladding and one similar rod fabricated from unirradiated cladding. The objectives of the test were to evaluate the influence of simulated fission products, cladding irradiation damage, and fuel rod internal pressure on pellet-cladding interaction during a power ramp and on fuel rod behavior during film boiling operation. The four rods were subjected to a preconditioning period, a power ramp to an average fuel rod peak power of 65 kW/m, and steady state operation for one hour at a coolant mass flux of 4880 kg/s-m 2 for each rod. After a flow reduction to 1800 kg/s-m 2 , film boiling occurred on one rod. Additional flow reductions to 970 kg/s-m 2 produced film boiling on the three remaining fuel rods. Maximum time in film boiling was 80s. The rod having the highest initial internal pressure (8.3 MPa) failed 10s after the onset of film boiling. A second rod failed about 90s after reactor shutdown. The report contains a description of the experiment, the test conduct, test results, and results from the preliminary postirradiation examination. Calculations using a transient fuel rod behavior code are compared with the test results

  16. Irradiation Effects Test Series: Test IE-2. Test results report

    International Nuclear Information System (INIS)

    Allison, C.M.; Croucher, D.W.; Ploger, S.A.; Mehner, A.S.

    1977-08-01

    The report describes the results of a test using four 0.97-m long PWR-type fuel rods with differences in diametral gap and cladding irradiation. The objective of this test was to provide information about the effects of these differences on fuel rod behavior during quasi-equilibrium and film boiling operation. The fuel rods were subjected to a series of preconditioning power cycles of less than 30 kW/m. Rod powers were then increased to 68 kW/m at a coolant mass flux of 4900 kg/s-m 2 . After one hour at 68 kW/m, a power-cooling-mismatch sequence was initiated by a flow reduction at constant power. At a flow of 2550 kg/s-m 2 , the onset of film boiling occurred on one rod, Rod IE-011. An additional flow reduction to 2245 kg/s-m 2 caused the onset of film boiling on the remaining three rods. Data are presented on the behavior of fuel rods during quasiequilibrium and during film boiling operation. The effects of initial gap size, cladding irradiation, rod power cycling, a rapid power increase, and sustained film boiling are discussed. These discussions are based on measured test data, preliminary postirradiation examination results, and comparisons of results with FRAP-T3 computer model calculations

  17. Irradiation effects test series test IE-1 test results report

    International Nuclear Information System (INIS)

    Quapp, W.J.; Allison, C.M.; Farrar, L.C.; Mehner, A.S.

    1977-03-01

    The report describes the results of the first programmatic test in the Nuclear Regulatory Commission Irradiation Effects Test Series. This test (IE-1) used four 0.97m long PWR-type fuel rods fabricated from previously irradiated Saxton fuel. The objectives of this test were to evaluate the effect of fuel pellet density on pellet-cladding interaction during a power ramp and to evaluate the influence of the irradiated state of the fuel and cladding on rod behavior during film boiling operation. Data are presented on the behavior of irradiated fuel rods during steady-state operation, a power ramp, and film boiling operation. The effects of as-fabricated gap size, as-fabricated fuel density, rod power, and power ramp rate on pellet-cladding interaction are discussed. Test data are compared with FRAP-T2 computer model predictions, and comments on the consequences of sustained film boiling operation on irradiated fuel rod behavior are provided

  18. Conceptual Design Report: Nevada Test Site Mixed Waste Disposal Facility Project

    International Nuclear Information System (INIS)

    2009-01-01

    Environmental cleanup of contaminated nuclear weapons manufacturing and test sites generates radioactive waste that must be disposed. Site cleanup activities throughout the U.S. Department of Energy (DOE) complex are projected to continue through 2050. Some of this waste is mixed waste (MW), containing both hazardous and radioactive components. In addition, there is a need for MW disposal from other mission activities. The Waste Management Programmatic Environmental Impact Statement Record of Decision designates the Nevada Test Site (NTS) as a regional MW disposal site. The NTS has a facility that is permitted to dispose of onsite- and offsite-generated MW until November 30, 2010. There is not a DOE waste management facility that is currently permitted to dispose of offsite-generated MW after 2010, jeopardizing the DOE environmental cleanup mission and other MW-generating mission-related activities. A mission needs document (CD-0) has been prepared for a newly permitted MW disposal facility at the NTS that would provide the needed capability to support DOE's environmental cleanup mission and other MW-generating mission-related activities. This report presents a conceptual engineering design for a MW facility that is fully compliant with Resource Conservation and Recovery Act (RCRA) and DOE O 435.1, 'Radioactive Waste Management'. The facility, which will be located within the Area 5 Radioactive Waste Management Site (RWMS) at the NTS, will provide an approximately 20,000-cubic yard waste disposal capacity. The facility will be licensed by the Nevada Division of Environmental Protection (NDEP)

  19. CT and MR imaging features in phosphaturic mesenchymal tumor-mixed connective tissue: A case report.

    Science.gov (United States)

    Shi, Zhenshan; Deng, Yiqiong; Li, Xiumei; Li, Yueming; Cao, Dairong; Coossa, Vikash Sahadeo

    2018-04-01

    Phosphaturic mesenchymal tumor-mixed connective tissue (PMT-MCT) is rare and usually benign and slow-growing. The majority of these tumors is associated with sporadic tumor-induced osteomalacia (TIO) or rickets, affect middle-aged individuals and are located in the extremities. Previous imaging studies often focused on seeking the causative tumors of TIO, not on the radiological features of these tumors, especially magnetic resonance imaging (MRI) features. PMT-MCT remains a largely misdiagnosed, ignored or unknown entity by most radiologists and clinicians. In the present case report, a review of the known literature of PMT-MCT was conducted and the CT and MRI findings from three patient cases were described for diagnosing the small subcutaneous tumor. Typical MRI appearances of PMT-MCT were isointense relative to the muscles on T1-weighted imaging, and markedly hyperintense on T2-weighted imaging containing variably flow voids, with markedly heterogeneous/homogenous enhancement on post contrast T1-weighted fat-suppression imaging. Short time inversion recovery was demonstrated to be the optimal sequence in localizing the tumor.

  20. Mixed waste landfill monitoring prototype test design for Los Alamos National Laboratory. Final report

    International Nuclear Information System (INIS)

    Keller, C.

    1994-09-01

    The purpose of this contract is to design the prototype tests necessary for the verification of the measurement methods proposed for the Mixed Waste Disposal Facility. The design is limited to the hydrological performance of the measurement methods. It does not include the mechanical testing of the methods proposed. The test site is to be selected and when approved, construction drawings provided. The contract also includes testing of vitrified clay pipe as the liner of choice for the passages under the landfill. The tests are to be done of both he hydrologic and the mechanical capability of the pipe. The test bed construction is to be supervised as it is being done by the construction contractor monitored by LANL. This contract does not include the logical subsequent work of performance of the measurements in the test bed. Since this contract was received by September 15, with the work to be completed by September 30, only that work possible in the short time was performed. That included the design of the test bed, the purchase of the vitrified clay pipe and the mechanical tests of the pipe, and the purchase of the SEAMIST systems for testing in the clay pipe. None of those could be delivered in time for flow tests to be done on the clay pipe. The mechanical tests were done as part of the pipe purchase and are reported here. The contract was not extended beyond September 30 for lack of funds. This report is therefore limited to the preliminary design of the test bed and to the specification of the orders for the materials. The hope is that funding will be restored to the program for the completion of the design and measurement effort

  1. Load monitoring program: Status and results report. Volume 1: Summary

    International Nuclear Information System (INIS)

    1994-06-01

    British Columbia Hydro conducts a monitoring program to provide information on customer needs and values for planning; to measure customer response, energy savings impacts, and load shape impacts due to changes in rate level, rate restructuring, and Power Smart programs; to estimate end-use consumption and load shapes by customer class; and to provide load information for distribution and system load studies. To achieve these objectives, the monitoring program tracks the characteristics and energy use patterns of a sample of BC Hydro residential, commercial, and industrial customers over a period of several years. The entire sample will be surveyed periodically to obtain information on changes in building characteristics, equipment stocks, and energy-use behavior and attitudes. A report is provided on the status of monitoring program activities and some results obtained in 1993/94. For the residential sector, the results include typical load profiles, end-user demographics, and extent of electric space heating and water heating. In the commercial sector, customers were divided into two main groups. The large-building group was relatively well organized in terms of energy needs and participated in Power Smart programs. The small-building group was relatively energy-inefficient and relatively unaware of Power Smart programs. 43 figs., 15 tabs

  2. Irradiation effects test Series Scoping Test 1: test results report

    International Nuclear Information System (INIS)

    Quapp, W.J.; Allison, C.M.; Farrar, L.C.

    1977-09-01

    The report describes the results of the first scoping test in the Irradiation Effects Test Series conducted by the Thermal Fuels Behavior Program, which is part of the Water Reactor Research Program of EG and G Idaho, Inc. The research is sponsored by the United States Nuclear Regulatory Commission. This test used an unirradiated, three-foot-long, PWR-type fuel rod. The objective of this test was to thoroughly evaluate the remote fabrication procedures to be used for irradiated rods in future tests, handling plans, and reactor operations. Additionally, selected fuel behavior data were obtained. The fuel rod was subjected to a series of preconditioning power cycles followed by a power increase which brought the fuel rod power to about 20.4 kW/ft peak linear heat rating at a coolant mass flux of 1.83 x 10 6 lb/hr-ft 2 . Film boiling occurred for a period of 4.8 minutes following flow reductions to 9.6 x 10 5 and 7.5 x 10 5 lb/hr-ft 2 . The test fuel rod failed following reactor shutdown as a result of heavy internal and external cladding oxidation and embrittlement which occurred during the film boiling operation

  3. EDF - 2006 full-year results, 2006 Financial report

    International Nuclear Information System (INIS)

    Gadonneix, Pierre

    2007-04-01

    As the world's biggest electricity generator, the EDF Group covers every sector of expertise, from generation to trading and transmission grids. EDF builds on the expertise of its people, its R and D and engineering skills, its experience as a leading industry operator and the attentive support of its customers to deliver competitive solutions that successfully reconcile economic growth with climate protection. This document presents the 2006 annual results and Consolidated financial statements of the Group at 31 December 2006: Consolidated income statements, Consolidated balance sheets, Consolidated cash flow statements, Changes in consolidated equity, Notes: Group accounting policies, Summary of accounting and valuation methods, Public distribution concessions in France, Comparability, Significant events and transactions of 2006 and 2005, Changes in the scope of consolidation, Segment reporting, Sales, Fuel and energy purchases, Other external expenses, Contractual obligations and commitments, Personnel expenses, Other operating income and expenses, Impairments / reversals, Other income and expenses, Financial result, Income taxes, Goodwill, Other intangible assets, Property, plant and equipment, Investments in companies accounted for under the equity method, Financial assets, Inventories including work-in-process, Trade receivables, Other receivables, Cash and cash equivalents, Held-for-sale assets and liabilities, Equity, Provisions, Special concession liabilities, Current and non-current financial liabilities, Derivatives, Other liabilities, Contribution of joint ventures, Related parties, Environment, Subsequent events, Transition to standards IAS 32 and 39 concerning financial instruments, Scope of consolidation

  4. 30 CFR 62.175 - Notification of results; reporting requirements.

    Science.gov (United States)

    2010-07-01

    ... standard threshold shift or reportable hearing loss; and (2) The need and reasons for any further testing... reportable hearing loss as defined in this part, the mine operator must report such loss to MSHA as a noise-induced hearing loss in accordance with part 50 of this title, unless a physician or audiologist has...

  5. EDF - Annual results 2015. Consolidated financial statements at 31 December 2015. 2015 Management report - Group results

    International Nuclear Information System (INIS)

    Levy, Jean-Bernard

    2016-01-01

    As the world's biggest electricity generator, the EDF Group covers every sector of expertise, from generation to trading and transmission grids. EDF builds on the expertise of its people, its R and D and engineering skills, its experience as a leading industry operator and the attentive support of its customers to deliver competitive solutions that successfully reconcile economic growth with climate protection. This document presents the 2015 annual results, management report and Consolidated financial statements of the Group at 31 December 2015, as well as the 2015 activity report: Group results: Key figures; economic environment; significant events of 2015; subsequent events; analysis of the business and the consolidated income statements for 2014 and 2015; net indebtedness, cash flows and investments; management and control of market risks; transactions with related parties; scope of consolidation; principal risks and uncertainties; financial outlook. consolidated financial statements: group accounting standards; comparability; significant events and transactions; regulatory events in France; changes in the scope of consolidation; segment reporting; sales; fuel and energy purchases; other external expenses; personnel expenses; taxes other than income taxes; other operating income and expenses; impairment/reversals; other income and expenses; financial result; income taxes; basic earnings per share and diluted earnings per share; operating assets and liabilities, equity; goodwill; other intangible assets; property, plant and equipment operated under French public electricity distribution concessions; property, plant and equipment operated under concessions for other activities; property, plant and equipment used in generation and other tangible assets owned by the group; investments in associates and joint ventures; inventories; trade receivables; other receivables; equity; provisions; provisions related to nuclear generation - back-end of the nuclear cycle

  6. Final Report - Montana State University - Microbial Activity and Precipitation at Solution-Solution Mixing Zones in Porous Media

    Energy Technology Data Exchange (ETDEWEB)

    Gerlach, Robin [Montana State University

    2014-10-31

    impact on ancillary constituents (i.e., Sr) was determined. Model simulations accompanied the experimental efforts. Benefits and Outcomes of the Project. The research contributed towards defining the key physical, chemical, and biological processes influencing the form and mobility of DOE priority contaminants (e.g., 60Co, 90Sr, U) in the subsurface. The work conducted and reported herein, will in the future (i) contribute to controlling the juxtaposition of microbial activity, contaminants and amendments, (ii) promote new strategies for delivering amendments, and (iii) allow new approaches for modifying permeability and flow in porous media. We feel that the work has already translated directly to improving the efficiency of amendment based remediation strategies. Products. The results of the project have been published in a number of peer reviewed journal articles. The abstracts and citations to those articles, given in section 2.0 below, make up the bulk of this final report.

  7. Permeability changes in coal resulting from gas desorption. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Levine, J.R.; Johnson, P.W.

    1992-11-30

    This report documents studies on the effects of gas sorption on coal, with the intent of eventually evaluating how sorption and strain affect permeability. These studies were, carried out at the University of Alabama during the period from 1989 through 1992. Two major experimental methods were developed and used. In the strain experiments, electronic strain gauges were attached to polished blocks of coal in order to measure linear and volumetric swelling due to gas sorption. The effects of bedding plane orientation, of gas type, and of coal type were investigated. In the gravimetric experiment the weight of small samples of coal was measured during exposure to high pressure gases. Sample measurements were corrected for buoyancy effects and for sample swelling, and the results were plotted in the form of Langmuir isotherms. Experiments were conducted to determine the effect of grain size, coal type, moisture, and of sorbant gas. The advantage of this method is that it can be applied to very small samples, and it enabled comparison liptinite versus vitrinite concentrates, and kerogen rich versus kerogen depleted oil shales. Also included is a detailed discussion of the makeup of coal and its effect on gas sorption behavior.

  8. Irradiation Effects Test Series: Test IE-3. Test results report

    International Nuclear Information System (INIS)

    Farrar, L.C.; Allison, C.M.; Croucher, D.W.; Ploger, S.A.

    1977-10-01

    The objectives of the test reported were to: (a) determine the behavior of irradiated fuel rods subjected to a rapid power increase during which the possibility of a pellet-cladding mechanical interaction failure is enhanced and (b) determine the behavior of these fuel rods during film boiling following this rapid power increase. Test IE-3 used four 0.97-m long pressurized water reactor type fuel rods fabricated from previously irradiated fuel. The fuel rods were subjected to a preconditioning period, followed by a power ramp to 69 kW/m at a coolant mass flux of 4920 kg/s-m 2 . After a flow reduction to 2120 kg/s-m 2 , film boiling occurred on the fuel rods. One rod failed approximately 45 seconds after the reactor was shut down as a result of cladding embrittlement due to extensive cladding oxidation. Data are presented on the behavior of these irradiated fuel rods during steady-state operation, the power ramp, and film boiling operation. The effects of a power ramp and power ramp rates on pellet-cladding interaction are discussed. Test data are compared with FRAP-T3 computer model calculations and data from a previous Irradiation Effects test in which four irradiated fuel rods of a similar design were tested. Test IE-3 results indicate that the irradiated state of the fuel rods did not significantly affect fuel rod behavior during normal, abnormal (power ramp of 20 kW/m per minute), and accident (film boiling) conditions

  9. Deutsches Krebsforschungszentrum Heidelberg. Report on scientific results 2002-2003

    International Nuclear Information System (INIS)

    2004-01-01

    The Deutsches Krebsforschungszentrum Heidelberg (DKFZ, German Cancer Research Center) publishes alternating every year the ''Wissenschaftlicher Ergebnisbericht'' (in German) and the ''Research Report'' (in English). Both volumes are reports on the present state of research activities of the DKFZ as a National Research Center to the funding federal and state authorities [Federal Republic of Germany, Land (state) Baden-Wuerttemberg]. The report is structured according to the center's six research programs

  10. BC Transit Fuel Cell Bus Project Evaluation Results: Second Report

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, L.; Post, M.

    2014-09-01

    Second report evaluating a fuel cell electric bus (FCEB) demonstration led by British Columbia Transit (BC Transit) in Whistler, Canada. BC Transit is collaborating with the California Air Resources Board and the U.S. Department of Energy's National Renewable Energy Laboratory to evaluate the buses in revenue service. NREL published its first report on the demonstration in February 2014. This report is an update to the previous report; it covers 3 full years of revenue service data on the buses from April 2011 through March 2014 and focuses on the final experiences and lessons learned.

  11. Deutsches Krebsforschungszentrum Heidelberg. Report on scientific results 2000-2001

    International Nuclear Information System (INIS)

    Metzler, H.

    2002-01-01

    The Deutsches Krebsforschungszentrum Heidelberg (DKFZ, German Cancer Research Center) publishes alternating every year the ''Wissenschaftlicher Ergebnisbericht'' (in German) and the ''Research Report'' (in English). Both volumes are reports on the present state of research activities of the DKFZ as a National Research Center to the funding federal and state authorities [Federal Republic of Germany, Land (state) Baden-Wuerttemberg]. Furthermore they shall inform colleagues and the scientifically interested public. Both reports are structured according to the center's eight research programs. The last Research Report was published in 2001. In Germany a new orthography has been accepted. Some authors used the new form others the traditional one. The orthography was not standardized. (orig.)

  12. Evolving Information Needs among Colon, Breast, and Prostate Cancer Survivors: Results from a Longitudinal Mixed-Effects Analysis.

    Science.gov (United States)

    Tan, Andy S L; Nagler, Rebekah H; Hornik, Robert C; DeMichele, Angela

    2015-07-01

    This study describes how cancer survivors' information needs about recurrence, late effects, and family risks of cancer evolve over the course of their survivorship period. Three annual surveys were conducted from 2006 to 2008 in a cohort of Pennsylvania cancer survivors diagnosed with colon, breast, or prostate cancer in 2005 (round 1, N = 2,013; round 2, N = 1,293; round 3, N = 1,128). Outcomes were information seeking about five survivorship topics. Key predictors were survey round, cancer diagnosis, and the interaction between these variables. Mixed-effects logistic regression analyses were performed to predict information seeking about each topic, adjusting for demographic variables, clinical characteristics, and clustering of repeated observations within individuals. Information seeking about reducing risks of cancer recurrence was the most frequently reported topic across survivors and over time. Breast cancer survivors were more likely to seek about survivorship topics at round 1 compared with other survivors. In general, information seeking declined over time, but cancer-specific patterns emerged: the decline was sharpest for breast cancer survivors, whereas in later years female colon cancer survivors actually sought more information (about how to reduce the risk of family members getting colon cancer or a different cancer). Cancer survivors' information needs varied over time depending on the topic, and these trends differed by cancer type. Clinicians may need to intervene at distinct points during the survivorship period with information to address concerns about cancer recurrence, late effects, and family members' risks. ©2015 American Association for Cancer Research.

  13. Accounting for results: how conservation organizations report performance information.

    Science.gov (United States)

    Rissman, Adena R; Smail, Robert

    2015-04-01

    Environmental program performance information is in high demand, but little research suggests why conservation organizations differ in reporting performance information. We compared performance measurement and reporting by four private-land conservation organizations: Partners for Fish and Wildlife in the US Fish and Wildlife Service (national government), Forest Stewardship Council-US (national nonprofit organization), Land and Water Conservation Departments (local government), and land trusts (local nonprofit organization). We asked: (1) How did the pattern of performance reporting relationships vary across organizations? (2) Was political conflict among organizations' principals associated with greater performance information? and (3) Did performance information provide evidence of program effectiveness? Based on our typology of performance information, we found that most organizations reported output measures such as land area or number of contracts, some reported outcome indicators such as adherence to performance standards, but few modeled or measured environmental effects. Local government Land and Water Conservation Departments reported the most types of performance information, while local land trusts reported the fewest. The case studies suggest that governance networks influence the pattern and type of performance reporting, that goal conflict among principles is associated with greater performance information, and that performance information provides unreliable causal evidence of program effectiveness. Challenging simple prescriptions to generate more data as evidence, this analysis suggests (1) complex institutional and political contexts for environmental program performance and (2) the need to supplement performance measures with in-depth evaluations that can provide causal inferences about program effectiveness.

  14. The (mis)reporting of statistical results in psychology journals

    NARCIS (Netherlands)

    Bakker, M.; Wicherts, J.M.

    2011-01-01

    In order to study the prevalence, nature (direction), and causes of reporting errors in psychology, we checked the consistency of reported test statistics, degrees of freedom, and p values in a random sample of high- and low-impact psychology journals. In a second study, we established the

  15. Mixed Waste Management Facility Preliminary Safety Analysis Report. Chapters 1 to 20

    Energy Technology Data Exchange (ETDEWEB)

    1994-09-01

    This document provides information on waste management practices, occupational safety, and a site characterization of the Lawrence Livermore National Laboratory. A facility description, safety engineering analysis, mixed waste processing techniques, and auxiliary support systems are included.

  16. Mixed Waste Management Facility Preliminary Safety Analysis Report. Chapters 1 to 20

    International Nuclear Information System (INIS)

    1994-09-01

    This document provides information on waste management practices, occupational safety, and a site characterization of the Lawrence Livermore National Laboratory. A facility description, safety engineering analysis, mixed waste processing techniques, and auxiliary support systems are included

  17. Mixed Waste Management Facility Groundwater Monitoring Report, Fourth Quarter 1998 and 1998 Summary

    International Nuclear Information System (INIS)

    Chase, J.

    1999-01-01

    During fourth quarter 1998, ten constituents exceeded final Primary Drinking Water Standards (PDWS) in groundwater samples from downgradient monitoring wells at the Mixed Waste Management Facility. No constituents exceeded final PDWS in samples from the upgradient monitoring wells

  18. Task 1.6 - mixed waste. Topical report, April 1, 1994--September 30, 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

    For fifty years, the United States was involved in a nuclear arms race of immense proportions. During the majority of this period, the push was always to design new weapons, produce more weapons, and increase the size of the arsenal, maintaining an advantage over the opposition in order to protect U.S. interests. Now that the {open_quotes}Cold War{close_quotes} is over, we are faced with the imposing tasks of dismantling, cleaning up, and remediating the wide variety of problems created by this arms race. An overview of the current status of the total remediation effort within the DOE is presented in the DOE publication {open_quotes}ENVIRONMENTAL MANAGEMENT 1995{close_quotes} (EM 1995). Not all radioactive waste is the same though; therefore, a system was devised to categorize the different types of radioactive waste. These categories are as follows: spent fuel; high-level waste; transuranic waste; low-level waste; mixed waste; and uranium-mill tailings. Mixed waste is defined to be material contaminated with any of these categories of radioactive material plus an organic or heavy metal component. However, for this discussion, {open_quotes}mixed waste{close_quote} will pertain only to low-level mixed waste which consists of low-level radioactive waste mixed with organic solvents and or heavy metals. The area of {open_quotes}mixed-waste characterization, treatment, and disposal{close_quotes} is listed on page 6 of the EM 1995 publication as one of five focus areas for technological development, and while no more important than the others, it has become an area of critical concern for DOE. Lacking adequate technologies for treatment and disposal, the DOE stockpiled large quantities of mixed waste during the 1970s and 1980s. Legislative changes and the need for regulatory compliance have now made it expedient to develop methods of achieving final disposition for this stockpiled mixed waste.

  19. Discrepancies between qualitative and quantitative evaluation of randomised controlled trial results: achieving clarity through mixed methods triangulation.

    Science.gov (United States)

    Tonkin-Crine, Sarah; Anthierens, Sibyl; Hood, Kerenza; Yardley, Lucy; Cals, Jochen W L; Francis, Nick A; Coenen, Samuel; van der Velden, Alike W; Godycki-Cwirko, Maciek; Llor, Carl; Butler, Chris C; Verheij, Theo J M; Goossens, Herman; Little, Paul

    2016-05-12

    Mixed methods are commonly used in health services research; however, data are not often integrated to explore complementarity of findings. A triangulation protocol is one approach to integrating such data. A retrospective triangulation protocol was carried out on mixed methods data collected as part of a process evaluation of a trial. The multi-country randomised controlled trial found that a web-based training in communication skills (including use of a patient booklet) and the use of a C-reactive protein (CRP) point-of-care test decreased antibiotic prescribing by general practitioners (GPs) for acute cough. The process evaluation investigated GPs' and patients' experiences of taking part in the trial. Three analysts independently compared findings across four data sets: qualitative data collected view semi-structured interviews with (1) 62 patients and (2) 66 GPs and quantitative data collected via questionnaires with (3) 2886 patients and (4) 346 GPs. Pairwise comparisons were made between data sets and were categorised as agreement, partial agreement, dissonance or silence. Three instances of dissonance occurred in 39 independent findings. GPs and patients reported different views on the use of a CRP test. GPs felt that the test was useful in convincing patients to accept a no-antibiotic decision, but patient data suggested that this was unnecessary if a full explanation was given. Whilst qualitative data indicated all patients were generally satisfied with their consultation, quantitative data indicated highest levels of satisfaction for those receiving a detailed explanation from their GP with a booklet giving advice on self-care. Both qualitative and quantitative data sets indicated higher patient enablement for those in the communication groups who had received a booklet. Use of CRP tests does not appear to engage patients or influence illness perceptions and its effect is more centred on changing clinician behaviour. Communication skills and the patient

  20. Recovery and removal of mercury from mixed wastes. Final report, September 1994--June 1995

    International Nuclear Information System (INIS)

    Sutton, W.F.; Weyand, T.E.; Koshinski, C.J.

    1995-06-01

    In recognition of the major environmental problem created by mercury contamination of wastes and soils at an estimated 200,000 sites along US natural gas and oil pipelines and at a number of government facilities, including Oak Ridge, Savannah River, Hanford, and Rocky Flats, the US Department of Energy (DOE) is seeking an effective and economical process for removing mercury from various DOE waste streams in order to allow the base waste streams to be treated by means of conventional technologies. In response to the need for Unproved mercury decontamination technology, Mercury Recovery Services (MRS) has developed and commercialized a thermal treatment process for the recovery of mercury from contaminated soils and industrial wastes. The objectives of this program were to: demonstrate the technical and economic feasibility of the MRS process to successfully remove and recover mercury from low-level mixed waste containing mercury compounds (HgO, HgS, HgCl 2 ) and selected heavy metal compounds (PbO, CdO); determine optimum processing conditions required to consistently reduce the residual total mercury content to 1 mg/kg while rendering the treated product nontoxic as determined by TCLP methods; and provide an accurate estimate of the capital and operating costs for a commercial processing facility designed specifically to remove and recovery mercury from various waste streams of interest at DOE facilities. These objectives were achieved in a four-stage demonstration program described within with results

  1. Soil erosion rates from mixed soil and gravel surfaces in a wind tunnel: A preliminary report

    International Nuclear Information System (INIS)

    Ligotke, M.W.

    1988-12-01

    Tests of wind erosion were performed in a controlled-environment wind tunnel to support the development of natural-material protective barriers for long-term isolation of radioactive waste. Barrier performance standards currently being developed for internal and external barrier performance are expected to mandate a surface layer that is resistant to wind erosion. The purpose of this study was to initiate a series of tests to determine suitable soil and gravel mixtures for such a barrier and to test worst-case surface layer conditions under the influence of high wind speeds. Six mixed soil and gravel surfaces were prepared, weathered to represent natural wind-blown desert areas, and subjected to controlled wind erosion forces in a wind tunnel. The applied erosive forces, including surface shear forces, were characterized to provide a means of relating wind tunnel results with actual field conditions. Soil particle losses from the surfaces caused by suspension, saltation, and surface creep were monitored by aerosol sample probes and mass balance measurements. 23 refs., 22 figs., 3 tabs

  2. Probabilistic Seismic Hazards Update for LLNL: PSHA Results Report

    Energy Technology Data Exchange (ETDEWEB)

    Fernandez, Alfredo [Fugro Consultants, Inc., Houston, TX (United States); Altekruse, Jason [Fugro Consultants, Inc., Houston, TX (United States); Menchawi, Osman El [Fugro Consultants, Inc., Houston, TX (United States)

    2016-03-11

    This report presents the Probabilistic Seismic Hazard Analysis (PSHA) performed for Building 332 at the Lawrence Livermore National Laboratory (LLNL), near Livermore, CA by Fugro Consultants, Inc. (FCL). This report is specific to Building 332 only and not to other portions of the Laboratory. The study performed for the LLNL site includes a comprehensive review of recent information relevant to the LLNL regional tectonic setting and regional seismic sources in the vicinity of the site and development of seismic wave transmission characteristics. The Seismic Source Characterization (SSC), documented in Project Report No. 2259-PR-02 (FCL, 2015a), and Ground Motion Characterization (GMC), documented in Project Report No. 2259-PR-06 (FCL, 2015c) were developed in accordance with ANS/ANSI 2.29-2008 Level 2 PSHA guidelines. The ANS/ANSI 2.29-2008 Level 2 PSHA framework is documented in Project Report No. 2259-PR-05 (FCL, 2016a). The Hazard Input Document (HID) for input into the PSHA developed from the SSC is presented in Project Report No. 2259-PR-04 (FCL, 2016b). The site characterization used as input for development of the idealized site profiles including epistemic uncertainty and aleatory variability is presented in Project Report No. 2259-PR-03 (FCL, 2015b).

  3. 7 CFR 52.22 - Report of inspection results prior to issuance of formal report.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Report of inspection results prior to issuance of... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 PROCESSED FRUITS AND VEGETABLES, PROCESSED PRODUCTS...

  4. 7 CFR 51.23 - Report of inspection results prior to issuance of formal report.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Report of inspection results prior to issuance of... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 FRESH FRUITS, VEGETABLES AND OTHER PRODUCTS 1,2...

  5. Primary malignant mixed müllerian tumor of the peritoneum a case report with review of the literature

    DEFF Research Database (Denmark)

    Kurshumliu, Fisnik; Rung-Hansen, Helle; Skovlund, Vibeke Ravn

    2011-01-01

    Malignant mixed Müllerian tumor is a rare malignancy of the genital tract and extremely uncommon in extragenital sites. This report describes a case of malignant mixed Müllerian tumor arising in the lower peritoneum of a 72-year-old female patient. The patient presented with ascites, lower...... abdominal mass and pleural effusion. The serum level of CA125 was elevated. At operation a diffuse carcinosis associated with tumor mass measuring 20 × 15 × 10 cm in the vesicouterine and Duglas' pouch were found. The uterus and the adnexa were unremarkable. Histopathology revealed a typical malignant mixed...... and the immunohistochemical analysis of our case, we believe that this is a monoclonal tumor with carcinoma being the "precursor" element. Nevertheless, further molecular and genetic evidence is needed to support such a conclusion....

  6. BC Transit Fuel Cell Bus Project: Evaluation Results Report

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, L. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Post, M. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2014-02-01

    This report evaluates a fuel cell electric bus demonstration led by British Columbia Transit (BC Transit) in Whistler, Canada. BC Transit is collaborating with the California Air Resources Board and the U.S. Department of Energy's National Renewable Energy Laboratory to evaluate the buses in revenue service. This evaluation report covers two years of revenue service data on the buses from April 2011 through March 2013.

  7. Mixing processes in high-level waste tanks. 1998 annual progress report

    International Nuclear Information System (INIS)

    Peterson, P.F.

    1998-01-01

    Flammable gases can be generated in DOE high-level waste tanks, including radiolytic hydrogen, and during cesium precipitation from salt solutions, benzene. Under normal operating conditions the potential for deflagration or detonation from these gases is precluded by purging and ventilation systems, which remove the flammable gases and maintain a well-mixed condition in the tanks. Upon failure of the ventilation system, due to seismic or other events, however, it has proven more difficult to make strong arguments for well-mixed conditions, due to the potential for density-induced stratification which can potentially sequester fuel or oxidizer at concentrations significantly higher than average. This has complicated the task of defining the safety basis for tank operation. Waste-tank mixing processes have considerable overlap with similar large-enclosure mixing processes that occur in enclosure fires and nuclear reactor containments. Significant differences also exist, so that modeling techniques that have been developed previously can not be directly applied to waste tanks. In particular, mixing of air introduced through tank roof penetrations by buoyancy and pressure driven exchange flows, mixed convection induced by an injected high-velocity purge jet interacting with buoyancy driven flow, and onset and breakdown of stable stratification under the influence of an injected jet have not been adequately studied but are important in assessing the potential for accumulation of high-concentration pockets of fuel and oxygen. Treating these phenomena requires a combination of experiments and the development of new, more general computational models than those that have been developed for enclosure fires. U.C. Berkeley is now completing the second year of its three-year project that started in September, 1996. Excellent progress has been made in several important areas related to waste-tank ventilation and mixing processes.'

  8. Mixed vascular nevus syndrome: a report of four new cases and a literature review.

    Science.gov (United States)

    Ruggieri, Martino; Polizzi, Agata; Strano, Serena; Schepis, Carmelo; Morano, Massimiliano; Belfiore, Giuseppe; Palmucci, Stefano; Foti, Pietro Valerio; Pirrone, Concetta; Sofia, Vito; David, Emanuele; Salpietro, Vincenzo; Mankad, Kshitij; Milone, Pietro

    2016-10-01

    Mixed vascular nevus (or nevus vascularis mixtus) represents an admixture of cutaneous vascular malformations of the telangiectatic type and angiospastic spots of nevus anemicus. It can occur as an purely cutaneous trait or as a hallmark of a neurocutaneous phenotype (mixed vascular nevus syndrome) characterised by the combination of: (I) paired vascular (telangiectatic and anemic) twin nevi and brain abnormalities of the Dyke-Davidoff-Masson type (i.e., crossed cerebral/cerebellar hemiatrophy with hypoplasia of the ipsilateral cerebral vessels and homolateral hypertrophy of the skull and sinuses (hyperpneumatisation) with contralateral hemispheric hypertrophy); or (II) paired vascular twin nevi and brain malformations of the Dyke-Davidoff-Masson type in association with systemic abnormalities consisting in facial asymmetry, skeletal anomalies (i.e., Legg-Calvé-Perthes-like disease) and disorders of autoimmunity (i.e., diabetes, thyroiditis). In 2014, Happle proposed to name the syndrome with the eponym Ruggieri-Leech syndrome. Review of the existing literature on nevus vascularis mixtus and information on our personal experience on new cases and follow-up of previously reported cases by some of us. The existing literature revealed 4 previous studies including 33 cases with an inferred purely cutaneous trait and 3 cases with a combination of paired vascular twin nevi and brain malformation of the Dyke-Davidoff-Masson type. Our personal experience includes 4 unpublished patients (1 female and 3 males; currently aged 2 to 34 years) seen and followed-up at our Institutions in Italy who had: paired vascular nevi involving either the face (n=2) or the face and parts of the body (n=2); facial asymmetry (n=4); mild to moderate facial dysmorphic features (n=2); developmental delay (n=3); seizures/stroke-like episodes and associated hemiplegia (n=4); muscular hypotrophy (n=2); mild to moderate hemispheric atrophy (n=4); skull osseous hypertrophy (n=4); hyperpneumatisation

  9. Country report - Turkey: Brief description of feasibility study results

    International Nuclear Information System (INIS)

    2014-01-01

    Nuclear power first appeared in Turkish development plans in 1968. Turkey’s first FS for nuclear power was launched in the early 1960s. Two suitable sites (Akkuyu and Sinop) were identified for building NPPs, and the Akkuyu site was licensed in 1976. Several more attempts were made to build a nuclear reactor at the Mediterranean site of Akkuyu Bay, but they did not get beyond the planning stage. The political commitment to having greater nuclear power in the energy mix was reiterated in an electricity energy market and supply security strategy document issued in May 2009 by the Prime Minister’s office, which set out a goal of 5% nuclear power generation by 2020. Hence, the Ministry of Energy and Natural Resources (MENR) negotiated with some countries in order to construct a NPP. Nuclear efforts have proceeded in the form of an intergovernmental agreement (IGA) between the Turkish and Russian Federation governments. The IGA was signed in May 2010. Akkuyu Nuclear Generating Station Elektrik Üretim A.Ş (or Akkuyu Electricity Generation JSC) was incorporated in Turkey in December 2010

  10. Public attitudes towards alcohol control policies in Scotland and England: Results from a mixed-methods study.

    Science.gov (United States)

    Li, Jessica; Lovatt, Melanie; Eadie, Douglas; Dobbie, Fiona; Meier, Petra; Holmes, John; Hastings, Gerard; MacKintosh, Anne Marie

    2017-03-01

    The harmful effects of heavy drinking on health have been widely reported, yet public opinion on governmental responsibility for alcohol control remains divided. This study examines UK public attitudes towards alcohol policies, identifies underlying dimensions that inform these, and relationships with perceived effectiveness. A cross-sectional mixed methods study involving a telephone survey of 3477 adult drinkers aged 16-65 and sixteen focus groups with 89 adult drinkers in Scotland and England was conducted between September 2012 and February 2013. Principal components analysis (PCA) was used to reduce twelve policy statements into underlying dimensions. These dimensions were used in linear regression models examining alcohol policy support by demographics, drinking behaviour and perceptions of UK drinking and government responsibility. Findings were supplemented with a thematic analysis of focus group transcripts. A majority of survey respondents supported all alcohol policies, although the level of support varied by type of policy. Greater enforcement of laws on under-age sales and more police patrolling the streets were strongly supported while support for pricing policies and restricting access to alcohol was more divided. PCA identified four main dimensions underlying support on policies: alcohol availability, provision of health information and treatment services, alcohol pricing, and greater law enforcement. Being female, older, a moderate drinker, and holding a belief that government should do more to reduce alcohol harms were associated with higher support on all policy dimensions. Focus group data revealed findings from the survey may have presented an overly positive level of support on all policies due to differences in perceived policy effectiveness. Perceived effectiveness can help inform underlying patterns of policy support and should be considered in conjunction with standard measures of support in future research on alcohol control policies

  11. Final comparison report on ISP-35: Nupec hydrogen mixing and distribution test (Test M-7-1)

    International Nuclear Information System (INIS)

    1994-12-01

    This final comparison report summarizes the results of the OECD/CSNI sponsored ISP-35 exercise which was based on NUPEC's Hydrogen Mixing and Distribution Test M-7-1. 12 organizations from 10 different countries took part in the exercise. For the ISP-35 test, a steam/light gas (helium) mixture was released into the lower region of a simplified model of a PWR containment. At the same time, the dome cooling spray was also activated. the transient time histories for gas temperature and concentrations were recorded for each of the 25 compartments of the model containment. The wall temperatures as well as the dome pressure were also recorded. The ISP-35 participants simulated the test conditions and attempted to predict the time histories using their accident analysis codes. Results of these analyses are presented, and comparisons are made between the experimental data and the calculated data. In general, predictions for pressure, helium concentration and gas distribution patterns were achieved with acceptable accuracy

  12. Tank 214-AW-105, grab samples, analytical results for the final report

    International Nuclear Information System (INIS)

    Esch, R.A.

    1997-01-01

    This document is the final report for tank 241-AW-105 grab samples. Twenty grabs samples were collected from risers 10A and 15A on August 20 and 21, 1996, of which eight were designated for the K Basin sludge compatibility and mixing studies. This document presents the analytical results for the remaining twelve samples. Analyses were performed in accordance with the Compatibility Grab Sampling and Analysis Plan (TSAP) and the Data Quality Objectives for Tank Farms Waste Compatibility Program (DO). The results for the previous sampling of this tank were reported in WHC-SD-WM-DP-149, Rev. 0, 60-Day Waste Compatibility Safety Issue and Final Results for Tank 241-A W-105, Grab Samples 5A W-95-1, 5A W-95-2 and 5A W-95-3. Three supernate samples exceeded the TOC notification limit (30,000 microg C/g dry weight). Appropriate notifications were made. No immediate notifications were required for any other analyte. The TSAP requested analyses for polychlorinated biphenyls (PCB) for all liquids and centrifuged solid subsamples. The PCB analysis of the liquid samples has been delayed and will be presented in a revision to this document

  13. A municipal forest report card: Results for California, USA

    Science.gov (United States)

    E.Gregory McPherson; Louren Kotow

    2013-01-01

    This study integrates two existing computer programs, the Pest Vulnerability Matrix and i-Tree Streets, into a decision-support tool for assessing municipal forest stability and recommending strategies to mitigate risk of loss. A report card concept was developed to communicate levels of performance in terms that managers and the public easily understand. Grades were...

  14. Report on the results of research and development work 1983

    International Nuclear Information System (INIS)

    1984-02-01

    In this annual report the work performed at the named institute is described. This work concerns experiments with fast neutrons, studies of the e + e - interaction at PETRA, and the development of the spallation neutron source of the Rutherford Laboratory. Furthermore a list at publications is added. (HSI) [de

  15. Guidelines for Reporting Quantitative Methods and Results in Primary Research

    Science.gov (United States)

    Norris, John M.; Plonsky, Luke; Ross, Steven J.; Schoonen, Rob

    2015-01-01

    Adequate reporting of quantitative research about language learning involves careful consideration of the logic, rationale, and actions underlying both study designs and the ways in which data are analyzed. These guidelines, commissioned and vetted by the board of directors of "Language Learning," outline the basic expectations for…

  16. Heat performance resulting from combined effects of radiation and mixed convection in a rectangular cavity ventilated by injection or suction

    Science.gov (United States)

    Ezzaraa, K.; Bahlaoui, A.; Arroub, I.; Raji, A.; Hasnaoui, M.; Naïmi, M.

    2018-05-01

    In this work, we investigated numerically heat transfer by mixed convection coupled to thermal radiation in a vented rectangular enclosure uniformly heated from below with a constant heat flux. The fresh fluid is admitted into the cavity by injection or suction, by means of two openings located on the lower part of both right and left vertical sides. Another opening is placed on the middle of the top wall to ensure the ventilation. Air, a radiatively transparent medium, is considered to be the cooling fluid. The inner surfaces, in contact with the fluid, are assumed to be gray, diffuse emitters and reflectors of radiation with identical emissivities. The effects of some pertinent parameters such as the Reynolds number, 300 ≤ Re ≤ 5000, and the emissivity of the walls, 0 ≤ ɛ ≤ 0.85, on flow and temperature patterns as well as on the heat transfer rate within the enclosure are presented for the two ventilation modes (injection and suction). The results indicate that the flow and thermal structures are affected by the thermal radiation for the two modes of imposed flow. However, the suction mode is found to be more favorable to the heat transfer in comparison with the injection one.

  17. Patient Involvement in Geriatric Care – Results and Experiences from a Mixed Models Design Study within Project INTEGRATE

    Directory of Open Access Journals (Sweden)

    Joern Kiselev

    2018-02-01

    Full Text Available Introduction: Patient involvement is a core component of an integrated care approach. While the benefits and prerequisites of patient involvement have been described in general and additionally for some target populations, little is known about the views and experiences of older people regarding this matter. Methods: A study with a mixed-methods design was conducted to gain a better understanding about patient involvement in geriatric care. A questionnaire on shared decision-making was administered within a group of older adults in Germany. Additionally, 7 focus groups with health professionals and geriatric patients in Germany and Estonia were held to deepen the insight of the questionnaire and discussing experiences and barriers of patient involvement. Results: Older people without an actual medical problem expressed a significantly higher desire to participate in shared decisions than those requiring actual medical care. No significant differences could be found for the desire to be informed as part of the care process. No correlation between patients’ desire and experiences on shared decision-making could be observed. In the focus groups, patients demanded a comprehensive and understandable information and education process while the health professionals’ view was very task-specific. This conflict led to a loss of trust by the patients. Conclusions: There is a gap between patients’ and health professionals’ views on patient involvement in older people. The involvement process should therefore be comprehensive and should take into account different levels of health literacy.

  18. Mixing processes in high-level waste tanks. Progress report, September 15, 1996 - September 14, 1997

    International Nuclear Information System (INIS)

    Peterson, P.F.

    1997-01-01

    'U.C. Berkeley has made excellent progress in the last year in building and running experiments and performing analysis to study mixing processes that can affect the distribution of fuel and oxygen in the air space of DOE high-level waste tanks, and the potential to create flammable concentrations at isolated locations, achieving all of the milestones outlined in the proposal. The DOE support has allowed the acquisition of key experimental equipment, and has funded the full-time efforts of one doctoral student and one postdoctoral researcher working on the project. In addition, one masters student and one other doctoral student, funded by external sources, have also contributed to the research effort. Flammable gases can be generated in DOE high-level waste tanks, including radiolytic hydrogen, and during cesium precipitation from salt solutions, benzene. Under normal operating conditions the potential for deflagration or detonation from these gases is precluded by purging and ventilation systems, which remove the flammable gases and maintain a well-mixed condition in the tanks. Upon failure of the ventilation system, due to seismic or other events, however, it has proven more difficult to make strong arguments for well-mixed conditions, due to the potential for density-induced stratification which can potentially sequester fuel or oxidizer at concentrations significantly higher than average. This has complicated the task of defining the safety basis for tank operation. The author is currently developing numerical tools for modeling the transient evolution of fuel and oxygen concentrations in waste tanks following loss of ventilation. When used with reasonable grid resolutions, standard multi-dimensional fluid dynamics codes suffer from excessive numerical diffusion effects, which strongly over predict mixing and provide nonconservative estimates, particularly after stratification occurs. The National Institute of Standards and Technology (NIST) has developed

  19. Fixed drug eruption resulting from fluconazole use: a case report

    Directory of Open Access Journals (Sweden)

    Tavallaee Mahkam

    2009-07-01

    Full Text Available Abstract Introduction Fluconazole is a widely used antifungal agent with a possible side effect of fixed drug eruption. However, this adverse drug effect is absent from the reported list of possible side effects of fluconazole. We are presenting a rare case in our report. Case presentation A 25-year-old Iranian woman developed fixed drug eruptions on different sites of her body after taking five doses of fluconazole to treat vaginal candidiasis. A positive patch test, positive oral challenge test and skin biopsy were all found to be consistent with fixed drug eruption. Conclusion Fluconazole is a widely prescribed drug, used mainly to treat candidiasis. Fixed drug eruption as a possible side effect of Fluconazole is not well known and thus, the lesions may be misdiagnosed and mistreated. Based on our findings, which are consistent with a number of other practitioners, we recommend adding fixed drug eruption to the list of possible side effects of fluconazole.

  20. Report on results of current and future metal casting

    International Nuclear Information System (INIS)

    Unal, Cetin; Carlson, Neil N.

    2015-01-01

    New modeling capabilities needed to simulate the casting of metallic fuels are added to Truchas code. In this report we summarize improvements we made in FY2015 in three areas; (1) Analysis of new casting experiments conducted with BCS and EFL designs, (2) the simulation of INL's U-Zr casting experiments with Flow3D computer program, (3) the implementation of surface tension model into Truchas for unstructured mesh required to run U-Zr casting.

  1. Definitive design report: Design report project W-025, Radioactive Mixed Waste (RMW) Land Disposal Facility NON-DRAG-OFF. Revision 1, Volume 1 and 2

    International Nuclear Information System (INIS)

    Roscha, V.

    1994-01-01

    The purpose of this report is to describe the definitive design of the Radioactive Mixed Waste (RMW) Non-Drag-Off disposal facility, Project W-025. This report presents a n of the major landfill design features and a discussion of how each of the criteria is addressed in the design. The appendices include laboratory test results, design drawings, and individual analyses that were conducted in support of the design. Revision 1 of this document incorporates design changes resulting from an increase in the required operating life of the W-025 landfill from 2 to 20 years. The rationale for these design changes is described in Golder Associates Inc. 1991a. These changes include (1) adding a 1.5-foot-thick layer of compacted admix directory-under the primary FML on the floor of the landfill to mitigate the effects of possible stress cracking in the primary flexible membrane liner (FML), and (2) increasing the operations layer thickness from two to three feet over the entire landfill area, to provide additional protection for the secondary admix layer against mechanical damage and the effects of freezing and desiccation. The design of the W-025 Landfill has also been modified in response to the results of the EPA Method 9090 chemical compatibility testing program (Golder Associates Inc. 1991b and 1991c), which was completed after the original design was prepared. This program consisted of testing geosynthetic materials and soil/bentonite admix with synthetic leachate having the composition expected during the life of the W-025 Landfill., The results of this program indicated that the polyester geotextile originally specified for the landfill might be susceptible to deterioration. On this basis, polypropylene geotextiles were substituted as a more chemically-resistant alternative. In addition, the percentage of bentonite in the admix was increased to provide sufficiently low permeability to the expected leachate

  2. Searching for Rigour in the Reporting of Mixed Methods Population Health Research: A Methodological Review

    Science.gov (United States)

    Brown, K. M.; Elliott, S. J.; Leatherdale, S. T.; Robertson-Wilson, J.

    2015-01-01

    The environments in which population health interventions occur shape both their implementation and outcomes. Hence, when evaluating these interventions, we must explore both intervention content and context. Mixed methods (integrating quantitative and qualitative methods) provide this opportunity. However, although criteria exist for establishing…

  3. Final Report: Investigations of Mixed-Phase Cloud Microphysical, Radiative, and Dynamical Processes

    Energy Technology Data Exchange (ETDEWEB)

    Shupe, Matthew [Univ. of Colorado, Boulder, CO (United States)

    2016-08-18

    This project supported the principle investigator’s work on a number of studies regarding mixed-phase clouds and in various related collaborations with ARM and related scientists. This project has contributed to numerous publications and conference/meeting presentations.

  4. Oral mite anaphylaxis caused by mite-contaminated okonomiyaki/ pancake-mix in Japan: 8 case reports and a review of 28 reported cases.

    Science.gov (United States)

    Takahashi, Kentaro; Taniguchi, Masami; Fukutomi, Yuma; Sekiya, Kiyoshi; Watai, Kentaro; Mitsui, Chihiro; Tanimoto, Hidenori; Oshikata, Chiyako; Tsuburai, Takahiro; Tsurikisawa, Naomi; Minoguchi, Kenji; Nakajima, Hiroshi; Akiyama, Kazuo

    2014-03-01

    Anaphylaxis after the ingestion of foods contaminated with mites has recently been recognized. Case series and case reports thus far have shown that mite-contaminated wheat flour is the major cause of oral mite anaphylaxis. However, we have found 8 cases of oral mite anaphylaxis which were caused by mite-contaminated okonomiyaki-mix, a savory Japanese style pancake mix, in our hospital. In addition to our 8 cases, the databases of MEDLINE and ICHUSHI were systematically searched for patients with oral mite anaphylaxis in Japan. Thirty-six patients including our 8 cases with oral mite anaphylaxis were identified. Thirty-four out of 36 cases (94%) ingested okonomiyaki or takoyaki, prepared at home using okonomiyaki-mix or takoyaki-mix which was previously opened and stored for months at ambient temperature. Microscopic examination of culprit mixes of 16 cases including our 1 case revealed contamination of mites such as Dermatophagoides farina (Der f) (5 cases), Tyrophagus putrescentiae (Tyr p) (4 cases), and Dermatophagoides pteronyssinus (Der p) (3 cases). The specific IgE to each mite is generally upregulated in these patients. Especially, the titers of specific IgE to Der p and Der f were more than class 2 in all cases. Mite-contaminated flavored flour is the major cause of oral mite anaphylaxis in Japan.

  5. Laser fusion study. Final report, volume I, study results

    International Nuclear Information System (INIS)

    1975-06-01

    The primary goal of this study was to devise, evaluate, and conceptually design a complete, end-to-end, alignment system capable of handling 30 to 32 Shiva amplifier chains to specified accuracies in space and time. A secondary goal was to accomplish the primary goal with an acceptably low development and procurement cost and with an acceptably high day-after-day performance reliability. This report presents such a system: it is comprised of sensors, actuating mechanisms, controls, and displays that perform well within the current art-state. (U.S.)

  6. Proposing application of results in sport and exercise research reports.

    Science.gov (United States)

    Knudson, Duane; Elliott, Bruce; Hamill, Joseph

    2014-09-01

    The application of sport and exercise research findings to practice requires careful interpretation and integration of evidence. This paper reviews principles of evidence-based practice and the application of research in sports and exercise, in order to provide recommendations on developing appropriate application sections in research reports for sport and exercise journals. The strength of recommendations for application fall into one of four levels, with potential applications qualified as strong, limited, preliminary, or hypothesized. Specific limitations that should be discussed in framing recommendations for practice are also noted for each of these levels that should be useful for authors, and for practitioners and clinicians in interpreting these recommendations.

  7. Report - Results of survey on child care needs - 2017

    CERN Document Server

    Guinot, Genevieve; Weymaere, Emeline; Trilhe, Philippe; Palluel, Stephanie; Mangiorou, Maria-Anna; Mondlane, Bruna; CERN. Geneva. HR Department

    2017-01-01

    In June 2016, a working group reporting to the Director for Finance and Human Resources was established to study the sustainability of CERN nursery and school services. Among actions taken by the working group, a survey was carried out to achieve a better understanding of the needs of CERN families for child care and educational structures, to identify which services are in highest demand (e.g. crèche or early years, primary schooling) and to understand the expectations and preferences of CERN families regarding these services.

  8. Extragenital malignant mixed Mullerian tumor in the incisional hernia - primary carcinosarcoma in the abdominal wall: Case report

    Directory of Open Access Journals (Sweden)

    Žuvela Marinko

    2015-01-01

    Full Text Available Introduction. This report presents a primary Mullerian carcinosarcoma localized in the incisional hernia i.e. anterior abdominal wall. There is no data in the literature about this localization of extragenital Mullerian carcinosarcoma. Case Outline. The patient had previous medical history of right-sided ovarian cystadenocarcinoma managed by hysterectomy, bilateral ovariectomy and chemotherapy. An incisional hernia occurred 1 year after the operation and Mullerian carcinosarcoma at the right border of the incisional hernia 16 years later. There was no tumor spreading into the abdominal cavity and pelvis. Full thickness of the abdominal wall resection and coexisting incisional hernia resulted in a large 25x20 cm abdominal wall defect managed by the modified components separation technique and implanting meshes. Conclusion. Major abdominal wall resection and abdominal wall reconstruction using the modified components separation technique reinforced with meshes could be one of possible solutions in the surgical treatment of primary malignant mixed Mullerian tumor localized in the abdominal wall. [Projekat Ministarstva nauke Republike Srbije, br. 41030

  9. 1999 Annual report: On course and seeing results

    International Nuclear Information System (INIS)

    2000-01-01

    NS Power Holdings is a diversified energy and services company in Nova Scotia. It has a customer base of 440,000, assets of $ 2.8 billion. Its primary subsidiary, Nova Scotia Power, is the dominant electricity supplier in the province. The company's product line also includes bunker oil, diesel fuel and light fuel oil. NS Holdings also has a 12.5 per cent interest in the Maritimes and Northeast Pipeline. In 1999 the company earned $ 100.4 million, or $1.16 per share, an 18 per cent increase over 1998. Electrical energy sales totalled $ 790 million, for a return of 10.8 per cent on equity in the electric utility, near the top of the allowed range, and without an increase in electricity prices for the third year in a row. Home heating and light fuel oil deliveries were just over 100 million litres. The Maritimes and Northeast Pipeline began deliveries in December. Completion of the Halifax lateral, expected late in 2000, will provide customers in the most densely populated area of the province with the option to use natural gas for heating and other uses for the first time. The annual report provides details of operations, the requisite financial report and supplementary documentation

  10. Radiation resistance of elastomeric O-rings in mixed neutron and gamma fields: Testing methodology and experimental results

    Science.gov (United States)

    Zenoni, A.; Bignotti, F.; Donzella, A.; Donzella, G.; Ferrari, M.; Pandini, S.; Andrighetto, A.; Ballan, M.; Corradetti, S.; Manzolaro, M.; Monetti, A.; Rossignoli, M.; Scarpa, D.; Alloni, D.; Prata, M.; Salvini, A.; Zelaschi, F.

    2017-11-01

    Materials and components employed in the presence of intense neutron and gamma fields are expected to absorb high dose levels that may induce deep modifications of their physical and mechanical properties, possibly causing loss of their function. A protocol for irradiating elastomeric materials in reactor mixed neutron and gamma fields and for testing the evolution of their main mechanical and physical properties with absorbed dose has been developed. Four elastomeric compounds used for vacuum O-rings, one fluoroelastomer polymer (FPM) based and three ethylene propylene diene monomer rubber (EPDM) based, presently available on the market have been selected for the test. One EPDM is rated as radiation resistant in gamma fields, while the other elastomers are general purpose products. Particular care has been devoted to dosimetry calculations, since absorbed dose in neutron fields, unlike pure gamma fields, is strongly dependent on the material composition and, in particular, on the hydrogen content. The products have been tested up to about 2 MGy absorbed dose. The FPM based elastomer, in spite of its lower dose absorption in fast neutron fields, features the largest variations of properties, with a dramatic increase in stiffness and brittleness. Out of the three EPDM based compounds, one shows large and rapid changes in the main mechanical properties, whereas the other two feature more stable behaviors. The performance of the EPDM rated as radiation resistant in pure gamma fields does not appear significantly better than that of the standard product. The predictive capability of the accelerated irradiation tests performed as well as the applicable concepts of threshold of radiation damage is discussed in view of the use of the examined products in the selective production of exotic species facility, now under construction at the Legnaro National Laboratories of the Italian Istituto Nazionale di Fisica Nucleare. It results that a careful account of dose rate effects

  11. Patient housing barriers to hematopoietic cell transplantation: results from a mixed-methods study of transplant center social workers.

    Science.gov (United States)

    Preussler, Jaime M; Mau, Lih-Wen; Majhail, Navneet S; Bevans, Margaret; Clancy, Emilie; Messner, Carolyn; Parran, Leslie; Pederson, Kate A; Ferguson, Stacy Stickney; Walters, Kent; Murphy, Elizabeth A; Denzen, Ellen M

    2016-03-01

    Hematopoietic cell transplantation (HCT) is performed in select centers in the United States (U.S.), and patients are often required to temporarily relocate to receive care. The purpose of this study was to identify housing barriers impacting access to HCT and potential solutions. A mixed-methods primary study of HCT social workers was conducted to learn about patient housing challenges and solutions in place that help address those barriers. Three telephone focus groups were conducted with adult and pediatric transplant social workers (n = 15). Focus group results informed the design of a national survey. The online survey was e-mailed to a primary social worker contact at 133 adult and pediatric transplant centers in the U.S. Transplant centers were classified based on the patient population cared for by the social worker. The survey response rate was 49%. Among adult programs (n = 45), 93% of centers had patients that had to relocate closer to the transplant center to proceed with HCT. The most common type of housing option offered was discounted hotel rates. Among pediatric programs (n = 20), 90% of centers had patients that had to relocate closer to the transplant center to proceed with HCT. Ronald McDonald House was the most common option available. This study is the first to explore housing challenges faced by patients undergoing HCT in the U.S. from the perspective of social workers and to highlight solutions that centers use. Transplant centers will benefit from this knowledge by learning about options for addressing housing barriers for their patients.

  12. Methods for Quantifying the Uncertainties of LSIT Test Parameters, Test Results, and Full-Scale Mixing Performance Using Models Developed from Scaled Test Data

    International Nuclear Information System (INIS)

    Piepel, Gregory F.; Cooley, Scott K.; Kuhn, William L.; Rector, David R.; Heredia-Langner, Alejandro

    2015-01-01

    This report discusses the statistical methods for quantifying uncertainties in 1) test responses and other parameters in the Large Scale Integrated Testing (LSIT), and 2) estimates of coefficients and predictions of mixing performance from models that relate test responses to test parameters. Testing at a larger scale has been committed to by Bechtel National, Inc. and the U.S. Department of Energy (DOE) to ''address uncertainties and increase confidence in the projected, full-scale mixing performance and operations'' in the Waste Treatment and Immobilization Plant (WTP).

  13. Methods for Quantifying the Uncertainties of LSIT Test Parameters, Test Results, and Full-Scale Mixing Performance Using Models Developed from Scaled Test Data

    Energy Technology Data Exchange (ETDEWEB)

    Piepel, Gregory F. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Cooley, Scott K. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Kuhn, William L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Rector, David R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Heredia-Langner, Alejandro [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2015-05-01

    This report discusses the statistical methods for quantifying uncertainties in 1) test responses and other parameters in the Large Scale Integrated Testing (LSIT), and 2) estimates of coefficients and predictions of mixing performance from models that relate test responses to test parameters. Testing at a larger scale has been committed to by Bechtel National, Inc. and the U.S. Department of Energy (DOE) to “address uncertainties and increase confidence in the projected, full-scale mixing performance and operations” in the Waste Treatment and Immobilization Plant (WTP).

  14. Cooperative biogas plants. Economic results and analyses. Status report 1998

    International Nuclear Information System (INIS)

    Hjort-Gregersen, K.

    1998-11-01

    The years 1995 - 1998 have been characterised by stabilisation of operation and economy of the Danish co-operative biogas plants. Most of the plants have obtained increasingly better economic results although the increase has been less significant than during earlier periods. There are several reasons for the increase. Most of the plants have been able to increase the sales income because of larger amounts of biomass available resulting in an increased biogas production. Furthermore it has been possible to contain the income level for biomass receipt. Several plants have established gas collection in storage tanks, which has resulted in increased gas yield. The operational stability related to both technique and processes have improved. The operational costs have been stabilised and are under control at most of the plants. The improved economic results have resulted in most of the plants having a satisfactory operation and economy. However, it must be stressed that some of the oldest plants have not been able to settle the investment dept at normal conditions. Also some, even rather new plants, still are in a difficult economic situation. Most of the plants established in the 90'ies have had a good start both operationally and economically. Thus the economic risk of establishing a plant has been reduced compared to earlier years. Generally the prerequisites for establishing a biogas plant are favourable economic conditions and quality assurance of the project. (LN)

  15. Rh-Based Mixed Alcohol Synthesis Catalysts: Characterization and Computational Report

    Energy Technology Data Exchange (ETDEWEB)

    Albrecht, Karl O.; Glezakou, Vassiliki Alexandra; Rousseau, Roger J.; Engelhard, Mark H.; Varga, Tamas; Colby, Robert J.; Jaffe, John E.; Li, Xiaohong S.; Mei, Donghai; Windisch, Charles F.; Kathmann, Shawn M.; Lemmon, Teresa L.; Gray, Michel J.; Hart, Todd R.; Thompson, Becky L.; Gerber, Mark A.

    2013-08-01

    The U.S. Department of Energy is conducting a program focused on developing a process for the conversion of biomass to bio-based fuels and co-products. Biomass-derived syngas is converted thermochemically within a temperature range of 240 to 330°C and at elevated pressure (e.g., 1200 psig) over a catalyst. Ethanol is the desired reaction product, although other side compounds are produced, including C3 to C5 alcohols; higher (i.e., greater than C1) oxygenates such as methyl acetate, ethyl acetate, acetic acid and acetaldehyde; and higher hydrocarbon gases such as methane, ethane/ethene, propane/propene, etc. Saturated hydrocarbon gases (especially methane) are undesirable because they represent a diminished yield of carbon to the desired ethanol product and represent compounds that must be steam reformed at high energy cost to reproduce CO and H2. Ethanol produced by the thermochemical reaction of syngas could be separated and blended directly with gasoline to produce a liquid transportation fuel. Additionally, higher oxygenates and unsaturated hydrocarbon side products such as olefins also could be further processed to liquid fuels. The goal of the current project is the development of a Rh-based catalyst with high activity and selectivity to C2+ oxygenates. This report chronicles an effort to characterize numerous supports and catalysts to identify particular traits that could be correlated with the most active and/or selective catalysts. Carbon and silica supports and catalysts were analyzed. Generally, analyses provided guidance in the selection of acceptable catalyst supports. For example, supports with high surface areas due to a high number of micropores were generally found to be poor at producing oxygenates, possibly because of mass transfer limitations of the products formed out of the micropores. To probe fundamental aspects of the complicated reaction network of CO with H2, a computational/ theoretical investigation using quantum mechanical and ab

  16. Open pneumothorax resulting from blunt thoracic trauma: a case report.

    Science.gov (United States)

    McClintick, Colleen M

    2008-01-01

    Cases of open pneumothorax have been documented as early as 326 BC. Until the last 50 years, understanding of the epidemiology and treatment of penetrating chest trauma has arisen from military surgery. A better understanding of cardiopulmonary dynamics, advances in ventilatory support, and improvement in surgical technique have drastically improved treatment and increased the survival rate of patients with penetrating thoracic trauma. Open pneumothorax is rare in blunt chest trauma, but can occur when injury results in a substantial loss of the chest wall. This case study presents an adolescent who sustained a large open pneumothorax as a result of being run over by a car. Early and appropriate surgical intervention coupled with coordinated efforts by all members of the trauma team resulted in a positive outcome for this patient.

  17. Mixed Waste Management Facility (MWMF) groundwater monitoring report. First quarter 1993

    Energy Technology Data Exchange (ETDEWEB)

    1993-06-01

    During first quarter 1993, eight constituents exceeded final Primary Drinking Water Standards in groundwater samples from downgradient monitoring wells at the Mixed Waste anagement Facility, the Old Burial Ground, the E-Area Vaults, and the proposed Hazardous Waste/Mixed Waste Disposal Vaults (HWMWDV). As in previous quarters, tritium and trichloroethylene were the most widespread constituents. Tetrachloroethylene, chloroethene, 1,1-dichloroethylene, gross alpha, lead, or nonvolatile beta levels also exceeded standards in one or more wells. The elevated constituents were found primarily in Aquifer Zone IIB{sub 2} (Water Table) and Aquifer Zone IIB{sub 1}, (Barnwell/McBean) wells. However, several Aquifer Unit IIA (Congaree) wells also contained elevated constituent levels. The groundwater flow directions and rates in the three hydrostratigraphic units were similar to previous quarters.

  18. Mixed Waste Management Facility (MWMF) groundwater monitoring report. Fourth quarter 1993 and 1993 summary

    Energy Technology Data Exchange (ETDEWEB)

    Butler, C.T.

    1994-03-01

    During fourth quarter 1993, 10 constituents exceeded final Primary Drinking Water Standards in groundwater samples from downgradient monitoring wells at the Mixed Waste Management Facility, the Old Burial Ground, the E-Area Vaults, and the proposed Hazardous Waste/Mixed Waste Disposal Vaults. As in previous quarters, tritium and trichloroethylene were the most widespread elevated constituents. Carbon tetrachloride, chloroform, chloroethane (vinyl chloride), 1,1-dichloroethylene, dichloromethane (methylene chloride), lead, mercury, or tetrachloroethylene also exceeded standards in one or more wells. Elevated constituents were found in numerous Aquifer Zone 2B{sub 2} (Water Table) and Aquifer Zone 2B{sub 1}, (Barnwell/McBean) wells and in two Aquifer Unit 2A (Congaree) wells. The groundwater flow direction and rates in the three hydrostratigraphic units were similar to those of previous quarters.

  19. Mixed Waste Management Facility (MWMF) groundwater monitoring report: Third quarter 1993

    Energy Technology Data Exchange (ETDEWEB)

    1993-12-01

    During third quarter 1993, eight constituents exceeded final Primary Drinking Water Standards in groundwater samples from downgradient monitoring wells at the Mixed Waste Management Facility, the Old Burial Ground, the E-Area Vaults, and the proposed Hazardous Waste/Mixed Waste Disposal Vaults. As in previous quarters, tritium and trichloroethylene were the most widespread constituents Chloroethene (vinyl chloride), 1,1-dichloroethylene, dichloromethane (methylene chloride), lead, mercury, or tetrachloroethylene also exceeded standards in one or more wells. The elevated constituents were found in Aquifer Zone IIB{sub 2} (Water Table) and Aquifer Zone IIB{sub 1} (Barnwell/McBean) wells. No elevated constituents were exhibited in Aquifer Unit IIA (Congaree) wells. The groundwater flow directions and rates in the three hydrostratigraphic units were similar to those of previous quarters.

  20. Conservative Management of Macrodontia in the Mixed Dentition Stage--A Case Report.

    Science.gov (United States)

    Harker, Ann R; Walley, Sian; Albadri, Sondos

    2015-12-01

    Macrodontia is a rare dental abnormality, which can cause cosmetic concerns. Various management techniques for this condition have been documented in the literature. This case describes the initial management of macrodontia in the mixed dentition stage with the use of a minimally invasive approach to treatment. CPD/Clinical Relevance: The importance of early referral of dental abnormities is highlighted. Short- and long-term treatment options for macrodontia are described, including the impact such anomalies can have on the developing dentition.

  1. A case report: mixed thrombus formation in a previously sutured right atrium.

    Science.gov (United States)

    Yunfei, Ling; Dongxu, Li; Shuhua, Luo; Yabo, Wang; San, Deep; Changping, Gan; Ke, Lin; Qi, An

    2014-08-01

    We describe the case of a 19-year-old Chinese woman who nine months prior underwent repair of an atrial septal defect and came to our hospital with a right atrial mass attached to the anterior wall of the right atrium on transthoracic echocardiography. Pathologic examination revealed the mass was a mixed-type thrombosis with some unusual organization, which previously was not described in literature.

  2. Mortality resulting from head injury in professional boxing: case report.

    Science.gov (United States)

    Baird, Lissa C; Newman, C Benjamin; Volk, Hunter; Svinth, Joseph R; Conklin, Jordan; Levy, Michael L

    2010-08-01

    The majority of boxing-related fatalities result from traumatic brain injury. Biomechanical forces in boxing result in rotational acceleration with resultant subdural hematoma and diffuse axonal injury. Given the inherent risk and the ongoing criticism boxing has received, we evaluated mortalities associated with professional boxing. We used the Velazquez Fatality Collection of boxing injuries and supplementary sources to analyze mortality from 1950 to 2007. Variables evaluated included age at time of death, association with knockout or other outcome of match, rounds fought, weight class, location of fight, and location of preterminal event. There were 339 mortalities between 1950 and 2007 (mean age, 24 +/- 3.8 years); 64% were associated with knockout and 15% with technical knockout. A higher percentage occurred in the lower weight classes. The preterminal event occurred in the ring (61%), in the locker room (17%), and outside the arena (22%). We evaluated for significant changes after 1983 when championship bouts were reduced from 15 to 12 rounds. There was a significant decline in mortality after 1983. We found no significant variables to support that this decline is related to a reduction in rounds. Rather, we hypothesize the decline to be the result of a reduction in exposure to repetitive head trauma (shorter careers and fewer fights), along with increased medical oversight and stricter safety regulations. Increased efforts should be made to improve medical supervision of boxers. Mandatory central nervous system imaging after a knockout could lead to a significant reduction in associated mortality.

  3. Summary of the most significant results reported in this session

    CERN Document Server

    Van De Walle, R T

    1980-01-01

    In the following a summary is presented of five parallel sessions on light quark had- ron spectroscopy. In general all topics which were discussed in the plenary sessions, and for which the proceedings contain separate (invited) papers, will be left out; only occa- sionally (and for reasons of completeness) will we make a reference to these presentations. Several other restrictions can be made. Nearly all papers submitted to the (parallel) hadron spectroscopy sessions were experimenta1 1 ), the only exceptions being a series of four theoretical papers on the baryonium problem. Furthermore, there was virtually no new information concerning the 'classical' baryons. In particular, no new facts were submitted on the problem of the possible existence of baryon states outside the so-called minimal spectrum, i.e. outside {56,L+ } and {70,L-dd}, the existence of the {ZO}'s, and the exis- even o tence of (baryon) exotic states. There was one contribution on a 'possible' new:".* 2 ), and a report on the final measureme...

  4. Regularization of moving boundaries in a Laplacian field by a mixed Dirichlet-Neumann boundary condition : exact results

    NARCIS (Netherlands)

    B.J. Meulenbroek (Bernard); U. M. Ebert (Ute); L. Schäfer

    2005-01-01

    textabstractThe dynamics of ionization fronts that generate a conducting body, are in simplest approximation equivalent to viscous fingering without regularization. Going beyond this approximation, we suggest that ionization fronts can be modeled by a mixed Dirichlet-Neumann boundary condition. We

  5. Regularization of moving boundaries in a Laplacian field by a mixed dirichlet-neumann boundary condition: Exact results

    NARCIS (Netherlands)

    Meulenbroek, B.; Ebert, U.; Schäfer, L.

    2005-01-01

    The dynamics of ionization fronts that generate a conducting body are in the simplest approximation equivalent to viscous fingering without regularization. Going beyond this approximation, we suggest that ionization fronts can be modeled by a mixed Dirichlet-Neumann boundary condition. We derive

  6. Crosslinkable mixed matrix membranes with surface modified molecular sieves for natural gas purification: I. Preparation and experimental results

    KAUST Repository

    Ward, Jason K.; Koros, William J.

    2011-01-01

    /methane selectivity of 38.9 at 65. psia and 35 °C, representing enhancements in both permeability and selectivity of 121% and 6.9%, respectively. Mixed gas permeation analyses of MMMs containing SM-SSZ-13 using a 10% carbon dioxide/90% methane mixture shows

  7. Assessing Adolescents' Understanding of and Reactions to Stress in Different Cultures: Results of a Mixed-Methods Approach

    Science.gov (United States)

    Nastasi, Bonnie K.; Hitchcock, John H.; Burkholder, Gary; Varjas, Kristen; Sarkar, Sreeroopa; Jayasena, Asoka

    2007-01-01

    This article expands on an emerging mixed-method approach for validating culturally-specific constructs (see Hitchcock et al., 2005). Previous work established an approach for dealing with cultural impacts when assessing psychological constructs and the current article extends these efforts into studying stress reactions among adolescents in Sri…

  8. Government Performance and Results Act Reporting on Defense Working Capital Funds Net Operating Results

    National Research Council Canada - National Science Library

    2001-01-01

    .... The overall objective of the audit was to determine whether the net operating results for the activity groups of the Defense Working Capital Fund were consistently and accurately compiled. We also assessed internal controls to determine whether management complied with the Government Performance and Results Act of 1993.

  9. Enova results and activities report 2008; Resultat- og aktivitetsrapport 2008

    Energy Technology Data Exchange (ETDEWEB)

    2009-07-01

    Enova's results in 2008 was 2,15 TWh in saved and produces renewable energy. Totally Enova has contributed by activate environmental friendly energy projects equivalent 11,6 TWh up to 2009. This is a good step towards Enova's long-term goal and corresponding to an amount of approximately 10 % of Norway's united consumption of energy throughout a year. (AG). refs., figs., tabs., ills

  10. Using mixed methods to investigate factors influencing reporting of livestock diseases: a case study among smallholders in Bolivia.

    Science.gov (United States)

    Limon, Georgina; Lewis, Elisa G; Chang, Yu-Mei; Ruiz, Hugo; Balanza, Maria Elba; Guitian, Javier

    2014-02-01

    Livestock disease surveillance is particularly challenging in resource-scarce settings, where disease events are often unreported. Surveillance performance is determined as much by the quantifiable biological attributes of the disease, as it is by motivations and barriers perceived by livestock keepers for disease reporting. Mixed methods designs, which integrate the collection, analysis and interpretation of qualitative and quantitative data in a single study, are increasingly used across different disciplines. These designs allow for a deeper exploration of the topic under investigation, than can be achieved by either approach alone. In this study a mixed methods design was used in order to gain a greater understanding of the factors that influence reporting of livestock diseases in Bolivia. There is a need to strengthen passive surveillance in this country, among other reasons as part of an eradication programme for Foot and Mouth Disease (FMD). Findings revealed livestock keepers in the study area were extremely unlikely to report the occurrence of livestock health events to the Official Veterinary Services (OVS). Communication outside the local community occurs more often through alternative routes and this is positively correlated with disease awareness. The main barriers to disease reporting identified were a lack of institutional credibility and the conflicting priorities of the OVS and livestock keepers. As for other animal and human diseases across the developing world, passive surveillance of livestock diseases in Bolivia should be enhanced; this is urgent in view of the current FMD eradication programme. Increasing timeliness and smallholders' participation requires a detailed understanding of their likely actions and perceived barriers towards disease reporting. These insights are most likely to be developed through a holistic mixed methods approach of quantitative and qualitative analyses. Copyright © 2013 The Authors. Published by Elsevier B.V. All

  11. Tumescent liposuction report performance measurement initiative: national survey results.

    Science.gov (United States)

    Hanke, William; Cox, Sue Ellen; Kuznets, Naomi; Coleman, William P

    2004-07-01

    This study was created by the Accreditation Association for Ambulatory Health Care Institute for Quality Improvement to measure clinical performance and improvement opportunities for physicians and ambulatory health-care organizations. Data were collected prospectively between February 2001 and August 2002. Thirty-nine study centers participated, and 688 patients who had tumescent liposuction were surveyed and followed for 6 months. The objective was to determine patient satisfaction with tumescent liposuction and examine current liposuction practice and the safety of tumescent liposuction in a representative cohort of patients. The Accreditation Association for Ambulatory Health Care Institute for Quality Improvement collected prospective data from February 2001 to August 2002 from 68 organizations registered for this study. Ultimately 39 organizations submitted 688 useable cases performed totally with local anesthesia, "tumescent technique." The overall clinical complication rate found in the Accreditation Association for Ambulatory Health Care Institute for Quality Improvement study was 0.7% (5 of 702). There was a minor complication rate of 0.57%. The major complication rate was 0.14% with one patient requiring hospitalization. Seventy-five percent of the patients reported no discomfort during their procedures. Of the 59% of patients who responded to a 6-month postoperative survey, 91% were positive about their decision to have liposuction (rating of 4 or 5 on a scale of 1-5) and 84% had high levels (4 or 5 on a scale of 1-5) of overall satisfaction with the procedure. Our findings are consistent with others in that tumescent liposuction is a safe procedure with a low complication rate and high patient satisfaction.

  12. Primary malignant mixed müllerian tumor of the peritoneum a case report with review of the literature

    Directory of Open Access Journals (Sweden)

    Gashi-Luci Lumturije

    2011-02-01

    Full Text Available Abstract Malignant mixed Müllerian tumor is a rare malignancy of the genital tract and extremely uncommon in extragenital sites. This report describes a case of malignant mixed Müllerian tumor arising in the lower peritoneum of a 72-year-old female patient. The patient presented with ascites, lower abdominal mass and pleural effusion. The serum level of CA125 was elevated. At operation a diffuse carcinosis associated with tumor mass measuring 20 × 15 × 10 cm in the vesicouterine and Duglas' pouch were found. The uterus and the adnexa were unremarkable. Histopathology revealed a typical malignant mixed Müllerian tumor, heterologous type. The epithelial component was positive for cytokeratin 7 and vimentin whereas the mesenchymal component was positive for Vimentin, S100 and focally for CK7. The histogenesis of this tumor arising from the peritoneum is still speculative. Based on the previous reports and the immunohistochemical analysis of our case, we believe that this is a monoclonal tumor with carcinoma being the "precursor" element. Nevertheless, further molecular and genetic evidence is needed to support such a conclusion.

  13. PROMECE - Research Results Transfer - Collection of technology trends reports (ICT)

    OpenAIRE

    ITI

    2016-01-01

    Instituto Tecnológico de Informática has a non-economic Activities Plan (PROMECE) whose general objective is to strengthen the research lines in which the Institute works, within the scope of Information and Communication Technologies (ICT). Through this plan of activities a work is carried out to transfer the results obtained in the execution of R+D+I projects within these lines or areas of action. The transfer actions are aimed at companies and the industrial sector and society as a who...

  14. Test report for run-in acceptance testing of Project W-151 300 HP mixing pumps

    International Nuclear Information System (INIS)

    Berglin, B.G.

    1998-01-01

    This report documents the results of a performance demonstration and operational checkout of three 300 HP mixer pumps in accordance with WHC-SD-WI51-TS-001 ''Mixer Pump Test Specification for Project W-151'' and Statement of Work 8K520-EMN-95-004 ''Mixer Pump Performance Demonstration at MASF'' in the 400 Area Maintenance and Storage Facility (MASF) building. Testing of the pumps was performed by Fast Flux Test Facility (FFTF) Engineering and funded by the Tank Waste Remediation System (TWRS) Project W-151. Testing began with the first pump on 04-01-95 and ended with the third pump on 11-01-96. Prior to testing, the MASF was modified and prepared to meet the pump testing requirements set forth by the Test Specification and the Statement of Work

  15. Modeling Results For the ITER Cryogenic Fore Pump. Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Pfotenhauer, John M. [University of Wisconsin, Madison, WI (United States); Zhang, Dongsheng [University of Wisconsin, Madison, WI (United States)

    2014-03-31

    A numerical model characterizing the operation of a cryogenic fore-pump (CFP) for ITER has been developed at the University of Wisconsin – Madison during the period from March 15, 2011 through June 30, 2014. The purpose of the ITER-CFP is to separate hydrogen isotopes from helium gas, both making up the exhaust components from the ITER reactor. The model explicitly determines the amount of hydrogen that is captured by the supercritical-helium-cooled pump as a function of the inlet temperature of the supercritical helium, its flow rate, and the inlet conditions of the hydrogen gas flow. Furthermore the model computes the location and amount of hydrogen captured in the pump as a function of time. Throughout the model’s development, and as a calibration check for its results, it has been extensively compared with the measurements of a CFP prototype tested at Oak Ridge National Lab. The results of the model demonstrate that the quantity of captured hydrogen is very sensitive to the inlet temperature of the helium coolant on the outside of the cryopump. Furthermore, the model can be utilized to refine those tests, and suggests methods that could be incorporated in the testing to enhance the usefulness of the measured data.

  16. Interannual control of plankton communities by deep winter mixing and prey/predator interactions in the NW Mediterranean: Results from a 30-year 3D modeling study

    Science.gov (United States)

    Auger, P. A.; Ulses, C.; Estournel, C.; Stemmann, L.; Somot, S.; Diaz, F.

    2014-05-01

    A realistic modeling approach is designed to address the role of winter mixing on the interannual variability of plankton dynamics in the north-western (NW) Mediterranean basin. For the first time, a high-resolution coupled hydrodynamic-biogeochemical model (Eco3m-S) covering a 30-year period (1976-2005) is validated on available in situ and satellite data for the NW Mediterranean. In this region, cold, dry winds in winter often lead to deep convection and strong upwelling of nutrients into the euphotic layer. High nutrient contents at the end of winter then support the development of a strong spring bloom of phytoplankton. Model results indicate that annual primary production is not affected by winter mixing due to seasonal balance (minimum in winter and maximum in spring). However, the total annual water column-integrated phytoplankton biomass appears to be favored by winter mixing because zooplankton grazing activity is low in winter and early spring. This reduced grazing is explained here by the rarefaction of prey due to both light limitation and the effect of mixing-induced dilution on prey/predator interactions. A negative impact of winter mixing on winter zooplankton biomass is generally simulated except for mesozooplankton. This difference is assumed to stem from the lower parameterized mortality, top trophic position and detritivorous diet of mesozooplankton in the model. Moreover, model suggests that the variability of annual mesozooplankton biomass is principally modulated by the effects of winter mixing on winter biomass. Thus, interannual variability of winter nutrient contents in the euphotic layer, resulting from winter mixing, would control spring primary production and thus annual mesozooplankton biomass. Our results show a bottom-up control of mesozooplankton communities, as observed at a coastal location of the Ligurian Sea.

  17. 1980 Annual status report: utilization of research results

    International Nuclear Information System (INIS)

    1981-01-01

    Patents and licences were part of normal JRC activity since its origin: the new feature of this programme is that through an increased JRC activity in this field as well as a structured support to D.G. XIII, the process of utilization can be started at an earlier stage, with the deliberate purpose of achieving practical results as early as possible, through an adequate R and D effort. Key element of this process is the systematic identification, within JRC programme, of those research areas, concepts, ideas, that might present interest for industry and for the public sector. In this respect D.G. XIII by its market survey and contacts with industry is providing JRC with the essential information to carry out this programme

  18. Enova results report 2006; Enovas resultat- og aktivitetsrapport for 2006

    Energy Technology Data Exchange (ETDEWEB)

    2007-07-01

    Energy was high on the agenda in 2006. The higher than normal electricity prices, Norway's strong dependence on electricity, and the increased focus on climate change resulted in a lot of interest in environmentally friendly energy solutions. For Enova this meant an exciting and demanding year. At the same time it has been important to take into account the long-term perspective of the activities. Enova is supposed to be a driving force for future oriented energy solutions and to contribute to a lasting change in Norway's generation and use of energy. During the past year better knowledge about what is happening to our world has had a positive effect on our efforts. This increased attention has provided Enova with the opportunity to demonstrate that energy efficiency and renewable energy are the keys to a sustainable energy future. Moreover, the general focus on energy has enabled Enova to more effectively provide business and industry, households and the public authorities with good energy advice. refs., figs., tabs., ills

  19. Fixed orthodontic appliances in the management of severe dental trauma in mixed dentition: a case report.

    Science.gov (United States)

    Ebrahim, Fouad-Hassan; Kulkarni, Gajanan

    2013-01-01

    We describe a case of complex trauma to the early mixed dentition in which tooth avulsion, intrusion, extrusion and lateral luxation were managed effectively using a fixed, non-rigid orthodontic splint after treatment with a traditional wire-composite splint had failed. The use of orthodontic brackets and flexible wires provided several advantages, such as the ability to splint severely malpositioned teeth; easy assessment without removing the splint; slow, gentle repositioning of traumatized teeth; and gradual reestablishment of the arch form allowing for ease of future prosthodontic rehabilitation. Therefore, orthodontic appliances should be considered as a viable option for managing complex dental trauma.

  20. NOx Abatement Pilot Plant 90-day test results report

    International Nuclear Information System (INIS)

    McCray, J.A.; Boardman, R.D.

    1991-01-01

    High-level radioactive liquid wastes produced during nuclear fuel reprocessing at the Idaho Chemical Processing Plant are calcined in the New Waste Calcining Facility (NWCF) to provide both volume reduction and a more stable waste form. Because a large component of the HLW is nitric acid, high levels of oxides of nitrogen (NO x ) are produced in the process and discharged to the environment via the calciner off-gas. The NO x abatement program is required by the new Fuel Processing Restoration (FPR) project permit to construct to reduce NO x emissions from the NWCF. Extensive research and development has indicated that the selective catalytic reduction (SCR) process is the most promising technology for treating the NWCF off-gas. Pilot plant tests were performed to determine the compatibility of the SCR process with actual NWCF off-gas. Test results indicate that the SCR process is a viable method for abating the NO x from the NWCF off-gas. Reduction efficiencies over 95% can be obtained, with minimal amounts of ammonia slip, provided favorable operating conditions exist. Two reactors operated with series flow will provide optimum reduction capabilities. Typical operation should be performed with a first reactor stage gas space velocity of 20,000 hr -1 and an inlet temperature of 320 degrees C. The first stage exhaust NO x concentration will then dictate the parameter settings for the second stage. Operation should always strive for a peak reactor temperature of 520 degrees C in both reactors, with minimal NH 3 slip from the second reactor. Frequent fluctuations in the NWCF off-gas NO x concentration will require a full-scale reduction facility that is versatile and quick-responding. Sudden changes in NWCF off-gas NO x concentrations will require quick detection and immediate response to avoid reactor bed over-heating and/or excessive ammonia slip

  1. [Results evaluation in cervical vertigo kinesitherapy--preliminary report].

    Science.gov (United States)

    Bielińska, Marzena; Olszewski, Jurek

    2009-09-01

    The work aimed at analyzing results of kinesitherapeutic procedures in patients with cervical vertigo as well as evaluating a mobility range of the cervical spine. The study was conducted on 23 people, including 17 women and 6 men suffering from cervical vertigo, at the age of 23-73 (the average age of 49.5). All the patients had an individually selected cycle of kinesitherapeutic exercises through the period of 2 months. The objective efficiency evaluation of the applied therapy was made on the grounds of the videonystagmographic examination (VNG). Additionally, the range of active mobility of the cervical spine was analyzed and the evaluation of vertigo according to Silvoniemi's criteria was performed. After a 2-month therapy 4 patients (17.4%) out of the examined material showed a total lack of vertigo, 15 patients (65.2%) demonstrated a meaningful decrease in the vertigo intensity, also in the frequency of their occurrence in 14 cases (60.8%). Only 3 patients did not show any decrease in vertigo whereas in 1 patient a slight increase in the intensity was indicated. On the basis of a subjective evaluation of the vertigo increase according to the 5-stage Silvoniemi's scale it was proved that a mean point assessment claimed by the patients at the beginning of the therapy amounts to 3.0 points whereas after the therapy it was as follows: 1.43 pt after 2 weeks, 1.17 pt after 1 month and 1.13 pt after 2 months of kinesitherapy. It is extremely difficult to fully eliminate the symptoms of cervical vertigo (in the studied material in 4 cases--17.3%) because the causes of their occurrence, which are connected with excessive tension and degeneration in the cervical spine, cannot usually be eradicated. Additionally, as a diagnostic means, the videonystagmographic examination (VNG) accompanied by the positioning tests and the cervical rotation test facilitates precise and objective monitoring of the progress in treatment and rehabilitation of vertigo.

  2. Final Technical Report. Results of Phases 2-5

    Energy Technology Data Exchange (ETDEWEB)

    Narang, David [Arizona Public Service Company (APS), Phoenix, AZ (United States); Ayyanar, Raja [Arizona State Univ., Mesa, AZ (United States); Gemin, Paul [General Electric, Fairfield, CT (United States); Baggu, Murali [National Renewable Energy Lab. (NREL), Golden, CO (United States); Srinivasan, Devarajan [ViaSol Energy Solutions, LLC, Tempe, AZ (United States)

    2015-02-27

    APS’s renewable energy portfolio, driven in part by Arizona’s Renewable Energy Standard (RES) currently includes more than 1100 MW of installed capacity, equating to roughly 3000 GWh of annual production. Overall renewable production is expected to grow to 6000 GWh by 2025. It is expected that distributed photovoltaics, driven primarily by lower cost, will contribute to much of this growth and that by 2025, distributed installations will account for half of all renewable production (3000GHW). As solar penetration increases, additional analysis may be required for routine utility processes to ensure continued safe and reliable operation of the electric distribution network. Such processes include residential or commercial interconnection requests and load shifting during normal feeder operations. Circuits with existing high solar penetration will also have to be studied and results will need to be evaluated for adherence to utility practices or strategy. Increased distributed PV penetration may offer benefits such as load offsetting, but it also has the potential to adversely impact distribution system operation. These effects may be exacerbated by the rapid variability of PV production. Detailed effects of these phenomena in distributed PV applications continue to be studied. Comprehensive, high-resolution electrical models of the distribution system were developed to analyze the impacts of PV on distribution circuit protection systems (including coordination and anti-islanding), predict voltage regulation and phase balance issues, and develop volt/VAr control schemes. Modeling methods were refined by validating against field measurements. To augment the field measurements, methods were developed to synthesize high resolution load and PV generation data to facilitate quasi-static time series simulations. The models were then extended to explore boundary conditions for PV hosting capability of the feeder and to simulate common utility practices such as feeder

  3. Corrective Measures Study Modeling Results for the Southwest Plume - Burial Ground Complex/Mixed Waste Management Facility

    International Nuclear Information System (INIS)

    Harris, M.K.

    1999-01-01

    Groundwater modeling scenarios were performed to support the Corrective Measures Study and Interim Action Plan for the southwest plume of the Burial Ground Complex/Mixed Waste Management Facility. The modeling scenarios were designed to provide data for an economic analysis of alternatives, and subsequently evaluate the effectiveness of the selected remedial technologies for tritium reduction to Fourmile Branch. Modeling scenarios assessed include no action, vertical barriers, pump, treat, and reinject; and vertical recirculation wells

  4. A clinically useful self-report measure of the DSM-5 mixed features specifier of major depressive disorder.

    Science.gov (United States)

    Zimmerman, Mark; Chelminski, Iwona; Young, Diane; Dalrymple, Kristy; Martinez, Jennifer H

    2014-10-01

    To acknowledge the clinical significance of manic features in depressed patients, DSM-5 included criteria for a mixed features specifier for major depressive disorder (MDD). In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project we modified our previously published depression scale to include a subscale assessing the DSM-5 mixed features specifier. More than 1100 psychiatric outpatients with MDD or bipolar disorder completed the Clinically Useful Depression Outcome Scale (CUDOS) supplemented with questions for the DSM-5 mixed features specifier (CUDOS-M). To examine discriminant and convergent validity the patients were rated on clinician severity indices of depression, anxiety, agitation, and irritability. Discriminant and convergent validity was further examined in a subset of patients who completed other self-report symptom severity scales. Test-retest reliability was examined in a subset who completed the CUDOS-M twice. We compared CUDOS-M scores in patients with MDD, bipolar depression, and hypomania. The CUDOS-M subscale had high internal consistency and test-retest reliability, was more highly correlated with another self-report measure of mania than with measures of depression, anxiety, substance use problems, eating disorders, and anger, and was more highly correlated with clinician severity ratings of agitation and irritability than anxiety and depression. CUDOS-M scores were significantly higher in hypomanic patients than depressed patients, and patients with bipolar depression than patients with MDD. The study was cross-sectional, thus we did not examine whether the CUDOS-M detects emerging mixed symptoms when depressed patients are followed over time. Also, while we examined the correlation between the CUDOS-M and clinician ratings of agitation and irritability, we did not examine the association with a clinician measure of manic symptomatology such as the Young Mania Rating Scale In the

  5. Report of the mixing sub-group of the δ working group (other B physics)

    International Nuclear Information System (INIS)

    Ritchie, D.J.; Skarha, J.E.; Zieminski, A.

    1993-01-01

    With the mixing parameter x defined as Δm/Γ for neutral B mesons, the ratio of the mixing parameters for the B d and B s mesons is given by: x d /x s = |V td /V ts | 2 (m B d /m B s )(τ B d /τ B s )(f 2 B d B d /(f 2 B s Bs)). The value of x d is known to good precision (x d = 0.665 ± 0.088), and the ratio of theoretical form factors (f 2 B d B d /(f 2 B s B s )) should be calculated to 10%-20% accuracy within the next couple of years. THerefore, a measurement of x s can provide a precise measurement of the |V td /V ts | ratio. This information, coupled with the measurements of |V ub | and |V cb | from CLEO, enables an independent determination of the CKM unitarity triangle through a measurement of its sides, rather than angles. Present estimates for quantities entering the presented equation, predict a value of x s within a range of 10 to 30 within the Standard Model

  6. Not all coping strategies are created equal: a mixed methods study exploring physicians' self reported coping strategies

    Directory of Open Access Journals (Sweden)

    Wallace Jean E

    2010-07-01

    Full Text Available Abstract Background Physicians experience workplace stress and draw on different coping strategies. The primary goal of this paper is to use interview data to explore physicians' self reported coping strategies. In addition, questionnaire data is utilized to explore the degree to which the coping strategies are used and are associated with feelings of emotional exhaustion, a key symptom of burnout. Methods This mixed methods study explores factors related to physician wellness within a large health region in Western Canada. This paper focuses on the coping strategies that physicians use in response to work-related stress. The qualitative component explores physicians' self reported coping strategies through open ended interviews of 42 physicians representing diverse medical specialties and settings (91% response rate. The major themes extracted from the qualitative interviews were used to construct 12 survey items that were included in the comprehensive quantitative questionnaire. Questionnaires were sent to all eligible physicians in the health region with 1178 completed surveys (40% response rate. Questionnaire items were used to measure how often physicians draw on the various coping strategies. Feelings of burnout were also measured in the survey by 5 items from the Emotional Exhaustion subscale of the revised Maslach Burnout Inventory. Results Major themes identified from the interviews include coping strategies used at work (e.g., working through stress, talking with co-workers, taking a time out, using humor and after work (e.g., exercise, quiet time, spending time with family. Analysis of the questionnaire data showed three often used workplace coping strategies were positively correlated with feeling emotionally exhausted (i.e., keeping stress to oneself (r = .23, concentrating on what to do next (r = .16, and going on as if nothing happened (r = .07. Some less often used workplace coping strategies (e.g., taking a time out and all

  7. COMPARISON BETWEEN ULTRASONOGRAPHY RESULTS AND RESULTS OF MAGNETIC RESONANCE IN SHOULDER PATHOLOGY – CASE REPORT

    Directory of Open Access Journals (Sweden)

    Karmela Filipović

    2013-12-01

    Full Text Available The common pathological condition of the shoulder joint is rotator cuff diseases. Patient, 68 years, had pain in the shoulder with limited joint mobility. After clinical examination, blood tests (SE >100 nmol/L, CSF normal, hypergamma- globulinemia and radiographic examination (bone dilution with deformities of the humeral head, a solitary plasmocytoma was suspected. This diagnosis was excluded after biopsy. Patient was referred to the magnetic resonance imaging (MRI of the shoulder, so ultrasonographic (US examination was performed. Our case study points to comparability between US and MRI results regarding tendinitis of muscles in the rotator cuff. By applying both diagnostic methods, calcifications within muscle tendons were evident. Sonography is faster, cheaper, more accessible and readily available method that certainly is a valuable tool for clinicians when it comes to rotator cuff lesions.

  8. Mixed-oxide (MOX) fuel performance benchmark. Summary of the results for the PRIMO MOX rod BD8

    International Nuclear Information System (INIS)

    Ott, L.J.; Sartori, E.; Costa, A.; ); Sobolev, V.; Lee, B-H.; Alekseev, P.N.; Shestopalov, A.A.; Mikityuk, K.O.; Fomichenko, P.A.; Shatrova, L.P.; Medvedev, A.V.; Bogatyr, S.M.; Khvostov, G.A.; Kuznetsov, V.I.; Stoenescu, R.; Chatwin, C.P.

    2009-01-01

    The OECD/NEA Nuclear Science Committee has established an Expert Group that deals with the status and trends of reactor physics, nuclear fuel performance, and fuel cycle issues related to the disposition of weapons-grade plutonium as MOX fuel. The activities of the NEA Expert Group on Reactor-based Plutonium Disposition are carried out in close cooperation with the NEA Working Party on Scientific Issues in Reactor Systems (WPRS). A major part of these activities includes benchmark studies. This report describes the results of the PRIMO rod BD8 benchmark exercise, the second benchmark by the TFRPD relative to MOX fuel behaviour. The corresponding PRIMO experimental data have been released, compiled and reviewed for the International Fuel Performance Experiments (IFPE) database. The observed ranges (as noted in the text) in the predicted thermal and FGR responses are reasonable given the variety and combination of thermal conductivity and FGR models employed by the benchmark participants with their respective fuel performance codes

  9. Patient and public views about the security and privacy of Electronic Health Records (EHRs) in the UK: results from a mixed methods study.

    Science.gov (United States)

    Papoutsi, Chrysanthi; Reed, Julie E; Marston, Cicely; Lewis, Ruth; Majeed, Azeem; Bell, Derek

    2015-10-14

    Although policy discourses frame integrated Electronic Health Records (EHRs) as essential for contemporary healthcare systems, increased information sharing often raises concerns among patients and the public. This paper examines patient and public views about the security and privacy of EHRs used for health provision, research and policy in the UK. Sequential mixed methods study with a cross-sectional survey (in 2011) followed by focus group discussions (in 2012-2013). Survey participants (N = 5331) were recruited from primary and secondary care settings in West London (UK). Complete data for 2761 (51.8 %) participants were included in the final analysis for this paper. The survey results were discussed in 13 focus groups with people living with a range of different health conditions, and in 4 mixed focus groups with patients, health professionals and researchers (total N = 120). Qualitative data were analysed thematically. In the survey, 79 % of participants reported that they would worry about the security of their record if this was part of a national EHR system and 71 % thought the National Health Service (NHS) was unable to guarantee EHR safety at the time this work was carried out. Almost half (47 %) responded that EHRs would be less secure compared with the way their health record was held at the time of the survey. Of those who reported being worried about EHR security, many would nevertheless support their development (55 %), while 12 % would not support national EHRs and a sizeable proportion (33 %) were undecided. There were also variations by age, ethnicity and education. In focus group discussions participants weighed up perceived benefits against potential security and privacy threats from wider sharing of information, as well as discussing other perceived risks: commercial exploitation, lack of accountability, data inaccuracies, prejudice and inequalities in health provision. Patient and public worries about the security risks associated

  10. Inventory of concepts for mixed diesel fuels containing renewable components. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Kronberg, B. [Inst. for Surface Chemistry, Stockholm (Sweden); Berg, R. [Befri Konsult, Solna (Sweden); Berg, J. [Svenska Lantmaennen/Agro Oil, Stockholm (Sweden)

    2000-08-01

    The present report has involved the assembly of two sub-reports, which have been put together to form this final report. Both of the sub-reports deal with the incorporation of ethanol in diesel fuels. The potential advantages are the decreased net emissions of carbon dioxide, due to the renewable nature of ethanol (if obtained from renewable raw materials), and the decrease of NO{sub x} emissions, due to the decreased combustion temperature. The first sub-report is a compilation of scientific articles and patents/patent applications regarding the possibility to blend ethanol into diesel to form a stable solution in the form of a so called microemulsion, with the aid of surfactants and/or co-solvents. The second sub-report briefly describes the test work, both in the laboratory and in field tests, that is being done in various countries, regarding the blending of ethanol into diesel fuel.

  11. How bicycle level of traffic stress correlate with reported cyclist accidents injury severities: A geospatial and mixed logit analysis.

    Science.gov (United States)

    Chen, Chen; Anderson, Jason C; Wang, Haizhong; Wang, Yinhai; Vogt, Rachel; Hernandez, Salvador

    2017-11-01

    Transportation agencies need efficient methods to determine how to reduce bicycle accidents while promoting cycling activities and prioritizing safety improvement investments. Many studies have used standalone methods, such as level of traffic stress (LTS) and bicycle level of service (BLOS), to better understand bicycle mode share and network connectivity for a region. However, in most cases, other studies rely on crash severity models to explain what variables contribute to the severity of bicycle related crashes. This research uniquely correlates bicycle LTS with reported bicycle crash locations for four cities in New Hampshire through geospatial mapping. LTS measurements and crash locations are compared visually using a GIS framework. Next, a bicycle injury severity model, that incorporates LTS measurements, is created through a mixed logit modeling framework. Results of the visual analysis show some geospatial correlation between higher LTS roads and "Injury" type bicycle crashes. It was determined, statistically, that LTS has an effect on the severity level of bicycle crashes and high LTS can have varying effects on severity outcome. However, it is recommended that further analyses be conducted to better understand the statistical significance and effect of LTS on injury severity. As such, this research will validate the use of LTS as a proxy for safety risk regardless of the recorded bicycle crash history. This research will help identify the clustering patterns of bicycle crashes on high-risk corridors and, therefore, assist with bicycle route planning and policy making. This paper also suggests low-cost countermeasures or treatments that can be implemented to address high-risk areas. Specifically, with the goal of providing safer routes for cyclists, such countermeasures or treatments have the potential to substantially reduce the number of fatalities and severe injuries. Published by Elsevier Ltd.

  12. Elevated midbrain serotonin transporter availability in mixed mania: a case report

    Directory of Open Access Journals (Sweden)

    Kuikka Jyrki

    2004-09-01

    Full Text Available Abstract Background Results obtained from brain imaging studies indicate that serotonin transporter (SERT and dopamine transporter (DAT densities are altered in major depression. However, no such studies have been published on current mania or hypomania. Case presentation In this single photon emission computed tomography (SPECT study with [123I]nor-β-CIT we present a case with simultaneous symptoms of major depression and hypomania. She had an elevated serotonin transporter availability (SERT in the midbrain and elevated dopamine transporter availability (DAT in the striatum, which normalised in a one-year follow-up period during which she received eight months of psychodynamic psychotherapy. Conclusions To our knowledge, this is the first report on SERT and DAT associated with mania. In our case the availability of both SERT in the midbrain and DAT in the striatum were elevated at baseline and declined during psychotherapy, while the SERT and DAT of the depressed controls increased during psychotherapy. Symptoms of hypomania in the case were alleviated during psychotherapy. Clinical recovery was also reflected in the Hamilton Depression Rating Scale (HDRS scores.

  13. Nurses' perception of knowledge, attitudes and reported practice towards patients with eating disorders: A concurrent mixed-methods study.

    Science.gov (United States)

    Seah, Xin Yi; Tham, Xiang Cong; Kamaruzaman, Netty Ryanie; Yobas, Piyanee Klainin

    2018-02-01

    Eating disorders are complex disorders requiring specialised care, thus knowledge and attitudes are crucial for management. This study aims to examine nurses' knowledge, attitudes, reported practice, and perceptions towards patients with eating disorders in Singapore. A concurrent mixed-methods study was carried out in Southeast Asia's only psychiatric unit with eating disorders programme. Twenty nurses were recruited using census sampling. Quantitative data were analysed with descriptive and inferential statistics, while qualitative data were analysed with content and thematic analysis. Certain personal factors were associated with nurses' levels of perceived knowledge. Different attitudes towards managing these patients were identified during interview sessions. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Mixed waste management facility groundwater monitoring report. Fourth quarter 1996 and 1996 summary

    International Nuclear Information System (INIS)

    1997-03-01

    During fourth quarter 1996, nine constituents exceeded final Primary Drinking Water Standards (PDWS) in groundwater samples from downgradient monitoring wells at the Mixed Waste Management Facility. No constituents exceeded final PDWS in samples from the upgradient monitoring wells. As in previous quarters, tritium and trichloroethylene were the most widespread elevated constituents. Carbon tetrachloride, chloroethene, chloroform, 1,1-dichloroethylene, dichloromethane, gross alpha, and tetrachloroethylene also exceeded final PDWS in one or more wells. Elevated constituents were found in numerous Aquifer Zone llB2 (Water Table) and Aquifer Zone llB1 (Barnwell/McBean) wells and in six Aquifer Unit IIA (Congaree) wells. The groundwater flow directions and rates in the three hydrostratigraphic units were similar to those of previous quarters

  15. Mixed waste management facility groundwater monitoring report. Fourth quarter 1995 and 1995 summary

    International Nuclear Information System (INIS)

    1996-03-01

    During fourth quarter 1995, seven constituents exceeded final Primary Drinking Water Standards (PDWS) in groundwater samples from downgradient monitoring wells at the Mixed Waste Management Facility. No constituents exceeded final PDWS in samples from the upgradient monitoring wells. As in previous quarters, tritium and trichloroethylene were the most widespread elevated constituents. Chloroethene, gross alpha, lead, mercury, and tetrachloroethylene also exceeded final PDWS in one or more wells. Elevated constituents were found in numerous Aquifer Zone IIB 2 (Water Table) and Aquifer Zone IIB 1 (Barnwell/McBean) wells and in three Aquifer Unit IIA (Congaree) wells. The groundwater flow directions and rates in the three hydrostratigraphic units were similar to those of previous quarters

  16. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database.

    Science.gov (United States)

    Cooper, Jennifer; Edwards, Adrian; Williams, Huw; Sheikh, Aziz; Parry, Gareth; Hibbert, Peter; Butlin, Amy; Donaldson, Liam; Carson-Stevens, Andrew

    2017-09-01

    A culture of blame and fear of retribution are recognized barriers to reporting patient safety incidents. The extent of blame attribution in safety incident reports, which may reflect the underlying safety culture of health care systems, is unknown. This study set out to explore the nature of blame in family practice safety incident reports. We characterized a random sample of family practice patient safety incident reports from the England and Wales National Reporting and Learning System. Reports were analyzed according to prespecified classification systems to describe the incident type, contributory factors, outcomes, and severity of harm. We developed a taxonomy of blame attribution, and we then used descriptive statistical analyses to identify the proportions of blame types and to explore associations between incident characteristics and one type of blame. Health care professionals making family practice incident reports attributed blame to a person in 45% of cases (n = 975 of 2,148; 95% CI, 43%-47%). In 36% of cases, those who reported the incidents attributed fault to another person, whereas 2% of those reporting acknowledged personal responsibility. Blame was commonly associated with incidents where a complaint was anticipated. The high frequency of blame in these safety, incident reports may reflect a health care culture that leads to blame and retribution, rather than to identifying areas for learning and improvement, and a failure to appreciate the contribution of system factors in others' behavior. Successful improvement in patient safety through the analysis of incident reports is unlikely without achieving a blame-free culture. © 2017 Annals of Family Medicine, Inc.

  17. Deficits in knowledge, attitude, and practice towards blood culture sampling: results of a nationwide mixed-methods study among inpatient care physicians in Germany.

    Science.gov (United States)

    Raupach-Rosin, Heike; Duddeck, Arne; Gehrlich, Maike; Helmke, Charlotte; Huebner, Johannes; Pletz, Mathias W; Mikolajczyk, Rafael; Karch, André

    2017-08-01

    Blood culture (BC) sampling rates in Germany are considerably lower than recommended. Aim of our study was to assess knowledge, attitudes, and practice of physicians in Germany regarding BC diagnostics. We conducted a cross-sectional mixed-methods study among physicians working in inpatient care in Germany. Based on the results of qualitative focus groups, a questionnaire-based quantitative study was conducted in 2015-2016. In total, 706 medical doctors and final-year medical students from 11 out of 16 federal states in Germany participated. BC sampling was considered an important diagnostic tool by 95% of the participants. However, only 23% of them would collect BCs in three scenarios for which BC ordering is recommended by present guidelines in Germany; almost one out of ten physicians would not have taken blood cultures in any of the three scenarios. The majority of participants (74%) reported not to adhere to the guideline recommendation that blood culture sampling should include at least two blood culture sets from two different injection sites. High routine in blood culture sampling, perceived importance of blood culture diagnostics, the availability of an in-house microbiological lab, and the department the physician worked in were identified as predictors for good blood culture practice. Our study suggests that there are substantial deficits in BC ordering and the application of guidelines for good BC practice in Germany. Based on these findings, multimodal interventions appear necessary for improving BC diagnostics.

  18. Building America Residential System Research Results: Achieving 30% Whole House Energy Savings Level in the Hot-Dry and Mixed-Dry Climates

    Energy Technology Data Exchange (ETDEWEB)

    Building Industry Research Alliance (BIRA); Building Science Consortium (BSC); Consortium for Advanced Residential Buildings (CARB); Davis Energy Group (DEG); Florida Solar Energy Center (FSEC); IBACOS; National Association of Home Builders Research Center (NAHBRC); National Renewable Energy Laboratory (NREL)

    2006-01-01

    The Building America program conducts the system research required to reduce risks associated with the design and construction of homes that use an average of 30% to 90% less total energy for all residential energy uses than the Building America Research Benchmark, including research on homes that will use zero net energy on annual basis. To measure the program's progress, annual research milestones have been established for five major climate regions in the United States. The system research activities required to reach each milestone take from 3 to 5 years to complete and include research in individual test houses, studies in pre-production prototypes, and research studies with lead builders that provide early examples that the specified energy savings level can be successfully achieved on a production basis. This report summarizes research results for the 30% energy savings level and demonstrates that lead builders can successfully provide 30% homes in the Hot-Dry/Mixed-Dry Climate Region on a cost neutral basis.

  19. Building America Residential System Research Results: Achieving 30% Whole House Energy Savings Level in Mixed-Humid Climates; January 2006 - December 2006

    Energy Technology Data Exchange (ETDEWEB)

    Building America Industrialized Housing Partnership (BAIHP); Building Industry Research Alliance (BIRA); Building Science Consortium (BSC); Consortium for Advanced Residential Buildings (CARB); Davis Energy Group (DEG); IBACOS; National Association of Home Builders Research Center (NAHBRC); National Renewable Energy Laboratory (NREL)

    2006-12-01

    The Building America program conducts the system research required to reduce risks associated with the design and construction of homes that use an average of 30% to 90% less total energy for all residential energy uses than the Building America Research Benchmark, including research on homes that will use zero net energy on annual basis. To measure the program's progress, annual research milestones have been established for five major climate regions in the United States. The system research activities required to reach each milestone take from 3 to 5 years to complete and include research in individual test houses, studies in pre-production prototypes, and research studies with lead builders that provide early examples that the specified energy savings level can be successfully achieved on a production basis. This report summarizes research results for the 30% energy savings level and demonstrates that lead builders can successfully provide 30% homes in the Mixed-Humid Climate Region on a cost-neutral basis.

  20. Racial and Ethnic Disparities in Police-Reported Intimate Partner Violence Perpetration: A Mixed Methods Approach

    Science.gov (United States)

    Lipsky, Sherry; Cristofalo, Meg; Reed, Sarah; Caetano, Raul; Roy-Byrne, Peter

    2012-01-01

    The objectives of this study were to examine racial and ethnic disparities in perpetrator and incident characteristics and discrepancies between police charges and reported perpetrator behaviors in police-reported intimate partner violence (IPV). This cross-sectional study used standardized police data and victim narratives of IPV incidents…

  1. Results from MARBLE DT Experiments on the National Ignition Facility: Implosion of Foam-Filled Capsules for Studying Thermonuclear Burn in the Presence of Heterogeneous Mix

    Science.gov (United States)

    Murphy, T. J.; Douglas, M. R.; Cardenas, T.; Cooley, J. H.; Gunderson, M. A.; Haines, B. M.; Hamilton, C. E.; Kim, Y.; Lee, M. N.; Oertel, J. A.; Olson, R. E.; Randolph, R. B.; Shah, R. C.; Smidt, J. M.

    2017-10-01

    The MARBLE campaign on NIF investigates the effect of heterogeneous mix on thermonuclear burn for comparison to a probability distribution function (PDF) burn model. MARBLE utilizes plastic capsules filled with deuterated plastic foam and tritium gas. The ratio of DT to DD neutron yield is indicative of the degree to which the foam and the gas atomically mix. Platform development experiments have been performed to understand the behavior of the foam and of the gas separately using two types of capsule. The first experiments using deuterated foam and tritium gas have been performed. Results of these experiments, and the implications for our understanding of thermonuclear burn in heterogeneously mixed separated reactant experiments will be discussed. This work is supported by US DOE/NNSA, performed at LANL, operated by LANS LLC under contract DE-AC52-06NA25396.

  2. Crosslinkable mixed matrix membranes with surface modified molecular sieves for natural gas purification: I. Preparation and experimental results

    KAUST Repository

    Ward, Jason K.

    2011-07-01

    Dense film mixed matrix membranes (MMMs) comprised of SSZ-13 dispersed in a crosslinkable polyimide (PDMC) were fabricated and evaluated for carbon dioxide/methane separations. MMMs containing 25% (w/w) as-received (AR) SSZ-13 exhibited a carbon dioxide permeability of 153 Barrers with a carbon dioxide/methane ideal selectivity of 34.7 at 65. psia and 35 °C. This represents a permeability enhancement of 129% and a decline in selectivity of 4.7% over neat PDMC (PCO2=66.9 Barrers, αCO2/CH4=36.4). A sieve surface modification procedure was developed with the aim of improving SSZ-13/PDMC MMM transport properties. MMMs containing 25% (w/w) surface modified (SM) SSZ-13 exhibited a carbon dioxide permeability of 148 Barrers and carbon dioxide/methane selectivity of 38.9 at 65. psia and 35 °C, representing enhancements in both permeability and selectivity of 121% and 6.9%, respectively. Mixed gas permeation analyses of MMMs containing SM-SSZ-13 using a 10% carbon dioxide/90% methane mixture shows that permeability and selectivity enhancements of 47% and 13%, respectively, over neat PDMC are possible at 700. psia and 35 °C. © 2011 Elsevier B.V.

  3. Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study.

    Science.gov (United States)

    Van Bogaert, Peter; Peremans, Lieve; Van Heusden, Danny; Verspuy, Martijn; Kureckova, Veronika; Van de Cruys, Zoë; Franck, Erik

    2017-01-01

    High levels of work-related stress, burnout, job dissatisfaction, and poor health are common within the nursing profession. A comprehensive understanding of nurses' psychosocial work environment is necessary to respond to complex patients' needs. The aims of this study were threefold: (1) To retest and confirm two structural equation models exploring associations between practice environment and work characteristics as predictors of burnout (model 1) and engagement (model 2) as well as nurse-reported job outcome and quality of care; (2) To study staff nurses' and nurse managers' perceptions and experiences of staff nurses' workload; (3) To explain and interpret the two models by using the qualitative study findings. This mixed method study is based on an explanatory sequential study design. We first performed a cross-sectional survey design in two large acute care university hospitals. Secondly, we conducted individual semi-structured interviews with staff nurses and nurse managers assigned to medical or surgical units in one of the study hospitals. Study data was collected between September 2014 and June 2015. Finally, qualitative study results assisted in explaining and interpreting the findings of the two models. The two models with burnout and engagement as mediating outcome variables fitted sufficiently to the data. Nurse-reported job outcomes and quality of care explained variances between 52 and 62%. Nurse management at the unit level and workload had a direct impact on outcome variables with explained variances between 23 and 36% and between 12 and 17%, respectively. Personal accomplishment and depersonalization had an explained variance on job outcomes of 23% and vigor of 20%. Burnout and engagement had a less relevant direct impact on quality of care (≤5%). The qualitative study revealed various themes such as organisation of daily practice and work conditions; interdisciplinary collaboration, communication and teamwork; staff nurse personal

  4. Installation report : evaluation of recycled hot mix asphaltic concrete on Route 220.

    Science.gov (United States)

    1982-01-01

    This report describes a project in which the bituminous pavement on an approximately 8-mi. (13-km) section of roadway was removed, recycled through a conventional asphalt batch plant, and relaid. The project was accomplished with little difficulty an...

  5. 49 CFR 40.163 - How does the MRO report drug test results?

    Science.gov (United States)

    2010-10-01

    ... How does the MRO report drug test results? (a) As the MRO, it is your responsibility to report all... copy of that report in a format suitable for inspection and auditing by a DOT representative. (f) You...

  6. After-visit summaries in primary care: mixed methods results from a literature review and stakeholder interviews.

    Science.gov (United States)

    Lyles, Courtney R; Gupta, Reena; Tieu, Lina; Fernandez, Alicia

    2018-05-28

    After-visit summary (AVS) documents presenting key information from each medical encounter have become standard in the USA due to federal health care reform. Little is known about how they are used or whether they improve patient care. First, we completed a literature review and described the totality of the literature on AVS by article type and major outcome measures. Next, we used reputational sampling from large-scale US studies on primary care to identify and interview nine stakeholders on their perceptions of AVS across high-performing primary care practices. Interviews were transcribed and coded for AVS use in practice, perceptions of the best/worst features and recommendations for improving AVS utility in routine care. The literature review resulted in 17 studies; patients reported higher perceived value of AVS compared with providers, despite poor recall of specific AVS content and varied post-visit use. In key informant interviews, key informants expressed enthusiasm for the potential of using AVS to reinforce key information with patients, especially if AVS were customizable. Despite this potential, key informants found that AVS included incorrect information and did not feel that patients or their practices were using AVS to enhance care. There is a gap between the potential of AVS and how providers and patients are using it in routine care. Suggestions for improved use of AVS include increasing customization, establishing care team responsibilities and workflows and ensuring patients with communication barriers have dedicated support to review AVS during visits.

  7. Mixed Waste Management Facility (MWMF) groundwater monitoring report. Fourth quarter 1992 and 1992 summary

    Energy Technology Data Exchange (ETDEWEB)

    1993-03-01

    During fourth quarter 1992, nine constituents exceeded final Primary Drinking Water Standards (PDWS) in one or more groundwater samples from monitoring wells at the Mixed Waste Management Facility (MWMF) and adjacent facilities. As in previous quarters, tritium and trichloroethylene were the most widespread constituents. Fifty-seven (48%) of the 120 monitoring wells, contained elevated tritium activities, and 23 (19%) contained elevated trichloroethylene concentrations. Total alpha-emitting radium, tetrachloroethylene, chloroethene, cadmium, 1,1-dichloroethylene, lead, or nonvolatile beta levels exceeded standards in one or more wells. During 1992, elevated levels of 13 constituents were found in one or more of 80 of the 120 groundwater monitoring wells (67%) at the MWMF and adjacent facilities. Tritium and trichloroethylene exceeded their final PDWS more frequently and more consistently than did other constituents. Tritium activity exceeded its final PDWS m 67 wells and trichloroethylene was. elevated in 28 wells. Lead, tetrachloroethylene, total alpha-emitting radium, gross alpha, cadmium, chloroethene, 1,1-dichloroethylene 1,2-dichloroethane, mercury, or nitrate exceeded standards in one or more wells during the year. Nonvolatile beta exceeded its drinking water screening level in 3 wells during the year.

  8. Measurements and models for hazardous chemical and mixed wastes. 1998 annual progress report

    International Nuclear Information System (INIS)

    Holcomb, C.; Louie, B.; Mullins, M.E.; Outcalt, S.L.; Rogers, T.N.; Watts, L.

    1998-01-01

    'Aqueous waste of various chemical compositions constitutes a significant fraction of the total waste produced by industry in the US. A large quantity of the waste generated by the US chemical process industry is waste water. In addition, the majority of the waste inventory at DoE sites previously used for nuclear weapons production is aqueous waste. Large quantities of additional aqueous waste are expected to be generated during the clean-up of those sites. In order to effectively treat, safely handle, and properly dispose of these wastes, accurate and comprehensive knowledge of basic thermophysical property information is paramount. This knowledge will lead to huge savings by aiding in the design and optimization of treatment and disposal processes. The main objectives of this project are: Develop and validate models that accurately predict the phase equilibria and thermodynamic properties of hazardous aqueous systems necessary for the safe handling and successful design of separation and treatment processes for hazardous chemical and mixed wastes. Accurately measure the phase equilibria and thermodynamic properties of a representative system (water + acetone + isopropyl alcohol + sodium nitrate) over the applicable ranges of temperature, pressure, and composition to provide the pure component, binary, ternary, and quaternary experimental data required for model development. As of May, 1998, nine months into the first year of a three year project, the authors have made significant progress in the database development, have begun testing the models, and have been performance testing the apparatus on the pure components.'

  9. Thrombotic Thrombocytopenic Purpura Associated with Mixed Connective Tissue Disease: A Case Report

    Directory of Open Access Journals (Sweden)

    João Tadeu Damian Souto Filho

    2011-01-01

    Full Text Available Thrombotic thrombocytopenic purpura (TTP is a multisystemic disorder characterized by microangiopathic hemolytic anemia and thrombocytopenia, which may be accompanied by fever, renal, or neurologic abnormalities. Cases are divided into acute idiopathic TTP and secondary TTP. Autoimmune diseases, especially systemic lupus erythematosus, in association with TTP have been described so far in many patients. In contrast, TTP occurring in a patient with mixed connected tissue disease (MCTD is extremely rare and has only been described in nine patients. We describe the case of a 42-year-old female with MCTD who developed thrombocytopenia, microangiopathic hemolytic anemia, fever, and neurological symptoms. The patient had a good clinical evolution with infusion of high volume of fresh frozen plasma, steroid therapy, and support in an intensive care unit. Although the occurrence of TTP is rare in MCTD patients, it is important to recognize TTP as a cause of thrombocytopenia and hemolytic anemia in any patient with autoimmune diseases. Prompt institution of treatment remains the cornerstone of treatment of TTP even if plasma exchange is not available like what frequently happens in developing countries.

  10. Three case studies involving Leptospira interrogans serovar pomona infection in mixed farming units : case report

    Directory of Open Access Journals (Sweden)

    B. Gummow

    1999-07-01

    Full Text Available Three case studies involving Leptospira interrogans serovar pomona outbreaks within mixed farming systems in South Africa are described. On 2 farms, pigs constituted the main enterprise with cattle and sheep of secondary importance. On each of these 2 farms, abortion due to L. pomona in sows was confirmed by culture, and antibody titres to pomona were detected in cattle, sheep, horses and dogs. On the 3rd farm, a piggery was ofsecondary importance to cattle farming. Abortion and death in cows occurred on this farmand serology showed titres to various serovars, including pomona. L. pomona was also isolated from bovine urine, an aborted bovine foetus and kidneys from slaughtered pigs. This particular case study was regarded as clinically atypical in that adult Jersey cattle died of acute leptospirosis in a semiarid region of South Africa. In all 3 case studies, the poor management of pig effluent and of the drinking water and its sources played a pivotal role in the transmission of the disease. Inadequate vaccination of animals against Leptospira and poor record-keeping within the secondary farming enterprises were also contributing factors to the spread of leptospirosis.

  11. US Department of Energy interim mixed waste inventory report: Waste streams, treatment capacities and technologies: Volume 4, Site specific---Ohio through South Carolina

    International Nuclear Information System (INIS)

    1993-04-01

    The Department of Energy (DOE) has prepared this report to provide an inventory of its mixed wastes and treatment capacities and technologies in response to Section 105(a) of the Federal Facility Compliance Act (FFCAct) of 1992 (Pub. L. No. 102-386). As required by the FFCAct-1992, this report provides site-specific information on DOE's mixed waste streams and a general review of available and planned treatment facilities for mixed wastes at the following five Ohio facilities: Battelle Columbus Laboratories; Fernald Environmental Management Project; Mound Plant; Portsmouth Gaseous Diffusion Plant; and RMI, Titanium Company

  12. Cyanide destruction/immobilization of residual sludge - mixed waste focus area. Innovative Technology Summary Report

    International Nuclear Information System (INIS)

    1998-02-01

    Innovative Technology Summary Reports are designed to provide potential users with the information they need to quickly determine if a technology would apply to a particular environmental management problem. They are also designed for readers who may recommend that a technology be considered by prospective users. Each report describes a technology, system, or process that has been developed and tested with funding from DOE's Office of Science and Technology (OST). A report presents the full range of problems that a technology, system, or process will address and its advantages to the DOE cleanup in terms of system performance, cost, and cleanup effectiveness. Most reports include comparisons to baseline technologies as well as other competing technologies. Information about commercial availability and technology readiness for implementation is also included. Innovative Technology Summary Reports are intended to provide summary information. References for more detailed information are provided in an appendix. Efforts have been made to provide key data describing the performance, cost, and regulatory acceptance of the technology. If this information was not available at the time of publication, the omission is noted

  13. V-notch tip subjected to in-plane mixed mode loading: overview of recent results and possible future outcomes

    Directory of Open Access Journals (Sweden)

    F. Berto

    2017-07-01

    Full Text Available . The fictitious notch rounding concept is applied for the first time to V-notches with root hole subjected to in-plane mixed mode loading. Outof-bisector crack propagation is taken into account. The fictitious notch radius is determined as a function of the real notch radius, the microstructural support length and the notch opening angle. Due to the complexity of the problem, a method based on the simple normal stress failure criterion has been used. It is combined with the maximum tangential stress criterion to determine the crack propagation angle. An analytical method based on Neuber's procedure has been developed. The method provides the values of the microstructural support factor as a function of the mode ratio and the notch opening angle. The support factor is considered to be independent of the microstructural support length. Finally, for comparison, the support factor is determined on a purely numerical basis by iterative analysis of FE models.

  14. Paraneoplastic limbic encephalitis associated with mixed olfactory neuroblastoma and craniopharyngioma: A case report and literature review.

    Science.gov (United States)

    Nagafuji, Hiroshi; Yokoi, Hidenori; Fujiwara, Masachika; Sato, Dai; Saito, Koichiro

    2018-06-01

    Paraneoplastic limbic encephalitis (PLE) is a rare disorder of the nervous system associated with malignant disease. It has a subacute onset with the following symptoms: cognitive dysfunction, seizures, irritability, hallucinations, and short-term memory loss. Herein, we report the case of a 35-year-old man with PLE, an olfactory neuroblastoma (ONB) admixed with craniopharyngioma, and serum anti-Hu antibodies. The patient presented with generalized seizures, short-term memory loss, and a polypoid mass located high in the nasal cavity. He underwent surgical resection of the tumor and postoperative chemoradiotherapy with concurrent intra-arterial cisplatin administration. Pathological examination indicated an ONB admixed with craniopharyngioma. The patient's neurological symptoms gradually diminished after surgery. No evidence of recurrence was observed during a 4-year follow-up. We reported a histologically unusual heterogeneous tumor that comprised ONB and craniopharyngioma. This is the first reported case of PLE with anti-Hu antibodies possibly associated with ONB admixed with craniopharyngioma.

  15. The Role of Complex Treatment in Mixed Leg Ulcers - A Case Report of Vascular, Surgical and Physical Therapy.

    Science.gov (United States)

    Wollina, Uwe; Heinig, Birgit; Stelzner, Christian; Hansel, Gesina; Schönlebe, Jacqueline; Tchernev, Georgi; Lotti, Torello

    2018-01-25

    Leg ulcers are a burden to patients, their families and society. The second most common cause of chronic leg ulcers is the mixed arterio-venous type. An 80-year-old female patient presented to our department due to painful enlarging chronic leg ulcer of mixed arteriovenous origin on her left lower leg. She suffered from peripheral arterial occlusive disease stage I and chronic venous insufficiency Widmer grade IIIa, and a number of comorbidities. The aim of our ulcer treatment was a complete and stable wound closure that was hampered by arterial occlusion, exposed tendon, and renal insiffuciency. To improve the prognosis for ulcer surgery, we performed percutaneous transluminal angioplasty, transcutaneous CO 2 and deep ulcer shaving. The wound was closed by sandwich transplantation using elastin-collagen dermal template and meshed split skin graft. She had a 100% graft take with rapid reduction of severe wound pain. Complex approaches are necessary, to gain optimum results in leg ulcer therapy in mixed leg ulcers. Therapeutic nihilism should be abandonend.

  16. Report: risk factors associated with treatment of mixed municipal solid waste in the Indian context.

    Science.gov (United States)

    Nema, Asit

    2009-12-01

    Across India, all small and large urban local bodies (ULB) alike are grappling with the problem of municipal solid waste (MSW), which has reached critical dimensions because of, among others, rapidly increasing quantities and complex characteristics, inadequate regulation, lack of awareness, concern and cooperation on the part of the urban residents, limited resources for collection, transport and safe disposal, and limited expertise on the part of the ULBs. A number of ULBs have attempted to address the two-fold constraint of resources and land by setting up treatment plants under the premise of generating revenue and reducing liability of safe disposal. Over the last three decades, under the paradigms of converting 'waste to energy' and 'waste to wealth' various technologies have been tried out, however time and again it is seen that irrespective of the technology, MSW treatment plants run in to difficulties and/or close down. The issues do not pertain just to technology but are systemic and encompass project development, feedstock delivery system including quality and quantity, climate, high life-cycle costs, low value realization on outputs and adverse environmental and social impacts. With such a wide range of risk factors, experience has shown that the probability of manifestation of any one of them or a combination thereof at one or the other stages of the project is quite high. Investment in a mixed MSW treatment plant therefore can not deliver positive financial returns, rather it can become a non-performing asset without even guaranteeing the desired environmental and public health benefits. This paper therefore argues for the adoption of a robust, elastic and most forgiving option of sanitary landfill as a dependable and safe disposal system for MSW.

  17. Report to the 12th. Meeting of the Brazil-FRG Mixed Commission

    International Nuclear Information System (INIS)

    1983-01-01

    This report presents the main agreements between the Governments of the Federal Republic of Germany for Nuclear Research and Technology Development Cooperative Program, including the CNEN-FRG cooperation activities during 1982 and the CNEN-FRG proposed cooperation program for 1983. (E.O.)

  18. Lessons Learned Report for the radioactive mixed waste land disposal facility (Trench 31, Project W-025)

    International Nuclear Information System (INIS)

    Irons, L.G.

    1995-01-01

    This report presents the lessons learned from a project that involved modification to the existing burial grounds at the Hanford Reservation. This project has been focused on the development and operation of a Resource Conservation and Recovery Act compliant landfill which will accept low-level radioactive wastes that have been placed in proper containers

  19. Recycling of asphalt concrete : Oregon's first hot mix project : interim report.

    Science.gov (United States)

    1977-11-01

    The need to reduce fuel consumption and conserve natural resources have been items of ever-increasing importance during recent years. This report discusses a project in which almost 50,000 tons of asphalt concrete placed to carry detour traffic durin...

  20. Report of the research results for the peaceful uses of atomic energy

    International Nuclear Information System (INIS)

    1981-01-01

    In this report, the results of the test and research on the peaceful uses of atomic energy, performed in national test and research institutes in fiscal year 1979, are summarized. This is the 20th report, since the first report was published in 1961, and was compiled by the Atomic Energy Bureau, Science and Technology Agency. 7 reports on nuclear fusion, 9 reports on technological safety research, 9 reports on environmental radioactivity and safety research, 13 reports on food irradiation, 5 reports on the countermeasures against cancers, 16 reports on fertilized soils, 11 reports on the improvement of plant species, 12 reports on the protection of farm products, 14 reports on the improvement of cattle breeding, 11 reports on diagnosis and treatment, 5 reports on medicines, 7 reports on environmental hygiene, 28 reports on the application to living body pathology, 9 reports on radiochemistry, 9 reports on radiation measurement, 1 report on process analysis, 3 reports on nuclear reactor materials, 3 reports on nuclear-powered ships, 4 reports on civil engineering, 3 reports on radioactivation analysis and 2 reports on injury prevention research are summarized. (Kako, I.)

  1. ADVANCED MIXING MODELS

    International Nuclear Information System (INIS)

    Lee, S; Richard Dimenna, R; David Tamburello, D

    2008-01-01

    The process of recovering the waste in storage tanks at the Savannah River Site (SRS) typically requires mixing the contents of the tank with one to four dual-nozzle jet mixers located within the tank. The typical criteria to establish a mixed condition in a tank are based on the number of pumps in operation and the time duration of operation. To ensure that a mixed condition is achieved, operating times are set conservatively long. This approach results in high operational costs because of the long mixing times and high maintenance and repair costs for the same reason. A significant reduction in both of these costs might be realized by reducing the required mixing time based on calculating a reliable indicator of mixing with a suitably validated computer code. The work described in this report establishes the basis for further development of the theory leading to the identified mixing indicators, the benchmark analyses demonstrating their consistency with widely accepted correlations, and the application of those indicators to SRS waste tanks to provide a better, physically based estimate of the required mixing time. Waste storage tanks at SRS contain settled sludge which varies in height from zero to 10 ft. The sludge has been characterized and modeled as micron-sized solids, typically 1 to 5 microns, at weight fractions as high as 20 to 30 wt%, specific gravities to 1.4, and viscosities up to 64 cp during motion. The sludge is suspended and mixed through the use of submersible slurry jet pumps. To suspend settled sludge, water is added to the tank as a slurry medium and stirred with the jet pump. Although there is considerable technical literature on mixing and solid suspension in agitated tanks, very little literature has been published on jet mixing in a large-scale tank. If shorter mixing times can be shown to support Defense Waste Processing Facility (DWPF) or other feed requirements, longer pump lifetimes can be achieved with associated operational cost and

  2. ADVANCED MIXING MODELS

    Energy Technology Data Exchange (ETDEWEB)

    Lee, S; Richard Dimenna, R; David Tamburello, D

    2008-11-13

    The process of recovering the waste in storage tanks at the Savannah River Site (SRS) typically requires mixing the contents of the tank with one to four dual-nozzle jet mixers located within the tank. The typical criteria to establish a mixed condition in a tank are based on the number of pumps in operation and the time duration of operation. To ensure that a mixed condition is achieved, operating times are set conservatively long. This approach results in high operational costs because of the long mixing times and high maintenance and repair costs for the same reason. A significant reduction in both of these costs might be realized by reducing the required mixing time based on calculating a reliable indicator of mixing with a suitably validated computer code. The work described in this report establishes the basis for further development of the theory leading to the identified mixing indicators, the benchmark analyses demonstrating their consistency with widely accepted correlations, and the application of those indicators to SRS waste tanks to provide a better, physically based estimate of the required mixing time. Waste storage tanks at SRS contain settled sludge which varies in height from zero to 10 ft. The sludge has been characterized and modeled as micron-sized solids, typically 1 to 5 microns, at weight fractions as high as 20 to 30 wt%, specific gravities to 1.4, and viscosities up to 64 cp during motion. The sludge is suspended and mixed through the use of submersible slurry jet pumps. To suspend settled sludge, water is added to the tank as a slurry medium and stirred with the jet pump. Although there is considerable technical literature on mixing and solid suspension in agitated tanks, very little literature has been published on jet mixing in a large-scale tank. If shorter mixing times can be shown to support Defense Waste Processing Facility (DWPF) or other feed requirements, longer pump lifetimes can be achieved with associated operational cost and

  3. Cassandra - D7.3.5 - M30 status : Report dissemination results

    NARCIS (Netherlands)

    Klievink, A.J.

    2014-01-01

    This deliverable is a status report on the dissemination activities and results in the CASSANDRA project. These status reports are made regularly, with one more to come at the project’s finish. Together, these make up deliverable D7.3 – Dissemination results. In this report, the results of the

  4. Cassandra - D7.3.4 - M24 status report dissemination results

    NARCIS (Netherlands)

    Klievink, A.J.

    2013-01-01

    This deliverable is a status report on the dissemination activities and results in the CASSANDRA project. These status reports are made regularly, with two more to come. Together, these make up deliverable D7.3 – Dissemination results. In this fifth report, the results of the dissemination

  5. Europe sees mixed results from public-private partnerships for building and managing health care facilities and services.

    Science.gov (United States)

    Barlow, James; Roehrich, Jens; Wright, Steve

    2013-01-01

    Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such public-private partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date, experience with these partnerships has been mixed. Early models of these partnerships-for example, in which a private firm builds a hospital and carries out building maintenance, which we term an "accommodation-only" model-arguably have not met expectations for achieving greater efficiencies at lower costs. Newer models described in this article offer greater opportunities for efficiency gains but are administratively harder to set up and manage. Given the shortages in public capital for new infrastructure, it seems likely that the attractiveness of these partnerships to European governments will grow.

  6. ADVANCED MIXING MODELS

    Energy Technology Data Exchange (ETDEWEB)

    Lee, S; Dimenna, R; Tamburello, D

    2011-02-14

    The process of recovering and processing High Level Waste (HLW) the waste in storage tanks at the Savannah River Site (SRS) typically requires mixing the contents of the tank with one to four mixers (pumps) located within the tank. The typical criteria to establish a mixed condition in a tank are based on the number of pumps in operation and the time duration of operation. To ensure that a mixed condition is achieved, operating times are typically set conservatively long. This approach results in high operational costs because of the long mixing times and high maintenance and repair costs for the same reason. A significant reduction in both of these costs might be realized by reducing the required mixing time based on calculating a reliable indicator of mixing with a suitably validated computer code. The focus of the present work is to establish mixing criteria applicable to miscible fluids, with an ultimate goal of addressing waste processing in HLW tanks at SRS and quantifying the mixing time required to suspend sludge particles with the submersible jet pump. A single-phase computational fluid dynamics (CFD) approach was taken for the analysis of jet flow patterns with an emphasis on the velocity decay and the turbulent flow evolution for the farfield region from the pump. Literature results for a turbulent jet flow are reviewed, since the decay of the axial jet velocity and the evolution of the jet flow patterns are important phenomena affecting sludge suspension and mixing operations. The work described in this report suggests a basis for further development of the theory leading to the identified mixing indicators, with benchmark analyses demonstrating their consistency with widely accepted correlations. Although the indicators are somewhat generic in nature, they are applied to Savannah River Site (SRS) waste tanks to provide a better, physically based estimate of the required mixing time. Waste storage tanks at SRS contain settled sludge which varies in

  7. Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? Results from a Quantitative Analysis of the English National Reporting and Learning System Data.

    Science.gov (United States)

    Howell, Ann-Marie; Burns, Elaine M; Bouras, George; Donaldson, Liam J; Athanasiou, Thanos; Darzi, Ara

    2015-01-01

    The National Reporting and Learning System (NRLS) collects reports about patient safety incidents in England. Government regulators use NRLS data to assess the safety of hospitals. This study aims to examine whether annual hospital incident reporting rates can be used as a surrogate indicator of individual hospital safety. Secondly assesses which hospital characteristics are correlated with high incident reporting rates and whether a high reporting hospital is safer than those lower reporting hospitals. Finally, it assesses which health-care professionals report more incidents of patient harm, which report more near miss incidents and what hospital factors encourage reporting. These findings may suggest methods for increasing the utility of reporting systems. This study used a mix methods approach for assessing NRLS data. The data were investigated using Pareto analysis and regression models to establish which patients are most vulnerable to reported harm. Hospital factors were correlated with institutional reporting rates over one year to examine what factors influenced reporting. Staff survey findings regarding hospital safety culture were correlated with reported rates of incidents causing harm; no harm and death to understand what barriers influence error disclosure. 5,879,954 incident reports were collected from acute hospitals over the decade. 70.3% of incidents produced no harm to the patient and 0.9% were judged by the reporter to have caused severe harm or death. Obstetrics and Gynaecology reported the most no harm events [OR 1.61(95%CI: 1.12 to 2.27), p<0.01] and pharmacy was the hospital location where most near-misses were captured [OR 3.03(95%CI: 2.04 to 4.55), p<0.01]. Clinicians were significantly more likely to report death than other staff [OR 3.04(95%CI: 2.43 to 3.80) p<0.01]. A higher ratio of clinicians to beds correlated with reduced rate of harm reported [RR = -1.78(95%Cl: -3.33 to -0.23), p = 0.03]. Litigation claims per bed were

  8. Mixed endometrial stromal and smooth muscle tumor: report of a case with focal anaplasia and early postoperative lung metastasis.

    Science.gov (United States)

    Shintaku, Masayuki; Hashimoto, Hiromi

    2013-04-01

    A rare case of a mixed endometrial stromal and smooth muscle tumor arising in the uterus of a 74-year-old woman is reported. The patient underwent hysterectomy for an enlarging uterine mass, and a large intramural tumor, showing marked central hyaline necrosis with calcification, was found. The tumor consisted of an admixture of a low-grade endometrial stromal sarcoma (ESS) and a fascicular proliferation of spindle cells suggesting smooth muscle differentiation, and a characteristic 'star-burst' appearance was found. In the ESS region, there were a few small foci of anaplasia where large polygonal cells with atypical nuclei and abundant eosinophilic cytoplasm proliferated, and the proliferative activity was locally increased in these foci. A small metastatic nodule appeared in the lung nine months after the hysterectomy, and the resected metastatic lesion showed features of anaplastic spindle cell sarcoma which was immunoreactive for CD10 but not for smooth muscle markers. Mixed endometrial stromal and smooth muscle tumors should be regarded as malignant neoplasms with the potential for hematogenous metastasis, particularly when they contain foci of cellular anaplasia. © 2013 The Authors. Pathology International © 2013 Japanese Society of Pathology and Wiley Publishing Asia Pty Ltd.

  9. Mixed Cutaneous Infection Caused by Mycobacterium szulgai and Mycobacterium intermedium in a Healthy Adult Female: A Rare Case Report

    Directory of Open Access Journals (Sweden)

    Amresh Kumar Singh

    2015-01-01

    Full Text Available Nontuberculous mycobacteria (NTMs are ubiquitous and are being increasingly reported as human opportunistic infection. Cutaneous infection caused by mixed NTM is extremely rare. We encountered the case of a 46-year-old female, who presented with multiple discharging sinuses over the lower anterior abdominal wall (over a previous appendectomy scar for the past 2 years. Microscopy and culture of the pus discharge were done to isolate and identify the etiological agent. Finally, GenoType Mycobacterium CM/AS assay proved it to be a mixed infection caused by Mycobacterium szulgai and M. intermedium. The patient was advised a combination of rifampicin 600 mg once daily, ethambutol 600 mg once daily, and clarithromycin 500 mg twice daily to be taken along with periodic follow-up based upon clinical response as well as microbiological response. We emphasize that infections by NTM must be considered in the etiology of nonhealing wounds or sinuses, especially at postsurgical sites.

  10. Healthcare experiences of gender diverse Australians: a mixed-methods, self-report survey.

    Science.gov (United States)

    Riggs, Damien W; Coleman, Katrina; Due, Clemence

    2014-03-06

    To date the healthcare experiences of gender diverse Australians have received little attention. Previous international research indicates a range of both negative and positive healthcare experiences amongst this diverse population, with negative experiences being those most frequently reported. An online survey was designed to examine the healthcare experiences of gender diverse Australians. The survey included Likert scales asking participants to rate their mental and physical health, and their experiences with psychiatrists, general practitioners and surgeons (in terms of perceived comfort, discrimination and information provision). Open-ended questions provided the opportunity for participants to further elaborate on their experiences. Data were collected between June 2012 and July 2013. Quantitative data analysis was conducted utilising SPSS 17.0, including ANCOVAs and correlations to examine the relationships between variables. Qualitative data were coded by the authors in terms of negative or positive responses and the validity of ratings were assessed utilising Cohen's kappa. 110 people assigned male at birth (MAAB) and 78 people assigned female at birth (FAAB) completed two separate surveys. All identified as gender diverse as defined in this paper. 70% of participants had accessed a psychiatrist. Participants MAAB rated their experiences with psychiatrists more highly than participants FAAB. 80% of participants had accessed a general practitioner. Comfort with, and respect from, general practitioners were both positively correlated with mental health, whilst discrimination was negatively correlated with mental health. 42.5% of participants had undertaken sex-affirming surgery. Those who had such surgery reported higher levels of physical and mental health than those who had not undertaken surgery. Participants MAAB reported more positive experiences of surgery than did participants FAAB. Findings highlight the need for increased education of medical

  11. Technical area status report for low-level mixed waste final waste forms

    International Nuclear Information System (INIS)

    Mayberry, J.L.; DeWitt, L.M.; Darnell, R.

    1993-08-01

    The Final Waste Forms (FWF) Technical Area Status Report (TASR) Working Group, the Vitrification Working Group (WG), and the Performance Standards Working Group were established as subgroups to the FWF Technical Support Group (TSG). The FWF TASR WG is comprised of technical representatives from most of the major DOE sites, the Nuclear Regulatory Commission (NRC), the EPA Office of Solid Waste, and the EPA's Risk Reduction Engineering Laboratory (RREL). The primary activity of the FWF TASR Working Group was to investigate and report on the current status of FWFs for LLNM in this TASR. The FWF TASR Working Group determined the current status of the development of various waste forms described above by reviewing selected articles and technical reports, summarizing data, and establishing an initial set of FWF characteristics to be used in evaluating candidate FWFS; these characteristics are summarized in Section 2. After an initial review of available information, the FWF TASR Working Group chose to study the following groups of final waste forms: hydraulic cement, sulfur polymer cement, glass, ceramic, and organic binders. The organic binders included polyethylene, bitumen, vinyl ester styrene, epoxy, and urea formaldehyde. Section 3 provides a description of each final waste form. Based on the literature review, the gaps and deficiencies in information were summarized, and conclusions and recommendations were established. The information and data presented in this TASR are intended to assist the FWF Production and Assessment TSG in evaluating the Technical Task Plans (TTPs) submitted to DOE EM-50, and thus provide DOE with the necessary information for their FWF decision-making process. This FWF TASR will also assist the DOE and the MWIP in establishing the most acceptable final waste forms for the various LLMW streams stored at DOE facilities

  12. Technical area status report for low-level mixed waste final waste forms. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Mayberry, J.L.; DeWitt, L.M. [Science Applications International Corp., Idaho Falls, ID (United States); Darnell, R. [EG and G Idaho, Inc., Idaho Falls, ID (United States)] [and others

    1993-08-01

    The Final Waste Forms (FWF) Technical Area Status Report (TASR) Working Group, the Vitrification Working Group (WG), and the Performance Standards Working Group were established as subgroups to the FWF Technical Support Group (TSG). The FWF TASR WG is comprised of technical representatives from most of the major DOE sites, the Nuclear Regulatory Commission (NRC), the EPA Office of Solid Waste, and the EPA`s Risk Reduction Engineering Laboratory (RREL). The primary activity of the FWF TASR Working Group was to investigate and report on the current status of FWFs for LLNM in this TASR. The FWF TASR Working Group determined the current status of the development of various waste forms described above by reviewing selected articles and technical reports, summarizing data, and establishing an initial set of FWF characteristics to be used in evaluating candidate FWFS; these characteristics are summarized in Section 2. After an initial review of available information, the FWF TASR Working Group chose to study the following groups of final waste forms: hydraulic cement, sulfur polymer cement, glass, ceramic, and organic binders. The organic binders included polyethylene, bitumen, vinyl ester styrene, epoxy, and urea formaldehyde. Section 3 provides a description of each final waste form. Based on the literature review, the gaps and deficiencies in information were summarized, and conclusions and recommendations were established. The information and data presented in this TASR are intended to assist the FWF Production and Assessment TSG in evaluating the Technical Task Plans (TTPs) submitted to DOE EM-50, and thus provide DOE with the necessary information for their FWF decision-making process. This FWF TASR will also assist the DOE and the MWIP in establishing the most acceptable final waste forms for the various LLMW streams stored at DOE facilities.

  13. Impact of case-mix on comparisons of patient-reported experience in NHS acute hospital trusts in England.

    Science.gov (United States)

    Raleigh, Veena; Sizmur, Steve; Tian, Yang; Thompson, James

    2015-04-01

    To examine the impact of patient-mix on National Health Service (NHS) acute hospital trust scores in two national NHS patient surveys. Secondary analysis of 2012 patient survey data for 57,915 adult inpatients at 142 NHS acute hospital trusts and 45,263 adult emergency department attendees at 146 NHS acute hospital trusts in England. Changes in trust scores for selected questions, ranks, inter-trust variance and score-based performance bands were examined using three methods: no adjustment for case-mix; the current standardization method with weighting for age, sex and, for inpatients only, admission method; and a regression model adjusting in addition for ethnicity, presence of a long-term condition, proxy response (inpatients only) and previous emergency attendances (emergency department survey only). For both surveys, all the variables examined were associated with patients' responses and affected inter-trust variance in scores, although the direction and strength of impact differed between variables. Inter-trust variance was generally greatest for the unadjusted scores and lowest for scores derived from the full regression model. Although trust scores derived from the three methods were highly correlated (Kendall's tau coefficients 0.70-0.94), up to 14% of trusts had discordant ranks of when the standardization and regression methods were compared. Depending on the survey and question, up to 14 trusts changed performance bands when the regression model with its fuller case-mix adjustment was used rather than the current standardization method. More comprehensive case-mix adjustment of patient survey data than the current limited adjustment reduces performance variation between NHS acute hospital trusts and alters the comparative performance bands of some trusts. Given the use of these data for high-impact purposes such as performance assessment, regulation, commissioning, quality improvement and patient choice, a review of the long-standing method for analysing

  14. Justice Is the Missing Link in One Health: Results of a Mixed Methods Study in an Urban City State.

    Directory of Open Access Journals (Sweden)

    Tamra Lysaght

    Full Text Available One Health (OH is an interdisciplinary collaborative approach to human and animal health that aims to break down conventional research and policy 'silos'. OH has been used to develop strategies for zoonotic Emerging Infectious Diseases (EID. However, the ethical case for OH as an alternative to more traditional public health approaches is largely absent from the discourse. To study the ethics of OH, we examined perceptions of the human health and ecological priorities for the management of zoonotic EID in the Southeast Asia country of Singapore.We conducted a mixed methods study using a modified Delphi technique with a panel of 32 opinion leaders and 11 semi-structured interviews with a sub-set of those experts in Singapore. Panellists rated concepts of OH and priorities for zoonotic EID preparedness planning using a series of scenarios developed through the study. Interview data were examined qualitatively using thematic analysis.We found that panellists agreed that OH is a cross-disciplinary collaboration among the veterinary, medical, and ecological sciences, as well as relevant government agencies encompassing animal, human, and environmental health. Although human health was often framed as the most important priority in zoonotic EID planning, our qualitative analysis suggested that consideration of non-human animal health and welfare was also important for an effective and ethical response. The panellists also suggested that effective pandemic planning demands regional leadership and investment from wealthier countries to better enable international cooperation.We argue that EID planning under an OH approach would benefit greatly from an ethical ecological framework that accounts for justice in human, animal, and environmental health.

  15. Justice Is the Missing Link in One Health: Results of a Mixed Methods Study in an Urban City State.

    Science.gov (United States)

    Lysaght, Tamra; Capps, Benjamin; Bailey, Michele; Bickford, David; Coker, Richard; Lederman, Zohar; Watson, Sangeetha; Tambyah, Paul Anantharajah

    2017-01-01

    One Health (OH) is an interdisciplinary collaborative approach to human and animal health that aims to break down conventional research and policy 'silos'. OH has been used to develop strategies for zoonotic Emerging Infectious Diseases (EID). However, the ethical case for OH as an alternative to more traditional public health approaches is largely absent from the discourse. To study the ethics of OH, we examined perceptions of the human health and ecological priorities for the management of zoonotic EID in the Southeast Asia country of Singapore. We conducted a mixed methods study using a modified Delphi technique with a panel of 32 opinion leaders and 11 semi-structured interviews with a sub-set of those experts in Singapore. Panellists rated concepts of OH and priorities for zoonotic EID preparedness planning using a series of scenarios developed through the study. Interview data were examined qualitatively using thematic analysis. We found that panellists agreed that OH is a cross-disciplinary collaboration among the veterinary, medical, and ecological sciences, as well as relevant government agencies encompassing animal, human, and environmental health. Although human health was often framed as the most important priority in zoonotic EID planning, our qualitative analysis suggested that consideration of non-human animal health and welfare was also important for an effective and ethical response. The panellists also suggested that effective pandemic planning demands regional leadership and investment from wealthier countries to better enable international cooperation. We argue that EID planning under an OH approach would benefit greatly from an ethical ecological framework that accounts for justice in human, animal, and environmental health.

  16. Caloric restriction alters the metabolic response to a mixed-meal: results from a randomized, controlled trial.

    Directory of Open Access Journals (Sweden)

    Kim M Huffman

    Full Text Available To determine if caloric restriction (CR would cause changes in plasma metabolic intermediates in response to a mixed meal, suggestive of changes in the capacity to adapt fuel oxidation to fuel availability or metabolic flexibility, and to determine how any such changes relate to insulin sensitivity (S(I.Forty-six volunteers were randomized to a weight maintenance diet (Control, 25% CR, or 12.5% CR plus 12.5% energy deficit from structured aerobic exercise (CR+EX, or a liquid calorie diet (890 kcal/d until 15% reduction in body weightfor six months. Fasting and postprandial plasma samples were obtained at baseline, three, and six months. A targeted mass spectrometry-based platform was used to measure concentrations of individual free fatty acids (FFA, amino acids (AA, and acylcarnitines (AC. S(I was measured with an intravenous glucose tolerance test.Over three and six months, there were significantly larger differences in fasting-to-postprandial (FPP concentrations of medium and long chain AC (byproducts of FA oxidation in the CR relative to Control and a tendency for the same in CR+EX (CR-3 month P = 0.02; CR-6 month P = 0.002; CR+EX-3 month P = 0.09; CR+EX-6 month P = 0.08. After three months of CR, there was a trend towards a larger difference in FPP FFA concentrations (P = 0.07; CR-3 month P = 0.08. Time-varying differences in FPP concentrations of AC and AA were independently related to time-varying S(I (P<0.05 for both.Based on changes in intermediates of FA oxidation following a food challenge, CR imparted improvements in metabolic flexibility that correlated with improvements in S(I.ClinicalTrials.gov NCT00099151.

  17. Intraoperative boron neutron capture therapy for malignant gliomas. First clinical results of Tsukuba phase I/II trial using JAERI mixed thermal-epithermal beam

    International Nuclear Information System (INIS)

    Matsumura, A.; Yamamoto, T.; Shibata, Y.

    2000-01-01

    Since October 1999, a clinical trial of intraoperative boron neutron capture therapy (IOBNCT) is in progress at JRR-4 (Japan Research Reactor-4) in Japan Atomic Energy Research Institute (JAERI) using mixed thermal-epithermal beam (thermal neutron beam I: TNB-I). Compared to pure thermal beam (thermal neutron beam II: TNB-II), TNB-I has an improved neutron delivery into the deep region than TNB-II. The clinical protocol and the preliminary results will be discussed. (author)

  18. Apatite-Melt Partitioning at 1 Bar: An Assessment of Apatite-Melt Exchange Equilibria Resulting from Non-Ideal Mixing of F and Cl in Apatite

    Science.gov (United States)

    McCubbin, F. M.; Ustunisik, G.; Vander Kaaden, K. E.

    2016-01-01

    The mineral apatite [Ca5(PO4)3(F,Cl,OH)] is present in a wide range of planetary materials. Due to the presence of volatiles within its crystal structure (X-site), many recent studies have attempted to use apatite to constrain the volatile contents of planetary magmas and mantle sources. In order to use the volatile contents of apatite to precisely determine the abundances of volatiles in coexisting silicate melt or fluids, thermodynamic models for the apatite solid solution and for the apatite components in multi-component silicate melts and fluids are required. Although some thermodynamic models for apatite have been developed, they are incomplete. Furthermore, no mixing model is available for all of the apatite components in silicate melts or fluids, especially for F and Cl components. Several experimental studies have investigated the apatite-melt and apatite-fluid partitioning behavior of F, Cl, and OH in terrestrial and planetary systems, which have determined that apatite-melt partitioning of volatiles are best described as exchange equilibria similar to Fe-Mg partitioning between olivine and silicate melt. However, McCubbin et al. recently reported that the exchange coefficients may vary in portions of apatite compositional space where F, Cl, and OH do not mix ideally in apatite. In particular, solution calorimetry data of apatite compositions along the F-Cl join exhibit substantial excess enthalpies of mixing. In the present study, we conducted apatite-melt partitioning experiments in evacuated, sealed silica-glass tubes at approximately 1 bar and 950-1050 degrees Centigrade on a synthetic Martian basalt composition equivalent to the basaltic shergottite Queen Alexandria Range (QUE) 94201. These experiments were conducted dry, at low pressure, to assess the effects of temperature and apatite composition on the partitioning behavior of F and Cl between apatite and basaltic melt along the F-Cl apatite binary join, where there is non-ideal mixing of F and Cl

  19. Remote characterization of mixed waste by infrared spectroscopy: Fiscal year 1995 report

    International Nuclear Information System (INIS)

    Rebagay, T.V.; Reich, F.R.; Dodd, D.A.; Lopez, T.; Watts, J.K.; Cash, R.J.

    1995-09-01

    This report summarizes development work completed in FY 1995 on near-infrared (NIR) and Fourier Transform Infrared (FTIR) spectroscopy of determining the moisture content and solid species present in Hanford Site high-level waste. In prior fiscal years, the main emphasis was on identification of cyanide species that might be present in the ferrocyanide waste tanks, but the present thrust has been more focused on determining the moisture content of the waste. If sufficient moisture is present in the waste, propagating reactions in reactive waste are precluded, regardless of its fuel content. A prototype hot cell NIR moisture probe is now ready for hot cell deployment to sense moisture contents and homogeneity in tank waste samples

  20. Meta-Analysis of Effect Sizes Reported at Multiple Time Points Using General Linear Mixed Model

    Science.gov (United States)

    Musekiwa, Alfred; Manda, Samuel O. M.; Mwambi, Henry G.; Chen, Ding-Geng

    2016-01-01

    Meta-analysis of longitudinal studies combines effect sizes measured at pre-determined time points. The most common approach involves performing separate univariate meta-analyses at individual time points. This simplistic approach ignores dependence between longitudinal effect sizes, which might result in less precise parameter estimates. In this paper, we show how to conduct a meta-analysis of longitudinal effect sizes where we contrast different covariance structures for dependence between effect sizes, both within and between studies. We propose new combinations of covariance structures for the dependence between effect size and utilize a practical example involving meta-analysis of 17 trials comparing postoperative treatments for a type of cancer, where survival is measured at 6, 12, 18 and 24 months post randomization. Although the results from this particular data set show the benefit of accounting for within-study serial correlation between effect sizes, simulations are required to confirm these results. PMID:27798661

  1. 12 CFR 550.480 - How do I report the results of the audit?

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false How do I report the results of the audit? 550... report the results of the audit? (a) Annual audit. If you conduct an annual audit, you must note the results of the audit (including significant actions taken as a result of the audit) in the minutes of the...

  2. Energy savings by reduced mixing in aeration tanks: results from a full scale investigation and long term implementation at Avedoere wastewater treatment plant.

    Science.gov (United States)

    Sharma, A K; Guildal, T; Thomsen, H R; Jacobsen, B N

    2011-01-01

    The aim of this project was to investigate the potential of reducing number of mixers in the biological treatment process and thereby achieve energy and economical savings and contribute to cleaner environment. The project was carried out at Avedoere wastewater treatment plant and a full scale investigation was conducted to study the effect of reduced mixing on flow velocity, suspended solid sedimentation, concentration gradients of oxygen and SS with depth and treatment efficiency. The only negative effect observed was on flow velocity; however the velocity was above the critical velocity. The plant has been operating with 50% of its designed number of mixers since September 2007 and long term results also confirm that reduced mixing did not have any negative effect on treatment efficiency. The estimated yearly electricity saving is 0.75 GWh/year.

  3. Correlation of metastasis characteristics with prognosis in gastric mixed adenoneuroendocrine carcinoma: Two case reports.

    Science.gov (United States)

    Tang, Qiang; Zhou, Zili; Chen, Jinhuang; Di, Maojun; Ji, Jintong; Yuan, Wenzheng; Liu, Zhengyi; Wu, Liang; Zhang, Xudan; Li, Kang; Shu, Xiaogang

    2017-12-01

    This article is aimed to retrospect the clinicopathological data of 2 cases of gastric MANENCs. MANEC is a rare biphasic tumor type that is coexistence of dual neuroendocrine and adenocarcinoma differentiation with each composing exceeding 30% volume. Gastric MANEC have just been reported anecdotally in the literature due to their rarity and heterogeneity. According to our study, these neoplasms have 3 different metastasis patterns: only adenocarcinomatous or neuroendocrine carcinoma and both of the 2 components. We first focus on the correlation of metastasis characteristics with prognosis in gastric MANEC, which may be potential implications for the choice of chemotherapy. The 2 cases of patient shared several symptoms: epigastric discomfort, weight loss, hematemesis, or melena. The 2 patients were diagnosis as MANEC based on the identification of histopathological analysis. In case 1, the poor differentiated adenocarcinoma accounted for 30%, the neuroendocrine part account for 70% and both of the 2 components metastasized to the lymph nodes, whereas in case 2, poorly differentiated adenocarcinoma accounted for 70%, the neuroendocrine part for 30% and only the glandular component invaded regional lymph nodes. The first patient underwent laparoscopic radical gastrectomy and underwent adjuvant chemotherapy, combination of cisplatin, and etoposide successfully. The second patient received radical gastronomy, and did not receive any chemotherapy due to general weakness. The first patient is alive with no evidence of recurrence, and the second patient died 6 months after the operation. The assessment of metastatic sites should be a routine pathological practice, which is crucial for clinical decision-making and the selection of management. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

  4. Final Progress Report for Collaborative Research: Aging of Black Carbon during Atmospheric Transport: Understanding Results from the DOE’s 2010 CARES and 2012 ClearfLo Campaigns

    Energy Technology Data Exchange (ETDEWEB)

    Mazzoleni, Claudio [Michigan Technological Univ., Houghton, MI (United States); Subramanian, R. [Carnegie Mellon Univ., Pittsburgh, PA (United States)

    2016-08-31

    Over the course of this project, we have analyzed data and samples from the Carbonaceous Aerosol and Radiative Effects Study (CARES) and the Clear air for London (ClearfLo) campaign, as well as conducted or participated in laboratory experiments designed to better understand black carbon mixing state and climate-relevant properties. The laboratory campaigns took place at the Pacific Northwest National Laboratory and Carnegie Mellon University to study various climate-relevant aerosol properties of different sources of soot mixing with secondary organic aerosol precursors. Results from some of these activities were summarized in the previous progress report. This final report presents the manuscripts that have been published (many in the period since the last progress report), lists presentations at different conferences based on grant-related activities, and presents some results that are likely to be submitted for publication in the near future.

  5. Examining domains of community health nurse satisfaction and motivation: results from a mixed-methods baseline evaluation in rural Ghana.

    Science.gov (United States)

    Sacks, Emma; Alva, Soumya; Magalona, Sophia; Vesel, Linda

    2015-10-08

    A strong health system requires a competent and caring workforce. A more satisfied and motivated health workforce should be more willing to serve in difficult areas, have lower turnover, and theoretically provide better care to patients. This paper examines the motivation, satisfaction, and correlation with clinical knowledge, of community health nurses (CHNs), a cadre of provider focused on maternal, newborn and child health in rural Ghana. This study employed three methods of evaluation. Two quantitative measurements were used: (1) a survey of health worker satisfaction and motivation and (2) a clinical knowledge assessment focusing on maternal, newborn and child health. Both were administered to all rostered CHNs working in the five sampled districts in the Greater Accra and Volta regions in Eastern Ghana (N = 205). Qualitative interviews (N = 29) and focus group discussions (N = 4) were held with selected CHNs in the same districts. These data were analysed using NVivo (Version 10) and Stata (Version 13.0) based on domains of extrinsic and intrinsic motivation including general satisfaction, work environment and access to resources, respect and recognition received and opportunities for advancement. CHNs desired more training, especially those who were posted at the community level (a Community-based Health Planning and Services post or "CHPS") versus at a health facility. CHNs working at CHPS believed their work to be more difficult than those posted at health facilities, due to challenges associated with foot travel to visit patients at home, and they were more likely to report having insufficient resources to do their jobs (48% vs 36%). However, CHNs posted at health facilities were more likely to report insufficient opportunities for career advancement than the CHPS nurses (49% vs 33%). CHNs generally reported good relationships with colleagues and being respected by patients but desired more respect from supervisors. The median score on the

  6. Gas-mixing system for drift chambers using solenoid valves

    International Nuclear Information System (INIS)

    Cooper, W.E.; Sugano, K.; Trentlage, D.B.

    1983-04-01

    We describe an inexpensive system for mixing argon and ethane drift chamber gas which is used for the E-605 experiment at Fermilab. This system is based on the idea of intermittent mixing of gases with fixed mixing flow rates. A dual-action pressure switch senses the pressure in a mixed gas reservoir tank and operates solenoid valves to control mixing action and regulate reservoir pressure. This system has the advantages that simple controls accurately regulate the mixing ratio and that the mixing ratio is nearly flow rate independent. We also report the results of the gas analysis of various samplings, and the reliability of the system in long-term running

  7. Comparing growth rate in a mixed plantation (walnut, poplar and nurse trees with different planting designs: results from an experimental plantation in northern Italy

    Directory of Open Access Journals (Sweden)

    Francesco Pelleri

    2013-12-01

    Full Text Available 800x600 Results of a mixed plantation with poplar, walnut and nurse trees established in winter 2003 in Northern Italy, are reported. Main tree species (poplar and walnut were planted according to a rectangular design (10 x 11m, with different spacings and alternate lines. The experimental trial was carried out to verify the following working hypotheses: (i possibility to combine main trees with different growth levels (common walnut, hybrid walnut, and different poplar clones and test two different poplar and walnut spacings (5.0 and 7.4 m in the same plantation; (ii opportunity to reduce cultivation’s workload, in comparison with poplar monoculture, using mixtures with different poplar clones and N-fixing nurse trees; (iii verifying the growth pattern of two new poplar clones in comparison with the traditional clones cultivated for different purposes in Italy.The use of different valuable crop trees’ mixtures intercropped with nurse trees and shrubs (including N-fixing trees allows to decrease the cultivation’s workload. In fact, a heavy reduction of cultural practices - fertilizers, weed control, irrigation and pesticides applications (-61% are the main concurrent, supplementary benefits. The best growth performances (DBH and tree height, associated with the higher competition towards walnuts, were recorded with the new clones Lena and Neva in comparison with the I214 and Villafranca. The closer spacing (5 m between poplar and walnut trees was found to be unsuited to get merchantable poplars sized 30 cm without developing a heavy competition towards walnut trees. The wider spacing (7.4 m resulted vice versa suitable to get poplar trees sized as requested by veneer factories and to maintain an acceptable competitive level with walnut. Within this plantation design, a shorter rotation (8 yrs is needed for Lena and Neva clones in comparison with I214 and Villafranca (10 yrs. Walnut intercropped with poplar showed cone-shaped crowns, light

  8. Charm mixing at LHCb

    CERN Document Server

    Di Canto, Angelo

    2013-01-01

    We report a measurement of the time-dependent ratio of $D^0\\to K^+\\pi^-$ to $D^0\\to K^-\\pi^+$ decay rates in $D^{*+}$-tagged events using 1.0\\,fb$^{-1}$ of integrated luminosity recorded by the LHCb experiment. We measure the mixing parameters $x'^2=(-0.9\\pm1.3)\\times10^{-4}$, $y'=(7.2\\pm2.4)\\times10^{-3}$ and the ratio of doubly-Cabibbo-suppressed to Cabibbo-favored decay rates $R_D=(3.52\\pm0.15)\\times10^{-3}$. The result excludes the no-mixing hypothesis with a probability corresponding to 9.1 standard deviations and represents the first observation of charm mixing from a single measurement

  9. Bioremediation of mixed microbial mats: System development of mixed contaminants for application at the Savannah River Site. Annual technical progress report, October 1, 1995--September 30, 1996

    International Nuclear Information System (INIS)

    Bender, J.; Phillips, P.

    1996-01-01

    The fundamental objective of this project is to develop and field test the mixed microbial mat bioremediation system for decontamination of target sites at SRS. Although microbial mats have performed well in several pilot projects in the past, atypical problems and site characteristics at SRS demand special field designs. In the interest of designing a pilot and locating it at an appropriate site, the project investigators have worked closely with the technical staff at the SREL. We have concluded that the diverse characteristics of contaminations at SRS may dictate testing several pilot designs during the course of this project

  10. Soil treatment to remove uranium and related mixed radioactive contaminants. Final report September 1992--October 1995

    International Nuclear Information System (INIS)

    1996-07-01

    A research and development project to remove uranium and related radioactive contaminants from soil by an ultrasonically-aided chemical leaching process began in 1993. The project objective was to develop and design, on the basis of bench-scale and pilot-scale experimental studies, a cost-effective soil decontamination process to produce a treated soil containing less than 35 pCi/g. The project, to cover a period of about thirty months, was designed to include bench-scale and pilot-scale studies to remove primarily uranium from the Incinerator Area soil, at Fernald, Ohio, as well as strontium-90, cobalt-60 and cesium-137 from a Chalk River soil, at the Chalk River Laboratories, Ontario. The project goal was to develop, design and cost estimate, on the basis of bench-scale and pilot-scale ex-situ soil treatment studies, a process to remove radionuclides form the soils to a residual level of 35 pCi/g of soil or less, and to provide a dischargeable water effluent as a result of soil leaching and a concentrate that can be recovered for reuse or solidified as a waste for disposal. In addition, a supplementary goal was to test the effectiveness of in-situ soil treatment through a field study using the Chalk River soil

  11. Journal article reporting standards for qualitative primary, qualitative meta-analytic, and mixed methods research in psychology: The APA Publications and Communications Board task force report.

    Science.gov (United States)

    Levitt, Heidi M; Bamberg, Michael; Creswell, John W; Frost, David M; Josselson, Ruthellen; Suárez-Orozco, Carola

    2018-01-01

    The American Psychological Association Publications and Communications Board Working Group on Journal Article Reporting Standards for Qualitative Research (JARS-Qual Working Group) was charged with examining the state of journal article reporting standards as they applied to qualitative research and with generating recommendations for standards that would be appropriate for a wide range of methods within the discipline of psychology. These standards describe what should be included in a research report to enable and facilitate the review process. This publication marks a historical moment-the first inclusion of qualitative research in APA Style, which is the basis of both the Publication Manual of the American Psychological Association (APA, 2010) and APA Style CENTRAL, an online program to support APA Style. In addition to the general JARS-Qual guidelines, the Working Group has developed standards for both qualitative meta-analysis and mixed methods research. The reporting standards were developed for psychological qualitative research but may hold utility for a broad range of social sciences. They honor a range of qualitative traditions, methods, and reporting styles. The Working Group was composed of a group of researchers with backgrounds in varying methods, research topics, and approaches to inquiry. In this article, they present these standards and their rationale, and they detail the ways that the standards differ from the quantitative research reporting standards. They describe how the standards can be used by authors in the process of writing qualitative research for submission as well as by reviewers and editors in the process of reviewing research. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  12. A new vibroplasty coupling technique as a treatment for conductive and mixed hearing losses: a report of 4 cases.

    Science.gov (United States)

    Huber, Alexander M; Mlynski, Robert; Müller, Joachim; Dillier, Norbert; Holzmann, David; Wolframm, Mario D; Hagen, Rudolf

    2012-06-01

    The primary objective was to report on experiences regarding the safety and efficacy of the Vibrant Soundbridge (VSB) using a floating mass transducer (FMT)-partial/total ossicular replacement prosthesis (PORP/TORP) assembly as a treatment for conductive and mixed hearing losses of mild-to-moderate/severe degree. The secondary objective was to gather information regarding device fitting, as well as to refine surgical procedures. Five German-speaking adults from 2 European study sites were implanted with a VSB using an FMT-PORP/TORP assembly and evaluated before and after surgery for air-and bone-conduction thresholds and speech recognition performance. Evaluating the safety and efficacy of the VSB in combination with a PORP or TORP to treat conductive and mixed hearing loss. Residual cochlear hearing was unaffected by implantation with the device. Functional gain (measured as the difference between preoperative unaided and postoperative VSB-aided thresholds) could be calculated in 2 of 5 subjects, demonstrating that the VSB is effective in treating bone-conduction hearing losses of moderate/severe degree. Word recognition tests in quiet and noise showed good improvement in 3 of the cases. One patient experienced several other medical problems, making her audiological outcomes limited. One patient was excluded from the study owing to insufficient benefit and subsequently underwent revision surgery with FMT placement at the round window. The use of the VSB, implanted using the FMT-PORP/TORP assembly, was safe in all and efficacious in 3 of the 5 cases in this study. These are patients who may have few, if any, other options to manage their hearing loss.

  13. Response of Vascular Plant Communities to Harvest in Southern Appalachian Mixed-Oak Forests: Two-Year Results

    Science.gov (United States)

    Bryan W. Wender; Sharon M. Hood; David W. Smith; Shepard M. Zedaker; David L. Loftis

    1999-01-01

    A long-term study has been established to monitor the effects of seven silvicultural prescriptions on vascular flora community attributes. Treatments include a control, understory vegetation control, group selection, two levels of shelterwoods, leave-tree, and clearcut. Second growing season. post-treatment results are compared to pre-harvest values for residual~...

  14. Mixed ligand chelate therapy for plutonium and toxic metals from energy power production. Final report, April 15, 1977-October 14, 1980

    International Nuclear Information System (INIS)

    Schubert, J.

    1980-01-01

    The results of experiments are summarized on the ability of combinations of chelating agents to modify the genotoxicity or tissue distributions. The mutagenicities of Cr and of chelating agents were determined. The metals described in the report are Pu(IV), Cd(II), Cr(III), and Cr(VI). Accurate measurements were made of the ability of CaNa 2 EDTA, CaNa 3 DTPA, and DMPS to reduce mortality in mice given doses (i.p.) of CdCl 2 well above the 100% lethal level. The efficacy in terms of the mmoles/kg needed to reduce the mortality was: DTPA > EDTA > DMPS. The combination of DTPA + DMPS proved most promising though little evidence for mixed complex formation was noted. Potentiometric titration studies the case of Pu(IV) a few combinations proved effective, but only when given shortly after Pu administration and then only in the liver but not the skeleton. It is recommended that metabolically stable chelating agents be used in combinations, especially for those combinations which may form very stable mixed ligand chelates

  15. Deletion of P399{sub E}401 in NADPH cytochrome P450 oxidoreductase results in partial mixed oxidase deficiency

    Energy Technology Data Exchange (ETDEWEB)

    Flueck, Christa E., E-mail: christa.flueck@dkf.unibe.ch [Pediatric Endocrinology, Diabetology and Metabolism, University Children' s Hospital, Bern (Switzerland); Mallet, Delphine [Service d' Endocrinologie Moleculaire et Maladies Rares, Hospices Civils de Lyon, Bron (France); Hofer, Gaby [Pediatric Endocrinology, Diabetology and Metabolism, University Children' s Hospital, Bern (Switzerland); Samara-Boustani, Dinane [Hopital Necker-Enfants malades, Paris (France); Leger, Juliane [Hopital Robert Debre, Paris (France); Polak, Michel [Hopital Necker-Enfants malades, Paris (France); Morel, Yves [Service d' Endocrinologie Moleculaire et Maladies Rares, Hospices Civils de Lyon, Bron (France); Pandey, Amit V., E-mail: amit@pandeylab.org [Pediatric Endocrinology, Diabetology and Metabolism, University Children' s Hospital, Bern (Switzerland)

    2011-09-09

    Highlights: {yields} Mutations in human POR cause congenital adrenal hyperplasia. {yields} We are reporting a novel 3 amino acid deletion mutation in POR P399{sub E}401del. {yields} POR mutation P399{sub E}401del decreased P450 activities by 60-85%. {yields} Impairment of steroid metabolism may be caused by multiple hits. {yields} Severity of aromatase inhibition is related to degree of in utero virilization. -- Abstract: P450 oxidoreductase (POR) is the electron donor for all microsomal P450s including steroidogenic enzymes CYP17A1, CYP19A1 and CYP21A2. We found a novel POR mutation P399{sub E}401del in two unrelated Turkish patients with 46,XX disorder of sexual development. Recombinant POR proteins were produced in yeast and tested for their ability to support steroid metabolizing P450 activities. In comparison to wild-type POR, the P399{sub E}401del protein was found to decrease catalytic efficiency of 21-hydroxylation of progesterone by 68%, 17{alpha}-hydroxylation of progesterone by 76%, 17,20-lyase action on 17OH-pregnenolone by 69%, aromatization of androstenedione by 85% and cytochrome c reduction activity by 80%. Protein structure analysis of the three amino acid deletion P399{sub E}401 revealed reduced stability and flexibility of the mutant. In conclusion, P399{sub E}401del is a novel mutation in POR that provides valuable genotype-phenotype and structure-function correlation for mutations in a different region of POR compared to previous studies. Characterization of P399{sub E}401del provides further insight into specificity of different P450s for interaction with POR as well as nature of metabolic disruptions caused by more pronounced effect on specific P450s like CYP17A1 and aromatase.

  16. Deletion of P399E401 in NADPH cytochrome P450 oxidoreductase results in partial mixed oxidase deficiency

    International Nuclear Information System (INIS)

    Flueck, Christa E.; Mallet, Delphine; Hofer, Gaby; Samara-Boustani, Dinane; Leger, Juliane; Polak, Michel; Morel, Yves; Pandey, Amit V.

    2011-01-01

    Highlights: → Mutations in human POR cause congenital adrenal hyperplasia. → We are reporting a novel 3 amino acid deletion mutation in POR P399 E 401del. → POR mutation P399 E 401del decreased P450 activities by 60-85%. → Impairment of steroid metabolism may be caused by multiple hits. → Severity of aromatase inhibition is related to degree of in utero virilization. -- Abstract: P450 oxidoreductase (POR) is the electron donor for all microsomal P450s including steroidogenic enzymes CYP17A1, CYP19A1 and CYP21A2. We found a novel POR mutation P399 E 401del in two unrelated Turkish patients with 46,XX disorder of sexual development. Recombinant POR proteins were produced in yeast and tested for their ability to support steroid metabolizing P450 activities. In comparison to wild-type POR, the P399 E 401del protein was found to decrease catalytic efficiency of 21-hydroxylation of progesterone by 68%, 17α-hydroxylation of progesterone by 76%, 17,20-lyase action on 17OH-pregnenolone by 69%, aromatization of androstenedione by 85% and cytochrome c reduction activity by 80%. Protein structure analysis of the three amino acid deletion P399 E 401 revealed reduced stability and flexibility of the mutant. In conclusion, P399 E 401del is a novel mutation in POR that provides valuable genotype-phenotype and structure-function correlation for mutations in a different region of POR compared to previous studies. Characterization of P399 E 401del provides further insight into specificity of different P450s for interaction with POR as well as nature of metabolic disruptions caused by more pronounced effect on specific P450s like CYP17A1 and aromatase.

  17. A physician-led initiative to improve clinical documentation results in improved health care documentation, case mix index, and increased contribution margin.

    Science.gov (United States)

    Aiello, Francesco A; Judelson, Dejah R; Durgin, Jonathan M; Doucet, Danielle R; Simons, Jessica P; Durocher, Dawn M; Flahive, Julie M; Schanzer, Andres

    2018-05-04

    Clinical documentation is the key determinant of inpatient acuity of illness and payer reimbursement. Every inpatient hospitalization is placed into a diagnosis related group with a relative value based on documented procedures, conditions, comorbidities and complications. The Case Mix Index (CMI) is an average of these diagnosis related groups and directly impacts physician profiling, medical center profiling, reimbursement, and quality reporting. We hypothesize that a focused, physician-led initiative to improve clinical documentation of vascular surgery inpatients results in increased CMI and contribution margin. A physician-led coding initiative to educate physicians on the documentation of comorbidities and conditions was initiated with concurrent chart review sessions with coding specialists for 3 months, and then as needed, after the creation of a vascular surgery documentation guide. Clinical documentation and billing for all carotid endarterectomy (CEA) and open infrainguinal procedures (OIPs) performed between January 2013 and July 2016 were stratified into precoding and postcoding initiative groups. Age, duration of stay, direct costs, actual reimbursements, contribution margin (CM), CMI, rate of complication or comorbidity, major complication or comorbidity, severity of illness, and risk of mortality assigned to each discharge were abstracted. Data were compared over time by standardizing Centers for Medicare and Medicaid Services (CMS) values for each diagnosis related group and using a CMS base rate reimbursement. Among 458 CEA admissions, postcoding initiative CEA patients (n = 253) had a significantly higher CMI (1.36 vs 1.25; P = .03), CM ($7859 vs $6650; P = .048), and CMS base rate reimbursement ($8955 vs $8258; P = .03) than precoding initiative CEA patients (n = 205). The proportion of admissions with a documented major complication or comorbidity and complication or comorbidity was significantly higher after the coding initiative (43% vs

  18. Mood disorder with mixed, psychotic features due to vitamin b12 deficiency in an adolescent: case report

    Directory of Open Access Journals (Sweden)

    Tufan Ali

    2012-06-01

    Full Text Available Abstract Vitamin B12 is one of the essential vitamins affecting various systems of the body. Reports of psychiatric disorders due to its deficiency mostly focus on middle aged and elderly patients. Here we report a case of vitamin B 12 deficiency in a 16-year old, male adolescent who presented with mixed mood disorder symptoms with psychotic features. Chief complaints were “irritability, regressive behavior, apathy, crying and truancy” which lasted for a year. Premorbid personality was unremarkable with no substance use/exposure or infections. No stressors were present. The patient was not vegetarian. Past medical history and family history was normal. Neurological examination revealed glossitis, ataxia, rigidity in both shoulders, cog-wheel rigidity in the left elbow, bilateral problems of coordination in cerebellar examination, reduced swinging of the arms and masked face. Romberg’s sign was present. Laboratory evaluations were normal. Endoscopy and biopsy revealed atrophy of the gastric mucosa with Helicobacter Pylori colonization. Schilling test was suggestive of malabsorbtion. He was diagnosed with Mood disorder with Mixed, Psychotic Features due to Vitamin B12 Deficiency and risperidone 0.5 mg/day and intramuscular vitamin B12 500 mcg/day were started along with referral for treatment of Helicobacter pylori. A visit on the second week revealed no psychotic features. Romberg’s sign was negative and cerebellar tests were normal. Extrapyramidal symptoms were reduced while Vitamin B12 levels were elevated. Risperidone was stopped and parenteral Vitamin B12 treatment was continued with monthly injections for 3 months. Follow-up endoscopy and biopsy at the first month demonstrated eradication of H. pylori. He was followed monthly for another 6 months and psychiatric symptoms did not recur at the time of last evaluation. Despite limitations, this case may underline the observation that mood disorders with psychotic features

  19. How are learning strategies reflected in the eyes? Combining results from self-reports and eye-tracking.

    Science.gov (United States)

    Catrysse, Leen; Gijbels, David; Donche, Vincent; De Maeyer, Sven; Lesterhuis, Marije; Van den Bossche, Piet

    2018-03-01

    Up until now, empirical studies in the Student Approaches to Learning field have mainly been focused on the use of self-report instruments, such as interviews and questionnaires, to uncover differences in students' general preferences towards learning strategies, but have focused less on the use of task-specific and online measures. This study aimed at extending current research on students' learning strategies by combining general and task-specific measurements of students' learning strategies using both offline and online measures. We want to clarify how students process learning contents and to what extent this is related to their self-report of learning strategies. Twenty students with different generic learning profiles (according to self-report questionnaires) read an expository text, while their eye movements were registered to answer questions on the content afterwards. Eye-tracking data were analysed with generalized linear mixed-effects models. The results indicate that students with an all-high profile, combining both deep and surface learning strategies, spend more time on rereading the text than students with an all-low profile, scoring low on both learning strategies. This study showed that we can use eye-tracking to distinguish very strategic students, characterized using cognitive processing and regulation strategies, from low strategic students, characterized by a lack of cognitive and regulation strategies. These students processed the expository text according to how they self-reported. © 2017 The British Psychological Society.

  20. 49 CFR 382.403 - Reporting of results in a management information system.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 5 2010-10-01 2010-10-01 false Reporting of results in a management information... Confidentiality § 382.403 Reporting of results in a management information system. (a) An employer shall prepare... that the FMCSA specifies in its request. The employer must use the Management Information System (MIS...

  1. 75 FR 32484 - Array-Based Cytogenetic Tests: Questions on Performance Evaluation, Result Reporting and...

    Science.gov (United States)

    2010-06-08

    ...] Array-Based Cytogenetic Tests: Questions on Performance Evaluation, Result Reporting and Interpretation... public meeting: Array-Based Cytogenetic Tests: Questions on Performance Evaluation, Result Reporting and... cytogenetic tests. Date and Time: The meeting will be held on June 30, 2010, from 1:30 p.m. to 5 p.m. Location...

  2. Mixing in fluidized-bed reactors for heat and power production. Progress report from first phase (2003-01-01--2004-06-30)

    Energy Technology Data Exchange (ETDEWEB)

    Johnsson, Filip [Chalmers Univ. of Technology, Goeteborg (Sweden). Dept. of Energy Conversion

    2004-10-01

    This project concerns mixing in fluidized-bed reactors applied to combustion of solid fuels, with special emphasize on fuel dispersion related to the bottom-bed and splash zone mixing. Understanding of the mixing processes is crucial when establishing models applicable to commercial scale fluidized bed combustors and gasifiers. The aim is to establish an understanding and description of the fuel dispersion process so that models developed at the department describing the combustion process can be improved to yield solutions which are as general as possible. In addition, the project continues the activities at the department related to mixing, which have been successfully carried out in previous projects. A first phase of this new project has developed a novel method to trace simulated fuel particles (solid) under ambient conditions. The method traces an individual fuel particle in a way that makes it possible to get detailed knowledge on the residence time and mapping of the flow structure governing the horizontal and lateral movement of the solids. Thus, the method developed gives results which will make it possible to establish a model of the fuel mixing which is based on the physics of the mixing rather than on an empirical fuel dispersion coefficient as in expressions available in literature. The continuation of the project will apply the method in systematic experiments to obtain detailed knowledge on the physics behind the mixing of the 'fuel'-solid in the bed and to develop a model for the solids mixing. Results will be compared with data from the Chalmers boiler. It should also be mentioned that the ambient experiments are designed based on previous results from the Chalmers boiler and other large units. Thus, although these initial experiments are at laboratory scale these are designed to cover the flow and mixing conditions typically found in large scale boilers.

  3. On entanglement in neutrino mixing and oscillations

    International Nuclear Information System (INIS)

    Blasone, Massimo; Dell'Anno, Fabio; De Siena, Silvio; Illuminati, Fabrizio

    2010-01-01

    We report on recent results about entanglement in the context of particle mixing and oscillations. We study in detail single-particle entanglement arising in two-flavor neutrino mixing. The analysis is performed first in the context of Quantum Mechanics, and then for the case of Quantum Field Theory.

  4. On entanglement in neutrino mixing and oscillations

    Energy Technology Data Exchange (ETDEWEB)

    Blasone, Massimo; Dell' Anno, Fabio; De Siena, Silvio; Illuminati, Fabrizio, E-mail: blasone@sa.infn.i [Dipartimento di Matematica e Informatica, Universita degli Studi di Salerno, Via Ponte don Melillo, I-84084 Fisciano (Italy)

    2010-06-01

    We report on recent results about entanglement in the context of particle mixing and oscillations. We study in detail single-particle entanglement arising in two-flavor neutrino mixing. The analysis is performed first in the context of Quantum Mechanics, and then for the case of Quantum Field Theory.

  5. THE MARKETING MIX OPTIMIZATION

    OpenAIRE

    SABOU FELICIA

    2014-01-01

    The paper presents the marketing mix and the necessity of the marketing mix optimization. In the marketing mix a particularly important issue is to choose the best combination of its variables, this lead to the achievement objectives, in time. Choosing the right marketing mix is possible only by reporting information to some clear benchmarks, these criteria a related to the objective of the company at the time of analyze. The study shows that the companies must give a great importance to opti...

  6. First Report of Psoriatic-Like Dermatitis and Arthritis in a 4-Year-Old Female Spayed Pug Mix

    Directory of Open Access Journals (Sweden)

    Stephanie A. Regan

    2015-01-01

    Full Text Available Psoriasis manifests as chronic dermatitis and arthritis (PsA in people. Psoriasis with concurrent PsA is characterized by erythematous, silvery, scaly plaques, especially on the extremities, and concurrent arthritis with enthesitis, tenosynovitis, and dactylitis. To date, no such disease has spontaneously occurred in domestic animals. This case report aims to describe the clinical, radiographic, and histologic appearance of a psoriasis-like dermatitis and psoriatic-like arthritis in a dog. A 4-year-old female spayed pug mix presented for the evaluation of chronic history of hyperkeratotic footpads and deforming arthritis. After ruling out other differential diagnoses and based on the similarity of clinical, radiographic, and histologic findings to human psoriasis and PsA, a tentative diagnosis of psoriasis-like disease was made. Treatment was begun to control pain (tramadol, gabapentin, and carprofen and psoriatic dermatitis (clobetasol propionate 0.05%, calcipotriene 0.005%, and urea 40% ointment twice daily. Dramatic positive response to treatment was achieved confirming the tentative diagnosis. This case may provide preliminary evidence for the existence of a psoriasis-like condition in dogs and may elucidate treatment options in otherwise refractory cases of chronic dermatitis and polyarthropathy in dogs.

  7. [Conversion Therapy Using Etoposide and Cisplatin Chemotherapy for Liver Metastases from Advanced Gastric Mixed Adenoneuroendocrine Carcinoma - A Case Report].

    Science.gov (United States)

    Inaba, Yoko; Fujita, Maiko; Ninomiya, Riki; Hashimoto, Daijo

    2017-11-01

    Gastric mixed adenoneuroendocrine carcinoma(MANEC)with multiple liver metastases is a rare condition with most data being derived from case reports. We present a case with liver metastases from gastric MANEC that respond remarkably to chemotherapy. Sixty-one-year-old male with severe anemia referred to surgical consultation due to advanced gastric cancer with multiple liver metastases. To relieve uncontrollable tumor bleeding, simple distal gastrectomy for symptom palliation was performed. Based on the tentative diagnosis with gastric poorly differentiated adenocarcinoma, a course of TS-1 and oxaliplatin therapy was administrated. Thereafter final diagnosis with neuroendocrine carcinoma with tubular adenocarcinoma was made, and the chemotherapy was switched to etoposide and cisplatin. Follow up abdominal CT scan after the third course of the therapy showed remarkable tumor shrinkages(PR). In anticipation of the chemotherapy effects in the adjuvant setting, we performed liver metastasectomy for curative intent. Two of 6 resected liver specimens showed no viable cancer cells at all (pCR). However, immediately after the surgery, multiple liver metastases developed, and the recurrent masses had kept growing up rapidly. The third line carboplatin and etoposide chemotherapy was given once but was withdrawn because of bone marrow suppression. At the present, the patient is alive with recurrent diseases for 18 months after initial diagnosis.

  8. Design Patterns for Mixed-Method Research in HCI

    NARCIS (Netherlands)

    Robert Holwerda; Arthur Bennis; Lambert Zaad; René Bakker; Sabine Craenmehr; Stijn Hoppenbrouwers; Dick Lenior; Marjolein Jacobs; Koen van Turnhout; Ralph Niels

    2014-01-01

    In this paper we discuss mixed-method research in HCI. We report on an empirical literature study of the NordiCHI 2012 proceedings which aimed to uncover and describe common mixed-method approaches, and to identify good practices for mixed-methods research in HCI. We present our results as

  9. European mixed forests

    DEFF Research Database (Denmark)

    Bravo-Oviedo, Andres; Pretzsch, Hans; Ammer, Christian

    2014-01-01

    Aim of study: We aim at (i) developing a reference definition of mixed forests in order to harmonize comparative research in mixed forests and (ii) review the research perspectives in mixed forests. Area of study: The definition is developed in Europe but can be tested worldwide. Material...... and Methods: Review of existent definitions of mixed forests based and literature review encompassing dynamics, management and economic valuation of mixed forests. Main results: A mixed forest is defined as a forest unit, excluding linear formations, where at least two tree species coexist at any...... density in mixed forests, (iii) conversion of monocultures to mixed-species forest and (iv) economic valuation of ecosystem services provided by mixed forests. Research highlights: The definition is considered a high-level one which encompasses previous attempts to define mixed forests. Current fields...

  10. US Department of Energy interim mixed waste inventory report: Waste streams, treatment capacities and technologies: Volume 3, Site specific---Illinois through New York

    International Nuclear Information System (INIS)

    1993-04-01

    The Department of Energy (DOE) has prepared this report to provide an inventory of its mixed wastes and treatment capacities and technologies in response to Section 105(a) of the Federal Facility Compliance act (FFCAct) of 1992 (Pub. L. No. 102-386). As required by the FFCAct-1992, this report provides site-specific information on DOE's mixed waste streams and a general review of available and planned treatment facilities for mixed wastes for the following sites: Argonne National Laboratory-East; Site A/plot M in Palos Forest Preserve, Illinois; Ames Laboratory; Paducah Gaseous Diffusion Plant; Portsmouth Naval Shipyard; Kansas City Plant; University of Missouri; Weldon Springs Site, St. Charles, Missouri; Nevada Test Site; Middlesex Sampling Plant, Middlesex, New Jersey; Princeton Plasma Physics Laboratory; LANL; Sandia national laboratory; Brookhaven National Laboratory; Colonie Interim Storage Site, Colonie, New York; Knolls Atomic Power Laboratory; Knolls Atomic Power Laboratory-Kesselring Site; and West Valley Demonstration Project

  11. US Department of Energy interim mixed waste inventory report: Waste streams, treatment capacities and technologies: Volume 2, Site specific---California through Idaho

    International Nuclear Information System (INIS)

    1993-04-01

    The Department of Energy (DOE) has prepared this report to provide an inventory of its mixed wastes and treatment capacities and technologies in response to Section 105(a) of the Federal Facility Compliance act (FFCAct) of 1992 (Pub. L. No. 102-386). As required by the FFCAct-1992, this report provide site-specific information on DOE's mixed waste streams and a general review of available and planned treatment facilities for mixed wastes for the following sites: eight California facilities which are Energy Technology engineering Center, General Atomics, General Electric Vallecitos Nuclear Center, Lawrence Berkeley Laboratory, Lawrence Livermore National Laboratory, Laboratory for Energy-Related Health Research, Mare Island Naval Shipyard, and Sandia national Laboratories; Grand Junction Project Office; Rocky Flats Plant; Knolls Atomic Power Laboratory-Windsor Site; Pinellas Plant; Pearl Harbor Naval Shipyard; Argonne National Laboratory-West; and Idaho National Engineering Laboratory

  12. Mixed states vs. pure mania in the french sample of the EMBLEM study: results at baseline and 24 months – European mania in bipolar longitudinal evaluation of medication

    Directory of Open Access Journals (Sweden)

    Azorin Jean-Michel

    2009-06-01

    Full Text Available Abstract Background To describe the clinical course and treatment patterns over 24 months of patients experiencing an acute manic/mixed episode within the standard course of care. Methods EMBLEM was a 2-year European prospective, observational study on outcomes of patients experiencing a manic/mixed episode. Adults with bipolar disorder were enrolled within the standard course of care as in/outpatients if they initiated or changed oral medication for treatment of acute mania. After completing 12 weeks of acute phase, patients were assessed every 3–6 months during the maintenance phase. We present the 24 month results, with subgroup analysis for mixed states (MS and pure mania (PM. These subgroup analyses are driven by the high proportion of antidepressants prescribed in this cohort. Results In France, 771 patients were eligible for the maintenance phase. 69% of patients completed the follow up over 24 months. The mean age was 45.5 years (sd = 13.6 with 57% of women. 504 (66% patients were experiencing a PM and 262 (34% a MS at baseline. The main significant differences in MS vs. PM at baseline were: a higher rate of women, and in the previous 12 months, a higher frequency of episodes (manic/mixed and depressive, more suicide attempts, more rapid cycling, fewer social activities and more work impairment. Over the 24 months of follow-up the MS group had a significantly lower recovery than PM (36% vs. 46%, p = 0.006. Overall, 42% of all patients were started on monotherapy and 58% on combination therapy; of those 35% and 30% respectively remained on their initial medication throughout the 24 months. At baseline, 36% were treated with an antidepressant, this proportion remains high throughout the follow-up period, with a significantly higher rate for MS vs. PM at 24 months (55% vs. 27%, p Conclusion In this large sample, MS occur frequently (34%, they are more severe at baseline and have a worse functional prognosis than PM. Although

  13. Tank 241-BY-112, cores 174 and 177 analytical results for the final report

    International Nuclear Information System (INIS)

    Nuzum, J.L.

    1997-01-01

    Results from bulk density tests ranged from 1.03 g/mL to 1.86 g/mL. The highest bulk density result of 1.86 g/mL was used to calculate the solid total alpha activity notification limit for this tank (33.1 uCi/g), Total Alpha (AT) Analysis. Attachment 2 contains the Data Verification and Deliverable (DVD) Summary Report for AT analyses. This report summarizes results from AT analyses and provides data qualifiers and total propagated uncertainty (TPU) values for results. The TPU values are based on the uncertainties inherent in each step of the analysis process. They may be used as an additional reference to determine reasonable RPD values which may be used to accept valid data that do not meet the TSAP acceptance criteria. A report guide is provided with the report to assist in understanding this summary report

  14. results

    Directory of Open Access Journals (Sweden)

    Salabura Piotr

    2017-01-01

    Full Text Available HADES experiment at GSI is the only high precision experiment probing nuclear matter in the beam energy range of a few AGeV. Pion, proton and ion beams are used to study rare dielectron and strangeness probes to diagnose properties of strongly interacting matter in this energy regime. Selected results from p + A and A + A collisions are presented and discussed.

  15. Gonadotrophin-Releasing Hormone (GnRH Analogues in the Treatment of Mixed Mullerian Tumours of the Uterus: Two Case Reports and Review

    Directory of Open Access Journals (Sweden)

    Michael Katesmark

    1998-01-01

    Full Text Available Subjects/Discussion. Two cases of clinical and radiological response of recurrent mixed Mullerian tumours following treatment with either nasal (Buserilin or intramuscular (Goserilin GnRH analogues are reported and a short review of the evidence to support this treatment option presented.

  16. Long-term mental wellbeing of adolescents and young adults diagnosed with venous thromboembolism: results from a multistage mixed methods study.

    Science.gov (United States)

    Højen, A A; Sørensen, E E; Dreyer, P S; Søgaard, M; Larsen, T B

    2017-12-01

    Essentials Long-term mental wellbeing of adolescents and young adults with venous thromboembolism is unclear. This multistage mixed methods study was based on Danish nationwide registry data and interviews. Mental wellbeing is negatively impacted in the long-term and uncertainty of recurrence is pivotal. The perceived health threat is more important than disease severity for long-term mental wellbeing. Background Critical and chronic illness in youth can lead to impaired mental wellbeing. Venous thromboembolism (VTE) is a potentially traumatic and life-threatening condition. Nonetheless, the long-term mental wellbeing of adolescents and young adults (AYAS) with VTE is unclear. Objectives To investigate the long-term mental wellbeing of AYAS (aged 13-33 years) diagnosed with VTE. Methods We performed a multistage mixed method study based on data from the Danish nationwide health registries, and semistructured interviews with 12 AYAS diagnosed with VTE. An integrated mixed methods interpretation of the findings was conducted through narrative weaving and joint displays. Results The integrated mixed methods interpretation showed that the mental wellbeing of AYAS with VTE had a chronic perspective, with a persistently higher risk of psychotropic drug purchase among AYAS with a first-time diagnosis of VTE than among sex-matched and age-matched population controls and AYAS with a first-time diagnosis of insulin-dependent diabetes mellitus. Impaired mental wellbeing was largely connected to a fear of recurrence and concomitant uncertainty. Therefore, it was important for the long-term mental wellbeing to navigate uncertainty. The perceived health threat played a more profound role in long-term mental wellbeing than disease severity, as the potential life threat was the pivot which pointed back to the initial VTE and forward to the perception of future health threat and the potential risk of dying of a recurrent event. Conclusion Our findings show that the long

  17. Performance evaluation of the technical capabilities of DOE sites for disposal of mixed low-level waste. Volume 2: Technical basis and discussion of results

    International Nuclear Information System (INIS)

    Waters, R.D.; Gruebel, M.M.; Hospelhorn, M.B.

    1996-03-01

    A team of analysts designed and conducted a performance evaluation to estimate the technical capabilities of fifteen Department of Energy sites for disposal of mixed low-level waste (i.e., waste that contains both low-level radioactive materials and hazardous constituents). Volume 1 summarizes the process for selecting the fifteen sites, the methodology used in the evaluation, and the conclusions derived from the evaluation. Volume 2 first describes the screening process used to determine the sites to be considered in the PEs. This volume then provides the technical details of the methodology for conducting the performance evaluations. It also provides a comparison and analysis of the overall results for all sites that were evaluated. Volume 3 contains detailed evaluations of the fifteen sites and discussions of the results for each site

  18. Interim Report on Mixing During the Casting of LEU-10Mo Plates in the Triple Plate Molds

    Energy Technology Data Exchange (ETDEWEB)

    Aikin, Jr., Robert M. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-04-12

    LEU-10%Mo castings are commonly produced by down blending unalloyed HEU with a DU-12.7%Mo master-alloy. This work uses process modeling to provide insight into the mixing of the unalloyed uranium and U-Mo master alloy during melting and mold filling of a triple plate casting. Two different sets of situations are considered: (1) mixing during mold filling from a compositionally stratified crucible and (2) convective mixing of a compositionally stratified crucible during mold heating. The mold filling simulations are performed on the original Y-12 triple plate mold and the horizontal triple plate mold.

  19. Ingestion of an orthodontic archwire resulting in a perforated bowel: A case report.

    Science.gov (United States)

    Jauhar, Preeti; Machesney, Michael Robert; Sharma, Pratik K

    2016-09-01

    Accidentally, ingesting components of an orthodontic appliance can result in serious consequences for the patient. This paper presents one such complication, not previously reported, where the patient needed emergency surgery to retrieve part of an orthodontic appliance. This case report highlights the consequences of and possible solutions to prevent patients inhaling or ingesting parts of their appliance.

  20. Assessing the concordance between child reports and adult observations of single and mixed emotion in children’s drawings of themselves or another child

    OpenAIRE

    Burkitt, Esther

    2017-01-01

    The present study assessed concordance between child reported and adult observed strategies to depict single and mixed emotion in the same human figure drawings. 205 children (104 boys, 101 girls) aged 6 years 2 months to 8 year 3 months formed two age groups (6 yrs. 2 mo. - 7 yrs.2 mo. and 7 yrs.-3 mo. -8 yrs. - 3 mo.) across two conditions drawing either themselves or another child. They heard vignettes designed to elicit single and mixed emotion and drew a baseline drawing, counterbalanced...

  1. Does routinely collected patient-reported outcome data represent the actual case-mix of elective coronary revascularization patients?

    Science.gov (United States)

    Oinasmaa, Salla; Heiskanen, Jari; Hartikainen, Juha; Hippeläinen, Mikko; Miettinen, Heikki; Martikainen, Janne; Roine, Risto P; Tolppanen, Anna-Maija

    2018-04-01

    Patient-reported outcomes (PROs) are valuable for effectiveness evaluation, but it is unknown whether the patient views obtained represent the actual case mix. We studied the representativeness of the responses obtained to a routinely administered health-related quality of life (HRQoL) questionnaire in a cardiology unit. Elective coronary artery bypass grafting (CABG; n = 404) and percutaneous coronary intervention (PCI; n = 738) patients operated during June 2012 to August 2014 in the Heart Center, Kuopio University Hospital. The characteristics of the patients with a baseline (n = 260 and 290 for CABG and PCI, respectively) or both baseline and follow-up HRQoL measurements (n = 203 and 189 for CABG and PCI, respectively) were compared with those who did not respond (n = 144 and 448 for CABG and PCI). Baseline questionnaires were less likely obtained from older CABG patients (odds ratio 0.51, 95% confidence interval 0.28-0.91) and those with more severe disease (0.20, 0.05-0.79). Among PCI patients, women (0.64, 0.45-0.91), smokers (0.74, 0.53-1.04), and those with more severe disease (0.26, 0.13-0.52) or more hospital days were underrepresented. Routinely collected PROs in cardiac patients may be biased towards younger and healthier patients. This needs to be recognized when evaluating the representativeness of such data. The routine collection of these data should be adequately resourced.

  2. Final Report on the Analytical Results for Tank Farm Samples in Support of Salt Dissolution Evaluation

    International Nuclear Information System (INIS)

    Hobbs, D.T.

    1996-01-01

    Recent processing of dilute solutions through the 2H-Evaporator system caused dissolution of salt in Tank 38H, the concentrate receipt tank. This report documents analytical results for samples taken from this evaporator system

  3. Zero Emission Bay Area (ZEBA) Fuel Cell Bus Demonstration Results: Sixth Report

    Science.gov (United States)

    2017-09-01

    This report presents results of a demonstration of fuel cell electric buses (FCEBs) operating in Oakland, California. Alameda-Contra Costa Transit District (AC Transit) leads the Zero Emission Bay Area (ZEBA) demonstration that includes 13 advanced-d...

  4. Recurrent hydramnios as a result of fetal Bartter′s syndrome (a case report.

    Directory of Open Access Journals (Sweden)

    Shah M

    1991-04-01

    Full Text Available Bartter′s syndrome has been reported as a rare case of hydramnios. A unique case of recurrent hydramnios in pregnancy as a result of fetal Bartter′s syndrome on both occasions is presented.

  5. Boiling water reactors with Uranium-Plutonium mixed oxide fuel. Report 1: Accuracy of the nuclide concentrations calculated by CASMO-4

    International Nuclear Information System (INIS)

    Demaziere, C.

    1999-01-01

    This report is a part of the project titled 'Boiling Water Reactors With Uranium-Plutonium Mixed Oxide (MOx) Fuel'. The aim of this study is to model the impact of a core loading pattern containing MOx bundles upon the main characteristics of a BWR (reactivity coefficients, stability, etc.). The tools that are available to perform a modeling in the Department of Reactor Physics in Chalmers are CASMO-4/TABLES-3/SIMULATE-3 from Studsvik of America. These CMS (Core Management System) programs have been extensively compared with both measurements and reference codes. Nevertheless some data are proprietary in particular the comparison of the calculated nuclide concentrations versus experiments (because of the cost of this kind of experimental study). This is why this report describes such a comparative investigation carried out with a General Electric 7x7 BWR bundle. Unfortunately, since some core history parameters were unknown, a lot of hypotheses have been adopted. This invokes sometimes a significant discrepancy in the results without being able to determine the origin of the differences between calculations and experiments. Yet one can assess that, except for four nuclides - Plutonium-238, Curium-243, Curium-244 and Cesium-135 - for which the approximate power history (history effect) can be invoked, the accuracy of the calculated nuclide concentrations is rather good if one takes the numerous approximations into account

  6. General practitioners′ attitudes toward reporting and learning from adverse events: results from a survey

    DEFF Research Database (Denmark)

    Mikkelsen, Thorbjørn H.; Sokolowski, Ineta; Olesen, Frede

    2006-01-01

    , and circumstances under which such exchange is accepted. SUBJECTS: A structured questionnaire sent to 1198 GPs of whom 61% responded. RESULTS. GPs had a positive attitude towards discussing adverse events in the clinic with colleagues and staff and in their continuing medical education groups. The GPs had...... a positive attitude to reporting adverse events to a database if the system granted legal and administrative immunity to reporters. The majority preferred a reporting system located at a research institute. CONCLUSION: GPs have a very positive attitude towards discussing and reporting adverse events......OBJECTIVE: To investigate GPs' attitudes to and willingness to report and learn from adverse events and to study how a reporting system should function. DESIGN: Survey. SETTING: General practice in Denmark. MAIN OUTCOME MEASURES: GPs' attitudes to exchange of experience with colleagues and others...

  7. Zero Emission Bay Area (ZEBA) Fuel Cell Bus Demonstration Results: Fifth Report

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, Leslie [National Renewable Energy Lab. (NREL), Golden, CO (United States); Post, Matthew [National Renewable Energy Lab. (NREL), Golden, CO (United States); Jeffers, Matthew [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-06-01

    This report presents results of a demonstration of fuel cell electric buses (FCEB) operating in Oakland, California. Alameda-Contra Costa Transit District (AC Transit) leads the Zero Emission Bay Area (ZEBA) demonstration, which includes 13 advanced-design fuel cell buses and two hydrogen fueling stations. The ZEBA partners are collaborating with the U.S. Department of Energy (DOE) and DOE's National Renewable Energy Laboratory (NREL) to evaluate the buses in revenue service. NREL has published four previous reports describing operation of these buses. This report presents new and updated results covering data from January 2015 through December 2015.

  8. Zero Emission Bay Area (ZEBA) Fuel Cell Bus Demonstration Results: Sixth Report

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, Leslie [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Post, Matthew B. [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Jeffers, Matthew A. [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2017-09-11

    This report presents results of a demonstration of fuel cell electric buses (FCEB) operating in Oakland, California. Alameda-Contra Costa Transit District (AC Transit) leads the Zero Emission Bay Area (ZEBA) demonstration, which includes 13 advanced-design fuel cell buses and two hydrogen fueling stations. The ZEBA partners are collaborating with the U.S. Department of Energy (DOE) and DOE's National Renewable Energy Laboratory (NREL) to evaluate the buses in revenue service. NREL has published five previous reports describing operation of these buses. This report presents new and updated results covering data from January 2016 through December 2016.

  9. Neutral kaon mixing beyond the Standard Model with nf=2+1 chiral fermions. Part 1: bare matrix elements and physical results

    International Nuclear Information System (INIS)

    Garron, Nicolas; Hudspith, Renwick J.; Lytle, Andrew T.

    2016-01-01

    We compute the hadronic matrix elements of the four-quark operators relevant for K 0 −K̄ 0 mixing beyond the Standard Model. Our results are from lattice QCD simulations with n f =2+1 flavours of domain-wall fermion, which exhibit continuum-like chiral-flavour symmetry. The simulations are performed at two different values of the lattice spacing (a∼0.08 and a∼0.11 fm) and with lightest unitary pion mass ∼300 MeV. For the first time, the full set of relevant four-quark operators is renormalised non-perturbatively through RI-SMOM schemes; a detailed description of the renormalisation procedure is presented in a companion paper. We argue that the intermediate renormalisation scheme is responsible for the discrepancies found by different collaborations. We also study different normalisations and determine the matrix elements of the relevant four-quark operators with a precision of ∼5% or better.

  10. FY 2000 report on the basic study/survey on the policy mix for reducing the greenhouse gas emissions; 2000 nendo onshitsu koka gas haishutsu sakugen no policy mix ni kansuru kisoteki kento

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    Described herein are the FY 2000 results of the survey on policies for reducing the greenhouse gas emissions. For Japan to meet the emission reduction targets stated in the Kyoto Protocol, it is necessary to examine in detail what the most desirable policy measures should be for each sector. In this context, it is also essential to determine particular features of the various policies that may include action plans, environment taxes, and emission trading in addition to conventional regulations and subsidy measures, and to assess their anticipated effects and problems. After examining the policies adopted by various countries to reduce greenhouse gas emissions, this study has attempted to identify the merits and demerits of the various emission reduction policies and to present a systematic account of progress achieved in Japan during basic investigations into this issue. This reports provides a systematic overview of the action plans adopted by the other major countries to prevent global warming and makes a comparative study of the contents of the policies that have been introduced by these countries; identifies the arguments raised in the overseas debates on the effects and problems of global warming prevention policies, and attempts to put the arguments into some systematic order; examines the statuses of the current progress made by various countries with regard to methane and N{sub 2}O emission reduction policies, and discusses the related problems; gives a systematic account of how the policy options are being scrutinized by the government as the base for studying the policy mix for Japan; and examines statuses of the current progress made by Japan with regard to methane and N{sub 2}O emission reduction policies. (NEDO)

  11. Orthodontic treatment of an unerupted mandibular canine tooth in a patient with mixed dentition: a case report

    OpenAIRE

    Dinoi, Maria Teresa; Marchetti, Enrico; Garagiola, Umberto; Caruso, Silvia; Mummolo, Stefano; Marzo, Giuseppe

    2016-01-01

    Background The aim of this case report was to describe the surgical?orthodontic treatment of an unerupted mandibular canine tooth in a 9-year-old girl. Case presentation A 9-year-old white girl presented with an unerupted right mandibular canine tooth. Combined surgical?orthodontic treatment was performed to correct dental impaction and to achieve good aesthetic and functional results. Conclusion Orthodontic treatment achieved all of the required objectives.

  12. Orthodontic treatment of an unerupted mandibular canine tooth in a patient with mixed dentition: a case report.

    Science.gov (United States)

    Dinoi, Maria Teresa; Marchetti, Enrico; Garagiola, Umberto; Caruso, Silvia; Mummolo, Stefano; Marzo, Giuseppe

    2016-06-10

    The aim of this case report was to describe the surgical-orthodontic treatment of an unerupted mandibular canine tooth in a 9-year-old girl. A 9-year-old white girl presented with an unerupted right mandibular canine tooth. Combined surgical-orthodontic treatment was performed to correct dental impaction and to achieve good aesthetic and functional results. Orthodontic treatment achieved all of the required objectives.

  13. Comparison of reporting phase I trial results in ClinicalTrials.gov and matched publications.

    Science.gov (United States)

    Shepshelovich, D; Goldvaser, H; Wang, L; Abdul Razak, A R; Bedard, P L

    2017-12-01

    Background Data on completeness of reporting of phase I cancer clinical trials in publications are lacking. Methods The ClinicalTrials.gov database was searched for completed adult phase I cancer trials with reported results. PubMed was searched for matching primary publications published prior to November 1, 2016. Reporting in primary publications was compared with the ClinicalTrials.gov database using a 28-point score (2=complete; 1=partial; 0=no reporting) for 14 items related to study design, outcome measures and safety profile. Inconsistencies between primary publications and ClinicalTrials.gov were recorded. Linear regression was used to identify factors associated with incomplete reporting. Results After a review of 583 trials in ClinicalTrials.gov , 163 matching primary publications were identified. Publications reported outcomes that did not appear in ClinicalTrials.gov in 25% of trials. Outcomes were upgraded, downgraded or omitted in publications in 47% of trials. The overall median reporting score was 23/28 (interquartile range 21-25). Incompletely reported items in >25% publications were: inclusion criteria (29%), primary outcome definition (26%), secondary outcome definitions (53%), adverse events (71%), serious adverse events (80%) and dates of study start and database lock (91%). Higher reporting scores were associated with phase I (vs phase I/II) trials (ppublication in journals with lower impact factor (p=0.004). Conclusions Reported results in primary publications for early phase cancer trials are frequently inconsistent or incomplete compared with ClinicalTrials.gov entries. ClinicalTrials.gov may provide more comprehensive data from new cancer drug trials.

  14. Patient-reported speech in noise difficulties and hyperacusis symptoms and correlation with test results.

    Science.gov (United States)

    Spyridakou, Chrysa; Luxon, Linda M; Bamiou, Doris E

    2012-07-01

    To compare self-reported symptoms of difficulty hearing speech in noise and hyperacusis in adults with auditory processing disorders (APDs) and normal controls; and to compare self-reported symptoms to objective test results (speech in babble test, transient evoked otoacoustic emission [TEOAE] suppression test using contralateral noise). A prospective case-control pilot study. Twenty-two participants were recruited in the study: 10 patients with reported hearing difficulty, normal audiometry, and a clinical diagnosis of APD; and 12 normal age-matched controls with no reported hearing difficulty. All participants completed the validated Amsterdam Inventory for Auditory Disability questionnaire, a hyperacusis questionnaire, a speech in babble test, and a TEOAE suppression test using contralateral noise. Patients had significantly worse scores than controls in all domains of the Amsterdam Inventory questionnaire (with the exception of sound detection) and the hyperacusis questionnaire (P reported symptoms of difficulty hearing speech in noise and speech in babble test results in the right ear (ρ = 0.624, P = .002), and between self-reported symptoms of hyperacusis and TEOAE suppression test results in the right ear (ρ = -0.597 P = .003). There was no significant correlation between the two tests. A strong correlation was observed between right ear speech in babble and patient-reported intelligibility of speech in noise, and right ear TEOAE suppression by contralateral noise and hyperacusis questionnaire. Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.

  15. Progress in increasing electronic reporting of laboratory results to public health agencies--United States, 2013.

    Science.gov (United States)

    2013-09-27

    Electronic reporting of laboratory results to public health agencies can improve public health surveillance for reportable diseases and conditions by making reporting more timely and complete. Since 2010, CDC has provided funding to 57 state, local, and territorial health departments through the Epidemiology and Laboratory Capacity for Infectious Diseases cooperative agreement to assist with improving electronic laboratory reporting (ELR) from clinical and public health laboratories to public health agencies. As part of this agreement, CDC and state and large local health departments are collaborating to monitor ELR implementation in the United States by developing data from each jurisdiction regarding total reporting laboratories, laboratories sending ELR by disease category and message format, and the number of ELR laboratory reports compared with the total number of laboratory reports. At the end of July 2013, 54 of the 57 jurisdictions were receiving at least some laboratory reports through ELR, and approximately 62% of 20 million laboratory reports were being received electronically, compared with 54% in 2012. Continued progress will require collaboration between clinical laboratories, laboratory information management system (LIMS) vendors, and public health agencies.

  16. Pre- and Post-Test Results of KEEP Class 2: 1973-74. Technical Report #40.

    Science.gov (United States)

    Fox, Candy

    This report presents the pre-and posttest results for the kindergarten year of the Kamehameha Early Education Program (KEEP) Class 2, 1973-1974. Results are presented for the Wechsler Preschool and Primary Scale of Intelligence (WPPSI), the Metropolitan Readiness Test (MRT), and the Standard English Repetition Test (SERT). Comparisons are made…

  17. Serum estradiol does not differentiate stress, mixed and urge incontinent women around menopause. A report from the Women's Health in the Lund Area (WHILA) study.

    Science.gov (United States)

    Hamer, Maria Andrada; Källén, Karin; Lidfeldt, Jonas; Samsioe, Göran; Teleman, Pia

    2011-11-01

    To outline serum estradiol levels in perimenopausal women with stress, mixed or urge incontinence. We believe the majority of urgency symptoms in perimenopausal women to be caused by a pelvic floor dysfunction and a hypermobility of the bladder neck. If this is the case, there would be no difference in estradiol levels between the groups. University hospital. In the observational Women's Health in the Lund Area study, a subset of 400/2221 women reporting urinary incontinence completed a detailed questionnaire regarding lower urinary tract symptoms and had their serum steroid hormone levels measured. Statistical analyses were made by Chi-square test, nonparametrical tests, ANOVA, multi- and univariate logistic regression analysis. Stress incontinence was reported by 196, mixed incontinence by 153 and urge incontinence by 43 women; in 369, serumestradiol values were available. Serum estradiol did not differ significantly between stress incontinent (median 49.5 pmo/l, range 2.63-875.4), urge incontinent (median 31.6 pmol/l, range 2.63-460.7) or mixed incontinent women (median 35.5 pmol/l, range 2.63-787.9, p=0.62). Logistic regression analysis correcting for age, parity, hormonal status, smoking, hysterectomy and BMI also failed to show any difference in estradiol levels between the groups (p=0.41-0.58). No significant differences in serum estradiol levels between stress, mixed or urge incontinent perimenopausal women could be demonstrated. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  18. SunLine Transit Agency Advanced Technology Fuel Cell Bus Evaluation: Second Results Report and Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, L.; Chandler, K.

    2011-10-01

    This report describes operations at SunLine Transit Agency for their newest prototype fuel cell bus and five compressed natural gas (CNG) buses. In May 2010, SunLine began operating its sixth-generation hydrogen fueled bus, an Advanced Technology (AT) fuel cell bus that incorporates the latest design improvements to reduce weight and increase reliability and performance. The agency is collaborating with the U.S. Department of Energy's (DOE) National Renewable Energy Laboratory (NREL) to evaluate the bus in revenue service. This is the second results report for the AT fuel cell bus since it was placed in service, and it focuses on the newest data analysis and lessons learned since the previous report. The appendices, referenced in the main report, provide the full background for the evaluation. They will be updated as new information is collected but will contain the original background material from the first report.

  19. Ordering molecular genetic tests and reporting results: practices in laboratory and clinical settings.

    Science.gov (United States)

    Lubin, Ira M; Caggana, Michele; Constantin, Carolyn; Gross, Susan J; Lyon, Elaine; Pagon, Roberta A; Trotter, Tracy L; Wilson, Jean Amos; McGovern, Margaret M

    2008-09-01

    Previous studies have suggested that patient care may be compromised as a consequence of poor communication between clinicians and laboratory professionals in cases in which molecular genetic test results are reported. To understand better the contributing factors to such compromised care, we investigated both pre- and postanalytical processes using cystic fibrosis mutation analysis as our model. We found that although the majority of test requisition forms requested patient/family information that was necessary for the proper interpretation of test results, in many cases, these data were not provided by the individuals filling out the forms. We found instances in which result reports for simulated diagnostic testing described individuals as carriers where only a single mutation was found with no comment pertaining to a diagnosis of cystic fibrosis. Similarly, reports based on simulated scenarios for carrier testing were problematic when no mutations were identified, and the patient's race/ethnicity and family history were not discussed in reference to residual risk of disease. Remarkably, a pilot survey of obstetrician-gynecologists revealed that office staff, including secretaries, often helped order genetic tests and reported test results to patients, raising questions about what efforts are undertaken to ensure personnel competency. These findings are reviewed in light of what efforts should be taken to improve the quality of test-ordering and result-reporting practices.

  20. Report of results on the research and development work 1979 of the Institute for Technical Chemistry

    International Nuclear Information System (INIS)

    1980-02-01

    The results report on the research and development work in 1979 carried out at the Institute for Technical Physics of the Nuclear Research Centre, Karlsruhe is concerned here. The main field of this development work is the research into superconducting magnets for fusion reactors. Studies are published on the material, processing and shape of these magnets. Furthermore, a report is given on fusion magnet technology, superconducting fundamentals and technical superconductors, as well as an cryonergy technique and cryotechnique. (KBI) [de

  1. Selective reporting of antibiotic susceptibility test results in European countries: an ESCMID cross-sectional survey.

    Science.gov (United States)

    Pulcini, Céline; Tebano, Gianpiero; Mutters, Nico T; Tacconelli, Evelina; Cambau, Emmanuelle; Kahlmeter, Gunnar; Jarlier, Vincent

    2017-02-01

    Selective reporting of antibiotic susceptibility test (AST) results is one possible laboratory-based antibiotic stewardship intervention. The primary aim of this study was to identify where and how selective reporting of AST results is implemented in Europe both in inpatient and in outpatient settings. An ESCMID cross-sectional, self-administered, internet-based survey was conducted among all EUCIC (European Committee on Infection Control) or EUCAST (European Committee on Antimicrobial Susceptibility Testing) national representatives in Europe and Israel. Of 38 countries, 36 chose to participate in the survey. Selective reporting of AST results was implemented in 11/36 countries (31%), was partially implemented in 4/36 (11%) and was limited to local initiatives or was not adopted in 21/36 (58%). It was endorsed as standard of care by health authorities in only three countries. The organisation of selective reporting was everywhere discretionally managed by each laboratory, with a pronounced intra- and inter-country variability. The most frequent application was in uncomplicated community-acquired infections, particularly urinary tract and skin and soft-tissue infections. The list of reported antibiotics ranged from a few first-line options, to longer reports where only last-resort antibiotics were hidden. Several barriers to implementation were reported, mainly lack of guidelines, poor system support, insufficient resources, and lack of professionals' capability. In conclusion, selective reporting of AST results is poorly implemented in Europe and is applied with a huge heterogeneity of practices. Development of an international framework, based on existing initiatives and identified barriers, could favour its dissemination as one important element of antibiotic stewardship programmes. Copyright © 2017 Elsevier B.V. and International Society of Chemotherapy. All rights reserved.

  2. Self-Reported Juvenile Firesetting: Results from Two National Survey Datasets

    OpenAIRE

    Howell Bowling, Carrie; Merrick, Joav; Omar, Hatim A.

    2013-01-01

    The main purpose of this study was to address gaps in existing research by examining the relationship between academic performance and attention problems with juvenile firesetting. Two datasets from the Achenbach System for Empirically Based Assessment (ASEBA) were used. The Factor Analysis Dataset (N = 975) was utilized and results indicated that adolescents who report lower academic performance are more likely to set fires. Additionally, adolescents who report a poor attitude toward school ...

  3. Self-reported juvenile firesetting: Results from two national survey datasets

    OpenAIRE

    Carrie Howell Bowling; Joav eMerrick; Joav eMerrick; Joav eMerrick; Joav eMerrick; Hatim A Omar

    2013-01-01

    The main purpose of this study was to address gaps in existing research by examining the relationship between academic performance and attention problems with juvenile firesetting. Two datasets from the Achenbach System for Empirically Based Assessment (ASEBA) were used. The Factor Analysis Dataset (N = 975) was utilized and results indicated that adolescents who report lower academic performance are more likely to set fires. Additionally, adolescents who report a poor attitude toward school...

  4. Tank 241-SY-102, January 2000 Compatibility Grab Samples Analytical Results for the Final Report

    International Nuclear Information System (INIS)

    BELL, K.E.

    2000-01-01

    This document is the format IV, final report for the tank 241-SY-102 (SY-102) grab samples taken in January 2000 to address waste compatibility concerns. Chemical, radiochemical, and physical analyses on the tank SY-102 samples were performed as directed in Comparability Grab Sampling and Analysis Plan for Fiscal Year 2000 (Sasaki 1999). No notification limits were exceeded. Preliminary data on samples 2SY-99-5, -6, and -7 were reported in ''Format II Report on Tank 241-SY-102 Waste Compatibility Grab Samples Taken in January 2000'' (Lockrem 2000). The data presented here represent the final results

  5. Clinical utilisation of the "G.T. MSRS", the rating scale for mixed states: 35 cases report.

    Science.gov (United States)

    Tavormina, Giuseppe

    2015-09-01

    The knowledge of the clinical features of the mixed states and of the symptoms of the "mixity" of mood disorders is crucial: to mis-diagnose or mis-treat patients with these symptoms may increase the suicide risk and make worse the evolution of mood disorders. The rating scale "G.T. MSRS" has been designed to improve the clinical effectiveness of both psychiatrists and GPs by enabling them to make an early "general" diagnosis of mixed states. This study presents some cases in which the "G.T. MSRS" scale has been used, in order to demonstrate its usefullness.

  6. Preliminary functional results and quality of life after implantation of a new bone conduction hearing device in patients with conductive and mixed hearing loss.

    Science.gov (United States)

    Ihler, Friedrich; Volbers, Laura; Blum, Jenny; Matthias, Christoph; Canis, Martin

    2014-02-01

    To review functional results and quality of life of the first patients implanted with a newly introduced bone conduction implant system. Retrospective chart analysis of 6 patients (6 ears) implanted for conductive hearing loss (CHL) and mixed hearing loss (MHL) in 1 tertiary referral center between July 2012 and February 2013. Implantation of a new bone conduction hearing device. Pure tone audiometry (air conduction and bone conduction thresholds, pure tone average, air-bone gap, and functional gain), speech audiometry (Freiburg Monosyllabic Test), intraoperative and postoperative complication rate, and patient satisfaction (Glasgow benefit inventory [GBI]) were assessed. Air-conduction pure tone average (PTA) was 58.8 ± 8.2 dB HL. Unaided average air-bone gap (ABG) was 33.3 ± 6.2 dB. Aided air-conduction PTA in sound field was 25.2 ± 5.1 dB HL. Aided average ABG was -0.3 ± 7.3 dB. Average functional gain was 33.6 ± 7.2 dB. Mean improvement of GBI was +36.1. No intraoperative complications occurred. During a follow-up period of 8.5 ± 2.2 months, no device failure and no need for revision surgery occurred. Audiometric results of the new bone conduction hearing system are satisfying and comparable to the results of devices that have been applied previously for CHL and MHL. Intraoperatively and postoperatively, no complications were noted.

  7. Zero Emission Bay Area (ZEBA) Fuel Cell Bus Demonstration: Second Results Report

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, L.; Chandler, K.

    2012-07-01

    This report presents results of a demonstration of 12 new fuel cell electric buses (FCEB) operating in Oakland, California. The 12 FCEBs operate as a part of the Zero Emission Bay Area (ZEBA) Demonstration, which also includes two new hydrogen fueling stations. This effort is the largest FCEB demonstration in the United States and involves five participating transit agencies. The ZEBA partners are collaborating with the U.S. Department of Energy (DOE) and DOE's National Renewable Energy Laboratory (NREL) to evaluate the buses in revenue service. The first results report was published in August 2011, describing operation of these new FCEBs from September 2010 through May 2011. New results in this report provide an update through April 2012.

  8. Genetic engineering of a radiation-resistant bacterium for biodegradation of mixed wastes. 1998 annual progress report

    International Nuclear Information System (INIS)

    Lidstrom, M.E.

    1998-01-01

    'Because of their tolerance to very high levels of ionizing radiation, members of the genus Deinococcus have received considerable attention over the past years. The type species of the genus, Deinococcus radiodurans, has been studied extensively in several labs. Although researchers are only beginning to understand the mechanisms by which this Gram-positive bacterium is able to repair massive DNA damage after radiation dosages as high as 5 Mrad, it has become evident that its recombination machinery has several unique characteristics (1--4). The aim of the present studies is to engineer D. radiodurans into a detoxifier for bioremediation of complex waste mixtures, containing heavy metals, halo-organics and radionuclides, making use of its ability to be biologically active in environments where they will be exposed to high levels of radiation. For that purpose, the authors aim to clone and express several broad spectrum oxygenases and heavy metal resistance determinants, and test survival and activities of these strains in artificial mixtures of contaminants, designed to simulate DOE mixed waste streams. This report summarizes work after 0.5 year of a 3-year project. The initial studies have focused on the development of an insertional expression system for D. radiodurans R1. This effort has involved two parts, namely: (1) promoter analysis, and (2) development of insertion systems. Several studies have shown that the expression signals used by D. radiodurans differ considerably from those found in other bacteria. Although D. radiodurans contains a typical eubacterial RNA polymerase core enzyme (based on TBLASTN searches on the genome sequence), Escherichia coli promoters are not recognized in D. radiodurans and vice versa (5). To expand the basic understanding of the requirements for transcription, and to optimize expression of (heterologous) genes, they will follow two strategies. First, a promoter-probe vector is being developed for the selection of promoter

  9. Technology, safety and costs of decommissioning a reference small mixed oxide fuel fabrication plant. Volume 1. Main report

    Energy Technology Data Exchange (ETDEWEB)

    Jenkins, C. E.; Murphy, E. S.; Schneider, K J

    1979-01-01

    Detailed technology, safety and cost information are presented for the conceptual decommissioning of a reference small mixed oxide fuel fabrication plant. Alternate methods of decommissioning are described including immediate dismantlement, safe storage for a period of time followed by dismantlement and entombment. Safety analyses, both occupational and public, and cost evaluations were conducted for each mode.

  10. Assessing the Concordance between Child Reports and Adult Observations of Single and Mixed Emotion in Children's Drawings of Themselves or Another Child

    Science.gov (United States)

    Burkitt, Esther

    2018-01-01

    The present study assessed concordance between child reported and adult observed strategies to depict single and mixed emotion in the same human figure drawings. 205 children (104 boys, 101 girls) aged 6 years 2 months to 8 years 3 months formed two age groups (6 years 2 months-7 years 2 months and 7 years 3 months-8 years 3 months) across two…

  11. Results From Denmark's 2016 Report Card on Physical Activity for Children and Youth

    DEFF Research Database (Denmark)

    Larsen, Lisbeth Runge; Troelsen, Jens; Kirkegaard, Kasper Lund

    2016-01-01

    BACKGROUND: The first Danish Report Card on Physical Activity (PA) for Children and Youth describes Denmark's efforts in promoting and facilitating PA and PA opportunities for children and youth. METHODS: The report card relies primarily on a synthesis of the best available research and policy...... strategies identified by the Report Card Research Committee consisting of a wide presentation of researchers and experts within PA health behaviors and policy development. The work was coordinated by Research and Innovation Centre for Human Movement and Learning situated at the University of Southern Denmark...... and the University College Lillebaelt. Nine PA indicators were graded using the Active Healthy Kids Canada Report Card development process. RESULTS: Grades from A (highest) to F (lowest) varied in Denmark as follows: 1) Overall Physical Activity (D+), 2) Organized Sport Participation (A), 3) Active Play (INC...

  12. The early diagnosis and management of mixed delirium in a patient placed on ECMO and with difficult sedation: A case report.

    Science.gov (United States)

    Acevedo-Nuevo, María; González-Gil, Maria Teresa; Romera-Ortega, Miguel Ángel; Latorre-Marco, Ignacio; Rodríguez-Huerta, Maria Dolores

    2018-02-01

    Delirium represents a serious problem that impacts the physical and cognitive prognosis of patients admitted to intensive care units and requires prompt diagnosis and management. This article describes the case and progress of a patient placed on Extracorporeal Membrane Oxygenation with difficult sedation criteria and an early diagnosis of mixed delirium. During the case report, we reflect on the pharmacological and non-pharmacological strategies employed to cope with delirium paying special attention to the non-use of physical restraint measures in order to preserve vital support devices (endotracheal tube or Extracorporeal Membrane Oxygenation cannula). The multimodal and multidisciplinary approach, focused on nursing interventions, strict Pain/Agitation/Delirium monitoring and pharmacological measures, as well as the implementation of measures according to the eCASH (early Comfort using Analgesia, minimal Sedatives and maximal Human Care) concept, were effective, resulting in a relatively short admission considering the severity of the patient's condition and the associated complications. Early independent ambulation was achieved prior to transfer to a hospitalisation unit. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Reports on memorial lecture meetings on co-operative application finish of the SF cyclotron and its result reports

    International Nuclear Information System (INIS)

    2000-01-01

    The SF cyclotron at the Institute for Nuclear Study (INS) of University of Tokyo began its co-operative application in 1997 to continue its smooth operation during 21 years reaching March, 1997. Together with improvement of INS organization on April, 1997, it was transferred to the Center for Nuclear Study School of Science, University of Tokyo, INS continued a co-operative research for two years thereafter with Tanashi campus of the High Energy Accelerator Research Organization also established on April, 1997. This co-operative research was finished without accident at the end of March, 1999, to close history of co-operative application of cyclotron during 23 years. This report contains 15 memorial lecture and convivial meeting reports at the co-operative application finish of cyclotron and some results of co-operative applications and experiments, during 23 years. (G.K.)

  14. Zero Emission Bay Area (ZEBA) Fuel Cell Bus Demonstration Results: Third Report

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, L.; Post, M.

    2014-05-01

    This report presents results of a demonstration of 12 fuel cell electric buses (FCEB) operating in Oakland, California. The 12 FCEBs operate as a part of the Zero Emission Bay Area (ZEBA) Demonstration, which also includes two new hydrogen fueling stations. This effort is the largest FCEB demonstration in the United States and involves five participating transit agencies. The ZEBA partners are collaborating with the U.S. Department of Energy (DOE) and DOE's National Renewable Energy Laboratory (NREL) to evaluate the buses in revenue service. NREL has published two previous reports, in August 2011 and July 2012, describing operation of these buses. New results in this report provide an update covering eight months through October 2013.

  15. SunLine Transit Agency Advanced Technology Fuel Cell Bus Evaluation: Fourth Results Report

    Energy Technology Data Exchange (ETDEWEB)

    Eudy, L.; Chandler, K.

    2013-01-01

    SunLine Transit Agency, which provides public transit services to the Coachella Valley area of California, has demonstrated hydrogen and fuel cell bus technologies for more than 10 years. In May 2010, SunLine began demonstrating the advanced technology (AT) fuel cell bus with a hybrid electric propulsion system, fuel cell power system, and lithium-based hybrid batteries. This report describes operations at SunLine for the AT fuel cell bus and five compressed natural gas buses. The U.S. Department of Energy's National Renewable Energy Laboratory (NREL) is working with SunLine to evaluate the bus in real-world service to document the results and help determine the progress toward technology readiness. NREL has previously published three reports documenting the operation of the fuel cell bus in service. This report provides a summary of the results with a focus on the bus operation from February 2012 through November 2012.

  16. Tank 241-T-204, core 188 analytical results for the final report

    Energy Technology Data Exchange (ETDEWEB)

    Nuzum, J.L.

    1997-07-24

    TANK 241-T-204, CORE 188, ANALYTICAL RESULTS FOR THE FINAL REPORT. This document is the final laboratory report for Tank 241 -T-204. Push mode core segments were removed from Riser 3 between March 27, 1997, and April 11, 1997. Segments were received and extruded at 222-8 Laboratory. Analyses were performed in accordance with Tank 241-T-204 Push Mode Core Sampling and analysis Plan (TRAP) (Winkleman, 1997), Letter of instruction for Core Sample Analysis of Tanks 241-T-201, 241- T-202, 241-T-203, and 241-T-204 (LAY) (Bell, 1997), and Safety Screening Data Qual@ Objective (DO) ODukelow, et al., 1995). None of the subsamples submitted for total alpha activity (AT) or differential scanning calorimetry (DC) analyses exceeded the notification limits stated in DO. The statistical results of the 95% confidence interval on the mean calculations are provided by the Tank Waste Remediation Systems Technical Basis Group and are not considered in this report.

  17. KEEP Reading Research 1974: Overall Strategy and Preliminary Results. Technical Report No. 23.

    Science.gov (United States)

    Tharp, Roland G.; And Others

    Reading research is an important aspect of the Kamehameha Early Education Program. This report describes the overall strategy of the reading research program, which is based on a conceptual framework that divides lines of inquiry into motivation, linguistics, instructional procedures, and correlational analysis. Preliminary results for each of…

  18. KEEP Reading Research and Instruction: Results of the 1973-74 Program. Technical Report No. 26.

    Science.gov (United States)

    Au, Kathryn H.; Speidel, Gisela E.

    This report summarizes research related to the use of a conventional basal reading program with students in the Kamehameha Early Education Program (KEEP). Results of instruction were measured by the number of objectives gained each quarter, the total number of objectives gained, the number of lessons taken for each objective, and scores on the…

  19. Standardized Test Results: KEEP and Control Students. 1975-1976, Technical Report #69.

    Science.gov (United States)

    Antill, Ellen; Speidel, Gisela E.

    This report presents the results of various standardized measures administered to Kamehameha Early Education Program (KEEP) students and control students in the school year 1975-1976. In contrast to previous comparisons, KEEP employed more rigorous procedures for the selection of the control students and for the conditions of test administration.…

  20. Report of the Results of an IMS LEarning Design Expert Workshop

    NARCIS (Netherlands)

    Neumann, Susanne; Klebl, Michael; Griffiths, David; Hernández-Leo, Davinia; De la Fuente-Valentin, Luis; Hummel, Hans; Brouns, Francis; Derntl, Michael; Oberhuemer, Petra

    2009-01-01

    Neumann, S., Klebl, M., Griffiths, D., Hernández-Leo, D., de la Fuente Valentín, L., Hummel, H., Brouns, F., Derntl, M., & Oberhuemer, P. (2010). Report of the Results of an IMS Learning Design Expert Workshop. International Journal Of Emerging Technologies In Learning (IJET), 5(1), pp.