Resident Self-Assessment and Learning Goal Development: Evaluation of Resident-Reported Competence and Future Goals.

Science.gov (United States)

Li, Su-Ting T; Paterniti, Debora A; Tancredi, Daniel J; Burke, Ann E; Trimm, R Franklin; Guillot, Ann; Guralnick, Susan; Mahan, John D

2015-01-01

To determine incidence of learning goals by competency area and to assess which goals fall into competency areas with lower self-assessment scores. Cross-sectional analysis of existing deidentified American Academy of Pediatrics' PediaLink individualized learning plan data for the academic year 2009-2010. Residents self-assessed competencies in the 6 Accreditation Council for Graduate Medical Education (ACGME) competency areas and wrote learning goals. Textual responses for goals were mapped to 6 ACGME competency areas, future practice, or personal attributes. Adjusted mean differences and associations were estimated using multiple linear and logistic regression. A total of 2254 residents reported 6078 goals. Residents self-assessed their systems-based practice (51.8) and medical knowledge (53.0) competencies lowest and professionalism (68.9) and interpersonal and communication skills (62.2) highest. Residents were most likely to identify goals involving medical knowledge (70.5%) and patient care (50.5%) and least likely to write goals on systems-based practice (11.0%) and professionalism (6.9%). In logistic regression analysis adjusting for postgraduate year (PGY), gender, and degree type (MD/DO), resident-reported goal area showed no association with the learner's relative self-assessment score for that competency area. In the conditional logistic regression analysis, with each learner serving as his or her own control, senior residents (PGY2/3+s) who rated themselves relatively lower in a competency area were more likely to write a learning goal in that area than were PGY1s. Senior residents appear to develop better skills and/or motivation to explicitly turn self-assessed learning gaps into learning goals, suggesting that individualized learning plans may help improve self-regulated learning during residency. Copyright © 2015 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Evaluation of resident attitudes and self-reported competencies in health advocacy

Directory of Open Access Journals (Sweden)

Fok Mark C

2010-11-01

Full Text Available Abstract Background The CanMEDS Health Advocate role, one of seven roles mandated by the Royal College of Physicians and Surgeons Canada, pertains to a physician's responsibility to use their expertise and influence to advance the wellbeing of patients, communities, and populations. We conducted our study to examine resident attitudes and self-reported competencies related to health advocacy, due to limited information in the literature on this topic. Methods We conducted a pilot experience with seven internal medicine residents participating in a community health promotion event. The residents provided narrative feedback after the event and the information was used to generate items for a health advocacy survey. Face validity was established by having the same residents review the survey. Content validity was established by inviting an expert physician panel to review the survey. The refined survey was then distributed to a cohort of core Internal Medicine residents electronically after attendance at an academic retreat teaching residents about advocacy through didactic sessions. Results The survey was completed by 76 residents with a response rate of 68%. The majority agreed to accept an advocacy role for societal health needs beyond caring for individual patients. Most confirmed their ability to identify health determinants and reaffirmed the inherent requirements for health advocacy. While involvement in health advocacy was common during high school and undergraduate studies, 76% of residents reported no current engagement in advocacy activity, and 36% were undecided if they would engage in advocacy during their remaining time as residents, fellows or staff. The common barriers reported were insufficient time, rest and stress. Conclusions Medical residents endorsed the role of health advocate and reported proficiency in determining the medical and bio-psychosocial determinants of individuals and communities. Few residents, however, were

Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms.

Science.gov (United States)

Fox, Michael D; Bump, Gregory M; Butler, Gabriella A; Chen, Ling-Wan; Buchert, Andrew R

2017-01-30

Reporting medical errors is a focus of the patient safety movement. As frontline physicians, residents are optimally positioned to recognize errors and flaws in systems of care. Previous work highlights the difficulty of engaging residents in identification and/or reduction of medical errors and in integrating these trainees into their institutions' cultures of safety. The authors describe the implementation of a longitudinal, discipline-based, multifaceted curriculum to enhance the reporting of errors by pediatric residents at Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center. The key elements of this curriculum included providing the necessary education to identify medical errors with an emphasis on systems-based causes, modeling of error reporting by faculty, and integrating error reporting and discussion into the residents' daily activities. The authors tracked monthly error reporting rates by residents and other health care professionals, in addition to serious harm event rates at the institution. The interventions resulted in significant increases in error reports filed by residents, from 3.6 to 37.8 per month over 4 years (P error reporting correlated with a decline in serious harm events, from 15.0 to 8.1 per month over 4 years (P = 0.01). Integrating patient safety into the everyday resident responsibilities encourages frequent reporting and discussion of medical errors and leads to improvements in patient care. Multiple simultaneous interventions are essential to making residents part of the safety culture of their training hospitals.

Multiple levels and multiple challenges for measurement, reporting and verification of REDD+

Directory of Open Access Journals (Sweden)

Kaisa Korhonen-Kurki

2013-08-01

Full Text Available REDD+ is a multilevel endeavour. Global demands, national and subnational structures and local people’s needs and aspirations must all be linked in efforts to reduce emissions from deforestation and forest degradation. We use Brockhaus and Angelsen’s (2012 framework of Institutions, Interests, Information and Ideas (4Is to analyse the multilevel governance of REDD+ through one of its core elements: measurement, reporting and verification. We present the multilevel dimensions of REDD+ and the risks if they are disregarded. We analyse the flow and interplay of information, institutions and interests across levels in REDD+ measurement, reporting and verification and examine which multilevel governance mechanisms enable this flow. To support our analysis, we provide anecdotal evidence of challenges and opportunities from three countries: Brazil, Vietnam and Indonesia. Our analysis shows that it is essential to enhance and harmonize information flows between local and national levels for measurement, reporting and verification to be accountable. Furthermore, sound information flows between levels can increase the negotiation power of disadvantaged groups and ensure a more effective, efficient and equitable REDD+. To reduce the risk of conflict, REDD+ multilevel governance systems must match incentives and interests with transparent institutions. Effective multilevel governance mechanisms, such as novel cross-scale institutional arrangements, uniform regulations on the rights, responsibilities and procedures for monitoring information flows, and participation across levels, will provide tools for both information flow and greater matching of different interests across levels.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: BIOQUELL, INC. CLARIS C HYDROGEN PEROXIDE GAS GENERATOR

Science.gov (United States)

The Environmental Technology Verification report discusses the technology and performance of the Clarus C Hydrogen Peroxide Gas Generator, a biological decontamination device manufactured by BIOQUELL, Inc. The unit was tested by evaluating its ability to decontaminate seven types...

Subsurface barrier verification technologies, informal report

International Nuclear Information System (INIS)

Heiser, J.H.

1994-06-01

One of the more promising remediation options available to the DOE waste management community is subsurface barriers. Some of the uses of subsurface barriers include surrounding and/or containing buried waste, as secondary confinement of underground storage tanks, to direct or contain subsurface contaminant plumes and to restrict remediation methods, such as vacuum extraction, to a limited area. To be most effective the barriers should be continuous and depending on use, have few or no breaches. A breach may be formed through numerous pathways including: discontinuous grout application, from joints between panels and from cracking due to grout curing or wet-dry cycling. The ability to verify barrier integrity is valuable to the DOE, EPA, and commercial sector and will be required to gain full public acceptance of subsurface barriers as either primary or secondary confinement at waste sites. It is recognized that no suitable method exists for the verification of an emplaced barrier's integrity. The large size and deep placement of subsurface barriers makes detection of leaks challenging. This becomes magnified if the permissible leakage from the site is low. Detection of small cracks (fractions of an inch) at depths of 100 feet or more has not been possible using existing surface geophysical techniques. Compounding the problem of locating flaws in a barrier is the fact that no placement technology can guarantee the completeness or integrity of the emplaced barrier. This report summarizes several commonly used or promising technologies that have been or may be applied to in-situ barrier continuity verification

Informatics in radiology: web-based preliminary reporting system for radiology residents with PACS integration.

Science.gov (United States)

O'Connell, Timothy; Chang, Debra

2012-01-01

While on call, radiology residents review imaging studies and issue preliminary reports to referring clinicians. In the absence of an integrated reporting system at the training sites of the authors' institution, residents were typing and faxing preliminary reports. To partially automate the on-call resident workflow, a Web-based system for resident reporting was developed by using the free open-source xAMP Web application framework and an open-source DICOM (Digital Imaging and Communications in Medicine) software toolkit, with the goals of reducing errors and lowering barriers to education. This reporting system integrates with the picture archiving and communication system to display a worklist of studies. Patient data are automatically entered in the preliminary report to prevent identification errors and simplify the report creation process. When the final report for a resident's on-call study is available, the reporting system queries the report broker for the final report, and then displays the preliminary report side by side with the final report, thus simplifying the review process and encouraging review of all of the resident's reports. The xAMP Web application framework should be considered for development of radiology department informatics projects owing to its zero cost, minimal hardware requirements, ease of programming, and large support community.

What's the agreement between self-reported and biochemical verification of drug use? A look at permanent supportive housing residents.

Science.gov (United States)

Rendon, Alexis; Livingston, Melvin; Suzuki, Sumihiro; Hill, Whitney; Walters, Scott

2017-07-01

Self-reported substance use is commonly used as an outcome measure in treatment research. We evaluated the validity of self-reported drug use in a sample of 334 adults with mental health problems who were residing in supportive housing programs. The primary analysis was the calculation of the positive predictive values (PPVs) of self-report compared to an oral fluid test taken at the same time. A sensitivity analysis compared the positive predictive values of two self-reported drug use histories: biological testing window (ranging between the past 96h to 30days depending on drug type) or the full past 90-day comparison window (maximum length recorded during interview). A multivariable logistic regression was used to predict discordance between self-report and the drug test for users. Self-reported drug use and oral fluid drug tests were compared to determine the positive predictive value for amphetamines/methamphetamines/PCP (47.1% agreement), cocaine (43.8% agreement), and marijuana (69.7% agreement) drug tests. Participants who misreported their drug use were more likely to be older, non-White, have no medical insurance, and not report any alcohol use. In general, amphetamine/methamphetamine/PCP and cocaine use was adequately captured by the biological test, while marijuana use was best captured by a combination of self-report and biological data. Using the full past 90day comparison window resulted in higher concordance with the oral fluid drug test, indicating that self-reported drug use in the past 90days may be a proxy for drug use within the biological testing window. Self-report has some disadvantages when used as the sole measure of drug use in this population. Copyright © 2017 Elsevier Ltd. All rights reserved.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: DEVILBISS JGHV-531-46FF HVLP SPRAY GUN

Science.gov (United States)

This report presents the results of the verification test of the DeVilbiss JGHV-531-46FF high-volume, low-pressure pressure-feed spray gun, hereafter referred to as the DeVilbiss JGHV, which is designed for use in industrial finishing. The test coating chosen by ITW Industrial Fi...

ENVIORNMENTAL TECHNOLOGY VERIFICATION REPORT: ANEST IWATA CORPORATION LPH400-LV HVLP SPRAY GUN

Science.gov (United States)

This Enviornmental Technology Verification reports on the characteristics of a paint spray gun. The research showed that the spray gun provided absolute and relative increases in transfer efficiency over the base line and provided a reduction in the use of paint.

Verification test report on a solar heating and hot water system

Science.gov (United States)

1978-01-01

Information is provided on the development, qualification and acceptance verification of commercial solar heating and hot water systems and components. The verification includes the performances, the efficiences and the various methods used, such as similarity, analysis, inspection, test, etc., that are applicable to satisfying the verification requirements.

Design Verification Report Spent Nuclear Fuel (SNF) Project Canister Storage Building (CSB)

Energy Technology Data Exchange (ETDEWEB)

BAZINET, G.D.

2001-05-15

The Sub-project W379, ''Spent Nuclear Fuel Canister Storage Building (CSB),'' was established as part of the Spent Nuclear Fuel (SNF) Project. The primary mission of the CSB is to safely store spent nuclear fuel removed from the K Basins in dry storage until such time that it can be transferred to the national geological repository at Yucca Mountain Nevada. This sub-project was initiated in late 1994 by a series of studies and conceptual designs. These studies determined that the partially constructed storage building, originally built as part of the Hanford Waste Vitrification Plant (HWVP) Project, could be redesigned to safely store the spent nuclear fuel. The scope of the CSB facility initially included a receiving station, a hot conditioning system, a storage vault, and a Multi-Canister Overpack (MCO) Handling Machine (MHM). Because of evolution of the project technical strategy, the hot conditioning system was deleted from the scope and MCO welding and sampling stations were added in its place. This report outlines the methods, procedures, and outputs developed by Project W379 to verify that the provided Structures, Systems, and Components (SSCs): satisfy the design requirements and acceptance criteria; perform their intended function; ensure that failure modes and hazards have been addressed in the design; and ensure that the SSCs as installed will not adversely impact other SSCs. The original version of this document was prepared by Vista Engineering for the SNF Project. Revision 1 documented verification actions that were pending at the time the initial report was prepared. Verification activities for the installed and operational SSCs have been completed. Verification of future additions to the CSB related to the canister cover cap and welding fixture system and MCO Internal Gas Sampling equipment will be completed as appropriate for those components. The open items related to verification of those requirements are noted in section 3

Design Verification Report Spent Nuclear Fuel (SNF) Project Canister Storage Building (CSB)

Energy Technology Data Exchange (ETDEWEB)

BAZINET, G.D.

2000-11-03

The Sub-project W379, ''Spent Nuclear Fuel Canister Storage Building (CSB),'' was established as part of the Spent Nuclear Fuel (SNF) Project. The primary mission of the CSB is to safely store spent nuclear fuel removed from the K Basins in dry storage until such time that it can be transferred to the national geological repository at Yucca Mountain Nevada. This sub-project was initiated in late 1994 by a series of studies and conceptual designs. These studies determined that the partially constructed storage building, originally built as part of the Hanford Waste Vitrification Plant (HWVP) Project, could be redesigned to safely store the spent nuclear fuel. The scope of the CSB facility initially included a receiving station, a hot conditioning system, a storage vault, and a Multi-Canister Overpack (MCO) Handling Machine (MHM). Because of evolution of the project technical strategy, the hot conditioning system was deleted from the scope and MCO welding and sampling stations were added in its place. This report outlines the methods, procedures, and outputs developed by Project W379 to verify that the provided Structures, Systems, and Components (SSCs): satisfy the design requirements and acceptance criteria; perform their intended function; ensure that failure modes and hazards have been addressed in the design; and ensure that the SSCs as installed will not adversely impact other SSCs. The original version of this document was prepared by Vista Engineering for the SNF Project. The purpose of this revision is to document completion of verification actions that were pending at the time the initial report was prepared. Verification activities for the installed and operational SSCs have been completed. Verification of future additions to the CSB related to the canister cover cap and welding fixture system and MCO Internal Gas Sampling equipment will be completed as appropriate for those components. The open items related to verification of those

Design Verification Report Spent Nuclear Fuel (SNF) Project Canister Storage Building (CSB)

International Nuclear Information System (INIS)

BAZINET, G.D.

2001-01-01

The Sub-project W379, ''Spent Nuclear Fuel Canister Storage Building (CSB),'' was established as part of the Spent Nuclear Fuel (SNF) Project. The primary mission of the CSB is to safely store spent nuclear fuel removed from the K Basins in dry storage until such time that it can be transferred to the national geological repository at Yucca Mountain Nevada. This sub-project was initiated in late 1994 by a series of studies and conceptual designs. These studies determined that the partially constructed storage building, originally built as part of the Hanford Waste Vitrification Plant (HWVP) Project, could be redesigned to safely store the spent nuclear fuel. The scope of the CSB facility initially included a receiving station, a hot conditioning system, a storage vault, and a Multi-Canister Overpack (MCO) Handling Machine (MHM). Because of evolution of the project technical strategy, the hot conditioning system was deleted from the scope and MCO welding and sampling stations were added in its place. This report outlines the methods, procedures, and outputs developed by Project W379 to verify that the provided Structures, Systems, and Components (SSCs): satisfy the design requirements and acceptance criteria; perform their intended function; ensure that failure modes and hazards have been addressed in the design; and ensure that the SSCs as installed will not adversely impact other SSCs. The original version of this document was prepared by Vista Engineering for the SNF Project. Revision 1 documented verification actions that were pending at the time the initial report was prepared. Verification activities for the installed and operational SSCs have been completed. Verification of future additions to the CSB related to the canister cover cap and welding fixture system and MCO Internal Gas Sampling equipment will be completed as appropriate for those components. The open items related to verification of those requirements are noted in section 3.1.5 and will be

Design Verification Report Spent Nuclear Fuel (SNF) Project Canister Storage Building (CSB)

International Nuclear Information System (INIS)

BAZINET, G.D.

2000-01-01

The Sub-project W379, ''Spent Nuclear Fuel Canister Storage Building (CSB),'' was established as part of the Spent Nuclear Fuel (SNF) Project. The primary mission of the CSB is to safely store spent nuclear fuel removed from the K Basins in dry storage until such time that it can be transferred to the national geological repository at Yucca Mountain Nevada. This sub-project was initiated in late 1994 by a series of studies and conceptual designs. These studies determined that the partially constructed storage building, originally built as part of the Hanford Waste Vitrification Plant (HWVP) Project, could be redesigned to safely store the spent nuclear fuel. The scope of the CSB facility initially included a receiving station, a hot conditioning system, a storage vault, and a Multi-Canister Overpack (MCO) Handling Machine (MHM). Because of evolution of the project technical strategy, the hot conditioning system was deleted from the scope and MCO welding and sampling stations were added in its place. This report outlines the methods, procedures, and outputs developed by Project W379 to verify that the provided Structures, Systems, and Components (SSCs): satisfy the design requirements and acceptance criteria; perform their intended function; ensure that failure modes and hazards have been addressed in the design; and ensure that the SSCs as installed will not adversely impact other SSCs. The original version of this document was prepared by Vista Engineering for the SNF Project. The purpose of this revision is to document completion of verification actions that were pending at the time the initial report was prepared. Verification activities for the installed and operational SSCs have been completed. Verification of future additions to the CSB related to the canister cover cap and welding fixture system and MCO Internal Gas Sampling equipment will be completed as appropriate for those components. The open items related to verification of those requirements are noted

In pursuit of carbon accountability: the politics of REDD+ measuring, reporting and verification systems

NARCIS (Netherlands)

Gupta, A.; Lövbrand, E.; Turnhout, E.; Vijge, M.J.

2012-01-01

This article reviews critical social science analyses of carbonaccounting and monitoring, reporting and verification (MRV) systems associated with reducing emissions from deforestation, forest degradation and conservation, sustainable use and enhancement of forest carbon stocks (REDD+). REDD+ MRV

The effects of power, leadership and psychological safety on resident event reporting.

Science.gov (United States)

Appelbaum, Nital P; Dow, Alan; Mazmanian, Paul E; Jundt, Dustin K; Appelbaum, Eric N

2016-03-01

Although the reporting of adverse events is a necessary first step in identifying and addressing lapses in patient safety, such events are under-reported, especially by frontline providers such as resident physicians. This study describes and tests relationships between power distance and leader inclusiveness on psychological safety and the willingness of residents to report adverse events. A total of 106 resident physicians from the departments of neurosurgery, orthopaedic surgery, emergency medicine, otolaryngology, neurology, obstetrics and gynaecology, paediatrics and general surgery in a mid-Atlantic teaching hospital were asked to complete a survey on psychological safety, perceived power distance, leader inclusiveness and intention to report adverse events. Perceived power distance (β = -0.26, standard error [SE] 0.06, 95% confidence interval [CI] -0.37 to 0.15; p leadership practices build psychological safety and minimise power distance between low- and high-status members in order to support greater reporting of adverse events. © 2016 John Wiley & Sons Ltd.

Requirements Verification Report AN Farm to 200E Waste Transfer System for Project W-314, Tank Farm Restoration and Safe Operations

International Nuclear Information System (INIS)

MCGREW, D.L.

1999-01-01

This Requirements Verification Report (RVR) for Project W-314 ''AN Farm to 200E Waste Transfer System'' package provides documented verification of design compliance to all the applicable Project Development Specification (PDS) requirements. Additional PDS requirements verification will be performed during the project's procurement, construction, and testing phases, and the RVR will be updated to reflect this information as appropriate

DarcyTools, Version 2.1. Verification and validation

International Nuclear Information System (INIS)

Svensson, Urban

2004-03-01

DarcyTools is a computer code for simulation of flow and transport in porous and/or fractured media. The fractured media in mind is a fractured rock and the porous media the soil cover on the top of the rock; it is hence groundwater flows, which is the class of flows in mind. A number of novel methods and features form the present version of DarcyTools. In the verification studies, these methods are evaluated by comparisons with analytical solutions for idealized situations. The five verification groups, thus reflect the main areas of recent developments. The present report will focus on the Verification and Validation of DarcyTools. Two accompanying reports cover other aspects: - Concepts, Methods, Equations and Demo Simulations. - User's Guide. The objective of this report is to compile all verification and validation studies that have been carried out so far. After some brief introductory sections, all cases will be reported in Appendix A (verification cases) and Appendix B (validation cases)

DarcyTools, Version 2.1. Verification and validation

Energy Technology Data Exchange (ETDEWEB)

Svensson, Urban [Computer-aided Fluid Engineering AB, Norrkoeping (Sweden)

2004-03-01

DarcyTools is a computer code for simulation of flow and transport in porous and/or fractured media. The fractured media in mind is a fractured rock and the porous media the soil cover on the top of the rock; it is hence groundwater flows, which is the class of flows in mind. A number of novel methods and features form the present version of DarcyTools. In the verification studies, these methods are evaluated by comparisons with analytical solutions for idealized situations. The five verification groups, thus reflect the main areas of recent developments. The present report will focus on the Verification and Validation of DarcyTools. Two accompanying reports cover other aspects: - Concepts, Methods, Equations and Demo Simulations. - User's Guide. The objective of this report is to compile all verification and validation studies that have been carried out so far. After some brief introductory sections, all cases will be reported in Appendix A (verification cases) and Appendix B (validation cases)

Lawful Permanent Residents - Annual Report

Data.gov (United States)

Department of Homeland Security — A lawful permanent resident (LPR) or 'green card' recipient is defined by immigration law as a person who has been granted lawful permanent residence in the United...

DESIGN VERIFICATION REPORT SPENT NUCLEAR FUEL (SNF) PROJECT CANISTER STORAGE BUILDING (CSB)

International Nuclear Information System (INIS)

BAZINET, G.D.

2003-01-01

The Sub-project W379, ''Spent Nuclear Fuel Canister Storage Building (CSB),'' was established as part of the Spent Nuclear Fuel (SNF) Project. The primary mission of the CSB is to safely store spent nuclear fuel removed from the K Basins in dry storage until such time that it can be transferred to the national geological repository at Yucca Mountain Nevada. This sub-project was initiated in late 1994 by a series of studies and conceptual designs. These studies determined that the partially constructed storage building, originally built as part of the Hanford Waste Vitrification Plant (HWVP) Project, could be redesigned to safely store the spent nuclear fuel. The scope of the CSB facility initially included a receiving station, a hot conditioning system, a storage vault, and a Multi-Canister Overpack (MCO) Handling Machine (MHM). Because of evolution of the project technical strategy, the hot conditioning system was deleted from the scope and MCO welding and sampling stations were added in its place. This report outlines the methods, procedures, and outputs developed by Project W379 to verify that the provided Structures, Systems, and Components (SSCs): satisfy the design requirements and acceptance criteria; perform their intended function; ensure that failure modes and hazards have been addressed in the design; and ensure that the SSCs as installed will not adversely impact other SSCs. The original version of this document was prepared by Vista Engineering for the SNF Project. Revision 1 documented verification actions that were pending at the time the initial report was prepared. Revision 3 of this document incorporates MCO Cover Cap Assembly welding verification activities. Verification activities for the installed and operational SSCs have been completed

Social survey of Three Mile Island area residents. Final report

International Nuclear Information System (INIS)

Brunn, S.D.; Johnson, J.H. Jr; Zeigler, D.J.

1979-08-01

Recognizing that there is concern among government officials, utility company officials, engineers, physical, social, and behavioral scientists, and the general public about the consequences of the Three Mile Island accident, the overall objective of this report is to examine how the accident affected TMI area residents. This final report is a detailed analysis and description of the summary results published previously. A questionnaire was mailed to a sample of residents in the Three Mile Island area within one month of the accident. The survey instrument and sampling design are discussed in a subsequent chapter. Because of the nature of the accident and individual memories about dates, places, and events, it was necessary to conduct a survey as soon as possible after the accident. Area residents were asked a variety of questions including: (1) when and how they learned about the accident; (2) where they evacuated and why; (3) what confidence they placed in reports by the government and utility companies; (4) how their attitudes toward nuclear power have changed as a result of the accident; and (5) what impact the accident is likely to have on themselves and the Three Mile Island area. These questions and others are examined in this report. The results are analyzed in light of a number of social, economic, and political characteristics. Both statistical tests and a graphical presentation of the results are included

Residents' experiences of abuse, discrimination and sexual harassment during residency training. McMaster University Residency Training Programs.

Science.gov (United States)

Cook, D J; Liutkus, J F; Risdon, C L; Griffith, L E; Guyatt, G H; Walter, S D

1996-06-01

To assess the prevalence of psychological abuse, physical assault, and discrimination on the basis of gender and sexual orientation, and to examine the prevalence and impact of sexual harassment in residency training programs. Self-administered questionnaire. McMaster University, Hamilton, Ont. Residents in seven residency training programs during the academic year from July 1993 to June 1994. Of 225 residents 186 (82.7%) returned a completed questionnaire, and 50% of the respondents were women. Prevalence of psychological abuse, physical assault and discrimination on the basis of gender and sexual orientation experienced by residents during medical training, prevalence and residents' perceived frequency of sexual harassment. Psychological abuse was reported by 50% of the residents. Some of the respondents reported physical assault, mostly by patients and their family members (14.7% reported assaults by male patients and family members, 9.8% reported assaults by female patients and family members), 5.4% of the female respondents reported assault by male supervising physicians. Discrimination on the basis of gender was reported to be common and was experienced significantly more often by female residents than by male residents (p sexual orientation. Most of the respondents experienced sexual harassment, especially in the form of sexist jokes, flirtation and unwanted compliments on their dress or figure. On average, 40% of the respondents, especially women (p sexual harassment to someone (p sexual harassment were embarassment (reported by 24.0%), anger (by 23.4%) and frustration (20.8%). Psychological abuse, discrimination on the basis of gender and sexual harassment are commonly experienced by residents in training programs. A direct, progressive, multidisciplinary approach is needed to label and address these problems.

Challenges Facing Medical Residents' Satisfaction in the Middle East: A Report From United Arab Emirates.

Science.gov (United States)

Abdulrahman, Mahera; Qayed, Khalil I; AlHammadi, Hisham H; Julfar, Adnan; Griffiths, Jane L; Carrick, Frederick R

2015-01-01

PHENOMENON: Medical residents' satisfaction with the quality of training for medical residency training specialists is one of the core measures of training program success. It will also therefore contribute to the integrity of healthcare in the long run. Yet there is a paucity of research describing medical residents' satisfaction in the Middle East, and there are no published studies that measure the satisfaction of medical residents trained within the United Arab Emirates (UAE). This makes it difficult to develop a quality residency training program that might meet the needs of both physicians and society. The authors designed a questionnaire to assess medical residents' satisfaction with the Dubai residency training program in order to identify insufficiencies in the training, clinical, and educational aspects. The survey was a self-report questionnaire composed of different subscales covering sociodemographic and educational/academic profile of the residents along with their overall satisfaction of their training, curriculum, work environment, peer teamwork, and their personal opinion on their medical career. Respondents showed a substantial level of satisfaction with the residency training. The vast majority of residents (80%, N = 88) believe that their residency program curriculum and rotation was "good," "very good," or "excellent." Areas of dissatisfaction included salary, excessive paperwork during rotations, and harassment. INSIGHTS: This is the first report that studies the satisfaction of medical residents in all specialties in Dubai, UAE. Our findings provide preliminary evidence on the efficiency of different modifications applied to the residency program in UAE. To our knowledge, there has not been any previous study in the Middle East that has analyzed this aspect of medical residents from different specialties. The authors believe that this report can be used as a baseline to monitor the effectiveness of interventions applied in the future toward

Peer-Assisted Analysis of Resident Feedback Improves Clinical Teaching: A Case Report.

Science.gov (United States)

Mai, Christine L; Baker, Keith

2017-07-01

Anesthesiologists play an important role in educating future clinicians. Yet few residency programs incorporate teaching skills into faculty development. Consequently, many anesthesiologists have limited training to supervise and educate residents. In turn, these attendings may receive negative feedback and poor evaluations from residents without a means to effectively improve. Peer-assisted teaching between faculty members may serve as a strategy to improve teaching skills. We report a case of peer-assisted analysis of resident feedback to identify specific areas of concern that were targeted for improvement. This approach resulted in improved teaching scores and feedback for the faculty member.

Spent fuel verification options for final repository safeguards in Finland. A study on verification methods, their feasibility and safety aspects

International Nuclear Information System (INIS)

Hautamaeki, J.; Tiitta, A.

2000-12-01

The verification possibilities of the spent fuel assemblies from the Olkiluoto and Loviisa NPPs and the fuel rods from the research reactor of VTT are contemplated in this report. The spent fuel assemblies have to be verified at the partial defect level before the final disposal into the geologic repository. The rods from the research reactor may be verified at the gross defect level. Developing a measurement system for partial defect verification is a complicated and time-consuming task. The Passive High Energy Gamma Emission Tomography and the Fork Detector combined with Gamma Spectrometry are the most potential measurement principles to be developed for this purpose. The whole verification process has to be planned to be as slick as possible. An early start in the planning of the verification and developing the measurement devices is important in order to enable a smooth integration of the verification measurements into the conditioning and disposal process. The IAEA and Euratom have not yet concluded the safeguards criteria for the final disposal. E.g. criteria connected to the selection of the best place to perform the verification. Measurements have not yet been concluded. Options for the verification places have been considered in this report. One option for a verification measurement place is the intermediate storage. The other option is the encapsulation plant. Crucial viewpoints are such as which one offers the best practical possibilities to perform the measurements effectively and which would be the better place in the safeguards point of view. Verification measurements may be needed both in the intermediate storages and in the encapsulation plant. In this report also the integrity of the fuel assemblies after wet intermediate storage period is assessed, because the assemblies have to stand the handling operations of the verification measurements. (orig.)

Field Verification Program for Small Wind Turbines, Quartelry Report: 2nd Quarter, Issue No.1, October 2000

Energy Technology Data Exchange (ETDEWEB)

Tu, P.; Forsyth, T.

2000-11-02

The Field Verification Program for Small Wind Turbines quarterly report provides industry members with a description of the program, its mission, and purpose. It also provides a vehicle for participants to report performance data, activities, and issues during quarterly test periods.

Measuring Value in Internal Medicine Residency Training Hospitals Using Publicly Reported Measures.

Science.gov (United States)

Schickedanz, Adam; Gupta, Reshma; Arora, Vineet M; Braddock, Clarence H

2018-03-01

Graduate medical education (GME) lacks measures of resident preparation for high-quality, cost-conscious practice. The authors used publicly reported teaching hospital value measures to compare internal medicine residency programs on high-value care training and to validate these measures against program director perceptions of value. Program-level value training scores were constructed using Centers for Medicare & Medicaid Services Value-Based Purchasing (VBP) Program hospital quality and cost-efficiency data. Correlations with Association of Program Directors in Internal Medicine Annual Survey high-value care training measures were examined using logistic regression. For every point increase in program-level VBP score, residency directors were more likely to agree that GME programs have a responsibility to contain health care costs (adjusted odds ratio [aOR] 1.18, P = .04), their faculty model high-value care (aOR 1.07, P = .03), and residents are prepared to make high-value medical decisions (aOR 1.07, P = .09). Publicly reported clinical data offer valid measures of GME value training.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT LASER TOUCH AND TECHNOLOGIES, LLC LASER TOUCH MODEL LT-B512

Science.gov (United States)

The Environmental Technology Verification report discusses the technology and performance of Laser Touch model LT-B512 targeting device manufactured by Laser Touch and Technologies, LLC, for manual spray painting operations. The relative transfer efficiency (TE) improved an avera...

Workplace Violence against Residents in Emergency Department and Reasons for not Reporting Them; a Cross Sectional Study.

Science.gov (United States)

Hedayati Emam, Gilava; Alimohammadi, Hossein; Zolfaghari Sadrabad, Akram; Hatamabadi, Hamidreza

2018-01-01

Due to the stressful nature of emergency Department (ED), residents in ED are at risk of violence from patients or their associates. This study aimed to determine the prevalence of workplace violence against ED residents and the reasons for not reporting them. This cross-sectional study was conducted on ED residents of three educational hospitals, Tehran, Iran, during 2015. The national questionnaire about workplace violence was used for data gathering. In addition, prevalence of reporting the violence and the reasons for not reporting them were determined. 280 questionnaires were analyzed. The mean age of residents was 32.2 ± 4.6 years (58.4% female). 224 (80%) residents stated that they had not passed any educational courses on violence management. The most prevalent type of violence was verbal (90.7%) and patients' associates (85.4%) were the most common source of aggression. The frequency of physical violence was higher in male aggressors (p = 0.001), resident age > 30 years (p = 0.044), aggressor age > 30 years (p = 0.001), and night shift (p = 0.001). The same trend was observed regarding verbal and racial-ethnic violence. There was no significant relationship between residents' sex, resident's specialty, and presence of security and police with frequency of violence. 214 (76.4%) residents did not report the violence, and the main reasons for not reporting from their viewpoint were uselessness of reporting (37.4%) and insignificance of the violence (36.9%). Based on the findings of the present study more than 90% of ED residents had experienced at least one type of verbal, physical, or racial-ethnic violence during their shifts. It is necessary for residents in EDs to be trained about violence control and also report and follow these issues through legal channels.

DESIGN VERIFICATION REPORT SPENT NUCLEAR FUEL (SNF) PROJECT CANISTER STORAGE BUILDING (CSB)

Energy Technology Data Exchange (ETDEWEB)

BAZINET, G.D.

2003-02-12

The Sub-project W379, ''Spent Nuclear Fuel Canister Storage Building (CSB),'' was established as part of the Spent Nuclear Fuel (SNF) Project. The primary mission of the CSB is to safely store spent nuclear fuel removed from the K Basins in dry storage until such time that it can be transferred to the national geological repository at Yucca Mountain Nevada. This sub-project was initiated in late 1994 by a series of studies and conceptual designs. These studies determined that the partially constructed storage building, originally built as part of the Hanford Waste Vitrification Plant (HWVP) Project, could be redesigned to safely store the spent nuclear fuel. The scope of the CSB facility initially included a receiving station, a hot conditioning system, a storage vault, and a Multi-Canister Overpack (MCO) Handling Machine (MHM). Because of evolution of the project technical strategy, the hot conditioning system was deleted from the scope and MCO welding and sampling stations were added in its place. This report outlines the methods, procedures, and outputs developed by Project W379 to verify that the provided Structures, Systems, and Components (SSCs): satisfy the design requirements and acceptance criteria; perform their intended function; ensure that failure modes and hazards have been addressed in the design; and ensure that the SSCs as installed will not adversely impact other SSCs. The original version of this document was prepared by Vista Engineering for the SNF Project. Revision 1 documented verification actions that were pending at the time the initial report was prepared. Revision 3 of this document incorporates MCO Cover Cap Assembly welding verification activities. Verification activities for the installed and operational SSCs have been completed.

Complex-Wide Waste Flow Analysis V1.0 verification and validation report

International Nuclear Information System (INIS)

Hsu, K.M.; Lundeen, A.S.; Oswald, K.B.; Shropshire, D.E.; Robinson, J.M.; West, W.H.

1997-01-01

The complex-wide waste flow analysis model (CWWFA) was developed to assist the Department of Energy (DOE) Environmental Management (EM) Office of Science and Technology (EM-50) to evaluate waste management scenarios with emphasis on identifying and prioritizing technology development opportunities to reduce waste flows and public risk. In addition, the model was intended to support the needs of the Complex-Wide Environmental Integration (EMI) team supporting the DOE's Accelerating Cleanup: 2006 Plan. CWWFA represents an integrated environmental modeling system that covers the life cycle of waste management activities including waste generation, interim process storage, retrieval, characterization and sorting, waste preparation and processing, packaging, final interim storage, transport, and disposal at a final repository. The CWWFA shows waste flows through actual site-specific and facility-specific conditions. The system requirements for CWWFA are documented in the Technical Requirements Document (TRD). The TRD is intended to be a living document that will be modified over the course of the execution of CWWFA development. Thus, it is anticipated that CWWFA will continue to evolve as new requirements are identified (i.e., transportation, small sites, new streams, etc.). This report provides a documented basis for system verification of CWWFA requirements. System verification is accomplished through formal testing and evaluation to ensure that all performance requirements as specified in the TRD have been satisfied. A Requirement Verification Matrix (RVM) was used to map the technical requirements to the test procedures. The RVM is attached as Appendix A. Since February of 1997, substantial progress has been made toward development of the CWWFA to meet the system requirements. This system verification activity provides a baseline on system compliance to requirements and also an opportunity to reevaluate what requirements need to be satisfied in FY-98

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: DUST SUPPRESSANT PRODUCTS: SYNTECH PRODUCTS CORPORATION'S PETROTAC

Science.gov (United States)

Dust suppressant products used to control particulate emissions from unpaved roads are among the technologies evaluated by the Air Pollution Control Technology (APCT) Verification Center, part of the U.S. Environmental Protection Agency's Environmental Technology Verification (ET...

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: DUST SUPPRESSANT PRODUCTS: SYNTECH PRODUCTS CORPORATION'S TECHSUPPRESS

Science.gov (United States)

Dust suppressant products used to control particulate emissions from unpaved roads are among the technologies evaluated by the Air Pollution Control Technology (APCT) Verification Center, part of the U.S. Environmental Protection Agency's Environmental Technology Verification (ET...

ASSOCIATION BETWEEN BURNOUT SYNDROME IN INTERNAL MEDICINE RESIDENTS, THEIR REPORT OF THE SUBOPTIMAL CARE PRACTICES AND PATIENTS’ REPORT

Directory of Open Access Journals (Sweden)

ISABEL CASTAÑO

2006-10-01

Full Text Available This investigation pretended to establish the association between the Burnout Syndrome in internal medicine residents,the report of their sub optimal medical practices and the report of their hospitalized patients in charge, by using amultitrait-multimethod with a concurrent design that allows the research of two objects in the same investigation withconvergent results. The translated version by Moreno (2004 of the Maslach Burnout Inventory (MBI and the semistructured interview were used in medical residents, and a questionnaire to patients based on the scales proposed byMcKinley, Manku-Scott, Hastings, French and Baker (1997 in their research. The results showed no associationbetween the Burnout Syndrome and the report of the sub optimal practices from residents and patients. On thecontrary, it was found a significant association between the communication category and the report of patients. Finally,suggestions are formulated for improvements of these sub optimal practices and complementary studiesare proposed.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT, HVLP COATING EQUIPMENT, SHARPE MANUFACTURING COMPANY PLATINUM 2012 HVLP SPRAY GUN

Science.gov (United States)

This report presents the results of the verification test of the Sharpe Platinum 2013 high-volume, low-pressure gravity-feed spray gun, hereafter referred to as the Sharpe Platinum, which is designed for use in automotive refinishing. The test coating chosen by Sharpe Manufacturi...

Nuclear test ban verification

International Nuclear Information System (INIS)

Chun, Kin-Yip

1991-07-01

This report describes verification and its rationale, the basic tasks of seismic verification, the physical basis for earthquake/explosion source discrimination and explosion yield determination, the technical problems pertaining to seismic monitoring of underground nuclear tests, the basic problem-solving strategy deployed by the forensic seismology resarch team at the University of Toronto, and the scientific significance of the team's research. The research carried out at the Univeristy of Toronto has two components: teleseismic verification using P wave recordings from the Yellowknife Seismic Array (YKA), and regional (close-in) verification using high-frequency L g and P n recordings from the Eastern Canada Telemetered Network. Major differences have been found in P was attenuation among the propagation paths connecting the YKA listening post with seven active nuclear explosion testing areas in the world. Significant revisions have been made to previously published P wave attenuation results, leading to more interpretable nuclear explosion source functions. (11 refs., 12 figs.)

Flammable Gas Refined Safety Analysis Tool Software Verification and Validation Report for Resolve Version 2.5

International Nuclear Information System (INIS)

BRATZEL, D.R.

2000-01-01

The purpose of this report is to document all software verification and validation activities, results, and findings related to the development of Resolve Version 2.5 for the analysis of flammable gas accidents in Hanford Site waste tanks

Leadership in the clinical workplace: what residents report to observe and supervisors report to display: an exploratory questionnaire study

OpenAIRE

van der Wal, Martha A.; Scheele, Fedde; Sch?nrock-Adema, Johanna; Jaarsma, A. Debbie C.; Cohen-Schotanus, Janke

2015-01-01

Background: Within the current health care system, leadership is considered important for physicians. leadership is mostly self-taught, through observing and practicing. Does the practice environment offer residents enough opportunities to observe the supervisor leadership behaviours they have to learn? In the current study we investigate which leadership behaviours residents observe throughout their training, which behaviours supervisors report to display and whether residents and supervisor...

Viability Study for an Unattended UF_6 Cylinder Verification Station: Phase I Final Report

International Nuclear Information System (INIS)

Smith, Leon E.; Miller, Karen A.; Garner, James R.; Branney, Sean; McDonald, Benjamin S.; Webster, Jennifer B.; Zalavadia, Mital A.; Todd, Lindsay C.; Kulisek, Jonathan A.; Nordquist, Heather; Deshmukh, Nikhil S.; Stewart, Scott

2016-01-01

In recent years, the International Atomic Energy Agency (IAEA) has pursued innovative techniques and an integrated suite of safeguards measures to address the verification challenges posed by the front end of the nuclear fuel cycle. Among the unattended instruments currently being explored by the IAEA is an Unattended Cylinder Verification Station (UCVS) that could provide automated, independent verification of the declared relative enrichment, "2"3"5U mass, total uranium mass and identification for all declared UF_6 cylinders in a facility (e.g., uranium enrichment plants and fuel fabrication plants). Under the auspices of the United States and European Commission Support Programs to the IAEA, a project was undertaken to assess the technical and practical viability of the UCVS concept. The US Support Program team consisted of Pacific Northwest National Laboratory (PNNL, lead), Los Alamos National Laboratory (LANL), Oak Ridge National Laboratory (ORNL) and Savanah River National Laboratory (SRNL). At the core of the viability study is a long-term field trial of a prototype UCVS system at a Westinghouse fuel fabrication facility. A key outcome of the study is a quantitative performance evaluation of two nondestructive assay (NDA) methods being considered for inclusion in a UCVS: Hybrid Enrichment Verification Array (HEVA), and Passive Neutron Enrichment Meter (PNEM). This report provides context for the UCVS concept and the field trial: potential UCVS implementation concepts at an enrichment facility; an overview of UCVS prototype design; field trial objectives and activities. Field trial results and interpretation are presented, with a focus on the performance of PNEM and HEVA for the assay of over 200 ''typical'' Type 30B cylinders, and the viability of an ''NDA Fingerprint'' concept as a high-fidelity means to periodically verify that the contents of a given cylinder are consistent with previous scans. A modeling study, combined with field-measured instrument

Verification of RESRAD-build computer code, version 3.1

International Nuclear Information System (INIS)

2003-01-01

RESRAD-BUILD is a computer model for analyzing the radiological doses resulting from the remediation and occupancy of buildings contaminated with radioactive material. It is part of a family of codes that includes RESRAD, RESRAD-CHEM, RESRAD-RECYCLE, RESRAD-BASELINE, and RESRAD-ECORISK. The RESRAD-BUILD models were developed and codified by Argonne National Laboratory (ANL); version 1.5 of the code and the user's manual were publicly released in 1994. The original version of the code was written for the Microsoft DOS operating system. However, subsequent versions of the code were written for the Microsoft Windows operating system. The purpose of the present verification task (which includes validation as defined in the standard) is to provide an independent review of the latest version of RESRAD-BUILD under the guidance provided by ANSI/ANS-10.4 for verification and validation of existing computer programs. This approach consists of a posteriori V and V review which takes advantage of available program development products as well as user experience. The purpose, as specified in ANSI/ANS-10.4, is to determine whether the program produces valid responses when used to analyze problems within a specific domain of applications, and to document the level of verification. The culmination of these efforts is the production of this formal Verification Report. The first step in performing the verification of an existing program was the preparation of a Verification Review Plan. The review plan consisted of identifying: Reason(s) why a posteriori verification is to be performed; Scope and objectives for the level of verification selected; Development products to be used for the review; Availability and use of user experience; and Actions to be taken to supplement missing or unavailable development products. The purpose, scope and objectives for the level of verification selected are described in this section of the Verification Report. The development products that were used

Residents' Ratings of Their Clinical Supervision and Their Self-Reported Medical Errors: Analysis of Data From 2009.

Science.gov (United States)

Baldwin, DeWitt C; Daugherty, Steven R; Ryan, Patrick M; Yaghmour, Nicholas A; Philibert, Ingrid

2018-04-01

Medical errors and patient safety are major concerns for the medical and medical education communities. Improving clinical supervision for residents is important in avoiding errors, yet little is known about how residents perceive the adequacy of their supervision and how this relates to medical errors and other education outcomes, such as learning and satisfaction. We analyzed data from a 2009 survey of residents in 4 large specialties regarding the adequacy and quality of supervision they receive as well as associations with self-reported data on medical errors and residents' perceptions of their learning environment. Residents' reports of working without adequate supervision were lower than data from a 1999 survey for all 4 specialties, and residents were least likely to rate "lack of supervision" as a problem. While few residents reported that they received inadequate supervision, problems with supervision were negatively correlated with sufficient time for clinical activities, overall ratings of the residency experience, and attending physicians as a source of learning. Problems with supervision were positively correlated with resident reports that they had made a significant medical error, had been belittled or humiliated, or had observed others falsifying medical records. Although working without supervision was not a pervasive problem in 2009, when it happened, it appeared to have negative consequences. The association between inadequate supervision and medical errors is of particular concern.

CASL Verification and Validation Plan

Energy Technology Data Exchange (ETDEWEB)

Mousseau, Vincent Andrew [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Dinh, Nam [North Carolina State Univ., Raleigh, NC (United States)

2016-06-30

This report documents the Consortium for Advanced Simulation of LWRs (CASL) verification and validation plan. The document builds upon input from CASL subject matter experts, most notably the CASL Challenge Problem Product Integrators, CASL Focus Area leaders, and CASL code development and assessment teams. This document will be a living document that will track progress on CASL to do verification and validation for both the CASL codes (including MPACT, CTF, BISON, MAMBA) and for the CASL challenge problems (CIPS, PCI, DNB). The CASL codes and the CASL challenge problems are at differing levels of maturity with respect to validation and verification. The gap analysis will summarize additional work that needs to be done. Additional VVUQ work will be done as resources permit. This report is prepared for the Department of Energy’s (DOE’s) CASL program in support of milestone CASL.P13.02.

Software Verification and Validation Test Report for the HEPA filter Differential Pressure Fan Interlock System

International Nuclear Information System (INIS)

ERMI, A.M.

2000-01-01

The HEPA Filter Differential Pressure Fan Interlock System PLC ladder logic software was tested using a Software Verification and Validation (VandV) Test Plan as required by the ''Computer Software Quality Assurance Requirements''. The purpose of his document is to report on the results of the software qualification

Preliminary report for using X-rays as verification and authentication tool

Energy Technology Data Exchange (ETDEWEB)

Esch, Ernst Ingo [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Desimone, David J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Lakis, Rollin Evan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2016-04-06

We examined x-rays for the use as authentication and verification tool in treaty verification. Several x-ray pictures were taken to determine the quality and feasibility of x-rays for these tasks. This document describes the capability of the used x-ray system and outlines its parameters and possible use.

Special report: results of the 2000-2002 association of residents in radiation oncology (arro) surveys

International Nuclear Information System (INIS)

Jagsi, Reshma; Chronowski, Gregory M.; Buck, David A.; Kang, Song; Palermo, James

2004-01-01

Between 2000 and 2002, the Association of Residents in Radiation Oncology (ARRO) conducted its 18th, 19th, and 20th annual surveys of all residents training in radiation oncology in the United States. This report summarizes these results. The demographic characteristics of residents in training between 2000 and 2002 are detailed, as are issues regarding the quality of training and career choices of residents entering practice

Report on Stage 1 of project CHEMVAL/MIRAGE: verification of speciation models

International Nuclear Information System (INIS)

Read, D.; Broyd, T.W.

1989-01-01

This report describes the results of CHEMVAL Stage 1, an international chemical model verification exercise involving the active participation of 14 organisations within the CEC countries, Sweden, Switzerland and Finland. Five case systems were studied, namely, cement, clay, sandstone, granite and limestone. Overall, good agreement was obtained even for conceptually difficult geochemical simulations. Reasons for divergence in results have been explored and recommendations are made at the appropriate stages for enhancement of the thermodynamic database. A listing of the preliminary CHEMVAL Project Database is provided. (author)

Introducing radiology report checklists among residents: adherence rates when suggesting versus requiring their use and early experience in improving accuracy.

Science.gov (United States)

Powell, Daniel K; Lin, Eaton; Silberzweig, James E; Kagetsu, Nolan J

2014-03-01

To retrospectively compare resident adherence to checklist-style structured reporting for maxillofacial computed tomography (CT) from the emergency department (when required vs. suggested between two programs). To compare radiology resident reporting accuracy before and after introduction of the structured report and assess its ability to decrease the rate of undetected pathology. We introduced a reporting checklist for maxillofacial CT into our dictation software without specific training, requiring it at one program and suggesting it at another. We quantified usage among residents and compared reporting accuracy, before and after counting and categorizing faculty addenda. There was no significant change in resident accuracy in the first few months, with residents acting as their own controls (directly comparing performance with and without the checklist). Adherence to the checklist at program A (where it originated and was required) was 85% of reports compared to 9% of reports at program B (where it was suggested). When using program B as a secondary control, there was no significant difference in resident accuracy with or without using the checklist (comparing different residents using the checklist to those not using the checklist). Our results suggest that there is no automatic value of checklists for improving radiology resident reporting accuracy. They also suggest the importance of focused training, checklist flexibility, and a period of adjustment to a new reporting style. Mandatory checklists were readily adopted by residents but not when simply suggested. Copyright © 2014 AUR. Published by Elsevier Inc. All rights reserved.

Pediatric dermatology training during residency: a survey of the 2014 graduating residents.

Science.gov (United States)

Akhavan, Alaleh; Murphy-Chutorian, Blair; Friedman, Adam

2015-01-01

Knowledge of pediatric dermatology is considered a core competency of dermatology training and should be expected of all practicing dermatologists. While the numbers of both pediatric dermatology fellowships and board certified pediatric dermatologists in the workforce have increased over the years, recent reports suggest that there is a gap in pediatric dermatology education during dermatology residency. The goal of this study is to assess the current state of pediatric education during residency, as well as the clinical experience, satisfaction and expectations of graduating dermatology residents. A 31-question self-report survey was distributed electronically to 294 third-year dermatology residents with questions pertaining to demographics, didactic education, resident experience in pediatric dermatology training, satisfaction with pediatric training and future plans. One hundred and twenty-three residents responded (41.8% response rate) representing approximately 29.1% of the total number of graduating residents. 69 (56.1%) residents reported academic time specifically devoted to pediatric dermatology, the majority (79.7%) of which was led by pediatric dermatologists. 82% of residents reported dedicated pediatric dermatology clinics at their program. 86.8% of respondents felt that their training in pediatric dermatology will allow them to confidently see pediatric dermatology patients in practice. This survey highlights a promising state of pediatric dermatology training among current graduating dermatology residents. The majority of current graduating dermatology residents are satisfied with their pediatric dermatology education, feel confident treating pediatric patients, and plan to see pediatric patients in clinical practice. © 2015 Wiley Periodicals, Inc.

Verification of the thermal design of electronic equipment

Energy Technology Data Exchange (ETDEWEB)

Hienonen, R.; Karjalainen, M.; Lankinen, R. [VTT Automation, Espoo (Finland). ProTechno

1997-12-31

The project `Verification of the thermal design of electronic equipment` studied the methodology to be followed in the verification of thermal design of electronic equipment. This project forms part of the `Cool Electronics` research programme funded by TEKES, the Finnish Technology Development Centre. This project was carried out jointly by VTT Automation, Lappeenranta University of Technology, Nokia Research Center and ABB Industry Oy VSD-Technology. The thermal design of electronic equipment has a significant impact on the cost, reliability, tolerance to different environments, selection of components and materials, and ergonomics of the product. This report describes the method for verification of thermal design. It assesses the goals set for thermal design, environmental requirements, technical implementation of the design, thermal simulation and modelling, and design qualification testing and the measurements needed. The verification method covers all packaging levels of electronic equipment from the system level to the electronic component level. The method described in this report can be used as part of the quality system of a corporation. The report includes information about the measurement and test methods needed in the verification process. Some measurement methods for the temperature, flow and pressure of air are described. (orig.) Published in Finnish VTT Julkaisuja 824. 22 refs.

Early resident-to-resident physics education in diagnostic radiology.

Science.gov (United States)

Kansagra, Akash P

2014-01-01

The revised ABR board certification process has updated the method by which diagnostic radiology residents are evaluated for competency in clinical radiologic physics. In this work, the author reports the successful design and implementation of a resident-taught physics course consisting of 5 weekly, hour-long lectures intended for incoming first-year radiology residents in their first month of training. To the author's knowledge, this is the first description of a course designed to provide a very early framework for ongoing physics education throughout residency without increasing the didactic burden on faculty members. Twenty-six first-year residents spanning 2 academic years took the course and reported subjective improvement in their knowledge (90%) and interest (75%) in imaging physics and a high level of satisfaction with the use of senior residents as physics educators. Based on the success of this course and the minimal resources required for implementation, this work may serve as a blueprint for other radiology residency programs seeking to develop revised physics curricula. Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Transmutation Fuel Performance Code Thermal Model Verification

Energy Technology Data Exchange (ETDEWEB)

Gregory K. Miller; Pavel G. Medvedev

2007-09-01

FRAPCON fuel performance code is being modified to be able to model performance of the nuclear fuels of interest to the Global Nuclear Energy Partnership (GNEP). The present report documents the effort for verification of the FRAPCON thermal model. It was found that, with minor modifications, FRAPCON thermal model temperature calculation agrees with that of the commercial software ABAQUS (Version 6.4-4). This report outlines the methodology of the verification, code input, and calculation results.

Verification report for SIMREP 1.1

International Nuclear Information System (INIS)

Tarapore, P.S.

1987-06-01

SIMREP 1.1 is a discrete event computer simulation of repository operations in the surface waste-handling facility. The logic for this model is provided by Fluor Technology, Inc., the Architect/Engineer of the salt repository. The verification methods included a line-by-line review of the code, a detailed examination of a generated trace of all simulated events over a given period of operations, and a comparison of the simulation output results with expected values. SIMREP 1.1 performs in the required manner under the given range of input conditions

Verification in Referral-Based Crowdsourcing

Science.gov (United States)

Naroditskiy, Victor; Rahwan, Iyad; Cebrian, Manuel; Jennings, Nicholas R.

2012-01-01

Online social networks offer unprecedented potential for rallying a large number of people to accomplish a given task. Here we focus on information gathering tasks where rare information is sought through “referral-based crowdsourcing”: the information request is propagated recursively through invitations among members of a social network. Whereas previous work analyzed incentives for the referral process in a setting with only correct reports, misreporting is known to be both pervasive in crowdsourcing applications, and difficult/costly to filter out. A motivating example for our work is the DARPA Red Balloon Challenge where the level of misreporting was very high. In order to undertake a formal study of verification, we introduce a model where agents can exert costly effort to perform verification and false reports can be penalized. This is the first model of verification and it provides many directions for future research, which we point out. Our main theoretical result is the compensation scheme that minimizes the cost of retrieving the correct answer. Notably, this optimal compensation scheme coincides with the winning strategy of the Red Balloon Challenge. PMID:23071530

Engineering a static verification tool for GPU kernels

OpenAIRE

Bardsley, E; Betts, A; Chong, N; Collingbourne, P; Deligiannis, P; Donaldson, AF; Ketema, J; Liew, D; Qadeer, S

2014-01-01

We report on practical experiences over the last 2.5 years related to the engineering of GPUVerify, a static verification tool for OpenCL and CUDA GPU kernels, plotting the progress of GPUVerify from a prototype to a fully functional and relatively efficient analysis tool. Our hope is that this experience report will serve the verification community by helping to inform future tooling efforts. ? 2014 Springer International Publishing.

Clinical Skills Verification in General Psychiatry: Recommendations of the ABPN Task Force on Rater Training

Science.gov (United States)

Jibson, Michael D.; Broquet, Karen E.; Anzia, Joan Meyer; Beresin, Eugene V.; Hunt, Jeffrey I.; Kaye, David; Rao, Nyapati Raghu; Rostain, Anthony Leon; Sexson, Sandra B.; Summers, Richard F.

2012-01-01

Objective: The American Board of Psychiatry and Neurology (ABPN) announced in 2007 that general psychiatry training programs must conduct Clinical Skills Verification (CSV), consisting of observed clinical interviews and case presentations during residency, as one requirement to establish graduates' eligibility to sit for the written certification…

Lessons Learned From Microkernel Verification — Specification is the New Bottleneck

Directory of Open Access Journals (Sweden)

Thorsten Bormer

2012-11-01

Full Text Available Software verification tools have become a lot more powerful in recent years. Even verification of large, complex systems is feasible, as demonstrated in the L4.verified and Verisoft XT projects. Still, functional verification of large software systems is rare – for reasons beyond the large scale of verification effort needed due to the size alone. In this paper we report on lessons learned for verification of large software systems based on the experience gained in microkernel verification in the Verisoft XT project. We discuss a number of issues that impede widespread introduction of formal verification in the software life-cycle process.

Spent Nuclear Fuel (SNF) Project Design Verification and Validation Process

International Nuclear Information System (INIS)

OLGUIN, L.J.

2000-01-01

This document provides a description of design verification and validation activities implemented by the Spent Nuclear Fuel (SNF) Project. During the execution of early design verification, a management assessment (Bergman, 1999) and external assessments on configuration management (Augustenburg, 1999) and testing (Loscoe, 2000) were conducted and identified potential uncertainties in the verification process. This led the SNF Chief Engineer to implement corrective actions to improve process and design products. This included Design Verification Reports (DVRs) for each subproject, validation assessments for testing, and verification of the safety function of systems and components identified in the Safety Equipment List to ensure that the design outputs were compliant with the SNF Technical Requirements. Although some activities are still in progress, the results of the DVR and associated validation assessments indicate that Project requirements for design verification are being effectively implemented. These results have been documented in subproject-specific technical documents (Table 2). Identified punch-list items are being dispositioned by the Project. As these remaining items are closed, the technical reports (Table 2) will be revised and reissued to document the results of this work

Preliminary reports in the emergency department: is a subspecialist radiologist more accurate than a radiology resident?

Science.gov (United States)

Branstetter, Barton F; Morgan, Matthew B; Nesbit, Chadd E; Phillips, Jinnah A; Lionetti, David M; Chang, Paul J; Towers, Jeffrey D

2007-02-01

To determine whether emergency department (ED) preliminary reports rendered by subspecialist attending radiologists who are reading outside their field of expertise are more accurate than reports rendered by radiology residents, and to compare error rates between radiologists and nonradiologists in the ED setting. The study was performed at a large academic medical center with a busy ED. An electronic preliminary report generator was used in the ED to capture preliminary interpretations rendered in a clinical setting by radiology residents, junior attendings (within 2 years of taking their oral boards), senior attendings, and ED clinicians between August 1999 and November 2004. Each preliminary report was later reviewed by a final interpreting radiologist, and the preliminary interpretation was adjudicated for the presence of substantial discordances, defined as a difference in interpretation that might immediately impact the care of the patient. Of the 612,890 preliminary reports in the database, 65,780 (11%) met inclusion criteria for this study. A log-linear analysis was used to assess the effects of modality and type of author on preliminary report error rates. ED clinicians had significantly higher error rates when compared with any type of radiologist, regardless of modality. Within the radiologists, residents and junior attendings had lower error rates than did senior attendings, but the differences were not statistically significant. Subspecialized attending radiologists who interpret ED examinations outside their area of expertise have error rates similar to those of radiology residents. Nonradiologists have significantly higher error rates than radiologists and radiology residents when interpreting examinations in the ED.

Sustaining a verification regime in a nuclear weapon-free world. VERTIC research report no. 4

International Nuclear Information System (INIS)

Moyland, S. van

1999-01-01

Sustaining high levels of commitment to and enthusiasm for the verification regime in a nuclear weapon-free world (NWFW) would be a considerable challenge, but the price of failure would be high. No verification system for a complete ban on a whole of weapon of mass destruction (WMD) has been in existence long enough to provide a precedent or the requisite experience. Nevertheless, lessons from the International Atomic Energy Agency's (IAEA) nuclear safeguards system are instructive. A potential problem over the long haul is the gradual erosion of the deterrent effect of verification that may result from the continual overlooking of minor instances of non-compliance. Flaws in the verification system must be identified and dealt with early lest they also corrode the system. To achieve this the verification organisation's inspectors and analytical staff will need sustained support, encouragement, resources and training. In drawing attention to weaknesses, they must be supported by management and at the political level. The leaking of sensitive information, either industrial or military, by staff of the verification regime is a potential problem. 'Managed access' techniques should be constantly examined and improved. The verification organisation and states parties will need to sustain close co-operation with the nuclear and related industries. Frequent review mechanisms must be established. States must invest time and effort to make them effective. Another potential problem is the withering of resources for sustained verification. Verification organisations tend to be pressured by states to cut or last least cap costs, even if the verification workload increases. The verification system must be effective as knowledge and experience allows. The organisation will need continuously to update its scientific methods and technology. This requires in-house resources plus external research and development (R and D). Universities, laboratories and industry need incentives to

Leadership in the clinical workplace: what residents report to observe and supervisors report to display: an exploratory questionnaire study.

Science.gov (United States)

van der Wal, Martha A; Scheele, Fedde; Schönrock-Adema, Johanna; Jaarsma, A Debbie C; Cohen-Schotanus, Janke

2015-11-02

Within the current health care system, leadership is considered important for physicians. leadership is mostly self-taught, through observing and practicing. Does the practice environment offer residents enough opportunities to observe the supervisor leadership behaviours they have to learn? In the current study we investigate which leadership behaviours residents observe throughout their training, which behaviours supervisors report to display and whether residents and supervisors have a need for more formal training. We performed two questionnaire studies. Study 1: Residents (n = 117) answered questions about the extent to which they observed four basic and observable Situational Leadership behaviours in their supervisors. Study 2: Supervisors (n = 201) answered questions about the extent to which they perceived to display these Situational Leadership behaviours in medical practice. We asked both groups of participants whether they experienced a need for formal leadership training. One-third of the residents did not observe the four basic Situational Leadership behaviours. The same pattern was found among starting, intermediate and experienced residents. Moreover, not all supervisors showed these 4 leadership behaviours. Both supervisors and residents expressed a need for formal leadership training. Both findings together suggest that current practice does not offer residents enough opportunities to acquire these leadership behaviours by solely observing their supervisors. Moreover, residents and supervisors both express a need for more formal leadership training. More explicit attention should be paid to leadership development, for example by providing formal leadership training for supervisors and residents.

Darcy Tools version 3.4. Verification, validation and demonstration

International Nuclear Information System (INIS)

Svensson, Urban

2010-12-01

DarcyTools is a computer code for simulation of flow and transport in porous and/or fractured media. The fractured media in mind is a fractured rock and the porous media the soil cover on the top of the rock; it is hence groundwater flows, which is the class of flows in mind. A number of novel methods and features form the present version of DarcyTools. In the verification studies, these methods are evaluated by comparisons with analytical solutions for idealized situations. The five verification groups (see Table 3-1 below), thus reflect the scope of DarcyTools. The present report will focus on the Verification, Validation and Demonstration of DarcyTools. Two accompanying reports cover other aspects: - Concepts, Methods and Equations, /Svensson et al. 2010/ (Hereafter denoted Report 1). - User's Guide, /Svensson and Ferry 2010/ (Hereafter denoted Report 2)

Darcy Tools version 3.4. Verification, validation and demonstration

Energy Technology Data Exchange (ETDEWEB)

Svensson, Urban (Computer-aided Fluid Engineering AB, Lyckeby (Sweden))

2010-12-15

DarcyTools is a computer code for simulation of flow and transport in porous and/or fractured media. The fractured media in mind is a fractured rock and the porous media the soil cover on the top of the rock; it is hence groundwater flows, which is the class of flows in mind. A number of novel methods and features form the present version of DarcyTools. In the verification studies, these methods are evaluated by comparisons with analytical solutions for idealized situations. The five verification groups (see Table 3-1 below), thus reflect the scope of DarcyTools. The present report will focus on the Verification, Validation and Demonstration of DarcyTools. Two accompanying reports cover other aspects: - Concepts, Methods and Equations, /Svensson et al. 2010/ (Hereafter denoted Report 1). - User's Guide, /Svensson and Ferry 2010/ (Hereafter denoted Report 2)

ENVIRONMENTAL TECHNOLOGY VERIFICATION: TEST/QA PLAN FOR THE VERIFICATION TESTING OF SELECTIVE CATALYTIC REDUCTION CONTROL TECHNOLOGIES FOR HIGHWAY, NONROAD, AND STATIONARY USE DIESEL ENGINES

Science.gov (United States)

The U.S. Environmental Protection Agency established the Environmental Technology Verification Program to accelerate the development and commercialization of improved environmental technology through third party verification and reporting of product performance. Research Triangl...

Resident-to-resident relational aggression and subjective well-being in assisted living facilities.

Science.gov (United States)

Trompetter, Hester; Scholte, Ron; Westerhof, Gerben

2011-01-01

Research in settings similar to assisted living facilities suggests that relational aggression, an indirect and mature form of aggression, might occur in assisted living facilities. This empirical study investigates the existence of relational aggression in a sample of residents and the relationship between relational aggression and resident's subjective well-being. 121 residents from six assisted living facilities completed questionnaires assessing personal experiences as victims of relational aggression and subjective well-being. Also nurses reported on victimization of relational aggression for every participant. Linear regression models were used to examine the association between both reports of relational aggression and subjective well-being. Relational aggression was shown to exist in assisted living facilities according to both residents (prevalence: 19%) and nurses (prevalence: 41%). Chi-square testing revealed no association between ratings by nurses and residents. Self-reports of victimization of relational aggression were related to depression, anxiety, satisfaction with life and social loneliness, but not to emotional loneliness. Nurse-reports of victimization of relational aggression were not related to subjective well-being. Self-reports of relational aggression seem to be better predictors of resident's well-being than nurse-reports of relational aggression. Awareness of these findings and the discrepancy between nurse-reports and self-reports are important for practice and for future research regarding social dynamics and living arrangements in elderly care settings.

Monitoring, reporting and verification for national REDD + programmes: two proposals

International Nuclear Information System (INIS)

Herold, Martin; Skutsch, Margaret

2011-01-01

Different options have been suggested by Parties to the UNFCCC (United Framework Convention on Climate Change) for inclusion in national approaches to REDD and REDD + (reduced deforestation, reduced degradation, enhancement of forest carbon stocks, sustainable management of forest, and conservation of forest carbon stocks). This paper proposes that from the practical and technical points of view of designing action for REDD and REDD + at local and sub-national level, as well as from the point of view of the necessary MRV (monitoring, reporting and verification), these should be grouped into three categories: conservation, which is rewarded on the basis of no changes in forest stock, reduced deforestation, in which lowered rates of forest area loss are rewarded, and positive impacts on carbon stock changes in forests remaining forest, which includes reduced degradation, sustainable management of forest of various kinds, and forest enhancement. Thus we have moved degradation, which conventionally is grouped with deforestation, into the forest management group reported as areas remaining forest land, with which it has, in reality, and particularly as regards MRV, much more in common. Secondly, in the context of the fact that REDD/REDD + is to take the form of a national or near-national approach, we argue that while systematic national monitoring is important, it may not be necessary for REDD/REDD + activities, or for national MRV, to be started at equal levels of intensity all over the country. Rather, areas where interventions seem easiest to start may be targeted, and here data measurements may be more rigorous (Tier 3), for example based on stakeholder self-monitoring with independent verification, while in other, untreated areas, a lower level of monitoring may be pursued, at least in the first instance. Treated areas may be targeted for any of the three groups of activities (conservation, reduced deforestation, and positive impact on carbon stock increases in

Monitoring, reporting and verification for national REDD + programmes: two proposals

Energy Technology Data Exchange (ETDEWEB)

Herold, Martin [Center for Geoinformation, Department of Environmental Science, Wageningen University, Droevendaalsesteeg 3, 6708 PB Wageningen (Netherlands); Skutsch, Margaret, E-mail: martin.herold@wur.nl [Centro de Investigaciones en GeografIa Ambiental, UNAM Campus Morelia (Mexico)

2011-01-15

Different options have been suggested by Parties to the UNFCCC (United Framework Convention on Climate Change) for inclusion in national approaches to REDD and REDD + (reduced deforestation, reduced degradation, enhancement of forest carbon stocks, sustainable management of forest, and conservation of forest carbon stocks). This paper proposes that from the practical and technical points of view of designing action for REDD and REDD + at local and sub-national level, as well as from the point of view of the necessary MRV (monitoring, reporting and verification), these should be grouped into three categories: conservation, which is rewarded on the basis of no changes in forest stock, reduced deforestation, in which lowered rates of forest area loss are rewarded, and positive impacts on carbon stock changes in forests remaining forest, which includes reduced degradation, sustainable management of forest of various kinds, and forest enhancement. Thus we have moved degradation, which conventionally is grouped with deforestation, into the forest management group reported as areas remaining forest land, with which it has, in reality, and particularly as regards MRV, much more in common. Secondly, in the context of the fact that REDD/REDD + is to take the form of a national or near-national approach, we argue that while systematic national monitoring is important, it may not be necessary for REDD/REDD + activities, or for national MRV, to be started at equal levels of intensity all over the country. Rather, areas where interventions seem easiest to start may be targeted, and here data measurements may be more rigorous (Tier 3), for example based on stakeholder self-monitoring with independent verification, while in other, untreated areas, a lower level of monitoring may be pursued, at least in the first instance. Treated areas may be targeted for any of the three groups of activities (conservation, reduced deforestation, and positive impact on carbon stock increases in

Heavy water physical verification in power plants

International Nuclear Information System (INIS)

Morsy, S.; Schuricht, V.; Beetle, T.; Szabo, E.

1986-01-01

This paper is a report on the Agency experience in verifying heavy water inventories in power plants. The safeguards objectives and goals for such activities are defined in the paper. The heavy water is stratified according to the flow within the power plant, including upgraders. A safeguards scheme based on a combination of records auditing, comparing records and reports, and physical verification has been developed. This scheme has elevated the status of heavy water safeguards to a level comparable to nuclear material safeguards in bulk facilities. It leads to attribute and variable verification of the heavy water inventory in the different system components and in the store. The verification methods include volume and weight determination, sampling and analysis, non-destructive assay (NDA), and criticality check. The analysis of the different measurement methods and their limits of accuracy are discussed in the paper

Viability Study for an Unattended UF₆ Cylinder Verification Station: Phase I Final Report

Energy Technology Data Exchange (ETDEWEB)

Smith, Leon E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Miller, Karen A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Garner, James R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Branney, Sean [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); McDonald, Benjamin S. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Webster, Jennifer B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zalavadia, Mital A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Todd, Lindsay C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Kulisek, Jonathan A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Nordquist, Heather [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Deshmukh, Nikhil S. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Stewart, Scott [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

2016-05-31

In recent years, the International Atomic Energy Agency (IAEA) has pursued innovative techniques and an integrated suite of safeguards measures to address the verification challenges posed by the front end of the nuclear fuel cycle. Among the unattended instruments currently being explored by the IAEA is an Unattended Cylinder Verification Station (UCVS) that could provide automated, independent verification of the declared relative enrichment, ²³⁵U mass, total uranium mass and identification for all declared UF₆ cylinders in a facility (e.g., uranium enrichment plants and fuel fabrication plants). Under the auspices of the United States and European Commission Support Programs to the IAEA, a project was undertaken to assess the technical and practical viability of the UCVS concept. The US Support Program team consisted of Pacific Northwest National Laboratory (PNNL, lead), Los Alamos National Laboratory (LANL), Oak Ridge National Laboratory (ORNL) and Savanah River National Laboratory (SRNL). At the core of the viability study is a long-term field trial of a prototype UCVS system at a Westinghouse fuel fabrication facility. A key outcome of the study is a quantitative performance evaluation of two nondestructive assay (NDA) methods being considered for inclusion in a UCVS: Hybrid Enrichment Verification Array (HEVA), and Passive Neutron Enrichment Meter (PNEM). This report provides context for the UCVS concept and the field trial: potential UCVS implementation concepts at an enrichment facility; an overview of UCVS prototype design; field trial objectives and activities. Field trial results and interpretation are presented, with a focus on the performance of PNEM and HEVA for the assay of over 200 “typical” Type 30B cylinders, and the viability of an “NDA Fingerprint” concept as a high-fidelity means to periodically verify that the contents of a given cylinder are consistent with previous scans. A modeling study, combined with field

Burnout, engagement and resident physicians' self-reported errors

NARCIS (Netherlands)

Prins, J.T.; van der Heijden, F.M.M.A.; Hoekstra-Weebers, J.E.H.M.; Bakker, A.B.; van de Wiel, H.B.M.; Jacobs, B.; Gazendam-Donofrio, S.M.

2009-01-01

Burnout is a work-related syndrome that may negatively affect more than just the resident physician. On the other hand, engagement has been shown to protect employees; it may also positively affect the patient care that the residents provide. Little is known about the relationship between residents'

Chemval project report on stage 1: verification of speciation models

International Nuclear Information System (INIS)

Read, D.; Broyd, T.W.

1989-01-01

CHEMVAL is an international geochemical exercise, which aims at applicating and validating predictive computer programmes describing the chemistry of radionuclides in the geosphere. As a component of the CEC project MIRAGE- second phase (on migration of radionuclides in the geosphere), CHEMVAL is carried out in the framework of the third community R and D programme of radioactive waste management and storage. The present report is the first of a series devoted to the verification and validation of aqueous speciation and coupled chemical transport codes. Five cases systems are studied, namely, cement, clay, sandstore, granite and limestone. Overall, good agreement was obtained. Reasons for divergence in results have been explored and recommendations are made at the appropriate stages for enhancement of the thermodynamic data base. A listing of the preliminary CHEMVAL Project Data Base is provided

Analysis of dermatology resident self-reported successful learning styles and implications for core competency curriculum development.

Science.gov (United States)

Stratman, Erik J; Vogel, Curt A; Reck, Samuel J; Mukesh, Bickol N

2008-01-01

There are different teaching styles for delivering competency-based curricula. The education literature suggests that learning is maximized when teaching is delivered in a style preferred by learners. To determine if dermatology residents report learning style preferences aligned with adult learning. Dermatology residents attending an introductory cutaneous biology course completed a learning styles inventory assessing self-reported success in 35 active and passive learning activities. The 35 learning activities were ranked in order of preference by learners. Mean overall ratings for active learning activities were significantly higher than for passive learning activities (P = 0.002). Trends in dermatology resident learning style preferences should be considered during program curriculum development. Programs should integrate a variety of curriculum delivery methods to accommodate various learning styles, with an emphasis on the active learning styles preferred by residents.

Development of Electronic Medical Record-Based "Rounds Report" Results in Improved Resident Efficiency, More Time for Direct Patient Care and Education, and Less Resident Duty Hour Violations.

Science.gov (United States)

Ham, Phillip B; Anderton, Toby; Gallaher, Ryan; Hyrman, Mike; Simmerman, Erika; Ramanathan, Annamalai; Fallaw, David; Holsten, Steven; Howell, Charles Gordon

2016-09-01

Surgeons frequently report frustration and loss of efficiency with electronic medical record (EMR) systems. Together, surgery residents and a programmer at Augusta University created a rounds report (RR) summarizing 24 hours of vitals, intake/output, labs, and other values for each inpatient that were previously transcribed by hand. The objective of this study was to evaluate the RR's effect on surgery residents. Surgery residents were queried to assess the RR's impact. Outcome measures were time spent preparing for rounds, direct patient care time, educational activity time, rates of incorrect/incomplete data on rounds, and rate of duty hour violations. Hospital wide, 17,200 RRs were generated in the 1-month study. Twenty-three surgery residents participated. Time spent preparing for rounds decreased per floor patient (15.6 ± 3.0 vs 6.0 ± 1.2, P care unit patient (19.9 ± 2.9 vs 7.5 ± 1.2 P care increased from 45.1 ± 5.6 to 54.0 ± 5.7 per cent (P = 0.0044). Educational activity time increased from 35.2 ± 5.4 to 54.7 ± 7.1 minutes per resident per day (P = 0.0004). Reported duty hour violations decreased 58 per cent (P care at academic medical centers.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: RESIDENTIAL ELECTRIC POWER GENERATION USING THE PLUG POWER SU1 FUEL CELL SYSTEM

Science.gov (United States)

The Environmental Technology Verification report discusses the technology and performance of the Plug Power SU1 Fuel Cell System manufactured by Plug Power. The SU1 is a proton exchange membrane fuel cell that requires hydrogen (H2) as fuel. H2 is generally not available, so the ...

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: HVLP COATING EQUIPMENT, ITW AUTOMOTIVE REFINISHING, DEVILBISS FLG-631-318 HVLP SPRAY GUN

Science.gov (United States)

This report presents the results of the verification test of the DeVilbiss FLG-631-318 high-volume, low-pressure gravity-feed spray gun, hereafter referred to as the DeVilbiss FLG, which is designed for use in automotive refinishing. The test coating chosen by ITW Automotive Refi...

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: HVLP COATING EQUIPMENT, ITW AUTOMOTIVE REFINISHING, DEVILBISS GTI-600G, HVLP SPRAY GUN

Science.gov (United States)

This report presents the results of the verification test of the DeVilbiss GTi-600G high-volume, low-pressure gravity-feed spray gun, hereafter referred to as the DeVilbiss GTi, which is designed for use in automotive refinishing. The test coating chosen by ITW Automotive Refinis...

Independent verification in operations at nuclear power plants

International Nuclear Information System (INIS)

Donderi, D.C.; Smiley, A.; Ostry, D.J.; Moray, N.P.

1995-09-01

A critical review of approaches to independent verification in operations used in nuclear power plant quality assurance programs in other countries, was conducted for this study. This report identifies the uses of independent verification and provides an assessment of the effectiveness of the various approaches. The findings indicate that at Canadian nuclear power plants as much, if not more, independent verification is performed than at power plants in the other countries included in the study. Additional requirements in this area are not proposed for Canadian stations. (author)

Toward a Resident Personal Finance Curriculum: Quantifying Resident Financial Circumstances, Needs, and Interests.

Science.gov (United States)

McKillip, Ryan; Ernst, Michael; Ahn, James; Tekian, Ara; Shappell, Eric

2018-04-26

Introduction Resident financial health has been linked to wellness and resiliency, yet financial literacy among residents is highly variable. While some medical school curricula include budgeting and student loan education, content on managing finances as a resident is usually lacking. We sought to quantitatively assess residents' financial circumstances, needs, and interests to inform the design of a resident personal finance curriculum. Methods Surveys were sent to residents in eight specialties at an academic medical center. Likert-type responses allowed respondents to rate their level of comfort (1 = Very Uncomfortable, 7 = Very Comfortable) and interest (1 = Very Uninterested, 7 = Very Interested) in various personal finance topics including budgeting, loan repayment, disability insurance, life insurance, home buying, and retirement planning. Details regarding financial circumstances, including assets, liabilities, and insurance, were also collected. Results of questions that utilized a Likert-type scale are reported as median (interquartile range). Results Of 346 residents surveyed, 144 (41.6%) responded. Residents were from Internal Medicine (56, 38.9%), Pediatrics (34, 23.6%), Emergency Medicine (18, 12.5%), and other specialties (36, 25.0%). Ninety-one (63.2%) reported educational loans, with an average balance of $191,730. Credit card balances exceeding $3,000 were reported by 11 (7.6%) respondents. One-hundred-two (70.1%) reported emergency savings, but only 65 (45.1%) reported having a retirement account (average balance $27,608). Respondents rated highest comfort levels with budgeting (5[4-6]), and lowest level of comfort with disability insurance (2[2-4]) and home buying (2[2-5]). Interest in learning each topic was high (6[5-7]), with retirement planning (6[5-7]), investing (6[5-7]), and home buying (6[5-7]) the topics of highest interest. Conclusion These results highlight the deficits in personal finance literacy among residents. Future work should

ENVIRONMENTAL TECHNOLOGY VERIFICATION, TEST REPORT OF CONTROL OF BIOAEROSOLS IN HVAC SYSTEMS, COLUMBUS INDUSTRIES SL-3 RING PANEL

Science.gov (United States)

The Environmental Technology Verification report discusses the technology and performance of the High Efficiency Mini Pleat air filter for dust and bioaerosol filtration manufactured by Columbus Industries. The pressure drop across the filter was 142 Pa clean and 283 Pa dust load...

Verification and Optimization of a PLC Control Schedule

NARCIS (Netherlands)

Brinksma, Hendrik; Mader, Angelika H.; Havelund, K.; Penix, J.; Visser, W.

We report on the use of the SPIN model checker for both the verification of a process control program and the derivation of optimal control schedules. This work was carried out as part of a case study for the EC VHS project (Verification of Hybrid Systems), in which the program for a Programmable

Current status of verification practices in clinical biochemistry in Spain.

Science.gov (United States)

Gómez-Rioja, Rubén; Alvarez, Virtudes; Ventura, Montserrat; Alsina, M Jesús; Barba, Núria; Cortés, Mariano; Llopis, María Antonia; Martínez, Cecilia; Ibarz, Mercè

2013-09-01

Verification uses logical algorithms to detect potential errors before laboratory results are released to the clinician. Even though verification is one of the main processes in all laboratories, there is a lack of standardization mainly in the algorithms used and the criteria and verification limits applied. A survey in clinical laboratories in Spain was conducted in order to assess the verification process, particularly the use of autoverification. Questionnaires were sent to the laboratories involved in the External Quality Assurance Program organized by the Spanish Society of Clinical Biochemistry and Molecular Pathology. Seven common biochemical parameters were included (glucose, cholesterol, triglycerides, creatinine, potassium, calcium, and alanine aminotransferase). Completed questionnaires were received from 85 laboratories. Nearly all the laboratories reported using the following seven verification criteria: internal quality control, instrument warnings, sample deterioration, reference limits, clinical data, concordance between parameters, and verification of results. The use of all verification criteria varied according to the type of verification (automatic, technical, or medical). Verification limits for these parameters are similar to biological reference ranges. Delta Check was used in 24% of laboratories. Most laboratories (64%) reported using autoverification systems. Autoverification use was related to laboratory size, ownership, and type of laboratory information system, but amount of use (percentage of test autoverified) was not related to laboratory size. A total of 36% of Spanish laboratories do not use autoverification, despite the general implementation of laboratory information systems, most of them, with autoverification ability. Criteria and rules for seven routine biochemical tests were obtained.

Design verification for large reprocessing plants (Proposed procedures)

International Nuclear Information System (INIS)

Rolandi, G.

1988-07-01

In the 1990s, four large commercial reprocessing plants will progressively come into operation: If an effective and efficient safeguards system is to be applied to these large and complex plants, several important factors have to be considered. One of these factors, addressed in the present report, concerns plant design verification. Design verification provides an overall assurance on plant measurement data. To this end design verification, although limited to the safeguards aspects of the plant, must be a systematic activity, which starts during the design phase, continues during the construction phase and is particularly performed during the various steps of the plant's commissioning phase. The detailed procedures for design information verification on commercial reprocessing plants must be defined within the frame of the general provisions set forth in INFCIRC/153 for any type of safeguards related activities and specifically for design verification. The present report is intended as a preliminary contribution on a purely technical level, and focusses on the problems within the Agency. For the purpose of the present study the most complex case was assumed: i.e. a safeguards system based on conventional materials accountancy, accompanied both by special input and output verification and by some form of near-real-time accountancy involving in-process inventory taking, based on authenticated operator's measurement data. C/S measures are also foreseen, where necessary to supplement the accountancy data. A complete ''design verification'' strategy comprehends: informing the Agency of any changes in the plant system which are defined as ''safeguards relevant''; ''reverifying by the Agency upon receiving notice from the Operator on any changes, on ''design information''. 13 refs

Well-being in residency training: a survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta

Directory of Open Access Journals (Sweden)

Patten Scott

2005-06-01

Full Text Available Abstract Background Despite the critical importance of well-being during residency training, only a few Canadian studies have examined stress in residency and none have examined well-being resources. No recent studies have reported any significant concerns with respect to perceived stress levels in residency. We investigated the level of perceived stress, mental health and understanding and need for well-being resources among resident physicians in training programs in Alberta, Canada. Methods A mail questionnaire was distributed to the entire resident membership of PARA during 2003 academic year. PARA represents each of the two medical schools in the province of Alberta. Results In total 415 (51 % residents participated in the study. Thirty-four percent of residents who responded to the survey reported their life as being stressful. Females reported stress more frequently than males (40% vs. 27%, p Residents highly valued their colleagues (67%, program directors (60% and external psychiatrist/psychologist (49% as well-being resources. Over one third of residents wished to have a career counselor (39% and financial counselor (38%. Conclusion Many Albertan residents experience significant stressors and emotional and mental health problems. Some of which differ among genders. This study can serve as a basis for future resource application, research and advocacy for overall improvements to well-being during residency training.

Results of the 2005-2008 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States: Clinical Training and Resident Working Conditions

International Nuclear Information System (INIS)

Gondi, Vinai; Bernard, Johnny Ray; Jabbari, Siavash; Keam, Jennifer; Amorim Bernstein, Karen L. de; Dad, Luqman K.; Li, Linna; Poppe, Matthew M.; Strauss, Jonathan B.; Chollet, Casey T.

2011-01-01

Purpose: To document clinical training and resident working conditions reported by chief residents during their residency. Methods and Materials: During the academic years 2005 to 2006, 2006 to 2007, and 2007 to 2008, the Association of Residents in Radiation Oncology conducted a nationwide survey of all radiation oncology chief residents in the United States. Chi-square statistics were used to assess changes in clinical training and resident working conditions over time. Results: Surveys were completed by representatives from 55 programs (response rate, 71.4%) in 2005 to 2006, 60 programs (75.9%) in 2006 to 2007, and 74 programs (93.7%) in 2007 to 2008. Nearly all chief residents reported receiving adequate clinical experience in commonly treated disease sites, such as breast and genitourinary malignancies; and commonly performed procedures, such as three-dimensional conformal radiotherapy and intensity-modulated radiotherapy. Clinical experience in extracranial stereotactic radiotherapy increased over time (p < 0.001), whereas clinical experience in endovascular brachytherapy (p <0.001) decreased over time. The distribution of gynecologic and prostate brachytherapy cases remained stable, while clinical case load in breast brachytherapy increased (p = 0.006). A small but significant percentage of residents reported receiving inadequate clinical experience in pediatrics, seeing 10 or fewer pediatric cases during the course of residency. Procedures involving higher capital costs, such as particle beam therapy and intraoperative radiotherapy, and infrequent clinical use, such as head and neck brachytherapy, were limited to a minority of institutions. Most residency programs associated with at least one satellite facility have incorporated resident rotations into their clinical training, and the majority of residents at these programs find them valuable experiences. The majority of residents reported working 60 or fewer hours per week on required clinical duties

System verification and validation report for the TMAD code

International Nuclear Information System (INIS)

Finfrock, S.H.

1995-01-01

This document serves as the Verification and Validation Report for the TMAD code system, which includes the TMAD code and the LIBMAKR Code. The TMAD code was commissioned to facilitate the interpretation of moisture probe measurements in the Hanford Site waste tanks. In principle, the code is an interpolation routine that acts over a library of benchmark data based on two independent variables, typically anomaly size and moisture content. Two additional variables, anomaly type and detector type, can also be considered independent variables, but no interpolation is done over them. The dependent variable is detector response. The intent is to provide the code with measured detector responses from two or more detectors. The code will then interrogate (and interpolate upon) the benchmark data library and find the anomaly-type/anomaly-size/moisture-content combination that provides the closest match to the measured data. The primary purpose of this document is to provide the results of the system testing and the conclusions based thereon. The results of the testing process are documented in the body of the report. Appendix A gives the test plan, including test procedures, used in conducting the tests. Appendix B lists the input data required to conduct the tests, and Appendices C and 0 list the numerical results of the tests

Teaching Women with Intellectual Disabilities to Identify and Report Inappropriate Staff-to-Resident Interactions

Science.gov (United States)

Bollman, Jessica R.; Davis, Paula K.

2009-01-01

This study examined the effectiveness of behavioral skills training in teaching 2 adult women with mild intellectual disabilities to report inappropriate staff-to-resident interactions. The reporting skill included making a self-advocacy response, walking away, and reporting the interaction. Participants' performance was measured during baseline,…

Advanced verification topics

CERN Document Server

Bhattacharya, Bishnupriya; Hall, Gary; Heaton, Nick; Kashai, Yaron; Khan Neyaz; Kirshenbaum, Zeev; Shneydor, Efrat

2011-01-01

The Accellera Universal Verification Methodology (UVM) standard is architected to scale, but verification is growing and in more than just the digital design dimension. It is growing in the SoC dimension to include low-power and mixed-signal and the system integration dimension to include multi-language support and acceleration. These items and others all contribute to the quality of the SOC so the Metric-Driven Verification (MDV) methodology is needed to unify it all into a coherent verification plan. This book is for verification engineers and managers familiar with the UVM and the benefits it brings to digital verification but who also need to tackle specialized tasks. It is also written for the SoC project manager that is tasked with building an efficient worldwide team. While the task continues to become more complex, Advanced Verification Topics describes methodologies outside of the Accellera UVM standard, but that build on it, to provide a way for SoC teams to stay productive and profitable.

Comparison of Student Self-Reported and Administrative Data regarding Intercession into Alcohol Misuse among College Freshmen Dormitory Residents

Science.gov (United States)

Novik, Melinda G.; Boekeloo, Bradley O.

2013-01-01

Intercession into collegiate alcohol misuse by the Department of Resident Life (DRL) in freshmen dormitories at one large Mid-Atlantic, diverse, public university was examined. Freshmen dormitory resident drinkers (n = 357), 71% of whom reported alcohol misuse, were surveyed. Student self-report and DRL documentation, respectively, revealed that…

Integrated Advanced Microwave Sounding Unit-A (AMSU-A). Performance Verification Report: Final Comprehensive Performance Test Report, P/N 1331720-2TST, S/N 105/A1

Science.gov (United States)

Platt, R.

1999-01-01

This is the Performance Verification Report, Final Comprehensive Performance Test (CPT) Report, for the Integrated Advanced Microwave Sounding Unit-A (AMSU-A). This specification establishes the requirements for the CPT and Limited Performance Test (LPT) of the AMSU-1A, referred to here in as the unit. The sequence in which the several phases of this test procedure shall take place is shown.

Protected Time for Research During Orthopaedic Residency Correlates with an Increased Number of Resident Publications.

Science.gov (United States)

Williams, Benjamin R; Agel, Julie A; Van Heest, Ann E

2017-07-05

The Accreditation Council for Graduate Medical Education (ACGME) requires orthopaedic residency programs to promote scholarship and research, which manifest differently among programs. We assess the impact of protected research time during orthopaedic residency on the number of resident publications. Rotation schedules and resident names were collected from 125 ACGME-accredited U.S. orthopaedic residency programs. Protected research time was classified as 1 of 3 types: (1) block time, (2) longitudinal time, or (3) no dedicated time. In April 2016, we searched residents in postgraduate year (PGY)-3 to PGY-5 on pubmed.gov to generate all orthopaedic publications with a PubMed identifier published during residency. Each publication's 2015 Thomson Reuters Journal Citation Reports 5-Year Journal Impact Factor and resident first authorship were noted. The number of PubMed identifiers for each program was summed and was divided by the number of residents in PGY-3 to PGY-5, giving a mean number of publications per resident. The relationship between output and program research time was compared using t tests and analysis of variance (ANOVA). A total of 1,690 residents were included, with an overall mean number (and standard deviation) of 1.2 ± 2.4 publications per resident. Eighty-seven programs reported block time, 14 programs reported longitudinal time, and 24 programs reported no time. There was a significant difference (p = 0.02) in the mean number of publications per resident when compared between programs with protected time (1.1 ± 1.2 publications) and programs with no protected time (0.6 ± 0.5 publication). One-way ANOVA demonstrated a significant mean difference across the 3 groups (p publications than block time at 1.0 ± 1.0 publication or no time at 0.6 ± 0.5 publication, a difference that persisted when adjusted to include only impact factors of >0 and exclude case reports (p = 0.0015). Both the presence of and the type of dedicated research time correlate

Current integrated cardiothoracic surgery residents: a Thoracic Surgery Residents Association survey.

Science.gov (United States)

Tchantchaleishvili, Vakhtang; LaPar, Damien J; Stephens, Elizabeth H; Berfield, Kathleen S; Odell, David D; DeNino, Walter F

2015-03-01

After approval by the Thoracic Surgery Residency Review Committee in 2007, 6-year integrated cardiothoracic surgery (I-6) residency programs have gained in popularity. We sought to assess and objectively quantify the level of satisfaction I-6 residents have with their training and to identify areas of improvement for future curriculum development. A completely anonymous, electronic survey was created by the Thoracic Surgery Residents Association that asked the responders to provide demographic information, specialty interest, and lifestyle priorities, and to rate their experience and satisfaction with I-6 residency. The survey was distributed nationwide to all residents in I-6 programs approved by the Accreditation Council for Graduate Medical Education. Of a total of 88 eligible I-6 residents, 49 completed the survey (55.7%). Career choice satisfaction was high (75.5%), as was overall satisfaction with integrated training (83.7%). The majority (77.6%) were interested in cardiac surgery. Overall, the responders reported sufficient time for life outside of the hospital (57.1%), but experienced conflicts between work obligations and personal life at least sometimes (75.5%). Early exposure to cardiothoracic surgery was reported as the dominant advantage of the I-6 model, whereas variable curriculum structure and unclear expectations along with poor integration with general surgery training ranked highest among perceived disadvantages. Current I-6 residents are largely satisfied with the integrated training model and report a reasonable work/life balance. The focused nature of training is the primary perceived advantage of the integrated pathway. Curriculum variability and poor integration with general surgery training are identified by residents as primary areas of concern. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Specific Physician Orders Improve Pain Detection and Pain Reports in Nursing Home Residents: Preliminary Data.

Science.gov (United States)

Monroe, Todd B; Misra, Sumathi; Habermann, Ralf C; Dietrich, Mary S; Bruehl, Stephen P; Cowan, Ronald L; Newhouse, Paul A; Simmons, Sandra F

2015-10-01

Despite evidence that many nursing home residents' pain is poorly managed, reasons for this poor management remain unanswered. The aim of this study was to determine if specific order sets related to pain assessment would improve pain management in nursing home (NH) residents. Outcomes included observed nurse pain assessment queries and resident reports of pain. The pretest/post-test study was performed in a 240-bed for-profit nursing home in the mid-southern region of the United States and participants were 43 nursing home residents capable of self-consent. Medical chart abstraction was performed during a 2-week (14-day) period before the implementation of specific order sets for pain assessment (intervention) and a 2-week (14-day) period after the intervention. Trained research assistants observed medication administration passes and performed participant interviews after each medication pass. One month after intervention implementation, 1 additional day of observations was conducted to determine data reliability. Nurses were observed to ask residents about pain more frequently, and nurses continued to ask about pain at higher rates 1 month after the intervention was discontinued. The proportion of residents who reported pain also significantly increased in response to increased nurse queries (e.g., "Do you have any pain right now?"), which underscores the importance of nurses directly asking residents about pain. Notably 70% of this long-stay NH population only told the nurses about their pain symptoms when asked directly. Findings uncover that using specific pain order sets seems to improve the detection of pain, which should be a routine part of nursing assessment. Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Development of the advanced PHWR technology -Verification tests for CANDU advanced fuel-

Energy Technology Data Exchange (ETDEWEB)

Jung, Jang Hwan; Suk, Hoh Chun; Jung, Moon Kee; Oh, Duk Joo; Park, Joo Hwan; Shim, Kee Sub; Jang, Suk Kyoo; Jung, Heung Joon; Park, Jin Suk; Jung, Seung Hoh; Jun, Ji Soo; Lee, Yung Wook; Jung, Chang Joon; Byun, Taek Sang; Park, Kwang Suk; Kim, Bok Deuk; Min, Kyung Hoh [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

1995-07-01

This is the `94 annual report of the CANDU advanced fuel verification test project. This report describes the out-of pile hydraulic tests at CANDU-hot test loop for verification of CANFLEX fuel bundle. It is also describes the reactor thermal-hydraulic analysis for thermal margin and flow stability. The contents in this report are as follows; (1) Out-of pile hydraulic tests for verification of CANFLEX fuel bundle. (a) Pressure drop tests at reactor operation condition (b) Strength test during reload at static condition (c) Impact test during reload at impact load condition (d) Endurance test for verification of fuel integrity during life time (2) Reactor thermal-hydraulic analysis with CANFLEX fuel bundle. (a) Critical channel power sensitivity analysis (b) CANDU-6 channel flow analysis (c) Flow instability analysis. 61 figs, 29 tabs, 21 refs. (Author).

Development of the advanced PHWR technology -Verification tests for CANDU advanced fuel-

International Nuclear Information System (INIS)

Jung, Jang Hwan; Suk, Hoh Chun; Jung, Moon Kee; Oh, Duk Joo; Park, Joo Hwan; Shim, Kee Sub; Jang, Suk Kyoo; Jung, Heung Joon; Park, Jin Suk; Jung, Seung Hoh; Jun, Ji Soo; Lee, Yung Wook; Jung, Chang Joon; Byun, Taek Sang; Park, Kwang Suk; Kim, Bok Deuk; Min, Kyung Hoh

1995-07-01

This is the '94 annual report of the CANDU advanced fuel verification test project. This report describes the out-of pile hydraulic tests at CANDU-hot test loop for verification of CANFLEX fuel bundle. It is also describes the reactor thermal-hydraulic analysis for thermal margin and flow stability. The contents in this report are as follows; (1) Out-of pile hydraulic tests for verification of CANFLEX fuel bundle. (a) Pressure drop tests at reactor operation condition (b) Strength test during reload at static condition (c) Impact test during reload at impact load condition (d) Endurance test for verification of fuel integrity during life time (2) Reactor thermal-hydraulic analysis with CANFLEX fuel bundle. (a) Critical channel power sensitivity analysis (b) CANDU-6 channel flow analysis (c) Flow instability analysis. 61 figs, 29 tabs, 21 refs. (Author)

The role of the United Nations in the field of verification

International Nuclear Information System (INIS)

1991-01-01

By resolution 43/81 B of 7 December 1988, the General Assembly requested the Secretary General to undertake, with the assistance of a group of qualified governmental experts, an in-depth study of the role of the United Nations in the field of verification. In August 1990, the Secretary-General transmitted to the General Assembly the unanimously approved report of the experts. The report is structured in six chapters and contains a bibliographic appendix on technical aspects of verification. The Introduction provides a brief historical background on the development of the question of verification in the United Nations context, culminating with the adoption by the General Assembly of resolution 43/81 B, which requested the study. Chapters II and III address the definition and functions of verification and the various approaches, methods, procedures and techniques used in the process of verification. Chapters IV and V examine the existing activities of the United Nations in the field of verification, possibilities for improvements in those activities as well as possible additional activities, while addressing the organizational, technical, legal, operational and financial implications of each of the possibilities discussed. Chapter VI presents the conclusions and recommendations of the Group

Applying Expectancy Theory to residency training: proposing opportunities to understand resident motivation and enhance residency training.

Science.gov (United States)

Shweiki, Ehyal; Martin, Niels D; Beekley, Alec C; Jenoff, Jay S; Koenig, George J; Kaulback, Kris R; Lindenbaum, Gary A; Patel, Pankaj H; Rosen, Matthew M; Weinstein, Michael S; Zubair, Muhammad H; Cohen, Murray J

2015-01-01

Medical resident education in the United States has been a matter of national priority for decades, exemplified initially through the Liaison Committee for Graduate Medical Education and then superseded by the Accreditation Council for Graduate Medical Education. A recent Special Report in the New England Journal of Medicine, however, has described resident educational programs to date as prescriptive, noting an absence of innovation in education. Current aims of contemporary medical resident education are thus being directed at ensuring quality in learning as well as in patient care. Achievement and work-motivation theories attempt to explain people's choice, performance, and persistence in tasks. Expectancy Theory as one such theory was reviewed in detail, appearing particularly applicable to surgical residency training. Correlations between Expectancy Theory as a work-motivation theory and residency education were explored. Understanding achievement and work-motivation theories affords an opportunity to gain insight into resident motivation in training. The application of Expectancy Theory in particular provides an innovative perspective into residency education. Afforded are opportunities to promote the development of programmatic methods facilitating surgical resident motivation in education.

ENVIRONMENTAL TECHNOLOGY VERIFICATION, TEST REPORT OF CONTROL OF BIOAEROSOLS IN HVAC SYSTEMS:AAF INTERNATIONAL, PERFECTPLEAT ULTRA, 175-102-863

Science.gov (United States)

The Environmental Technology Verification report discusses the technology and performance of the PerfectPleat Ultra 175-102-863 air filter for dust and bioaerosol filtration manufactured by AAF International. The pressure drop across the filter was 112 Pa clean and 229 Pa dust lo...

Integrated Advanced Microwave Sounding Unit-A (AMSU-A). Performance Verification Reports: Final Comprehensive Performance Test Report, P/N: 1356006-1, S.N: 202/A2

Science.gov (United States)

Platt, R.

1998-01-01

This is the Performance Verification Report. the process specification establishes the requirements for the comprehensive performance test (CPT) and limited performance test (LPT) of the earth observing system advanced microwave sounding unit-A2 (EOS/AMSU-A2), referred to as the unit. The unit is defined on drawing 1356006.

Education Research: Neurology resident education

Science.gov (United States)

Mayans, David; Schneider, Logan; Adams, Nellie; Khawaja, Ayaz M.; Engstrom, John

2016-01-01

Objective: To survey US-trained graduating neurology residents who are American Academy of Neurology members, in an effort to trend perceived quality and completeness of graduate neurology education. Methods: An electronic survey was sent to all American Academy of Neurology members graduating from US neurology residency programs in the Spring of 2014. Results: Of 805 eligible respondents, 24% completed the survey. Ninety-three percent of adult neurology residents and 56% of child neurology residents reported plans to pursue fellowship training after residency. Respondents reported a desire for additional training in neurocritical care, neuro-oncology, neuromuscular diseases, botulinum toxin injection, and nerve blocks. There remains a clear deficit in business training of neurology residents, although there was notable improvement in knowledge of coding and office management compared to previous surveys. Discussion: Although there are still areas of perceived weakness in neurology training, graduating neurology residents feel generally well prepared for their chosen careers. However, most still pursue fellowship training for reasons that are little understood. In addition to certain subspecialties and procedures, practice management remains deficient in neurology training and is a point of future insecurity for most residents. Future curriculum changes should consider resident-reported gaps in knowledge, with careful consideration of improving business training. PMID:26976522

Verification Survey of Uranium Mine Remediation

International Nuclear Information System (INIS)

Ron, Stager

2009-01-01

The Canadian Nuclear Safety Commission (CNSC) contracted an independent verification of an intensive gamma radiation survey conducted by a mining company to demonstrate that remediation of disturbed areas was complete. This site was the first of the recent mines being decommissioned in Canada and experience gained here may be applied to other mines being decommissioned in the future. The review included examination of the site-specific basis for clean-up criteria and ALARA as required by CNSC guidance. A paper review of the company report was conducted to determine if protocols were followed and that the summarized results could be independently reproduced. An independent verification survey was conducted on parts of the site and comparisons were made between gamma radiation measurements from the verification survey and the original company survey. Some aspects of data collection using rate meters linked to GPS data loggers are discussed as are aspects for data management and analyses methods required for the large amount of data collected during these surveys. Recommendations were made for implementation of future surveys and reporting the data from those surveys in order to ensure that remediation was complete. (authors)

Monitoring and verification R and D

International Nuclear Information System (INIS)

Pilat, Joseph F.; Budlong-Sylvester, Kory W.; Fearey, Bryan L.

2011-01-01

The 2010 Nuclear Posture Review (NPR) report outlined the Administration's approach to promoting the agenda put forward by President Obama in Prague on April 5, 2009. The NPR calls for a national monitoring and verification R and D program to meet future challenges arising from the Administration's nonproliferation, arms control and disarmament agenda. Verification of a follow-on to New START could have to address warheads and possibly components along with delivery capabilities. Deeper cuts and disarmament would need to address all of these elements along with nuclear weapon testing, nuclear material and weapon production facilities, virtual capabilities from old weapon and existing energy programs and undeclared capabilities. We only know how to address some elements of these challenges today, and the requirements may be more rigorous in the context of deeper cuts as well as disarmament. Moreover, there is a critical need for multiple options to sensitive problems and to address other challenges. There will be other verification challenges in a world of deeper cuts and disarmament, some of which we are already facing. At some point, if the reductions process is progressing, uncertainties about past nuclear materials and weapons production will have to be addressed. IAEA safeguards will need to continue to evolve to meet current and future challenges, and to take advantage of new technologies and approaches. Transparency/verification of nuclear and dual-use exports will also have to be addressed, and there will be a need to make nonproliferation measures more watertight and transparent. In this context, and recognizing we will face all of these challenges even if disarmament is not achieved, this paper will explore possible agreements and arrangements; verification challenges; gaps in monitoring and verification technologies and approaches; and the R and D required to address these gaps and other monitoring and verification challenges.

Space Weather Models and Their Validation and Verification at the CCMC

Science.gov (United States)

Hesse, Michael

2010-01-01

The Community Coordinated l\\lodeling Center (CCMC) is a US multi-agency activity with a dual mission. With equal emphasis, CCMC strives to provide science support to the international space research community through the execution of advanced space plasma simulations, and it endeavors to support the space weather needs of the CS and partners. Space weather support involves a broad spectrum, from designing robust forecasting systems and transitioning them to forecasters, to providing space weather updates and forecasts to NASA's robotic mission operators. All of these activities have to rely on validation and verification of models and their products, so users and forecasters have the means to assign confidence levels to the space weather information. In this presentation, we provide an overview of space weather models resident at CCMC, as well as of validation and verification activities undertaken at CCMC or through the use of CCMC services.

Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents.

Science.gov (United States)

Swary, Jillian Havey; Stratman, Erik J

2014-07-01

Curriculum and role modeling adjustments are necessary to address patient safety gaps occurring during dermatology residency. To identify the source of clinical practices among dermatology residents that affect patient safety and determine the best approach for overcoming gaps in knowledge and practice patterns that contribute to these practices. A survey-based study, performed at a national medical dermatology meeting in Itasca, Illinois, in 2012, included 142 dermatology residents from 44 residency programs in the United States and Canada. Self-reported rates of dermatology residents committing errors, identifying local systems errors, and identifying poor patient safety role modeling. Of surveyed dermatology residents, 45.2% have failed to report needle-stick injuries incurred during procedures, 82.8% reported cutting and pasting a previous author's patient history information into a medical record without confirming its validity, 96.7% reported right-left body part mislabeling during examination or biopsy, and 29.4% reported not incorporating clinical photographs of lesions sampled for biopsy in the medical record at their institution. Residents variably perform a purposeful pause ("time-out") when indicated to confirm patient, procedure, and site before biopsy, with 20.0% always doing so. In addition, 59.7% of residents work with at least 1 attending physician who intimidates the residents, reducing the likelihood of reporting safety issues they witness. Finally, 78.3% have witnessed attending physicians purposefully disregarding required safety steps. Our data reinforce the need for modified curricula, systems, and teacher development to reduce injuries, improve communication with patients and between physicians, residents, and other members of the health care team, and create an environment free of intimidation.

Independent Verification Final Summary Report for the David Witherspoon, Inc. 1630 Site Knoxville, Tennessee

Energy Technology Data Exchange (ETDEWEB)

P.C. Weaver

2009-04-29

The primary objective of the independent verification was to determine if BJC performed the appropriate actions to meet the specified “hot spot” cleanup criteria of 500 picocuries per gram (pCi/g) uranium-238 (U-238) in surface soil. Specific tasks performed by the independent verification team (IVT) to satisfy this objective included: 1) performing radiological walkover surveys, and 2) collecting soil samples for independent analyses. The independent verification (IV) efforts were designed to evaluate radioactive contaminants (specifically U-238) in the exposed surfaces below one foot of the original site grade, given that the top one foot layer of soil on the site was removed in its entirety.

Independent Verification Final Summary Report for the David Witherspoon, Inc. 1630 Site Knoxville, Tennessee

International Nuclear Information System (INIS)

Weaver, P.C.

2009-01-01

The primary objective of the independent verification was to determine if BJC performed the appropriate actions to meet the specified 'hot spot' cleanup criteria of 500 picocuries per gram (pCi/g) uranium-238 (U-238) in surface soil. Specific tasks performed by the independent verification team (IVT) to satisfy this objective included: (1) performing radiological walkover surveys, and (2) collecting soil samples for independent analyses. The independent verification (IV) efforts were designed to evaluate radioactive contaminants (specifically U-238) in the exposed surfaces below one foot of the original site grade, given that the top one foot layer of soil on the site was removed in its entirety.

Utility of a Systematic Approach to Teaching Photographic Nasal Analysis to Otolaryngology Residents.

Science.gov (United States)

Robitschek, Jon; Dresner, Harley; Hilger, Peter

2017-12-01

Photographic nasal analysis constitutes a critical step along the path toward accurate diagnosis and precise surgical planning in rhinoplasty. The learned process by which one assesses photographs, analyzes relevant anatomical landmarks, and generates a global view of the nasal aesthetic is less widely described. To discern the common pitfalls in performing photographic nasal analysis and to quantify the utility of a systematic approach model in teaching photographic nasal analysis to otolaryngology residents. This prospective observational study included 20 participants from a university-based otolaryngology residency program. The control and intervention groups underwent baseline graded assessment of 3 patients. The intervention group received instruction on a systematic approach model for nasal analysis, and both groups underwent postintervention testing at 10 weeks. Data were collected from October 1, 2015, through June 1, 2016. A 10-minute, 11-slide presentation provided instruction on a systematic approach to nasal analysis to the intervention group. Graded photographic nasal analysis using a binary 18-point system. The 20 otolaryngology residents (15 men and 5 women; age range, 24-34 years) were adept at mentioning dorsal deviation and dorsal profile with focused descriptions of tip angle and contour. Areas commonly omitted by residents included verification of the Frankfort plane, position of the lower lateral crura, radix position, and ratio of the ala to tip lobule. The intervention group demonstrated immediate improvement after instruction on the teaching model, with the mean (SD) postintervention test score doubling compared with their baseline performance (7.5 [2.7] vs 10.3 [2.5]; P Otolaryngology residents demonstrated proficiency at incorporating nasal deviation, tip angle, and dorsal profile contour into their nasal analysis. They often omitted verification of the Frankfort plane, position of lower lateral crura, radix depth, and ala-to-tip lobule

Environmental Technology Verification Report: Taconic Energy, Inc. TEA Fuel Additive

Science.gov (United States)

The Greenhouse Gas Technology Center (GHG Center) is one of six verification organizations operating under EPA’s ETV program. One sector of significant interest to GHG Center stakeholders is transportation - particularly technologies that result in fuel economy improvements. Taco...

Environmental Technology Verification Report - Electric Power and Heat Production Using Renewable Biogas at Patterson Farms

Science.gov (United States)

The U.S. EPA operates the Environmental Technology Verification program to facilitate the deployment of innovative technologies through performance verification and information dissemination. A technology area of interest is distributed electrical power generation, particularly w...

Single Use Letter Report for the Verification and Validation of the RADNUC-2A and ORIGEN2 S.2 Computer Codes

International Nuclear Information System (INIS)

PACKER, M.J.

2000-01-01

This report documents the verification and validation (VandV) activities undertaken to support the use of the RADNUC2-A and ORIGEN2 S.2 computer codes for the specific application of calculating isotopic inventories and decay heat loadings for Spent Nuclear Fuel Project (SNFP) activities as described herein. Two recent applications include the reports HNF-SD-SNF-TI-009, 105-K Basin Material Design Basis Feed Description for Spent Nuclear Fuel Project Facilities, Volume 1, Fuel (Praga, 1998), and HNF-3035, Rev. 0B, MCO Gas Composition for Low Reactive Surface Areas (Packer, 1998). Representative calculations documented in these two reports were repeated using RADNUC2-A, and the results were identical to the documented results. This serves as verification that version 2A of Radnuc was used for the applications noted above; the same version was tested herein, and perfect agreement was shown. Comprehensive VandV is demonstrated for RADNUC2-A in Appendix A

MO-G-BRE-04: Automatic Verification of Daily Treatment Deliveries and Generation of Daily Treatment Reports for a MR Image-Guided Treatment Machine

International Nuclear Information System (INIS)

Yang, D; Li, X; Li, H; Wooten, H; Green, O; Rodriguez, V; Mutic, S

2014-01-01

Purpose: Two aims of this work were to develop a method to automatically verify treatment delivery accuracy immediately after patient treatment and to develop a comprehensive daily treatment report to provide all required information for daily MR-IGRT review. Methods: After systematically analyzing the requirements for treatment delivery verification and understanding the available information from a novel MR-IGRT treatment machine, we designed a method to use 1) treatment plan files, 2) delivery log files, and 3) dosimetric calibration information to verify the accuracy and completeness of daily treatment deliveries. The method verifies the correctness of delivered treatment plans and beams, beam segments, and for each segment, the beam-on time and MLC leaf positions. Composite primary fluence maps are calculated from the MLC leaf positions and the beam-on time. Error statistics are calculated on the fluence difference maps between the plan and the delivery. We also designed the daily treatment delivery report by including all required information for MR-IGRT and physics weekly review - the plan and treatment fraction information, dose verification information, daily patient setup screen captures, and the treatment delivery verification results. Results: The parameters in the log files (e.g. MLC positions) were independently verified and deemed accurate and trustable. A computer program was developed to implement the automatic delivery verification and daily report generation. The program was tested and clinically commissioned with sufficient IMRT and 3D treatment delivery data. The final version has been integrated into a commercial MR-IGRT treatment delivery system. Conclusion: A method was developed to automatically verify MR-IGRT treatment deliveries and generate daily treatment reports. Already in clinical use since December 2013, the system is able to facilitate delivery error detection, and expedite physician daily IGRT review and physicist weekly chart

Multilateral disarmament verification

International Nuclear Information System (INIS)

Persbo, A.

2013-01-01

Non-governmental organisations, such as VERTIC (Verification Research, Training and Information Centre), can play an important role in the promotion of multilateral verification. Parties involved in negotiating nuclear arms accords are for the most part keen that such agreements include suitable and robust provisions for monitoring and verification. Generally progress in multilateral arms control verification is often painstakingly slow, but from time to time 'windows of opportunity' - that is, moments where ideas, technical feasibility and political interests are aligned at both domestic and international levels - may occur and we have to be ready, so the preparatory work is very important. In the context of nuclear disarmament, verification (whether bilateral or multilateral) entails an array of challenges, hurdles and potential pitfalls relating to national security, health, safety and even non-proliferation, so preparatory work is complex and time-greedy. A UK-Norway Initiative was established in order to investigate the role that a non-nuclear-weapon state such as Norway could potentially play in the field of nuclear arms control verification. (A.C.)

Increased error rates in preliminary reports issued by radiology residents working more than 10 consecutive hours overnight.

Science.gov (United States)

Ruutiainen, Alexander T; Durand, Daniel J; Scanlon, Mary H; Itri, Jason N

2013-03-01

To determine if the rate of major discrepancies between resident preliminary reports and faculty final reports increases during the final hours of consecutive 12-hour overnight call shifts. Institutional review board exemption status was obtained for this study. All overnight radiology reports interpreted by residents on-call between January 2010 and June 2010 were reviewed by board-certified faculty and categorized as major discrepancies if they contained a change in interpretation with the potential to impact patient management or outcome. Initial determination of a major discrepancy was at the discretion of individual faculty radiologists based on this general definition. Studies categorized as major discrepancies were secondarily reviewed by the residency program director (M.H.S.) to ensure consistent application of the major discrepancy designation. Multiple variables associated with each report were collected and analyzed, including the time of preliminary interpretation, time into shift study was interpreted, volume of studies interpreted during each shift, day of the week, patient location (inpatient or emergency department), block of shift (2-hour blocks for 12-hour shifts), imaging modality, patient age and gender, resident identification, and faculty identification. Univariate risk factor analysis was performed to determine the optimal data format of each variable (ie, continuous versus categorical). A multivariate logistic regression model was then constructed to account for confounding between variables and identify independent risk factors for major discrepancies. We analyzed 8062 preliminary resident reports with 79 major discrepancies (1.0%). There was a statistically significant increase in major discrepancy rate during the final 2 hours of consecutive 12-hour call shifts. Multivariate analysis confirmed that interpretation during the last 2 hours of 12-hour call shifts (odds ratio (OR) 1.94, 95% confidence interval (CI) 1.18-3.21), cross

FEFTRA {sup TM} verification. Update 2013

Energy Technology Data Exchange (ETDEWEB)

Loefman, J. [VTT Technical Research Centre of Finland, Espoo (Finland); Meszaros, F. [The Relief Lab., Harskut, (Hungary)

2013-12-15

FEFTRA is a finite element program package developed at VTT for the analyses of groundwater flow in Posiva's site evaluation programme that seeks a final repository for spent nuclear fuel in Finland. The code is capable of modelling steady-state or transient groundwater flow, solute transport and heat transfer as coupled or separate phenomena. Being a typical research tool used only by its developers, the FEFTRA code lacked long of a competent testing system and precise documentation of the verification of the code. In 2006 a project was launched, in which the objective was to reorganise all the material related to the existing verification cases and place them into the FEFTRA program path under the version-control system. The work also included development of a new testing system, which automatically calculates the selected cases, checks the new results against the old approved results and constructs a summary of the test run. All the existing cases were gathered together, checked and added into the new testing system. The documentation of each case was rewritten with the LATEX document preparation system and added into the testing system in a way that the whole test documentation (this report) could easily be generated in a postscript or pdf-format. The current report is the updated version of the verification report published in 2007. At the moment the report includes mainly the cases related to the testing of the primary result quantities (i.e. hydraulic head, pressure, salinity concentration, temperature). The selected cases, however, represent typical hydrological applications, in which the program package has been and will be employed in the Posiva's site evaluation programme, i.e. the simulations of groundwater flow, solute transport and heat transfer as separate or coupled phenomena. The comparison of the FEFTRA results to the analytical, semianalytical and/or other numerical solutions proves the capability of FEFTRA to simulate such problems

VBMC: a formal verification tool for VHDL program

International Nuclear Information System (INIS)

Ajith, K.J.; Bhattacharjee, A.K.

2014-08-01

The design of Control and Instrumentation (C and I) systems used in safety critical applications such as nuclear power plants involves partitioning of the overall system functionality into sub-parts and implementing each sub-part in hardware and/or software as appropriate. With increasing use of programmable devices like FPGA, the hardware subsystems are often implemented in Hardware Description Languages (HDL) like VHDL. Since the functional bugs in such hardware subsystems used in safety critical C and I systems have serious consequences, it is important to use rigorous reasoning to verify the functionalities of the HDL models. This report describes the design of a software tool named VBMC (VHDL Bounded Model Checker). The capability of this tool is in proving/refuting functional properties of hardware designs described in VHDL. VBMC accepts design as a VHDL program file, functional property in PSL, and verification bound (number of cycles of operation) as inputs. It either reports that the design satisfies the functional property for the given verification bound or generates a counterexample providing the reason of violation. In case of satisfaction, the proof holds good for the verification bound. VBMC has been used for the functional verification of FPGA based intelligent I/O boards developed at Reactor Control Division, BARC. (author)

Validation and verification plan for safety and PRA codes

International Nuclear Information System (INIS)

Ades, M.J.; Crowe, R.D.; Toffer, H.

1991-04-01

This report discusses a verification and validation (V ampersand V) plan for computer codes used for safety analysis and probabilistic risk assessment calculations. The present plan fulfills the commitments by Westinghouse Savannah River Company (WSRC) to the Department of Energy Savannah River Office (DOE-SRO) to bring the essential safety analysis and probabilistic risk assessment codes in compliance with verification and validation requirements

Feasibility of an innovative third-year chief resident system: an internal medicine residency leadership study

Directory of Open Access Journals (Sweden)

Victor O. Kolade

2014-07-01

Full Text Available Introduction: The role of the internal medicine chief resident includes various administrative, academic, social, and educational responsibilities, fulfillment of which prepares residents for further leadership tasks. However, the chief resident position has historically only been held by a few residents. As fourth-year chief residents are becoming less common, we considered a new model for rotating third-year residents as the chief resident. Methods: Online surveys were given to all 29 internal medicine residents in a single university-based program after implementation of a leadership curriculum and specific job description for the third-year chief resident. Chief residents evaluated themselves on various aspects of leadership. Participation was voluntary. Descriptive statistics were generated using SPSS version 21. Results: Thirteen junior (first- or second-year resident responses reported that the chief residents elicited input from others (mean rating 6.8, were committed to the team (6.8, resolved conflict (6.7, ensured efficiency, organization and productivity of the team (6.7, participated actively (7.0, and managed resources (6.6. Responses from senior residents averaged 1 point higher for each item; this pattern repeated itself in teaching evaluations. Chief resident self-evaluators were more comfortable running a morning report (8.4 than with being chief resident (5.8. Conclusion: The feasibility of preparing internal medicine residents for leadership roles through a rotating PGY-3 (postgraduate year chief residency curriculum was explored at a small internal medicine residency, and we suggest extending the study to include other programs.

Embedded software verification and debugging

CERN Document Server

Winterholer, Markus

2017-01-01

This book provides comprehensive coverage of verification and debugging techniques for embedded software, which is frequently used in safety critical applications (e.g., automotive), where failures are unacceptable. Since the verification of complex systems needs to encompass the verification of both hardware and embedded software modules, this book focuses on verification and debugging approaches for embedded software with hardware dependencies. Coverage includes the entire flow of design, verification and debugging of embedded software and all key approaches to debugging, dynamic, static, and hybrid verification. This book discusses the current, industrial embedded software verification flow, as well as emerging trends with focus on formal and hybrid verification and debugging approaches. Includes in a single source the entire flow of design, verification and debugging of embedded software; Addresses the main techniques that are currently being used in the industry for assuring the quality of embedded softw...

CATS Deliverable 5.1 : CATS verification of test matrix and protocol

OpenAIRE

Uittenbogaard, J.; Camp, O.M.G.C. op den; Montfort, S. van

2016-01-01

This report summarizes the work conducted within work package (WP) 5 "Verification of test matrix and protocol" of the Cyclist AEB testing system (CATS) project. It describes the verification process of the draft CATS test matrix resulting from WP1 and WP2, and the feasibility of meeting requirements set by CATS consortium based on requirements in Euro NCAP AEB protocols regarding accuracy, repeatability and reproducibility using the developed test hardware. For the cases where verification t...

Software verification for nuclear industry

International Nuclear Information System (INIS)

Wilburn, N.P.

1985-08-01

Why verification of software products throughout the software life cycle is necessary is considered. Concepts of verification, software verification planning, and some verification methodologies for products generated throughout the software life cycle are then discussed

The design of verification regimes

International Nuclear Information System (INIS)

Gallagher, N.W.

1991-01-01

Verification of a nuclear agreement requires more than knowledge of relevant technologies and institutional arrangements. It also demands thorough understanding of the nature of verification and the politics of verification design. Arms control efforts have been stymied in the past because key players agreed to verification in principle, only to disagree radically over verification in practice. In this chapter, it is shown that the success and stability of arms control endeavors can be undermined by verification designs which promote unilateral rather than cooperative approaches to security, and which may reduce, rather than enhance, the security of both sides. Drawing on logical analysis and practical lessons from previous superpower verification experience, this chapter summarizes the logic and politics of verification and suggests implications for South Asia. The discussion begins by determining what properties all forms of verification have in common, regardless of the participants or the substance and form of their agreement. Viewing verification as the political process of making decisions regarding the occurrence of cooperation points to four critical components: (1) determination of principles, (2) information gathering, (3) analysis and (4) projection. It is shown that verification arrangements differ primarily in regards to how effectively and by whom these four stages are carried out

National Scale Monitoring Reporting and Verification of Deforestation and Forest Degradation in Guyana

Science.gov (United States)

Bholanath, P.; Cort, K.

2015-04-01

Monitoring deforestation and forest degradation at national scale has been identified as a national priority under Guyana's REDD+ Programme. Based on Guyana's MRV (Monitoring Reporting and Verification) System Roadmap developed in 2009, Guyana sought to establish a comprehensive, national system to monitor, report and verify forest carbon emissions resulting from deforestation and forest degradation in Guyana. To date, four national annual assessments have been conducted: 2010, 2011, 2012 and 2013. Monitoring of forest change in 2010 was completed with medium resolution imagery, mainly Landsat 5. In 2011, assessment was conducted using a combination of Landsat (5 and 7) and for the first time, 5m high resolution imagery, with RapidEye coverage for approximately half of Guyana where majority of land use changes were taking place. Forest change in 2013 was determined using high resolution imagery for the whole of Guyana. The current method is an automated-assisted process of careful systematic manual interpretation of satellite imagery to identify deforestation based on different drivers of change. The minimum mapping unit (MMU) for deforestation is 1 ha (Guyana's forest definition) and a country-specific definition of 0.25 ha for degradation. The total forested area of Guyana is estimated as 18.39 million hectares (ha). In 2012 as planned, Guyana's forest area was reevaluated using RapidEye 5 m imagery. Deforestation in 2013 is estimated at 12 733 ha which equates to a total deforestation rate of 0.068%. Significant progress was made in 2012 and 2013, in mapping forest degradation. The area of forest degradation as measured by interpretation of 5 m RapidEye satellite imagery in 2013 was 4 352 ha. All results are subject to accuracy assessment and independent third party verification.

10 CFR 300.11 - Independent verification.

Science.gov (United States)

2010-01-01

... DEPARTMENT OF ENERGY CLIMATE CHANGE VOLUNTARY GREENHOUSE GAS REPORTING PROGRAM: GENERAL GUIDELINES § 300.11... managing an auditing or verification process, including the recruitment and allocation of other individual.... (c) Qualifications of organizations accrediting verifiers. Organizations that accredit individual...

Improved verification methods for safeguards verifications at enrichment plants

International Nuclear Information System (INIS)

Lebrun, A.; Kane, S. C.; Bourva, L.; Poirier, S.; Loghin, N. E.; Langlands, D.

2009-01-01

The International Atomic Energy Agency (IAEA) has initiated a coordinated research and development programme to improve its verification methods and equipment applicable to enrichment plants. The programme entails several individual projects to meet the objectives of the IAEA Safeguards Model Approach for Gas Centrifuge Enrichment Plants updated in 2006. Upgrades of verification methods to confirm the absence of HEU (highly enriched uranium) production have been initiated and, in particular, the Cascade Header Enrichment Monitor (CHEM) has been redesigned to reduce its weight and incorporate an electrically cooled germanium detector. Such detectors are also introduced to improve the attended verification of UF 6 cylinders for the verification of the material balance. Data sharing of authenticated operator weighing systems such as accountancy scales and process load cells is also investigated as a cost efficient and an effective safeguards measure combined with unannounced inspections, surveillance and non-destructive assay (NDA) measurement. (authors)

Improved verification methods for safeguards verifications at enrichment plants

Energy Technology Data Exchange (ETDEWEB)

Lebrun, A.; Kane, S. C.; Bourva, L.; Poirier, S.; Loghin, N. E.; Langlands, D. [Department of Safeguards, International Atomic Energy Agency, Wagramer Strasse 5, A1400 Vienna (Austria)

2009-07-01

The International Atomic Energy Agency (IAEA) has initiated a coordinated research and development programme to improve its verification methods and equipment applicable to enrichment plants. The programme entails several individual projects to meet the objectives of the IAEA Safeguards Model Approach for Gas Centrifuge Enrichment Plants updated in 2006. Upgrades of verification methods to confirm the absence of HEU (highly enriched uranium) production have been initiated and, in particular, the Cascade Header Enrichment Monitor (CHEM) has been redesigned to reduce its weight and incorporate an electrically cooled germanium detector. Such detectors are also introduced to improve the attended verification of UF{sub 6} cylinders for the verification of the material balance. Data sharing of authenticated operator weighing systems such as accountancy scales and process load cells is also investigated as a cost efficient and an effective safeguards measure combined with unannounced inspections, surveillance and non-destructive assay (NDA) measurement. (authors)

Experimental preparation and verification of quantum money

Science.gov (United States)

Guan, Jian-Yu; Arrazola, Juan Miguel; Amiri, Ryan; Zhang, Weijun; Li, Hao; You, Lixing; Wang, Zhen; Zhang, Qiang; Pan, Jian-Wei

2018-03-01

A quantum money scheme enables a trusted bank to provide untrusted users with verifiable quantum banknotes that cannot be forged. In this work, we report a proof-of-principle experimental demonstration of the preparation and verification of unforgeable quantum banknotes. We employ a security analysis that takes experimental imperfections fully into account. We measure a total of 3.6 ×106 states in one verification round, limiting the forging probability to 10-7 based on the security analysis. Our results demonstrate the feasibility of preparing and verifying quantum banknotes using currently available experimental techniques.

Resident's Morning Report: An Opportunity to Reinforce Principles of Biomedical Science in a Clinical Context

Science.gov (United States)

Brass, Eric P.

2013-01-01

The principles of biochemistry are core to understanding cellular and tissue function, as well as the pathophysiology of disease. However, the clinical utility of biochemical principles is often obscure to clinical trainees. Resident's Morning Report is a common teaching conference in which residents present clinical cases of interest to a…

Final Report for 'Verification and Validation of Radiation Hydrodynamics for Astrophysical Applications'

International Nuclear Information System (INIS)

Zingale, M.; Howell, L.H.

2010-01-01

The motivation for this work is to gain experience in the methodology of verification and validation (V and V) of astrophysical radiation hydrodynamics codes. In the first period of this work, we focused on building the infrastructure to test a single astrophysical application code, Castro, developed in collaboration between Lawrence Livermore National Laboratory (LLNL) and Lawrence Berkeley Laboratory (LBL). We delivered several hydrodynamic test problems, in the form of coded initial conditions and documentation for verification, routines to perform data analysis, and a generalized regression test suite to allow for continued automated testing. Astrophysical simulation codes aim to model phenomena that elude direct experimentation. Our only direct information about these systems comes from what we observe, and may be transient. Simulation can help further our understanding by allowing virtual experimentation of these systems. However, to have confidence in our simulations requires us to have confidence in the tools we use. Verification and Validation is a process by which we work to build confidence that a simulation code is accurately representing reality. V and V is a multistep process, and is never really complete. Once a single test problem is working as desired (i.e. that problem is verified), one wants to ensure that subsequent code changes do not break that test. At the same time, one must also search for new verification problems that test the code in a new way. It can be rather tedious to manually retest each of the problems, so before going too far with V and V, it is desirable to have an automated test suite. Our project aims to provide these basic tools for astrophysical radiation hydrodynamics codes.

Physics Verification Overview

Energy Technology Data Exchange (ETDEWEB)

Doebling, Scott William [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2017-09-12

The purpose of the verification project is to establish, through rigorous convergence analysis, that each ASC computational physics code correctly implements a set of physics models and algorithms (code verification); Evaluate and analyze the uncertainties of code outputs associated with the choice of temporal and spatial discretization (solution or calculation verification); and Develop and maintain the capability to expand and update these analyses on demand. This presentation describes project milestones.

An Experimental Verification of morphology of ibuprofen crystals from CAMD designed solvent

DEFF Research Database (Denmark)

Karunanithi, Arunprakash T.; Acquah, Charles; Achenie, Luke E.K.

2007-01-01

of crystals formed from solvents, necessitates additional experimental verification steps. In this work we report the experimental verification of crystal morphology for the case study, solvent design for ibuprofen crystallization, presented in Karunanithi et al. [2006. A computer-aided molecular design...

CATS Deliverable 5.1 : CATS verification of test matrix and protocol

NARCIS (Netherlands)

Uittenbogaard, J.; Camp, O.M.G.C. op den; Montfort, S. van

2016-01-01

This report summarizes the work conducted within work package (WP) 5 "Verification of test matrix and protocol" of the Cyclist AEB testing system (CATS) project. It describes the verification process of the draft CATS test matrix resulting from WP1 and WP2, and the feasibility of meeting

Psychotherapy Training: Residents' Perceptions and Experiences.

Science.gov (United States)

Kovach, Jessica G; Dubin, William R; Combs, Christopher J

2015-10-01

This survey examined actual training hours in psychotherapy modalities as reported by residents, residents' perceptions of training needs, and residents' perceptions of the importance of different aspects of psychotherapy training. A brief, voluntary, anonymous, Internet-based survey was developed. All 14 program directors for Accreditation Council for Graduate Medical Education accredited programs in Pennsylvania, New Jersey, and Delaware provided email addresses for current categorical residents. The survey inquired about hours of time spent in various aspects of training, value assigned to aspects of training, residents' involvement in their own psychotherapy, and overall resident wellness. The survey was e-mailed to 328 residents. Of the 328 residents contacted, 133 (40.5%) responded. Median reported number of PGY 3 and 4 performed versus perceived ideal hours of supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy did not differ. Answers for clinical time utilizing these modalities ranged from "none or less than 1 h" per month to 20+ h per month. PGY 3 and 4 residents reported a median of "none or less than 1 h" per month performed of interpersonal, dialectical behavior therapy, couples/family/group, and child therapies but preferred more time using these therapies. Residents in all years of training preferred more hours of didactic instruction for all psychotherapies and for medication management. Residents ranked teaching modalities in the following order of importance: supervision, hours of psychotherapy performed, personal psychotherapy, readings, and didactic instruction. Residents engaged in their own psychotherapy were significantly more likely to rank the experiential aspects of psychotherapy training (personal psychotherapy, supervision, and hours performed) higher than residents not in psychotherapy. Current psychotherapy training for psychiatry residents is highly variable, but overall, residents want more

Predictive Simulation of Material Failure Using Peridynamics -- Advanced Constitutive Modeling, Verification and Validation

Science.gov (United States)

2016-03-31

AFRL-AFOSR-VA-TR-2016-0309 Predictive simulation of material failure using peridynamics- advanced constitutive modeling, verification , and validation... Self -explanatory. 8. PERFORMING ORGANIZATION REPORT NUMBER. Enter all unique alphanumeric report numbers assigned by the performing organization, e.g...for public release. Predictive simulation of material failure using peridynamics-advanced constitutive modeling, verification , and validation John T

Hailstorms over Switzerland: Verification of Crowd-sourced Data

Science.gov (United States)

Noti, Pascal-Andreas; Martynov, Andrey; Hering, Alessandro; Martius, Olivia

2016-04-01

The reports of smartphone users, witnessing hailstorms, can be used as source of independent, ground-based observation data on ground-reaching hailstorms with high temporal and spatial resolution. The presented work focuses on the verification of crowd-sourced data collected over Switzerland with the help of a smartphone application recently developed by MeteoSwiss. The precise location, time of hail precipitation and the hailstone size are included in the crowd-sourced data, assessed on the basis of the weather radar data of MeteoSwiss. Two radar-based hail detection algorithms, POH (Probability of Hail) and MESHS (Maximum Expected Severe Hail Size), in use at MeteoSwiss are confronted with the crowd-sourced data. The available data and investigation time period last from June to August 2015. Filter criteria have been applied in order to remove false reports from the crowd-sourced data. Neighborhood methods have been introduced to reduce the uncertainties which result from spatial and temporal biases. The crowd-sourced and radar data are converted into binary sequences according to previously set thresholds, allowing for using a categorical verification. Verification scores (e.g. hit rate) are then calculated from a 2x2 contingency table. The hail reporting activity and patterns corresponding to "hail" and "no hail" reports, sent from smartphones, have been analyzed. The relationship between the reported hailstone sizes and both radar-based hail detection algorithms have been investigated.

Experimental verification of internal dosimetry calculations. Annual progress report

International Nuclear Information System (INIS)

1980-05-01

During the past year a dosimetry research program has been established in the School of Nuclear Engineering at the Georgia Institute of Technology. The major objective of this program has been to provide research results upon which a useful internal dosimetry system could be based. The important application of this dosimetry system will be the experimental verification of internal dosimetry calculations such as those published by the MIRD Committee

ETV REPORT AND VERIFICATION STATEMENT - KASELCO POSI-FLO ELECTROCOAGULATION TREATMENT SYSTEM

Science.gov (United States)

The Kaselco Electrocoagulation Treatment System (Kaselco system) in combination with an ion exchange polishing system was tested, under actual production conditions, processing metal finishing wastewater at Gull Industries in Houston, Texas. The verification test evaluated the a...

ENVIRONMENTAL TECHNOLOGY VERIFICATION, TEST REPORT OF CONTROL OF BIOAEROSOLS IN HVAC SYSTEMS, FILTRATION GROUP, AEROSTAR FP-98 MINIPLEAT V-BLANK FILTER

Science.gov (United States)

The Environmental Technology Verification report discusses the technology and performance of the AeroStar FP-98 Minipleat V-Bank Filter air filter for dust and bioaerosol filtration manufactured by Filtration Group. The pressure drop across the filter was 137 Pa clean and 348 Pa ...

Sexual Health Education: A Psychiatric Resident's Perspective

Science.gov (United States)

Waineo, Eva; Arfken, Cynthia L.; Morreale, Mary K.

2010-01-01

Objective: This report discusses psychiatric residents' perceptions of sexual health education and their opinions regarding curricular improvements. Methods: An anonymous, web-based survey was sent to residents in one general psychiatry program (N = 33). The response rate was 69.7%. Results: Residents reported inadequate experience in multiple…

Organics Verification Study for Sinclair and Dyes Inlets, Washington

Energy Technology Data Exchange (ETDEWEB)

Kohn, Nancy P.; Brandenberger, Jill M.; Niewolny, Laurie A.; Johnston, Robert K.

2006-09-28

Sinclair and Dyes Inlets near Bremerton, Washington, are on the State of Washington 1998 303(d) list of impaired waters because of fecal coliform contamination in marine water, metals in sediment and fish tissue, and organics in sediment and fish tissue. Because significant cleanup and source control activities have been conducted in the inlets since the data supporting the 1998 303(d) listings were collected, two verification studies were performed to address the 303(d) segments that were listed for metal and organic contaminants in marine sediment. The Metals Verification Study (MVS) was conducted in 2003; the final report, Metals Verification Study for Sinclair and Dyes Inlets, Washington, was published in March 2004 (Kohn et al. 2004). This report describes the Organics Verification Study that was conducted in 2005. The study approach was similar to the MVS in that many surface sediment samples were screened for the major classes of organic contaminants, and then the screening results and other available data were used to select a subset of samples for quantitative chemical analysis. Because the MVS was designed to obtain representative data on concentrations of contaminants in surface sediment throughout Sinclair Inlet, Dyes Inlet, Port Orchard Passage, and Rich Passage, aliquots of the 160 MVS sediment samples were used in the analysis for the Organics Verification Study. However, unlike metals screening methods, organics screening methods are not specific to individual organic compounds, and are not available for some target organics. Therefore, only the quantitative analytical results were used in the organics verification evaluation. The results of the Organics Verification Study showed that sediment quality outside of Sinclair Inlet is unlikely to be impaired because of organic contaminants. Similar to the results for metals, in Sinclair Inlet, the distribution of residual organic contaminants is generally limited to nearshore areas already within the

Results of the 2013-2015 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States

Energy Technology Data Exchange (ETDEWEB)

Nabavizadeh, Nima, E-mail: nabaviza@ohsu.edu [Department of Radiation Medicine, Oregon Health and Science University, Portland, Oregon (United States); Burt, Lindsay M. [Department of Radiation Oncology, University of Utah, Salt Lake City, Utah (United States); Mancini, Brandon R. [Department of Therapeutic Radiology, Yale University, New Haven, Connecticut (United States); Morris, Zachary S. [Department of Human Oncology, University of Wisconsin, Madison, Wisconsin (United States); Walker, Amanda J. [Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland (United States); Miller, Seth M. [Department of Radiation Oncology, University of North Carolina Chapel Hill, Chapel Hill, North Carolina (United States); Bhavsar, Shripal [Department of Radiation Oncology, Integris Cancer Institute, Oklahoma City, Oklahoma (United States); Mohindra, Pranshu [Department of Radiation Oncology, University of Maryland, Baltimore, Maryland (United States); Kim, Miranda B. [Harvard Radiation Oncology Program, Boston, Massachusetts (United States); Kharofa, Jordan [Department of Radiation Oncology, University of Cincinnati, Cincinnati, Ohio (United States)

2016-02-01

Purpose: The purpose of this project was to survey radiation oncology chief residents to define their residency experience and readiness for independent practice. Methods and Materials: During the academic years 2013 to 2014 and 2014 to 2015, the Association of Residents in Radiation Oncology (ARRO) conducted an electronic survey of post-graduate year-5 radiation oncology residents in the United States during the final 3 months of training. Descriptive statistics are reported. Results: Sixty-six chief residents completed the survey in 2013 to 2014 (53% response rate), and 69 completed the survey in 2014 to 2015 (64% response rate). Forty to 85% percent of residents reported inadequate exposure to high-dose rate and low-dose rate brachytherapy. Nearly all residents in both years (>90%) reported adequate clinical experience for the following disease sites: breast, central nervous system, gastrointestinal, genitourinary, head and neck, and lung. However, as few as 56% reported adequate experience in lymphoma or pediatric malignancies. More than 90% of residents had participated in retrospective research projects, with 20% conducting resident-led prospective clinical trials and 50% conducting basic science or translational projects. Most chief residents reported working 60 or fewer hours per week in the clinical/hospital setting and performing fewer than 15 hours per week tasks that were considered to have little or no educational value. There was more than 80% compliance with Accreditation Council for Graduate Medical Education (ACGME) work hour limits. Fifty-five percent of graduating residents intended to join an established private practice group, compared to 25% who headed for academia. Residents perceive the job market to be more competitive than previous years. Conclusions: This first update of the ARRO chief resident survey since the 2007 to 2008 academic year documents US radiation oncology residents' experiences and conditions over a 2-year period

Results of the 2013-2015 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States.

Science.gov (United States)

Nabavizadeh, Nima; Burt, Lindsay M; Mancini, Brandon R; Morris, Zachary S; Walker, Amanda J; Miller, Seth M; Bhavsar, Shripal; Mohindra, Pranshu; Kim, Miranda B; Kharofa, Jordan

2016-02-01

The purpose of this project was to survey radiation oncology chief residents to define their residency experience and readiness for independent practice. During the academic years 2013 to 2014 and 2014 to 2015, the Association of Residents in Radiation Oncology (ARRO) conducted an electronic survey of post-graduate year-5 radiation oncology residents in the United States during the final 3 months of training. Descriptive statistics are reported. Sixty-six chief residents completed the survey in 2013 to 2014 (53% response rate), and 69 completed the survey in 2014 to 2015 (64% response rate). Forty to 85% percent of residents reported inadequate exposure to high-dose rate and low-dose rate brachytherapy. Nearly all residents in both years (>90%) reported adequate clinical experience for the following disease sites: breast, central nervous system, gastrointestinal, genitourinary, head and neck, and lung. However, as few as 56% reported adequate experience in lymphoma or pediatric malignancies. More than 90% of residents had participated in retrospective research projects, with 20% conducting resident-led prospective clinical trials and 50% conducting basic science or translational projects. Most chief residents reported working 60 or fewer hours per week in the clinical/hospital setting and performing fewer than 15 hours per week tasks that were considered to have little or no educational value. There was more than 80% compliance with Accreditation Council for Graduate Medical Education (ACGME) work hour limits. Fifty-five percent of graduating residents intended to join an established private practice group, compared to 25% who headed for academia. Residents perceive the job market to be more competitive than previous years. This first update of the ARRO chief resident survey since the 2007 to 2008 academic year documents US radiation oncology residents' experiences and conditions over a 2-year period. This analysis may serve as a valuable tool for those seeking to

Results of the 2013-2015 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States

International Nuclear Information System (INIS)

Nabavizadeh, Nima; Burt, Lindsay M.; Mancini, Brandon R.; Morris, Zachary S.; Walker, Amanda J.; Miller, Seth M.; Bhavsar, Shripal; Mohindra, Pranshu; Kim, Miranda B.; Kharofa, Jordan

2016-01-01

Purpose: The purpose of this project was to survey radiation oncology chief residents to define their residency experience and readiness for independent practice. Methods and Materials: During the academic years 2013 to 2014 and 2014 to 2015, the Association of Residents in Radiation Oncology (ARRO) conducted an electronic survey of post-graduate year-5 radiation oncology residents in the United States during the final 3 months of training. Descriptive statistics are reported. Results: Sixty-six chief residents completed the survey in 2013 to 2014 (53% response rate), and 69 completed the survey in 2014 to 2015 (64% response rate). Forty to 85% percent of residents reported inadequate exposure to high-dose rate and low-dose rate brachytherapy. Nearly all residents in both years (>90%) reported adequate clinical experience for the following disease sites: breast, central nervous system, gastrointestinal, genitourinary, head and neck, and lung. However, as few as 56% reported adequate experience in lymphoma or pediatric malignancies. More than 90% of residents had participated in retrospective research projects, with 20% conducting resident-led prospective clinical trials and 50% conducting basic science or translational projects. Most chief residents reported working 60 or fewer hours per week in the clinical/hospital setting and performing fewer than 15 hours per week tasks that were considered to have little or no educational value. There was more than 80% compliance with Accreditation Council for Graduate Medical Education (ACGME) work hour limits. Fifty-five percent of graduating residents intended to join an established private practice group, compared to 25% who headed for academia. Residents perceive the job market to be more competitive than previous years. Conclusions: This first update of the ARRO chief resident survey since the 2007 to 2008 academic year documents US radiation oncology residents' experiences and conditions over a 2-year period. This

Top-down design and verification methodology for analog mixed-signal integrated circuits

NARCIS (Netherlands)

Beviz, P.

2016-01-01

The current report contains the introduction of a novel Top-Down Design and Verification methodology for AMS integrated circuits. With the introduction of new design and verification flow, more reliable and efficient development of AMS ICs is possible. The assignment incorporated the research on the

Enhanced Verification Test Suite for Physics Simulation Codes

Energy Technology Data Exchange (ETDEWEB)

Kamm, J R; Brock, J S; Brandon, S T; Cotrell, D L; Johnson, B; Knupp, P; Rider, W; Trucano, T; Weirs, V G

2008-10-10

greater sophistication or other physics regimes (e.g., energetic material response, magneto-hydrodynamics), would represent a scientifically desirable complement to the fundamental test cases discussed in this report. The authors believe that this document can be used to enhance the verification analyses undertaken at the DOE WP Laboratories and, thus, to improve the quality, credibility, and usefulness of the simulation codes that are analyzed with these problems.

Hospitalist career decisions among internal medicine residents.

Science.gov (United States)

Ratelle, John T; Dupras, Denise M; Alguire, Patrick; Masters, Philip; Weissman, Arlene; West, Colin P

2014-07-01

Hospital medicine is a rapidly growing field of internal medicine. However, little is known about internal medicine residents' decisions to pursue careers in hospital medicine (HM). To identify which internal medicine residents choose a career in HM, and describe changes in this career choice over the course of their residency education. Observational cohort using data collected from the annual Internal Medicine In-Training Examination (IM-ITE) survey. 16,781 postgraduate year 3 (PGY-3) North American internal medicine residents who completed the annual IM-ITE survey in 2009-2011, 9,501 of whom completed the survey in all 3 years of residency. Self-reported career plans for individual residents during their postgraduate year 1 (PGY-1), postgraduate year 2 (PGY-2) and PGY-3. Of the 16,781 graduating PGY-3 residents, 1,552 (9.3 %) reported HM as their ultimate career choice. Of the 951 PGY-3 residents planning a HM career among the 9,501 residents responding in all 3 years, 128 (13.5 %) originally made this decision in PGY-1, 192 (20.2 %) in PGY-2, and 631 (66.4 %) in PGY-3. Only 87 (9.1 %) of these 951 residents maintained a career decision of HM during all three years of residency education. Hospital medicine is a reported career choice for an important proportion of graduating internal medicine residents. However, the majority of residents do not finalize this decision until their final year.

FMCT verification: Case studies

International Nuclear Information System (INIS)

Hui Zhang

2001-01-01

Full text: How to manage the trade-off between the need for transparency and the concern about the disclosure of sensitive information would be a key issue during the negotiations of FMCT verification provision. This paper will explore the general concerns on FMCT verification; and demonstrate what verification measures might be applied to those reprocessing and enrichment plants. A primary goal of an FMCT will be to have the five declared nuclear weapon states and the three that operate unsafeguarded nuclear facilities become parties. One focus in negotiating the FMCT will be verification. Appropriate verification measures should be applied in each case. Most importantly, FMCT verification would focus, in the first instance, on these states' fissile material production facilities. After the FMCT enters into force, all these facilities should be declared. Some would continue operating to produce civil nuclear power or to produce fissile material for non- explosive military uses. The verification measures necessary for these operating facilities would be essentially IAEA safeguards, as currently being applied to non-nuclear weapon states under the NPT. However, some production facilities would be declared and shut down. Thus, one important task of the FMCT verifications will be to confirm the status of these closed facilities. As case studies, this paper will focus on the verification of those shutdown facilities. The FMCT verification system for former military facilities would have to differ in some ways from traditional IAEA safeguards. For example, there could be concerns about the potential loss of sensitive information at these facilities or at collocated facilities. Eventually, some safeguards measures such as environmental sampling might be seen as too intrusive. Thus, effective but less intrusive verification measures may be needed. Some sensitive nuclear facilities would be subject for the first time to international inspections, which could raise concerns

Inspector measurement verification activities

International Nuclear Information System (INIS)

George, R.S.; Crouch, R.

e most difficult and complex activity facing a safeguards inspector involves the verification of measurements and the performance of the measurement system. Remeasurement is the key to measurement verification activities. Remeasurerements using the facility's measurement system provide the bulk of the data needed for determining the performance of the measurement system. Remeasurements by reference laboratories are also important for evaluation of the measurement system and determination of systematic errors. The use of these measurement verification activities in conjunction with accepted inventory verification practices provides a better basis for accepting or rejecting an inventory. (U.S.)

Verification and disarmament

Energy Technology Data Exchange (ETDEWEB)

Blix, H. [IAEA, Vienna (Austria)

1998-07-01

The main features are described of the IAEA safeguards verification system that non-nuclear weapon states parties of the NPT are obliged to accept. Verification activities/problems in Iraq and North Korea are discussed.

Verification and disarmament

International Nuclear Information System (INIS)

Blix, H.

1998-01-01

The main features are described of the IAEA safeguards verification system that non-nuclear weapon states parties of the NPT are obliged to accept. Verification activities/problems in Iraq and North Korea are discussed

Pregnancy and Parenthood among Surgery Residents: Results of the First Nationwide Survey of General Surgery Residency Program Directors.

Science.gov (United States)

Sandler, Britt J; Tackett, John J; Longo, Walter E; Yoo, Peter S

2016-06-01

Although family and lifestyle are known to be important factors for medical students choosing a specialty, there is a lack of research about general surgery residency program policies regarding pregnancy and parenthood. Similarly, little is known about program director attitudes about these issues. We performed a cross-sectional survey of United States (US) general surgery residency program directors. Sixty-six respondents completed the survey: 70% male, 59% from university-based programs, and 76% between 40 and 59 years of age. Two-thirds (67%) reported having a maternity leave policy. Less than half (48%) reported having a leave policy for the non-childbearing parent (paternity leave). Leave duration was most frequently reported as 6 weeks for maternity leave (58%) and 1 week for paternity leave (45%). Thirty-eight percent of general surgery residency program directors (PDs) reported availability of on-site childcare, 58% reported availability of lactation facilities. Forty-six percent of university PDs said that the research years are the best time to have a child during residency; 52% of independent PDs said that no particular time during residency is best. Sixty-one percent of PDs reported that becoming a parent negatively affects female trainees' work, including placing an increased burden on fellow residents (33%). Respondents perceived children as decreasing female trainees' well-being more often than male trainees' (32% vs 9%, p leave, length of leave, as well as inconsistency in access to childcare and availability of spaces to express and store breast milk. Program directors perceived parenthood to affect the training and well-being of female residents more adversely than that of male residents. Copyright © 2016 American College of Surgeons. All rights reserved.

A verification regime for the spatial discretization of the SN transport equations

Energy Technology Data Exchange (ETDEWEB)

Schunert, S.; Azmy, Y. [North Carolina State Univ., Dept. of Nuclear Engineering, 2500 Stinson Drive, Raleigh, NC 27695 (United States)

2012-07-01

The order-of-accuracy test in conjunction with the method of manufactured solutions is the current state of the art in computer code verification. In this work we investigate the application of a verification procedure including the order-of-accuracy test on a generic SN transport solver that implements the AHOTN spatial discretization. Different types of semantic errors, e.g. removal of a line of code or changing a single character, are introduced randomly into the previously verified S{sub N} code and the proposed verification procedure is used to identify the coding mistakes (if possible) and classify them. Itemized by error type we record the stage of the verification procedure where the error is detected and report the frequency with which the errors are correctly identified at various stages of the verification. Errors that remain undetected by the verification procedure are further scrutinized to determine the reason why the introduced coding mistake eluded the verification procedure. The result of this work is that the verification procedure based on an order-of-accuracy test finds almost all detectable coding mistakes but rarely, 1.44% of the time, and under certain circumstances can fail. (authors)

Independent Verification Survey Report For Zone 1 Of The East Tennessee Technology Park In Oak Ridge, Tennessee

International Nuclear Information System (INIS)

King, David A.

2012-01-01

Oak Ridge Associated Universities (ORAU) conducted in-process inspections and independent verification (IV) surveys in support of DOE's remedial efforts in Zone 1 of East Tennessee Technology Park (ETTP) in Oak Ridge, Tennessee. Inspections concluded that the remediation contractor's soil removal and survey objectives were satisfied and the dynamic verification strategy (DVS) was implemented as designed. Independent verification (IV) activities included gamma walkover surveys and soil sample collection/analysis over multiple exposure units (EUs)

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT, JCH FUEL SOLUTIONS, INC., JCH ENVIRO AUTOMATED FUEL CLEANING AND MAINTENANCE SYSTEM

Science.gov (United States)

The verification testing was conducted at the Cl facility in North Las Vegas, NV, on July 17 and 18, 2001. During this period, engine emissions, fuel consumption, and fuel quality were evaluated with contaminated and cleaned fuel.To facilitate this verification, JCH repre...

Verification for excess reactivity on beginning equilibrium core of RSG GAS

International Nuclear Information System (INIS)

Daddy Setyawan; Budi Rohman

2011-01-01

BAPETEN is an institution authorized to control the use of nuclear energy in Indonesia. Control for the use of nuclear energy is carried out through three pillars: regulation, licensing, and inspection. In order to assure the safety of the operating research reactors, the assessment unit of BAPETEN is carrying out independent assessment in order to verify safety related parameters in the SAR including neutronic aspect. The work includes verification to the Power Peaking Factor in the equilibrium silicide core of RSG GAS reactor by computational method using MCNP-ORIGEN. This verification calculation results for is 9.4 %. Meanwhile, the RSG-GAS safety analysis report shows that the excess reactivity on equilibrium core of RSG GAS is 9.7 %. The verification calculation results show a good agreement with the report. (author)

A report that Fukushima residents are concerned about radiation from Land, Food and Radon

International Nuclear Information System (INIS)

Tamari, Yuki; Kuroda, Yujiro; Miyagawa, Ryu; Nawa, Kanabu; Sakumi, Akira; Sakata, Naoko; Mizushima, Nozomi; Sakura, Osamu; Iwamitsu, Yumi; Takemura, Kazuhisa; Nakagawa, Keiichi

2016-01-01

The Great East Japan Earthquake and subsequent TEPCO Fukushima Daiichi nuclear disaster occurred on 11 March 2011, which caused the leakage of radioactive materials into the environment. In this study, we report public concerns about radiation in Fukushima and Tokyo almost one year after the nuclear disaster. We examined the public concerns by analyzing the data from 1022 participants, 555 in Fukushima and 467 in Tokyo. They were asked whether they were concerned about radiation from some of six different types of sources, which could be answered in a binary way, ‘yes’ or ‘no’. We found not only similarities, but also significant differences in the degrees of concerns between Fukushima residents and Tokyo ones. Fukushima residents more concerned about radiation from land, food and radon in larger rate than that of Tokyo ones, while Tokyo residents were concerned about radiation from medical care. Residents in neither location were concerned about radiation from space. Our results suggested that careful risk communication should be undertaken, adaptively organized depending on location and other factors, e.g. comprehension about radiation, presence of the experience of evacuation, and also age and gender of the people

ENVIRONMENTAL TECHNOLOGY VERIFICATION: JOINT (NSF-EPA) VERIFICATION STATEMENT AND REPORT: TRITON SYSTEMS, LLC SOLID BOWL CENTRIFUGE, MODEL TS-5000

Science.gov (United States)

Verification testing of the Triton Systems, LLC Solid Bowl Centrifuge Model TS-5000 (TS-5000) was conducted at the Lake Wheeler Road Field Laboratory Swine Educational Unit in Raleigh, North Carolina. The TS-5000 was 48" in diameter and 30" deep, with a bowl capacity of 16 ft3. ...

Life satisfaction of people with intellectual disability living in community residences: perceptions of the residents, their parents and staff members.

Science.gov (United States)

Schwartz, C; Rabinovitz, S

2003-02-01

Within the literature on quality of life (QoL), life satisfaction (LS) has emerged as a key variable by which to measure perceived well-being, which is referred to as subjective QoL. The LS self-reports of 93 residents with intellectual disability (ID) living in community-based residences were compared with reports about their LS completed by their staff and parents. The residents were interviewed on their LS by social workers who did not belong to the staff of the interviewee's residence. The instrument used was the Life Satisfaction Scale (LSS). Staff and parents completed the short version of the LSS. Residents and staff's LS reports were positively correlated. However, significant differences were found between these two groups of informants when the residents were characterized as high functioning, had a low score in challenging behaviour, worked in an integrative employment setting and lived in an apartment. As opposed to staff/resident discrepancies, no differences were found between parents' and residents' LS reports. If residents cannot to be interviewed about their LS, then the parent is the preferred person to respond on behalf of the resident. The current study highlights the importance of including both objective measures (e.g. functional assessment characteristics) and subjective measures (e.g. LS) in order to get a better understanding of the QoL of people with ID.

Correlation of Objective Assessment Data With General Surgery Resident In-Training Evaluation Reports and Operative Volumes.

Science.gov (United States)

Abdelsattar, Jad M; AlJamal, Yazan N; Ruparel, Raaj K; Rowse, Phillip G; Heller, Stephanie F; Farley, David R

2018-05-14

Faculty evaluations, ABSITE scores, and operative case volumes often tell little about true resident performance. We developed an objective structured clinical examination called the Surgical X-Games (5 rooms, 15 minutes each, 12-15 tests total, different for each postgraduate [PGY] level). We hypothesized that performance in X-Games will prove more useful in identifying areas of strength or weakness among general surgery (GS) residents than faculty evaluations, ABSITE scores, or operative cases volumes. PGY 2 to 5 GS residents (n = 35) were tested in a semiannual X-Games assessment using multiple simulation tasks: laparoscopic skills, bowel anastomosis, CT/CXR analysis, chest tube placement, etc. over 1 academic year. Resident scores were compared to their ABSITE, in-training evaluation reports, and operating room case numbers. Academic medical center. PGY-2, 3, 4, and 5 GS residents at Mayo Clinic in Rochester, MN. Results varied greatly within each class except for staff evaluations: in-training evaluation reports medians for PGY-2s were 5.3 (range: 5.0-6.0), PGY-3s 5.9 (5.5-6.3), PGY-4s 5.6 (5.0-6.0), and PGY-5s were 6.1 (5.6-6.9). Although ABSITE and operating room case volumes fluctated greatly with each PGY class, only X-Games scores (median: PGY-2 = 82, PGY-3 = 61, PGY-4 = 76, and PGY-5 = 60) correlated positively (p < 0.05) with operative case volume and negatively (p < 0.05) with staff evaluations. X-Games assessment generated wide differentiation of resident performance quickly, inexpensively, and objectively. Although "Minnesota-nice" surgical staff may feel all GS trainees are "above average," objective assessment tells us otherwise. Copyright © 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

General surgery residents improve efficiency but not outcome of trauma care.

Science.gov (United States)

Offner, Patrick J; Hawkes, Allison; Madayag, Robert; Seale, Fred; Maines, Charles

2003-07-01

Current American College of Surgeons Level I trauma center verification requires the presence of a residency program in which trauma care is an integral part of the training. The rationale for this requirement remains unclear, with no scientific evidence that resident participation improves the quality of trauma care. The purpose of this study was to determine whether quality or efficiency of trauma care is influenced by general surgery residents. Our urban Level I trauma center has traditionally used 24-hour in-house postgraduate year-4 general surgery residents in conjunction with at-home trauma attending backup to provide trauma care. As of July 1, 2000, general surgery residents no longer participated in trauma patient care, leaving sole responsibility to an in-house trauma attending. Data regarding patient outcome and resource use with and without surgery resident participation were tabulated and analyzed. Continuous data were compared using Student's t test if normally distributed and the Mann-Whitney U test if nonparametric. Categorical data were compared using chi2 analysis or Fisher's exact test as appropriate. During the 5-month period with resident participation, 555 trauma patients were admitted. In the identical time period without residents, 516 trauma patients were admitted. During the period without housestaff, patients were older and more severely injured. Mechanism was not different during the two time periods. Mortality was not affected; however, time in the emergency department and hospital lengths of stay were significantly shorter with residents. Multiple regression confirmed these findings while controlling for age, mechanism, and Injury Severity Score. Although resident participation in trauma care at a Level I trauma center does not affect outcome, it does significantly improve the efficiency of trauma care delivery.

Shortening the Miles to the Milestones: Connecting EPA-Based Evaluations to ACGME Milestone Reports for Internal Medicine Residency Programs.

Science.gov (United States)

Choe, John H; Knight, Christopher L; Stiling, Rebekah; Corning, Kelli; Lock, Keli; Steinberg, Kenneth P

2016-07-01

The Next Accreditation System requires internal medicine training programs to provide the Accreditation Council for Graduate Medical Education (ACGME) with semiannual information about each resident's progress in 22 subcompetency domains. Evaluation of resident "trustworthiness" in performing entrustable professional activities (EPAs) may offer a more tangible assessment construct than evaluations based on expectations of usual progression toward competence. However, translating results from EPA-based evaluations into ACGME milestone progress reports has proven to be challenging because the constructs that underlay these two systems differ.The authors describe a process to bridge the gap between rotation-specific EPA-based evaluations and ACGME milestone reporting. Developed at the University of Washington in 2012 and 2013, this method involves mapping EPA-based evaluation responses to "milestone elements," the narrative descriptions within the columns of each of the 22 internal medicine subcompetencies. As faculty members complete EPA-based evaluations, the mapped milestone elements are automatically marked as "confirmed." Programs can maintain a database that tallies the number of times each milestone element is confirmed for a resident; these data can be used to produce graphical displays of resident progress along the internal medicine milestones.Using this count of milestone elements allows programs to bridge the gap between faculty assessments of residents based on rotation-specific observed activities and semiannual ACGME reports based on the internal medicine milestones. Although potentially useful for all programs, this method is especially beneficial to large programs where clinical competency committee members may not have the opportunity for direct observation of all residents.

HDL to verification logic translator

Science.gov (United States)

Gambles, J. W.; Windley, P. J.

1992-01-01

The increasingly higher number of transistors possible in VLSI circuits compounds the difficulty in insuring correct designs. As the number of possible test cases required to exhaustively simulate a circuit design explodes, a better method is required to confirm the absence of design faults. Formal verification methods provide a way to prove, using logic, that a circuit structure correctly implements its specification. Before verification is accepted by VLSI design engineers, the stand alone verification tools that are in use in the research community must be integrated with the CAD tools used by the designers. One problem facing the acceptance of formal verification into circuit design methodology is that the structural circuit descriptions used by the designers are not appropriate for verification work and those required for verification lack some of the features needed for design. We offer a solution to this dilemma: an automatic translation from the designers' HDL models into definitions for the higher-ordered logic (HOL) verification system. The translated definitions become the low level basis of circuit verification which in turn increases the designer's confidence in the correctness of higher level behavioral models.

Operative time and cost of resident surgical experience: effect of instituting an otolaryngology residency program.

Science.gov (United States)

Pollei, Taylor R; Barrs, David M; Hinni, Michael L; Bansberg, Stephen F; Walter, Logan C

2013-06-01

Describe the procedure length difference between surgeries performed by an attending surgeon alone compared with the resident surgeon supervised by the same attending surgeon. Case series with chart review. Tertiary care center and residency program. Six common otolaryngologic procedures performed between August 1994 and May 2012 were divided into 2 cohorts: attending surgeon alone or resident surgeon. This division coincided with our July 2006 initiation of an otolaryngology-head and neck surgery residency program. Operative duration was compared between cohorts with confounding factors controlled. In addition, the direct result of increased surgical length on operating room cost was calculated and applied to departmental and published resident case log report data. Five of the 6 procedures evaluated showed a statistically significant increase in surgery length with resident involvement. Operative time increased 6.8 minutes for a cricopharyngeal myotomy (P = .0097), 11.3 minutes for a tonsillectomy (P operative time difference. Cost of increased surgical time was calculated per surgery and ranged from $286 (cricopharyngeal myotomy) to $2142 (mastoidectomy). When applied to reported national case log averages for graduating residents, this resulted in a significant increase of direct training-related costs. Resident participation in the operating room results in increased surgical length and additional system cost. Although residency is a necessary part of surgical training, associated costs need to be acknowledged.

A Comparison of Self-Reported Hearing Handicap and Audiometric Thresholds in Nursing Home Residents

Directory of Open Access Journals (Sweden)

Nematolla Rouhbakhsh

2007-12-01

Full Text Available Background and Aim: Self-reported and questionaire method for hearing impairment assessment allow us to study and to detect the invisible related issues, while They can not be done by traditional audiometry procedures. The purpose of this study is to compare measurement of hearing handicap using self-reported and staff version of NHHI and hearing thresholds in nursing home residents. Materials and Method: The study participants were 43 individuals, 23 males and 20 females, aged 45-95 years. Pure tone average were calculated after conventional Pure tone audiometry . the self- and staff- reported questionnaire were also fulfilled. Results: Nine (20.9% individuals have normal hearing, 6 (14% have slight, 10 (23.3% mild, 7 (16.3% moderate, 6 (16.3% moderate to severe, 4 (9.3% severe, and 1 (2.3% profound hearing loss. Mean score of self and of staff reported versions were 32.22 % +29.31 and 32.67% +30.98, respectively. According to Kruskal-wallis test, there were significant correlation between self-reported and hearing level and between staff-reported and hearing level. The Pierson coefficient variation test between self and staff-reported, and self-reported and hearing level, staff-reported and hearing level showed significant correlation. Conclusion: The NHHI self assessment associated with other equipments significantly improved the identification and assessment of adults and elderly hearing handicap in nursing home residents. According to the study condition, it may be concluded that the self and staff version of NHHI questionnaire are significantly identical and can be used instead.

Pediatric resident perceptions of family-friendly benefits.

Science.gov (United States)

Berkowitz, Carol D; Frintner, Mary Pat; Cull, William L

2010-01-01

The aim of this study was to examine the importance of family-friendly features in residency program selection, benefits offered to and used by residents, and importance of benefits in future job selection. A survey of a random, national sample of 1000 graduating pediatric residents in 2008 was mailed and e-mailed. Survey response rate for graduating resident respondents was 59%. Among the respondents, 76% were women. Thirty-seven percent of men and 32% of women were parents. Residents with children were more likely than residents without children to rate family-friendly characteristics as very important in their residency selection (P maternity leave (88%), paternity leave (59%), individual flexibility with schedule (63%), and lactation rooms (55%), but fewer reported on-site child care (24%), care for ill children (19%), and part-time residency positions (12%). Among residents reporting availability, 77% of women with children used maternity leave and lactation rooms. Few held part-time residency positions (2%), but many expressed interest (23% of women with children). The majority of residents with and without children reported that flexibility with schedule was important in their future job selection. Most women with children (71%) and many women without children (52%) considered part-time work to be very important in their job selection. Family-friendly benefits are important to residents, particularly those with children. The data provides a benchmark for the availability and use of family-friendly features at pediatric training programs. The data also shows that many residents are unaware if benefits are offered, which suggests a need to make available benefits more transparent to residents. Copyright 2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Towards real-time verification of CO2 emissions

Science.gov (United States)

Peters, Glen P.; Le Quéré, Corinne; Andrew, Robbie M.; Canadell, Josep G.; Friedlingstein, Pierre; Ilyina, Tatiana; Jackson, Robert B.; Joos, Fortunat; Korsbakken, Jan Ivar; McKinley, Galen A.; Sitch, Stephen; Tans, Pieter

2017-12-01

The Paris Agreement has increased the incentive to verify reported anthropogenic carbon dioxide emissions with independent Earth system observations. Reliable verification requires a step change in our understanding of carbon cycle variability.

Independent verification: operational phase liquid metal breeder reactors

International Nuclear Information System (INIS)

Bourne, P.B.

1981-01-01

The Fast Flux Test Facility (FFTF) recently achieved 100-percent power and now is in the initial stages of operation as a test reactor. An independent verification program has been established to assist in maintaining stable plant conditions, and to assure the safe operation of the reactor. Independent verification begins with the development of administrative procedures to control all other procedures and changes to the plant configurations. The technical content of the controlling procedures is subject to independent verification. The actual accomplishment of test procedures and operational maneuvers is witnessed by personnel not responsible for operating the plant. Off-normal events are analyzed, problem reports from other operating reactors are evaluated, and these results are used to improve on-line performance. Audits are used to confirm compliance with established practices and to identify areas where individual performance can be improved

Simulation Activity in Otolaryngology Residencies.

Science.gov (United States)

Deutsch, Ellen S; Wiet, Gregory J; Seidman, Michael; Hussey, Heather M; Malekzadeh, Sonya; Fried, Marvin P

2015-08-01

Simulation has become a valuable tool in medical education, and several specialties accept or require simulation as a resource for resident training or assessment as well as for board certification or maintenance of certification. This study investigates current simulation resources and activities in US otolaryngology residency programs and examines interest in advancing simulation training and assessment within the specialty. Web-based survey. US otolaryngology residency training programs. An electronic web-based survey was disseminated to all US otolaryngology program directors to determine their respective institutional and departmental simulation resources, existing simulation activities, and interest in further simulation initiatives. Descriptive results are reported. Responses were received from 43 of 104 (43%) residency programs. Simulation capabilities and resources are available in most respondents' institutions (78.6% report onsite resources; 73.8% report availability of models, manikins, and devices). Most respondents (61%) report limited simulation activity within otolaryngology. Areas of simulation are broad, addressing technical and nontechnical skills related to clinical training (94%). Simulation is infrequently used for research, credentialing, or systems improvement. The majority of respondents (83.8%) expressed interest in participating in multicenter trials of simulation initiatives. Most respondents from otolaryngology residency programs have incorporated some simulation into their curriculum. Interest among program directors to participate in future multicenter trials appears high. Future research efforts in this area should aim to determine optimal simulators and simulation activities for training and assessment as well as how to best incorporate simulation into otolaryngology residency training programs. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

Applying Expectancy Theory to residency training: proposing opportunities to understand resident motivation and enhance residency training

Directory of Open Access Journals (Sweden)

Shweiki E

2015-04-01

Full Text Available Ehyal Shweiki,1 Niels D Martin,2 Alec C Beekley,1 Jay S Jenoff,1 George J Koenig,1 Kris R Kaulback,1 Gary A Lindenbaum,1 Pankaj H Patel,1 Matthew M Rosen,1 Michael S Weinstein,1 Muhammad H Zubair,2 Murray J Cohen1 1Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA; 2Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA Abstract: Medical resident education in the United States has been a matter of national priority for decades, exemplified initially through the Liaison Committee for Graduate Medical Education and then superseded by the Accreditation Council for Graduate Medical Education. A recent Special Report in the New England Journal of Medicine, however, has described resident educational programs to date as prescriptive, noting an absence of innovation in education. Current aims of contemporary medical resident education are thus being directed at ensuring quality in learning as well as in patient care. Achievement and work-motivation theories attempt to explain people's choice, performance, and persistence in tasks. Expectancy Theory as one such theory was reviewed in detail, appearing particularly applicable to surgical residency training. Correlations between Expectancy Theory as a work-motivation theory and residency education were explored. Understanding achievement and work-motivation theories affords an opportunity to gain insight into resident motivation in training. The application of Expectancy Theory in particular provides an innovative perspective into residency education. Afforded are opportunities to promote the development of programmatic methods facilitating surgical resident motivation in education. Keywords: learning, education, achievement

Abstracts of Research Project Reports by Naval Dental Clinic First- and Second-Year Residents - June 1983.

Science.gov (United States)

1983-12-01

W6 1 December 193 TECHNICAL REPORT 111/ 0 ’I~u ABSTRACTS OF RESEARCH PROJECT REPORTS BY NAVAL DENTAL CLZUC IRST- AND SEcon-TEu RESIDENTS - JUNE 1983 by...no signs, symptoms, or history of myofascial pain dysfunction syndrome, temporomandibular joint dysfunction, or posterior bite collapse. An isokinetic

25 CFR 39.219 - What happens if a residential program does not maintain residency levels required by this subpart?

Science.gov (United States)

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false What happens if a residential program does not maintain residency levels required by this subpart? 39.219 Section 39.219 Indians BUREAU OF INDIAN AFFAIRS..., Student Counts, and Verifications Residential Programs § 39.219 What happens if a residential program does...

Verification and validation interim report for portable 1,000 CFM exhauster skids POR-007/Skid E and POR-008/Skid F

International Nuclear Information System (INIS)

Nelson, O.D.

1998-01-01

This Verification and Validation (V/V) interim report summarizes to date the results of the V/V tasks performed in each of the following life cycle phases: concept, requirements, design, implementation, test, installation and checkout, and operation and maintenance. At the end of the installation and checkout phase, the V/V final report will be issued. This interim report contains or references the following for each phase: Description of V/V tasks performed; Summary of task results; Summary of anomalies and resolution; Assessment of system quality; Recommendations

Results of the 2003 Association of Residents in Radiation Oncology (ARRO) surveys of residents and chief residents in the United States

International Nuclear Information System (INIS)

Jagsi, Reshma; Buck, David A.; Singh, Anurag K.; Engleman, Mark; Thakkar, Vipul; Frank, Steven J.; Flynn, Daniel

2005-01-01

Purpose: To document demographic characteristics of current residents, career motivations and aspirations, and training program policies and resources. Methods: In 2003, the Association of Residents in Radiation Oncology (ARRO) conducted two nationwide surveys: one of all U.S. radiation oncology residents and one of chief residents. Results: The Chief Residents' Survey was completed by representatives from all 77 programs (response rate, 100%). The Residents' Survey was returned by 229 respondents (response rate, 44%). In each, 32% of respondents were female. The most popular career after residency was private practice (46%), followed by permanent academic practice (28%). Changes that would entice those choosing private practice to consider an academic career included more research experience as a resident (76%), higher likelihood of tenure (69%), lesser time commitment (66%), and higher salary (54%). Although the majority of respondents were satisfied with educational experience overall, a number of programs were reported to provide fewer resources than required. Conclusions: Median program resources and numbers of outliers are documented to allow residents and program directors to assess the relative adequacy of experience in their own programs. Policy-making bodies and individual programs should consider these results when developing interventions to improve educational experiences of residents and to increase retention of radiation oncologists in academic practice

ENVIRONMENTAL TECHNOLOGY VERIFICATION, TEST REPORT OF MOBILE SOURCE EMISSIONS CONTROL DEVICES/CLEAN DIESEL TECHNOLOGIES FUEL BORNE CATALYST WITH CLEANAIR SYSTEM'S DIESEL OXIDATION CATALYST

Science.gov (United States)

The Environmental Technology Verification report discusses the technology and performance of the Fuel-Borne Catalyst with CleanAir System's Diesel Oxidation Catalyst manufactured by Clean Diesel Technologies, Inc. The technology is a fuel-borne catalyst used in ultra low sulfur d...

Verification and the safeguards legacy

International Nuclear Information System (INIS)

Perricos, Demetrius

2001-01-01

; qualitative and quantitative measurements of nuclear material; familiarity and access to sensitive technologies related to detection, unattended verification systems, containment/surveillance and sensors; examination and verification of design information of large and complex facilities; theoretical and practical aspects of technologies relevant to verification objectives; analysis of inspection findings and evaluation of their mutual consistency; negotiations on technical issues with facility operators and State authorities. This experience is reflected in the IAEA Safeguards Manual which sets out the policies and procedures to be followed in the inspection process as well as in the Safeguards Criteria which provide guidance for verification, evaluation and analysis of the inspection findings. The IAEA infrastructure and its experience with verification permitted in 1991 the organization to respond immediately and successfully to the tasks required by the Security Council Resolution 687(1991) for Iraq as well as to the tasks related to the verification of completeness and correctness of the initial declarations in the cases of the DPRK. and of S. Africa. In the case of Iraq the discovery of its undeclared programs was made possible through the existing verification system enhanced by additional access rights, information and application of modern detection technology. Such discoveries made it evident that there was a need for an intensive development effort to strengthen the safeguards system to develop a capability to detect undeclared activities. For this purpose it was recognized that there was need for additional and extended a) access to information, b) access to locations. It was also obvious that access to the Security Council, to bring the IAEA closer to the body responsible for maintenance of international peace and security, would be a requirement for reporting periodically on non-proliferation and the results of the IAEA's verification activities. While the case

Preparing Residents for Teaching Careers: The Faculty for Tomorrow Resident Workshop.

Science.gov (United States)

Lin, Steven; Gordon, Paul

2017-03-01

Progress toward growing the primary care workforce is at risk of being derailed by an emerging crisis: a critical shortage of family medicine faculty. In response to the faculty shortage, the Society of Teachers of Family Medicine (STFM) launched a 2-year initiative called "Faculty for Tomorrow" (F4T). The F4T Task Force created a workshop designed to increase residents' interest in, and prepare them for, careers in academic family medicine. We aimed to evaluate the effectiveness of this workshop. Participants were family medicine residents who preregistered for and attended the F4T Resident Workshop at the 2016 STFM Annual Spring Conference. The intervention was a full-day, 9-hour preconference workshop delivered by a multi-institutional faculty team. Participants were asked to complete a questionnaire before and immediately after the workshop. Data collected included demographics, residency program characteristics, future career plans, self-reported confidence in skills, and general knowledge relevant to becoming faculty. A total of 75 participants attended the workshop. The proportion of those who were "extremely likely" to pursue a career in academic family medicine increased from 58% to 72%. Participants reported statistically significant improvements in their confidence in clinical teaching, providing feedback to learners, writing an effective CV, knowledge about the structure of academic family medicine, and knowledge about applying for a faculty position. The STFM F4T Resident Workshop was effective at increasing participants' interest in academic careers, as well as self-reported confidence in skills and knowledge relevant to becoming faculty. The data collected from participants regarding their career plans may inform future interventions.

Class 1E software verification and validation: Past, present, and future

Energy Technology Data Exchange (ETDEWEB)

Persons, W.L.; Lawrence, J.D.

1993-10-01

This paper discusses work in progress that addresses software verification and validation (V&V) as it takes place during the full software life cycle of safety-critical software. The paper begins with a brief overview of the task description and discussion of the historical evolution of software V&V. A new perspective is presented which shows the entire verification and validation process from the viewpoints of a software developer, product assurance engineer, independent V&V auditor, and government regulator. An account of the experience of the field test of the Verification Audit Plan and Report generated from the V&V Guidelines is presented along with sample checklists and lessons learned from the verification audit experience. Then, an approach to automating the V&V Guidelines is introduced. The paper concludes with a glossary and bibliography.

Verification of RESRAD-RDD. (Version 2.01)

Energy Technology Data Exchange (ETDEWEB)

Cheng, Jing-Jy [Argonne National Lab. (ANL), Argonne, IL (United States); Flood, Paul E. [Argonne National Lab. (ANL), Argonne, IL (United States); LePoire, David [Argonne National Lab. (ANL), Argonne, IL (United States); Kamboj, Sunita [Argonne National Lab. (ANL), Argonne, IL (United States); Yu, Charley [Argonne National Lab. (ANL), Argonne, IL (United States)

2015-09-01

In this report, the results generated by RESRAD-RDD version 2.01 are compared with those produced by RESRAD-RDD version 1.7 for different scenarios with different sets of input parameters. RESRAD-RDD version 1.7 is spreadsheet-driven, performing calculations with Microsoft Excel spreadsheets. RESRAD-RDD version 2.01 revamped version 1.7 by using command-driven programs designed with Visual Basic.NET to direct calculations with data saved in Microsoft Access database, and re-facing the graphical user interface (GUI) to provide more flexibility and choices in guideline derivation. Because version 1.7 and version 2.01 perform the same calculations, the comparison of their results serves as verification of both versions. The verification covered calculation results for 11 radionuclides included in both versions: Am-241, Cf-252, Cm-244, Co-60, Cs-137, Ir-192, Po-210, Pu-238, Pu-239, Ra-226, and Sr-90. At first, all nuclidespecific data used in both versions were compared to ensure that they are identical. Then generic operational guidelines and measurement-based radiation doses or stay times associated with a specific operational guideline group were calculated with both versions using different sets of input parameters, and the results obtained with the same set of input parameters were compared. A total of 12 sets of input parameters were used for the verification, and the comparison was performed for each operational guideline group, from A to G, sequentially. The verification shows that RESRAD-RDD version 1.7 and RESRAD-RDD version 2.01 generate almost identical results; the slight differences could be attributed to differences in numerical precision with Microsoft Excel and Visual Basic.NET. RESRAD-RDD version 2.01 allows the selection of different units for use in reporting calculation results. The results of SI units were obtained and compared with the base results (in traditional units) used for comparison with version 1.7. The comparison shows that RESRAD

Impact of an Event Reporting System on Resident Complication Reporting in Plastic Surgery Training: Addressing an ACGME and Plastic Surgery Milestone Project Core Competency.

Science.gov (United States)

Parikh, Rajiv P; Snyder-Warwick, Alison; Naidoo, Sybill; Skolnick, Gary B; Patel, Kamlesh B

2017-11-01

The Accreditation Council for Graduate Medical Education and Plastic Surgery Milestone Project has identified practice-based learning and improvement, which involves systematically analyzing current practices and implementing changes, as a core competency in residency education. In surgical care, complication reporting is an essential component of practice-based learning and improvement as complications are analyzed in morbidity and mortality conference for quality improvement. Unfortunately, current methods for capturing a comprehensive profile of complications may significantly underestimate the true occurrence of complications. Therefore, the objectives of this study are to evaluate an intervention for complication reporting and compare this to current practice, in a plastic surgery training program. This is a preintervention and postintervention study evaluating resident reporting of complications on a plastic surgery service. The intervention was an online event reporting system developed by department leadership and patient safety experts. The cohorts consisted of all patients undergoing surgery during two separate 3-month blocks bridged by an implementation period. A trained reviewer recorded complications, and this served as the reference standard. Fisher's exact test was used for binary comparisons. There were 32 complications detected in 219 patients from June to August of 2015 and 35 complications in 202 patients from October to December of 2015. The proportion of complications reported in the preintervention group was nine of 32 (28.1 percent). After the intervention, this significantly increased to 32 of 35 (91.4 percent) (p < 0.001). An intervention using an event reporting system, supported by departmental leadership, led to significant improvements in complication reporting by plastic surgery residents.

Exploring the Possible Use of Information Barriers for future Biological Weapons Verification Regimes

International Nuclear Information System (INIS)

Luke, S.J.

2011-01-01

This report describes a path forward for implementing information barriers in a future generic biological arms-control verification regime. Information barriers have become a staple of discussion in the area of arms control verification approaches for nuclear weapons and components. Information barriers when used with a measurement system allow for the determination that an item has sensitive characteristics without releasing any of the sensitive information. Over the last 15 years the United States (with the Russian Federation) has led on the development of information barriers in the area of the verification of nuclear weapons and nuclear components. The work of the US and the Russian Federation has prompted other states (e.g., UK and Norway) to consider the merits of information barriers for possible verification regimes. In the context of a biological weapons control verification regime, the dual-use nature of the biotechnology will require protection of sensitive information while allowing for the verification of treaty commitments. A major question that has arisen is whether - in a biological weapons verification regime - the presence or absence of a weapon pathogen can be determined without revealing any information about possible sensitive or proprietary information contained in the genetic materials being declared under a verification regime. This study indicates that a verification regime could be constructed using a small number of pathogens that spans the range of known biological weapons agents. Since the number of possible pathogens is small it is possible and prudent to treat these pathogens as analogies to attributes in a nuclear verification regime. This study has determined that there may be some information that needs to be protected in a biological weapons control verification regime. To protect this information, the study concludes that the Lawrence Livermore Microbial Detection Array may be a suitable technology for the detection of the

Exploring the Possible Use of Information Barriers for future Biological Weapons Verification Regimes

Energy Technology Data Exchange (ETDEWEB)

Luke, S J

2011-12-20

This report describes a path forward for implementing information barriers in a future generic biological arms-control verification regime. Information barriers have become a staple of discussion in the area of arms control verification approaches for nuclear weapons and components. Information barriers when used with a measurement system allow for the determination that an item has sensitive characteristics without releasing any of the sensitive information. Over the last 15 years the United States (with the Russian Federation) has led on the development of information barriers in the area of the verification of nuclear weapons and nuclear components. The work of the US and the Russian Federation has prompted other states (e.g., UK and Norway) to consider the merits of information barriers for possible verification regimes. In the context of a biological weapons control verification regime, the dual-use nature of the biotechnology will require protection of sensitive information while allowing for the verification of treaty commitments. A major question that has arisen is whether - in a biological weapons verification regime - the presence or absence of a weapon pathogen can be determined without revealing any information about possible sensitive or proprietary information contained in the genetic materials being declared under a verification regime. This study indicates that a verification regime could be constructed using a small number of pathogens that spans the range of known biological weapons agents. Since the number of possible pathogens is small it is possible and prudent to treat these pathogens as analogies to attributes in a nuclear verification regime. This study has determined that there may be some information that needs to be protected in a biological weapons control verification regime. To protect this information, the study concludes that the Lawrence Livermore Microbial Detection Array may be a suitable technology for the detection of the

Contingency Contractor Optimization Phase 3 Sustainment Verification and Validation V&V) Report - Contingency Contractor Optimization Engineering - Prototype

Energy Technology Data Exchange (ETDEWEB)

Bandlow, Alisa [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Operations Research and Computational Analysis; Durfee, Justin David [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Operations Research and Computational Analysis; Frazier, Christopher Rawls [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Operations Research and Computational Analysis; Gearhart, Jared Lee [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Operations Research and Computational Analysis; Jones, Katherine A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Operations Research and Computational Analysis; Adair, Kristin Lynn [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Operations Research and Computational Analysis; Turgeon, Jennifer [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). High Confidence System Environments

2016-04-01

The reports and test plans contained within this document serve as supporting materials to the activities listed within the “Contingency Contractor Optimization Tool – Prototype (CCOT-P) Verification & Validation Plan” [1]. The activities included test development, testing, peer reviews, and expert reviews. The engineering prototype reviews were done for both the software and the mathematical model used in CCOT-P. Section 2 includes the peer and expert review reports, which summarize the findings from each of the reviews and document the resolution of any issues. Section 3 details the test plans that were followed for functional testing of the application through the interface. Section 4 describes the unit tests that were run on the code.

Likelihood-ratio-based biometric verification

NARCIS (Netherlands)

Bazen, A.M.; Veldhuis, Raymond N.J.

2002-01-01

This paper presents results on optimal similarity measures for biometric verification based on fixed-length feature vectors. First, we show that the verification of a single user is equivalent to the detection problem, which implies that for single-user verification the likelihood ratio is optimal.

Likelihood Ratio-Based Biometric Verification

NARCIS (Netherlands)

Bazen, A.M.; Veldhuis, Raymond N.J.

The paper presents results on optimal similarity measures for biometric verification based on fixed-length feature vectors. First, we show that the verification of a single user is equivalent to the detection problem, which implies that, for single-user verification, the likelihood ratio is optimal.

A Roadmap for the Implementation of Continued Process Verification.

Science.gov (United States)

Boyer, Marcus; Gampfer, Joerg; Zamamiri, Abdel; Payne, Robin

2016-01-01

In 2014, the members of the BioPhorum Operations Group (BPOG) produced a 100-page continued process verification case study, entitled "Continued Process Verification: An Industry Position Paper with Example Protocol". This case study captures the thought processes involved in creating a continued process verification plan for a new product in response to the U.S. Food and Drug Administration's guidance on the subject introduced in 2011. In so doing, it provided the specific example of a plan developed for a new molecular antibody product based on the "A MAb Case Study" that preceded it in 2009.This document provides a roadmap that draws on the content of the continued process verification case study to provide a step-by-step guide in a more accessible form, with reference to a process map of the product life cycle. It could be used as a basis for continued process verification implementation in a number of different scenarios: For a single product and process;For a single site;To assist in the sharing of data monitoring responsibilities among sites;To assist in establishing data monitoring agreements between a customer company and a contract manufacturing organization. The U.S. Food and Drug Administration issued guidance on the management of manufacturing processes designed to improve quality and control of drug products. This involved increased focus on regular monitoring of manufacturing processes, reporting of the results, and the taking of opportunities to improve. The guidance and practice associated with it is known as continued process verification This paper summarizes good practice in responding to continued process verification guidance, gathered from subject matter experts in the biopharmaceutical industry. © PDA, Inc. 2016.

Feasibility of biochemical verification in a web-based smoking cessation study.

Science.gov (United States)

Cha, Sarah; Ganz, Ollie; Cohn, Amy M; Ehlke, Sarah J; Graham, Amanda L

2017-10-01

Cogent arguments have been made against the need for biochemical verification in population-based studies with low-demand characteristics. Despite this fact, studies involving digital interventions (low-demand) are often required in peer review to report biochemically verified abstinence. To address this discrepancy, we examined the feasibility and costs of biochemical verification in a web-based study conducted with a national sample. Participants were 600U.S. adult current smokers who registered on a web-based smoking cessation program and completed surveys at baseline and 3months. Saliva sampling kits were sent to participants who reported 7-day abstinence at 3months, and analyzed for cotinine. The response rate at 3-months was 41.2% (n=247): 93 participants reported 7-day abstinence (38%) and were mailed a saliva kit (71% returned). The discordance rate was 36.4%. Participants with discordant responses were more likely to report 3-month use of nicotine replacement therapy or e-cigarettes than those with concordant responses (79.2% vs. 45.2%, p=0.007). The total cost of saliva sampling was $8280 ($125/sample). Biochemical verification was both time- and cost-intensive, and yielded a relatively small number of samples due to low response rates and use of other nicotine products during the follow-up period. There was a high rate of discordance of self-reported abstinence and saliva testing. Costs for data collection may be prohibitive for studies with large sample sizes or limited budgets. Our findings echo previous statements that biochemical verification is not necessary in population-based studies, and add evidence specific to technology-based studies. Copyright © 2017 Elsevier Ltd. All rights reserved.

Technology verification phase. Dynamic isotope power system. Final report

Energy Technology Data Exchange (ETDEWEB)

Halsey, D.G.

1982-03-10

The Phase I requirements of the Kilowatt Isotope Power System (KIPS) program were to make a detailed Flight System Conceptual Design (FSCD) for an isotope fueled organic Rankine cycle power system and to build and test a Ground Demonstration System (GDS) which simulated as closely as possible the operational characteristics of the FSCD. The activities and results of Phase II, the Technology Verification Phase, of the program are reported. The objectives of this phase were to increase system efficiency to 18.1% by component development, to demonstrate system reliability by a 5000 h endurance test and to update the flight system design. During Phase II, system performance was improved from 15.1% to 16.6%, an endurance test of 2000 h was performed while the flight design analysis was limited to a study of the General Purpose Heat Source, a study of the regenerator manufacturing technique and analysis of the hardness of the system to a laser threat. It was concluded from these tests that the GDS is basically prototypic of a flight design; all components necessary for satisfactory operation were demonstrated successfully at the system level; over 11,000 total h of operation without any component failure attested to the inherent reliability of this type of system; and some further development is required, specifically in the area of performance. (LCL)

Technology verification phase. Dynamic isotope power system. Final report

International Nuclear Information System (INIS)

Halsey, D.G.

1982-01-01

The Phase I requirements of the Kilowatt Isotope Power System (KIPS) program were to make a detailed Flight System Conceptual Design (FSCD) for an isotope fueled organic Rankine cycle power system and to build and test a Ground Demonstration System (GDS) which simulated as closely as possible the operational characteristics of the FSCD. The activities and results of Phase II, the Technology Verification Phase, of the program are reported. The objectives of this phase were to increase system efficiency to 18.1% by component development, to demonstrate system reliability by a 5000 h endurance test and to update the flight system design. During Phase II, system performance was improved from 15.1% to 16.6%, an endurance test of 2000 h was performed while the flight design analysis was limited to a study of the General Purpose Heat Source, a study of the regenerator manufacturing technique and analysis of the hardness of the system to a laser threat. It was concluded from these tests that the GDS is basically prototypic of a flight design; all components necessary for satisfactory operation were demonstrated successfully at the system level; over 11,000 total h of operation without any component failure attested to the inherent reliability of this type of system; and some further development is required, specifically in the area of performance

Secure Oblivious Hiding, Authentication, Tamper Proofing, and Verification Techniques

National Research Council Canada - National Science Library

Fridrich, Jessica

2002-01-01

In this report, we describe an algorithm for robust visual hash functions with applications to digital image watermarking for authentication and integrity verification of video data and still images...

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT, SHARPE MANUFACTURING TITANIUM T1-CG SPRAY GUN

Science.gov (United States)

Under EPA’s Environmental Technology Verification program, which provides objective and scientific third party analysis of new technology that can benefit the environment, the pollution prevention capabilities of a high transfer efficiency liquid spray gun was tested. This ...

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT, ANEST IWATA CORPORATION W400-LV SPRAY GUN

Science.gov (United States)

Under EPA’s Environmental Technology Verification program, which provides objective and scientific third party analysis of new technology that can benefit the environment, the pollution prevention capabilities of a high transfer efficiency liquid spray gun was tested. This ...

Class 1E software verification and validation: Past, present, and future

International Nuclear Information System (INIS)

Persons, W.L.; Lawrence, J.D.

1993-10-01

This paper discusses work in progress that addresses software verification and validation (V ampersand V) as it takes place during the full software life cycle of safety-critical software. The paper begins with a brief overview of the task description and discussion of the historical evolution of software V ampersand V. A new perspective is presented which shows the entire verification and validation process from the viewpoints of a software developer, product assurance engineer, independent V ampersand V auditor, and government regulator. An account of the experience of the field test of the Verification Audit Plan and Report generated from the V ampersand V Guidelines is presented along with sample checklists and lessons learned from the verification audit experience. Then, an approach to automating the V ampersand V Guidelines is introduced. The paper concludes with a glossary and bibliography

Class 1E software verification and validation: Past, present, and future

International Nuclear Information System (INIS)

Persons, W.L.; Lawrence, J.D.

1994-01-01

This paper discusses work in progress that addresses software verification and validation (V ampersand V) as it takes place during the full software life cycle of safety-critical software. The paper begins with a brief overview of the task description and discussion of the historical evolution of software V ampersand V. A new perspective is presented which shows the entire verification and validation process from the viewpoints of a software developer, product assurance engineer, independent V ampersand V auditor, and government regulator. An account of the experience of the field test of the Verification Audit Plan and Report generated from the V ampersand V Guidelines is presented along with sample checklists and lessons learned from the verification audit experience. Then, an approach to automating the V ampersand V Guidelines is introduced. The paper concludes with a glossary and bibliography

Hazardous Materials Verification and Limited Characterization Report on Sodium and Caustic Residuals in Materials and Fuel Complex Facilities MFC-799/799A

Energy Technology Data Exchange (ETDEWEB)

Gary Mecham

2010-08-01

This report is a companion to the Facilities Condition and Hazard Assessment for Materials and Fuel Complex Sodium Processing Facilities MFC-799/799A and Nuclear Calibration Laboratory MFC-770C (referred to as the Facilities Condition and Hazards Assessment). This report specifically responds to the requirement of Section 9.2, Item 6, of the Facilities Condition and Hazards Assessment to provide an updated assessment and verification of the residual hazardous materials remaining in the Sodium Processing Facilities processing system. The hazardous materials of concern are sodium and sodium hydroxide (caustic). The information supplied in this report supports the end-point objectives identified in the Transition Plan for Multiple Facilities at the Materials and Fuels Complex, Advanced Test Reactor, Central Facilities Area, and Power Burst Facility, as well as the deactivation and decommissioning critical decision milestone 1, as specified in U.S. Department of Energy Guide 413.3-8, “Environmental Management Cleanup Projects.” Using a tailored approach and based on information obtained through a combination of process knowledge, emergency management hazardous assessment documentation, and visual inspection, this report provides sufficient detail regarding the quantity of hazardous materials for the purposes of facility transfer; it also provides that further characterization/verification of these materials is unnecessary.

Verification tests for CANDU advanced fuel

International Nuclear Information System (INIS)

Chung, Chang Hwan; Chang, S.K.; Hong, S.D.

1997-07-01

For the development of a CANDU advanced fuel, the CANFLEX-NU fuel bundles were tested under reactor operating conditions at the CANDU-Hot test loop. This report describes test results and test methods in the performance verification tests for the CANFLEX-NU bundle design. The main items described in the report are as follows. - Fuel bundle cross-flow test - Endurance fretting/vibration test - Freon CHF test - Production of technical document. (author). 25 refs., 45 tabs., 46 figs

Residents as teachers: psychiatry and family medicine residents' self-assessment of teaching knowledge, skills, and attitudes.

Science.gov (United States)

Brand, Michael W; Ekambaram, Vijayabharathi; Tucker, Phebe; Aggarwal, Ruchi

2013-09-01

Residents are one of the prime sources of information and education for medical students. As an initial step in supporting residents as teachers, a baseline self-assessment of residents' knowledge, skills, attitudes, and values related to teaching was conducted among psychiatry and family medicine residents to compare and improve their confidence and skills as teachers. Psychiatry residents (N=12) and family medicine residents (N=23) completed self-assessments of their knowledge, skills, attitudes, and values related to teaching. Residents also were asked to list steps used in the One-Minute Preceptor process and estimate the time each spent in teaching. Descriptive summary statistics were used for four main areas related to teaching; t-test and chi-square analyses were conducted to ascertain whether there was a significant difference in resident groups. In the current study, the perceived amount of time spent for teaching patients was significantly higher among family practice residents, whereas no group differences were found for time teaching medical students, peers, community members, non-physicians, or others. However, family medicine residents rated themselves higher than psychiatry residents in their understanding of their roles in teaching medical students and teaching patients. Also, family medicine residents' self-reported teaching skills were more advanced (82.4%) than psychiatry residents' (54.2%). They most likely applied at least two different teaching methods in inpatient and outpatient settings, as compared with psychiatry residents. No significant group differences were found in the other 15 items assessing teaching knowledge, skills, attitudes, and values. Results indicate that residents' knowledge, skills, attitudes, and values regarding teaching varies across institutions and training programs. The psychiatry residents in this study do not clearly understand their role as educators with patients and medical students; they have a less clear

ENVIRONMENTAL TECHNOLOGY VERIFICATION, TEST REPORT OF MOBILE SOURCE EMISSIONS CONTROL DEVICES: CLEAN DIESEL TECHNOLOGIES FUEL-BORNE CATALYST WITH MITSUI/PUREARTH CATALYZED WIRE MESH FILTER

Science.gov (United States)

The Environmental Technology Verification report discusses the technology and performance of the Fuel-Borne Catalyst with Mitsui/PUREarth Catalyzed Wire Mesh Filter manufactured by Clean Diesel Technologies, Inc. The technology is a platinum/cerium fuel-borne catalyst in commerci...

Scalable Techniques for Formal Verification

CERN Document Server

Ray, Sandip

2010-01-01

This book presents state-of-the-art approaches to formal verification techniques to seamlessly integrate different formal verification methods within a single logical foundation. It should benefit researchers and practitioners looking to get a broad overview of the spectrum of formal verification techniques, as well as approaches to combining such techniques within a single framework. Coverage includes a range of case studies showing how such combination is fruitful in developing a scalable verification methodology for industrial designs. This book outlines both theoretical and practical issue

Integrated Advanced Microwave Sounding Unit-A (AMSU-A). Performance Verification Report: Initial Comprehensive Performance Test Report, P/N 1331200-2-IT, S/N 105/A2

Science.gov (United States)

Platt, R.

1999-01-01

This is the Performance Verification Report, Initial Comprehensive Performance Test Report, P/N 1331200-2-IT, S/N 105/A2, for the Integrated Advanced Microwave Sounding Unit-A (AMSU-A). The specification establishes the requirements for the Comprehensive Performance Test (CPT) and Limited Performance Test (LPT) of the Advanced Microwave Sounding, Unit-A2 (AMSU-A2), referred to herein as the unit. The unit is defined on Drawing 1331200. 1.2 Test procedure sequence. The sequence in which the several phases of this test procedure shall take place is shown in Figure 1, but the sequence can be in any order.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT - BAGHOUSE FILTRATION PRODUCTS - TETRATEC PTFE TECHNOLOGIES TETRATEX 8005

Science.gov (United States)

Baghouse filtration products (BFPs) were evaluated by the Air Pollution Control Technology (APCT) pilot of the Environmental Technology Verification (ETV) Program. The performance factor verified was the mean outlet particle concentration for the filter fabric as a function of th...

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT - PORTABLE GAS CHROMATOGRAPH ELECTRONIC SENSOR TECHNOLOGY MODEL 4100

Science.gov (United States)

The U.S. Environmental Protection Agency, through the Environmental Technology Verification Program, is working to accelerate the acceptance and use of innovative technologies that improve the way the United States manages its environmental problems. As part of this program, the...

Training Pediatric Residents to Provide Smoking Cessation Counseling to Parents

Directory of Open Access Journals (Sweden)

Rebecca L. Collins

2005-01-01

Full Text Available The objective was to assess the effectiveness of a smoking cessation educational program on pediatric residents' counseling. Residents were randomly selected to receive the intervention. Residents who were trained were compared to untrained residents. Self-reported surveys and patient chart reviews were used. Measures included changes in self-reported knowledge, attitudes and behaviors of residents, and differences in chart documentation and caretaker-reported physician counseling behaviors. The intervention was multidimensional including a didactic presentation, a problem-solving session, clinic reminders, and provision of patient education materials. Results showed that residents who were trained were more likely to ask about tobacco use in their patients' households. They were also more likely to advise caretakers to cut down on or to quit smoking, to help set a quit date, and to follow up on the advice given at a subsequent visit. Trained residents were more likely to record a history of passive tobacco exposure in the medical record. These residents also reported improved confidence in their counseling skills and documented that they had done such counseling more often than did untrained residents. Caretakers of pediatric patients who smoke seen by intervention residents were more likely to report that they had received tobacco counseling. Following this intervention, pediatric residents significantly improved their behaviors, attitudes, and confidence in providing smoking cessation counseling to parents of their pediatric patients.

INF and IAEA: A comparative analysis of verification strategy

International Nuclear Information System (INIS)

Scheinman, L.; Kratzer, M.

1992-07-01

This is the final report of a study on the relevance and possible lessons of Intermediate Range Nuclear Force (INF) verification to the International Atomic Energy Agency (IAEA) international safeguards activities

Verification and validation of computer based systems for PFBR

International Nuclear Information System (INIS)

Thirugnanamurthy, D.

2017-01-01

Verification and Validation (V and V) process is essential to build quality into system. Verification is the process of evaluating a system to determine whether the products of each development phase satisfies the requirements imposed by the previous phase. Validation is the process of evaluating a system at the end of the development process to ensure compliance with the functional, performance and interface requirements. This presentation elaborates the V and V process followed, documents submission requirements in each stage, V and V activities, check list used for reviews in each stage and reports

Work-hour restrictions as an ethical dilemma for residents.

Science.gov (United States)

Carpenter, Robert O; Austin, Mary T; Tarpley, John L; Griffin, Marie R; Lomis, Kimberly D

2006-04-01

We propose that the standardized work-hour limitations have created an ethical dilemma for residents. A survey tool was designed to assess factors that influence the number of hours residents work and report. The program directors of pediatrics, internal medicine, and general surgery at our institution supported their residents' participation. A voluntary, anonymous survey of these residents was performed. One hundred seventy of 265 eligible residents were surveyed. Eighty-one percent of residents surveyed responded. Eighty percent of respondents reported exceeding work-hour restrictions at least once within the past 6 months. The factor of greatest influence measured was concern for patient care (80%). Forty-nine percent of respondents admitted underreporting their work hours. The Accreditation Council for Graduate Medical Education work-hour restrictions have created an ethical dilemma for residents. Our data show that a significant number of residents feel compelled to exceed work-hour regulations and report those hours falsely.

Can self-verification strivings fully transcend the self-other barrier? Seeking verification of ingroup identities.

Science.gov (United States)

Gómez, Angel; Seyle, D Conor; Huici, Carmen; Swann, William B

2009-12-01

Recent research has demonstrated self-verification strivings in groups, such that people strive to verify collective identities, which are personal self-views (e.g., "sensitive") associated with group membership (e.g., "women"). Such demonstrations stop short of showing that the desire for self-verification can fully transcend the self-other barrier, as in people working to verify ingroup identities (e.g., "Americans are loud") even when such identities are not self-descriptive ("I am quiet and unassuming"). Five studies focus on such ingroup verification strivings. Results indicate that people prefer to interact with individuals who verify their ingroup identities over those who enhance these identities (Experiments 1-5). Strivings for ingroup identity verification were independent of the extent to which the identities were self-descriptive but were stronger among participants who were highly invested in their ingroup identities, as reflected in high certainty of these identities (Experiments 1-4) and high identification with the group (Experiments 1-5). In addition, whereas past demonstrations of self-verification strivings have been limited to efforts to verify the content of identities (Experiments 1 to 3), the findings also show that they strive to verify the valence of their identities (i.e., the extent to which the identities are valued; Experiments 4 and 5). Self-verification strivings, rather than self-enhancement strivings, appeared to motivate participants' strivings for ingroup identity verification. Links to collective self-verification strivings and social identity theory are discussed.

Self-assessment on the competencies and reported improvement priorities for pediatrics residents.

Science.gov (United States)

Li, Su-Ting T; Tancredi, Daniel J; Burke, Ann E; Guillot, Ann; Guralnick, Susan; Trimm, R Franklin; Mahan, John D

2012-12-01

Self-assessment and self-directed learning are essential to becoming an effective physician. To identify factors associated with resident self-assessment on the competencies, and to determine whether residents chose areas of self-assessed relative weakness as areas for improvement in their Individualized Learning Plan (ILP). We performed a cross-sectional analysis of the American Academy of Pediatrics' PediaLink ILP database. Pediatrics residents self-assessed their competency in the 6 Accreditation Council for Graduate Medical Education competencies using a color-coded slider scale with end anchors "novice" and "proficient" (0-100), and then chose at least 1 competency to improve. Multivariate regression explored the relationship between overall confidence in core competencies, sex, level of training, and degree (MD or DO) status. Correlation examined whether residents chose to improve competencies in which they rated themselves as lower. A total of 4167 residents completed an ILP in academic year 2009-2010, with residents' ratings improving from advanced beginner (48 on a 0-100 scale) in postgraduate year-1 residents (PGY-1s) to competent (75) in PGY-3s. Residents rated themselves as most competent in professionalism (mean, 75.3) and least competent in medical knowledge (mean, 55.8) and systems-based practice (mean, 55.2). In the adjusted regression model, residents' competency ratings increased by level of training and whether they were men. In PGY-3s, there was no difference between men and women. Residents selected areas for improvement that correlated to competencies where they had rated themselves lower (P knowledge and systems-based practice, even as PGY-3s. Residents tended to choose subcompetencies, which they rated as lower to focus on improving.

ENVIRONMENTAL TECHNOLOGY VERIFICATION, TEST REPORT OF CONTROL OF BIOAEROSOLS IN HVAC SYSTEMS, COLUMBUS INDUSTRIES HIGH EFFICIENCY MINI PLEAT

Science.gov (United States)

The U.S. Environmental Protection Agency (EPA) has created the Environmental Technology Verification (ETV) Program to facilitate the deployment of innovative or improved environmental technologies through performance verification and dissemination of information. The goal of the...

Burnout among Canadian Psychiatry Residents: A National Survey

Science.gov (United States)

Halli, Priyanka; Ogrodniczuk, John S.; Hadjipavlou, George

2016-01-01

Objective: Burnout is a serious problem for health care providers that has implications for clinical practice and personal health. While burnout is known to affect residents, no studies have examined the prevalence or impact of burnout among Canadian psychiatry residents. Method: Residents in all Canadian psychiatry training programs were surveyed between May 1, 2014, and July 1, 2014. The survey included a well-validated, single-item measure to assess symptoms of burnout, several demographic questions, and Likert-scale items to assess residents’ appraisals of empathic functioning and strategies for coping with stress from patient encounters. Results: Responses were obtained from 400 residents, for a response rate of 48%. Twenty-one percent (N = 84) of residents reported symptoms of burnout. Burnout was reported more frequently by residents in postgraduate year 2 than by those in other years and was associated with engagement in personal psychotherapy during residency. No association was found between burnout and age, gender, or location of residency program. Residents who endorsed symptoms of burnout reported higher levels of compromised empathic functioning, were less likely to consult with supervisors about stressful clinical experiences, and were more likely to engage in unhealthy coping strategies. Conclusions: Symptoms of burnout affect one-fifth of Canadian psychiatry residents. The associations between burnout symptoms and problematic clinical and personal functioning suggest areas of concern for those involved in the training of Canadian psychiatry residents. PMID:27310237

Results of the American Academy of Neurology resident survey.

Science.gov (United States)

Freeman, W D; Nolte, C M; Matthews, B R; Coleman, M; Corboy, J R

2011-03-29

To assess the effect of neurology residency education as trainees advance into independent practice, the American Academy of Neurology (AAN) elected to survey all graduating neurology residents at time of graduation and in 3-year cycles thereafter. A 22-question survey was sent to all neurology residents completing residency training in the United States in 2007. Of 523 eligible residents, 285 (54.5%) responded. Of these, 92% reported good to excellent quality teaching of basic neurology from their faculty; however, 47% noted less than ideal training in basic neuroscience. Two-thirds indicated that the Residency In-service Training Examination was used only as a self-assessment tool, but reports of misuse were made by some residents. After residency, 78% entered fellowships (with 61% choosing a fellowship based on interactions with a mentor at their institution), whereas 20% entered practice directly. After adjustment for the proportion of residents who worked before the duty hour rules were implemented and after their implementation, more than half reported improvement in quality of life (87%), education (60%), and patient care (62%). The majority of international medical graduates reported wanting to stay in the United States to practice rather than return to their country of residence. Neurology residents are generally satisfied with training, and most entered a fellowship. Duty hour implementation may have improved resident quality of life, but reciprocal concerns were raised about impact on patient care and education. Despite the majority of international trainees wishing to stay in the United States, stricter immigration laws may limit their entry into the future neurology workforce.

Assessment of Automated Measurement and Verification (M&V) Methods

Energy Technology Data Exchange (ETDEWEB)

Granderson, Jessica [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Touzani, Samir [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Custodio, Claudine [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sohn, Michael [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Fernandes, Samuel [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Jump, David [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2015-07-01

This report documents the application of a general statistical methodology to assess the accuracy of baseline energy models, focusing on its application to Measurement and Verification (M&V) of whole-building energy savings.

VBMC: a formal verification tool for VHDL programs

International Nuclear Information System (INIS)

Ajith, K.J.; Bhattacharjee, A.K.

2014-01-01

The design of Control and Instrumentation (C and I) systems used in safety critical applications such as nuclear power plants involves partitioning of the overall system functionality into subparts and implementing each subpart in hardware and/or software as appropriate. With increasing use of programmable devices like FPGA, the hardware subsystems are often implemented in Hardware Description Languages (HDL) like VHDL. Since the functional bugs in such hardware subsystems used in safety critical C and I systems have disastrous consequences, it is important to use rigorous reasoning to verify the functionalities of the HDL models. This paper describes an indigenously developed software tool named VBMC (VHDL Bounded Model Checker) for mathematically proving/refuting functional properties of hardware designs described in VHDL. VBMC accepts hardware design as VHDL program file, functional property in PSL, and verification bound (number of cycles of operation) as inputs. It either reports that the design satisfies the functional property for the given verification bound or generates a counter example providing the reason of violation. In case of satisfaction, the proof holds good for the verification bound. VBMC has been used for the functional verification of FPGA based intelligent I/O boards developed at Reactor Control Division, BARC. (author)

Suicidal Thoughts Among Medical Residents with Burnout

NARCIS (Netherlands)

van der Heijden, Frank; Dillingh, Gea; Bakker, Arnold; Prins, Jelle

2008-01-01

Objectives: Recent research showed that medical residents have a high risk for developing burnout. The present study investigates the prevalence of burnout and its relationship with suicidal thoughts among medical residents. Methods: All Dutch medical residents (n = 5126) received a self-report

Ambulatory Care Skills: Do Residents Feel Prepared?

Directory of Open Access Journals (Sweden)

Denise Bonds

2002-10-01

Full Text Available Objective: To determine resident comfort and skill in performing ambulatory care skills. Methods: Descriptive survey of common ambulatory care skills administered to internal medicine faculty and residents at one academic medical center. Respondents were asked to rate their ability to perform 12 physical exam skills and 6 procedures, and their comfort in performing 7 types of counseling, and obtaining 6 types of patient history (4 point Likert scale for each. Self-rated ability or comfort was compared by gender, status (year of residency, faculty, and future predicted frequency of use of the skill. Results: Residents reported high ability levels for physical exam skills common to both the ambulatory and hospital setting. Fewer felt able to perform musculoskeletal, neurologic or eye exams easily alone. Procedures generally received low ability ratings. Similarly, residents’ comfort in performing common outpatient counseling was also low. More residents reported feeling very comfortable in obtaining history from patients. We found little variation by gender, year of training, or predicted frequency of use. Conclusion: Self-reported ability and comfort for many common ambulatory care skills is low. Further evaluation of this finding in other training programs is warranted.

Limitations of Routine Verification of Nasogastric Tube Insertion Using X-Ray and Auscultation: Two Case Reports of Life-Threatening Complications.

Science.gov (United States)

Nejo, Takahide; Oya, Soichi; Tsukasa, Tsuchiya; Yamaguchi, Naomi; Matsui, Toru

2016-12-01

Several bedside approaches used in combination with thoracoabdominal X-ray are widely used to avoid severe complications that have been reported during nasogastric tube management. Although confirmation by X-ray is considered the gold standard, it is not yet perfect. We present 2 cases of rare complications in which the routine verification methods could not detect all the complications related to the nasogastric tube placement. Case 1 was a 17-year-old male who presented with a brain tumor and repeatedly required nasogastric tube placement. Despite normal auscultatory and X-ray findings, the patient's condition deteriorated rapidly after resuming the enteral nutrition (EN). Computed tomography images showed the presence of hepatic portal venous gas (HPVG). Urgent upper gastrointestinal endoscopy showed esophagogastric submucosal tunneling of the tube that required an emergency open total gastrectomy. Case 2 was a 76-year-old man with long-term EN after stroke. While the last auscultatory verification was normal, he suddenly developed extensive HPVG due to gastric mucosal injury following EN, which resulted in progressive intestinal necrosis, general peritonitis, and death. These 2 cases indicated that routine verification methods consisting of auscultation and X-ray may not be completely reliable, and the awareness of the limitations of these methods should be reaffirmed because expeditious examinations and necessary interventions are critical in preventing life-threatening complications.

Utterance Verification for Text-Dependent Speaker Recognition

DEFF Research Database (Denmark)

Kinnunen, Tomi; Sahidullah, Md; Kukanov, Ivan

2016-01-01

Text-dependent automatic speaker verification naturally calls for the simultaneous verification of speaker identity and spoken content. These two tasks can be achieved with automatic speaker verification (ASV) and utterance verification (UV) technologies. While both have been addressed previously...

A review of technology for verification of waste removal from Hanford Underground Storage Tanks (WHC Issue 30)

International Nuclear Information System (INIS)

Thunborg, S.

1994-09-01

Remediation of waste from Underground Storage Tanks (UST) at the Hanford Waste storage sites will require removal of all waste to a nearly clean condition. Current requirements are 99% clean. In order to meet remediation legal requirements, a means to remotely verify that the waste has been removed to sufficient level is needed. This report discusses the requirements for verification and reviews major technologies available for inclusion in a verification system. The report presents two operational scenarios for verification of residual waste volume. Thickness verification technologies reviewed are Ultrasonic Sensors, Capacitance Type Sensors, Inductive Sensors, Ground Penetrating Radar, and Magnetometers. Of these technologies Inductive (Metal Detectors) and Ground Penetrating Radar appear to be the most suitable for use as waste thickness sensors

Training on the clock: family medicine residency directors' responses to resident duty hours reform.

Science.gov (United States)

Peterson, Lars E; Johnson, Hillary; Pugno, Perry A; Bazemore, Andrew; Phillips, Robert L

2006-12-01

The Accreditation Council for Graduate Medical Education's 2003 restrictions on resident duty hours (RDH) raised concerns among educators about potential negative impacts on residents' training. In the early wake of these restrictions, little is known about how RDH reform impacts training in primary care. The authors surveyed family medicine (FM) residency program directors (PDs) for their perceptions of the impact of RDH regulations on training in primary care. All PDs of 472 FM residency programs were asked via list-serve to complete an anonymous Internet-based survey in the fall of 2004. The survey solicited PDs' opinions about changes in staff and in residents' training experiences with respect to implementation of RDH regulations. Descriptive and qualitative analyses were conducted. There were 369 partial and 328 complete responses, for a response rate of 69% (328/472). Effects of the RDH regulations are varied. Fifty percent of FMPDs report increased patient-care duties for attendings, whereas 42% report no increase. Nearly 80% of programs hired no additional staff. Sixty percent of programs eliminated postcall clinics, and nearly 40% implemented a night-float system. Administrative hassles and losses of professionalism, educational opportunity, and continuity of care were common concerns, but a sizeable minority feel that residents will be better off under the new regulations. Many FMPDs cited increased faculty burden and the risk of lower-quality educational experiences for their trainees. Innovations for increasing the effectiveness of teaching may ultimately compensate for lost educational time. If not, alternatives such as extending the length of residency must be considered.

TARDEC FIXED HEEL POINT (FHP): DRIVER CAD ACCOMMODATION MODEL VERIFICATION REPORT

Science.gov (United States)

2017-11-09

Public Release Disclaimer: Reference herein to any specific commercial company, product , process, or service by trade name, trademark, manufacturer , or...not actively engaged HSI until MSB or the Engineering Manufacturing and Development (EMD) Phase, resulting in significant design and cost changes...and shall not be used for advertising or product endorsement purposes. TARDEC Fixed Heel Point (FHP): Driver CAD Accommodation Model Verification

RAZORBACK - A Research Reactor Transient Analysis Code Version 1.0 - Volume 3: Verification and Validation Report.

Energy Technology Data Exchange (ETDEWEB)

Talley, Darren G.

2017-04-01

This report describes the work and results of the verification and validation (V&V) of the version 1.0 release of the Razorback code. Razorback is a computer code designed to simulate the operation of a research reactor (such as the Annular Core Research Reactor (ACRR)) by a coupled numerical solution of the point reactor kinetics equations, the energy conservation equation for fuel element heat transfer, the equation of motion for fuel element thermal expansion, and the mass, momentum, and energy conservation equations for the water cooling of the fuel elements. This V&V effort was intended to confirm that the code shows good agreement between simulation and actual ACRR operations.

A Practitioners Perspective on Verification

Science.gov (United States)

Steenburgh, R. A.

2017-12-01

NOAAs Space Weather Prediction Center offers a wide range of products and services to meet the needs of an equally wide range of customers. A robust verification program is essential to the informed use of model guidance and other tools by both forecasters and end users alike. In this talk, we present current SWPC practices and results, and examine emerging requirements and potential approaches to satisfy them. We explore the varying verification needs of forecasters and end users, as well as the role of subjective and objective verification. Finally, we describe a vehicle used in the meteorological community to unify approaches to model verification and facilitate intercomparison.

Opinions of Otorhinolaryngology Residents about Their Education Process.

Science.gov (United States)

Dokuzlar, Uğur; Miman, Murat Cem; Denizoğlu, İsmail İlter; Eğrilmez, Murat

2015-09-01

Our study was planned to get the views of residents about the Otorhinolaryngology (ORL) education process and to enlighten the studies to make this process more effective. A questionnaire was sent to the residents who were still in the residency program in all education clinics via "Google Drive". Seventy-four of 354 residents responded and the answers were evaluated electronically. Fifty residents (67.56%) gave an affirmative answer to the question about the use of "Resident Log Book" and no difference was seen among the clinics. While 9 residents (12.16%) were reporting that they did not read any scientific papers, 43 (58.1%) reported they read less than three per month. Forty-one residents thougt that they were having a good and sufficient education. Seventeen residents (51.51%) who thought they were not having a sufficient education reported that the education period should be longer. When they were wanted to evaluate the education process, while 66 of them (89.18%) said "Exhausting", 52 (70.27%) said "Stressful", it was seen that the ones who said "Instructive" and "Rewarding" were 26 (35.13%) and 17 (22.97%) respectively. Further, 43 of 48 residents (89.58%) who were over the third year of their residency program indicated that they were unable to perform at least one procedure listed in the questionnaire after finishing their education. This study is important because it is the first study about the opinion of ORL residents and will help determine the current status in Turkey. This study will be useful for the preparation of educational programs and guides in the future.

Pregnancy among residents enrolled in general surgery (PREGS): a survey of residents in a single Canadian training program.

Science.gov (United States)

Merchant, Shaila; Hameed, Morad; Melck, Adrienne

2011-12-01

Interest in general surgery has declined, and lack of adequate accommodation for pregnancy and parenting may be a deterrent. We explored resident experiences with these issues within a single general surgery program. We surveyed residents enrolled in the University of British Columbia general surgery program from 1997 to 2009 using a Web-based survey tool. Information regarding demographics, pregnancy, postpartum issues and issues pertaining to maternity/parenting policies was obtained. We used the Student t test, Z test and Fisher exact test for statistical comparisons. Of the 81 residents surveyed, 53 responded (65% response rate). There were fewer pregnancies during residency among female residents than among partners of male residents (PMRs; 9 pregnancies for 6 of 25 residents v. 23 pregnancies for 15 of 28 PMRs, p = 0.002). One of 9 pregnancies among female residents and 5 of 23 among PMRs ended in miscarriage (p > 0.99). Female residents and PMRs reported pregnancy-related complications with equal frequency. All female residents breastfed for at least 6 months; however, 67% (4 of 6) felt their resident role prevented them from breastfeeding as long as they would have liked. Most (5 of 6, 83%) pursued a graduate degree or research during their "maternity leave." More than 50% of residents reported that their own workload increased because of a colleague's pregnancy. Many (36 of 53, 68%) were unaware of the existence of any maternity/parenting policy, and most were in favour of instituting such a policy. Resident mothers do not breastfeed for the desired duration, and precluding factors must be explored. Contingency plans are needed so colleagues are not overburdened when pregnant residents cannot perform clinical duties. General surgery programs must have a formal policy addressing these issues.

Canadian residents' perceptions of cross-cultural care training in graduate medical school.

Science.gov (United States)

Singh, Barinder; Banwell, Emma; Groll, Dianne

2017-12-01

The Royal College of Physicians and Surgeons of Canada specifies both respect for diversity as a requirement of professionalism and culturally sensitive provision of medical care. The purpose of the present study was to evaluate the perception of preparedness and attitudes of medical residents to deliver cross-cultural care. The Cross Cultural Care Survey was sent via e-mail to all Faculty of Medicine residents (approx. 450) in an academic health sciences centre. Comparisons were made between psychiatry residents, family medicine residents, and other residency groups with respect to training, preparedness, and skillfulness in delivering cross-cultural care. Seventy-three (16%) residents responded to the survey. Residents in psychiatry and family medicine reported significantly more training and formal evaluation regarding cross-cultural care than residents in other programs. However, there were no significant differences in self-reported preparedness and skillfulness. Residents in family medicine were more likely to report needing more practical experience working with diverse groups. Psychiatry residents were less likely to report inadequate cross-cultural training. While most residents reported feeling skillful and prepared to work with culturally diverse groups, they report receiving little additional instruction or formal evaluation on this topic, particularly in programs other than psychiatry and family medicine.

SiSn diodes: Theoretical analysis and experimental verification

KAUST Repository

Hussain, Aftab M.; Wehbe, Nimer; Hussain, Muhammad Mustafa

2015-01-01

We report a theoretical analysis and experimental verification of change in band gap of silicon lattice due to the incorporation of tin (Sn). We formed SiSn ultra-thin film on the top surface of a 4 in. silicon wafer using thermal diffusion of Sn

Nuclear disarmament verification

International Nuclear Information System (INIS)

DeVolpi, A.

1993-01-01

Arms control treaties, unilateral actions, and cooperative activities -- reflecting the defusing of East-West tensions -- are causing nuclear weapons to be disarmed and dismantled worldwide. In order to provide for future reductions and to build confidence in the permanency of this disarmament, verification procedures and technologies would play an important role. This paper outlines arms-control objectives, treaty organization, and actions that could be undertaken. For the purposes of this Workshop on Verification, nuclear disarmament has been divided into five topical subareas: Converting nuclear-weapons production complexes, Eliminating and monitoring nuclear-weapons delivery systems, Disabling and destroying nuclear warheads, Demilitarizing or non-military utilization of special nuclear materials, and Inhibiting nuclear arms in non-nuclear-weapons states. This paper concludes with an overview of potential methods for verification

Verification Account Management System (VAMS)

Data.gov (United States)

Social Security Administration — The Verification Account Management System (VAMS) is the centralized location for maintaining SSA's verification and data exchange accounts. VAMS account management...

Study of applicable methods on safety verification of disposal facilities and waste packages

Energy Technology Data Exchange (ETDEWEB)

NONE

2013-08-15

Three subjects about safety verification on the disposal of low level radioactive waste were investigated in FY. 2012. For radioactive waste disposal facilities, specs and construction techniques of covering with soil to prevent possible destruction caused by natural events (e.g. earthquake) were studied to consider verification methods for those specs. For waste packages subject to near surface pit disposal, settings of scaling factor and average radioactivity concentration (hereafter referred to as ''SF'') on container-filled and solidified waste packages generated from Kashiwazaki Kariwa Nuclear Power Station Unit 1-5, setting of cesium residual ratio of molten solidified waste generated from Tokai and Tokai No.2 Power Stations, etc. were studied. Those results were finalized in consideration of the opinion from advisory panel, and publicly opened as JNES-EV reports. In FY 2012, five JNES reports were published and these have been used as standards of safety verification on waste packages. The verification method of radioactive wastes subject to near-surface trench disposal and intermediate depth disposal were also studied. For radioactive wastes which will be returned from overseas, determination methods of radioactive concentration, heat rate and hydrogen generation rate of CSD-C were established. Determination methods of radioactive concentration and heat rate of CSD-B were also established. These results will be referred to verification manuals. (author)

Quantum money with classical verification

Energy Technology Data Exchange (ETDEWEB)

Gavinsky, Dmitry [NEC Laboratories America, Princeton, NJ (United States)

2014-12-04

We propose and construct a quantum money scheme that allows verification through classical communication with a bank. This is the first demonstration that a secure quantum money scheme exists that does not require quantum communication for coin verification. Our scheme is secure against adaptive adversaries - this property is not directly related to the possibility of classical verification, nevertheless none of the earlier quantum money constructions is known to possess it.

Quantum money with classical verification

International Nuclear Information System (INIS)

Gavinsky, Dmitry

2014-01-01

We propose and construct a quantum money scheme that allows verification through classical communication with a bank. This is the first demonstration that a secure quantum money scheme exists that does not require quantum communication for coin verification. Our scheme is secure against adaptive adversaries - this property is not directly related to the possibility of classical verification, nevertheless none of the earlier quantum money constructions is known to possess it

Comparison of Emergency Medicine Malpractice Cases Involving Residents to Non-Resident Cases.

Science.gov (United States)

Gurley, Kiersten L; Grossman, Shamai A; Janes, Margaret; Yu-Moe, C Winnie; Song, Ellen; Tibbles, Carrie D; Shapiro, Nathan I; Rosen, Carlo L

2018-04-17

Data are lacking on how emergency medicine (EM) malpractice cases with resident involvement differs from cases that do not name a resident. To compare malpractice case characteristics in cases where a resident is involved (resident case) to cases that do not involve a resident (non-resident case) and to determine factors that contribute to malpractice cases utilizing EM as a model for malpractice claims across other medical specialties. We used data from the Controlled Risk Insurance Company (CRICO) Strategies' division Comparative Benchmarking System (CBS) to analyze open and closed EM cases asserted from 2009-2013. The CBS database is a national repository that contains professional liability data on > 400 hospitals and > 165,000 physicians, representing over 30% of all malpractice cases in the U.S (> 350,000 claims). We compared cases naming residents (either alone or in combination with an attending) to those that did not involve a resident (non-resident cohort). We reported the case statistics, allegation categories, severity scores, procedural data, final diagnoses and contributing factors. Fisher's exact test or t-test was used for comparisons (alpha set at 0.05). Eight hundred and forty-five EM cases were identified of which 732 (87%) did not name a resident (non-resident cases), while 113 (13%) included a resident (resident cases) (Figure 1). There were higher total incurred losses for non-resident cases (Table 1). The most frequent allegation categories in both cohorts were "Failure or Delay in Diagnosis/Misdiagnosis" and "Medical Treatment" (non-surgical procedures or treatment regimens i.e. central line placement). Allegation categories of Safety and Security, Patient Monitoring, Hospital Policy and Procedure and Breach of Confidentiality were found in the non-resident cases. Resident cases incurred lower payments on average ($51,163 vs. $156,212 per case). Sixty six percent (75) of resident vs 57% (415) of non-resident cases were high severity claims

Mixed messages: residents' experiences learning cross-cultural care.

Science.gov (United States)

Park, Elyse R; Betancourt, Joseph R; Kim, Minah K; Maina, Angela W; Blumenthal, David; Weissman, Joel S

2005-09-01

An Institute of Medicine report issued in 2002 cited cross-cultural training as a mechanism to address racial and ethnic disparities in health care, but little is known about residents' training and capabilities to provide quality care to diverse populations. This article explores a select group of residents' perceptions of their preparedness to deliver quality care to diverse populations. Seven focus groups and ten individual interviews were conducted with 68 residents in locations nationwide. Qualitative analysis of focus-group and individual interview transcripts was performed to assess residents' perceptions of (1) preparedness to deliver care to diverse patients; (2) educational climate; and (3) training experiences. Most residents in this study noted the importance of cross-cultural care yet reported little formal training in this area. Residents wanted more formal training yet expressed concern that culture-specific training could lead to stereotyping. Most residents had developed ad hoc, informal skills to care for diverse patients. Although residents perceived institutional endorsement, they sensed it was a low priority due to lack of time and resources. Residents in this study reported receiving mixed messages about cross-cultural care. They were told it is important, yet they received little formal training and did not have time to treat diverse patients in a culturally sensitive manner. As a result, many developed coping behaviors rather than skills based on formally taught best practices. Training environments need to increase training to enhance residents' preparedness to deliver high-quality cross-cultural care if the medical profession is to achieve the goals set by the Institute of Medicine.

The Resident Academic Project Program: A Structured Approach to Inspiring Academic Development During Residency Training.

Science.gov (United States)

Eckert, Jill; Vaida, Sonia J; Bezinover, Dmitri; McCloskey, Diane E; Mets, Berend

2016-02-15

We report the successful implementation of structured resident academic projects in our Department of Anesthesiology at the Penn State Hershey Medical Center. Beginning with the graduating class of 2010, we adopted an expectation that each resident complete a project that results in a manuscript of publishable quality. Defining a clear timeline for all steps in the project and providing research education, as well as the necessary infrastructure and ongoing support, has helped grow the academic productivity of our anesthesia residents.

Particularities of Verification Processes for Distributed Informatics Applications

Directory of Open Access Journals (Sweden)

Ion IVAN

2013-01-01

Full Text Available This paper presents distributed informatics applications and characteristics of their development cycle. It defines the concept of verification and there are identified the differences from software testing. Particularities of the software testing and software verification processes are described. The verification steps and necessary conditions are presented and there are established influence factors of quality verification. Software optimality verification is analyzed and some metrics are defined for the verification process.

Workplace Violence and Harassment Against Emergency Medicine Residents.

Science.gov (United States)

Schnapp, Benjamin H; Slovis, Benjamin H; Shah, Anar D; Fant, Abra L; Gisondi, Michael A; Shah, Kaushal H; Lech, Christie A

2016-09-01

Several studies have shown that workplace violence in the emergency department (ED) is common. Residents may be among the most vulnerable staff, as they have the least experience with these volatile encounters. The goal for this study was to quantify and describe acts of violence against emergency medicine (EM) residents by patients and visitors and to identify perceived barriers to safety. This cross-sectional survey study queried EM residents at multiple New York City hospitals. The primary outcome was the incidence of violence experienced by residents while working in the ED. The secondary outcomes were the subtypes of violence experienced by residents, as well as the perceived barriers to safety while at work. A majority of residents (66%, 78/119) reported experiencing at least one act of physical violence during an ED shift. Nearly all residents (97%, 115/119) experienced verbal harassment, 78% (93/119) had experienced verbal threats, and 52% (62/119) reported sexual harassment. Almost a quarter of residents felt safe "Occasionally," "Seldom" or "Never" while at work. Patient-based factors most commonly cited as contributory to violence included substance use and psychiatric disease. Self-reported violence against EM residents appears to be a significant problem. Incidence of violence and patient risk factors are similar to what has been found previously for other ED staff. Understanding the prevalence of workplace violence as well as the related systems, environmental, and patient-based factors is essential for future prevention efforts.

Project W-030 flammable gas verification monitoring test

International Nuclear Information System (INIS)

BARKER, S.A.

1999-01-01

This document describes the verification monitoring campaign used to document the ability of the new ventilation system to mitigate flammable gas accumulation under steady state tank conditions. This document reports the results of the monitoring campaign. The ventilation system configuration, process data, and data analysis are presented

Self-verification and depression among youth psychiatric inpatients.

Science.gov (United States)

Joiner, T E; Katz, J; Lew, A S

1997-11-01

According to self-verification theory (e.g., W.B. Swann, 1983), people are motivated to preserve stable self-concepts by seeking self-confirming interpersonal responses, even if the responses are negative. In the current study of 72 youth psychiatric inpatients (36 boys; 36 girls; ages 7-17, M = 13.18; SD = 2.59), the authors provide the 1st test of self-verification theory among a youth sample. Participants completed self-report questionnaires on depression, self-esteem, anxiety, negative and positive affect, and interest in negative feedback from others. The authors made chart diagnoses available, and they collected peer rejection ratings. Consistent with hypotheses, the authors found that interest in negative feedback was associated with depression, was predictive of peer rejection (but only within relatively longer peer relationships), was more highly related to cognitive than emotional aspects of depression, and was specifically associated with depression, rather than being generally associated with emotional distress. The authors discuss implications for self-verification theory and for the phenomenology of youth depression.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT, ENVIRONMENTAL DECISION SUPPORT SOFTWARE, UNIVERSITY OF TENNESSEE RESEARCH CORPORATION, SPATIAL ANALYSIS AND DECISION ASSISTANCE (SADA)

Science.gov (United States)

The U.S. Environmental Protection Agency (EPA) has created the Environmental Technology Verification Program (ETV) to facilitate the deployment of innovative or improved environmental technologies through performance verification and dissemination of information. The goal of the...

A static analysis tool set for assembler code verification

International Nuclear Information System (INIS)

Dhodapkar, S.D.; Bhattacharjee, A.K.; Sen, Gopa

1991-01-01

Software Verification and Validation (V and V) is an important step in assuring reliability and quality of the software. The verification of program source code forms an important part of the overall V and V activity. The static analysis tools described here are useful in verification of assembler code. The tool set consists of static analysers for Intel 8086 and Motorola 68000 assembly language programs. The analysers examine the program source code and generate information about control flow within the program modules, unreachable code, well-formation of modules, call dependency between modules etc. The analysis of loops detects unstructured loops and syntactically infinite loops. Software metrics relating to size and structural complexity are also computed. This report describes the salient features of the design, implementation and the user interface of the tool set. The outputs generated by the analyser are explained using examples taken from some projects analysed by this tool set. (author). 7 refs., 17 figs

Verification of RRC Ki code package for neutronic calculations of WWER core with GD

International Nuclear Information System (INIS)

Aleshin, S.S.; Bolshagin, S.N.; Lazarenko, A.P.; Markov, A.V.; Pavlov, V.I.; Pavlovitchev, A.M.; Sidorenko, V.D.; Tsvetkov, V.M.

2001-01-01

The report presented is concerned with verification results of TVS-M/PERMAK-A/BIPR-7A code package for WWERs neutronic calculation as applied to calculation of systems containing U-GD pins. The verification is based on corresponded benchmark calculations, data critical experiments and on operation data obtained WWER units with Gd. The comparison results are discussed (Authors)

Perspectives of Residents of Mashhad School of Dentistry about the Curriculum of Residency Program

Directory of Open Access Journals (Sweden)

Javad Sarabadani

2015-09-01

Full Text Available Introduction: This study was carried out to analyze the viewpoint of the residents of school of dentistry about the curriculum presented in the residency program to students of Mashhad School of Dentistry. Methods: To evaluate the perspectives of residents of dental school about the curriculum and regulations of residency program, a questionnaire was designed whose validity and reliability were confirmed by the authorities of School of Dentistry and test-retest reliability, respectively. The questionnaire was distributed among 100 residents and 80 of them completed the questionnaires. The data were analyzed by SPSS software (version 11.5. Results: A total of 43% of residents were informed of the curriculum (e.g. academic leave, transfer, removal of semester, etc.. As for the ability to write research proposal, 42.7% of residents were reported to have a favorable status, i.e. they were able to write more than 80% of their proposal. From among the residents, 30.4% had specialized English language certificate. Most of them (77% were satisfied with the professional staff, faculty members, of the faculty. Many students liked to participate in the teaching method courses of the residency program. Conclusion: Residents maintained that the curriculum in such domains as educational and research issues and special capabilities had some weak points. Thus, appropriate strategies are recommended to be applied to revise the curriculum using the residents’ views on these programs.

Java bytecode verification via static single assignment form

DEFF Research Database (Denmark)

Gal, Andreas; Probst, Christian W.; Franz, Michael

2008-01-01

Java Virtual Machines (JVMs) traditionally perform bytecode verification by way of an iterative data-flow analysis. Bytecode verification is necessary to ensure type safety because temporary variables in the JVM are not statically typed. We present an alternative verification mechanism that trans......Java Virtual Machines (JVMs) traditionally perform bytecode verification by way of an iterative data-flow analysis. Bytecode verification is necessary to ensure type safety because temporary variables in the JVM are not statically typed. We present an alternative verification mechanism...

Current perspectives on chief residents in psychiatry.

Science.gov (United States)

Warner, Christopher H; Rachal, James; Breitbach, Jill; Higgins, Michael; Warner, Carolynn; Bobo, William

2007-01-01

The authors examine qualitative data from outgoing chief residents in psychiatry from the 2004-2005 academic year to 1) determine common characteristics between programs, 2) examine the residents' perspectives on their experiences, and 3) determine their common leadership qualities. The authors sent out self-report surveys via e-mail to 89 outgoing chief residents who attended the APA/Lilly Chief Resident Executive Leadership Program. Fifty-three (60%) chief residents responded. Although most chief residents are senior residents, over 20% are in their third postgraduate year. Two-thirds of programs have more than one chief resident each year. Most chief residents believe that their "participating" leadership style, existing leadership skills, and interpersonal skills contributed to their overall positive experiences. Successfully performing duties as a chief resident entails functioning in a variety of roles and demands attention to leadership qualities of the individual. Developing existing leadership skills, clarifying expectations, and providing mentorship to chief residents will ensure successful transition into practice, and the advancement of the field of psychiatry.

Reproductive Psychiatry Residency Training: A Survey of Psychiatric Residency Program Directors.

Science.gov (United States)

Osborne, Lauren M; MacLean, Joanna V; Barzilay, Erin Murphy; Meltzer-Brody, Samantha; Miller, Laura; Yang, Sarah Nagle

2018-04-01

The reproductive life cycle has unique influences on the phenotypic expression of mental illness in women. Didactic and clinical training focused on these sex-specific influences should be a vital component of the education of future psychiatrists. The authors sought to determine the current state of and attitudes toward reproductive psychiatry in resident education. The authors administered a web-based survey to psychiatry residency training directors. They assessed the availability of both mandated and optional didactic and clinical training experiences in reproductive psychiatry. Fifty residency program directors answered the survey, for a response rate of 28%. More than half of residency program directors (59%) reported requiring some training in reproductive psychiatry. Both the breadth and depth of topics covered varied greatly among programs. Lack of time (48%) and lack of qualified faculty (26%) were the most frequently cited barriers to more training. Only 40% of residency directors surveyed agreed that all residents should be competent in reproductive psychiatry. These findings suggest that specific training in reproductive psychiatry is inconsistent in US residency programs, and that training that does exist varies considerably in clinical time and content. Given that women comprise more than 50% of all psychiatric patients and most women will menstruate, give birth, and undergo menopause, future psychiatrists would benefit from more systematic instruction in this area. The authors propose the development of a national, standardized reproductive psychiatry curriculum to address this gap and aid in producing psychiatrists competent to treat women at all stages of life.

Verification of Simulation Tools

International Nuclear Information System (INIS)

Richard, Thierry

2015-01-01

Before qualifying a simulation tool, the requirements shall first be clearly identified, i.e.: - What type of study needs to be carried out? - What phenomena need to be modeled? This phase involves writing a precise technical specification. Once the requirements are defined, the most adapted product shall be selected from the various software options available on the market. Before using a particular version of a simulation tool to support the demonstration of nuclear safety studies, the following requirements shall be met. - An auditable quality assurance process complying with development international standards shall be developed and maintained, - A process of verification and validation (V and V) shall be implemented. This approach requires: writing a report and/or executive summary of the V and V activities, defining a validated domain (domain in which the difference between the results of the tools and those of another qualified reference is considered satisfactory for its intended use). - Sufficient documentation shall be available, - A detailed and formal description of the product (software version number, user configuration, other settings and parameters) in the targeted computing environment shall be available. - Source codes corresponding to the software shall be archived appropriately. When these requirements are fulfilled, the version of the simulation tool shall be considered qualified for a defined domain of validity, in a given computing environment. The functional verification shall ensure that: - the computer architecture of the tool does not include errors, - the numerical solver correctly represents the physical mathematical model, - equations are solved correctly. The functional verification can be demonstrated through certification or report of Quality Assurance. The functional validation shall allow the user to ensure that the equations correctly represent the physical phenomena in the perimeter of intended use. The functional validation can

Preparedness of Entering Pediatric Dentistry Residents: Advanced Pediatric Program Directors' and First-Year Residents' Perspectives.

Science.gov (United States)

Rutkauskas, John; Seale, N Sue; Casamassimo, Paul; Rutkauskas, John S

2015-11-01

For children to receive needed oral health care, adequate training at both the predoctoral and postdoctoral levels of dental education is required, but previous studies have found inadequacies in predoctoral education that lead to general dentists' unwillingness to treat certain young populations. As another way of assessing predoctoral preparation, the aim of this study was to determine the perspectives of first-year residents and pediatric program directors about residents' preparedness to enter advanced education programs in pediatric dentistry. Surveys were sent to all 74 U.S. program directors and 360 first-year residents. The survey focused on procedures related to prevention, behavior management, restorative procedures, pulp therapy, sedation, and surgery, as well as treating patients funded by Medicaid and with special health care needs. Among the first-year residents, 173 surveys were returned for a 48% response rate; 61 directors returned surveys for an 82% response rate. Only half of the residents (55%) reported feeling adequately prepared for their first year in residency; less than half cited adequate preparation to place stainless steel crowns (SSCs) (42%) and perform pulpotomies (45%). Far fewer felt adequately prepared to provide treatment for children six months to three years of age, including examinations (29%), infant oral exams (27%), and children with severe caries (37%). The program directors were even less positive about the adequacy of residents' preparation. Only 17% deemed them adequately prepared to place SSCs and 13% to perform pulpotomies. Approximately half reported their first-year residents were inadequately prepared to treat very young children and children with severe caries (55% each). This study found that the perceived inadequacy of predoctoral education in pediatric dentistry was consistent at both the learner and educator levels, supporting previous studies identifying inadequacies in this area.

Formal verification of algorithms for critical systems

Science.gov (United States)

Rushby, John M.; Von Henke, Friedrich

1993-01-01

We describe our experience with formal, machine-checked verification of algorithms for critical applications, concentrating on a Byzantine fault-tolerant algorithm for synchronizing the clocks in the replicated computers of a digital flight control system. First, we explain the problems encountered in unsynchronized systems and the necessity, and criticality, of fault-tolerant synchronization. We give an overview of one such algorithm, and of the arguments for its correctness. Next, we describe a verification of the algorithm that we performed using our EHDM system for formal specification and verification. We indicate the errors we found in the published analysis of the algorithm, and other benefits that we derived from the verification. Based on our experience, we derive some key requirements for a formal specification and verification system adequate to the task of verifying algorithms of the type considered. Finally, we summarize our conclusions regarding the benefits of formal verification in this domain, and the capabilities required of verification systems in order to realize those benefits.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: IN-DRAIN TREATMENT DEVICE. HYDRO INTERNATIONAL UP-FLO™ FILTER

Science.gov (United States)

Verification testing of the Hydro International Up-Flo™ Filter with one filter module and CPZ Mix™ filter media was conducted at the Penn State Harrisburg Environmental Engineering Laboratory in Middletown, Pennsylvania. The Up-Flo™ Filter is designed as a passive, modular filtr...

Challenges for effective WMD verification

International Nuclear Information System (INIS)

Andemicael, B.

2006-01-01

Effective verification is crucial to the fulfillment of the objectives of any disarmament treaty, not least as regards the proliferation of weapons of mass destruction (WMD). The effectiveness of the verification package depends on a number of factors, some inherent in the agreed structure and others related to the type of responses demanded by emerging challenges. The verification systems of three global agencies-the IAEA, the Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO, currently the Preparatory Commission), and the Organization for the Prohibition of Chemical Weapons (OPCW)-share similarities in their broad objectives of confidence-building and deterrence by assuring members that rigorous verification would deter or otherwise detect non-compliance. Yet they are up against various constraints and other issues, both internal and external to the treaty regime. These constraints pose major challenges to the effectiveness and reliability of the verification operations. In the nuclear field, the IAEA safeguards process was the first to evolve incrementally from modest Statute beginnings to a robust verification system under the global Treaty on the Non-Proliferation of Nuclear Weapons (NPT). The nuclear non-proliferation regime is now being supplemented by a technology-intensive verification system of the nuclear test-ban treaty (CTBT), a product of over three decades of negotiation. However, there still remain fundamental gaps and loopholes in the regime as a whole, which tend to diminish the combined effectiveness of the IAEA and the CTBT verification capabilities. He three major problems are (a) the lack of universality of membership, essentially because of the absence of three nuclear weapon-capable States-India, Pakistan and Israel-from both the NPT and the CTBT, (b) the changes in US disarmament policy, especially in the nuclear field, and (c) the failure of the Conference on Disarmament to conclude a fissile material cut-off treaty. The world is

A Cache System Design for CMPs with Built-In Coherence Verification

Directory of Open Access Journals (Sweden)

Mamata Dalui

2016-01-01

Full Text Available This work reports an effective design of cache system for Chip Multiprocessors (CMPs. It introduces built-in logic for verification of cache coherence in CMPs realizing directory based protocol. It is developed around the cellular automata (CA machine, invented by John von Neumann in the 1950s. A special class of CA referred to as single length cycle 2-attractor cellular automata (TACA has been planted to detect the inconsistencies in cache line states of processors’ private caches. The TACA module captures coherence status of the CMPs’ cache system and memorizes any inconsistent recording of the cache line states during the processors’ reference to a memory block. Theory has been developed to empower a TACA to analyse the cache state updates and then to settle to an attractor state indicating quick decision on a faulty recording of cache line status. The introduction of segmentation of the CMPs’ processor pool ensures a better efficiency, in determining the inconsistencies, by reducing the number of computation steps in the verification logic. The hardware requirement for the verification logic points to the fact that the overhead of proposed coherence verification module is much lesser than that of the conventional verification units and is insignificant with respect to the cost involved in CMPs’ cache system.

RISKIND verification and benchmark comparisons

Energy Technology Data Exchange (ETDEWEB)

Biwer, B.M.; Arnish, J.J.; Chen, S.Y.; Kamboj, S.

1997-08-01

This report presents verification calculations and benchmark comparisons for RISKIND, a computer code designed to estimate potential radiological consequences and health risks to individuals and the population from exposures associated with the transportation of spent nuclear fuel and other radioactive materials. Spreadsheet calculations were performed to verify the proper operation of the major options and calculational steps in RISKIND. The program is unique in that it combines a variety of well-established models into a comprehensive treatment for assessing risks from the transportation of radioactive materials. Benchmark comparisons with other validated codes that incorporate similar models were also performed. For instance, the external gamma and neutron dose rate curves for a shipping package estimated by RISKIND were compared with those estimated by using the RADTRAN 4 code and NUREG-0170 methodology. Atmospheric dispersion of released material and dose estimates from the GENII and CAP88-PC codes. Verification results have shown the program to be performing its intended function correctly. The benchmark results indicate that the predictions made by RISKIND are within acceptable limits when compared with predictions from similar existing models.

RISKIND verification and benchmark comparisons

International Nuclear Information System (INIS)

Biwer, B.M.; Arnish, J.J.; Chen, S.Y.; Kamboj, S.

1997-08-01

This report presents verification calculations and benchmark comparisons for RISKIND, a computer code designed to estimate potential radiological consequences and health risks to individuals and the population from exposures associated with the transportation of spent nuclear fuel and other radioactive materials. Spreadsheet calculations were performed to verify the proper operation of the major options and calculational steps in RISKIND. The program is unique in that it combines a variety of well-established models into a comprehensive treatment for assessing risks from the transportation of radioactive materials. Benchmark comparisons with other validated codes that incorporate similar models were also performed. For instance, the external gamma and neutron dose rate curves for a shipping package estimated by RISKIND were compared with those estimated by using the RADTRAN 4 code and NUREG-0170 methodology. Atmospheric dispersion of released material and dose estimates from the GENII and CAP88-PC codes. Verification results have shown the program to be performing its intended function correctly. The benchmark results indicate that the predictions made by RISKIND are within acceptable limits when compared with predictions from similar existing models

Code Verification Capabilities and Assessments in Support of ASC V&V Level 2 Milestone #6035

Energy Technology Data Exchange (ETDEWEB)

Doebling, Scott William [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Budzien, Joanne Louise [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Ferguson, Jim Michael [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Harwell, Megan Louise [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Hickmann, Kyle Scott [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Israel, Daniel M. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Magrogan, William Richard III [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Singleton, Jr., Robert [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Srinivasan, Gowri [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Walter, Jr, John William [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Woods, Charles Nathan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2017-09-26

This document provides a summary of the code verification activities supporting the FY17 Level 2 V&V milestone entitled “Deliver a Capability for V&V Assessments of Code Implementations of Physics Models and Numerical Algorithms in Support of Future Predictive Capability Framework Pegposts.” The physics validation activities supporting this milestone are documented separately. The objectives of this portion of the milestone are: 1) Develop software tools to support code verification analysis; 2) Document standard definitions of code verification test problems; and 3) Perform code verification assessments (focusing on error behavior of algorithms). This report and a set of additional standalone documents serve as the compilation of results demonstrating accomplishment of these objectives.

Workplace Violence and Harassment Against Emergency Medicine Residents

Directory of Open Access Journals (Sweden)

Benjamin H. Schnapp

2016-09-01

Full Text Available Introduction: Several studies have shown that workplace violence in the emergency department (ED is common. Residents may be among the most vulnerable staff, as they have the least experience with these volatile encounters. The goal for this study was to quantify and describe acts of violence against emergency medicine (EM residents by patients and visitors and to identify perceived barriers to safety. Methods: This cross-sectional survey study queried EM residents at multiple New York City hospitals. The primary outcome was the incidence of violence experienced by residents while working in the ED. The secondary outcomes were the subtypes of violence experienced by residents, as well as the perceived barriers to safety while at work. Results: A majority of residents (66%, 78/119 reported experiencing at least one act of physical violence during an ED shift. Nearly all residents (97%, 115/119 experienced verbal harassment, 78% (93/119 had experienced verbal threats, and 52% (62/119 reported sexual harassment. Almost a quarter of residents felt safe “Occasionally,” “Seldom” or “Never” while at work. Patient-based factors most commonly cited as contributory to violence included substance use and psychiatric disease. Conclusion: Self-reported violence against EM residents appears to be a significant problem. Incidence of violence and patient risk factors are similar to what has been found previously for other ED staff. Understanding the prevalence of workplace violence as well as the related systems, environmental, and patient-based factors is essential for future prevention efforts.

Workplace Violence and Harassment Against Emergency Medicine Residents

Science.gov (United States)

Schnapp, Benjamin H.; Slovis, Benjamin H.; Shah, Anar D.; Fant, Abra L.; Gisondi, Michael A.; Shah, Kaushal H.; Lech, Christie A.

2016-01-01

Introduction Several studies have shown that workplace violence in the emergency department (ED) is common. Residents may be among the most vulnerable staff, as they have the least experience with these volatile encounters. The goal for this study was to quantify and describe acts of violence against emergency medicine (EM) residents by patients and visitors and to identify perceived barriers to safety. Methods This cross-sectional survey study queried EM residents at multiple New York City hospitals. The primary outcome was the incidence of violence experienced by residents while working in the ED. The secondary outcomes were the subtypes of violence experienced by residents, as well as the perceived barriers to safety while at work. Results A majority of residents (66%, 78/119) reported experiencing at least one act of physical violence during an ED shift. Nearly all residents (97%, 115/119) experienced verbal harassment, 78% (93/119) had experienced verbal threats, and 52% (62/119) reported sexual harassment. Almost a quarter of residents felt safe “Occasionally,” “Seldom” or “Never” while at work. Patient-based factors most commonly cited as contributory to violence included substance use and psychiatric disease. Conclusion Self-reported violence against EM residents appears to be a significant problem. Incidence of violence and patient risk factors are similar to what has been found previously for other ED staff. Understanding the prevalence of workplace violence as well as the related systems, environmental, and patient-based factors is essential for future prevention efforts. PMID:27625721

Verification and validation of software related to nuclear power plant instrumentation and control

International Nuclear Information System (INIS)

1999-01-01

This report is produced in response to a recommendation of the IAEA International Working Group on Nuclear Power Plant Control and Instrumentation. The report has objectives of providing practical guidance on the methods available for verification of the software and validation of computer based systems, and on how and when these methods can be effectively applied. It is meant for those who are in any way involved with the development, implementation, maintenance and use of software and computer based instrumentation and control systems in nuclear power plants. The report is intended to be used by designers, software producers, reviewers, verification and validation teams, assessors, plant operators and licensers of computer based systems

A Syntactic-Semantic Approach to Incremental Verification

OpenAIRE

Bianculli, Domenico; Filieri, Antonio; Ghezzi, Carlo; Mandrioli, Dino

2013-01-01

Software verification of evolving systems is challenging mainstream methodologies and tools. Formal verification techniques often conflict with the time constraints imposed by change management practices for evolving systems. Since changes in these systems are often local to restricted parts, an incremental verification approach could be beneficial. This paper introduces SiDECAR, a general framework for the definition of verification procedures, which are made incremental by the framework...

Validity of Self-Reported Tobacco Smoke Exposure among Non-Smoking Adult Public Housing Residents.

Directory of Open Access Journals (Sweden)

Shona C Fang

Full Text Available Tobacco smoke exposure (TSE in public multi-unit housing (MUH is of concern. However, the validity of self-reports for determining TSE among non-smoking residents in such housing is unclear.We analyzed data from 285 non-smoking public MUH residents living in non-smoking households in the Boston area. Participants were interviewed about personal TSE in various locations in the past 7 days and completed a diary of home TSE for 7 days. Self-reported TSE was validated against measurable saliva cotinine (lower limit of detection (LOD 0.02 ng/ml and airborne apartment nicotine (LOD 5 ng. Correlations, estimates of inter-measure agreement, and logistic regression assessed associations between self-reported TSE items and measurable cotinine and nicotine.Cotinine and nicotine levels were low in this sample (median = 0.026 ng/ml and 0.022 μg/m3, respectively. Prevalence of detectable personal TSE was 66.3% via self-report and 57.0% via measurable cotinine (median concentration among those with cotinine>LOD: 0.057 ng/ml, with poor agreement (kappa = 0.06; sensitivity = 68.9%; specificity = 37.1%. TSE in the home, car, and other peoples' homes was weakly associated with cotinine levels (Spearman correlations rs = 0.15-0.25, while TSE in public places was not associated with cotinine. Among those with airborne nicotine and daily diary data (n = 161, a smaller proportion had household TSE via self-report (41.6% compared with measurable airborne nicotine (53.4% (median concentration among those with nicotine>LOD: 0.04 μg/m3 (kappa = 0.09, sensitivity = 46.5%, specificity = 62.7%.Self-report alone was not adequate to identify individuals with TSE, as 31% with measurable cotinine and 53% with measurable nicotine did not report TSE. Self-report of TSE in private indoor spaces outside the home was most associated with measurable cotinine in this low-income non-smoking population.

Survey of emergency medicine resident debt status and financial planning preparedness.

Science.gov (United States)

Glaspy, Jeffrey N; Ma, O John; Steele, Mark T; Hall, Jacqueline

2005-01-01

Most resident physicians accrue significant financial debt throughout their medical and graduate medical education. The objective of this study was to analyze emergency medicine resident debt status, financial planning actions, and educational experiences for financial planning and debt management. A 22-item questionnaire was sent to all 123 Accreditation Council on Graduate Medical Education-accredited emergency medicine residency programs in July 2001. Two follow-up mailings were made to increase the response rate. The survey addressed four areas of resident debt and financial planning: 1) accrued debt, 2) moonlighting activity, 3) financial planning/debt management education, and 4) financial planning actions. Descriptive statistics were used to analyze the data. Survey responses were obtained from 67.4% (1,707/2,532) of emergency medicine residents in 89 of 123 (72.4%) residency programs. Nearly one half (768/1,707) of respondents have accrued more than 100,000 dollars of debt. Fifty-eight percent (990/1,707) of all residents reported that moonlighting would be necessary to meet their financial needs, and more than 33% (640/1,707) presently moonlight to supplement their income. Nearly one half (832/1,707) of residents actively invested money, of which online trading was the most common method (23.3%). Most residents reported that they received no debt management education during residency (82.1%) or medical school (63.7%). Furthermore, 79.1% (1,351/1,707) of residents reported that they received no financial planning lectures during residency, although 84.2% (1,438/1,707) reported that debt management and financial planning education should be available during residency. Most emergency medicine residency programs do not provide their residents with financial planning education. Most residents have accrued significant debt and believe that more financial planning and debt management education is needed during residency.

Radiology residents' comprehension of the breast imaging reporting and data system: The ultrasound lexicon and final assessment category

International Nuclear Information System (INIS)

Jeong, Sun Hye; Lee, Eun Hye; Roh, Yun Ho; Kim, Min Jung; Youk, Ji Hyun; Yoon, Jung Hyun; Kim, Sung Hun; Kim, You Me

2017-01-01

To evaluate radiology residents' performance in interpretation and comprehension of breast ultrasonographic descriptors in the Breast Imaging Reporting and Data System (BI-RADS) to suggest the adequate duration of training in breast ultrasonography. A total of 102 radiology residents working in the Department of Radiology were included in this study. They were asked to answer 16 questions about the ultrasonographic lexicon and 11 questions about the BI-RADS category. We analyzed the proportion of correct answers according to the radiology residents’ year of training and duration of breast imaging training. With respect to the duration of breast imaging training, the proportion of correct answers for lexicon descriptors ranged from 77.2% to 81.3% (p = 0.368) and the proportion of correct answers for the BI-RADS category was highest after three-four months of training compared with after one month of training (p = 0.033). The proportion of correct answers for lexicon descriptors and BI-RADS category did not differ significantly according to the year of residency training. Radiology residents' comprehension of the BI-RADS category on breast ultrasonography was not associated with their year of residency training. Based on our findings, radiology residents' assessment of the BI-RADS category was significantly improved with three-four months of training compared with one month of training

Verification and validation benchmarks.

Energy Technology Data Exchange (ETDEWEB)

Oberkampf, William Louis; Trucano, Timothy Guy

2007-02-01

Verification and validation (V&V) are the primary means to assess the accuracy and reliability of computational simulations. V&V methods and procedures have fundamentally improved the credibility of simulations in several high-consequence fields, such as nuclear reactor safety, underground nuclear waste storage, and nuclear weapon safety. Although the terminology is not uniform across engineering disciplines, code verification deals with assessing the reliability of the software coding, and solution verification deals with assessing the numerical accuracy of the solution to a computational model. Validation addresses the physics modeling accuracy of a computational simulation by comparing the computational results with experimental data. Code verification benchmarks and validation benchmarks have been constructed for a number of years in every field of computational simulation. However, no comprehensive guidelines have been proposed for the construction and use of V&V benchmarks. For example, the field of nuclear reactor safety has not focused on code verification benchmarks, but it has placed great emphasis on developing validation benchmarks. Many of these validation benchmarks are closely related to the operations of actual reactors at near-safety-critical conditions, as opposed to being more fundamental-physics benchmarks. This paper presents recommendations for the effective design and use of code verification benchmarks based on manufactured solutions, classical analytical solutions, and highly accurate numerical solutions. In addition, this paper presents recommendations for the design and use of validation benchmarks, highlighting the careful design of building-block experiments, the estimation of experimental measurement uncertainty for both inputs and outputs to the code, validation metrics, and the role of model calibration in validation. It is argued that the understanding of predictive capability of a computational model is built on the level of

Verification of Ceramic Structures

Science.gov (United States)

Behar-Lafenetre, Stephanie; Cornillon, Laurence; Rancurel, Michael; De Graaf, Dennis; Hartmann, Peter; Coe, Graham; Laine, Benoit

2012-07-01

In the framework of the “Mechanical Design and Verification Methodologies for Ceramic Structures” contract [1] awarded by ESA, Thales Alenia Space has investigated literature and practices in affiliated industries to propose a methodological guideline for verification of ceramic spacecraft and instrument structures. It has been written in order to be applicable to most types of ceramic or glass-ceramic materials - typically Cesic®, HBCesic®, Silicon Nitride, Silicon Carbide and ZERODUR®. The proposed guideline describes the activities to be performed at material level in order to cover all the specific aspects of ceramics (Weibull distribution, brittle behaviour, sub-critical crack growth). Elementary tests and their post-processing methods are described, and recommendations for optimization of the test plan are given in order to have a consistent database. The application of this method is shown on an example in a dedicated article [7]. Then the verification activities to be performed at system level are described. This includes classical verification activities based on relevant standard (ECSS Verification [4]), plus specific analytical, testing and inspection features. The analysis methodology takes into account the specific behaviour of ceramic materials, especially the statistical distribution of failures (Weibull) and the method to transfer it from elementary data to a full-scale structure. The demonstration of the efficiency of this method is described in a dedicated article [8]. The verification is completed by classical full-scale testing activities. Indications about proof testing, case of use and implementation are given and specific inspection and protection measures are described. These additional activities are necessary to ensure the required reliability. The aim of the guideline is to describe how to reach the same reliability level as for structures made of more classical materials (metals, composites).

Verification tests for remote controlled inspection system in nuclear power plants

International Nuclear Information System (INIS)

Kohno, Tadaaki

1986-01-01

Following the increase of nuclear power plants, the total radiation exposure dose accompanying inspection and maintenance works tended to increase. Japan Power Engineering and Inspection Corp. carried out the verification test of a practical power reactor automatic inspection system from November, 1981, to March, 1986, and in this report, the state of having carried out this verification test is described. The objects of the verification test were the equipment which is urgently required for reducing radiation exposure dose, the possibility of realization of which is high, and which is important for ensuring the safety and reliability of plants, that is, an automatic ultrasonic flaw detector for the welded parts of bend pipes, an automatic disassembling and inspection system for control rod driving mechanism, a fuel automatic inspection system, and automatic decontaminating equipments for steam generator water chambers, primary system crud and radioactive gas in coolant. The results of the verification test of these equipments were judged as satisfactory, therefore, the application to actual plants is possible. (Kako, I.)

Is flow verification necessary

International Nuclear Information System (INIS)

Beetle, T.M.

1986-01-01

Safeguards test statistics are used in an attempt to detect diversion of special nuclear material. Under assumptions concerning possible manipulation (falsification) of safeguards accounting data, the effects on the statistics due to diversion and data manipulation are described algebraically. A comprehensive set of statistics that is capable of detecting any diversion of material is defined in terms of the algebraic properties of the effects. When the assumptions exclude collusion between persons in two material balance areas, then three sets of accounting statistics are shown to be comprehensive. Two of the sets contain widely known accountancy statistics. One of them does not require physical flow verification - comparisons of operator and inspector data for receipts and shipments. The third set contains a single statistic which does not require physical flow verification. In addition to not requiring technically difficult and expensive flow verification, this single statistic has several advantages over other comprehensive sets of statistics. This algebraic approach as an alternative to flow verification for safeguards accountancy is discussed in this paper

ENVIRONMENTAL TECHNOLOGY VERIFICATION: JOINT (NSF-EPA) VERIFICATION STATEMENT AND REPORT: BROME AGRI SALES, LTD., MAXIMIZER SEPARATOR, MODEL MAX 1016 - 03/01/WQPC-SWP

Science.gov (United States)

Verification testing of the Brome Agri Sales Ltd. Maximizer Separator, Model MAX 1016 (Maximizer) was conducted at the Lake Wheeler Road Field Laboratory Swine Educational Unit in Raleigh, North Carolina. The Maximizer is an inclined screen solids separator that can be used to s...

Procedure generation and verification

International Nuclear Information System (INIS)

Sheely, W.F.

1986-01-01

The Department of Energy has used Artificial Intelligence of ''AI'' concepts to develop two powerful new computer-based techniques to enhance safety in nuclear applications. The Procedure Generation System, and the Procedure Verification System, can be adapted to other commercial applications, such as a manufacturing plant. The Procedure Generation System can create a procedure to deal with the off-normal condition. The operator can then take correct actions on the system in minimal time. The Verification System evaluates the logic of the Procedure Generator's conclusions. This evaluation uses logic techniques totally independent of the Procedure Generator. The rapid, accurate generation and verification of corrective procedures can greatly reduce the human error, possible in a complex (stressful/high stress) situation

A Scalable Approach for Hardware Semiformal Verification

OpenAIRE

Grimm, Tomas; Lettnin, Djones; Hübner, Michael

2018-01-01

The current verification flow of complex systems uses different engines synergistically: virtual prototyping, formal verification, simulation, emulation and FPGA prototyping. However, none is able to verify a complete architecture. Furthermore, hybrid approaches aiming at complete verification use techniques that lower the overall complexity by increasing the abstraction level. This work focuses on the verification of complex systems at the RT level to handle the hardware peculiarities. Our r...

Technical safety requirements control level verification

International Nuclear Information System (INIS)

STEWART, J.L.

1999-01-01

A Technical Safety Requirement (TSR) control level verification process was developed for the Tank Waste Remediation System (TWRS) TSRs at the Hanford Site in Richland, WA, at the direction of the US. Department of Energy, Richland Operations Office (RL). The objective of the effort was to develop a process to ensure that the TWRS TSR controls are designated and managed at the appropriate levels as Safety Limits (SLs), Limiting Control Settings (LCSs), Limiting Conditions for Operation (LCOs), Administrative Controls (ACs), or Design Features. The TSR control level verification process was developed and implemented by a team of contractor personnel with the participation of Fluor Daniel Hanford, Inc. (FDH), the Project Hanford Management Contract (PHMC) integrating contractor, and RL representatives. The team was composed of individuals with the following experience base: nuclear safety analysis; licensing; nuclear industry and DOE-complex TSR preparation/review experience; tank farm operations; FDH policy and compliance; and RL-TWRS oversight. Each TSR control level designation was completed utilizing TSR control logic diagrams and TSR criteria checklists based on DOE Orders, Standards, Contractor TSR policy, and other guidance. The control logic diagrams and criteria checklists were reviewed and modified by team members during team meetings. The TSR control level verification process was used to systematically evaluate 12 LCOs, 22 AC programs, and approximately 100 program key elements identified in the TWRS TSR document. The verification of each TSR control required a team consensus. Based on the results of the process, refinements were identified and the TWRS TSRs were modified as appropriate. A final report documenting key assumptions and the control level designation for each TSR control was prepared and is maintained on file for future reference. The results of the process were used as a reference in the RL review of the final TWRS TSRs and control suite. RL

Effects of a Short Video-Based Resident-as-Teacher Training Toolkit on Resident Teaching.

Science.gov (United States)

Ricciotti, Hope A; Freret, Taylor S; Aluko, Ashley; McKeon, Bri Anne; Haviland, Miriam J; Newman, Lori R

2017-10-01

To pilot a short video-based resident-as-teacher training toolkit and assess its effect on resident teaching skills in clinical settings. A video-based resident-as-teacher training toolkit was previously developed by educational experts at Beth Israel Deaconess Medical Center, Harvard Medical School. Residents were recruited from two academic hospitals, watched two videos from the toolkit ("Clinical Teaching Skills" and "Effective Clinical Supervision"), and completed an accompanying self-study guide. A novel assessment instrument for evaluating the effect of the toolkit on teaching was created through a modified Delphi process. Before and after the intervention, residents were observed leading a clinical teaching encounter and scored using the 15-item assessment instrument. The primary outcome of interest was the change in number of skills exhibited, which was assessed using the Wilcoxon signed-rank test. Twenty-eight residents from two academic hospitals were enrolled, and 20 (71%) completed all phases of the study. More than one third of residents who volunteered to participate reported no prior formal teacher training. After completing two training modules, residents demonstrated a significant increase in the median number of teaching skills exhibited in a clinical teaching encounter, from 7.5 (interquartile range 6.5-9.5) to 10.0 (interquartile range 9.0-11.5; P<.001). Of the 15 teaching skills assessed, there were significant improvements in asking for the learner's perspective (P=.01), providing feedback (P=.005), and encouraging questions (P=.046). Using a resident-as-teacher video-based toolkit was associated with improvements in teaching skills in residents from multiple specialties.

Minimizing Barriers in Learning for On-Call Radiology Residents-End-to-End Web-Based Resident Feedback System.

Science.gov (United States)

Choi, Hailey H; Clark, Jennifer; Jay, Ann K; Filice, Ross W

2018-02-01

Feedback is an essential part of medical training, where trainees are provided with information regarding their performance and further directions for improvement. In diagnostic radiology, feedback entails a detailed review of the differences between the residents' preliminary interpretation and the attendings' final interpretation of imaging studies. While the on-call experience of independently interpreting complex cases is important to resident education, the more traditional synchronous "read-out" or joint review is impossible due to multiple constraints. Without an efficient method to compare reports, grade discrepancies, convey salient teaching points, and view images, valuable lessons in image interpretation and report construction are lost. We developed a streamlined web-based system, including report comparison and image viewing, to minimize barriers in asynchronous communication between attending radiologists and on-call residents. Our system provides real-time, end-to-end delivery of case-specific and user-specific feedback in a streamlined, easy-to-view format. We assessed quality improvement subjectively through surveys and objectively through participation metrics. Our web-based feedback system improved user satisfaction for both attending and resident radiologists, and increased attending participation, particularly with regards to cases where substantive discrepancies were identified.

High-Resolution Fast-Neutron Spectrometry for Arms Control and Treaty Verification

Energy Technology Data Exchange (ETDEWEB)

David L. Chichester; James T. Johnson; Edward H. Seabury

2012-07-01

Many nondestructive nuclear analysis techniques have been developed to support the measurement needs of arms control and treaty verification, including gross photon and neutron counting, low- and high-resolution gamma spectrometry, time-correlated neutron measurements, and photon and neutron imaging. One notable measurement technique that has not been extensively studied to date for these applications is high-resolution fast-neutron spectrometry (HRFNS). Applied for arms control and treaty verification, HRFNS has the potential to serve as a complimentary measurement approach to these other techniques by providing a means to either qualitatively or quantitatively determine the composition and thickness of non-nuclear materials surrounding neutron-emitting materials. The technique uses the normally-occurring neutrons present in arms control and treaty verification objects of interest as an internal source of neutrons for performing active-interrogation transmission measurements. Most low-Z nuclei of interest for arms control and treaty verification, including 9Be, 12C, 14N, and 16O, possess fast-neutron resonance features in their absorption cross sections in the 0.5- to 5-MeV energy range. Measuring the selective removal of source neutrons over this energy range, assuming for example a fission-spectrum starting distribution, may be used to estimate the stoichiometric composition of intervening materials between the neutron source and detector. At a simpler level, determination of the emitted fast-neutron spectrum may be used for fingerprinting 'known' assemblies for later use in template-matching tests. As with photon spectrometry, automated analysis of fast-neutron spectra may be performed to support decision making and reporting systems protected behind information barriers. This paper will report recent work at Idaho National Laboratory to explore the feasibility of using HRFNS for arms control and treaty verification applications, including simulations

Survey on Offline Finger Print Verification System

NARCIS (Netherlands)

Suman, R.; Kaur, R.

2012-01-01

The fingerprint verification, means where "verification" implies a user matching a fingerprint against a single fingerprint associated with the identity that the user claims. Biometrics can be classified into two types Behavioral (signature verification, keystroke dynamics, etc.) And Physiological

In-core Instrument Subcritical Verification (INCISV) - Core Design Verification Method - 358

International Nuclear Information System (INIS)

Prible, M.C.; Heibel, M.D.; Conner, S.L.; Sebastiani, P.J.; Kistler, D.P.

2010-01-01

According to the standard on reload startup physics testing, ANSI/ANS 19.6.1, a plant must verify that the constructed core behaves sufficiently close to the designed core to confirm that the various safety analyses bound the actual behavior of the plant. A large portion of this verification must occur before the reactor operates at power. The INCISV Core Design Verification Method uses the unique characteristics of a Westinghouse Electric Company fixed in-core self powered detector design to perform core design verification after a core reload before power operation. A Vanadium self powered detector that spans the length of the active fuel region is capable of confirming the required core characteristics prior to power ascension; reactivity balance, shutdown margin, temperature coefficient and power distribution. Using a detector element that spans the length of the active fuel region inside the core provides a signal of total integrated flux. Measuring the integrated flux distributions and changes at various rodded conditions and plant temperatures, and comparing them to predicted flux levels, validates all core necessary core design characteristics. INCISV eliminates the dependence on various corrections and assumptions between the ex-core detectors and the core for traditional physics testing programs. This program also eliminates the need for special rod maneuvers which are infrequently performed by plant operators during typical core design verification testing and allows for safer startup activities. (authors)

Continuity of care in dermatology residency programs in the United States.

Science.gov (United States)

Loh, Tiffany; Vazirnia, Aria; Afshar, Maryam; Dorschner, Robert; Paravar, Taraneh

2017-05-15

As established by the AccreditationCouncil for Graduate Medical Education (ACGME),dermatology residents in the United States must participate in continuity clinic. This requirement may be achieved through multiple means, allowing for program variation. To better assess continuity clinic's role in resident learning, more data on this component of graduate medical education is needed. An anonymous online survey was distributed via the American Board of Dermatology list serv to all U.S. dermatology residents. Continuity clinic organization, setting, frequency, and patient and preceptor characteristics were assessed; resident satisfaction and learning were compared. Of 231 responses, 7.8% reported continuity clinic daily, 77.1% weekly, 9.1% every other week, 3.0%monthly, 0.4% once every several months, and 2.2%only during certain blocks. Of the clinics reported,80.1% were "resident-run with attending" and 11.3%were attending-run. The rest were "resident-run with no attending" (0.9%), both resident and attending run(3.0%), or "other" (4.8%). Trainees in resident-run clinics (with attendings) reported greater continuity of care than those in attending-run clinics (p<0.001).Residents reported better teaching with attending presence during patient encounters than when attendings were present only if concerns were raised(p<0.01).

Emergency medicine resident well-being: stress and satisfaction.

Science.gov (United States)

Hoonpongsimanont, W; Murphy, M; Kim, C H; Nasir, D; Compton, S

2014-01-01

Emergency medicine (EM) residents are exposed to many work-related stressors, which affect them both physically and emotionally. It is unknown, however, how EM residents perceive the effect of these stressors on their well-being and how often they use unhealthy coping mechanisms to manage stress. To evaluate EM residents' perceptions of stressors related to their overall well-being and the prevalence of various coping mechanisms. An online survey instrument was developed to gauge resident stress, satisfaction with current lifestyle, stress coping mechanisms and demographics. A stratified random sample of EM residents from three postgraduate years (PGY-I, PGY-II and PGY-III) was obtained. Descriptive statistics and one-way analysis of variance were used to compare residents across PGY level. There were 120 potential participants in each of the three PGYs. The overall response rate was 30% (109) with mean age of 30 and 61% were male. On a 0-4 scale (0 = completely dissatisfied), respondents in PGY-I reported significantly less satisfaction with lifestyle than those in PGY-II and III (mean rating: 1.29, 1.66 and 1.70, respectively; P stress categories: work relationships (1.37), work environment (1.10) and response to patients (1.08). Residents reported exercise (94%), hobbies (89%) and use of alcohol (71%) as coping methods. Residents reported low satisfaction with current lifestyle. This dissatisfaction was unrelated to perceived work-related stress. Some undesirable coping methods were prevalent, suggesting that training programs could focus on promotion of healthy group activities.

Verification of the Danish 1990, 2000 and 2010 emission inventory data

DEFF Research Database (Denmark)

Fauser, Patrik; Nielsen, Malene; Winther, Morten

, agriculture, industry and waste. The data are based on the national greenhouse gas inventories for the years 1990 (base year), 2000 and 2010, as reported in 2012, and provided by the UNFCCC and EU. Inter-country comparison and time series consistency check of emissions and implied emission factors is made...... is made with data for energy consumption (Eurostat), agricultural statistics (Eurostat), industrial processes (UN) and waste disposal (OECD). Verification in this approach is a combination of qualitative and quantitative assessments and can assist to identify sectors and categories that require more...... for EU15 countries, excluding Luxemburg and including Norway and Switzerland and for some verification steps also including Australia, Canada, Japan, Russian Federation, USA and aggregated values for EU15 and EU27. National and inter-country verification and time trend consistency check of activity data...

Prevalence of pain among residents in Japanese nursing homes: a descriptive study.

Science.gov (United States)

Takai, Yukari; Yamamoto-Mitani, Noriko; Chiba, Yumi; Nishikawa, Yuri; Sugai, Yuichi; Hayashi, Kunihiko

2013-06-01

It is often observed that pain causes substantial problems for nursing home residents. However, there has been little research about the prevalence of pain for nursing home residents in Japan. This study aimed to examine the prevalence of pain in older adults living in nursing homes in Japan by using self-reporting and the Abbey Pain Scale-Japanese version (APS-J) and to explore factors related to pain. This is a descriptive study. Residents in two Special Nursing Homes for the Elderly in Tokyo, Japan, were asked to participate in this study, with the exclusion of short-term temporary residents. Data collected from participating residents included their demographics and the results from the Barthel Index, the Folstein Mini-Mental State Examination, the APS-J, and the Verbal Descriptor Scale for pain. The residents were divided into two groups: residents able to report their pain (self-report group) and residents not able to report their pain. The second group was assessed by using the APS-J (APS-J group). The Mann-Whitney U test, the χ2 test, and logistic analyses were performed to derive factors related to pain prevalence. Data were obtained from 171 residents. The prevalence of pain in the self-report group (n = 96) was 41.7%. For the 75 residents unable to report their pain, 52.0% were assessed by the APS-J to have pain. The overall pain prevalence of all residents was 46.2%. Age, Barthel Index score, and length of time of institutionalization were significantly associated with residents' pain in the APS-J group. Logistic regression analysis showed that contracture (odds ratio 3.8) and previous injury (odds ratio 3.4) were associated with residents' pain in the self-report group, whereas only the length of nursing home stay (odds ratio 1.03) was a predictor for pain in the APS-J group. Nearly one-half of residents had pain when they moved or were moved. Pain assessment and management is needed for residents. Copyright © 2013 American Society for Pain

Study on the role of the United Nations in the field of verification

International Nuclear Information System (INIS)

1991-01-01

The present report has been prepared pursuant to General Assembly resolution 43/81 B. The Group of Governmental Experts, while taking fully into account the mandate of the resolution, that is, to prepare a study that addresses the role of the United Nations in the field of verification of arms limitation and disarmament, has also taken into consideration approaches, methods, procedures and techniques relating to other arrangements in the area of international peace and security which might otherwise be useful to the process of verification of arms limitation and disarmament agreements. A selected bibliography on technical aspects of verification is given. However, materials published in languages other than English are not adequately reflected. Refs

Fingerprint verification prediction model in hand dermatitis.

Science.gov (United States)

Lee, Chew K; Chang, Choong C; Johor, Asmah; Othman, Puwira; Baba, Roshidah

2015-07-01

Hand dermatitis associated fingerprint changes is a significant problem and affects fingerprint verification processes. This study was done to develop a clinically useful prediction model for fingerprint verification in patients with hand dermatitis. A case-control study involving 100 patients with hand dermatitis. All patients verified their thumbprints against their identity card. Registered fingerprints were randomized into a model derivation and model validation group. Predictive model was derived using multiple logistic regression. Validation was done using the goodness-of-fit test. The fingerprint verification prediction model consists of a major criterion (fingerprint dystrophy area of ≥ 25%) and two minor criteria (long horizontal lines and long vertical lines). The presence of the major criterion predicts it will almost always fail verification, while presence of both minor criteria and presence of one minor criterion predict high and low risk of fingerprint verification failure, respectively. When none of the criteria are met, the fingerprint almost always passes the verification. The area under the receiver operating characteristic curve was 0.937, and the goodness-of-fit test showed agreement between the observed and expected number (P = 0.26). The derived fingerprint verification failure prediction model is validated and highly discriminatory in predicting risk of fingerprint verification in patients with hand dermatitis. © 2014 The International Society of Dermatology.

Annual State of Connecticut Obstetrics and Gynecology Resident Research Day.

Science.gov (United States)

Seagle, Brandon-Luke L; Ballard, Jennifer; Kakar, Freshta; Panarelli, Erin; Samuelson, Robert; Shahabi, Shohreh

2015-01-01

To increase opportunities for Obstetrics and Gynecology(Ob/Gyn) residents to present their research, an Annual State of Connecticut Ob/Gyn Resident Research Day (RRD) was created. At the first annual RRD, 33 residents, representing five of six Connecticut Ob/Gyn residency programs, presented 39 poster and eight oral presentations. RRD evaluators rated the overall symposium and the quality of resident oral and poster presentations as either "excellent" or "above average." Residency program directors reported that the symposium was "very helpful" for evidencing resident scholarship as required by the Accreditation Council for Graduate Medical Education (ACGME). Surveyed residents reported that the symposium promoted their research and was a valuable investment of their time. An annual specialty-specific, statewide RRD was created, experienced good participation, and was well evaluated. The annual, statewide Ob/Gyn RRD may serve as a model for development of other specialty-specific, statewide RRD events.

ENVIRONMENTAL TECHNOLOGY VERIFICATION: JOINT (NSF-EPA) VERIFICATION STATEMENT AND REPORT HYDRO COMPLIANCE MANAGEMENT, INC. HYDRO-KLEEN FILTRATION SYSTEM, 03/07/WQPC-SWP, SEPTEMBER 2003

Science.gov (United States)

Verification testing of the Hydro-Kleen(TM) Filtration System, a catch-basin filter designed to reduce hydrocarbon, sediment, and metals contamination from surface water flows, was conducted at NSF International in Ann Arbor, Michigan. A Hydro-Kleen(TM) system was fitted into a ...

Verification of EPA's ''Preliminary Remediation Goals for radionuclides'' (PRG) electronic calculator

Energy Technology Data Exchange (ETDEWEB)

Jannik, Tim [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Stagich, Brooke [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

2015-08-28

The U.S. Environmental Protection Agency (EPA) requested an external, independent verification study of their updated “Preliminary Remediation Goals for Radionuclides” (PRG) electronic calculator. The calculator provides PRGs for radionuclides that are used as a screening tool at Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) and Resource Conservation and Recovery Act (RCRA) sites. These risk-based PRGs establish concentration limits under specific exposure scenarios. The purpose of this verification study is to determine that the calculator has no inherit numerical problems with obtaining solutions as well as to ensure that the equations are programmed correctly. There are 167 equations used in the calculator. To verify the calculator, all equations for each of seven receptor types (resident, construction worker, outdoor and indoor worker, recreator, farmer, and composite worker) were hand calculated using the default parameters. The same four radionuclides (Am-241, Co-60, H-3, and Pu-238) were used for each calculation for consistency throughout.

Swarm Verification

Science.gov (United States)

Holzmann, Gerard J.; Joshi, Rajeev; Groce, Alex

2008-01-01

Reportedly, supercomputer designer Seymour Cray once said that he would sooner use two strong oxen to plow a field than a thousand chickens. Although this is undoubtedly wise when it comes to plowing a field, it is not so clear for other types of tasks. Model checking problems are of the proverbial "search the needle in a haystack" type. Such problems can often be parallelized easily. Alas, none of the usual divide and conquer methods can be used to parallelize the working of a model checker. Given that it has become easier than ever to gain access to large numbers of computers to perform even routine tasks it is becoming more and more attractive to find alternate ways to use these resources to speed up model checking tasks. This paper describes one such method, called swarm verification.

Enhancing teamwork between chief residents and residency program directors: description and outcomes of an experiential workshop.

Science.gov (United States)

McPhillips, Heather A; Frohna, John G; Murad, M Hassan; Batra, Maneesh; Panda, Mukta; Miller, Marsha A; Brigham, Timothy P; Doughty, Robert A

2011-12-01

An effective working relationship between chief residents and residency program directors is critical to a residency program's success. Despite the importance of this relationship, few studies have explored the characteristics of an effective program director-chief resident partnership or how to facilitate collaboration between the 2 roles, which collectively are important to program quality and resident satisfaction. We describe the development and impact of a novel workshop that paired program directors with their incoming chief residents to facilitate improved partnerships. The Accreditation Council for Graduate Medical Education sponsored a full-day workshop for residency program directors and their incoming chief residents. Sessions focused on increased understanding of personality styles, using experiential learning, and open communication between chief residents and program directors, related to feedback and expectations of each other. Participants completed an anonymous survey immediately after the workshop and again 8 months later to assess its long-term impact. Participants found the workshop to be a valuable experience, with comments revealing common themes. Program directors and chief residents expect each other to act as a role model for the residents, be approachable and available, and to be transparent and fair in their decision-making processes; both groups wanted feedback on performance and clear expectations from each other for roles and responsibilities; and both groups identified the need to be innovative and supportive of changes in the program. Respondents to the follow-up survey reported that workshop participation improved their relationships with their co-chiefs and program directors. Participation in this experiential workshop improved the working relationships between chief residents and program directors. The themes that were identified can be used to foster communication between incoming chief residents and residency directors and to

Improving the Teaching Skills of Residents in a Surgical Training Program: Results of the Pilot Year of a Curricular Initiative in an Ophthalmology Residency Program.

Science.gov (United States)

Chee, Yewlin E; Newman, Lori R; Loewenstein, John I; Kloek, Carolyn E

2015-01-01

To design and implement a teaching skills curriculum that addressed the needs of an ophthalmology residency training program, to assess the effect of the curriculum, and to present important lessons learned. A teaching skills curriculum was designed for the Harvard Medical School (HMS) Residency Training Program in Ophthalmology. Results of a needs assessment survey were used to guide curriculum objectives. Overall, 3 teaching workshops were conducted between October 2012 and March 2013 that addressed areas of need, including procedural teaching. A postcurriculum survey was used to assess the effect of the curriculum. Massachusetts Eye and Ear Infirmary, a tertiary care institution in Boston, MA. Overall, 24 residents in the HMS Residency Training Program in Ophthalmology were included. The needs assessment survey demonstrated that although most residents anticipated that teaching would be important in their future career, only one-third had prior formal training in teaching. All residents reported they found the teaching workshops to be either very or extremely useful. All residents reported they would like further training in teaching, with most residents requesting additional training in best procedural teaching practices for future sessions. The pilot year of the resident-as-teacher curriculum for the HMS Residency Training Program in Ophthalmology demonstrated a need for this curriculum and was perceived as beneficial by the residents, who reported increased comfort in their teaching skills after attending the workshops. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Trauma morning report is the ideal environment to teach and evaluate resident communication and sign-outs in the 80 hour work week.

Science.gov (United States)

Ottinger, Mary E; Monaghan, Sean F; Gregg, Shea C; Stephen, Andrew H; Connolly, Michael D; Harrington, David T; Adams, Charles A; Cioffi, William G; Heffernan, Daithi S

2017-09-01

The 80h work week has raised concerns that complications may increase due to multiple sign-outs or poor communication. Trauma Surgery manages complex trauma and acute care surgical patients with rapidly changing physiology, clinical demands and a large volume of data that must be communicated to render safe, effective patient care. Trauma Morning Report format may offer the ideal situation to study and teach sign-outs and resident communication. Surgery Residents were assessed on a 1-5 scale for their ability to communicate to their fellow residents. This consisted of 10 critical points of the presentation, treatment and workup from the previous night's trauma admissions. Scores were grouped into three areas. Each area was scored out of 15. Area 1 consisted of Initial patient presentation. Area 2 consisted of events in the trauma bay. Area 3 assessed clarity of language and ability to communicate to their fellow residents. The residents were assessed for inclusion of pertinent positive and negative findings, as well as overall clarity of communication. In phase 1, residents were unaware of the evaluation process. Phase 2 followed a series of resident education session about effective communication, sign-out techniques and delineation of evaluation criteria. Phase 3 was a resident-blinded phase which evaluated the sustainability of the improvements in resident communication. 50 patient presentations in phase 1, 200 in phase 2, and 50 presentations in phase 3 were evaluated. Comparisons were made between the Phase 1 and Phase 2 evaluations. Area 1 (initial events) improved from 6.18 to 12.4 out of 15 (p<0.0001). Area 2 (events in the trauma bay) improved from 9.78 to 16.53 (p<0.0077). Area 3 (communication and language) improved from 8.36 to 12.22 out of 15 (P<0.001). Phase 2 to Phase 3 evaluations were similar, showing no deterioration of skills. Trauma Surgery manages complex surgical patients, with rapidly changing physiologic and clinical demands. Trauma Morning

Verification and validation benchmarks

International Nuclear Information System (INIS)

Oberkampf, William Louis; Trucano, Timothy Guy

2007-01-01

Verification and validation (V and V) are the primary means to assess the accuracy and reliability of computational simulations. V and V methods and procedures have fundamentally improved the credibility of simulations in several high-consequence fields, such as nuclear reactor safety, underground nuclear waste storage, and nuclear weapon safety. Although the terminology is not uniform across engineering disciplines, code verification deals with assessing the reliability of the software coding, and solution verification deals with assessing the numerical accuracy of the solution to a computational model. Validation addresses the physics modeling accuracy of a computational simulation by comparing the computational results with experimental data. Code verification benchmarks and validation benchmarks have been constructed for a number of years in every field of computational simulation. However, no comprehensive guidelines have been proposed for the construction and use of V and V benchmarks. For example, the field of nuclear reactor safety has not focused on code verification benchmarks, but it has placed great emphasis on developing validation benchmarks. Many of these validation benchmarks are closely related to the operations of actual reactors at near-safety-critical conditions, as opposed to being more fundamental-physics benchmarks. This paper presents recommendations for the effective design and use of code verification benchmarks based on manufactured solutions, classical analytical solutions, and highly accurate numerical solutions. In addition, this paper presents recommendations for the design and use of validation benchmarks, highlighting the careful design of building-block experiments, the estimation of experimental measurement uncertainty for both inputs and outputs to the code, validation metrics, and the role of model calibration in validation. It is argued that the understanding of predictive capability of a computational model is built on the

Verification and validation benchmarks

International Nuclear Information System (INIS)

Oberkampf, William L.; Trucano, Timothy G.

2008-01-01

Verification and validation (V and V) are the primary means to assess the accuracy and reliability of computational simulations. V and V methods and procedures have fundamentally improved the credibility of simulations in several high-consequence fields, such as nuclear reactor safety, underground nuclear waste storage, and nuclear weapon safety. Although the terminology is not uniform across engineering disciplines, code verification deals with assessing the reliability of the software coding, and solution verification deals with assessing the numerical accuracy of the solution to a computational model. Validation addresses the physics modeling accuracy of a computational simulation by comparing the computational results with experimental data. Code verification benchmarks and validation benchmarks have been constructed for a number of years in every field of computational simulation. However, no comprehensive guidelines have been proposed for the construction and use of V and V benchmarks. For example, the field of nuclear reactor safety has not focused on code verification benchmarks, but it has placed great emphasis on developing validation benchmarks. Many of these validation benchmarks are closely related to the operations of actual reactors at near-safety-critical conditions, as opposed to being more fundamental-physics benchmarks. This paper presents recommendations for the effective design and use of code verification benchmarks based on manufactured solutions, classical analytical solutions, and highly accurate numerical solutions. In addition, this paper presents recommendations for the design and use of validation benchmarks, highlighting the careful design of building-block experiments, the estimation of experimental measurement uncertainty for both inputs and outputs to the code, validation metrics, and the role of model calibration in validation. It is argued that the understanding of predictive capability of a computational model is built on the

Resident duty hours in Canada: a survey and national statement.

Science.gov (United States)

Masterson, Mark F; Shrichand, Pankaj; Maniate, Jerry M

2014-01-01

Physicians in general, and residents in particular, are adapting to duty schedules in which they have fewer continuous work hours; however, there are no Canadian guidelines on duty hours restrictions. To better inform resident duty hour policy in Canada, we set out to prepare a set of recommendations that would draw upon evidence reported in the literature and reflect the experiences of resident members of the Canadian Association of Internes and Residents (CAIR). A survey was prepared and distributed electronically to all resident members of CAIR. A total of 1796 eligible residents participated in the survey. Of those who responded, 38% (601) reported that they felt they could safely provide care for up to 16 continuous hours, and 20% (315) said that 12 continuous hours was the maximum period during which they could safely provide care (n=1592). Eighty-two percent (1316) reported their perception that the quality of care they had provided suffered because of the number of consecutive hours worked (n=1598). Only 52% (830) had received training in handover (n=1594); those who had received such training reported that it was commonly provided through informal modelling. On the basis of these data and the existing literature, CAIR recommends that resident duty hours be managed in a way that does not endanger the health of residents or patients; does not impair education; is flexible; and does not violate ethical or legal standards. Further, residents should be formally trained in handover skills and alternative duty hour models.

Design verification for reactor head replacement

International Nuclear Information System (INIS)

Dwivedy, K.K.; Whitt, M.S.; Lee, R.

2005-01-01

This paper outlines the challenges of design verification for reactor head replacement for PWR plants and the program for qualification from the prospective of the utility design engineering group. This paper is based on the experience with the design confirmation of four reactor head replacements for two plants, and their interfacing components, parts, appurtenances, and support structures. The reactor head replacement falls under the jurisdiction of the applicable edition of the ASME Section XI code, with particular reference to repair/replacement activities. Under any repair/replacement activities, demands may be encountered in the development of program and plan for replacement due to the vintage of the original design/construction Code and the design reports governing the component qualifications. Because of the obvious importance of the reactor vessel, these challenges take on an added significance. Additional complexities are introduced to the project, when the replacement components are fabricated by vendors different from the original vendor. Specific attention is needed with respect to compatibility with the original design and construction of the part and interfacing components. The program for reactor head replacement requires evaluation of welding procedures, applicable examination, test, and acceptance criteria for material, welds, and the components. Also, the design needs to take into consideration the life of the replacement components with respect to the extended period of operation of the plant after license renewal and other plant improvements. Thus, the verification of acceptability of reactor head replacement provides challenges for development and maintenance of a program and plan, design specification, design report, manufacturer's data report and material certification, and a report of reconciliation. The technical need may also be compounded by other challenges such as widely scattered global activities and organizational barriers, which

Quantitative analysis of patient-specific dosimetric IMRT verification

International Nuclear Information System (INIS)

Budgell, G J; Perrin, B A; Mott, J H L; Fairfoul, J; Mackay, R I

2005-01-01

Patient-specific dosimetric verification methods for IMRT treatments are variable, time-consuming and frequently qualitative, preventing evidence-based reduction in the amount of verification performed. This paper addresses some of these issues by applying a quantitative analysis parameter to the dosimetric verification procedure. Film measurements in different planes were acquired for a series of ten IMRT prostate patients, analysed using the quantitative parameter, and compared to determine the most suitable verification plane. Film and ion chamber verification results for 61 patients were analysed to determine long-term accuracy, reproducibility and stability of the planning and delivery system. The reproducibility of the measurement and analysis system was also studied. The results show that verification results are strongly dependent on the plane chosen, with the coronal plane particularly insensitive to delivery error. Unexpectedly, no correlation could be found between the levels of error in different verification planes. Longer term verification results showed consistent patterns which suggest that the amount of patient-specific verification can be safely reduced, provided proper caution is exercised: an evidence-based model for such reduction is proposed. It is concluded that dose/distance to agreement (e.g., 3%/3 mm) should be used as a criterion of acceptability. Quantitative parameters calculated for a given criterion of acceptability should be adopted in conjunction with displays that show where discrepancies occur. Planning and delivery systems which cannot meet the required standards of accuracy, reproducibility and stability to reduce verification will not be accepted by the radiotherapy community

Post-silicon and runtime verification for modern processors

CERN Document Server

Wagner, Ilya

2010-01-01

The purpose of this book is to survey the state of the art and evolving directions in post-silicon and runtime verification. The authors start by giving an overview of the state of the art in verification, particularly current post-silicon methodologies in use in the industry, both for the domain of processor pipeline design and for memory subsystems. They then dive into the presentation of several new post-silicon verification solutions aimed at boosting the verification coverage of modern processors, dedicating several chapters to this topic. The presentation of runtime verification solution

Radiology residents' comprehension of the breast imaging reporting and data system: The ultrasound lexicon and final assessment category

Energy Technology Data Exchange (ETDEWEB)

Jeong, Sun Hye; Lee, Eun Hye [Bucheon Hospital, Bucheon (Korea, Republic of); Roh, Yun Ho; Kim, Min Jung; Youk, Ji Hyun [Yonsei University College of Medicine, Seoul (Korea, Republic of); Yoon, Jung Hyun; Kim, Sung Hun [The Catholic University of Korea, Seoul (Korea, Republic of); Kim, You Me [Dankook University College of Medicine, Cheonan (Korea, Republic of)

2017-07-15

To evaluate radiology residents' performance in interpretation and comprehension of breast ultrasonographic descriptors in the Breast Imaging Reporting and Data System (BI-RADS) to suggest the adequate duration of training in breast ultrasonography. A total of 102 radiology residents working in the Department of Radiology were included in this study. They were asked to answer 16 questions about the ultrasonographic lexicon and 11 questions about the BI-RADS category. We analyzed the proportion of correct answers according to the radiology residents’ year of training and duration of breast imaging training. With respect to the duration of breast imaging training, the proportion of correct answers for lexicon descriptors ranged from 77.2% to 81.3% (p = 0.368) and the proportion of correct answers for the BI-RADS category was highest after three-four months of training compared with after one month of training (p = 0.033). The proportion of correct answers for lexicon descriptors and BI-RADS category did not differ significantly according to the year of residency training. Radiology residents' comprehension of the BI-RADS category on breast ultrasonography was not associated with their year of residency training. Based on our findings, radiology residents' assessment of the BI-RADS category was significantly improved with three-four months of training compared with one month of training.

Validity and reliability of an in-training evaluation report to measure the CanMEDS roles in emergency medicine residents.

Science.gov (United States)

Kassam, Aliya; Donnon, Tyrone; Rigby, Ian

2014-03-01

There is a question of whether a single assessment tool can assess the key competencies of residents as mandated by the Royal College of Physicians and Surgeons of Canada CanMEDS roles framework. The objective of the present study was to investigate the reliability and validity of an emergency medicine (EM) in-training evaluation report (ITER). ITER data from 2009 to 2011 were combined for residents across the 5 years of the EM residency training program. An exploratory factor analysis with varimax rotation was used to explore the construct validity of the ITER. A total of 172 ITERs were completed on residents across their first to fifth year of training. A combined, 24-item ITER yielded a five-factor solution measuring the CanMEDs role Medical Expert/Scholar, Communicator/Collaborator, Professional, Health Advocate and Manager subscales. The factor solution accounted for 79% of the variance, and reliability coefficients (Cronbach alpha) ranged from α  =  0.90 to 0.95 for each subscale and α  =  0.97 overall. The combined, 24-item ITER used to assess residents' competencies in the EM residency program showed strong reliability and evidence of construct validity for assessment of the CanMEDS roles. Further research is needed to develop and test ITER items that will differentiate each CanMEDS role exclusively.

Dynamic Isotope Power System: technology verification phase, program plan, 1 October 1978

International Nuclear Information System (INIS)

1979-01-01

The technology verification phase program plan of the Dynamic Isotope Power System (DIPS) project is presented. DIPS is a project to develop a 0.5 to 2.0 kW power system for spacecraft using an isotope heat source and a closed-cycle Rankine power-system with an organic working fluid. The technology verification phase's purposes are to increase the system efficiency to over 18%, to demonstrate system reliability, and to provide an estimate for flight test scheduling. Progress toward these goals is reported

Guidelines for the verification and validation of expert system software and conventional software. Volume 1: Project summary. Final report

International Nuclear Information System (INIS)

Miller, L.A.; Hayes, J.E.; Mirsky, S.M.

1995-05-01

This eight-volume report presents guidelines for performing verification and validation (V ampersand V) on Artificial Intelligence (AI) systems with nuclear applications. The guidelines have much broader application than just expert systems; they are also applicable to object-oriented programming systems, rule-based systems, frame-based systems, model-based systems, neural nets, genetic algorithms, and conventional software systems. This is because many of the components of AI systems are implemented in conventional procedural programming languages, so there is no real distinction. The report examines the state of the art in verifying and validating expert systems. V ampersand V methods traditionally applied to conventional software systems are evaluated for their applicability to expert systems. One hundred fifty-three conventional techniques are identified and evaluated. These methods are found to be useful for at least some of the components of expert systems, frame-based systems, and object-oriented systems. A taxonomy of 52 defect types and their delectability by the 153 methods is presented. With specific regard to expert systems, conventional V ampersand V methods were found to apply well to all the components of the expert system with the exception of the knowledge base. The knowledge base requires extension of the existing methods. Several innovative static verification and validation methods for expert systems have been identified and are described here, including a method for checking the knowledge base open-quotes semanticsclose quotes and a method for generating validation scenarios. Evaluation of some of these methods was performed both analytically and experimentally

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT, BAGHOUSE FILTRATION PRODUCTS, TETRATEC PTFE PRODUCTS, TETRATEX 6212 FILTER SAMPLE

Science.gov (United States)

Baghouse filtration products (BFPs) were evaluated by the Air Pollution Control Technology (APCT) Verification Center. The performance factor verified was the mean outlet particle concentration for the filter fabric as a function of the size of those particles equal to and smalle...

IMRT delivery verification using a spiral phantom

International Nuclear Information System (INIS)

Richardson, Susan L.; Tome, Wolfgang A.; Orton, Nigel P.; McNutt, Todd R.; Paliwal, Bhudatt R.

2003-01-01

In this paper we report on the testing and verification of a system for IMRT delivery quality assurance that uses a cylindrical solid water phantom with a spiral trajectory for radiographic film placement. This spiral film technique provides more complete dosimetric verification of the entire IMRT treatment than perpendicular film methods, since it samples a three-dimensional dose subspace rather than using measurements at only one or two depths. As an example, the complete analysis of the predicted and measured spiral films is described for an intracranial IMRT treatment case. The results of this analysis are compared to those of a single field perpendicular film technique that is typically used for IMRT QA. The comparison demonstrates that both methods result in a dosimetric error within a clinical tolerance of 5%, however the spiral phantom QA technique provides a more complete dosimetric verification while being less time consuming. To independently verify the dosimetry obtained with the spiral film, the same IMRT treatment was delivered to a similar phantom in which LiF thermoluminescent dosimeters were arranged along the spiral trajectory. The maximum difference between the predicted and measured TLD data for the 1.8 Gy fraction was 0.06 Gy for a TLD located in a high dose gradient region. This further validates the ability of the spiral phantom QA process to accurately verify delivery of an IMRT plan

Dosimetric verification and evaluation of segmental multileaf collimator (SMLC)-IMRT for quality assurance. The second report. Absolute dose

International Nuclear Information System (INIS)

Tateoka, Kunihiko; Hareyama, Masato; Oouchi, Atsushi; Nakata, Kensei; Nagase, Daiki; Saikawa, Tsunehiko; Shimizume, Kazunari; Sugimoto, Harumi; Waka, Masaaki

2003-01-01

Intensity-modulated radiation therapy (IMRT) was developed to irradiate the target are more conformally, sparing organs at risk (OARs). Since the beams are sequentially delivered by many, small, irregular, and off-center fields in IMRT, dosimetric quality assurance (QA) is an extremely important issue. QA is performed by verifying both the dose distribution and doses at arbitrary points. In this work, we describe the verification of doses at arbitrary points in our hospital for Segmental multileaf collimator (SMLC)-IMRT. In general, verification of the absolute doses for IMRT is performed by comparison between the calculated doses using Radiation Treatment Planning Systems (RTP) and the measured doses using an ionization chamber with a small volume at arbitrary points in relatively flat regions of the dose gradients. However, no clear definitions of the dose gradients and the flat regions have yet been reported. We carried out verification by comparison of the measured doses with the average dose and the central point dose in a virtual Farmer type ionization chamber (V-F) and a virtual PinPoint ionization chamber (V-P) equal to the Farmer-type ionization chamber volume and PinPoint ionization chamber volumes using the RTP. Furthermore, we defined the dose gradients as the deviation of the maximum dose from the minimum dose in the virtual ionization chamber volume. In IMRT, the dose gradients may be as high as 80% or more in the virtual ionization chamber volume. Therefore, it is thought that the effective center of the ionization chamber varies by segment for IMRT fields (i.e., the variation of the ionization chamber replacement effect). Additionally, in regions with a higher dose gradient, uncertainty in the measured doses is influenced by the variations in the ionization chamber replacement effect and the ionization chamber positioning error. We more objectively examined the verification method for the absolute dose in IMRT using the virtual ionization chamber

RESRAD-BUILD verification

International Nuclear Information System (INIS)

Kamboj, S.; Yu, C.; Biwer, B. M.; Klett, T.

2002-01-01

The results generated by the RESRAD-BUILD code (version 3.0) were verified with hand or spreadsheet calculations using equations given in the RESRAD-BUILD manual for different pathways. For verification purposes, different radionuclides--H-3, C-14, Na-22, Al-26, Cl-36, Mn-54, Co-60, Au-195, Ra-226, Ra-228, Th-228, and U-238--were chosen to test all pathways and models. Tritium, Ra-226, and Th-228 were chosen because of the special tritium and radon models in the RESRAD-BUILD code. Other radionuclides were selected to represent a spectrum of radiation types and energies. Verification of the RESRAD-BUILD code was conducted with an initial check of all the input parameters for correctness against their original source documents. Verification of the calculations was performed external to the RESRAD-BUILD code with Microsoft Excel to verify all the major portions of the code. In some cases, RESRAD-BUILD results were compared with those of external codes, such as MCNP (Monte Carlo N-particle) and RESRAD. The verification was conducted on a step-by-step basis and used different test cases as templates. The following types of calculations were investigated: (1) source injection rate, (2) air concentration in the room, (3) air particulate deposition, (4) radon pathway model, (5) tritium model for volume source, (6) external exposure model, (7) different pathway doses, and (8) time dependence of dose. Some minor errors were identified in version 3.0; these errors have been corrected in later versions of the code. Some possible improvements in the code were also identified

Knowledge and attitudes of residents regarding electroconvulsive therapy

Directory of Open Access Journals (Sweden)

Gokay Alpak

2015-02-01

Full Text Available AIM: To determine the knowledge and attitudes of non-psychiatry residents about electroconvulsive therapy (ECT and additionally to make a comparison between residents of medical sciences and surgical sciences. METHODS: The study consisted of 176 medical school graduates in their residency training (119 medical sciences, 57 surgical sciences at a university hospital. All subjects are asked to fill a questionnaire prepared by the authors. RESULTS: Among all, 58 of the medical sciences residents (48.7%, and 32 of the surgical sciences residents (56.1% had reported that they have never observed any ECT session. There was no statistically significant difference between the residents of the two groups in terms of theirs attitudes towards ECT (p>0.05. The residents of surgical sciences differed from the others only in their response to the question that sought answer whether they would agree to have any of their relatives to undergo ECT. They more often disagreed to this statement (p=0.02. CONCLUSIONS: The knowledge and attitudes of residents in medical, and surgical sciences about ECT seemed to be similar. Despite their significant amount of knowledge about ECT the residents showed similar attitudes towards it with the patients and their caregivers that were previously reported in the literature. Additionally, the results also suggest that current training in medical schools need a revision that would eventually improve attitudes of medical graduates towards ECT. [TAF Prev Med Bull 2015; 14(1.000: 33-38

Crowd Sourced Formal Verification-Augmentation (CSFV-A)

Science.gov (United States)

2016-06-01

Projects Agency (DARPA), Air Force Research Laboratory (AFRL), Charles River Analytics Inc., and TopCoder, Inc. will be holding a contest to reward...CROWD SOURCED FORMAL VERIFICATION – AUGMENTATION (CSFV-A) CHARLES RIVER ANALYTICS, INC. JUNE 2016 FINAL TECHNICAL REPORT APPROVED FOR PUBLIC...CSFV 5e. TASK NUMBER TC 5f. WORK UNIT NUMBER RA 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Charles River Analytics, Inc. 625 Mount Auburn

Universal problems during residency: abuse and harassment.

Science.gov (United States)

Nagata-Kobayashi, Shizuko; Maeno, Tetsuhiro; Yoshizu, Misaki; Shimbo, Takuro

2009-07-01

Perceived abuse or harassment during residency has a negative impact on residents' health and well-being. This issue pertains not only to Western countries, but also to those in Asia. In order to launch strong international preventive measures against this problem, it is necessary to establish the generality and cultural specificity of this problem in different countries. Therefore, we investigated mistreatment among resident doctors in Japan. In 2007, a multi-institutional, cross-sectional survey was conducted at 37 hospitals. A total of 619 residents (409 men, 210 women) were recruited. Prevalence of mistreatment in six categories was evaluated: verbal abuse; physical abuse; academic abuse; sexual harassment; gender discrimination, and alcohol-associated harassment. In addition, alleged abusers, the emotional effects of abusive experiences, and reluctance to report the abuse to superiors were investigated. Male and female responses were statistically compared using chi-square analysis. A total of 355 respondents (228 men, 127 women) returned a completed questionnaire (response rate 57.4%). Mistreatment was reported by 84.8% of respondents (n = 301). Verbal abuse was the most frequently experienced form of mistreatment (n = 256, 72.1%), followed by alcohol-associated harassment (n = 184, 51.8%). Among women, sexual harassment was also often reported (n = 74, 58.3%). Doctors were most often reported as abusers (n = 124, 34.9%), followed by patients (n = 77, 21.7%) and nurses (n = 61, 17.2%). Abuse was reported to have occurred most frequently during surgical rotations (n = 98, 27.6%), followed by rotations in departments of internal medicine (n = 76, 21.4%), emergency medicine (n = 41, 11.5%) and anaesthesia (n = 40, 11.3%). Very few respondents reported their experiences of abuse to superiors (n = 36, 12.0%). The most frequent emotional response to experiences of abuse was anger (n = 84, 41.4%). Mistreatment during residency is a universal phenomenon. Deliberation

Improvement and verification of fast-reactor safety-analysis techniques. Final report

International Nuclear Information System (INIS)

Barker, D.H.

1981-12-01

The work involved on this project took place between March 1, 1975 and December 31, 1981. The work resulted in two PhD and one Masters Theses. Part I was the Verification and Applicability Studies for the VENUS-II LMFBR Disassembly Code. These tests showed that the VENUS-II code closely predicted the energy release in all three tests chosen for analysis. Part II involved the chemical simulation of pool dispersion in the transition phase of an HCDA. Part III involved the reaction of an internally heated fluid and the vessel walls

Use and utility of Web-based residency program information: a survey of residency applicants.

Science.gov (United States)

Embi, Peter J; Desai, Sima; Cooney, Thomas G

2003-01-01

The Internet has become essential to the residency application process. In recent years, applicants and residency programs have used the Internet-based tools of the National Residency Matching Program (NRMP, the Match) and the Electronic Residency Application Service (ERAS) to process and manage application and Match information. In addition, many residency programs have moved their recruitment information from printed brochures to Web sites. Despite this change, little is known about how applicants use residency program Web sites and what constitutes optimal residency Web site content, information that is critical to developing and maintaining such sites. To study the use and perceived utility of Web-based residency program information by surveying applicants to an internal medicine program. Our sample population was the applicants to the Oregon Health & Science University Internal Medicine Residency Program who were invited for an interview. We solicited participation using the group e-mail feature available through the Electronic Residency Application Service Post-Office application. To minimize the possibility for biased responses, the study was confined to the period between submission of National Residency Matching Program rank-order lists and release of Match results. Applicants could respond using an anonymous Web-based form or by reply to the e-mail solicitation. We tabulated responses, calculated percentages for each, and performed a qualitative analysis of comments. Of the 431 potential participants, 218 responded (51%) during the study period. Ninety-nine percent reported comfort browsing the Web; 52% accessed the Web primarily from home. Sixty-nine percent learned about residency Web sites primarily from residency-specific directories while 19% relied on general directories. Eighty percent found these sites helpful when deciding where to apply, 69% when deciding where to interview, and 36% when deciding how to rank order programs for the Match. Forty

Perspective of ophthalmology residents in the United States about residency programs and competency in relation to the International Council of Ophthalmology guidelines.

Science.gov (United States)

Abdelfattah, Nizar Saleh; Radwan, Ahmed E; Sadda, Srinivas R

2016-09-01

To evaluate the perspective of ophthalmology residents in the US about their residency programs and compare the competency of residency programs to international competency levels set by the International Council of Ophthalmology (ICO). A cross-sectional web-based survey extracted from the ICO published competency standards was sent to program directors of ophthalmology residency programs in the US to forward it to current PGY-3, 4 residents, and residency graduates from 2011 to 2014. Eighty-seven responses were received, comprising 61 residents and 26 graduates. Most respondents were highly satisfied with their programs (93.6%). Clinic-based training was rated satisfactorily. Insufficient exposure to low-vision rehabilitation (38.5%), refraction and contact lenses prescription (38.5%), and vitreo-retinal surgeries (38.5%) was reported. Respondents were satisfied with their overall surgical experiences, with the vast majority (>83%) rating case volume, complexity, and variety as satisfactory or better. A significant group stated they had insufficient exposure to extra-capsular cataract extraction (26.3%), refractive surgery (19.7%), and orbital surgery (64.5%). All graduates surveyed passed their Ophthalmic Knowledge Assessment Program (OKAP) examinations, and 72% felt their residency programs adequately prepared them for the examinations. All respondents reported insufficient training in certain nonclinical areas, such as practice management, staffing, and administration skills. Ophthalmology residents in the US express high levels of satisfaction with their residency training programs. While most programs adequately address most ICO core objectives, certain curriculum modifications should be considered.

Education Research: Neurology resident education: Trending skills, confidence, and professional preparation.

Science.gov (United States)

Jordan, Justin T; Mayans, David; Schneider, Logan; Adams, Nellie; Khawaja, Ayaz M; Engstrom, John

2016-03-15

To survey US-trained graduating neurology residents who are American Academy of Neurology members, in an effort to trend perceived quality and completeness of graduate neurology education. An electronic survey was sent to all American Academy of Neurology members graduating from US neurology residency programs in the Spring of 2014. Of 805 eligible respondents, 24% completed the survey. Ninety-three percent of adult neurology residents and 56% of child neurology residents reported plans to pursue fellowship training after residency. Respondents reported a desire for additional training in neurocritical care, neuro-oncology, neuromuscular diseases, botulinum toxin injection, and nerve blocks. There remains a clear deficit in business training of neurology residents, although there was notable improvement in knowledge of coding and office management compared to previous surveys. Although there are still areas of perceived weakness in neurology training, graduating neurology residents feel generally well prepared for their chosen careers. However, most still pursue fellowship training for reasons that are little understood. In addition to certain subspecialties and procedures, practice management remains deficient in neurology training and is a point of future insecurity for most residents. Future curriculum changes should consider resident-reported gaps in knowledge, with careful consideration of improving business training. © 2016 American Academy of Neurology.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: MOBILE SOURCE RETROFIT AIR POLLUTION CONTROL DEVICES: CLEAN CLEAR FUEL TECHNOLOGIES, INC.’S, UNIVERSAL FUEL CELL

Science.gov (United States)

The U.S. EPA's Office of Research and Development operates the Environmental Technology Verification (ETV) program to facilitate the deployment of innovative technologies through performance verification and information dissemination. Congress funds ETV in response to the belief ...

Technical safety requirements control level verification; TOPICAL

International Nuclear Information System (INIS)

STEWART, J.L.

1999-01-01

A Technical Safety Requirement (TSR) control level verification process was developed for the Tank Waste Remediation System (TWRS) TSRs at the Hanford Site in Richland, WA, at the direction of the US. Department of Energy, Richland Operations Office (RL). The objective of the effort was to develop a process to ensure that the TWRS TSR controls are designated and managed at the appropriate levels as Safety Limits (SLs), Limiting Control Settings (LCSs), Limiting Conditions for Operation (LCOs), Administrative Controls (ACs), or Design Features. The TSR control level verification process was developed and implemented by a team of contractor personnel with the participation of Fluor Daniel Hanford, Inc. (FDH), the Project Hanford Management Contract (PHMC) integrating contractor, and RL representatives. The team was composed of individuals with the following experience base: nuclear safety analysis; licensing; nuclear industry and DOE-complex TSR preparation/review experience; tank farm operations; FDH policy and compliance; and RL-TWRS oversight. Each TSR control level designation was completed utilizing TSR control logic diagrams and TSR criteria checklists based on DOE Orders, Standards, Contractor TSR policy, and other guidance. The control logic diagrams and criteria checklists were reviewed and modified by team members during team meetings. The TSR control level verification process was used to systematically evaluate 12 LCOs, 22 AC programs, and approximately 100 program key elements identified in the TWRS TSR document. The verification of each TSR control required a team consensus. Based on the results of the process, refinements were identified and the TWRS TSRs were modified as appropriate. A final report documenting key assumptions and the control level designation for each TSR control was prepared and is maintained on file for future reference. The results of the process were used as a reference in the RL review of the final TWRS TSRs and control suite. RL

Preparation of the accounting entity for verification of the final accounts

OpenAIRE

Kučerová, Monika

2009-01-01

Bachelor's thesis deals with preparation of the accounting entity for verification of the final accounts. The work includes the definition of the accounting entity, also includes information about preparation of final accounts and deals with report of auditor.

Evaluation of otolaryngology residency program websites.

Science.gov (United States)

Svider, Peter F; Gupta, Amar; Johnson, Andrew P; Zuliani, Giancarlo; Shkoukani, Mahdi A; Eloy, Jean Anderson; Folbe, Adam J

2014-10-01

Prior to applying or interviewing, most prospective applicants turn to the Internet when evaluating residency programs, making maintenance of a comprehensive website critical. While certain "intangibles" such as reputation may not be communicated effectively online, residency websites are invaluable for conveying other aspects of a program. Prior analyses have reported that certain criteria such as research experience and didactics are important considerations for applicants. To evaluate the comprehensiveness of otolaryngology residency websites. Review of otolaryngology residency program websites. Websites of 99 civilian residency programs were searched for the presence of 23 criteria. Presence of 23 criteria for application process, incentives, instruction, research, clinical training, and other. Only 5 programs contained at least three-quarters of the criteria analyzed; on average programs reported less than 50% of information sought. Among the 99 residency program websites, a description of the following criteria was noted: comprehensive faculty listing (88%), didactics (80%), contact e-mail (77%), current residents (74%), description of facilities (70%), intern schedule (70%), research requirements (69%), otolaryngology rotation schedule (64%), other courses (61%), ERAS (Electronic Residency Application Service) link (55%), year-to-year responsibility progression (47%), call schedule (40%), active/past research projects (37%), area information (34%), message from the program director (33%) or chair (23%), selection criteria (30%), salary (directly on site) (23%), surgical statistics (18%), parking (9%), and meal allowance (7%). The mean (SD) percentage present of factors encompassing "clinical training" was 55% (23%), significantly higher than the mean (SD) percentage of factors covered under the "incentives" category (19% [11%]; P = .01). The proportion of overall criteria present on websites did not differ on organizing programs by region (range, 42

Depression recognition and capacity for self-report among ethnically diverse nursing homes residents: Evidence of disparities in screening.

Science.gov (United States)

Chun, Audrey; Reinhardt, Joann P; Ramirez, Mildred; Ellis, Julie M; Silver, Stephanie; Burack, Orah; Eimicke, Joseph P; Cimarolli, Verena; Teresi, Jeanne A

2017-12-01

To examine agreement between Minimum Data Set clinician ratings and researcher assessments of depression among ethnically diverse nursing home residents using the 9-item Patient Health Questionnaire. Although depression is common among nursing homes residents, its recognition remains a challenge. Observational baseline data from a longitudinal intervention study. Sample of 155 residents from 12 long-term care units in one US facility; 50 were interviewed in Spanish. Convergence between clinician and researcher ratings was examined for (i) self-report capacity, (ii) suicidal ideation, (iii) at least moderate depression, (iv) Patient Health Questionnaire severity scores. Experiences by clinical raters using the depression assessment were analysed. The intraclass correlation coefficient was used to examine concordance and Cohen's kappa to examine agreement between clinicians and researchers. Moderate agreement (κ = 0.52) was observed in determination of capacity and poor to fair agreement in reporting suicidal ideation (κ = 0.10-0.37) across time intervals. Poor agreement was observed in classification of at least moderate depression (κ = -0.02 to 0.24), lower than the maximum kappa obtainable (0.58-0.85). Eight assessors indicated problems assessing Spanish-speaking residents. Among Spanish speakers, researchers identified 16% with Patient Health Questionnaire scores of 10 or greater, and 14% with thoughts of self-harm whilst clinicians identified 6% and 0%, respectively. This study advances the field of depression recognition in long-term care by identification of possible challenges in assessing Spanish speakers. Use of the Patient Health Questionnaire requires further investigation, particularly among non-English speakers. Depression screening for ethnically diverse nursing home residents is required, as underreporting of depression and suicidal ideation among Spanish speakers may result in lack of depression recognition and referral for evaluation and

Blended Learning in Obstetrics and Gynecology Resident Education: Impact on Resident Clinical Performance.

Science.gov (United States)

Ghareeb, Allen; Han, Heeyoung; Delfino, Kristin; Taylor, Funminiyi

2016-01-01

Effects of residents' blended learning on their clinical performance have rarely been reported. A blended learning pilot program was instituted at Southern Illinois University School of Medicine's Obstetrics and Gynecology program. One of the modules was chronic hypertension in pregnancy. We sought to evaluate if the resident blended learning was transferred to their clinical performance six months after the module. A review of patient charts demonstrated inadequate documentation of history, evaluation, and counseling of patients with chronic hypertension at the first prenatal visit by Obstetrics and Gynecology (OB/GYN) residents. A blended learning module on chronic hypertension in pregnancy was then provided to the residents. A retrospective chart review was then performed to assess behavioral changes in the OB/GYN residents. This intervention was carried out at the Department of Obstetrics and Gynecology, Southern Illinois University. All 16 OB/GYN residents were enrolled in this module as part of their educational curriculum. A query of all prenatal patients diagnosed with chronic hypertension presenting to the OB/GYN resident clinics four months prior to the implementation of the blended learning module (March 2015-June 2015) and six months after (July 20, 2015-February 2016) was performed. Data were collected from outpatient charts utilizing the electronic medical record. Data were abstracted from resident documentation at the first prenatal visit. The residents thought that the blended learning module was applicable to performance improvement in the real-world setting. Patients evaluated before ( n = 10) and after ( n = 7) the intervention were compared. After the intervention, there was an increase in assessment of baseline liver enzymes, referral for electrocardiogram, and early assessment for diabetes in the obese patients. More patients were provided a blood pressure cuff after the module (71.4% vs. 20%). Data were provided to the residents in an

Useful but Different: Resident Physician Perceptions of Interprofessional Feedback.

Science.gov (United States)

Vesel, Travis P; O'Brien, Bridget C; Henry, Duncan M; van Schaik, Sandrijn M

2016-01-01

Phenomenon: Based on recently formulated interprofessional core competencies, physicians are expected to incorporate feedback from other healthcare professionals. Based on social identity theory, physicians likely differentiate between feedback from members of their own profession and others. The current study examined residents' experiences with, and perceptions of, interprofessional feedback. In 2013, Anesthesia, Obstetrics-Gynecology, Pediatrics, and Psychiatry residents completed a survey including questions about frequency of feedback from different professionals and its perceived value (5-point scale). The authors performed an analysis of variance to examine interactions between residency program and profession of feedback provider. They conducted follow-up interviews with a subset of residents to explore reasons for residents' survey ratings. Fifty-two percent (131/254) of residents completed the survey, and 15 participated in interviews. Eighty percent of residents reported receiving written feedback from physicians, 26% from nurses, and less than 10% from other professions. There was a significant interaction between residency program and feedback provider profession, F(21, 847) = 3.82, p feedback provider profession, F(7, 847) = 73.7, p feedback from attending physicians higher than feedback from others, and anesthesia residents rated feedback from other professionals significantly lower than other residents. Ten major themes arose from qualitative data analysis, which revealed an overall positive attitude toward interprofessional feedback and clarified reasons behind residents' perceptions and identified barriers. Insights: Residents in our study reported limited exposure to interprofessional feedback and valued such feedback less than intraprofessional feedback. However, our data suggest opportunities exist for effective utilization of interprofessional feedback.

MDS 2.0 Public Quality Indicator and Resident Reports

Data.gov (United States)

U.S. Department of Health & Human Services — The Minimum Data Set (MDS) is part of the federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This...

Environmental Technology Verification Report for Abraxis Ecologenia® 17β-Estradiol (E2) Microplate Enzyme-Linked Immunosorbent Assay (ELISA) Test Kits

Science.gov (United States)

This verification test was conducted according to procedures specifiedin the Test/QA Planfor Verification of Enzyme-Linked Immunosorbent Assay (ELISA) Test Kis for the Quantitative Determination of Endocrine Disrupting Compounds (EDCs) in Aqueous Phase Samples. Deviations to the...

General medicine vs subspecialty career plans among internal medicine residents.

Science.gov (United States)

West, Colin P; Dupras, Denise M

2012-12-05

Current medical training models in the United States are unlikely to produce sufficient numbers of general internists and primary care physicians. Differences in general internal medicine (GIM) career plans between internal medicine residency program types and across resident demographics are not well understood. To evaluate the general medicine career plans of internal medicine residents and how career plans evolve during training. A study of US internal medicine residents using an annual survey linked to the Internal Medicine In-Training Examination taken in October of 2009-2011 to evaluate career plans by training program, sex, and medical school location. Of 67,207 US eligible categorical and primary care internal medicine residents, 57,087 (84.9%) completed and returned the survey. Demographic data provided by the National Board of Medical Examiners were available for 52,035 (77.4%) of these residents, of whom 51,390 (76.5%) responded to all survey items and an additional 645 (1.0%) responded to at least 1 survey item. Data were analyzed from the 16,781 third-year residents (32.2%) in this sample. Self-reported ultimate career plans of internal medicine residents. A GIM career plan was reported by 3605 graduating residents (21.5%). A total of 562 primary care program (39.6%) and 3043 categorical (19.9%) residents reported GIM as their ultimate career plan (adjusted odds ratio [AOR], 2.76; 99% CI, 2.35-3.23; P international medical graduates (22.0% vs 21.1%, respectively; AOR, 1.76; 99% CI, 1.50-2.06; P international medical graduates (57.3% vs 27.3%, respectively; AOR, 3.48; 99% CI, 2.58-4.70; P internal medicine residents, including those in primary care training programs, and differed according to resident sex, medical school location, and program type.

Association of General Surgery Resident Remediation and Program Director Attitudes With Resident Attrition.

Science.gov (United States)

Schwed, Alexander C; Lee, Steven L; Salcedo, Edgardo S; Reeves, Mark E; Inaba, Kenji; Sidwell, Richard A; Amersi, Farin; Are, Chandrakanth; Arnell, Tracey D; Damewood, Richard B; Dent, Daniel L; Donahue, Timothy; Gauvin, Jeffrey; Hartranft, Thomas; Jacobsen, Garth R; Jarman, Benjamin T; Melcher, Marc L; Mellinger, John D; Morris, Jon B; Nehler, Mark; Smith, Brian R; Wolfe, Mary; Kaji, Amy H; de Virgilio, Christian

2017-12-01

program, and 18 (21.2%) exited graduate medical education altogether. Each program had an annual attrition rate ranging from 0.73% to 6.0% (median [IQR], 2.5% [1.5%-3.4%]). Low-attrition programs were more likely than high-attrition programs to use resident remediation (21.0% vs 6.8%; P < .001). Median (IQR) Qualifying Examination pass rates (93% [90%-98%] vs 92% [86%-100%]; P = .92) and Certifying Examination pass rates (83% [68%-84%] vs 81% [71%-86%]; P = .47) were similar. Program directors at high-attrition programs were more likely than their counterparts at low-attrition programs to agree with this statement: "I feel that it is my responsibility as a program director to redirect residents who should not be surgeons." The overall 5-year attrition rate of 8.8% was significantly lower than previously reported. Program directors at low-attrition programs were more likely to use resident remediation. Variations in attrition may be explained by program director attitudes, although larger studies are needed to further define program factors affecting attrition.

Child Neurology Education for Pediatric Residents.

Science.gov (United States)

Albert, Dara V F; Patel, Anup D; Behnam-Terneus, Maria; Sautu, Beatriz Cunill-De; Verbeck, Nicole; McQueen, Alisa; Fromme, H Barrett; Mahan, John D

2017-03-01

The aim of this study was to evaluate whether the current state of child neurology education during pediatric residency provides adequate preparation for pediatric practice. A survey was sent to recent graduates from 3 pediatric residency programs to assess graduate experience, perceived level of competence, and desire for further education in child neurology. Responses from generalists versus subspecialists were compared. The response rate was 32%, half in general pediatric practice. Only 22% feel very confident in approaching patients with neurologic problems. This may represent the best-case scenario as graduates from these programs had required neurology experiences, whereas review of Accreditation Council of Graduate Medical Education-accredited residency curricula revealed that the majority of residencies do not. Pediatric neurologic problems are common, and pediatric residency graduates do encounter such problems in practice. The majority of pediatricians report some degree of confidence; however, some clear areas for improvement are apparent.

Text messaging among residents and faculty in a university general surgery residency program: prevalence, purpose, and patient care.

Science.gov (United States)

Shah, Dhruvil R; Galante, Joseph M; Bold, Richard J; Canter, Robert J; Martinez, Steve R

2013-01-01

There is little information about the use of text messaging (texting) devices among resident and faculty physicians for patient-related care (PRC). To determine the prevalence, frequency, purpose, and concerns regarding texting among resident and attending surgeons and to identify factors associated with PRC texting. E-mail survey. University medical center and its affiliated hospitals. Surgery resident and attending staff. Prevalence, frequency, purpose, and concerns regarding patient-related care text messaging. Overall, 73 (65%) surveyed physicians responded, including 45 resident (66%) and 28 attending surgeons (62%). All respondents owned a texting device. Majority of surgery residents (88%) and attendings (71%) texted residents, whereas only 59% of residents and 65% of attendings texted other faculty. Most resident to resident text occurred at a frequency of 3-5 times/d (43%) compared with most attending to resident texts, which occurred 1-2 times/d (33%). Most resident to attending (25%) and attending to attending (30%) texts occurred 1-2 times/d. Among those that texted, PRC was the most frequently reported purpose for resident to resident (46%), resident to attending (64%), attending to resident (82%), and attending to other attending staff (60%) texting. Texting was the most preferred method to communicate about routine PRC (47% of residents vs 44% of attendings). Age (OR: 0.86, 95% CI: 0.79-0.95; p = 0.003), but not sex, specialty/clinical rotation, academic rank, or postgraduate year (PGY) level predicted PRC texting. Most resident and attending staff surveyed utilize texting, mostly for PRC. Texting was preferred for communicating routine PRC information. Our data may facilitate the development of guidelines for the appropriate use of PRC texting. Copyright © 2013 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Verification of safety critical software

International Nuclear Information System (INIS)

Son, Ki Chang; Chun, Chong Son; Lee, Byeong Joo; Lee, Soon Sung; Lee, Byung Chai

1996-01-01

To assure quality of safety critical software, software should be developed in accordance with software development procedures and rigorous software verification and validation should be performed. Software verification is the formal act of reviewing, testing of checking, and documenting whether software components comply with the specified requirements for a particular stage of the development phase[1]. New software verification methodology was developed and was applied to the Shutdown System No. 1 and 2 (SDS1,2) for Wolsung 2,3 and 4 nuclear power plants by Korea Atomic Energy Research Institute(KAERI) and Atomic Energy of Canada Limited(AECL) in order to satisfy new regulation requirements of Atomic Energy Control Boars(AECB). Software verification methodology applied to SDS1 for Wolsung 2,3 and 4 project will be described in this paper. Some errors were found by this methodology during the software development for SDS1 and were corrected by software designer. Outputs from Wolsung 2,3 and 4 project have demonstrated that the use of this methodology results in a high quality, cost-effective product. 15 refs., 6 figs. (author)

Future of monitoring and verification

International Nuclear Information System (INIS)

Wagenmakers, H.

1991-01-01

The organized verification entrusted to IAEA for the implementation of the NPT, of the Treaty of Tlatelolco and of the Treaty of Rarotonga, reaches reasonable standards. The current dispute with the Democratic People's Republic of Korea about the conclusion of a safeguards agreement with IAEA, by its exceptional nature, underscores rather than undermines the positive judgement to be passed on IAEA's overall performance. The additional task given to the Director General of IAEA under Security Council resolution 687 (1991) regarding Iraq's nuclear-weapons-usable material is particularly challenging. For the purposes of this paper, verification is defined as the process for establishing whether the States parties are complying with an agreement. In the final stage verification may lead into consideration of how to respond to non-compliance. Monitoring is perceived as the first level in the verification system. It is one generic form of collecting information on objects, activities or events and it involves a variety of instruments ranging from communications satellites to television cameras or human inspectors. Monitoring may also be used as a confidence-building measure

Verification and accreditation schemes for climate change activities: A review of requirements for verification of greenhouse gas reductions and accreditation of verifiers—Implications for long-term carbon sequestration

Science.gov (United States)

Roed-Larsen, Trygve; Flach, Todd

The purpose of this chapter is to provide a review of existing national and international requirements for verification of greenhouse gas reductions and associated accreditation of independent verifiers. The credibility of results claimed to reduce or remove anthropogenic emissions of greenhouse gases (GHG) is of utmost importance for the success of emerging schemes to reduce such emissions. Requirements include transparency, accuracy, consistency, and completeness of the GHG data. The many independent verification processes that have developed recently now make up a quite elaborate tool kit for best practices. The UN Framework Convention for Climate Change and the Kyoto Protocol specifications for project mechanisms initiated this work, but other national and international actors also work intensely with these issues. One initiative gaining wide application is that taken by the World Business Council for Sustainable Development with the World Resources Institute to develop a "GHG Protocol" to assist companies in arranging for auditable monitoring and reporting processes of their GHG activities. A set of new international standards developed by the International Organization for Standardization (ISO) provides specifications for the quantification, monitoring, and reporting of company entity and project-based activities. The ISO is also developing specifications for recognizing independent GHG verifiers. This chapter covers this background with intent of providing a common understanding of all efforts undertaken in different parts of the world to secure the reliability of GHG emission reduction and removal activities. These verification schemes may provide valuable input to current efforts of securing a comprehensive, trustworthy, and robust framework for verification activities of CO2 capture, transport, and storage.

Concepts for inventory verification in critical facilities

International Nuclear Information System (INIS)

Cobb, D.D.; Sapir, J.L.; Kern, E.A.; Dietz, R.J.

1978-12-01

Materials measurement and inventory verification concepts for safeguarding large critical facilities are presented. Inspection strategies and methods for applying international safeguards to such facilities are proposed. The conceptual approach to routine inventory verification includes frequent visits to the facility by one inspector, and the use of seals and nondestructive assay (NDA) measurements to verify the portion of the inventory maintained in vault storage. Periodic verification of the reactor inventory is accomplished by sampling and NDA measurement of in-core fuel elements combined with measurements of integral reactivity and related reactor parameters that are sensitive to the total fissile inventory. A combination of statistical sampling and NDA verification with measurements of reactor parameters is more effective than either technique used by itself. Special procedures for assessment and verification for abnormal safeguards conditions are also considered. When the inspection strategies and inventory verification methods are combined with strict containment and surveillance methods, they provide a high degree of assurance that any clandestine attempt to divert a significant quantity of fissile material from a critical facility inventory will be detected. Field testing of specific hardware systems and procedures to determine their sensitivity, reliability, and operational acceptability is recommended. 50 figures, 21 tables

Verification and Examination Management of Complex Systems

Directory of Open Access Journals (Sweden)

Stian Ruud

2014-10-01

Full Text Available As ship systems become more complex, with an increasing number of safety-critical functions, many interconnected subsystems, tight integration to other systems, and a large amount of potential failure modes, several industry parties have identified the need for improved methods for managing the verification and examination efforts of such complex systems. Such needs are even more prominent now that the marine and offshore industries are targeting more activities and operations in the Arctic environment. In this paper, a set of requirements and a method for verification and examination management are proposed for allocating examination efforts to selected subsystems. The method is based on a definition of a verification risk function for a given system topology and given requirements. The marginal verification risks for the subsystems may then be evaluated, so that examination efforts for the subsystem can be allocated. Two cases of requirements and systems are used to demonstrate the proposed method. The method establishes a systematic relationship between the verification loss, the logic system topology, verification method performance, examination stop criterion, the required examination effort, and a proposed sequence of examinations to reach the examination stop criterion.

Verification and validation guidelines for high integrity systems. Volume 1

Energy Technology Data Exchange (ETDEWEB)

Hecht, H.; Hecht, M.; Dinsmore, G.; Hecht, S.; Tang, D. [SoHaR, Inc., Beverly Hills, CA (United States)

1995-03-01

High integrity systems include all protective (safety and mitigation) systems for nuclear power plants, and also systems for which comparable reliability requirements exist in other fields, such as in the process industries, in air traffic control, and in patient monitoring and other medical systems. Verification aims at determining that each stage in the software development completely and correctly implements requirements that were established in a preceding phase, while validation determines that the overall performance of a computer system completely and correctly meets system requirements. Volume I of the report reviews existing classifications for high integrity systems and for the types of errors that may be encountered, and makes recommendations for verification and validation procedures, based on assumptions about the environment in which these procedures will be conducted. The final chapter of Volume I deals with a framework for standards in this field. Volume II contains appendices dealing with specific methodologies for system classification, for dependability evaluation, and for two software tools that can automate otherwise very labor intensive verification and validation activities.

Verification and validation guidelines for high integrity systems. Volume 1

International Nuclear Information System (INIS)

Hecht, H.; Hecht, M.; Dinsmore, G.; Hecht, S.; Tang, D.

1995-03-01

High integrity systems include all protective (safety and mitigation) systems for nuclear power plants, and also systems for which comparable reliability requirements exist in other fields, such as in the process industries, in air traffic control, and in patient monitoring and other medical systems. Verification aims at determining that each stage in the software development completely and correctly implements requirements that were established in a preceding phase, while validation determines that the overall performance of a computer system completely and correctly meets system requirements. Volume I of the report reviews existing classifications for high integrity systems and for the types of errors that may be encountered, and makes recommendations for verification and validation procedures, based on assumptions about the environment in which these procedures will be conducted. The final chapter of Volume I deals with a framework for standards in this field. Volume II contains appendices dealing with specific methodologies for system classification, for dependability evaluation, and for two software tools that can automate otherwise very labor intensive verification and validation activities

Prevalence and management of pain, by race and dementia among nursing home residents: United States, 2004.

Science.gov (United States)

Sengupta, Manisha; Bercovitz, Anita; Harris-Kojetin, Lauren D

2010-03-01

Data from the National Nursing Home Survey, 2004. About one-quarter of all nursing home residents reported or showed signs of pain. Nonwhite residents and residents with dementia were less likely to report or show signs of pain compared with white residents and residents without dementia. Nonwhite residents with dementia were least likely, and white residents without dementia were most likely to report or show signs of pain. Forty-four percent of nursing home residents with pain received neither standing orders for pain medication nor special services for pain management (i.e., appropriate pain management). Among residents with dementia and pain, nonwhite residents were more likely than white residents to lack appropriate pain management.

Money matters: a resident curriculum for financial management.

Science.gov (United States)

Mizell, Jason S; Berry, Katherine S; Kimbrough, Mary Katherine; Bentley, Frederick R; Clardy, James A; Turnage, Richard H

2014-12-01

A 2005 survey reported 87% of surgery program directors believed practice management training should occur during residency. However, only 8% of program directors believed residents received adequate training in practice management [1]. In addition to the gap in practice financial management knowledge, we recognized the need for training in personal finance among residents. A literature review and needs assessment led to the development of a novel curriculum for surgery residents combining principles of practice management and personal finance. An 18-h curriculum was administered over the 2012 academic year to 28 post graduate year 1-5 surgery residents and faculty. A self-assessment survey was given at the onset and conclusion of the curriculum [2]. Pre-tests and post-tests were given to objectively evaluate each twice monthly session's content. Self-perception of learning, interest, and acquired knowledge were analyzed using the Wilcoxon signed ranks test. Initial self-assessment data revealed high interest in practice management and personal finance principles but a deficiency in knowledge of and exposure to these topics. Throughout the curriculum, interest increased. Residents believed their knowledge of these topics increased after completing the curriculum, and objective data revealed various impacts on knowledge. Although surgery residents receive less exposure to these topics than residents in other specialties, their need to know is no less. We developed, implemented, and evaluated a curriculum that bridged this gap in surgery education. After the curriculum, residents reported an increase in interest, knowledge, and responsible behavior relating to personal and practice financial management. Copyright © 2014 Elsevier Inc. All rights reserved.

Does being a chief resident predict leadership in pediatric careers?

Science.gov (United States)

Alpert, J J; Levenson, S M; Osman, C J; James, S

2000-04-01

Many organizations make efforts to identify future pediatric leaders, often focusing on chief residents (CRs). Identifying future leaders is an issue of great importance not only to the ultimate success of the organization but also to the profession. Because little is known regarding whether completing a CR predicts future leadership in medicine, we sought to determine if former pediatric CRs when compared with pediatric residents who were not CRs reported more often that they were leaders in their profession. Twenty-four pediatric training programs stratified by resident size (36) and geography (East, South, Midwest, and West) were selected randomly from the Graduate Medical Education Directory (American Medical Association, Chicago, IL). Program directors were contacted by mail and telephone and asked to provide their housestaff rosters from 1965-1985. The resulting resident sample was surveyed by questionnaire in 1995. Fifteen of 17 program directors (88%) who possessed the requested data provided 1965-1985 rosters yielding a sample of 963 residents. Fifty-five percent of the resident sample (533) responded. Fifty-eight of the respondents had not completed a pediatric residency, leaving a survey sample of 475. Thirty-four percent (163) were CRs. The sample had a mean age of 47, 67% were male and 87% married. Fellowships were completed by 51%. More former CRs compared with non-CRs (75% vs 64%), more former fellows than non-fellows (75% vs 60%) and more males than females (74% vs 55%) reported they were professional leaders. These associations persisted in a logistic regression that controlled for CR status, gender, marital status, and fellowship status as leadership predictors. Former CRs, former fellows, and men were, respectively, 1.8, 2.3, and 2.3 times more likely to report professional leadership. Pediatric residents who were former CRs and/or fellows, and males were more likely to report professional leadership. Although men were more likely to report

A phenomenologic investigation of pediatric residents' experiences being parented and giving parenting advice.

Science.gov (United States)

Bax, A C; Shawler, P M; Blackmon, D L; DeGrace, E W; Wolraich, M L

2016-09-01

Factors surrounding pediatricians' parenting advice and training on parenting during residency have not been well studied. The primary purpose of this study was to examine pediatric residents' self-reported experiences giving parenting advice and explore the relationship between parenting advice given and types of parenting residents received as children. Thirteen OUHSC pediatric residents were individually interviewed to examine experiences being parented and giving parenting advice. Phenomenological methods were used to explicate themes and secondary analyses explored relationships of findings based upon Baumrind's parenting styles (authoritative, authoritarian, permissive). While childhood experiences were not specifically correlated to the parenting advice style of pediatric residents interviewed, virtually all reported relying upon childhood experiences to generate their advice. Those describing authoritative parents reported giving more authoritative advice while others reported more variable advice. Core interview themes related to residents' parenting advice included anxiety about not being a parent, varying advice based on families' needs, and emphasis of positive interactions and consistency. Themes related to how residents were parented included discipline being a learning process for their parents and recalling that their parents always had expectations, yet always loved them. Pediatric residents interviewed reported giving family centered parenting advice with elements of positive interactions and consistency, but interviews highlighted many areas of apprehension residents have around giving parenting advice. Our study suggests that pediatric residents may benefit from more general educational opportunities to develop the content of their parenting advice, including reflecting on any impact from their own upbringing.

Customized Nudging to Improve FAFSA Completion and Income Verification

Science.gov (United States)

Page, Lindsay; Castleman, Benjamin L.

2016-01-01

For most students from low- or moderate-income families, successfully completing the Free Application for Federal Student Aid (FAFSA) is a crucial gateway on the path to college access. However, FAFSA filing and income verification tasks pose substantial barriers to college access for low-income students. In this paper, the authors report on a…

Verification of the MOTIF code version 3.0

International Nuclear Information System (INIS)

Chan, T.; Guvanasen, V.; Nakka, B.W.; Reid, J.A.K.; Scheier, N.W.; Stanchell, F.W.

1996-12-01

As part of the Canadian Nuclear Fuel Waste Management Program (CNFWMP), AECL has developed a three-dimensional finite-element code, MOTIF (Model Of Transport In Fractured/ porous media), for detailed modelling of groundwater flow, heat transport and solute transport in a fractured rock mass. The code solves the transient and steady-state equations of groundwater flow, solute (including one-species radionuclide) transport, and heat transport in variably saturated fractured/porous media. The initial development was completed in 1985 (Guvanasen 1985) and version 3.0 was completed in 1986. This version is documented in detail in Guvanasen and Chan (in preparation). This report describes a series of fourteen verification cases which has been used to test the numerical solution techniques and coding of MOTIF, as well as demonstrate some of the MOTIF analysis capabilities. For each case the MOTIF solution has been compared with a corresponding analytical or independently developed alternate numerical solution. Several of the verification cases were included in Level 1 of the International Hydrologic Code Intercomparison Project (HYDROCOIN). The MOTIF results for these cases were also described in the HYDROCOIN Secretariat's compilation and comparison of results submitted by the various project teams (Swedish Nuclear Power Inspectorate 1988). It is evident from the graphical comparisons presented that the MOTIF solutions for the fourteen verification cases are generally in excellent agreement with known analytical or numerical solutions obtained from independent sources. This series of verification studies has established the ability of the MOTIF finite-element code to accurately model the groundwater flow and solute and heat transport phenomena for which it is intended. (author). 20 refs., 14 tabs., 32 figs

Low-Intrusion Techniques and Sensitive Information Management for Warhead Counting and Verification: FY2011 Annual Report

Energy Technology Data Exchange (ETDEWEB)

Jarman, Kenneth D.; Robinson, Sean M.; McDonald, Benjamin S.; Gilbert, Andrew J.; Misner, Alex C.; Pitts, W. Karl; White, Timothy A.; Seifert, Allen; Miller, Erin A.

2011-09-01

Future arms control treaties may push nuclear weapons limits to unprecedented low levels and may entail precise counting of warheads as well as distinguishing between strategic and tactical nuclear weapons. Such advances will require assessment of form and function to confidently verify the presence or absence of nuclear warheads and/or their components. Imaging with penetrating radiation can provide such an assessment and could thus play a unique role in inspection scenarios. Yet many imaging capabilities have been viewed as too intrusive from the perspective of revealing weapon design details, and the potential for the release of sensitive information poses challenges in verification settings. A widely held perception is that verification through radiography requires images of sufficient quality that an expert (e.g., a trained inspector or an image-matching algorithm) can verify the presence or absence of components of a device. The concept of information barriers (IBs) has been established to prevent access to relevant weapon-design information by inspectors (or algorithms), and has, to date, limited the usefulness of radiographic inspection. The challenge of this project is to demonstrate that radiographic information can be used behind an IB to improve the capabilities of treaty-verification weapons-inspection systems.

Final report from VFL Technologies for the pilot-scale thermal treatment of Lower East Fork Poplar Creek floodplain soils. LEFPC appendices. Volume 6. Appendix VI-X

International Nuclear Information System (INIS)

1994-09-01

This final report from VFL Technologies for the pilot-scale thermal treatment of lower East Fork Poplar Creek floodplain soils dated September 1994 contains LEFPC Appendices, Volume 6, Appendix VI - X. These appendices cover the following areas: chain of custody, miscellaneous process calculations (residence time and orifice plate calculations), waste management (mercury and radiation confirmatory testing before and after final verification run), health and safety (training, respirator fit test and radiation work permits), and transportation (soil receipt documentation)

[Career plans of French residents in Psychiatry: results of a National Survey].

Science.gov (United States)

Berger-Vergiat, A; Chauvelin, L; Van Effenterre, A

2015-02-01

For many years, the numerus clausus limiting the number of medical students has increased in France. The government wants to reform the residency process to homogenize medical studies. However, the suggested residency program changes would imply changes in the length of residency, in the mobility of residents after residency, their access to unconventional sectors, and more generally, the responsibility of the resident and his/her status in the hospital. In this context, we have investigated the future plans of all psychiatry residents in France. To study the desires of psychiatry residents in France, regarding their training, their short and long-term career plans, and to analyze the evolution of those desires over the last 40 years. A survey was carried out among residents in psychiatry from November 2011 to January 2012. An anonymous questionnaire including four parts (resident's description, residency training and trainees choice, orientation immediately after residency, professional orientation in 5-10 years) was sent by the French Federative Association of Psychiatrists Trainees (AFFEP) to all French psychiatrist trainees, through their local trainee associations (n=26) and through an on line questionnaire. The questionnaire was answered by 853 of the 1615 psychiatry residents (53%), of which 71% were women. At the end of the residency, 76% of residents reported that they would like to pursue a post-residency position (chief resident, senior physician assistant university hospitals); 22% reported wanting to work in another city. Between 5 to 10 years after completion of the residency, 71% reported wanting to work in a hospital, and 40% preferred to have their own private practice. Almost a third of the trainees wished to work in the child and adolescent psychiatry field, for some of them in an exclusive way, for others, combined with a practice in adult psychiatry. Copyright © 2013 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

When the Reading Room Meets the Team Room: Resident Perspectives From Radiology and Internal Medicine on the Effect of Personal Communication After Implementing a Resident-Led Radiology Rounds.

Science.gov (United States)

Klobuka, Andrew J; Lee, John; Buranosky, Raquel; Heller, Matthew

2018-02-13

Current radiology and internal medicine (IM) residents have trained to varying degrees depending on program in the post picture archiving and communication systems implementation era and thus have largely missed out on the benefits of in-person, 2-way communication between radiologists and consulting clinicians. The purpose of this study is to broadly explore resident perspectives from these groups on the desire for personal contact between radiologists and referring physicians and the effect of improved contact on clinical practice. A radiology rounds was implemented in which radiology residents travel to the IM teaching service teams to discuss their inpatients and review ordered imaging biweekly. Surveys were given to both cohorts following 9 months of implementation. A total of 23/49 diagnostic radiology (DR) and 72/197 IM residents responded. In all, 83% of DR and 96% of IM residents desired more personal contact between radiologists and clinicians. Of all, 92% of DR residents agree that contact with referring clinicians changes their approach to a study, 96% of IM residents agree that personal contact with a radiologist has changed patient management in a way that they otherwise would not have done having simply read a report, 85% of DR residents report that more clinician contact will improve resource use, and 96% report that it will improve care quality. Furthermore, 99% of IM residents report that increased access to a radiologist would make selecting the most appropriate imaging study easier in various clinical scenarios. A majority of IM residents prefer radiology reports that provide specific next-step recommendations and that include arrows/key-image series. We conclude that the newest generation of physicians is already attuned to the value of a radiologist who plays an active, in-person role in the clinical decision-making process. Copyright © 2018 Elsevier Inc. All rights reserved.

Methodology and applicability of a safety and demonstration concept for a HAW final repository on clays. Safety concept and verification strategy

International Nuclear Information System (INIS)

Ruebel, Andre; Meleshyn, Artur

2014-08-01

The report describes the site independent frame for a safety concept and verification strategy for a final repository for heat generating wastes in clay rock. In the safety concept planning specifications and technical measures are summarized that are supposed to allow a safe inclusion of radionuclides in the host rock. The verification strategy defines the systematic procedures for the development of fundamentals and scenarios as basis for the demonstration of the safety case and to allow the prognosis of appropriateness. The report includes the boundary conditions, the safety concept for the post-closure phase and the verification strategy for the post-closure phase.

Report on the actual conditions of the radiation exposed residents near the former Semipalatinsk nuclear test site

International Nuclear Information System (INIS)

Kawano, Noriyuki; Taooka, Yasuyuki; Hiraoka, Takashi; Hoshi, Masaharu; Zhumadilov Zhaxybay Shaimardanovich

2003-03-01

This report describes results of the investigation conducted in July 2002 on the health and exposure of the residents in the title of the Kazakhstan Republic, involving the summary of the investigation; hearing of the residents' health states and philological considerations; verbal evidences on the exposure around the Semipalatinsk nuclear test site and their analysis; impressions on the above hearing results; significance of the hearing results in relation to those in ''Hiroshima and Nagasaki''; perspective; and appendix materials (composing 1/2 volume of the report) on the investigation schedule and participants, questionnaire in Japanese and Russian, their actual answering examples in Russian and Kazakhstan languages, pictures drawn in the answering, and appeared newspaper articles related to the present investigation. The exposure in Semipalatinsk is the low dose rate one occurring in the range of several weeks to months, differing from that in Hiroshima and Nagasaki (immediate exposure). Therefore, the present investigation that has been being done for 8 years, can give a novel knowledge on the effects of the low dose rate radiation on humans. (N.I.)

Do care homes deliver person-centred care? A cross-sectional survey of staff-reported abusive and positive behaviours towards residents from the MARQUE (Managing Agitation and Raising Quality of Life) English national care home survey.

Science.gov (United States)

Cooper, Claudia; Marston, Louise; Barber, Julie; Livingston, Deborah; Rapaport, Penny; Higgs, Paul; Livingston, Gill

2018-01-01

There are widespread concerns about abuse of care home residents. We report, in the largest care home survey, prevalence of staff anonymously-reported, perpetrated/witnessed abusive behaviours towards care home residents over 3 months. We also report positive care behaviours. 1544 staff in 92 English care home units completed the revised Modified Conflict Tactics Scale and Maslach Burnout Inventory. Most staff reported positive care behaviours, but specific person-centred activities were sometimes infrequent. Many care home staff were never or almost never aware of a resident being taken out of the home for their enjoyment (34%, n = 520); or an activity planned around a resident's interests (15%, n = 234). 763 (51%; 95% Confidence Interval (CI) 47% to 54%) of care home staff reported carrying out or observing potentially abusive or neglectful behaviours at least sometimes in the preceding 3 months; some abuse was reported as happening "at least sometimes" in 91/92 care homes. Neglect was most frequently reported: making a resident wait for care (n = 399, 26%), avoiding a resident with challenging behaviour (n = 391, 25%), giving residents insufficient time for food (n = 297, 19%), and taking insufficient care when moving residents (n = 169, 11%). 1.1% of staff reported physical and 5% verbal abuse. More staff reported abusive/neglectful behaviour in homes with higher staff burnout-depersonalisation scores (adjusted odds ratio 1.191, CI 1.052-1.349). Staff anonymous reports of abusive behaviour and neglect could be used to monitor care quality, as cases currently reported are probably tip of the iceberg, and be an outcome in intervention studies.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: NEW CONDENSATOR, INC.--THE CONDENSATOR DIESEL ENGINE RETROFIT CRANKCASE VENTILATION SYSTEM

Science.gov (United States)

EPA's Environmental Technology Verification Program has tested New Condensator Inc.'s Condensator Diesel Engine Retrofit Crankcase Ventilation System. Brake specific fuel consumption (BSFC), the ratio of engine fuel consumption to the engine power output, was evaluated for engine...

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT, GROUNDWATER SAMPLING TECHNOLOGIES, GEOPROBE INC., PNEUMATIC BLADDER PUMP GW 1400 SERIES

Science.gov (United States)

The U.S. Environmental Protection Agency (EPA) design efficient processes for conducting has created the Environmental Technology perfofl1lance tests of innovative technologies. Verification Program (E TV) to facilitate the deployment of innovative or improved environmental techn...

Independent Verification Survey Report for the Operable Unit-1 Landfill Miamisburg Closure Project, Miamisburg, OH

International Nuclear Information System (INIS)

Weaver, P.

2008-01-01

The objectives of the independent verification survey were to confirm that remedial actions have been effective in meeting established release criteria and that documentation accurately and adequately describes the current radiological and chemical conditions of the MCP site

Menopause education: needs assessment of American obstetrics and gynecology residents.

Science.gov (United States)

Christianson, Mindy S; Ducie, Jennifer A; Altman, Kristiina; Khafagy, Ayatallah M; Shen, Wen

2013-11-01

This study aims to understand the current teaching of menopause medicine in American obstetrics and gynecology residency programs. A Web-based survey was e-mailed to all American obstetrics and gynecology residency directors, with a request that they forward it to their residents. Of 258 residency program directors contacted, 79 (30.6%) confirmed forwarding the survey. In all, 1,799 people received the survey, with 510 completions, for a response rate of 28.3%. Most residents reported that they had limited knowledge and needed to learn more about these aspects of menopause medicine: pathophysiology of menopause symptoms (67.1%), hormone therapy (68.1%), nonhormone therapy (79.0%), bone health (66.1%), cardiovascular disease (71.7%), and metabolic syndrome (69.5%). Among fourth-year residents who will be entering clinical practice soon, a large proportion also reported a need to learn more in these areas: pathophysiology of menopause symptoms (45.9%), hormone therapy (54.2%), nonhormone therapy (69.4%), bone health (54.2%), cardiovascular disease (64.3%), and metabolic syndrome (63.8%). When asked to rate the most preferred modalities for learning about menopause, the top choice was supervised clinics (53.2%), followed by case presentations (22.2%), formal lectures (21.3%), small groups (14.7%), Web-based learning (7.8%), and independent reading (5.2%). Only 20.8% of residents reported that their program had a formal menopause medicine learning curriculum, and 16.3% had a defined menopause clinic as part of their residency. It seems that some American residency programs do not fulfill the educational goals of their residents in menopause medicine. A curriculum would be beneficial for increasing knowledge and clinical experience on menopause issues.

Sleep disturbances predict prospective declines in resident physicians’ psychological well-being

Directory of Open Access Journals (Sweden)

Alice A. Min

2015-07-01

Full Text Available Background: Medical residency can be a time of increased psychological stress and sleep disturbance. We examine the prospective associations between self-reported sleep quality and resident wellness across a single training year. Methods: Sixty-nine (N=69 resident physicians completed the Brief Resident Wellness Profile (M=17.66, standard deviation [SD]=3.45, range: 0–17 and the Pittsburgh Sleep Quality Index (M=6.22, SD=2.86, range: 12–25 at multiple occasions in a single training year. We examined the 1-month lagged effect of sleep disturbances on residents’ self-reported wellness. Results: Accounting for residents’ overall level of sleep disturbance across the entire study period, both the concurrent (within-person within-occasion effect of sleep disturbance (B=−0.20, standard error [SE]=0.06, p=0.003, 95% confidence interval [CI]: −0.33, −0.07 and the lagged within-person effect of resident sleep disturbance (B=−0.15, SE=0.07, p=0.037, 95% CI: −0.29, −0.009 were significant predictors of decreased resident wellness. Increases in sleep disturbances are a leading indicator of resident wellness, predicting decreased well-being 1 month later. Conclusions: Sleep quality exerts a significant effect on self-reported resident wellness. Periodic evaluation of sleep quality may alert program leadership and the residents themselves to impending decreases in psychological well-being.

REDD+ readiness: early insights on monitoring, reporting and verification systems of project developers

International Nuclear Information System (INIS)

Joseph, Shijo; Sunderlin, William D; Verchot, Louis V; Herold, Martin

2013-01-01

A functional measuring, monitoring, reporting and verification (MRV) system is essential to assess the additionality and impact on forest carbon in REDD+ (reducing emissions from deforestation and degradation) projects. This study assesses the MRV capacity and readiness of project developers at 20 REDD+ projects in Brazil, Peru, Cameroon, Tanzania, Indonesia and Vietnam, using a questionnaire survey and field visits. Nineteen performance criteria with 76 indicators were formulated in three categories, and capacity was measured with respect to each category. Of the 20 projects, 11 were found to have very high or high overall MRV capacity and readiness. At the regional level, capacity and readiness tended to be highest in the projects in Brazil and Peru and somewhat lower in Cameroon, Tanzania, Indonesia and Vietnam. Although the MRV capacities of half the projects are high, there are capacity deficiencies in other projects that are a source of concern. These are not only due to limitations in technical expertise, but can also be attributed to the slowness of international REDD+ policy formulation and the unclear path of development of the forest carbon market. Based on the study results, priorities for MRV development and increased investment in readiness are proposed. (letter)

Hypervelocity Wind Tunnel No. 9 Mach 7 Thermal Structural Facility Verification and Calibration

National Research Council Canada - National Science Library

Lafferty, John

1996-01-01

This report summarizes the verification and calibration of the new Mach 7 Thermal Structural Facility located at the White Oak, Maryland, site of the Dahlgren Division, Naval Surface Warfare Center...

Resident Preferences for Program Director Role in Wellness Management.

Science.gov (United States)

Kolarik, Russ C; O'Neal, Richard L; Ewing, Joseph A

2018-05-01

Burnout and depression are prevalent among resident physicians, though the supportive role of the program director (PD) is not well defined. To understand the residents' view of the residency program director's role in assessing and promoting resident wellness. A single institution survey of all house staff was conducted in 2017. Rates of burnout and depression were identified via the 2-item Maslach Burnout Inventory (MBI) and the Patient Health Questionaire-2 (PHQ-2), respectively. Residents then qualified their preferences for various assistance services and for the role of their program directors in assisting them. One-hundred sixty-one of 202 (79.7%) residents completed the survey. The rate of depression was 28%. Rates of emotional exhaustion and depersonalization (2-item MBI) were 44 and 62%, respectively. Only 4% of respondents had used the Employee Assistance Program (EAP) in the prior 12 months. Eighty-two percent of residents were in favor of PDs inquiring about wellness regardless of their job performance and only 1% of residents stated the PD should not inquire about wellness at all. Thirty-three percent of residents reported that they would be likely to contact EAP on their own if they felt unwell. Significantly more residents (62%) reported being more likely to contact EAP if recommended by their PD (33 vs 62%, p assistance were lack of time (65%), lack of knowledge of how to contact EAP (41%), and concerns about appearing weak (35%). Despite a high prevalence of burnout and depression, residents are unlikely to seek help on their own. Program directors have an important role in assessing and promoting the wellness of their residents. The majority of residents wants their PD to inquire about wellness and may be more likely to seek and receive help if recommended and facilitated by their PD.

ENVIRONMENTAL TECHNOLOGY PROTOCOL VERIFICATION REPORT, EMISSIONS OF VOCS AND ALDEHYDES FROM COMMERCIAL FURNITURE (WITH APPENDICES)

Science.gov (United States)

As part of a U.S. Environmental Protection Agency Environmental Technology Verification program, the Research Triangle Institute (RTI) developed a test protocol for measuring volatile organic compounds and aldehydes in a large chamber. RTI convened stakeholders for the commercial...

Face Verification for Mobile Personal Devices

NARCIS (Netherlands)

Tao, Q.

2009-01-01

In this thesis, we presented a detailed study of the face verification problem on the mobile device, covering every component of the system. The study includes face detection, registration, normalization, and verification. Furthermore, the information fusion problem is studied to verify face

Gender Verification of Female Olympic Athletes.

Science.gov (United States)

Dickinson, Barry D.; Genel, Myron; Robinowitz, Carolyn B.; Turner, Patricia L.; Woods, Gary L.

2002-01-01

Gender verification of female athletes has long been criticized by geneticists, endocrinologists, and others in the medical community. Recently, the International Olympic Committee's Athletic Commission called for discontinuation of mandatory laboratory-based gender verification of female athletes. This article discusses normal sexual…

Postoperative electrolyte management: Current practice patterns of surgeons and residents.

Science.gov (United States)

Angarita, Fernando A; Dueck, Andrew D; Azouz, Solomon M

2015-07-01

Managing postoperative electrolyte imbalances often is driven by dogma. To identify areas of improvement, we assessed the practice pattern of postoperative electrolyte management among surgeons and residents. An online survey was distributed among attending surgeons and surgical residents at the University of Toronto. The survey was designed according to a systematic approach for formulating self-administered questionnaires. Questions addressed workload, decision making in hypothetical clinical scenarios, and improvement strategies. Of 232 surveys distributed, 156 were completed (response rate: 67%). The majority stated that junior residents were responsible for managing electrolytes at 13 University of Toronto-affiliated hospitals. Supervision was carried out predominately by senior residents (75%). Thirteen percent reported management went unsupervised. Approximately 59% of residents were unaware how often attending surgeons assessed patients' electrolytes. Despite the majority of residents (53.7%) reporting they were never given tools or trained in electrolyte replacement, they considered themselves moderately or extremely confident. The management of hypothetical clinical scenarios differed between residents and attending surgeons. The majority (50.5%) of respondents considered that an electrolyte replacement protocol is the most appropriate improvement strategy. Electrolyte replacement represents an important component of surgeons' workload. Despite reporting that formal training in electrolyte management is limited, residents consider themselves competent; however, their practice is highly variable and often differs from pharmacologic-directed recommendations. Optimizing how postoperative electrolytes are managed in surgical wards requires building a framework that improves knowledge, training, and limits unnecessary interventions. Copyright © 2015 Elsevier Inc. All rights reserved.

Evaluating Dermatology Residency Program Websites.

Science.gov (United States)

Ashack, Kurt A; Burton, Kyle A; Soh, Jonathan M; Lanoue, Julien; Boyd, Anne H; Milford, Emily E; Dunnick, Cory; Dellavalle, Robert P

2016-03-16

Internet resources play an important role in how medical students access information related to residency programs.Evaluating program websites is necessary in order to provide accurate information for applicants and provide information regarding areas of website improvement for programs. To date, dermatology residency websites (D  WS) have not been evaluated.This paper evaluates dermatology residency websites based on availability of predefined measures. Using the FREIDA (Fellowship and Residency Electronic Interactive Database) Online database, authors searched forall accredited dermatology program websites. Eligible programs were identified through the FREIDA Online database and had a functioning website. Two authors independently extracted data with consensus or third researcher resolution of differences. This data was accessed and archived from July 15th to July 17th, 2015.Primary outcomes measured were presence of content on education, resident and faculty information, program environment, applicant recruitment, schedule, salary, and website quality evaluated using an online tool (WooRank.com). Out of 117 accredited dermatology residencies, 115 had functioning webpages. Of these, 76.5% (75) had direct links found on the FRIEDA Online database. Most programs contained information on education, faculty, program environment, and applicant recruitment. However, website quality and marketing effectiveness were highly variable; most programs were deemed to need improvements in the functioning of their webpages. Also, additional information on current residents and about potential away rotations were lacking from most websites with only 52.2% (60) and 41.7% (48) of programs providing this content, respectively. A majority of dermatology residency websites contained adequate information on many of the factors we evaluated. However, many were lacking in areas that matter to applicants. We hope this report will encourage dermatology residencyprograms

Identifying areas of weakness in thoracic surgery residency training: a comparison of the perceptions of residents and program directors.

Science.gov (United States)

Edwards, Janet P; Schofield, Adam; Paolucci, Elizabeth Oddone; Schieman, Colin; Kelly, Elizabeth; Servatyari, Ramin; Dixon, Elijah; Ball, Chad G; Grondin, Sean C

2014-01-01

To identify core thoracic surgery procedures that require increased emphasis during thoracic surgery residency for residents to achieve operative independence and to compare the perspectives of residents and program directors in this regard. A modified Delphi process was used to create a survey that was distributed electronically to all Canadian thoracic surgery residents (12) and program directors (8) addressing the residents' ability to perform 19 core thoracic surgery procedures independently after the completion of residency. Residents were also questioned about the adequacy of their operative exposure to these 19 procedures during their residency training. A descriptive summary including calculations of frequencies and proportions was conducted. The perceptions of the 2 groups were then compared using the Fisher exact test employing a Bonferroni correction. The relationship between residents' operative exposure and their perceived operative ability was explored in the same fashion. The response rate was 100% for residents and program directors. No statistical differences were found between residents' and program directors' perceptions of residents' ability to perform the 19 core procedures independently. Both groups identified lung transplantation, first rib resection, and extrapleural pneumonectomy as procedures for which residents were not adequately prepared to perform independently. Residents' subjective ratings of operative exposure were in good agreement with their reported operative ability for 13 of 19 procedures. This study provides new insight into the perceptions of thoracic surgery residents and their program directors regarding operative ability. This study points to good agreement between residents and program directors regarding residents' surgical capabilities. This study provides information regarding potential weaknesses in thoracic surgery training, which may warrant an examination of the curricula of existing programs as well as a

Resident fatigue in otolaryngology residents: a Web based survey.

Science.gov (United States)

Nida, Andrew M; Googe, Benjamin J; Lewis, Andrea F; May, Warren L

2016-01-01

Resident fatigue has become a point of emphasis in medical education and its effects on otolaryngology residents and their patients require further study. The purpose of our study was to evaluate the prevalence and nature of fatigue in otolaryngology residents, evaluate various quality of life measures, and investigate associations of increased fatigue with resident safety. Anonymous survey. Internet based. United States allopathic otolaryngology residents. None. The survey topics included demographics, residency structure, sleep habits and perceived stress. Responses were correlated with a concurrent Epworth Sleep Scale questionnaire to evaluate effects of fatigue on resident training and quality of life. 190 residents responded to the survey with 178 completing the Epworth Sleep Scale questionnaire. Results revealed a mean Epworth Sleep Scale score of 9.9±5.1 with a median of 10.0 indicating a significant number of otolaryngology residents are excessively sleepy. Statistically significant correlations between Epworth Sleep Scale and sex, region, hours of sleep, and work hours were found. Residents taking in-house call had significantly fewer hours of sleep compared to home call (p=0.01). Residents on "head and neck" (typically consisting of a large proportion of head and neck oncologic surgery) rotations tended to have higher Epworth Sleep Scale and had significantly fewer hours of sleep (p=.003) and greater work hours (potolaryngology residents are excessively sleepy. Our data suggest that the effects of fatigue play a role in resident well-being and resident safety. Copyright © 2016 Elsevier Inc. All rights reserved.

Reload core safety verification

International Nuclear Information System (INIS)

Svetlik, M.; Minarcin, M.

2003-01-01

This paper presents a brief look at the process of reload core safety evaluation and verification in Slovak Republic. It gives an overview of experimental verification of selected nuclear parameters in the course of physics testing during reactor start-up. The comparison of IAEA recommendations and testing procedures at Slovak and European nuclear power plants of similar design is included. An introduction of two level criteria for evaluation of tests represents an effort to formulate the relation between safety evaluation and measured values (Authors)

Canadian residents' perceived manager training needs.

Science.gov (United States)

Stergiopoulos, Vicky; Lieff, Susan; Razack, Saleem; Lee, A Curtis; Maniate, Jerry M; Hyde, Stacey; Taber, Sarah; Frank, Jason R

2010-01-01

Despite widespread endorsement for administrative training during residency, teaching and learning in this area remains intermittent and limited in most programmes. To inform the development of a Manager Train-the-Trainer program for faculty, the Royal College of Physicians and Surgeons of Canada undertook a survey of perceived Manager training needs among postgraduate trainees. A representative sample of Canadian specialty residents received a web-based questionnaire in 2009 assessing their perceived deficiencies in 13 Manager knowledge and 11 Manager skill domains, as determined by gap scores (GSs). GSs were defined as the difference between residents' perceived current and desired level of knowledge or skill in selected Manager domains. Residents' educational preferences for furthering their Manager knowledge and skills were also elicited. Among the 549 residents who were emailed the survey, 199 (36.2%) responded. Residents reported significant gaps in most knowledge and skills domains examined. Residents' preferred educational methods for learning Manager knowledge and skills included workshops, web-based formats and interactive small groups. The results of this national survey, highlighting significant perceived gaps in multiple Manager knowledge and skills domains, may inform the development of Manager curricula and faculty development activities to address deficiencies in training in this important area.

Poor Intentions or Poor Attention: Misrepresentation by Applicants to Psychiatry Residency

Science.gov (United States)

Caplan, Jason P.; Borus, Jonathan F.; Chang, Grace; Greenberg, William E.

2008-01-01

Objective: This study examines the veracity of self-reported data by applicants to psychiatry residency. Methods: The authors reviewed the reported publications of all applicants to a psychiatry residency training program over a 2-year span. Results: Nine percent of applicants reporting publications were found to have misrepresented them.…

Research Experience in Psychiatry Residency Programs Across Canada: Current Status

Science.gov (United States)

Shanmugalingam, Arany; Ferreria, Sharon G; Norman, Ross M G; Vasudev, Kamini

2014-01-01

Objective: To determine the current status of research experience in psychiatry residency programs across Canada. Method: Coordinators of Psychiatric Education (COPE) resident representatives from all 17 psychiatry residency programs in Canada were asked to complete a survey regarding research training requirements in their programs. Results: Among the 17 COPE representatives, 15 completed the survey, representing 88% of the Canadian medical schools that have a psychiatry residency program. Among the 15 programs, 11 (73%) require residents to conduct a scholarly activity to complete residency. Some of these programs incorporated such a requirement in the past 5 years. Ten respondents (67%) reported availability of official policy and (or) guidelines on resident research requirements. Among the 11 programs that have a research requirement, 10 (91%) require residents to complete 1 scholarly activity; 1 requires completion of 2 scholarly activities. Eight (53%) residency programs reported having a separate research track. All of the programs have a research coordinator and 14 (93%) programs provide protected time to residents for conducting research. The 3 most common types of scholarly activities that qualify for the mandatory research requirement are a full independent project (10 programs), a quality improvement project (8 programs), and assisting in a faculty project (8 programs). Six programs expect their residents to present their final work in a departmental forum. None of the residency programs require publication of residents’ final work. Conclusions: The current status of the research experience during psychiatry residency in Canada is encouraging but there is heterogeneity across the programs. PMID:25565474

Demographics, Interests, and Quality of Life of Canadian Neurosurgery Residents.

Science.gov (United States)

Iorio-Morin, Christian; Ahmed, Syed Uzair; Bigder, Mark; Dakson, Ayoub; Elliott, Cameron; Guha, Daipayan; Kameda-Smith, Michelle; Lavergne, Pascal; Makarenko, Serge; Taccone, Michael S; Tso, Michael K; Wang, Bill; Winkler-Schwartz, Alexander; Fortin, David

2018-03-01

Neurosurgical residents face a unique combination of challenges, including long duty hours, technically challenging cases, and uncertain employment prospects. We sought to assess the demographics, interests, career goals, self-rated happiness, and overall well-being of Canadian neurosurgery residents. A cross-sectional survey was developed and sent through the Canadian Neurosurgery Research Collaborative to every resident enrolled in a Canadian neurosurgery program as of April 1, 2016. We analyzed 76 completed surveys of 146 eligible residents (52% response rate). The median age was 29 years, with 76% of respondents being males. The most popular subspecialties of interest for fellowship were spine, oncology, and open vascular neurosurgery. The most frequent self-reported number of worked hours per week was the 80- to 89-hour range. The majority of respondents reported a high level of happiness as well as stress. Sense of accomplishment and fatigue were reported as average to high and overall quality of life was low for 19%, average for 49%, and high for 32%. Satisfaction with work-life balance was average for 44% of respondents and was the only tested domain in which significant dissatisfaction was identified (18%). Overall, respondents were highly satisfied with their choice of specialty, choice of program, surgical exposure, and work environment; however, intimidation was reported in 36% of respondents and depression by 17%. Despite a challenging residency and high workload, the majority of Canadian neurosurgery residents are happy and satisfied with their choice of specialty and program. However, work-life balance, employability, resident intimidation, and depression were identified as areas of active concern.

Mentor-guided self-directed learning affects resident practice.

Science.gov (United States)

Aho, Johnathon M; Ruparel, Raaj K; Graham, Elaina; Zendejas-Mummert, Benjamin; Heller, Stephanie F; Farley, David R; Bingener, Juliane

2015-01-01

Self-directed learning (SDL) can be as effective as instructor-led training. It employs less instructional resources and is potentially a more efficient educational approach. Although SDL is encouraged among residents in our surgical training program via 24-hour access to surgical task trainers and online modules, residents report that they seldom practice. We hypothesized that a mentor-guided SDL approach would improve practice habits among our residents. From 2011 to 2013, 12 postgraduate year (PGY)-2 general surgery residents participated in a 6-week minimally invasive surgery (MIS) rotation. At the start of the rotation, residents were asked to practice laparoscopic skills until they reached peak performance in at least 3 consecutive attempts at a task (individual proficiency). Trainees met with the staff surgeon at weeks 3 and 6 to evaluate progress and review a graph of their individual learning curve. All trainees subsequently completed a survey addressing their practice habits and suggestions for improvement of the curriculum. By the end of the rotation, 100% of participants improved in all practiced tasks (p mentor-guided SDL. Additionally, 6 (50%) residents reported that their skill level had improved relative to their peers. Some residents (n = 3) felt that the curriculum could be improved by including task-specific goals and additional practice sessions with the staff surgeon. Mentor-guided SDL stimulated surgical residents to practice with greater frequency. This repeated deliberate practice led to significantly improved MIS skills without significantly increasing the need for faculty-led instruction. Some residents preferred more discrete goal setting and increased mentor guidance. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Validation of Embedded System Verification Models

NARCIS (Netherlands)

Marincic, J.; Mader, Angelika H.; Wieringa, Roelf J.

The result of a model-based requirements verification shows that the model of a system satisfies (or not) formalised system requirements. The verification result is correct only if the model represents the system adequately. No matter what modelling technique we use, what precedes the model

On Verification Modelling of Embedded Systems

NARCIS (Netherlands)

Brinksma, Hendrik; Mader, Angelika H.

Computer-aided verification of embedded systems hinges on the availability of good verification models of the systems at hand. Such models must be much simpler than full design models or specifications to be of practical value, because of the unavoidable combinatorial complexities in the

Physical inventory verification exercise at a light-water reactor facility

International Nuclear Information System (INIS)

Bosler, G.E.; Menlove, H.O.; Halbig, J.K.

1986-04-01

A simulated physical inventory verification exercise was performed at the Three Mile Island (TMI) Unit 1 reactor. Inspectors from the Internatinal Atomic Energy Agency made measurements on fresh- and spent-fuel assemblies and verified the special nuclear material inventory at TMI. Simulated inspection log sheets and computerized inspection reports were prepared

Compositional verification of real-time systems using Ecdar

DEFF Research Database (Denmark)

David, Alexandre; Larsen, Kim Guldstrand; Legay, Axel

2012-01-01

We present a specification theory for timed systems implemented in the Ecdar tool. We illustrate the operations of the specification theory on a running example, showing the models and verification checks. To demonstrate the power of the compositional verification, we perform an in depth case study...... of a leader election protocol; Modeling it in Ecdar as Timed input/output automata Specifications and performing both monolithic and compositional verification of two interesting properties on it. We compare the execution time of the compositional to the classical verification showing a huge difference...

Survey of Existing Tools for Formal Verification.

Energy Technology Data Exchange (ETDEWEB)

Punnoose, Ratish J.; Armstrong, Robert C.; Wong, Matthew H.; Jackson, Mayo

2014-12-01

Formal methods have come into wide use because of their effectiveness in verifying "safety and security" requirements of digital systems; a set of requirements for which testing is mostly ineffective. Formal methods are routinely used in the design and verification of high-consequence digital systems in industry. This report outlines our work in assessing the capabilities of commercial and open source formal tools and the ways in which they can be leveraged in digital design workflows.

Extremes in Otolaryngology Resident Surgical Case Numbers: An Update.

Science.gov (United States)

Baugh, Tiffany P; Franzese, Christine B

2017-06-01

Objectives The purpose of this study is to examine the effect of minimum case numbers on otolaryngology resident case log data and understand differences in minimum, mean, and maximum among certain procedures as a follow-up to a prior study. Study Design Cross-sectional survey using a national database. Setting Academic otolaryngology residency programs. Subjects and Methods Review of otolaryngology resident national data reports from the Accreditation Council for Graduate Medical Education (ACGME) resident case log system performed from 2004 to 2015. Minimum, mean, standard deviation, and maximum values for total number of supervisor and resident surgeon cases and for specific surgical procedures were compared. Results The mean total number of resident surgeon cases for residents graduating from 2011 to 2015 ranged from 1833.3 ± 484 in 2011 to 2072.3 ± 548 in 2014. The minimum total number of cases ranged from 826 in 2014 to 1004 in 2015. The maximum total number of cases increased from 3545 in 2011 to 4580 in 2015. Multiple key indicator procedures had less than the required minimum reported in 2015. Conclusion Despite the ACGME instituting required minimum numbers for key indicator procedures, residents have graduated without meeting these minimums. Furthermore, there continues to be large variations in the minimum, mean, and maximum numbers for many procedures. Variation among resident case numbers is likely multifactorial. Ensuring proper instruction on coding and case role as well as emphasizing frequent logging by residents will ensure programs have the most accurate data to evaluate their case volume.

Disarmament Verification - the OPCW Experience

International Nuclear Information System (INIS)

Lodding, J.

2010-01-01

The Chemical Weapons Convention is the only multilateral treaty that bans completely an entire category of weapons of mass destruction under international verification arrangements. Possessor States, i.e. those that have chemical weapons stockpiles at the time of becoming party to the CWC, commit to destroying these. All States undertake never to acquire chemical weapons and not to help other States acquire such weapons. The CWC foresees time-bound chemical disarmament. The deadlines for destruction for early entrants to the CWC are provided in the treaty. For late entrants, the Conference of States Parties intervenes to set destruction deadlines. One of the unique features of the CWC is thus the regime for verifying destruction of chemical weapons. But how can you design a system for verification at military sites, while protecting military restricted information? What degree of assurance is considered sufficient in such circumstances? How do you divide the verification costs? How do you deal with production capability and initial declarations of existing stockpiles? The founders of the CWC had to address these and other challenges in designing the treaty. Further refinement of the verification system has followed since the treaty opened for signature in 1993 and since inspection work was initiated following entry-into-force of the treaty in 1997. Most of this work concerns destruction at the two large possessor States, Russia and the United States. Perhaps some of the lessons learned from the OPCW experience may be instructive in a future verification regime for nuclear weapons. (author)

Verification of Chemical Weapons Destruction

International Nuclear Information System (INIS)

Lodding, J.

2010-01-01

The Chemical Weapons Convention is the only multilateral treaty that bans completely an entire category of weapons of mass destruction under international verification arrangements. Possessor States, i.e. those that have chemical weapons stockpiles at the time of becoming party to the CWC, commit to destroying these. All States undertake never to acquire chemical weapons and not to help other States acquire such weapons. The CWC foresees time-bound chemical disarmament. The deadlines for destruction for early entrants to the CWC are provided in the treaty. For late entrants, the Conference of States Parties intervenes to set destruction deadlines. One of the unique features of the CWC is thus the regime for verifying destruction of chemical weapons. But how can you design a system for verification at military sites, while protecting military restricted information? What degree of assurance is considered sufficient in such circumstances? How do you divide the verification costs? How do you deal with production capability and initial declarations of existing stockpiles? The founders of the CWC had to address these and other challenges in designing the treaty. Further refinement of the verification system has followed since the treaty opened for signature in 1993 and since inspection work was initiated following entry-into-force of the treaty in 1997. Most of this work concerns destruction at the two large possessor States, Russia and the United States. Perhaps some of the lessons learned from the OPCW experience may be instructive in a future verification regime for nuclear weapons. (author)

Emergency ultrasound usage among recent emergency medicine residency graduates of a convenience sample of 14 residencies.

Science.gov (United States)

Dean, Anthony J; Breyer, Michael J; Ku, Bon S; Mills, Angela M; Pines, Jesse M

2010-02-01

Emergency Medicine (EM) residency graduates are trained to perform Emergency Medicine bedside ultrasound (EMBU). However, the degree to which they use this skill in their practice after graduation is unknown. We sought to test the amount and type of usage of EMBU among recent residency graduates, and how usage and barriers vary among various types of EM practice settings. Graduates from 14 EM residency programs in 2003-2005 were surveyed on their current practice setting and use of EMBU. There were 252 (73%) graduates who completed the survey. Of the 73% of respondents reporting access to EMBU, 98% had used it within the past 3 months. Access to EMBU was higher in academic (97%) vs. community teaching (79%) vs. community non-teaching settings (62%) (p < 0.001), and in Emergency Departments (EDs) where yearly census exceeded 60,000 visits (87% vs. 65%, p < 0.001). Physicians in academic settings reported "high use" of EMBU more frequently than those in community settings for most modalities. FAST (focused assessment by sonography in trauma) was the most common high-use application and the most useful in practice. The greatest impediment to EMBU use was "not enough time" (61%). Ultrasound usage among recent EM residency graduates is significantly higher in teaching than in community settings and in high-volume EDs. Its use is more widespread than in previous reports in all types of practice. There is a wide range of utilization of ultrasound in the various applications in emergency practice, with the evaluation of trauma being the most common. Copyright (c) 2010 Elsevier Inc. All rights reserved.

Psychopathology and resident status - comparing asylum seekers, refugees, illegal migrants, labor migrants, and residents.

Science.gov (United States)

Heeren, Martina; Wittmann, Lutz; Ehlert, Ulrike; Schnyder, Ulrich; Maier, Thomas; Müller, Julia

2014-05-01

This study aimed to describe, compare, and predict mental health outcomes of different migrant groups and native residents in Switzerland. Asylum seekers (n=65); refugees holding permanent protection visas (n=34); illegal migrants (n=21); labor migrants (n=26); and residents (n=56) completed an assessment by questionnaire. Main outcome variables were symptoms of posttraumatic stress, anxiety and depression. It was tested whether resident status predicted psychopathology over and above the influence of control variables including social desirability, traumatic event types and post-migration resources. Asylum seekers (54.0%) and refugees (41.4%) fulfilled criteria of PTSD most frequently. Clinically relevant symptoms of anxiety and depression were most frequently reported by asylum seekers (84.6% and 63.1%, resp.) and illegal migrants (both 47.6%). Resident status contributed to psychopathology over and above the influence of control variables. Overall, asylum seekers, refugees, and illegal migrants showed high psychiatric morbidity. Differences in resident status appear to be specifically associated with mental health outcomes. This association persists even when controlling for social desirability, post-migration resources and traumatic events. This emphasizes the importance of current socio-political living conditions for mental health, even with respect to the psychopathological sequelae of past traumatic experiences. Copyright © 2014 Elsevier Inc. All rights reserved.

Hospice Use and Pain Management in Elderly Nursing Home Residents With Cancer.

Science.gov (United States)

Hunnicutt, Jacob N; Tjia, Jennifer; Lapane, Kate L

2017-03-01

Pain management is suboptimal in nursing homes. To estimate the extent to which receipt of hospice in nursing homes (NHs) increases the receipt of pain management for residents with cancer at the end of life. Study participants included Medicare beneficiaries with cancer who were NH residents in the last 90 days of life in 2011-2012 (n = 78,160). Residents in pain on hospice were matched to like residents without hospice by facility, type of pain assessment (self-report/staff assessment), and weeks until death (9064 matched strata, 16,968 unique residents). Minimum Data Set 3.0 provided information on residents' pain prevalence and receipt of pain management (scheduled analgesics, as needed [pro re nata {PRN}] medication, nonpharmacologic interventions). We developed conditional logistic models to estimate the association between hospice use and pain management, stratified by self-reported and staff-assessed pain. We found that pain prevalence was higher in residents using hospice versus those without hospice (e.g., residents who self-reported pain: hospice: 59.9%, 95% CIs = 59.3%-60.5%; nonhospice: 50.0%, 95% CI = 49.4%-50.6%). In matched analyses, untreated pain was uncommon (self-reported pain: 2.9% and 5.6% in hospice users and nonusers, respectively). Hospice use was associated with receipt of scheduled analgesics (self-reported: adjusted odds ratio = 1.85, 95% CI = 1.73-1.971) and PRN medication (self-reported: adjusted odds ratio = 1.31, 95% CI = 1.20-1.43). Pain prevalence and the association between hospice and pain management were similar in residents with staff-assessed pain. Untreated pain at the end of life among residents with cancer in NHs is unusual. Hospice is associated with increased pain management among those with documented pain. Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

A Model for Collaborative Runtime Verification

NARCIS (Netherlands)

Testerink, Bas; Bulling, Nils; Dastani, Mehdi

2015-01-01

Runtime verification concerns checking whether a system execution satisfies a given property. In this paper we propose a model for collaborative runtime verification where a network of local monitors collaborates in order to verify properties of the system. A local monitor has only a local view on

Verification of classified fissile material using unclassified attributes

International Nuclear Information System (INIS)

Nicholas, N.J.; Fearey, B.L.; Puckett, J.M.; Tape, J.W.

1998-01-01

This paper reports on the most recent efforts of US technical experts to explore verification by IAEA of unclassified attributes of classified excess fissile material. Two propositions are discussed: (1) that multiple unclassified attributes could be declared by the host nation and then verified (and reverified) by the IAEA in order to provide confidence in that declaration of a classified (or unclassified) inventory while protecting classified or sensitive information; and (2) that attributes could be measured, remeasured, or monitored to provide continuity of knowledge in a nonintrusive and unclassified manner. They believe attributes should relate to characteristics of excess weapons materials and should be verifiable and authenticatable with methods usable by IAEA inspectors. Further, attributes (along with the methods to measure them) must not reveal any classified information. The approach that the authors have taken is as follows: (1) assume certain attributes of classified excess material, (2) identify passive signatures, (3) determine range of applicable measurement physics, (4) develop a set of criteria to assess and select measurement technologies, (5) select existing instrumentation for proof-of-principle measurements and demonstration, and (6) develop and design information barriers to protect classified information. While the attribute verification concepts and measurements discussed in this paper appear promising, neither the attribute verification approach nor the measurement technologies have been fully developed, tested, and evaluated

Verification of chemistry reference ranges using a simple method in sub-Saharan Africa

Directory of Open Access Journals (Sweden)

Irith De Baetselier

2016-10-01

Full Text Available Background: Chemistry safety assessments are interpreted by using chemistry reference ranges (CRRs. Verification of CRRs is time consuming and often requires a statistical background. Objectives: We report on an easy and cost-saving method to verify CRRs. Methods: Using a former method introduced by Sigma Diagnostics, three study sites in sub- Saharan Africa, Bondo, Kenya, and Pretoria and Bloemfontein, South Africa, verified the CRRs for hepatic and renal biochemistry assays performed during a clinical trial of HIV antiretroviral pre-exposure prophylaxis. The aspartate aminotransferase/alanine aminotransferase, creatinine and phosphorus results from 10 clinically-healthy participants at the screening visit were used. In the event the CRRs did not pass the verification, new CRRs had to be calculated based on 40 clinically-healthy participants. Results: Within a few weeks, the study sites accomplished verification of the CRRs without additional costs. The aspartate aminotransferase reference ranges for the Bondo, Kenya site and the alanine aminotransferase reference ranges for the Pretoria, South Africa site required adjustment. The phosphorus CRR passed verification and the creatinine CRR required adjustment at every site. The newly-established CRR intervals were narrower than the CRRs used previously at these study sites due to decreases in the upper limits of the reference ranges. As a result, more toxicities were detected. Conclusion: To ensure the safety of clinical trial participants, verification of CRRs should be standard practice in clinical trials conducted in settings where the CRR has not been validated for the local population. This verification method is simple, inexpensive, and can be performed by any medical laboratory.

Verification of chemistry reference ranges using a simple method in sub-Saharan Africa.

Science.gov (United States)

De Baetselier, Irith; Taylor, Douglas; Mandala, Justin; Nanda, Kavita; Van Campenhout, Christel; Agingu, Walter; Madurai, Lorna; Barsch, Eva-Maria; Deese, Jennifer; Van Damme, Lut; Crucitti, Tania

2016-01-01

Chemistry safety assessments are interpreted by using chemistry reference ranges (CRRs). Verification of CRRs is time consuming and often requires a statistical background. We report on an easy and cost-saving method to verify CRRs. Using a former method introduced by Sigma Diagnostics, three study sites in sub-Saharan Africa, Bondo, Kenya, and Pretoria and Bloemfontein, South Africa, verified the CRRs for hepatic and renal biochemistry assays performed during a clinical trial of HIV antiretroviral pre-exposure prophylaxis. The aspartate aminotransferase/alanine aminotransferase, creatinine and phosphorus results from 10 clinically-healthy participants at the screening visit were used. In the event the CRRs did not pass the verification, new CRRs had to be calculated based on 40 clinically-healthy participants. Within a few weeks, the study sites accomplished verification of the CRRs without additional costs. The aspartate aminotransferase reference ranges for the Bondo, Kenya site and the alanine aminotransferase reference ranges for the Pretoria, South Africa site required adjustment. The phosphorus CRR passed verification and the creatinine CRR required adjustment at every site. The newly-established CRR intervals were narrower than the CRRs used previously at these study sites due to decreases in the upper limits of the reference ranges. As a result, more toxicities were detected. To ensure the safety of clinical trial participants, verification of CRRs should be standard practice in clinical trials conducted in settings where the CRR has not been validated for the local population. This verification method is simple, inexpensive, and can be performed by any medical laboratory.

HDM/PASCAL Verification System User's Manual

Science.gov (United States)

Hare, D.

1983-01-01

The HDM/Pascal verification system is a tool for proving the correctness of programs written in PASCAL and specified in the Hierarchical Development Methodology (HDM). This document assumes an understanding of PASCAL, HDM, program verification, and the STP system. The steps toward verification which this tool provides are parsing programs and specifications, checking the static semantics, and generating verification conditions. Some support functions are provided such as maintaining a data base, status management, and editing. The system runs under the TOPS-20 and TENEX operating systems and is written in INTERLISP. However, no knowledge is assumed of these operating systems or of INTERLISP. The system requires three executable files, HDMVCG, PARSE, and STP. Optionally, the editor EMACS should be on the system in order for the editor to work. The file HDMVCG is invoked to run the system. The files PARSE and STP are used as lower forks to perform the functions of parsing and proving.

Self-verification and contextualized self-views.

Science.gov (United States)

Chen, Serena; English, Tammy; Peng, Kaiping

2006-07-01

Whereas most self-verification research has focused on people's desire to verify their global self-conceptions, the present studies examined self-verification with regard to contextualized selfviews-views of the self in particular situations and relationships. It was hypothesized that individuals whose core self-conceptions include contextualized self-views should seek to verify these self-views. In Study 1, the more individuals defined the self in dialectical terms, the more their judgments were biased in favor of verifying over nonverifying feedback about a negative, situation-specific self-view. In Study 2, consistent with research on gender differences in the importance of relationships to the self-concept, women but not men showed a similar bias toward feedback about a negative, relationship-specific self-view, a pattern not seen for global self-views. Together, the results support the notion that self-verification occurs for core self-conceptions, whatever form(s) they may take. Individual differences in self-verification and the nature of selfhood and authenticity are discussed.

Peer observation and feedback of resident teaching.

Science.gov (United States)

Snydman, Laura; Chandler, Daniel; Rencic, Joseph; Sung, Yung-Chi

2013-02-01

Resident doctors (residents) play a significant role in the education of medical students. Morning work rounds provide an optimal venue to assess resident teaching. The purpose of this study was to assess the feasibility of peer observation of resident work rounds, to evaluate resident perceptions of peer observation and to evaluate resident perceptions of peer feedback.   Twenty-four internal medicine residents were simultaneously observed by an attending physician and a peer while teaching during work rounds (between August2008 and May 2009). At year-end, residents received a survey to characterise their attitudes towards peer observation and feedback. Twenty-one residents (87.5%) completed the survey. Half (52.4%) felt that participating in the peer observation study stimulated their interest in teaching during work rounds. Prior to participation in the study, fewer than half (42.9%) felt comfortable being observed by their peers, compared with 71.4 percent after participation (p=0.02). The proportion of residents who felt comfortable giving feedback to peers increased from 26.3 to 65.0percent (p=0.004), and the proportion of residents who felt comfortable receiving feedback from peers increased from 76.2 to 95.2 percent (p=0.02). Peer observation and feedback of resident teaching during work rounds is feasible and rewarding for the residents involved. Comfort with regards to being observed by peers, with receiving feedback from peers and with giving feedback to peers significantly increased after the study. Most residents reported changes in their teaching behaviour resulting from feedback. Residents felt that observing a peer teach on work rounds was one of the most useful activities to improve their own teaching on work rounds. © Blackwell Publishing Ltd 2013.

Motherhood during residency training: challenges and strategies.

Science.gov (United States)

Walsh, Allyn; Gold, Michelle; Jensen, Phyllis; Jedrzkiewicz, Michelle

2005-07-01

To determine what factors enable or impede women in a Canadian family medicine residency program from combining motherhood with residency training. To determine how policies can support these women, given that in recent decades the number of female family medicine residents has increased. Qualitative study using in-person interviews. McMaster University Family Medicine Residency Program. Twenty-one of 27 family medicine residents taking maternity leave between 1994 and 1999. Semistructured interviews. The research team reviewed transcripts of audiotaped interviews for emerging themes; consensus was reached on content and meaning. NVIVO software was used for data analysis. Long hours, unpredictable work demands, guilt because absences from work increase workload for colleagues, and residents' high expectations of themselves cause pregnant residents severe stress. This stress continues upon return to work; finding adequate child care is an added stress. Residents report receiving less support from colleagues and supervisors upon return to work; they associate this with no longer being visibly pregnant. Physically demanding training rotations put additional strain on pregnant residents and those newly returned to work. Flexibility in scheduling rotations can help accommodate needs at home. Providing breaks, privacy, and refrigerators at work can help maintain breastfeeding. Allowing residents to remain involved in academic and clinical work during maternity leave helps maintain clinical skills, build new knowledge, and promote peer support. Pregnancy during residency training is common and becoming more common. Training programs can successfully enhance the experience of motherhood during residency by providing flexibility at work to facilitate a healthy balance among the competing demands of family, work, and student life.

Remediation of problematic residents--A national survey.

Science.gov (United States)

Bhatti, Nasir I; Ahmed, Aadil; Stewart, Michael G; Miller, Robert H; Choi, Sukgi S

2016-04-01

Despite careful selection processes, residency programs face the challenge of training residents who fall below minimal performance standards. Poor performance of a resident can endanger both patient safety and the reputation of the residency program. It is important, therefore, for a program to identify such residents and implement strategies for their successful remediation. The purpose of our study was to gather information on evaluation and remediation strategies employed by different otolaryngology programs. Cross-sectional survey. We conducted a national survey, sending a questionnaire to the program directors of 106 otolaryngology residency programs. We collected information on demographics of the program, identification of problematic residents, and remediation strategies. The response rate was 74.5%, with a 2% cumulative incidence of problematic residents in otolaryngology programs during the past 10 years. The most frequently reported deficiencies of problematic residents were unprofessional behavior with colleagues/staff (38%), insufficient medical knowledge (37%), and poor clinical judgment (34%). Personal or professional stress was the most frequently identified underlying problem (70.5%). Remediation efforts included general counseling (78%), frequent feedback sessions (73%), assignment of a mentor (58%), and extra didactics (47%). These remediation efforts failed to produce improvement in 23% of the identified residents, ultimately leading to their dismissal. The apparent deficiencies, underlying causes, and remediation strategies vary among otolaryngology residency programs. Based on the results of this survey, we offer recommendations for the early identification of problematic residents and a standardized remediation plan. NA. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

Being known, intimate, and valued: global self-verification and dyadic adjustment in couples and roommates.

Science.gov (United States)

Katz, Jennifer; Joiner, Thomas E

2002-02-01

We contend that close relationships provide adults with optimal opportunities for personal growth when relationship partners provide accurate, honest feedback. Accordingly, it was predicted that young adults would experience the relationship quality with relationship partners who evaluated them in a manner consistent their own self-evaluations. Three empirical tests of this self-verification hypothesis as applied to close dyads were conducted. In Study 1, young adults in dating relationships were most intimate with and somewhat more committed to partners when they perceived that partners evaluated them as they evaluated themselves. Self-verification effects were pronounced for those involved in more serious dating relationships. In Study 2, men reported the greatest esteem for same-sex roommates who evaluated them in a self-verifying manner. Results from Study 2 were replicated and extended to both male and female roommate dyads in Study 3. Further, self-verification effects were most pronounced for young adults with high emotional empathy. Results suggest that self-verification theory is useful for understanding dyadic adjustment across a variety of relational contexts in young adulthood. Implications of self-verification processes for adult personal development are outlined within an identity negotiation framework.

CTBT integrated verification system evaluation model supplement

International Nuclear Information System (INIS)

EDENBURN, MICHAEL W.; BUNTING, MARCUS; PAYNE, ARTHUR C. JR.; TROST, LAWRENCE C.

2000-01-01

Sandia National Laboratories has developed a computer based model called IVSEM (Integrated Verification System Evaluation Model) to estimate the performance of a nuclear detonation monitoring system. The IVSEM project was initiated in June 1994, by Sandia's Monitoring Systems and Technology Center and has been funded by the U.S. Department of Energy's Office of Nonproliferation and National Security (DOE/NN). IVSEM is a simple, ''top-level,'' modeling tool which estimates the performance of a Comprehensive Nuclear Test Ban Treaty (CTBT) monitoring system and can help explore the impact of various sensor system concepts and technology advancements on CTBT monitoring. One of IVSEM's unique features is that it integrates results from the various CTBT sensor technologies (seismic, in sound, radionuclide, and hydroacoustic) and allows the user to investigate synergy among the technologies. Specifically, IVSEM estimates the detection effectiveness (probability of detection), location accuracy, and identification capability of the integrated system and of each technology subsystem individually. The model attempts to accurately estimate the monitoring system's performance at medium interfaces (air-land, air-water) and for some evasive testing methods such as seismic decoupling. The original IVSEM report, CTBT Integrated Verification System Evaluation Model, SAND97-25 18, described version 1.2 of IVSEM. This report describes the changes made to IVSEM version 1.2 and the addition of identification capability estimates that have been incorporated into IVSEM version 2.0

Use of computers and the Internet by residents in US family medicine programmes.

Science.gov (United States)

King, Richard V; Murphy-Cullen, Cassie L; Mayo, Helen G; Marcee, Alice K; Schneider, Gregory W

2007-06-01

Computers, personal digital assistants (PDA), and the Internet are widely used as resources in medical education and clinical care. Educators who intend to incorporate these resources effectively into residency education programmes can benefit from understanding how residents currently use these tools, their skills, and their preferences. The researchers sent questionnaires to 306 US family medicine residency programmes for all of their residents to complete. Respondents were 1177 residents from 125 (41%) programmes. Access to a computer was reported by 95% of respondents. Of these, 97% of desktop and 89% of laptop computers could access the Internet. Residents accessed various educational and clinical resources. Half felt they had 'intermediate' skills at Web searches, 23% had 'some skills,' and 27% were 'quite skilled.' Those under 30 years of age reported higher skill levels. Those who experienced a Web-based curriculum in medical school reported higher search skills and greater success in finding clinical information. Respondents preferred to use technology to supplement the didactic sessions offered in resident teaching conferences. Favourable conditions exist in family medicine residency programmes to implement a blend of traditional and technology-based learning experiences. These conditions include residents' experience, skills, and preferences.

Increasing faculty participation in resident education and providing cost-effective self-assessment module credit to faculty through resident-generated didactics.

Science.gov (United States)

Kim, Hyun; Malatesta, Theresa M; Anné, Pramila R; McAna, John; Bar-Ad, Voichita; Dicker, Adam P; Den, Robert B

Board certified radiation oncologists and medical physicists are required to earn self-assessment module (SAM) continuing medical education (CME) credit, which may require travel costs or usage fees. Data indicate that faculty participation in resident teaching activities is beneficial to resident education. Our hypothesis was that providing the opportunity to earn SAM credit in resident didactics would increase faculty participation in and improve resident education. SAM applications, comprising CME certified category 1 resident didactic lectures and faculty-generated questions with respective answers, rationales, and references, were submitted to the American Board of Radiology for formal review. Surveys were distributed to assess main academic campus physician, affiliate campus physician, physicist, and radiation oncology resident impressions regarding the quality of the lectures. Survey responses were designed in Likert-scale format. Sign-test was performed with P motivation to attend resident didactics (P = .004). Residents reported an increased amount of time required to prepare lectures (P = .008). We are the first department, to our knowledge, to offer SAM credit to clinical faculty for participation in resident-generated didactics. Offering SAM credit at resident lectures is a cost-effective alternative to purchasing SAM resources, increases faculty attendance, and may improve the quality of radiation oncology resident education. Copyright © 2016 American Society for Radiation Oncology. Published by Elsevier Inc. All rights reserved.

A Verification Logic for GOAL Agents

Science.gov (United States)

Hindriks, K. V.

Although there has been a growing body of literature on verification of agents programs, it has been difficult to design a verification logic for agent programs that fully characterizes such programs and to connect agent programs to agent theory. The challenge is to define an agent programming language that defines a computational framework but also allows for a logical characterization useful for verification. The agent programming language GOAL has been originally designed to connect agent programming to agent theory and we present additional results here that GOAL agents can be fully represented by a logical theory. GOAL agents can thus be said to execute the corresponding logical theory.

Fundamentals of successful monitoring, reporting, and verification under a cap-and-trade program

Energy Technology Data Exchange (ETDEWEB)

John Schakenbach; Robert Vollaro; Reynaldo Forte [U.S. Environmental Protection Agency, Office of Atmospheric Programs, Washington, DC (United States)

2006-11-15

The U.S. Environmental Protection Agency (EPA) developed and implemented the Acid Rain Program (ARP), and NOx Budget Trading Programs (NBTP) using several fundamental monitoring, reporting, and verification (MRV) elements: (1) compliance assurance through incentives and automatic penalties; (2) strong quality assurance (QA); (3) collaborative approach with a petition process; (4) standardized electronic reporting; (5) compliance flexibility for low-emitting sources; (6) complete emissions data record required; (7) centralized administration; (8) level playing field; (9) publicly available data; (10) performance-based approach; and (11) reducing conflicts of interest. Each of these elements is discussed in the context of the authors' experience under two U.S. cap-and-trade programs and their potential application to other cap and-trade programs. The U.S. Office of Management and Budget found that the Acid Rain Program has accounted for the largest quantified human health benefits of any federal regulatory program implemented in the last 10 yr, with annual benefits exceeding costs by {gt} 40 to 1. The authors believe that the elements described in this paper greatly contributed to this success. EPA has used the ARP fundamental elements as a model for other cap-and-trade programs, including the NBTP, which went into effect in 2003, and the recently published Clean Air Interstate Rule and Clean Air Mercury Rule. The authors believe that using these fundamental elements to develop and implement the MRV portion of their cap-and-trade programs has resulted in public confidence in the programs, highly accurate and complete emissions data, and a high compliance rate. 2 refs.

Secure optical verification using dual phase-only correlation

International Nuclear Information System (INIS)

Liu, Wei; Liu, Shutian; Zhang, Yan; Xie, Zhenwei; Liu, Zhengjun

2015-01-01

We introduce a security-enhanced optical verification system using dual phase-only correlation based on a novel correlation algorithm. By employing a nonlinear encoding, the inherent locks of the verification system are obtained in real-valued random distributions, and the identity keys assigned to authorized users are designed as pure phases. The verification process is implemented in two-step correlation, so only authorized identity keys can output the discriminate auto-correlation and cross-correlation signals that satisfy the reset threshold values. Compared with the traditional phase-only-correlation-based verification systems, a higher security level against counterfeiting and collisions are obtained, which is demonstrated by cryptanalysis using known attacks, such as the known-plaintext attack and the chosen-plaintext attack. Optical experiments as well as necessary numerical simulations are carried out to support the proposed verification method. (paper)

Education research: neurology training reassessed. The 2011 American Academy of Neurology Resident Survey results.

Science.gov (United States)

Johnson, Nicholas E; Maas, Matthew B; Coleman, Mary; Jozefowicz, Ralph; Engstrom, John

2012-10-23

To assess the strengths and weaknesses of neurology resident education using survey methodology. A 27-question survey was sent to all neurology residents completing residency training in the United States in 2011. Of eligible respondents, 49.8% of residents returned the survey. Most residents believed previously instituted duty hour restrictions had a positive impact on resident quality of life without impacting patient care. Most residents rated their faculty and clinical didactics favorably. However, many residents reported suboptimal preparation in basic neuroscience and practice management issues. Most residents (71%) noted that the Residency In-service Training Examination (RITE) assisted in self-study. A minority of residents (14%) reported that the RITE scores were used for reasons other than self-study. The vast majority (86%) of residents will enter fellowship training following residency and were satisfied with the fellowship offers they received. Graduating residents had largely favorable neurology training experiences. Several common deficiencies include education in basic neuroscience and clinical practice management. Importantly, prior changes to duty hours did not negatively affect the resident perception of neurology residency training.

Verification of DRAGON: the NXT tracking module

International Nuclear Information System (INIS)

Zkiek, A.; Marleau, G.

2007-01-01

The version of DRAGON-IST that has been verified for the calculation of the incremental cross sections associated with CANDU reactivity devices is version 3.04Bb that was released in 2001. Since then, various improvements were implemented in the code including the NXT: module that can track assemblies of clusters in 2-D and 3-D geometries. Here we will discuss the verification plan for the NXT: module of DRAGON, illustrate the verification procedure we selected and present our verification results. (author)

A report on the current status of grand rounds in radiology residency programs in the United States.

Science.gov (United States)

Yablon, Corrie M; Wu, Jim S; Slanetz, Priscilla J; Eisenberg, Ronald L

2011-12-01

A national needs assessment of radiology program directors was performed to characterize grand rounds (GR) programs, assess the perceived educational value of GR programs, and determine the impact of the recent economic downturn on GR. A 28-question survey was developed querying the organizational logistics of GR programs, types of speakers, content of talks, honoraria, types of speakers invited, response to the economic downturn, types of speaker interaction with residents, and perceived educational value of GR. Questions were in multiple-choice, yes-or-no, and five-point Likert-type formats. The survey was distributed to the program directors of all radiology residencies within the United States. Fifty-seven of 163 programs responded, resulting in a response rate of 36%. Thirty-eight programs (67%) were university residencies and 10 (18%) were university affiliated. Eighty-two percent of university and 60% of university-affiliated residencies had their own GR programs, while only 14% of community and no military residencies held GR. GR were held weekly in 18% of programs, biweekly in 8%, monthly in 42%, bimonthly in 16%, and less frequently than every 2 months in 16%. All 38 programs hosting GR reported a broad spectrum of presentations, including talks on medical education (66%), clinical and evidence-based medicine (55%), professionalism (45%), ethics (45%), quality assurance (34%), global health (26%), and resident presentations (26%). All programs invited speakers from outside the institution, but there was variability with regard to the frequency of visits and whether invited speakers were from out of town. As a result of recent economic events, one radiology residency (3%) completely canceled its GR program. Others decreased the number of speakers from outside their cities (40%) or decreased the number of speakers from within their own cities (16%). Honoraria were paid to speakers by 95% of responding programs. Most program directors (79%) who had their own

A 15-year review of the Stanford Internal Medicine Residency Program: predictors of resident satisfaction and dissatisfaction

Directory of Open Access Journals (Sweden)

Kahn JS

2017-08-01

Full Text Available James S Kahn,1–3 Ronald M Witteles,3,4 Kenneth W Mahaffey,3–5 Sumbul A Desai,2,3 Errol Ozdalga,2,3 Paul A Heidenreich1,3 1Veterans Affairs Palo Alto Health Care System, Palo Alto, 2Division of Primary Care and Population Health, 3Department of Medicine, 4Division of Cardiovascular Medicine, 5Stanford Center for Clinical Research, Stanford University School of Medicine, Stanford, CA, USA Introduction: Satisfaction with training and with educational experiences represents important internal medicine (IM programmatic goals. Graduates from IM residency programs are uniquely poised to provide insights into their educational and training experiences and to assess whether these experiences were satisfactory and relevant to their current employment. Methods: We surveyed former IM residents from the training program held during the years 2000–2015 at the Department of Medicine, Stanford University. The first part of the survey reviewed the IM residency program and the second part sought identifying data regarding gender, race, ethnicity, work, relationships, and financial matters. The primary outcome was satisfaction with the residency experience. Results: Of the 405 individuals who completed the Stanford IM residency program in the study period, we identified 384 (95% former residents with a known email address. Two hundred and one (52% former residents responded to the first part and 185 (48% answered both the parts of the survey. The mean age of the respondents was 36.9 years; 44% were female and the mean time from IM residency was 6.1 (±4.3 years. Fifty-eight percent reported extreme satisfaction with their IM residency experience. Predictors associated with being less than extremely satisfied included insufficient outpatient experience, insufficient international experience, insufficient clinical research experience, and insufficient time spent with family and peers. Conclusion: The residents expressed an overall high satisfaction rate with

Emergency medicine residents' beliefs about contributing to an online collaborative slideshow.

Science.gov (United States)

Archambault, Patrick M; Thanh, Jasmine; Blouin, Danielle; Gagnon, Susie; Poitras, Julien; Fountain, Renée-Marie; Fleet, Richard; Bilodeau, Andrea; van de Belt, Tom H; Légaré, France

2015-07-01

Collaborative writing applications (CWAs), such as the Google DocsTM platform, can improve skill acquisition, knowledge retention, and collaboration in medical education. Using CWAs to support the training of residents offers many advantages, but stimulating them to contribute remains challenging. The purpose of this study was to identify emergency medicine (EM) residents' beliefs about their intention to contribute summaries of landmark articles to a Google DocsTM slideshow while studying for their Royal College of Physicians and Surgeons of Canada (RCPSC) certification exam. Using the Theory of Planned Behavior, the authors interviewed graduating RCPSC EM residents about contributing to a slideshow. Residents were asked about behavioral beliefs (advantages/disadvantages), normative beliefs (positive/negative referents), and control beliefs (barriers/facilitators). Two reviewers independently performed qualitative content analysis of interview transcripts to identify salient beliefs in relation to the defined behaviors. Of 150 eligible EM residents, 25 participated. The main reported advantage of contributing to the online slideshow was learning consolidation (n=15); the main reported disadvantage was information overload (n=3). The most frequently reported favorable referents were graduating EM residents writing the certification exam (n=16). Few participants (n=3) perceived any negative referents. The most frequently reported facilitator was peer-reviewed high-quality scientific information (n=9); and the most frequently reported barrier was time constraints (n=22). Salient beliefs exist regarding EM residents' intention to contribute content to an online collaborative writing project using a Google DocsTM slideshow. Overall, participants perceived more advantages than disadvantages to contributing and believed that this initiative would receive wide support. However, participants reported several barriers that need to be addressed to increase contributions. Our

Enrichment Assay Methods Development for the Integrated Cylinder Verification System

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