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Sample records for safety reference guide

  1. Department of Energy Construction Safety Reference Guide

    Energy Technology Data Exchange (ETDEWEB)

    1993-09-01

    DOE has adopted the Occupational Safety and Health Administration (OSHA) regulations Title 29 Code of Federal Regulations (CFR) 1926 ``Safety and Health Regulations for Construction,`` and related parts of 29 CFR 1910, ``Occupational Safety and Health Standards.`` This nonmandatory reference guide is based on these OSHA regulations and, where appropriate, incorporates additional standards, codes, directives, and work practices that are recognized and accepted by DOE and the construction industry. It covers excavation, scaffolding, electricity, fire, signs/barricades, cranes/hoists/conveyors, hand and power tools, concrete/masonry, stairways/ladders, welding/cutting, motor vehicles/mechanical equipment, demolition, materials, blasting, steel erection, etc.

  2. Workplace Ergonomics Reference Guide

    Science.gov (United States)

    Workplace Ergonomics Reference Guide 2 nd Edition A Publication of the Computer/Electronic Accommodations Program Real Solutions for Real ... Table of Contents.................................................................................................................................. ... Checklist ........................................................................................................................... 3 Ergonomic ...

  3. Nuclear criticality safety guide

    Energy Technology Data Exchange (ETDEWEB)

    Pruvost, N.L.; Paxton, H.C. [eds.

    1996-09-01

    This technical reference document cites information related to nuclear criticality safety principles, experience, and practice. The document also provides general guidance for criticality safety personnel and regulators.

  4. Sensor Characteristics Reference Guide

    Energy Technology Data Exchange (ETDEWEB)

    Cree, Johnathan V.; Dansu, A.; Fuhr, P.; Lanzisera, Steven M.; McIntyre, T.; Muehleisen, Ralph T.; Starke, M.; Banerjee, Pranab; Kuruganti, T.; Castello, C.

    2013-04-01

    The Buildings Technologies Office (BTO), within the U.S. Department of Energy (DOE), Office of Energy Efficiency and Renewable Energy (EERE), is initiating a new program in Sensor and Controls. The vision of this program is: • Buildings operating automatically and continuously at peak energy efficiency over their lifetimes and interoperating effectively with the electric power grid. • Buildings that are self-configuring, self-commissioning, self-learning, self-diagnosing, self-healing, and self-transacting to enable continuous peak performance. • Lower overall building operating costs and higher asset valuation. The overarching goal is to capture 30% energy savings by enhanced management of energy consuming assets and systems through development of cost-effective sensors and controls. One step in achieving this vision is the publication of this Sensor Characteristics Reference Guide. The purpose of the guide is to inform building owners and operators of the current status, capabilities, and limitations of sensor technologies. It is hoped that this guide will aid in the design and procurement process and result in successful implementation of building sensor and control systems. DOE will also use this guide to identify research priorities, develop future specifications for potential market adoption, and provide market clarity through unbiased information

  5. Hydrogen Technologies Safety Guide

    Energy Technology Data Exchange (ETDEWEB)

    Rivkin, C. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Burgess, R. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Buttner, W. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-01-01

    The purpose of this guide is to provide basic background information on hydrogen technologies. It is intended to provide project developers, code officials, and other interested parties the background information to be able to put hydrogen safety in context. For example, code officials reviewing permit applications for hydrogen projects will get an understanding of the industrial history of hydrogen, basic safety concerns, and safety requirements.

  6. Seismic Safety Guide

    Energy Technology Data Exchange (ETDEWEB)

    Eagling, D.G. (ed.)

    1983-09-01

    This guide provides managers with practical guidelines for administering a comprehensive earthquake safety program. The Guide is comprehensive with respect to earthquakes in that it covers the most important aspects of natural hazards, site planning, evaluation and rehabilitation of existing buildings, design of new facilities, operational safety, emergency planning, special considerations related to shielding blocks, non-structural elements, lifelines, fire protection and emergency facilities. Management of risk and liabilities is also covered. Nuclear facilities per se are not dealt with specifically. The principles covered also apply generally to nuclear facilities but the design and construction of such structures are subject to special regulations and legal controls.

  7. Russian History; A Guide to Reference Sources.

    Science.gov (United States)

    McGill Univ., Montreal (Quebec). McLennan Library.

    This guide identifies reference sources for the study of Russian and Soviet history available in the McGill University (Montreal) McLennan Library. Russian, English, French, and German language works covering Russian history from its origins to World War II are included. The guide is arranged in two parts: general reference sources and…

  8. Xyce parallel electronic simulator : reference guide.

    Energy Technology Data Exchange (ETDEWEB)

    Mei, Ting; Rankin, Eric Lamont; Thornquist, Heidi K.; Santarelli, Keith R.; Fixel, Deborah A.; Coffey, Todd Stirling; Russo, Thomas V.; Schiek, Richard Louis; Warrender, Christina E.; Keiter, Eric Richard; Pawlowski, Roger Patrick

    2011-05-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users Guide. The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce. This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users Guide. The Xyce Parallel Electronic Simulator has been written to support, in a rigorous manner, the simulation needs of the Sandia National Laboratories electrical designers. It is targeted specifically to run on large-scale parallel computing platforms but also runs well on a variety of architectures including single processor workstations. It also aims to support a variety of devices and models specific to Sandia needs. This document is intended to complement the Xyce Users Guide. It contains comprehensive, detailed information about a number of topics pertinent to the usage of Xyce. Included in this document is a netlist reference for the input-file commands and elements supported within Xyce; a command line reference, which describes the available command line arguments for Xyce; and quick-references for users of other circuit codes, such as Orcad's PSpice and Sandia's ChileSPICE.

  9. Folklore: A Guide to Reference Sources.

    Science.gov (United States)

    Slavin, Suzy, Comp.

    This biliography, designed primarily for students of literature and anthropology, deals principally with traditional oral folk literature and the folk tale narrative. The materials in the bibliography, cited for their references to folk arts, crafts, customs, legends, and riddles, are listed within four categories: guides and handbooks,…

  10. Guide to Reference Books in Psychology.

    Science.gov (United States)

    Wiggins, Terry

    Compiled to accompany a program of instruction in the use of the Princeton University Psychology Library and its resources, these bibliographies provide citations for reference books in seven major cateories: (1) guides to the literature; (2) dictionaries (five subgroupings); (3) encyclopedias; (4) indexing and abstracting serials, both in the…

  11. Film: A Student's Guide to Reference Resources.

    Science.gov (United States)

    McGill Univ., Montreal (Quebec). McLennan Library.

    This selective annotated bibliography lists current reference sources in the McGill Library system which deal with film. It emphasizes a scholarly approach to the film as art and includes only a few technical items. The citations are arranged in the following categories: guides and bibliographies, film catalogues and listings, dictionaries and…

  12. Anthropology: A Student's Guide to Reference Sources.

    Science.gov (United States)

    Slavin, Suzy M., Comp.

    The guide identifies approximately 100 anthropology source materials in the reference department of McLennan Library at McGill University. It was designd to help students doing anthropological research and to illustrate the variety of materials on social and cultural anthropology in the McLennan Library. Physical anthropolgy, linguistics, and…

  13. Criticality safety basics, a study guide

    Energy Technology Data Exchange (ETDEWEB)

    V. L. Putman

    1999-09-01

    This document is a self-study and classroom guide, for criticality safety of activities with fissile materials outside nuclear reactors. This guide provides a basic overview of criticality safety and criticality accident prevention methods divided into three parts: theory, application, and history. Except for topic emphasis, theory and history information is general, while application information is specific to the Idaho National Engineering and Environmental Laboratory (INEEL). Information presented here should be useful to personnel who must know criticality safety basics to perform their assignments safely or to design critically safe equipment or operations. However, the guide's primary target audience is fissile material handler candidates.

  14. Safety in the Science Laboratory, A Guide.

    Science.gov (United States)

    Christian, Floyd T.

    The bulletin was prepared as a general guide to encourage the use of safe practices in science laboratories in Florida schools. The guide begins with an outline of recommended emergency procedures. Chapter I discusses the importance of safety in the science program. Chapter II discusses handling and storage of equipment, and designing laboratory…

  15. Safety design guide for safety related systems for CANDU 9

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Duk Su; Chang, Woo Hyun; Lee, Nam Young [Korea Atomic Energy Research Institute, Daeduk (Korea, Republic of); Wright, A.C.D. [Atomic Energy of Canada Ltd., Toronto (Canada)

    1996-03-01

    In general, two types of safety related systems and structures exist in the nuclear plant; The one is a systems and structures which perform safety functions during the normal operation of the plant, and the other is a systems and structures which perform safety functions to mitigate events caused by failure of the normally operating systems or by naturally occurring phenomena. In this safety design guide, these systems are identified in detail, and the major events for which the safety functions are required and the major safety requirements are identified in the list. As the probabilistic safety assessments are completed during the course of the project, additions or deletions to the list may be justified. 3 tabs. (Author) .new.

  16. American Folklore: A Guide to Reference Sources.

    Science.gov (United States)

    Kibbee, Jo

    1989-01-01

    This annotated bibliography represents a core collection of reference sources on American folklore. In addition to general references, genre specific reference sources are listed in the following areas: folk narrative; folk music; customary folklore; material culture; ethnic and regional bibliographies; and applied folklore. (39 references) (CLB)

  17. Consumer's Guide to Food Safety: Severe Storms and Hurricanes

    Science.gov (United States)

    ... Consumer's Guide to Food Safety: Severe Storms and Hurricanes Note: This text-only version of the Guide ... Contacts for Areas Affected by Severe Storms and Hurricanes FOOD SAFETY DURING AN EMERGENCY Did you know ...

  18. Implementing virtual reference services a LITA guide

    CERN Document Server

    Thomsett-Scott, Beth C

    2013-01-01

    Social web technologies present an often confusing array of options for answering user reference questions. Applying 20 years' experience as a reference librarian working through the development of virtual reference and the integration of new tools and technologies into the industry, Thomsett-Scott lays out how libraries are using vendor services such as LibraryH3lp, LibAnswers, and Text a Librarian, as well as free tools like Twitter and Google Voice for their reference needs. Practitioners offer details on virtual reference services such as Twitter Search, instant messaging services such as

  19. System Safety Analysis Application Guide. Safety Analysis Report Update Program

    Energy Technology Data Exchange (ETDEWEB)

    1993-05-01

    Martin Marietta Energy Systems, Inc., (Energy Systems) is committed to performing and documenting safety analyses for facilities it manages for the Department of Energy (DOE). Safety analyses are performed to identify hazards and potential accidents; to analyze the adequacy of measures taken to eliminate, control, or mitigate hazards; and to evaluate potential accidents and determine associated risks. Safety Analysis Reports (SARs) are prepared to document the safety analysis to ensure facilities can be operated safely and in accordance with regulations. SARs include Technical Safety Requirements (TSRs), which are specific technical and administrative requirements that prescribe limits and controls to ensure safe operation of DOE facilities. These documented descriptions and analyses contribute to the authorization basis for facility operation. Energy Systems has established a process to perform Unreviewed Safety Question Determinations (USQDs) for planned changes and as-found conditions that are not described and analyzed in existing safety analyses. The process evaluates changes and as-found conditions to determine whether revisions to the authorization basis must be reviewed and approved by DOE. There is an Unreviewed Safety Question (USQ) if a change introduces conditions not bounded by the facility authorization basis. When it is necessary to request DOE approval to revise the authorization basis, preparation of a System Safety Analysis (SSA) is recommended. This application guide describes the process of preparing an SSA and the desired contents of an SSA. Guidance is provided on how to identify items and practices which are important to safety; how to determine the credibility and significance of consequences of proposed accident scenarios; how to evaluate accident prevention and mitigation features of the planned change; and how to establish special requirements to ensure that a change can be implemented with adequate safety.

  20. Reference Resources in German Literature: An Annotated Guide.

    Science.gov (United States)

    Feder, Helga

    This guide is a selection of important reference sources for research in German literature. All major bibliographies and other German reference works, covering the earliest to the most recent literature are included. Important German reference works listing international materials are also included. With the exception of translation sources, the…

  1. Xyce parallel electronic simulator reference guide, version 6.1

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric R; Mei, Ting; Russo, Thomas V.; Schiek, Richard Louis; Sholander, Peter E.; Thornquist, Heidi K.; Verley, Jason C.; Baur, David Gregory

    2014-03-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users Guide [1] . The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce. This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users Guide [1] .

  2. Xyce parallel electronic simulator reference guide, version 6.0.

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric R; Mei, Ting; Russo, Thomas V.; Schiek, Richard Louis; Thornquist, Heidi K.; Verley, Jason C.; Fixel, Deborah A.; Coffey, Todd S; Pawlowski, Roger P; Warrender, Christina E.; Baur, David Gregory.

    2013-08-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users Guide [1] . The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce. This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users Guide [1] .

  3. Xyce™ Parallel Electronic Simulator: Reference Guide, Version 5.1

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical and Microsystems Modeling; Mei, Ting [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical and Microsystems Modeling; Russo, Thomas V. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical and Microsystems Modeling; Rankin, Eric Lamont [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical and Microsystems Modeling; Schiek, Richard Louis [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical and Microsystems Modeling; Santarelli, Keith R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical and Microsystems Modeling; Thornquist, Heidi K. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical and Microsystems Modeling; Fixel, Deborah A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical and Microsystems Modeling; Coffey, Todd S. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Applied Mathematics and Applications; Pawlowski, Roger P. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Applied Mathematics and Applications

    2009-11-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users’ Guide. The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce. This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users’ Guide.

  4. Xyce Parallel Electronic Simulator : reference guide, version 4.1.

    Energy Technology Data Exchange (ETDEWEB)

    Mei, Ting; Rankin, Eric Lamont; Thornquist, Heidi K.; Santarelli, Keith R.; Fixel, Deborah A.; Coffey, Todd Stirling; Russo, Thomas V.; Schiek, Richard Louis; Keiter, Eric Richard; Pawlowski, Roger Patrick

    2009-02-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users Guide. The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce. This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users Guide.

  5. Xyce™ Parallel Electronic Simulator Reference Guide Version 6.8

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Aadithya, Karthik Venkatraman [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Mei, Ting [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Russo, Thomas V. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Schiek, Richard L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Sholander, Peter E. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Thornquist, Heidi K. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Verley, Jason C. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-10-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users' Guide. The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce . This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users' Guide.

  6. Xyce Parallel Electronic Simulator : reference guide, version 2.0.

    Energy Technology Data Exchange (ETDEWEB)

    Hoekstra, Robert John; Waters, Lon J.; Rankin, Eric Lamont; Fixel, Deborah A.; Russo, Thomas V.; Keiter, Eric Richard; Hutchinson, Scott Alan; Pawlowski, Roger Patrick; Wix, Steven D.

    2004-06-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users' Guide. The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce. This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users' Guide.

  7. Introduction to Animal Products. Instructor Guide [and] Student Reference.

    Science.gov (United States)

    Missouri Univ., Columbia. Instructional Materials Lab.

    This packet contains an instructor guide and student reference for a course in introduction to animal products. The curriculum contains the following six lessons: (1) importance of animal products; (2) beef; (3) pork; (4) lamb and mutton; (5) poultry products; and (6) dairy products. The instructor guide includes the following: objectives,…

  8. Agribusiness Sales, Marketing, and Management. Instructor Guide [and] Student Reference.

    Science.gov (United States)

    Schneiderheinze, Ronald; Wood, Christina

    This curriculum guide incorporates the needed components to aid agriculture teachers in the implementation of the Vocational Instructional Management System in agribusiness sales, marketing, and management. The guide begins with a list of the competencies/objectives found in the nine units; list of references and materials; teaching calendar; and…

  9. For safety in procurement, follow the guide!

    CERN Multimedia

    HSE Unit

    2014-01-01

    At one time or another, whether as part of a project or for an activity or service, you may find that you have to write a technical specification before placing an order for equipment or machinery. In all cases, when specifying what you need, you must make sure that aspects linked to safety and, in some cases, radiation protection and the protection of the environment, are taken into account in your invitation to tender/price enquiry.   In order to help you with this, the HSE Unit has just published Safety Guideline GS 0-0-1: “27 Key Questions to Ensure that Safety Aspects are Integrated into Invitations to Tender". This guide, available on EDMS under document number 1334815, has been drawn up after the verification of safety aspects of over 300 invitations to tender recently issued by CERN. It collates the most commonly received comments and remarks concerning safety in a question-and-answer format, so you will find plenty of explanations and points to include in your doc...

  10. ALA Guide to Medical & Health Sciences Reference

    Science.gov (United States)

    ALA Editions, 2011

    2011-01-01

    This resource provides an annotated list of print and electronic biomedical and health-related reference sources, including Internet resources and digital image collections. Readers will find relevant research, clinical, and consumer health information resources. The emphasis is on resources within the United States, with a few representative…

  11. A Reference Guide to Audiovisual Information.

    Science.gov (United States)

    Limbacher, James L.

    A one-volume source of information on feature films, filmstrips, theater, radio, television, and recordings lists some 400 reference books, including filmographies, encyclopedias, biographies, and catalogs. Entries are arranged alphabetically by title and provide the following data: full title, author, editor, publisher, date of publication,…

  12. Guide to preparing SAND reports and other communication products : quick reference guide.

    Energy Technology Data Exchange (ETDEWEB)

    2007-03-01

    This 'Quick Reference Guide' supplements the more complete 'Guide to Preparing SAND Reports and Other Communication Products'. It provides limited guidance on how to prepare SAND Reports at Sandia National Laboratories. Users are directed to the in-depth guide for explanations of processes.

  13. Guide to Preparing SAND Reports and other communication products : quick reference guide.

    Energy Technology Data Exchange (ETDEWEB)

    2009-10-01

    This Quick Reference Guide supplements the more complete Guide to Preparing SAND Reports and Other Communication Products. It provides limited guidance on how to prepare SAND Reports at Sandia National Laboratories. Users are directed to the in-depth guide for explanations of processes.

  14. Xyce™ Parallel Electronic Simulator Reference Guide, Version 6.5

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical Models and Simulation; Aadithya, Karthik V. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical Models and Simulation; Mei, Ting [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical Models and Simulation; Russo, Thomas V. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical Models and Simulation; Schiek, Richard L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical Models and Simulation; Sholander, Peter E. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical Models and Simulation; Thornquist, Heidi K. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical Models and Simulation; Verley, Jason C. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Electrical Models and Simulation

    2016-06-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users’ Guide. The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce. This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users’ Guide. The information herein is subject to change without notice. Copyright © 2002-2016 Sandia Corporation. All rights reserved.

  15. Translation and review on the IAEA safety standards and guides

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Sang Hoon; Lee, Yeong Hwan; Moon, Seok Hyeong; Sohn, Moon Kyu [Korea Association for Nuclear Technology, Taejon (Korea, Republic of)

    2000-12-15

    Translation and review of five IAEA safety guides as follows : staffing of Nuclear Power Plants and the recruitment, training and authorization of operating personnel (safety series No. 50-SG-01), in-service inspection for Nuclear Power Plants (safety series No. 50-SG-02), operating limits and conditions for Nuclear Power Plants (safety series No. 50-SG-03), commissioning procedures for Nuclear Power Plants (safety series No. 50-SG-04), maintenance of Nuclear Power Plants (safety series No. 50-SG-07)

  16. The WHO patient safety curriculum guide for medical schools.

    Science.gov (United States)

    Walton, Merrilyn; Woodward, Helen; Van Staalduinen, Samantha; Lemer, C; Greaves, F; Noble, D; Ellis, B; Donaldson, L; Barraclough, B

    2010-12-01

    The urgent need for patient safety education for healthcare students has been recognised by many accreditation bodies, but to date there has been sporadic attention to undergraduate/graduate medical programmes. Medical students themselves have identified quality and safety of care as an important area of instruction; as future doctors and healthcare leaders, they must be prepared to practise safe healthcare. Medical education has yet to fully embrace patient safety concepts and principles into existing medical curricula. Universities are continuing to produce graduate doctors lacking in the patient safety knowledge, skills and behaviours thought necessary to deliver safe care. A significant challenge is that patient safety is still a relatively new concept and area of study; thus, many medical educators are unfamiliar with the literature and unsure how to integrate patient safety learning into existing curriculum. To address this gap and provide a foothold for medical schools all around the world, the WHO's World Alliance for Patient Safety sponsored the development of a patient safety curriculum guide for medical students. The WHO Patient Safety Curriculum Guide for Medical Schools adopts a 'one-stop-shop' approach in that it includes a teacher's manual providing a step-by-step guide for teachers new to patient safety learning as well as a comprehensive curriculum on the main patient safety areas. This paper establishes the need for patient safety education of medical students, describes the development of the WHO Patient Safety Curriculum Guide for Medical Schools and outlines the content of the Guide.

  17. Latin America: A Student's Guide to Reference Resources.

    Science.gov (United States)

    Slavin, Suzy M., Comp.

    Reference materials in the social sciences on the study of Latin America for university students are listed in this guide. The citations are of a general nature; materials dealing with individual countries of Latin America have not been listed. Each citation is organized within major categories, including biography, handbooks and encyclopedias,…

  18. Introduction to Dairy Production. Instructor Guide [and] Student Reference.

    Science.gov (United States)

    Duncan, Kevin

    This packet contains an instructor guide and student reference for a course in introduction to dairy production. The curriculum contains the following six lessons: (1) introduction to the dairy industry; (2) breeds of dairy cattle; (3) principles of dairy cattle selection; (4) herd management; (5) herd health; and (6) industry issues. The…

  19. The ActionScript 30 Quick Reference Guide

    CERN Document Server

    Stiller, David; deHaan, Jen; Richardson, Darren

    2008-01-01

    "No matter what your background, the pages that follow will provide you with some excellent knowledge, insight, and even a little bit of wisdom in the realm of Flash and ActionScript. Happy learning!"-- Branden Hall, from the ForewordWritten by Flash insiders with extensive knowledge of the technology, this guide is designed specifically to help Flash designers and developers make the leap from ActionScript 2.0 to the new object-oriented ActionScript 3.0 quickly and painlessly. Formatted so you can find any topic easily, ActionScript 3.0 Quick Reference Guide explains:Object-oriented programmi

  20. Safety, Health, and Environmental Auditing A Practical Guide

    CERN Document Server

    Pain, Simon Watson

    2010-01-01

    A practical guide to environmental, safety, and occupational health audits. It allows organizations and business to avoid expensive external auditors and retain the knowledge and learning 'in-house'. It allows any competent manager or safety/environmental officer to undertake in-house audits in a competent and reproducible fashion.

  1. Safety in Riding Programs: A Director's Guide.

    Science.gov (United States)

    Kpachavi, Teresa

    1996-01-01

    Camp riding programs should be examined regularly for liability and risk management issues. Elements of a basic safety assessment include requiring proper safety apparel, removing obstructions from riding rings, ensuring doors and gates are closed, requiring use of lead ropes, securing equine medications, banning smoking, posting written…

  2. Xyce Parallel Electronic Simulator Reference Guide Version 6.7.

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Aadithya, Karthik Venkatraman [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Mei, Ting [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Russo, Thomas V. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Schiek, Richard [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Sholander, Peter E. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Thornquist, Heidi K. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Verley, Jason [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-05-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users' Guide [1] . The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce . This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users' Guide [1] . The information herein is subject to change without notice. Copyright c 2002-2017 Sandia Corporation. All rights reserved. Trademarks Xyce TM Electronic Simulator and Xyce TM are trademarks of Sandia Corporation. Orcad, Orcad Capture, PSpice and Probe are registered trademarks of Cadence Design Systems, Inc. Microsoft, Windows and Windows 7 are registered trademarks of Microsoft Corporation. Medici, DaVinci and Taurus are registered trademarks of Synopsys Corporation. Amtec and TecPlot are trademarks of Amtec Engineering, Inc. All other trademarks are property of their respective owners. Contacts World Wide Web http://xyce.sandia.gov https://info.sandia.gov/xyce (Sandia only) Email xyce@sandia.gov (outside Sandia) xyce-sandia@sandia.gov (Sandia only) Bug Reports (Sandia only) http://joseki-vm.sandia.gov/bugzilla http://morannon.sandia.gov/bugzilla

  3. Motorcycle Safety Education. A Curriculum Guide.

    Science.gov (United States)

    Ohio State Board of Education, Columbus.

    This curriculum guide was produced to assist instructors of educational programs for novice motorcycle operators, automobile drivers, and all highway users. An introductory section discusses program implementation concerns, such as public relations, legal considerations, scheduling, staff, students, facilities, motorcycles, insurance, financial…

  4. Indians and Eskimos of Canada: A Student's Guide to Reference Resources.

    Science.gov (United States)

    Slavin, Suzy M.

    Emphasizing reference resources for ethnological research on Canadian American Indians and Eskimos, this guide constitutes a revised and expanded edition of an earlier student's guide entitled "Canadian Ethnology" and includes both reference sources and annotated bibliographic references for the following: (1) Handbooks (8 references);…

  5. Industrial guide to chemical and drug safety

    National Research Council Canada - National Science Library

    Diwan, Prakash V; Dikshith, T. S. S

    2003-01-01

    ... References 51 Chapter 3 Heavy Metals 59 Introduction 59 Metals and Toxicity Aluminum Arsenic Barium Beryllium Cadmium Chromium Cobalt Lead Manganese Mercury and Methyl Mercury Nickel Zinc 61 62 63 65...

  6. Safety perception referents of permanent and temporary employees: safety climate boundaries in the industrial workplace.

    Science.gov (United States)

    Luria, Gil; Yagil, Dana

    2010-09-01

    To explore the significant referents of safety perceptions among permanent and temporary employees in order to identify the boundaries of safety climate in a heterogeneous workforce. Collection of data from semi-structured interviews with employees in manufacturing organizations, using a combination of qualitative and quantitative methods to identify basic safety perceptions. Independent raters used content analysis to examine the data. Analysis of the data revealed differences between safety themes at organization, group and individual levels. Themes relating to the individual were more prevalent among temporary employees, while those relating to the group and the organization prevailed among permanent employees. Permanent employees view organizational and group levels as significant referents of safety perceptions, while temporary employees focus on the individual level. The results challenge the current view of safety climate as a uniform concept for all employees and prescribe boundary conditions for safety climate. It is suggested that organizations should implement "tailor-made" safety-climate practices according to the referents of employee sub-groups. 2009 Elsevier Ltd. All rights reserved.

  7. Guided and unguided mandibular reference positions in asymptomatic individuals.

    Science.gov (United States)

    Celar, A; Freudenthaler, J; Crismani, A; Graf, A

    2013-02-01

    To determine the difference between guided and unguided mandibular reference positions assessed by articulator simulation. This study was carried out at the Division of Orthodontics at Vienna Medical University. The sample population consisted of 19 men and 18 women aged 23-32 years and without temporomandibular disorder. Three examiners used bimanual operator guidance and unguided mandibular stationary hinging at final jaw closure before occlusal contact and made occlusal wax recordings. The examiners repeated both techniques after 8 and 17 days on the same subjects. Condylar positions were assessed using articulator-mounted casts and a three-dimensional electronic condylar position indicator. Bimanual guidance positioned the condylar spheres, on average, 0.1 mm more right and 0.6 mm more posterior and superior to unguided hinging (p articulator study, the spatial variability of condylar sphere positions suggested a statistically but not clinically relevant methodological difference between bimanual guidance and unguided stationary hinging. © 2012 John Wiley & Sons A/S.

  8. Xyce Parallel Electronic Simulator Reference Guide Version 6.4

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Mei, Ting [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Russo, Thomas V. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Schiek, Richard [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Sholander, Peter E. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Thornquist, Heidi K. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Verley, Jason [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Baur, David Gregory [Raytheon, Albuquerque, NM (United States)

    2015-12-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users' Guide [1] . The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce . This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users' Guide [1] . Trademarks The information herein is subject to change without notice. Copyright c 2002-2015 Sandia Corporation. All rights reserved. Xyce TM Electronic Simulator and Xyce TM are trademarks of Sandia Corporation. Portions of the Xyce TM code are: Copyright c 2002, The Regents of the University of California. Produced at the Lawrence Livermore National Laboratory. Written by Alan Hindmarsh, Allan Taylor, Radu Serban. UCRL-CODE-2002-59 All rights reserved. Orcad, Orcad Capture, PSpice and Probe are registered trademarks of Cadence Design Systems, Inc. Microsoft, Windows and Windows 7 are registered trademarks of Microsoft Corporation. Medici, DaVinci and Taurus are registered trademarks of Synopsys Corporation. Amtec and TecPlot are trademarks of Amtec Engineering, Inc. Xyce 's expression library is based on that inside Spice 3F5 developed by the EECS Department at the University of California. The EKV3 MOSFET model was developed by the EKV Team of the Electronics Laboratory-TUC of the Technical University of Crete. All other trademarks are property of their respective owners. Contacts Bug Reports (Sandia only) http://joseki.sandia.gov/bugzilla http://charleston.sandia.gov/bugzilla World Wide Web http://xyce.sandia.gov http://charleston.sandia.gov/xyce (Sandia only) Email xyce@sandia.gov (outside Sandia) xyce-sandia@sandia.gov (Sandia only)

  9. Non-compliance with agrochemical safety guides and associated ...

    African Journals Online (AJOL)

    Although several occupational health hazards are associated with farming, cocoa farmers could be exposed to more health hazards through use of agrochemicals. The objective of this study was to analyze the effect of non-compliance with agrochemical safety guides on health risks of farmers. The data were collected from ...

  10. Xyce Parallel Electronic Simulator Reference Guide Version 6.6.

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Aadithya, Karthik Venkatraman [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Mei, Ting [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Russo, Thomas V. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Schiek, Richard [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Sholander, Peter E. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Thornquist, Heidi K. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Verley, Jason [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-11-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users' Guide [1] . The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce . This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users' Guide [1] . The information herein is subject to change without notice. Copyright c 2002-2016 Sandia Corporation. All rights reserved. Acknowledgements The BSIM Group at the University of California, Berkeley developed the BSIM3, BSIM4, BSIM6, BSIM-CMG and BSIM-SOI models. The BSIM3 is Copyright c 1999, Regents of the University of California. The BSIM4 is Copyright c 2006, Regents of the University of California. The BSIM6 is Copyright c 2015, Regents of the University of California. The BSIM-CMG is Copyright c 2012 and 2016, Regents of the University of California. The BSIM-SOI is Copyright c 1990, Regents of the University of California. All rights reserved. The Mextram model has been developed by NXP Semiconductors until 2007, Delft University of Technology from 2007 to 2014, and Auburn University since April 2015. Copyrights c of Mextram are with Delft University of Technology, NXP Semiconductors and Auburn University. The MIT VS Model Research Group developed the MIT Virtual Source (MVS) model. Copyright c 2013 Massachusetts Institute of Technology (MIT). The EKV3 MOSFET model was developed by the EKV Team of the Electronics Laboratory-TUC of the Technical University of Crete. Trademarks Xyce TM Electronic Simulator and Xyce TM are trademarks of Sandia Corporation. Orcad, Orcad Capture, PSpice and Probe are registered trademarks of Cadence Design Systems, Inc. Microsoft, Windows and Windows 7 are registered trademarks of Microsoft Corporation. Medici, DaVinci and Taurus are registered trademarks of Synopsys Corporation. Amtec and Tec

  11. Radiation Protection Guide (Occupational Safety and Health Guide [OSH Guide], Part 5) (CD-ROM)

    Science.gov (United States)

    Commission. It may be used in combination with an agency-specific manual. The Radiation Protection Guide is based on Title 10, Code of Federal Regulations (CFR), Parts 20 and 31....ELECTRONIC FILE CHARACTERISTICS: 1 file; MS Word (.DOC) in .zip file. PHYSICAL DESCRIPTION: 1 CD-ROM; 4 3/4 in.; 894 KB. ABSTRACT: The Radiation ... Protection Guide (OSH Guide, Part V) is intended for use by Federal agencies in assessing their compliance with the standards of the Nuclear Regulatory

  12. The SAFER guides: empowering organizations to improve the safety and effectiveness of electronic health records.

    Science.gov (United States)

    Sittig, Dean F; Ash, Joan S; Singh, Hardeep

    2014-05-01

    Electronic health records (EHRs) have potential to improve quality and safety of healthcare. However, EHR users have experienced safety concerns from EHR design and usability features that are not optimally adapted for the complex work flow of real-world practice. Few strategies exist to address unintended consequences from implementation of EHRs and other health information technologies. We propose that organizations equipped with EHRs should consider the strategy of "proactive risk assessment" of their EHR-enabled healthcare system to identify and address EHR-related safety concerns. In this paper, we describe the conceptual underpinning of an EHR-related self-assessment strategy to provide institutions a foundation upon which they could build their safety efforts. With support from the Office of the National Coordinator for Health Information Technology (ONC), we used a rigorous, iterative process to develop a set of 9 self-assessment tools to optimize the safety and safe use of EHRs. These tools, referred to as the Safety Assurance Factors for EHR Resilience (SAFER) guides, could be used to self-assess safety and effectiveness of EHR implementations, identify specific areas of vulnerability, and create solutions and culture change to mitigate risks. A variety of audiences could conduct these assessments, including frontline clinicians or care teams in different practices, or clinical, quality, or administrative leaders within larger institutions. The guides use a multifaceted systems-based approach to assess risk and empower organizations to work with internal or external stakeholders (eg, EHR developers) on optimizing EHR functionality and using EHRs to drive improvements in the quality and safety of healthcare.

  13. Technology, safety, and costs of decommissioning a reference large irradiator and reference sealed sources

    Energy Technology Data Exchange (ETDEWEB)

    Haffner, D.R.; Villelgas, A.J. [Pacific Northwest Lab., Richland, WA (United States)

    1996-01-01

    This report contains the results of a study sponsored by the US Nuclear Regulatory Commission (NRC) to examine the decommissioning of large radioactive irradiators and their respective facilities, and a broad spectrum of sealed radioactive sources and their respective devices. Conceptual decommissioning activities are identified, and the technology, safety, and costs (in early 1993 dollars) associated with decommissioning the reference large irradiator and sealed source facilities are evaluated. The study provides bases and background data for possible future NRC rulemaking regarding decommissioning, for evaluation of the reasonableness of planned decommissioning actions, and for determining if adequate funds are reserved by the licensees for decommissioning of their large irradiator or sealed source facilities. Another purpose of this study is to provide background and information to assist licensees in planning and carrying out the decommissioning of their sealed radioactive sources and respective facilities.

  14. 78 FR 21850 - Federal Motor Vehicle Safety Standards; Matters Incorporated by Reference

    Science.gov (United States)

    2013-04-12

    ... National Highway Traffic Safety Administration 49 CFR Part 571 RIN 2127-AL25 Federal Motor Vehicle Safety... references to the many standards and practices that are incorporated by reference into the Federal motor... motor vehicle safety standards (FMVSSs) in 49 CFR Part 571 (Part 571).\\1\\ Although this part already...

  15. National Environmental Policy Act compliance guide. Volume II (reference book)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-09-01

    This document (Volume II of the National Environmental Policy Act Compliance Guide) contains current copies of regulations and guidance from the Council on Environmental Quality, the Department of Energy, the Department of State, and the Environmental Protection Agency, related to compliance with the National Environmental Policy Act of 1969 (NEPA).

  16. 2013 Vehicle Theft Prevention Quick Reference Guide for the Law Enforcement Community

    Science.gov (United States)

    2013-08-01

    "This and future versions of the Vehicle TheftPrevention Quick Reference Guide for the Law Enforcement Community will provide comprehensive information for vehicle lines. The parts-marking requirements have been : extended to include: : all passe...

  17. Xyce parallel electronic simulator reference guide, Version 6.0.1.

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric R; Mei, Ting; Russo, Thomas V.; Schiek, Richard Louis; Thornquist, Heidi K.; Verley, Jason C.; Fixel, Deborah A.; Coffey, Todd S; Pawlowski, Roger P; Warrender, Christina E.; Baur, David Gregory.

    2014-01-01

    This document is a reference guide to the Xyce Parallel Electronic Simulator, and is a companion document to the Xyce Users Guide [1] . The focus of this document is (to the extent possible) exhaustively list device parameters, solver options, parser options, and other usage details of Xyce. This document is not intended to be a tutorial. Users who are new to circuit simulation are better served by the Xyce Users Guide [1] .

  18. A Guide to Audio-Visual References: Selection and Ordering Sources.

    Science.gov (United States)

    Bonn, Thomas L., Comp.

    Audio-visual reference sources and finding guides to identify media for classroom utilization are compiled in this list of sources at State University of New York College at Cortland libraries. Citations with annotations and library locations are included under the subject headings: (1) general sources for all media formats; (2) reviews, guides,…

  19. The art of appropriate evaluation : a guide for highway safety program managers

    Science.gov (United States)

    2008-08-01

    The guide, updated from its original release in 1999, is intended for project managers who will oversee the evaluation of traffic safety programs. It describes the benefits of evaluation and provides an overview of the steps involved. The guide inclu...

  20. Shakespeare: A Student's Guide to Basic Reference Sources.

    Science.gov (United States)

    Claener, Anne, Comp.

    Basic and standard reference materials dealing with William Shakespeare are listed in this bibliography. Annotated entries are grouped under the following headings: concordances, dictionaries, encyclopedias and handbooks, and bibliographies. The section on bibliographies is further divided into lists of editions of Shakespeare's work, general…

  1. Posterior reference guides do not always maintain the size of posterior femoral condyles in TKA.

    Science.gov (United States)

    Minoda, Yukihide; Mizokawa, Shigekazu; Ohta, Yoichi; Ikebuchi, Mitsuhiko; Itokazu, Maki; Yamamura, Kazumasa; Nakamura, Suguru; Nakamura, Hiroaki

    2016-08-01

    Posterior reference guides are provided by many manufacturers. However, the true posterior femoral condyle bone resection thicknesses using posterior reference guides are not stated by the manufacturers. The purpose of this study was to analyse the influence of the posterior reference guide designs on the posterior femoral condyle bone resection thickness. Thickness of posterior femoral condyle bone resection and thickness of prostheses were investigated in 8 types of total knee prostheses using the production drawings provided by the manufacturers. Posterior femoral condyle bone resection thickness differed between prostheses. Change in size of the medial posterior condyle ranged from -0.5 to 1.4 mm at 0° external rotation, from -2.9 to 1.4 mm at 3° external rotation, and from -5.3 to 1.4 mm at 6° external rotation. Change in size of lateral posterior condyle ranged from -0.5 to 1.4 mm at 0° external rotation, from -0.4 to 3.4 mm at 3° external rotation, and from -0.4 to 5.3 mm at 6° external rotation. This study showed that posterior femoral condyle bone resection thickness was different for each posterior reference guide. The rotation centre of posterior reference guides influenced the bone resection thickness in the posterior femoral condyle. The size of the posterior femoral condyles increased in some guides but decreased in other guides. The maximum differences in size changes of the posterior femoral condyles between the guides were 1.9 mm at 0° external rotation, 4.1 mm at 3° external rotation, and 6.3 mm at 6° external rotation. To control the size of posterior femoral condyles, the posterior reference guide design should be checked before use.

  2. Mars Global Reference Atmospheric Model 2010 Version: Users Guide

    Science.gov (United States)

    Justh, H. L.

    2014-01-01

    This Technical Memorandum (TM) presents the Mars Global Reference Atmospheric Model 2010 (Mars-GRAM 2010) and its new features. Mars-GRAM is an engineering-level atmospheric model widely used for diverse mission applications. Applications include systems design, performance analysis, and operations planning for aerobraking, entry, descent and landing, and aerocapture. Additionally, this TM includes instructions on obtaining the Mars-GRAM source code and data files as well as running Mars-GRAM. It also contains sample Mars-GRAM input and output files and an example of how to incorporate Mars-GRAM as an atmospheric subroutine in a trajectory code.

  3. Reference-guided de novo assembly approach improves genome reconstruction for related species.

    Science.gov (United States)

    Lischer, Heidi E L; Shimizu, Kentaro K

    2017-11-10

    The development of next-generation sequencing has made it possible to sequence whole genomes at a relatively low cost. However, de novo genome assemblies remain challenging due to short read length, missing data, repetitive regions, polymorphisms and sequencing errors. As more and more genomes are sequenced, reference-guided assembly approaches can be used to assist the assembly process. However, previous methods mostly focused on the assembly of other genotypes within the same species. We adapted and extended a reference-guided de novo assembly approach, which enables the usage of a related reference sequence to guide the genome assembly. In order to compare and evaluate de novo and our reference-guided de novo assembly approaches, we used a simulated data set of a repetitive and heterozygotic plant genome. The extended reference-guided de novo assembly approach almost always outperforms the corresponding de novo assembly program even when a reference of a different species is used. Similar improvements can be observed in high and low coverage situations. In addition, we show that a single evaluation metric, like the widely used N50 length, is not enough to properly rate assemblies as it not always points to the best assembly evaluated with other criteria. Therefore, we used the summed z-scores of 36 different statistics to evaluate the assemblies. The combination of reference mapping and de novo assembly provides a powerful tool to improve genome reconstruction by integrating information of a related genome. Our extension of the reference-guided de novo assembly approach enables the application of this strategy not only within but also between related species. Finally, the evaluation of genome assemblies is often not straight forward, as the truth is not known. Thus one should always use a combination of evaluation metrics, which not only try to assess the continuity but also the accuracy of an assembly.

  4. Republished paper: The WHO patient safety curriculum guide for medical schools.

    Science.gov (United States)

    Walton, Merrilyn; Woodward, Helen; Van Staalduinen, Samantha; Lemer, C; Greaves, F; Noble, D; Ellis, B; Donaldson, L; Barraclough, B

    2011-04-01

    The urgent need for patient safety education for healthcare students has been recognised by many accreditation bodies, but to date there has been sporadic attention to undergraduate/graduate medical programmes. Medical students themselves have identified quality and safety of care as an important area of instruction; as future doctors and healthcare leaders, they must be prepared to practise safe healthcare. Medical education has yet to fully embrace patient safety concepts and principles into existing medical curricula. Universities are continuing to produce graduate doctors lacking in the patient safety knowledge, skills and behaviours thought necessary to deliver safe care. A significant challenge is that patient safety is still a relatively new concept and area of study; thus, many medical educators are unfamiliar with the literature and unsure how to integrate patient safety learning into existing curriculum. To address this gap and provide a foothold for medical schools all around the world, the WHO's World Alliance for Patient Safety sponsored the development of a patient safety curriculum guide for medical students. The WHO Patient Safety Curriculum Guide for Medical Schools adopts a 'one-stop-shop' approach in that it includes a teacher's manual providing a step-by-step guide for teachers new to patient safety learning as well as a comprehensive curriculum on the main patient safety areas. This paper establishes the need for patient safety education of medical students, describes the development of the WHO Patient Safety Curriculum Guide for Medical Schools and outlines the content of the Guide.

  5. Miro V3.0: user guide and reference manual; Miro V3.0: guide utilisateur et manuel de reference

    Energy Technology Data Exchange (ETDEWEB)

    Donnat, Ph.; Treimany, C.; Morice, O.; Ribeyre, X

    1998-06-01

    This paper contains the user`s guide and reference manual of Miro software. This software is used for simulating propagation and amplification of laser beams in laser devices as Megajoules or NIF. The physical effects taken into account ar essentially: saturated amplification, absorption, Kerr effect, birefringence and aberrations. The models of propagation are either geometrical optics of parallel beams, or Fresnel diffraction. A graphic user interface as been included to allow interactive management of optical devices and results. A Unix environment with X-Window and Motif is required to run Miro. The user`s guide gives a short insight of the software. The reference manual details the physical models and the way they are implanted in Miro. (author) 33 refs.

  6. Packaging Review Guide for Reviewing Safety Analysis Reports for Packagings

    Energy Technology Data Exchange (ETDEWEB)

    DiSabatino, A; Biswas, D; DeMicco, M; Fisher, L E; Hafner, R; Haslam, J; Mok, G; Patel, C; Russell, E

    2007-04-12

    This Packaging Review Guide (PRG) provides guidance for Department of Energy (DOE) review and approval of packagings to transport fissile and Type B quantities of radioactive material. It fulfills, in part, the requirements of DOE Order 460.1B for the Headquarters Certifying Official to establish standards and to provide guidance for the preparation of Safety Analysis Reports for Packagings (SARPs). This PRG is intended for use by the Headquarters Certifying Official and his or her review staff, DOE Secretarial offices, operations/field offices, and applicants for DOE packaging approval. This PRG is generally organized at the section level in a format similar to that recommended in Regulatory Guide 7.9 (RG 7.9). One notable exception is the addition of Section 9 (Quality Assurance), which is not included as a separate chapter in RG 7.9. Within each section, this PRG addresses the technical and regulatory bases for the review, the manner in which the review is accomplished, and findings that are generally applicable for a package that meets the approval standards. This Packaging Review Guide (PRG) provides guidance for DOE review and approval of packagings to transport fissile and Type B quantities of radioactive material. It fulfills, in part, the requirements of DOE O 460.1B for the Headquarters Certifying Official to establish standards and to provide guidance for the preparation of Safety Analysis Reports for Packagings (SARPs). This PRG is intended for use by the Headquarters Certifying Official and his review staff, DOE Secretarial offices, operations/field offices, and applicants for DOE packaging approval. The primary objectives of this PRG are to: (1) Summarize the regulatory requirements for package approval; (2) Describe the technical review procedures by which DOE determines that these requirements have been satisfied; (3) Establish and maintain the quality and uniformity of reviews; (4) Define the base from which to evaluate proposed changes in scope

  7. Standard guide for preparation of working reference materials for use in analysis of nuclear fuel cycle materials

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2001-01-01

    1.1 This guide covers the preparation and characterization of working reference materials (WRM) that are produced by a laboratory for its own use in the analysis of nuclear materials. Guidance is provided for establishing traceability of WRMs to certified reference materials by a defined characterization process. The guidance provided is generic; it is not specific for a given material. 1.2 The information provided by this guide is found in the following sections: Section Planning 6 Preparation 7 Packaging and Storage 8 Characterization 9 Statistical Analysis 10 Documentation 11 1.3 The values stated in SI units are to be regarded as standard. No other units of measurement are included in this standard. 1.4 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

  8. Nuclear Computerized Library for Assessing Reactor Reliability (NUCLARR). Version 3.5, Quick Reference Guide

    Energy Technology Data Exchange (ETDEWEB)

    Gilbert, B.G.; Richards, R.E.; Reece, W.J.; Gertman, D.I.

    1992-10-01

    This Reference Guide contains instructions on how to install and use Version 3.5 of the NRC-sponsored Nuclear Computerized Library for Assessing Reactor Reliability (NUCLARR). The NUCLARR data management system is contained in compressed files on the floppy diskettes that accompany this Reference Guide. NUCLARR is comprised of hardware component failure data (HCFD) and human error probability (HEP) data, both of which are available via a user-friendly, menu driven retrieval system. The data may be saved to a file in a format compatible with IRRAS 3.0 and commercially available statistical packages, or used to formulate log-plots and reports of data retrieval and aggregation findings.

  9. MP-Division health and safety reference handbook. [Contains glossary

    Energy Technology Data Exchange (ETDEWEB)

    Putnam, T.M.

    1987-09-01

    This report presents the objectives, organization, policies, and essential rules and procedures that have been adopted by MP Division and that form the basis of the Health and Safety Program of the Clinton P. Anderson Meson Physics Facility (LAMPF). The facility includes the beam-delivery systems for the Los Alamos Neutron Scattering Center and the Weapons Neutron Research Facility (LANSCE/WNR). The program is designed not only to assure the health and safety of all personnel, including users, in their work at LAMPF, and of MP-Division staff in their work on the LANSCE/WNR beam lines, but also to protect the facility (buildings and equipment) and the environment. 33 refs., 18 figs., 2 tabs.

  10. Technology, safety, and costs of decommissioning a reference nuclear fuel reprocessing plant. [Appendices only

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, K.J.; Jenkins, C.E.; Rhoads, R.E.

    1977-09-01

    Volume 2 comprises six appendices on: facility description; residual radioactivity inventory estimates; description and contamination levels of reference site; derivation of residual contamination levels; decommissioning mode detail; and decommissioning safety assessment details.

  11. Equine Science. Instructor Guide [and] Student Reference. Volume 27, Number 4 [and] Volume 27, Number 5.

    Science.gov (United States)

    Leffert, Kenneth L.; And Others

    This instructor guide and the corresponding student reference contain 10 lessons to enhance an Agricultural Science I course for grade 9. The lessons cover the following topics: introduction, psychology and handling, conformation and selection, genetics and reproduction, herd health, hoof care, nutrition, equipment and facilities, handling horses,…

  12. A reference guide to microbial cell surface hydrophobicity based on contact angles

    NARCIS (Netherlands)

    van der Mei, HC; Busscher, HJ; Bos, R.R.M.

    1998-01-01

    Acid-base interactions form the origin of the hydrophobicity of microbial cell-surfaces and can be quantitated from contact angle measurements on microbial lawns with water, formamide, methyleneiodide and/or alpha-bromonaphthalene. This review provides a reference guide to microbial cell surface

  13. Jobs and Economic Development Impact (JEDI) Model Geothermal User Reference Guide

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, C.; Augustine, C.; Goldberg, M.

    2012-09-01

    The Geothermal Jobs and Economic Development Impact (JEDI) model, developed through the National Renewable Energy Laboratory (NREL), is an Excel-based user-friendly tools that estimates the economic impacts of constructing and operating hydrothermal and Enhanced Geothermal System (EGS) power generation projects at the local level for a range of conventional and renewable energy technologies. The JEDI Model Geothermal User Reference Guide was developed to assist users in using and understanding the model. This guide provides information on the model's underlying methodology, as well as the parameters and references used to develop the cost data utilized in the model. This guide also provides basic instruction on model add-in features, operation of the model, and a discussion of how the results should be interpreted.

  14. Safety critical systems handbook a straightforward guide to functional safety : IEC 61508 (2010 edition) and related standards

    CERN Document Server

    Smith, David J

    2010-01-01

    Electrical, electronic and programmable electronic systems increasingly carry out safety functions to guard workers and the public against injury or death and the environment against pollution. The international functional safety standard IEC 61508 was revised in 2010, and this is the first comprehensive guide available to the revised standard. As functional safety is applicable to many industries, this book will have a wide readership beyond the chemical and process sector, including oil and gas, power generation, nuclear, aircraft, and automotive industries, plus project, instrumentation, design, and control engineers. * The only comprehensive guide to IEC 61508, updated to cover the 2010 amendments, that will ensure engineers are compliant with the latest process safety systems design and operation standards* Helps readers understand the process required to apply safety critical systems standards* Real-world approach helps users to interpret the standard, with case studies and best practice design examples...

  15. Technology, safety, and costs of decommissioning a reference pressurized water reactor power station. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Smith, R.I.; Konzek, G.J.; Kennedy, W.E. Jr.

    1978-05-01

    Detailed appendices are presented under the following headings: reference PWR facility description, reference PWR site description, estimates of residual radioactivity, alternative methods for financing decommissioning, radiation dose methodology, generic decommissioning activities, intermediate dismantlement activities, safe storage and deferred dismantlement activities, compilation of unit cost factors, and safety assessment details.

  16. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide.

    Science.gov (United States)

    Farley, Donna; Zheng, Hao; Rousi, Eirini; Leotsakos, Agnès

    2015-01-01

    Although the importance of training in patient safety has been acknowledged for over a decade, it remains under-utilized and under-valued in most countries. WHO developed the Multi-professional Patient Safety Curriculum Guide to provide schools with the requirements and tools for incorporating patient safety in education. It was field tested with 12 participating schools across the six WHO regions, to assess its effectiveness for teaching patient safety to undergraduate and graduate students in a global variety of settings. The evaluation used a combined prospective/retrospective design to generate formative information on the experiences of working with the Guide and summative information on the impacts of the Guide. Using stakeholder interviews and student surveys, data were gathered from each participating school at three times: the start of the field test (baseline), soon after each school started teaching, and soon after each school finished teaching. Stakeholders interviewed were strongly positive about the Guide, noting that it emphasized universally important patient safety topics, was culturally appropriate for their countries, and gave credibility and created a focus on patient safety at their schools. Student perceptions and attitudes regarding patient safety improved substantially during the field test, and their knowledge of the topics they were taught doubled, from 10.7% to 20.8% of correct answers on the student survey. This evaluation documented the effectiveness of the Curriculum Guide, for both ease of use by schools and its impacts on improving the patient safety knowledge of healthcare students. WHO should be well positioned to refine the contents of the Guide and move forward in encouraging broader use of the Guide globally for teaching patient safety.

  17. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide

    Science.gov (United States)

    Farley, Donna; Zheng, Hao; Rousi, Eirini; Leotsakos, Agnès

    2015-01-01

    Introduction Although the importance of training in patient safety has been acknowledged for over a decade, it remains under-utilized and under-valued in most countries. WHO developed the Multi-professional Patient Safety Curriculum Guide to provide schools with the requirements and tools for incorporating patient safety in education. It was field tested with 12 participating schools across the six WHO regions, to assess its effectiveness for teaching patient safety to undergraduate and graduate students in a global variety of settings. Methods The evaluation used a combined prospective/retrospective design to generate formative information on the experiences of working with the Guide and summative information on the impacts of the Guide. Using stakeholder interviews and student surveys, data were gathered from each participating school at three times: the start of the field test (baseline), soon after each school started teaching, and soon after each school finished teaching. Results Stakeholders interviewed were strongly positive about the Guide, noting that it emphasized universally important patient safety topics, was culturally appropriate for their countries, and gave credibility and created a focus on patient safety at their schools. Student perceptions and attitudes regarding patient safety improved substantially during the field test, and their knowledge of the topics they were taught doubled, from 10.7% to 20.8% of correct answers on the student survey. Discussion This evaluation documented the effectiveness of the Curriculum Guide, for both ease of use by schools and its impacts on improving the patient safety knowledge of healthcare students. WHO should be well positioned to refine the contents of the Guide and move forward in encouraging broader use of the Guide globally for teaching patient safety. PMID:26406893

  18. Transmission Line Jobs and Economic Development Impact (JEDI) Model User Reference Guide

    Energy Technology Data Exchange (ETDEWEB)

    Goldberg, M.; Keyser, D.

    2013-10-01

    The Jobs and Economic Development Impact (JEDI) models, developed through the National Renewable Energy Laboratory (NREL), are freely available, user-friendly tools that estimate the potential economic impacts of constructing and operating power generation projects for a range of conventional and renewable energy technologies. The Transmission Line JEDI model can be used to field questions about the economic impacts of transmission lines in a given state, region, or local community. This Transmission Line JEDI User Reference Guide was developed to provide basic instruction on operating the model and understanding the results. This guide also provides information on the model's underlying methodology, as well as the parameters and references used to develop the cost data contained in the model.

  19. Navy Planning, Programming, Budgeting, and Execution: A Reference Guide for Senior Leaders, Managers, and Action Officers

    Science.gov (United States)

    2016-01-01

    time—both because the vision may not be spelled out in detail or in one place and because how the CNO chooses to do business and make decisions may...The approach followed in writ - ing the guide was to first identify the historic reference documents that would provide authoritative sources for such...resource integrator. In other words , in the absence of a coherent capability or program-planning rationale for preferring one requirement over

  20. Safety Belt Activity Book: A Guide for Teachers of Grades K-6.

    Science.gov (United States)

    Department of Transportation, Washington, DC. National Highway Safety Bureau.

    This book is a teacher's guide for the instruction of elementary students on the use of safety belts. The purpose of the book is to train students how and when to use a safety belt, and to encourage students to pass on this information to others. There are 20 learning activities, each designated for small or large group instruction. Teachers are…

  1. Forklift safety a practical guide to preventing powered industrial truck incidents and injuries

    CERN Document Server

    Swartz, George

    1999-01-01

    Written for the more than 1.5 million powered industrial truck operators and supervisors in general industry, as well as those in the construction and marine industries, this Second Edition provides an updated guide to training operators in safety and complying with OSHA's 1999 forklift standard. This edition of Forklift Safety includes a new chapter devoted to the new OSHA 1910.178 standard and new information regarding dock safety, narrow aisle trucks, off-dock incidents, tip-over safety, pallet safety, and carbon monoxide.

  2. Construction safety in DOE. Part 1, Students guide

    Energy Technology Data Exchange (ETDEWEB)

    Handwerk, E C

    1993-08-01

    This report is the first part of a compilation of safety standards for construction activities on DOE facilities. This report covers the following areas: general safety and health provisions; occupational health and environmental control/haz mat; personal protective equipment; fire protection and prevention; signs, signals, and barricades; materials handling, storage, use, and disposal; hand and power tools; welding and cutting; electrical; and scaffolding.

  3. Style, content and format guide for writing safety analysis documents. Volume 1, Safety analysis reports for DOE nuclear facilities

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    The purpose of Volume 1 of this 4-volume style guide is to furnish guidelines on writing and publishing Safety Analysis Reports (SARs) for DOE nuclear facilities at Sandia National Laboratories. The scope of Volume 1 encompasses not only the general guidelines for writing and publishing, but also the prescribed topics/appendices contents along with examples from typical SARs for DOE nuclear facilities.

  4. Technology, safety and costs of decommissioning a reference boiling water reactor power station. Appendices. Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    Oak, H.D.; Holter, G.M.; Kennedy, W.E. Jr.; Konzek, G.J.

    1980-06-01

    Appendices are presented concerning the evaluations of decommissioning financing alternatives; reference site description; reference BWR facility description; radiation dose rate and concrete surface contamination data; radionuclide inventories; public radiation dose models and calculated maximum annual doses; decommissioning methods; generic decommissioning information; immediate dismantlement details; passive safe storage, continuing care, and deferred dismantlement details; entombment details; demolition and site restoration details; cost estimating bases; public radiological safety assessment details; and details of alternate study bases.

  5. Petroleum Refinery Jobs and Economic Development Impact (JEDI) Model User Reference Guide

    Energy Technology Data Exchange (ETDEWEB)

    Goldberg, Marshall [MRG and Associates, Nevada City, CA (United States)

    2013-12-31

    The Jobs and Economic Development Impact (JEDI) models, developed through the National Renewable Energy Laboratory (NREL), are user-friendly tools utilized to estimate the economic impacts at the local level of constructing and operating fuel and power generation projects for a range of conventional and renewable energy technologies. The JEDI Petroleum Refinery Model User Reference Guide was developed to assist users in employing and understanding the model. This guide provides information on the model's underlying methodology, as well as the parameters and references used to develop the cost data utilized in the model. This guide also provides basic instruction on model add-in features, operation of the model, and a discussion of how the results should be interpreted. Based on project-specific inputs from the user, the model estimates job creation, earning and output (total economic activity) for a given petroleum refinery. This includes the direct, indirect and induced economic impacts to the local economy associated with the refinery's construction and operation phases. Project cost and job data used in the model are derived from the most current cost estimations available. Local direct and indirect economic impacts are estimated using economic multipliers derived from IMPLAN software. By determining the regional economic impacts and job creation for a proposed refinery, the JEDI Petroleum Refinery model can be used to field questions about the added value refineries may bring to the local community.

  6. Jobs and Economic Development Impact (JEDI) User Reference Guide: Fast Pyrolysis Biorefinery Model

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Yimin [National Renewable Energy Lab. (NREL), Golden, CO (United States); Goldberg, Marshall [MRG and Associates, Nevada City, CA (United States)

    2015-02-01

    This guide -- the JEDI Fast Pyrolysis Biorefinery Model User Reference Guide -- was developed to assist users in operating and understanding the JEDI Fast Pyrolysis Biorefinery Model. The guide provides information on the model's underlying methodology, as well as the parameters and data sources used to develop the cost data utilized in the model. This guide also provides basic instruction on model add-in features and a discussion of how the results should be interpreted. Based on project-specific inputs from the user, the JEDI Fast Pyrolysis Biorefinery Model estimates local (e.g., county- or state-level) job creation, earnings, and output from total economic activity for a given fast pyrolysis biorefinery. These estimates include the direct, indirect and induced economic impacts to the local economy associated with the construction and operation phases of biorefinery projects.Local revenue and supply chain impacts as well as induced impacts are estimated using economic multipliers derived from the IMPLAN software program. By determining the local economic impacts and job creation for a proposed biorefinery, the JEDI Fast Pyrolysis Biorefinery Model can be used to field questions about the added value biorefineries might bring to a local community.

  7. Instructional Resources Monograph Series: Safety in Wastewater Treatment Systems. Selected Instructional Activities and References.

    Science.gov (United States)

    Coon, Herbert L.

    Described are instructional and reference materials that may be useful to managers, supervisors, foremen and others who are interested in the safety education of workers in wastewater systems. Emphasis is upon items relevant to the development and presentation of wastewater treatment training programs. Part I contains descriptions and excerpts…

  8. Benchmarking road safety performance: Identifying a meaningful reference (best-in-class).

    Science.gov (United States)

    Chen, Faan; Wu, Jiaorong; Chen, Xiaohong; Wang, Jianjun; Wang, Di

    2016-01-01

    For road safety improvement, comparing and benchmarking performance are widely advocated as the emerging and preferred approaches. However, there is currently no universally agreed upon approach for the process of road safety benchmarking, and performing the practice successfully is by no means easy. This is especially true for the two core activities of which: (1) developing a set of road safety performance indicators (SPIs) and combining them into a composite index; and (2) identifying a meaningful reference (best-in-class), one which has already obtained outstanding road safety practices. To this end, a scientific technique that can combine the multi-dimensional safety performance indicators (SPIs) into an overall index, and subsequently can identify the 'best-in-class' is urgently required. In this paper, the Entropy-embedded RSR (Rank-sum ratio), an innovative, scientific and systematic methodology is investigated with the aim of conducting the above two core tasks in an integrative and concise procedure, more specifically in a 'one-stop' way. Using a combination of results from other methods (e.g. the SUNflower approach) and other measures (e.g. Human Development Index) as a relevant reference, a given set of European countries are robustly ranked and grouped into several classes based on the composite Road Safety Index. Within each class the 'best-in-class' is then identified. By benchmarking road safety performance, the results serve to promote best practice, encourage the adoption of successful road safety strategies and measures and, more importantly, inspire the kind of political leadership needed to create a road transport system that maximizes safety. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. Reference to the Safety Engineering Undergraduate Courses to Improve the Subjects and Contents of the Certified Safety Engineer Qualification and Examination System of China

    OpenAIRE

    Haibin Qiu; Shanghong Shi; Tingdi Zhao; Yiwei Qiao; Jiangshi Zhang

    2013-01-01

    The aim of this paper is to recommend that the subjects and contents of certified safety engineers use safety engineering undergraduate curriculum system for reference. Human resources play an important role in accident prevention and loss control. Education on safety engineering develops quickly in China. Moreover, the State Administration of Work Safety and the National Human Resources and Social Security Ministry have implemented a certified safety engineer qualification and examination sy...

  10. Efficacy And Safety Of IVUS-Guided Percutaneous Coronary Interventions

    Directory of Open Access Journals (Sweden)

    Popovic Marija

    2015-06-01

    Full Text Available The inclusion of IVUS-guided PCI has yet to become a routine approach in invasive cardiology due to the relatively high cost of the procedure, equivocal positive results in important studies and the steep learning curve. As an additional diagnostic tool, IVUS seems to be irreplaceable in stent apposition research, edge dissections and the determination of plaque composition.

  11. User`s and reference guide to the INEL RML/analytical radiochemistry sample tracking database version 1.00

    Energy Technology Data Exchange (ETDEWEB)

    Femec, D.A.

    1995-09-01

    This report discusses the sample tracking database in use at the Idaho National Engineering Laboratory (INEL) by the Radiation Measurements Laboratory (RML) and Analytical Radiochemistry. The database was designed in-house to meet the specific needs of the RML and Analytical Radiochemistry. The report consists of two parts, a user`s guide and a reference guide. The user`s guide presents some of the fundamentals needed by anyone who will be using the database via its user interface. The reference guide describes the design of both the database and the user interface. Briefly mentioned in the reference guide are the code-generating tools, CREATE-SCHEMA and BUILD-SCREEN, written to automatically generate code for the database and its user interface. The appendices contain the input files used by the these tools to create code for the sample tracking database. The output files generated by these tools are also included in the appendices.

  12. From project-oriented to service-oriented software development: an industrial experience guided by a service reference model

    National Research Council Canada - National Science Library

    Kalinowski, Marcos; Biffl, Stefan; Spínola, Rodrigo Oliveira; Reinehr, Sheila

    2014-01-01

    ...-neutral project-oriented software deliveries.This article reports on the industrial experience of restructuring the supplier-side software development process into a value-based service-oriented format, guided by a service reference model...

  13. Construction safety in DOE. Part 2, Students guide

    Energy Technology Data Exchange (ETDEWEB)

    Handwerk, E.C.

    1993-08-01

    This report is the second part of a compilation of safety standards for construction activities on DOE facilities. This report covers the following areas: floor and wall openings; cranes, derricks, hoists, elevators, and conveyors; motor vehicles, mechanized equipment, and marine operations; excavations; concrete and masonry construction; steel erection; underground construction, caisson, cofferdams, and compressed air; demolition; blasting and the use of explosives; power transmission and distribution; rollover protective structures, overhead protection; and ladders.

  14. 76 FR 47436 - Virginia Graeme Baker Pool and Spa Safety Act; Incorporation by Reference of Successor Standard

    Science.gov (United States)

    2011-08-05

    ... COMMISSION 16 CFR Part 1450 Virginia Graeme Baker Pool and Spa Safety Act; Incorporation by Reference of... its regulations implementing the Virginia Graeme Baker Pool and Spa Safety Act. DATES: The rule takes... . SUPPLEMENTARY INFORMATION: A. What does the Virginia Graeme Baker Pool and Spa Safety Act do? What standard is...

  15. Hazard screening application guide. Safety Analysis Report Update Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    1992-06-01

    The basic purpose of hazard screening is to group precesses, facilities, and proposed modifications according to the magnitude of their hazards so as to determine the need for and extent of follow on safety analysis. A hazard is defined as a material, energy source, or operation that has the potential to cause injury or illness in human beings. The purpose of this document is to give guidance and provide standard methods for performing hazard screening. Hazard screening is applied to new and existing facilities and processes as well as to proposed modifications to existing facilities and processes. The hazard screening process evaluates an identified hazards in terms of the effects on people, both on-site and off-site. The process uses bounding analyses with no credit given for mitigation of an accident with the exception of certain containers meeting DOT specifications. The process is restricted to human safety issues only. Environmental effects are addressed by the environmental program. Interfaces with environmental organizations will be established in order to share information.

  16. Havsnaes Wind Farm. A guide on Health and Safety

    Energy Technology Data Exchange (ETDEWEB)

    Wettin, Martina [Goovinn, Goeteborg (Sweden); Jiven, Anna [Nordisk Vindkraft, Goeteborg (Sweden)

    2011-07-01

    This guide has been developed by Nordisk Vindkraft in co-operation with Energimyndigheten (the Swedish Energy Agency). The main purpose is to raise the attention to work environment matters when developing, constructing and operating large-scale wind farms in the northern parts of Sweden. The Swedish wind industry is relatively young. Work Environment Management and legal awareness has been identified by the Swedish Government as one crucial factor for ensuring sound and rapid development of the industry. Havsnaes is to date the largest onshore wind farm in Sweden. Whilst developing this project, Nordisk Vindkraft has gained extensive experience and developed a profound understanding of the prerequisites for the Swedish large-scale wind industry. The wind farm's size, complexity and geographical location near Stroemsund in Jaemtland qualify the project as an excellent pilot study. Preventing accidents and ill-health largely depends on your knowledge, competence and the resources you are able and willing to spend. The key for success is a pro-active approach. During the Havsnaes project, Nordisk Vindkraft has spent considerable amount of time and effort on the management of Work Environment. We hope our gained experience will be beneficial for our industry as a whole.

  17. Health and Safety Guide for Home Performance Contractors

    Energy Technology Data Exchange (ETDEWEB)

    Stratton, Chris [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Walker, Iain S. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2012-02-15

    This report is intended to provide home performance contractor trainers with a resource to keep both their workers and home residents safe and healthy. This document is an attempt to describe what we currently believe is safe, what we believe is unsafe, and what we’re unsure about. It is intended to identify health and safety issues and provide historical context and current understanding of both risks and mitigation strategies. In addition, it provides links to more in-depth resources for each issue. When we tighten the thermal envelope of a house to improve comfort and reduce energy use, we have to be sure that we are not compromising the indoor air quality of the home. This means identifying and mitigating or eliminating pollution sources before and after you make changes to the home. These sources can include materials and finishes in the home, exhaust gasses from combustion appliances, soil gasses such as radon, and moisture from a bathroom, kitchen, or unvented clothes dryer. Our first responsibility is to do no harm — this applies both to our clients and to our employees. Currently, there are many new products that are widely used but whose health effects are not well understood. Our in ability to have perfect information means the directive to do no harm can be difficult to obey. Each home is a little bit different, and in the face of a situation you’ve never encountered, it’s important to have a solid grasp of the fundamental concepts of building science when the hard and fast rules don’t apply . The home performance industry is gaining momentum, and has the potential to expand greatly as energy costs continue to rise. It is imperative that we remain vigilant about protecting the health and safety of our workers and our customers. It only takes a few news stories about a family that got sick after their home was tightened by a home performance contractor to scare off potential customers and taint the reputation of the entire industry. Good

  18. MetaCRAST: reference-guided extraction of CRISPR spacers from unassembled metagenomes

    Science.gov (United States)

    Moller, Abraham G.

    2017-01-01

    Clustered regularly interspaced short palindromic repeat (CRISPR) systems are the adaptive immune systems of bacteria and archaea against viral infection. While CRISPRs have been exploited as a tool for genetic engineering, their spacer sequences can also provide valuable insights into microbial ecology by linking environmental viruses to their microbial hosts. Despite this importance, metagenomic CRISPR detection remains a major challenge. Here we present a reference-guided CRISPR spacer detection tool (Metagenomic CRISPR Reference-Aided Search Tool—MetaCRAST) that constrains searches based on user-specified direct repeats (DRs). These DRs could be expected from assembly or taxonomic profiles of metagenomes. We compared the performance of MetaCRAST to those of two existing metagenomic CRISPR detection tools—Crass and MinCED—using both real and simulated acid mine drainage (AMD) and enhanced biological phosphorus removal (EBPR) metagenomes. Our evaluation shows MetaCRAST improves CRISPR spacer detection in real metagenomes compared to the de novo CRISPR detection methods Crass and MinCED. Evaluation on simulated metagenomes show it performs better than de novo tools for Illumina metagenomes and comparably for 454 metagenomes. It also has comparable performance dependence on read length and community composition, run time, and accuracy to these tools. MetaCRAST is implemented in Perl, parallelizable through the Many Core Engine (MCE), and takes metagenomic sequence reads and direct repeat queries (FASTA or FASTQ) as input. It is freely available for download at https://github.com/molleraj/MetaCRAST. PMID:28894651

  19. MetaCRAST: reference-guided extraction of CRISPR spacers from unassembled metagenomes

    Directory of Open Access Journals (Sweden)

    Abraham G. Moller

    2017-09-01

    Full Text Available Clustered regularly interspaced short palindromic repeat (CRISPR systems are the adaptive immune systems of bacteria and archaea against viral infection. While CRISPRs have been exploited as a tool for genetic engineering, their spacer sequences can also provide valuable insights into microbial ecology by linking environmental viruses to their microbial hosts. Despite this importance, metagenomic CRISPR detection remains a major challenge. Here we present a reference-guided CRISPR spacer detection tool (Metagenomic CRISPR Reference-Aided Search Tool—MetaCRAST that constrains searches based on user-specified direct repeats (DRs. These DRs could be expected from assembly or taxonomic profiles of metagenomes. We compared the performance of MetaCRAST to those of two existing metagenomic CRISPR detection tools—Crass and MinCED—using both real and simulated acid mine drainage (AMD and enhanced biological phosphorus removal (EBPR metagenomes. Our evaluation shows MetaCRAST improves CRISPR spacer detection in real metagenomes compared to the de novo CRISPR detection methods Crass and MinCED. Evaluation on simulated metagenomes show it performs better than de novo tools for Illumina metagenomes and comparably for 454 metagenomes. It also has comparable performance dependence on read length and community composition, run time, and accuracy to these tools. MetaCRAST is implemented in Perl, parallelizable through the Many Core Engine (MCE, and takes metagenomic sequence reads and direct repeat queries (FASTA or FASTQ as input. It is freely available for download at https://github.com/molleraj/MetaCRAST.

  20. MetaCRAST: reference-guided extraction of CRISPR spacers from unassembled metagenomes.

    Science.gov (United States)

    Moller, Abraham G; Liang, Chun

    2017-01-01

    Clustered regularly interspaced short palindromic repeat (CRISPR) systems are the adaptive immune systems of bacteria and archaea against viral infection. While CRISPRs have been exploited as a tool for genetic engineering, their spacer sequences can also provide valuable insights into microbial ecology by linking environmental viruses to their microbial hosts. Despite this importance, metagenomic CRISPR detection remains a major challenge. Here we present a reference-guided CRISPR spacer detection tool (Metagenomic CRISPR Reference-Aided Search Tool-MetaCRAST) that constrains searches based on user-specified direct repeats (DRs). These DRs could be expected from assembly or taxonomic profiles of metagenomes. We compared the performance of MetaCRAST to those of two existing metagenomic CRISPR detection tools-Crass and MinCED-using both real and simulated acid mine drainage (AMD) and enhanced biological phosphorus removal (EBPR) metagenomes. Our evaluation shows MetaCRAST improves CRISPR spacer detection in real metagenomes compared to the de novo CRISPR detection methods Crass and MinCED. Evaluation on simulated metagenomes show it performs better than de novo tools for Illumina metagenomes and comparably for 454 metagenomes. It also has comparable performance dependence on read length and community composition, run time, and accuracy to these tools. MetaCRAST is implemented in Perl, parallelizable through the Many Core Engine (MCE), and takes metagenomic sequence reads and direct repeat queries (FASTA or FASTQ) as input. It is freely available for download at https://github.com/molleraj/MetaCRAST.

  1. TNO finger pressure reference guide: guide for the non-invasive finger blood pressure measurement and recording systems Portapres and Finometer

    NARCIS (Netherlands)

    2001-01-01

    With Portapres and Finometer continuous beat-to-beat finger blood pressure is measured. Although it is relatively easy to perform measurements, a basic understanding of the principles of the device is recommended to obtain reliable measurements. This reference guide addresses the volume-clamp method

  2. Safety and Efficacy of Magnetic Resonance-Guided Vacuum-Assisted Large-Volume Breast Biopsy (MR-Guided VALB).

    Science.gov (United States)

    Schrading, Simone; Strobel, Kevin; Keulers, Annika; Dirrichs, Timm; Kuhl, Christiane K

    2017-03-01

    Magnetic resonance (MR)-guided vacuum-biopsy is technically demanding and may fail depending on target-lesion size or breast size, and location of lesions within the breast. We developed an MR-guided vacuum-assisted biopsy protocol that collects larger amounts of tissue, aiming at an at least partial or complete ablation of the target-lesion, just as it is intended during surgical (excisional) biopsy. Rationale is to avoid biopsy failures (false-negative results due to undersampling) by collecting larger amounts of tissue. We report on our experience with MR-guided vacuum-assisted large-volume breast biopsy (VALB) (MR-guided VALB) with regard to clinical success and complication rates. Institutional review board-approved analysis of 865 patients with 1414 MR imaging (MRI)-only breast lesions who underwent tissue sampling under MRI guidance. Magnetic resonance-guided VALB was performed on a 1.5 T-system with a 9G system. Per target lesion, we collected at least 24 samples, with the biopsy notch directed toward the position of the target until on postbiopsy control imaging the target lesion appeared completely or at least greatly removed. The standard-of-reference was established by at least 24-months follow-up (for benign biopsy results), or results of surgical histology (for malignant or borderline results). We investigated the technical success rates as a function of factors that usually interfere with MR-guided vacuum biopsy. Target lesions were located in the central versus peripheral parts of the breast in 66.6% (941/1414) versus 33.6% (473/1414), occurred in large, intermediate, or small breasts in 22.7% (321/1414), 56.4% (797/1414), or 20.9% (296/1414), corresponded to nonmass enhancement (NME) versus mass enhancement (ME) in 64.0% (905/1414) vs. 36.0% (509/1414), with an average size of 23 mm for NME versus 9 mm for ME, respectively. Primary technical failures, that is, inability to reach the target lesion occurred in 0.2% of patients (2/865) and 0.1% of

  3. Technology, Safety and Costs of Decommissioning a Reference Low-Level Waste Burial Ground. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-06-01

    Safety and cost information are developed for the conceptual decommissioning of commercial low-level waste (LLW) burial grounds. Two generic burial grounds, one located on an arid western site and the other located on a humid eastern site, are used as reference facilities for the study. The two burial grounds are assumed to have the same site capacity for waste, the same radioactive waste inventory, and similar trench characteristics and operating procedures. The climate, geology. and hydrology of the two sites are chosen to be typical of real western and eastern sites. Volume 2 (Appendices) contains the detailed analyses and data needed to support the results given in Volume 1.

  4. Technology, Safety and Costs of Decommissioning a Reference Low-Level Waste Burial Ground. Main Report

    Energy Technology Data Exchange (ETDEWEB)

    Murphy, E. S.; Holter, G. M.

    1980-06-01

    Safety and cost information are developed for the conceptual decommissioning of commercial low-level waste (LLW) burial grounds. Two generic burial grounds, one located on an arid western site and the other located on a humid eastern site, are used as reference facilities for the study. The two burial grounds are assumed to have the same site capacity for waste, the same radioactive waste inventory, and similar trench characteristics and operating procedures. The climate, geology. and hydrology of the two sites are chosen to be typical of real western and eastern sites. Volume 1 (Main Report) contains background information and study results in summary form.

  5. Two low coverage bird genomes and a comparison of reference-guided versus de novo genome assemblies

    Science.gov (United States)

    Card, Daren C.; Schield, Drew R.; Reyes-Velasco, Jacobo; Fujita, Matthre K.; Andrew, Audra L.; Oyler-McCance, Sara J.; Fike, Jennifer A.; Tomback, Diana F.; Ruggiero, Robert P.; Castoe, Todd A.

    2014-01-01

    As a greater number and diversity of high-quality vertebrate reference genomes become available, it is increasingly feasible to use these references to guide new draft assemblies for related species. Reference-guided assembly approaches may substantially increase the contiguity and completeness of a new genome using only low levels of genome coverage that might otherwise be insufficient for de novo genome assembly. We used low-coverage (~3.5–5.5x) Illumina paired-end sequencing to assemble draft genomes of two bird species (the Gunnison Sage-Grouse, Centrocercus minimus, and the Clark's Nutcracker, Nucifraga columbiana). We used these data to estimate de novo genome assemblies and reference-guided assemblies, and compared the information content and completeness of these assemblies by comparing CEGMA gene set representation, repeat element content, simple sequence repeat content, and GC isochore structure among assemblies. Our results demonstrate that even lower-coverage genome sequencing projects are capable of producing informative and useful genomic resources, particularly through the use of reference-guided assemblies.

  6. Evaluation of overhead guide sign sheeting materials to increase visibility and safety for drivers.

    Science.gov (United States)

    Obeidat, Mohammed Said; Rys, Malgorzata J; Rys, Andrew; Du, Juan

    2016-09-01

    Overhead guide sign visibility must increase to improve driver safety on roadways. Two methods increase overhead guide sign visibility: sign illumination and use of retroreflective sheeting materials. This paper compares three types of retroreflective sheeting: Engineering Grade (type I), Diamond Grade (type XI), and High Intensity (type IV). A field experiment was conducted at night using licensed drivers to determine the optimum retroreflective sheeting material that increases sign visibility and legibility. Results showed that, of the three types of retroreflective sheeting, Diamond Grade (type XI) sheeting requires minimum illuminance to be visible, followed by High Intensity (type IV) sheeting. Cost analysis, including labor, maintenance, and material cost components of the three retroreflective sheeting materials, showed that High Intensity (type IV) could increase sign visibility and legibility at night for Departments of Transportation with limited budgets, consequently increasing driver safety on roadways. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Defining patient safety in hospice: principles to guide measurement and public reporting.

    Science.gov (United States)

    Casarett, David; Spence, Carol; Clark, Melissa A; Shield, Renée; Teno, Joan M

    2012-10-01

    Despite progress towards safer care in most settings, there has been much less attention to improving safety in hospices, which care for more than 1,500,000 patients every year. In this article, we describe three serious conflicts that arise when safety measures from other settings are applied to hospice. First, safety measures that are imposed in order to reduce morbidity and mortality may be irrelevant for a hospice patient whose goals focus on comfort. Second, safety measures that are defined in patients with a life expectancy of years can be inappropriate for hospice patients whose typical survival is measured in days. Third, it can be very difficult to assign responsibility for the safety of hospice patients, whose care is provided mostly by family and friends. Therefore, generally accepted safety measures are often inappropriate for hospice care, and can lead to unintended consequences if they are applied without critical evaluation or modification. Instead, we suggest three principles that can guide the development of hospice-appropriate safety measures by considering a patient's goals and life expectancy, and the degree to which responsibility for a patient's care is shared.

  8. Child Safety Reference Frameworks: a Policy Tool for Child Injury Prevention at the Sub-national Level.

    Science.gov (United States)

    Scholtes, Beatrice; Schröder-Bäck, Peter; Mackay, Morag; Vincenten, Joanne; Brand, Helmut

    2017-06-01

    The aim of this paper is to present the Child Safety Reference Frameworks (CSRF), a policy advice tool that places evidence-based child safety interventions, applicable at the sub-national level, into a framework resembling the Haddon Matrix. The CSRF is based on work done in previous EU funded projects, which we have adapted to the field of child safety. The CSRF were populated following a literature review. Four CSRF were developed for four domains of child safety: road, water and home safety, and intentional injury prevention. The CSRF can be used as a reference, assessment and comparative tool by child safety practitioners and policy makers working at the sub-national level.

  9. Technology, safety and costs of decommissioning a reference small mixed oxide fuel fabrication plant. Volume 1. Main report

    Energy Technology Data Exchange (ETDEWEB)

    Jenkins, C. E.; Murphy, E. S.; Schneider, K J

    1979-01-01

    Detailed technology, safety and cost information are presented for the conceptual decommissioning of a reference small mixed oxide fuel fabrication plant. Alternate methods of decommissioning are described including immediate dismantlement, safe storage for a period of time followed by dismantlement and entombment. Safety analyses, both occupational and public, and cost evaluations were conducted for each mode.

  10. Challenges and Opportunities for Transactive Control of Electric Vehicle Supply Equipment. A Reference Guide

    Energy Technology Data Exchange (ETDEWEB)

    Jin, Xin [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Meintz, Andrew [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2015-07-29

    This report seeks to characterize the opportunities and challenges that arise in developing a transactive control strategy for grid-EVSE integration in various use-case scenarios in a way that provides end-user, energy market, grid, and societal benefits. A detailed review provides information about EVSE integration market trends and stakeholder activities. This is followed by an exploration of value proposition for transactive control of EVSE at both the home scale and the building/campus scale. This report will serve as a reference guide for stakeholders in the grid-EVSE integration area, illustrate potential implementations, and identify a high-value research project for overcoming the barriers and unlocking the benefits of transactive controls of EVSE. While it is not intended to specify the technical details of the transactive control solution, the report contains a list of use cases describing potential applications of transactive control of EVSE, barriers to implementing these applications, and research and development (R&D) opportunities to overcome the barriers. The use cases of transactive control of EVSE are listed in Table ES1.

  11. MSTS Multiphase Subsurface Transport Simulator User's Guide and Reference

    Energy Technology Data Exchange (ETDEWEB)

    Nichols, W.E.; White, M.D.

    1993-05-01

    This User's Guide and Reference provides information and instructions on the use of the Multiphase Subsurface Transport Simulator (MSTS) code and the associated MSTS Graphical Input. The MSTS code is used to simulate water flow, air flow, heat transfer, and dilute species mass transport in variably saturated geologic media for one, two, or three dimensions using an integrated finite-difference numerical scheme. Any or all of these processes may be simulated in a fully coupled manner. MSTS is a two-phase, two-component code with secondary processes that include binary diffusion and vapor pressure lowering. The geologic media may be homogeneous or heterogeneous, isotropic or anisotropic, and unfractured or highly fractured. A problem geometry may be described by either Cartesian or cylindrical coordinates. MSTS is written in FORTRAN 77, following the American National Standards Institute (ANSI) standards, and is machine-independent with the exception of some time and date calls required for quality control (provisions are made in the code for relatively easy adoption to a number of machines for these calls).

  12. MSTS. Multiphase Subsurface Transport Simulator User`s Guide and Reference

    Energy Technology Data Exchange (ETDEWEB)

    Nichols, W.E.; White, M.D.

    1993-05-01

    This User`s Guide and Reference provides information and instructions on the use of the Multiphase Subsurface Transport Simulator (MSTS) code and the associated MSTS Graphical Input. The MSTS code is used to simulate water flow, air flow, heat transfer, and dilute species mass transport in variably saturated geologic media for one, two, or three dimensions using an integrated finite-difference numerical scheme. Any or all of these processes may be simulated in a fully coupled manner. MSTS is a two-phase, two-component code with secondary processes that include binary diffusion and vapor pressure lowering. The geologic media may be homogeneous or heterogeneous, isotropic or anisotropic, and unfractured or highly fractured. A problem geometry may be described by either Cartesian or cylindrical coordinates. MSTS is written in FORTRAN 77, following the American National Standards Institute (ANSI) standards, and is machine-independent with the exception of some time and date calls required for quality control (provisions are made in the code for relatively easy adoption to a number of machines for these calls).

  13. Entomology for Agricultural Science II Core Curriculum. Instructor Guide, Volume 23, Number 2, and Student Reference, Volume 23, Number 3.

    Science.gov (United States)

    DeFelice, Karen L.

    This unit is a basic introduction to entomology. The instructor guide and the corresponding student reference contain seven lessons: (1) introduction to entomology; (2) insect collection; (3) insect identification; (4) methods of control; (5) chemical control measures; (6) safe use of insecticides; and (7) integrated pest management. Students…

  14. SEE Action Guide for States: Guidance on Establishing and Maintaining Technical Reference Manuals for Energy Efficiency Measures

    Energy Technology Data Exchange (ETDEWEB)

    None

    2017-06-01

    The goal of this guide is to support the development, maintenance, and use of accurate and reliable Technical Reference Manuals (TRMs). TRMs provide information primarily used for estimating the energy and demand savings of end-use energy efficiency measures associated with utility customer-funded efficiency programs.

  15. Introduction to Animal Nutrition. Instructor Guide [and] Student Reference. Volume 28, Number 7 [and] Volume 28, Number 8.

    Science.gov (United States)

    Peiter, Andrea; And Others

    This instructor guide and the corresponding student reference contain five lessons about animal science for inclusion in Vocational Instructional Management System (VIMS) agricultural education courses. The lessons cover these topics: the monogastric digestive system, the ruminant digestive system, the importance of meeting nutritional needs, how…

  16. Quick Reference Guide: Working with Stakeholders to Identify Potential Improvement Strategies for Program Improvement (Including the SSIP)

    Science.gov (United States)

    Center for IDEA Early Childhood Data Systems (DaSy), 2015

    2015-01-01

    This 2015 quick reference guide is designed to assist states in understanding what information needs to be available in order for stakeholders to assist in selecting potential improvement strategies that will increase capacity of Local Education Agencies (LEAs), Early Intervention Services (EIS) programs, and practitioners to improve results for…

  17. On safety management and nuclear safety - A frame of reference for studies of safety management with examples from non-nuclear contects of relevance for nuclear safety

    Energy Technology Data Exchange (ETDEWEB)

    Svenson, O.; Allwin, P. [Stockholm Univ. (Sweden); Salo, I. [Lund Univ. (Sweden)

    2004-03-01

    The report includes three case studies of safety management. The studies are presented as chapters, but are written in a format that makes them easy to read separately. Two of the studies cover regulators (the Swedish Civil Aviation Safety Authority, Luftfartsinspektionen) and the Norwegian Petroleum Directorate) and one a regulated activity/industry (a car manufacturer, Volvo Car). The introduction outlines a living system framework and relates this to concepts used in organizational management. The report concludes with some findings with potential relevance for safety management in the nuclear power domain. In the next phase of the work, the regulated counterparts of the regulators here will be investigated in addition to a fourth case study of a regulated activity/industry. (au)

  18. Invasive Plants Field and Reference Guide: An Ecological Perspective of Plant Invaders of Forests and Woodlands

    Science.gov (United States)

    Cynthia Huebner; Cassandra Olson; Heather Smith

    2005-01-01

    There are many field guides available about invasive plants and their identification. The purpose of this particular field guide is to give a scientific synthesis of what is known about the behavior of such species in managed, disturbed, and pristine forested systems in addition to key information for accurate identifi...

  19. Guide Structures in CD-ROM Dic- tionaries, with Specific Reference ...

    African Journals Online (AJOL)

    ten articles and read papers on guide structures in print dictionaries, but few studies have focussed on the tremendous potential of guide structures in electronic dictionaries. In this article ..... One can, for example, highlight "panama hats" in the the microstructure of jipijapa and double click with the result as shown in Fig. 11.

  20. Safety and Efficacy of Ultrasound-Guided Fiducial Marker Implantation for CyberKnife Radiation Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jae Hyun; Hong, Seong; Sook; Kim, Jung Hoon; Park, Hyun Jeong; Chang, Yun Woo; Chang, A Ram [Soonchunhyang University Seoul Hospital, Seoul (Korea, Republic of); Kwon, Seok Beom [Hallym University College of Medicine, Chuncheon (Korea, Republic of)

    2012-06-15

    To evaluate the safety and technical success rate of an ultrasound-guided fiducial marker implantation in preparation for CyberKnife radiation therapy. We retrospectively reviewed 270 percutaneous ultrasound-guided fiducial marker implantations in 77 patients, which were performed from June 2008 through March 2011. Of 270 implantations, 104 were implanted in metastatic lymph nodes, 96 were in the liver, 39 were in the pancreas, and 31 were in the prostate. During and after the implantation, major and minor procedure-related complications were documented. We defined technical success as the implantation enabling adequate treatment planning and CT simulation. The major and minor complication rates were 1% and 21%, respectively. One patient who had an implantation in the liver suffered severe abdominal pain, biloma, and pleural effusion, which were considered as major complication. Abdominal pain was the most common complication in 11 patients (14%). Among nine patients who had markers inserted in the prostate, one had transient hematuria for less than 24 hours, and the other experienced transient voiding difficulty. Of the 270 implantations, 261 were successful (97%). The reasons for unsuccessful implantations included migration of fiducial markers (five implantations, 2%) and failure to discriminate the fiducial markers (three implantations, 1%). Among the unsuccessful implantation cases, six patients required additional procedures (8%). The symptomatic complications following ultrasound-guided percutaneous implantation of fiducial markers are relatively low. However, careful consideration of the relatively higher rate of migration and discrimination failure is needed when performing ultrasound-guided percutaneous implantations of fiducial markers.

  1. Safety Management. An Introduction to a Frame of Reference Exemplified with Case Studies from Non-Nuclear Contexts

    Energy Technology Data Exchange (ETDEWEB)

    Svensson, Ola (Risk Analysis, Social and Decision Research Unit, Dept. of Psychology, Stockholm Univ., Stockholm (Sweden)); Salo, Ilkka (Dept. of Psychology, Lund Univ., Lund (Sweden))

    2004-11-15

    A systems perspective on safety management is introduced followed by two briefly presented case studies of safety management in non-nuclear contexts. The first study concerns a car manufacturer and the second study a road traffic tunnel system. The risks of a car accident in the first case study are evident. The great exposure generates many incidents and accidents. In the second study, the rather low traffic intensity through the tunnel produces few incidents and accidents and only a few fatal accidents over the years. Yet, the risk of the individual traveler is much greater in the tunnel than on the average road. The case studies are presented in a systems perspective with emphasis on information feedback about the risks of the systems. The first case study illustrates high quality safety management, while the second case study shows many weaknesses of the safety management in the tunnel system. Some differences in safety management between the case studies are noted. The last part of the study presents an organizational perspective on safety management and offers alternative theoretical perspectives on the concept of safety management. The report shows that further studies are needed both (1) to develop a frame of reference for describing safety management across industries and activities and (2) to collect data illustrating of good and poor safety management. Then, the results can be used to strengthen and/or improving safety management in the nuclear power industry and its regulators

  2. Nanoscale reference materials for environmental, health and safety measurements: needs, gaps and opportunities.

    Science.gov (United States)

    Stefaniak, Aleksandr B; Hackley, Vincent A; Roebben, Gert; Ehara, Kensei; Hankin, Steve; Postek, Michael T; Lynch, Iseult; Fu, Wei-En; Linsinger, Thomas P J; Thünemann, Andreas F

    2013-12-01

    The authors critically reviewed published lists of nano-objects and their physico-chemical properties deemed important for risk assessment and discussed metrological challenges associated with the development of nanoscale reference materials (RMs). Five lists were identified that contained 25 (classes of) nano-objects; only four (gold, silicon dioxide, silver, titanium dioxide) appeared on all lists. Twenty-three properties were identified for characterisation; only (specific) surface area appeared on all lists. The key themes that emerged from this review were: 1) various groups have prioritised nano-objects for development as "candidate RMs" with limited consensus; 2) a lack of harmonised terminology hinders accurate description of many nano-object properties; 3) many properties identified for characterisation are ill-defined or qualitative and hence are not metrologically traceable; 4) standardised protocols are critically needed for characterisation of nano-objects as delivered in relevant media and as administered to toxicological models; 5) the measurement processes being used to characterise a nano-object must be understood because instruments may measure a given sample in a different way; 6) appropriate RMs should be used for both accurate instrument calibration and for more general testing purposes (e.g., protocol validation); 7) there is a need to clarify that where RMs are not available, if "(representative) test materials" that lack reference or certified values may be useful for toxicology testing and 8) there is a need for consensus building within the nanotechnology and environmental, health and safety communities to prioritise RM needs and better define the required properties and (physical or chemical) forms of the candidate materials.

  3. Implementing an inclusive staffing model for today's reference services a practical guide for librarians

    CERN Document Server

    Nims, Julia K; Stevens, Robert

    2013-01-01

    Reference service remains a core function of modern libraries. However, how and where we provide assistance has evolved with changing technologies and the shifting habits and preferences of our users. One way libraries can provide the on-demand, in-person assistance while managing and developing new services and resources that will benefit current and future users is to reconsider how their reference points and services are staffed and adopt a staff-based reference model. In Implementing an Inclusive Staffing Model for Today's Reference Services, Nims, Storm, and Stevens describe step-by-step

  4. Safety of 12 core transrectal ultrasound guided prostate biopsy in patients on aspirin

    Directory of Open Access Journals (Sweden)

    Pawan Vasudeva

    2015-12-01

    Full Text Available Objective: To prospectively assess safety outcome of TRUS guided prostate biopsy in patients taking low dose aspirin. Materials and methods: Consecutive patients, who were planned for 12 core TRUS guided prostate biopsy and satisfied eligibility criteria, were included in the study and divided into two Groups: Group A: patients on aspirin during biopsy, Group B: patients not on aspirin during biopsy, including patients in whom aspirin was stopped prior to the biopsy. Parameters included for statistical analysis were: age, serum prostate specific antigen (PSA, prostate volume, hemoglobin (Hb %, number of hematuria episodes, number of patient reporting hematuria, hematuria requiring intervention, number of patient reporting hematospermia and number of patient reporting rectal bleeding. Results: Of 681 eligible patients, Group A and B had 191 and 490 patients respectively. The mean age, prostate volume, serum PSA and pre-biopsy hemoglobin were similar in both Groups with no significant differences noted between them. None of the post-biopsy complications, including number of hematuria episodes (p=0.83, number of patients reporting hematuria (p=0.55, number of patients reporting hematospermia (p=0.36 and number of patients reporting rectal bleeding (p=0.65, were significantly different between Groups A and B respectively. None of the hemorrhagic complication in either group required intervention and were self limiting. Conclusion: Continuing low dose aspirin during TRUS guided prostate biopsy neither alters the minor bleeding episodes nor causes major bleeding complication. So, discontinuation of low dose aspirin prior to TRUS guided prostate biopsy is not required.

  5. Packaging review guide for reviewing safety analysis reports for packagings: Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Fisher, L.E.; Chou, C.K.; Lloyd, W.R.; Mount, M.E.; Nelson, T.A.; Schwartz, M.W.; Witte, M.C.

    1988-10-01

    The Department of Energy (DOE) has established procedures for obtaining certification of packagings used by DOE and its contractors for the transport of radioactive materials. The principal purpose of this document is to assure the quality and uniformity of PCS reviews and to present a well-defined base from which to evaluate proposed changes in the scope and requirements of reviews. The Packaging Review Guide (PRG) also sets forth solutions and approaches determined to be acceptable in the past in dealing with a specific safety issue or safety-related design area. These solutions and approaches are presented in this form so that reviewers can take consistent and well-understood positions as the same safety issues arise in future cases. An applicant submitting a SARP does not have to follow the solutions or approaches presented. It is also a purpose of the PRG to make information about DOE certification policy and procedures widely available to DOE field offices, DOE contractors, federal agencies, and interested members of the public. 77 refs., 16 figs., 15 tabs.

  6. English and American Theatre and Drama: A Student's Guide to Reference Sources.

    Science.gov (United States)

    Claener, Ann, Comp.

    Reference works dealing with English and American theatre and drama are listed and annotated in this paper. Part One, "Reference Works," is divided into six sections: encyclopedias and handbooks; dictionaries of terms; English and American histories; biography; indexes to characters in plays and to plays in collections; and directories of…

  7. Your Guide to Meebo Options: Virtual Reference Summer Meltdown and Fall Shakeout

    Science.gov (United States)

    Breitbach, William

    2012-01-01

    Competition in the virtual reference market got really hot this past summer. Recent developments in virtual reference offerings suggest the market is much more dynamic than most people would have imagined a short time ago. With Google's acquisition of Meebo and its subsequent decision to shut down the chat widget service, many libraries scrambled…

  8. Making sense of business reference a guide for librarians and research professionals

    CERN Document Server

    Ross, Celia

    2013-01-01

    A detailed bibliography functions as both a standing reference for desk use as well as a collection development aid for building a core business collection. Including numerous illustrative case studies, Making Sense of Business Reference takes the guesswork out of doing business.

  9. A Standard's Guide for the Authoring of Instructional Software. Reference Manual Volume III.

    Science.gov (United States)

    Crawford, Stuart

    This guide gives step-by-step directions for authoring computer-assisted instruction materials as well as advice on planning, designing, coding, documenting, and evaluating computer assisted courseware. The importance of prospective courseware designers having a sound background in both educational theory and practice is also discussed, and…

  10. Hospitality Services. Curriculum Guide [and] Student Activity Book [and] Reference Book.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Curriculum Center for Family and Consumer Sciences.

    These three publications comprise a course that provides occupationally specific training designed to develop knowledge and skills for employment in the multifaceted hospitality services industry. The curriculum guide is the teacher component of the series. Contents include the Texas Essential Knowledge and Skills (TEKS); sample course outlines;…

  11. Stimulant use following the publicity of cardiovascular safety and the introduction of patient medication guides.

    Science.gov (United States)

    Chen, Chih-Ying; Bussing, Regina; Hartzema, Abraham G; Shuster, Jonathan J; Segal, Richard; Winterstein, Almut G

    2016-06-01

    To explore changes in stimulant utilization and pre-treatment electrocardiography (ECG) screening in response to cardiovascular (CV) safety concerns. Two source populations were established from Florida Medicaid Fee-for-service beneficiaries between 2001 and 2008: approximately 44 571 newly diagnosed attention deficit/hyperactivity disorder patients and 33 000 new stimulant users. Time-series design and Joinpoint analysis were used to describe monthly trend changes in stimulant initiation, persistence, dosing, and pre-treatment ECG screening. Initial and maintenance daily dose declined 6 mg (95% confidence interval [CI] -14 to -1.9) methylphenidate (MPH) equivalent dose from a steady 27 mg after Canada withdrew Adderall XR in February 2005; the trend rebounded to a daily dose of 23 mg, after the remarketing of Adderall XR and a debate in the US over issuing a boxed warning on stimulant CV safety in early 2006. Monthly initiation increased 3.9% (CI -1.0 to 9.1) after the boxed warning debate to 54 per 100 patients per month (CI 44 to 68), but declined 2.4% (CI -3.6 to -1.2) after requirement of medication guides in February 2007. Monthly ECG screening increased 3.2% (CI 2.3 to 4.2) after Adderall XR withdrawal and further increased 13% (CI 4 to 23) after the American Heart Association recommended pre-treatment ECG screening to 40 per 100 patients per month (CI 17 to 48). The first signal of stimulant CV safety concerns was followed by varying responses depending on the outcome measure used, suggesting that patients and physicians responded at different times after the publicity of safety concerns. Clinical consequences of the changes are uncertain. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  12. Guide to verification and validation of the SCALE-4 criticality safety software

    Energy Technology Data Exchange (ETDEWEB)

    Emmett, M.B.; Jordan, W.C.

    1996-12-01

    Whenever a decision is made to newly install the SCALE nuclear criticality safety software on a computer system, the user should run a set of verification and validation (V&V) test cases to demonstrate that the software is properly installed and functioning correctly. This report is intended to serve as a guide for this V&V in that it specifies test cases to run and gives expected results. The report describes the V&V that has been performed for the nuclear criticality safety software in a version of SCALE-4. The verification problems specified by the code developers have been run, and the results compare favorably with those in the SCALE 4.2 baseline. The results reported in this document are from the SCALE 4.2P version which was run on an IBM RS/6000 workstation. These results verify that the SCALE-4 nuclear criticality safety software has been correctly installed and is functioning properly. A validation has been performed for KENO V.a utilizing the CSAS25 criticality sequence and the SCALE 27-group cross-section library for {sup 233}U, {sup 235}U, and {sup 239}Pu fissile, systems in a broad range of geometries and fissile fuel forms. The experimental models used for the validation were taken from three previous validations of KENO V.a. A statistical analysis of the calculated results was used to determine the average calculational bias and a subcritical k{sub eff} criteria for each class of systems validated. Included the statistical analysis is a means of estimating the margin of subcriticality in k{sub eff}. This validation demonstrates that KENO V.a and the 27-group library may be used for nuclear criticality safety computations provided the system being analyzed falls within the range of the experiments used in the validation.

  13. The Argentine electric market indicative planning. The transport systems reference guides; Planificacion indicativa del mercado electrico argentino. Las guias de referencia de los sistemas de transporte

    Energy Technology Data Exchange (ETDEWEB)

    Nizovoy, Jorge Alberto; Puleri, Cesar Anibal [Transener S.A., Buenos Aires (Argentina)]. E-mail: Jorge.Nizovoy@transx.com.ar

    2001-07-01

    This work describes the foreseen tool in the Argentine electric market to guide the users regarding transport systems probable evolution, whereas they have to make inversion decisions in order to enlarge the power transportation networks. The Transportation System Reference Guides constitute such tools. Besides referring to its contents and experiences that have guided to improvements on its edition process, the work approaches aspects of the Argentine electric system development, which illustrate the challenger context on which they have been accomplishing and the obtained knowledge from comparison between what has been really accomplished and what has been proposed by the guides. For this, it is used the Transener S.A. company private experience by means of real examples from its seven published Reference Guides.

  14. National approach for evaluation and control of wine safety: Guide to good hygiene practices for French wine industry

    Directory of Open Access Journals (Sweden)

    Camponovo Aurélie

    2016-01-01

    Full Text Available The adaptation of wines to the market requirements have involved changes in wine making processes. Improved methods of analysis now allow to detect traces of compounds injurious for consumers' health. In collective imagination, wines remain born from traditional methods, pathogen free and, by extension, free of any health concern. Consumers now access easily to detailed information, and various media allow them to get a hold on the subject of wine safety. The contents encountered are sometimes alarming and create many questions enable to damage the image of the product. In order to support French wine makers facing the rise of this theme and answer European regulation, IFV has developed with French professional organizations a guide to good hygiene practices (GGHP including hazard analysis for wine industry. The aim was to provide all companies a reference document approved by the French authorities and pool most of the principles of HACCP to limit the task of smaller businesses. The GGHP details essential good practices that have to be implemented by every company of wine industry, regardless its size and the kind of wine produced. It also describes hazard analysis and specific recommendations for each one and gives recommendations and tools to manage them.

  15. Jobs and Economic Development Impact (JEDI) Model: Offshore Wind User Reference Guide

    Energy Technology Data Exchange (ETDEWEB)

    Lantz, E.; Goldberg, M.; Keyser, D.

    2013-06-01

    The Offshore Wind Jobs and Economic Development Impact (JEDI) model, developed by NREL and MRG & Associates, is a spreadsheet based input-output tool. JEDI is meant to be a user friendly and transparent tool to estimate potential economic impacts supported by the development and operation of offshore wind projects. This guide describes how to use the model as well as technical information such as methodology, limitations, and data sources.

  16. Apollo for Adobe Flex Developers Pocket Guide A Developer's Reference for Apollo's Alpha Release

    CERN Document Server

    Chambers, Mike; Swartz, Jeff

    2009-01-01

    Now you can build and deploy Flash-based Rich Internet Applications (RIAs) to the desktop using Adobe's Flex framework. Written by members of the Apollo product team, this is the official guide to the Alpha release of Adobe Apollo, the new cross platform desktop runtime from Adobe Labs. Numerous examples illustrate how Apollo works so you can start building RIAs for the desktop right away.

  17. Treatment of benign cold thyroid nodule: efficacy and safety of US-guided percutaneous ethanol injection

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jeong Kon; Lee, Ho Kyu; Lee, Myung Joon; Choi, Choong Gon; Suh, Dae Chul [Ulsan Univ., College of Medicine, Seoul (Korea, Republic of); Ahn, Il Min [Seoul National Univ. College of Medicine, Seoul (Korea, Republic of)

    1998-09-01

    The purpose of this study was to evaluate the efficacy and safety of US-guided percutaneous ethanol injection for the treatent of benign cold thyroid nodules. Twenty-five patients with benign cold thyroid nodules (volume of each at least 2ml proven by PCNA to be adenomatous hyperplasia, and cold nodule by thyroid scan) underwent a total of one to three percutaneous ethanol injections (PEI) at intervals of one or two months. The mean amount of ethanol used was 6.2(range, 1.5-8)ml, depending on the volume of the nodule. Follow up ultrasonography was performed one to four months after the final session. The initial volume of nodules was 11.4{+-}4.1(range, 2.5-41.4)ml, and in all cases this fell by 56.1{+-}22.3%(range, 10.9-92.1%);in all cases, follow-up ultrasonography showed that echogeneity was lower and its pattern was heterogeneous. There were no important longstanding complications;the most common side effect was acute pain at the injection site(n=3D9), and in one case, transient vocal cord palsy occurred. Our results show that US-guided percutaneous injection of ethanol is an effective and a safe procedure for the treatment of benign cold thyroid nodules, and is thus an alternative to surgery or hormone therapy.=20.

  18. Irregular Astigmatism After Corneal Transplantation--Efficacy and Safety of Topography-Guided Treatment.

    Science.gov (United States)

    Laíns, Inês; Rosa, Andreia M; Guerra, Marta; Tavares, Cristina; Lobo, Conceição; Silva, Maria F L; Quadrado, Maria J; Murta, Joaquim N

    2016-01-01

    To analyze the efficacy and safety of topography-guided photorefractive keratectomy (TG-PRK) to treat irregular astigmatism after corneal transplantation. This was a retrospective observational case series. Eyes with irregular astigmatism after penetrating keratoplasty treated with TG-PRK (Allegretto Wave Eye-Q) with the topography-guided customized ablation treatment protocol were included. All treatments had been planned to correct the topographic irregularities, as well as to reduce the refractive error after neutralizing the induced refractive change. Clinical records, treatment plan, and the examinations performed were reviewed and the following data were collected: corrected and uncorrected distance visual acuities; manifest refraction; topographic parameters, and corneal endothelial cell count. We included 31 eyes [30 patients; mean age 45.0 ± 13.4 (SD) years]. At the last postoperative follow-up (mean 9.2 ± 8.2 months), we observed a significant improvement in corrected (P = 0.001) and uncorrected distance visual acuities (P transplantation eyes. Our results confirm that TG-PRK is an efficient treatment, associated with significant improvements of both visual acuity and refractive parameters.

  19. Refractive improvements and safety with topography-guided corneal crosslinking for keratoconus: 1-year results.

    Science.gov (United States)

    Nordström, Maria; Schiller, Maria; Fredriksson, Anneli; Behndig, Anders

    2017-07-01

    To assess the refractive improvements and the corneal endothelial safety of an individualised topography-guided regimen for corneal crosslinking in progressive keratoconus. An open-label prospective randomised clinical trial was performed at the Department of Clinical Sciences, Ophthalmology, Umeå University Hospital, Umeå, Sweden. Thirty-seven patients (50 eyes) with progressive keratoconus planned for corneal crosslinking were included. The patients were randomised to topography-guided crosslinking (photorefractive intrastromal crosslinking (PiXL); n=25) or uniform 9 mm crosslinking (corneal collagen crosslinking (CXL); n=25). Visual acuity, refraction, keratometry (K1, K2 and Kmax) and corneal endothelial morphometry were assessed preoperatively and at 1, 3, 6 and 12 months postoperatively. The PiXL treatment involved an asymmetrical treatment zone centred on the area of maximum corneal steepness with treatment energies ranging from 7.2 to 15.0 J/cm(2); the CXL treatment was a uniform 9 mm 5.4 J/cm(2) pulsed crosslinking. The main outcome measures were changes in refractive errors and corneal endothelial cell density. The spherical refractive errors decreased (pkeratoconus with decreased spherical refractive errors and improved visual acuity, without damage to the corneal endothelium. NCT02514200, Results. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  20. Safety and diagnostic performance of image-guided lung biopsy in the targeted therapy era.

    Science.gov (United States)

    Busso, Marco; Sardo, Diego; Garetto, Irene; Righi, Luisella; Libero, Giulia; Vavalà, Tiziana; Ardissone, Francesco; Novello, Silvia; Papotti, Mauro; Veltri, Andrea

    2015-11-01

    To identify risk factors for the adverse events and determine the diagnostic yield of a large series of image-guided thoracic biopsies performed in a single institution. We reviewed a consecutive series of 811 patients (546 males; average age: 68 years.) who underwent 824 image-guided biopsies of pulmonary lesions performed between 2009 and 2013. Indications for biopsy were always evaluated by a multidisciplinary board. All complications were registered. The diagnostic accuracy was calculated on the basis of histology after surgery, response to medical therapy, or outcome at imaging follow-up. Safety and accuracy was correlated with patient-related and lesion-related factors. 61 biopsies were performed under US-guidance, 750 under CT-guidance, and 13 under combined guidance. The average lesion size was 36.4 mm (6-150 mm). FNAB was exclusively performed in 247 patients, whereas 577 patients underwent also or only core biopsy (CB). 40 (4.8 %) major complications and 172 (20.8 %) minor complications occurred. US-guidance, absence of perilesional emphysema and minor depth of the target lesion from the skin resulted as favorable predictors against major complications. According to the gold standard criteria, we demonstrated 497 true positives, 72 true negatives, 18 false negatives, 0 false positives. Sensitivity, specificity and diagnostic accuracy were 96.5, 100 and 97 %. No predictors for accuracy were found, but the number of samples largely related to the pathologist on site. Image-guided lung biopsy is safe and highly accurate for diagnosing thoracic lesions. In the targeted therapy era, CB with larger needles can be safely applied when the need for larger amounts of tumor tissue is presumed.

  1. Correlative multiple porosimetries for reservoir sandstones with adoption of a new reference-sample-guided computed-tomographic method

    Science.gov (United States)

    Jin, Jae Hwa; Kim, Junho; Lee, Jeong-Yil; Oh, Young Min

    2016-01-01

    One of the main interests in petroleum geology and reservoir engineering is to quantify the porosity of reservoir beds as accurately as possible. A variety of direct measurements, including methods of mercury intrusion, helium injection and petrographic image analysis, have been developed; however, their application frequently yields equivocal results because these methods are different in theoretical bases, means of measurement, and causes of measurement errors. Here, we present a set of porosities measured in Berea Sandstone samples by the multiple methods, in particular with adoption of a new method using computed tomography and reference samples. The multiple porosimetric data show a marked correlativeness among different methods, suggesting that these methods are compatible with each other. The new method of reference-sample-guided computed tomography is more effective than the previous methods when the accompanied merits such as experimental conveniences are taken into account. PMID:27445105

  2. Religious Studies: The Shaping of a Field and a Guide to Reference Resources.

    Science.gov (United States)

    Lippy, Charles H.

    1992-01-01

    Discusses the development of religious studies as an academic discipline. Examines the work of leading thinkers in the field, including anthropologists Sir James Fraser and Edward Burnett Taylor, sociologist Max Weber, and psychologist Erik Erikson. Identifies some of the many reference works that deal with religious studies. (SG)

  3. Digital protocol for reference-based guided surgery and immediate loading: a prospective clinical study

    NARCIS (Netherlands)

    Tahmaseb, A.; de Clerck, R.; Aartman, I.; Wismeijer, D.

    2012-01-01

    PURPOSE: To evaluate the performance of a computer-aided three-dimensional planning protocol in combination with previously inserted reference mini-implants and CAD/CAM technology to restore completely edentulous patients. The study evaluated implant and superstructure survival in a prospective

  4. Technology, Safety and Costs of Decommissioning a Reference Uranium Hexafluoride Conversion Plant

    Energy Technology Data Exchange (ETDEWEB)

    Elder, H. K.

    1981-10-01

    Safety and cost information is developed for the conceptual decommissioning of a commercial uranium hexafluoride conversion (UF{sub 6}) plant. Two basic decommissioning alternatives are studied to obtain comparisons between cost and safety impacts: DECON, and passive SAFSTOR. A third alternative, DECON of the plant and equipment with stabilization and long-term care of lagoon wastes. is also examined. DECON includes the immediate removal (following plant shutdown) of all radioactivity in excess of unrestricted release levels, with subsequent release of the site for public use. Passive SAFSTOR requires decontamination, preparation, maintenance, and surveillance for a period of time after shutdown, followed by deferred decontamination and unrestricted release. DECON with stabilization and long-term care of lagoon wastes (process wastes generated at the reference plant and stored onsite during plant operation} is also considered as a decommissioning method, although its acceptability has not yet been determined by the NRC. The decommissioning methods assumed for use in each decommissioning alternative are based on state-of-the-art technology. The elapsed time following plant shutdown required to perform the decommissioning work in each alternative is estimated to be: for DECON, 8 months; for passive SAFSTOR, 3 months to prepare the plant for safe storage and 8 months to accomplish deferred decontamination. Planning and preparation for decommissioning prior to plant shutdown is estimated to require about 6 months for either DECON or passive SAFSTOR. Planning and preparation prior to starting deferred decontamination is estimated to require an additional 6 months. OECON with lagoon waste stabilization is estimated to take 6 months for planning and about 8 months to perform the decommissioning work. Decommissioning cost, in 1981 dollars, is estimated to be $5.91 million for OECON. For passive SAFSTOR, preparing the facility for safe storage is estimated to cost $0

  5. Management of waste from the use of radioactive material in medicine, industry, agriculture, research and education safety guide

    CERN Document Server

    2005-01-01

    This Safety Guide provides recommendations and guidance on the > fulfilment of the safety requirements established in Safety Standards > Series No. WS-R-2, Predisposal Management of Radioactive Waste, > Including Decommissioning. It covers the roles and responsibilities of > different bodies involved in the predisposal management of radioactive > waste and in the handling and processing of radioactive material. It > is intended for organizations generating and handling radioactive > waste or handling such waste on a centralized basis for and the > regulatory body responsible for regulating such activities.  > Contents: 1. Introduction; 2. Protection of human health and the > environment; 3. Roles and responsibilities; 4. General safety > considerations; 5. Predisposal management of radioactive waste; 6. > Acceptance of radioactive waste in disposal facilities; 7. Record > keeping and reporting; 8. Management systems; Appendix I: Fault > schedule for safety assessment and environmental impact assessment; > Ap...

  6. Technology, safety, and costs of decommissioning reference nuclear research and test reactors. Main report

    Energy Technology Data Exchange (ETDEWEB)

    Konzek, G.J.; Ludwick, J.D.; Kennedy, W.E. Jr.; Smith, R.I.

    1982-03-01

    Safety and Cost Information is developed for the conceptual decommissioning of two representative licensed nuclear research and test reactors. Three decommissioning alternatives are studied to obtain comparisons between costs (in 1981 dollars), occupational radiation doses, potential radiation dose to the public, and other safety impacts. The alternatives considered are: DECON (immediate decontamination), SAFSTOR (safe storage followed by deferred decontamination), and ENTOMB (entombment). The study results are presented in two volumes. Volume 1 (Main Report) contains the results in summary form.

  7. Efficacy, safety and feasibility of ultrasound-guided percutaneous microwave ablation for large hepatic hemangioma.

    Science.gov (United States)

    Tang, Xiao Yin; Wang, Zhi; Wang, Tao; Cui, Dan; Zhai, Bo

    2015-09-01

    To evaluate the efficacy, safety and feasibility of microwave ablation (MWA) for large (5-10 cm in diameter) hepatic hemangioma. In all, 46 patients with 47 large hepatic hemangiomas were treated with ultrasound-guided percutaneous MWA. The effect of MWA for all patients was evaluated by enhanced magnetic resonance imaging or computed tomography within two months after ablation. A total of 27 male and 19 female patients were enrolled, with an average age of 46 ± 11 years. The average size of hemangiomas was 6.3 ± 1.4 cm (range 5.0-9.6 cm). The initial complete ablation rate was 91.5% (43/47) and the volume of ablated lesions was significantly reduced. The rate of complete necrosis was not associated with the tumor size or location (P = 0.899 and 0.758, respectively). The total complete ablation rate was 95.7% (45/47). Major complications included acute renal dysfunction, hyperbilirubinemia and pleural effusion. No procedure-related death occurred. The average hospitalization stay was 5.7 ± 2.5 days (range 3-17 days). During a follow-up period of 18.2 months (range 4-40 months), one patient developed local tumor progression at the radiofrequency ablation site. Three patients had new hemangiomas in other sites of the liver. At the end of the study all patients were alive and no severe complications occurred. Image-guided MWA is an effective and safe treatment for large hepatic hemangiomas, and can potentially be regarded as the first-line therapy. © 2014 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd.

  8. Efficacy and Safety of Procalcitonin-Guided Antibiotic Therapy in Lower Respiratory Tract Infections

    Directory of Open Access Journals (Sweden)

    Werner C. Albrich

    2013-01-01

    Full Text Available Background: In 14 randomized controlled studies to date, a procalcitonin (PCT-based algorithm has been proven to markedly reduce the use of antibiotics along with an unimpaired high safety and low complication rates in patients with lower respiratory tract infections (LRTIs. However, compliance with the algorithm and safety out of controlled study conditions has not yet been sufficiently investigated. Methods: We performed a prospective international multicenter observational post-study surveillance of consecutive adults with community-acquired LRTI in 14 centers (Switzerland (n = 10, France (n = 3 and the United States (n = 1. Results: Between September 2009 and November 2010, 1,759 patients were enrolled (median age 71; female sex 44.4%. 1,520 (86.4% patients had a final diagnosis of LRTI (community-acquired pneumonia (CAP, 53.7%; acute exacerbation of chronic obstructive pulmonary disease (AECOPD, 17.1%; and acute bronchitis, 14.4%. Compliance with the PCT-guided therapy (overall 68.2% was highest in patients with bronchitis (81.0% vs. AECOPD, 70.1%; CAP, 63.7%; p < 0.001, outpatients (86.1% vs. inpatients, 65.9%; p < 0.001 and algorithm-experienced centers (82.5% vs. algorithm-naive, 60.1%; p < 0.001 and showed significant geographical differences. The initial decision about the antibiotic therapy was based on PCT value in 72.4%. In another 8.6% of patients, antibiotics were administered despite low PCT values but according to predefined criteria. Thus, the algorithm was followed in 81.0% of patients. In a multivariable Cox hazard ratio model, longer antibiotic therapy duration was associated with algorithm-non-compliance, country, hospitalization, CAP vs. bronchitis, renal failure and algorithm-naïvety of the study center. In a multivariable logistic regression complications (death, empyema, ICU treatment, mechanical ventilation, relapse, and antibiotic-associated side effects were significantly associated with increasing CURB65-Score, CAP

  9. Specificity control for read alignments using an artificial reference genome-guided false discovery rate.

    Science.gov (United States)

    Giese, Sven H; Zickmann, Franziska; Renard, Bernhard Y

    2014-01-01

    Accurate estimation, comparison and evaluation of read mapping error rates is a crucial step in the processing of next-generation sequencing data, as further analysis steps and interpretation assume the correctness of the mapping results. Current approaches are either focused on sensitivity estimation and thereby disregard specificity or are based on read simulations. Although continuously improving, read simulations are still prone to introduce a bias into the mapping error quantitation and cannot capture all characteristics of an individual dataset. We introduce ARDEN (artificial reference driven estimation of false positives in next-generation sequencing data), a novel benchmark method that estimates error rates of read mappers based on real experimental reads, using an additionally generated artificial reference genome. It allows a dataset-specific computation of error rates and the construction of a receiver operating characteristic curve. Thereby, it can be used for optimization of parameters for read mappers, selection of read mappers for a specific problem or for filtering alignments based on quality estimation. The use of ARDEN is demonstrated in a general read mapper comparison, a parameter optimization for one read mapper and an application example in single-nucleotide polymorphism discovery with a significant reduction in the number of false positive identifications. The ARDEN source code is freely available at http://sourceforge.net/projects/arden/.

  10. Diagnostic Yield and Safety of Endoscopic Ultrasound Guided Fine Needle Aspiration of Central Mediastinal Lung Masses

    Directory of Open Access Journals (Sweden)

    Enrique Vazquez-Sequeiros

    2013-01-01

    Full Text Available Background and Aims. EUS-FNA is an accurate and safe technique to biopsy mediastinal lymph nodes. However, there are few data pertaining to the role of EUS-FNA to biopsy central lung masses. The aim of the study was to assess the diagnostic yield and safety of EUS-FNA of indeterminate central mediastinal lung masses. Methods. Design: Retrospective review of a prospectively maintained database; noncomparative. Setting: Tertiary referral center. From 10/2004 to 12/2010, all patients with a lung mass located within proximity to the esophagus were referred for EUS-FNA. Main Outcome Measurement: EUS-FNA diagnostic accuracy and safety. Results. 73 consecutive patients were included. EUS allowed detection in 62 (85% patients with lack of visualization prohibiting FNA in 11 patients. Among sampled lesions, one patient (1/62 = 1.6% had a benign lung mass (hamartoma, while the remaining 61 patients (61/62 = 98.4% had a malignant mass (primary lung cancer: 55/61 = 90%; lung metastasis: 6/61 = 10%. The sensitivity, specificity, and accuracy of EUS-FNA were 96.7%, 100%, and 96.7%, respectively. The sensitivity was 80.8% when considering nonvisualized masses. One patient developed a pneumothorax (1/62 = 1.6%. Conclusions. EUS-FNA appears to be an accurate and safe technique for tissue diagnosis of central mediastinal lung masses.

  11. Technology, safety, and costs of decommissioning reference nuclear research and test reactors. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Konzek, G.J.; Ludwick, J.D.; Kennedy, W.E. Jr.; Smith, R.I.

    1982-03-01

    Safety and Cost Information is developed for the conceptual decommissioning of two representative licensed nuclear research and test reactors. Three decommissioning alternatives are studied to obtain comparisons between costs (in 1981 dollars), occupational radiation doses, potential radiation dose to the public, and other safety impacts. The alternatives considered are: DECON (immediate decontamination), SAFSTOR (safe storage followed by deferred decontamination), and EMTOMB (entombment). The study results are presented in two volumes. Volume 2 (Appendices) contains the detailed data that support the results given in Volume 1, including unit-component data.

  12. Long-term safety and efficacy of biosimilar infliximab among patients with inflammatory arthritis switched from reference product

    Directory of Open Access Journals (Sweden)

    Abdalla A

    2017-03-01

    Full Text Available Abuelmagd Abdalla, Niamh Byrne, Richard Conway, Thomas Walsh, Geraldine Mannion, Michael Hanly, Miriam O’Sullivan, Ann Maria Curran, John J Carey Department of Rheumatology, Galway University Hospitals, Galway, Ireland Purpose: To evaluate the efficacy and safety of the biosimilar infliximab in adult patients with inflammatory arthritis switched from reference product in our center. Patients and methods: In April 2014, patients attending our rheumatology service for infliximab infusions were switched from reference product to the biosimilar infliximab following consent and hospital approval. Results: Around 34 patients with inflammatory arthritis were switched from reference product to biosimilar infliximab in 2014: 50% female, mean age 55 years (standard deviation=12.9, mean disease duration 14.79 years (9.7, median duration on infliximab 57 months, and two-thirds on oral disease-modifying antirheumatic drugs. There was no difference in efficacy or safety in the first 6 months of therapy. By the end of 2015, the mean follow-up on biosimilar infliximab was 15.8 (standard deviation=6.3 months. Our results showed no significant difference in Health Assessment Questionnaire score, patient global assessment of disease activity, number of disease flares, or the medication dose between the originator and the biosimilar infliximab. However, reported pain and C-reactive protein values were significantly higher during the longer follow-up period (p=0.043, 0.001 respectively. There was no significant difference in the number of adverse events or infusion reactions during follow-up periods. Only five (14.7% patients discontinued the biosimilar infliximab. Conclusion: Our patients experienced similar efficacy and safety for managing their arthritis with the biosimilar infliximab as the reference product infliximab, but at a much lower cost. Keywords: biologic therapy, rheumatic diseases, biosimilar exchange, infliximab, adult

  13. On Safety Management. A Frame of Reference for Studies of Safety Management with Examples From Non-Nuclear Contexts of Relevance for Nuclear Safety

    Energy Technology Data Exchange (ETDEWEB)

    Svensson, Ola; Salo, Ilkka; Allwin, Pernilla (Risk Analysis, Social and Decision Research Unit, Dept. of Psychology, Stockholm Univ., Stockholm (Sweden))

    2004-11-15

    A good knowledge about safety management from risk technologies outside the area of nuclear power may contribute to both broaden the perspectives on safety management in general, and point at new opportunities for improving safety measures within the nuclear industry. First, a theoretical framework for the study of safety management in general is presented, followed by three case studies on safety management from different non-nuclear areas with potential relevance for nuclear safety. The chapters are written as separate reports and can be read independently of each other. The nuclear industry has a long experience about the management of risky activities, involving all the stages from planing to implementation, both on a more generalized level and in the specific branches of activities (management, administration, operation, maintenance, etc.). Here, safety management is a key concept related to these areas of activities. Outside the field of nuclear power there exist a number of different non-nuclear risk technologies, each one with their own specific needs and experiences about safety management. The differences between the areas consist partly of the different experiences caused by the different technologies. Besides using own experiences in safety practices within the own areas of activities, it may be profitable to take advantage in knowledge and experiences from one area and put it in practice in another area. In order to facilitate knowledge transfer from one technological area to another it may be possible to adapt a common theoretical model, for descriptions and explanations, to the different technologies. Such a model should admit that common denominators for safety management across the areas might be identified and described with common concepts. Systems theory gives the opportunity to not only create models that are descriptive for events within the limits of a given technology, but also to generate knowledge that can be transferred to other

  14. Final safety analysis report for the Galileo Mission: Volume 1, Reference design document

    Energy Technology Data Exchange (ETDEWEB)

    1988-05-01

    The Galileo mission uses nuclear power sources called Radioisotope Thermoelectric Generators (RTGs) to provide the spacecraft's primary electrical power. Because these generators contain nuclear material, a Safety Analysis Report (SAR) is required. A preliminary SAR and an updated SAR were previously issued that provided an evolving status report on the safety analysis. As a result of the Challenger accident, the launch dates for both Galileo and Ulysses missions were later rescheduled for November 1989 and October 1990, respectively. The decision was made by agreement between the DOE and the NASA to have a revised safety evaluation and report (FSAR) prepared on the basis of these revised vehicle accidents and environments. The results of this latest revised safety evaluation are presented in this document (Galileo FSAR). Volume I, this document, provides the background design information required to understand the analyses presented in Volumes II and III. It contains descriptions of the RTGs, the Galileo spacecraft, the Space Shuttle, the Inertial Upper Stage (IUS), the trajectory and flight characteristics including flight contingency modes, and the launch site. There are two appendices in Volume I which provide detailed material properties for the RTG.

  15. 78 FR 49996 - Pipeline Safety: Periodic Updates of Regulatory References to Technical Standards and...

    Science.gov (United States)

    2013-08-16

    ... Welding Fittings,'' (2009 edition). Replaces IBR: MSS SP-75-2004, ``Specification for High Test Wrought Butt Welding Fittings,'' (2004 edition); Referenced in 49 CFR 195.118. NACE International (NACE) --NACE... the product could affect the physical environment as well as the health and safety of the public. The...

  16. A Curriculum Guide for Heavy Equipment Operation and Maintenance: Safety & First Aid, Operation, Maintenance, Truck Driving, Diesel Mechanics, Construction Surveying.

    Science.gov (United States)

    Pollock, Steve; Henegar, Wayne

    This curriculum guide uses six units to classify the areas of study which are taught under the broad category of Heavy Equipment Operation and Maintenance. The units are Safety and First Aid (1.0.0), Heavy Equipment Maintenance (2.0.0), Heavy Equipment Operation (3.0.0), Truck Driving (4.0.0), Diesel Mechanics (5.0.0), and Construction Surveying…

  17. Safety of ultrasound-guided high-intensity focused ultrasound ablation for diffuse adenomyosis: A retrospective cohort study.

    Science.gov (United States)

    Feng, Yujie; Hu, Liang; Chen, Wenzhi; Zhang, Rong; Wang, Xi; Chen, Jinyun

    2017-05-01

    To evaluate the safety of ultrasound-guided high-intensity focused ultrasound (HIFU) ablation for patients with diffuse adenomyosis. This was a retrospective cohort study. The data was collected from 417 symptomatic adenomyosis patients who underwent ultrasound-guided HIFU between January 2012 and December 2015 at 1st Affiliated Hospital of Chongqing Medical University, Chongqing, China. Among them were 260 patients with diffuse adenomyosis (Group D) and 157 patients with focal adenomyosis (Group F). All patients underwent contrast-enhanced magnetic resonance imaging (MRI) one week before and the day after HIFU treatment. Successful treatment with HIFU was measured by the non-perfused volume ratio (NPVR). Intraprocedural and postprocedural adverse effects and complications were recorded to assess the safety of the procedure. Patients were followed-up for three months post-treatment. Complications were given a grade A through F according to the SIR Standards. All patients successfully completed the procedure, non-perfused regions appeared in 415 (99.5%) patients. The non-perfused volume ratio (NPVR) of Group D was significantly lower than that of Group F (P0.05) and neither of the reported complications of SIR-C-SIR-F occurred within the two groups. Based on our results, ultrasound-guided HIFU is safe for the treatment of diffuse adenomyosis, and controlling the ablation zone is crucial to ensure patients' safety. Copyright © 2016 Elsevier B.V. All rights reserved.

  18. Safety of transrectal ultrasound-guided prostate biopsy in patients affected by Crohn’s disease

    Directory of Open Access Journals (Sweden)

    Lucio Dell'Atti

    2017-06-01

    Full Text Available Purpose: Crohn’s disease (CD is a chronic inflammatory condition of the gastrointestinal tract. It is usually considered a contraindication to transrectal ultrasound-guided prostate biopsy (TRUSBx. The aim of this study was to investigate the safety of TRUSBx in a small cohort of patients with CD. Methods: We queried our institutional database clinical data of patients with a diagnosis of CD undergoing TRUSBx, and a retrospective prospective study of 5 patients was planned. All patients enrolled were in the remission phase of CD and asymptomatic. They received the same antibiotic prophylaxis and a povidone-iodine aqueous solution enema before the procedure. A standardized reproducible technique was used with using a ultrasound machine equipped with a 5-9 MHz multifrequency convex probe “end-fire”. The patients were treated under local anaesthesia, and a 14-core biopsy scheme was performed in each patient as first intention. After the procedure each patient was given a verbal numeric pain scale to evaluate tolerability of TRUSBx. Results: TRUSBx was successfully completed in all patients. The number of biopsy cores was 14 (12-16. Of the 5 biopsy procedures performed 40% revealed prostatic carcinoma (PCa with a Gleason score 6 (3+3. No patients required catheterization or admission to the hospital for adverse events after the procedure. The most frequent adverse event was hematospermia (60%, while hematuria was present in 20% of patients and a minimal rectal bleeding in 20% of the patients. No patients reported severe or unbearable pain (score ≥ 8. Conclusions: This study suggests that CD may not be an absolute contraindication to TRUSBx for prostate cancer detection, but still requires a careful patients selection.

  19. Technology, safety, and costs of decommissioning a reference nuclear fuel reprocessing plant

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, K.J.; Jenkins, C.E.; Rhoads, R.E.

    1977-09-01

    Safety and cost information were developed for the conceptual decommissioning of a fuel reprocessing plant with characteristics similar to the Barnwell Nuclear Fuel Plant. The main process building, spent fuel receiving and storage station, liquid radioactive waste storage tank system, and a conceptual high-level waste-solidification facility were postulated to be decommissioned. The plant was conceptually decommissioned to three decommissioning states or modes; layaway, protective storage, and dismantlement. Assuming favorable work performance, the elapsed time required to perform the decommissioning work in each mode following plant shutdown was estimated to be 2.4 years for layaway, 2.7 years for protective storage, and 5.2 years for dismantlement. In addition to these times, approximately 2 years of planning and preparation are required before plant shutdown. Costs, in constant 1975 dollars, for decommissioning were estimated to be $18 million for layaway, $19 million for protective storage and $58 million for dismantlement. Maintenance and surveillance costs were estimated to be $680,000 per year after layaway and $140,000 per year after protective storage. The combination mode of protective storage followed by dismantlement deferred for 10, 30, and 100 years was estimated to cost $64 million, $67 million and $77 million, respectively, in nondiscounted total 1975 dollars. Present values of these costs give reduced costs as dismantlement is deferred. Safety analyses indicate that radiological and nonradiological safety impacts from decommissioning activities should be small. The 50-year radiation dose commitment to the members of the public from airborne releases from normal decommissioning activities were estimated to be less than 11 man-rem.

  20. Using quality and safety education for nurses to guide clinical teaching on a new dedicated education unit.

    Science.gov (United States)

    McKown, Terri; McKeon, Leslie; McKown, Leslie; Webb, Sherry

    2011-12-01

    Gaps exist in health professional education versus the demands of current practice. Leveraging front-line nurses to teach students exemplary practice in a Dedicated Education Unit (DEU) may narrow this gap. The DEU is an innovative model for experiential learning, capitalizing on the expertise of staff nurses as clinical teachers. This study evaluated the effectiveness of a new academic-practice DEU in facilitating quality and safety competency achievement among students. Six clinical teachers received education in clinical teaching and use of Quality and Safety Education for Nurses (QSEN) competencies to guide acquisition of essential knowledge, skills, and attitudes for continuous health care improvement. Twelve students assigned to the six teachers completed daily logs for the 10-week practicum. Findings suggest that DEU students achieved QSEN competencies through clinical teacher mentoring in interdisciplinary collaboration, using electronic information for best practice and patient teaching, patient/family decision making, quality improvement, and resolution of safety issues.

  1. The efficacy and safety of the biosimilar product (Inflectra®) compared to the reference drug (Remicade®) in rescue therapy in adult patients with ulcerative colitis

    OpenAIRE

    Kaniewska, Magdalena; Moniuszko, Andrzej; Rydzewska, Grażyna

    2017-01-01

    Introduction The biosimilar product Inflectra® has been approved by the European Medicine Agency (EMA) for the same indications as its reference drug, infliximab, based on studies in patients with rheumatic diseases. Thus far, there have not been enough data regarding its efficacy and safety in ulcerative colitis (UC). Aim To assess the efficacy and safety of the biosimilar product Inflectra® in comparison with its reference biological agent (Remicade®) in rescue therapy in adult patients pre...

  2. Climate change reference guide

    Science.gov (United States)

    2009-01-01

    At the heart of climate change is the greenhouse effect, in which molecules of various gases trap heat in Earths atmosphere and keep it warm enough to support life. Carbon dioxide and other greenhouse gases (GHGs) are an important part of Ea...

  3. Employee Relations. A Guide and Reference Book for Those Involved or Training to Be Involved in Employee Relations in the Hotel and Catering Industry. Seventh Edition.

    Science.gov (United States)

    Martin, Rodney; Hayter, Roy, Ed.

    This guide and reference book is designed to help those involved or training to be involved in employee relations in the hotel and catering industry. Chapter 1 attempts to define employee relations. Chapter 2 describes the institutions and parties involved in employee relations in the hotel and catering industry. The focus of chapter 3 is on…

  4. A Sense of History: A Reference Guide to Alaska's Women 1896-1985. Alaska Historical Commission Studies in History No. 179.

    Science.gov (United States)

    Graham, Roberta

    This reference guide catalogs over 700 citations of written material, films, recordings, and photographs about Alaska women from 1896 to 1985. Each entry contains author, title, periodical citation or source, and a brief description. Major subject areas include adventure, agriculture, anthropology, art and music, aviation, churches and missions,…

  5. Drafting Fundamentals. Drafting Module 1. Instructor's Guide.

    Science.gov (United States)

    Missouri Univ., Columbia. Instructional Materials Lab.

    This Missouri Vocational Instruction Management System instructor's drafting guide has been keyed to the drafting competency profile developed by state industry and education professionals. The guide contains a cross-reference table of instructional materials. Ten units cover drafting fundamentals: (1) introduction to drafting; (2) general safety;…

  6. Child Safety: A Healthy Start. Teacher's Guide. Health Promotion for Adult Literacy Students: An Empowering Approach.

    Science.gov (United States)

    Hudson River Center for Program Development, Glenmont, NY.

    This guide is intended to help adult literacy teachers in New York present a learning module in which an empowering approach is used to provide adult students with information about child-rearing and prevention techniques to keep their children safe. The first half of the guide consists of reading materials concerning the following: home and road…

  7. Treatment guided by rapid diagnostic tests for malaria in Tanzanian children: safety and alternative bacterial diagnoses

    Directory of Open Access Journals (Sweden)

    Sykes Alma

    2011-10-01

    Full Text Available Abstract Background WHO guidelines for the treatment of young children with suspected malaria have recently changed from presumptive treatment to anti-malarial treatment guided by a blood slide or malaria rapid diagnostic test (RDT. However, there is limited evidence of the safety of this policy in routine outpatient settings in Africa. Methods Children 3-59 months of age with a non-severe febrile illness and no obvious cause were enrolled over a period of one year in a malaria endemic area of Tanzania. Treatment was determined by the results of a clinical examination and RDT result, and blood culture and serum lactate were also collected. RDT-negative children were followed up over 14 days. Results Over the course of one year, 965 children were enrolled; 158 (16.4% were RDT-positive and treated with artemether-lumefantrine and 807 (83.4% were RDT-negative and treated with non-anti-malarial medicines. Compared with RDT-positives, RDT-negative children were on average younger with a lower axillary temperature and more likely to have a history of cough or difficulty in breathing. Six (0.6% children became RDT-positive after enrolment, all of whom were PCR-negative for Plasmodium falciparum DNA at enrolment. In addition, 12 (1.2% children were admitted to hospital, one with possible malaria, none of whom died. A bacterial pathogen was identified in 9/965 (0.9% children, eight of whom were RDT-negative and one was RDT-positive, but slide-negative. Excluding three children with Salmonella typhi, all of the children with bacteraemia were ≤12 months of age. Compared to double-read research slide results RDTs had a sensitivity of 97.8% (95%CI 96.9-98.7 and specificity of 96.3% (95%CI 96.3-98.4. Conclusions Use of RDTs to direct the use of anti-malarial drugs in young children did not result in any missed diagnoses of malaria although new infections soon after a consultation with a negative RDT result may undermine confidence in results. Invasive

  8. Invasive Plants Field and Reference Guide: An Ecological Perspective of Plant Invaders of Forests and Woodlands-Supplement

    Science.gov (United States)

    Cynthia Huebner; Cassandra Olson; Heather Smith

    2006-01-01

    Supplement 1 makes the following changes to the original guide, which was published in 2004. Replaces the title page. Corrects and clarifies information in the original guide for two species: Microstegium vimineum (Japanese stiltgrass) and Rosa multiflora (multiflora rose). Replaces the Species List. Adds descriptions with photos for five new species. These species are...

  9. Impaired Driving Enforcement: A Program Guide for Law Enforcement and Highway Safety Administrators

    Science.gov (United States)

    1996-06-01

    Law enforcement and highway safety administrators are an integral part of the solution to reduce injury and death on our roadways caused by impaired drivers. The International Association of Chiefs of Police (IACP) and the National Highway Traffic Sa...

  10. Extreme Heat: A Prevention Guide to Promote Your Personal Health and Safety

    Science.gov (United States)

    ... PSAs Related Links MMWR Bibliography Floods Flood Readiness Personal Hygiene After a Disaster Reentering Your Flooded Home ... Safety Tips First Aid Recommendations Lightning Strike Victim Data Information for ... Insects Fact Sheet: Protection from Animal and Insect Hazards Rodent Control Prevent ...

  11. Safety and Efficacy of Percutaneous CT-Guided Drainage in the Management of Abdominopelvic Abscess

    Science.gov (United States)

    Shahnazi, Makhtoom; Khatami, Alireza; Jamzad, Abbas; Shohitavi, Shomal

    2014-01-01

    Background: Abdominopelvic fluid collection and abscess management and their outcomes have improved in the recent years due to innovation of the image-guided drainage technique and improvement of surgical procedures Objectives: This study was undertaken to evaluate the efficacy of CT-guided percutaneous drainage in treating abdominopelvic abscesses. Patients and Methods: In this study, the data of 41 patients who had abdominal abscess or fluid collections, and underwent treatment by percutaneous CT-guided drainage were analyzed. Treatment was assessed by reduction of collection size, relief of symptoms and signs including abdominal pain and fever and imaging findings. Any morbidity such as wound infection, sepsis, hematoma formation or peritonitis was followed up to six months after the procedure. Results: The average age of the patients was 54 years (range 12 to 79), including 21 (51%) men and 20 (49%) women. The common signs and symptoms were pain (83%) and fever (80.5%). The most prevalent abdominal abscess etiology was previous surgery in 31 cases (75.5%). Abscess diameter ranged between 5 and 12 cm (mean, 7.8 cm). The average hospital stay was 8 days (4-15). Thirty five cases (86%) were successfully treated. Only one case (2.5%) developed complication (peritonitis) after the procedure. Conclusions: According to our findings, CT-guided percutaneous drainage is a safe and effective procedure in the treatment of abdominal abscess and fluid collection. PMID:25763077

  12. Otitis Media with Effusion in Young Children. Clinical Practice Guideline, Quick Reference Guide for Clinicians, [and] Parent Guide, Consumer Version, Number 12.

    Science.gov (United States)

    Agency for Health Care Policy and Research (DHHS/PHS), Rockville, MD.

    Otitis media with effusion and its related hearing loss have been associated with delayed language development, particularly if the disease is recurrent or of long duration, although available data are insufficient to establish a causal linkage. This guide presents recommendations based on extensive reviews of the relevant medical and…

  13. SAFETY

    CERN Multimedia

    Niels Dupont

    2013-01-01

    CERN Safety rules and Radiation Protection at CMS The CERN Safety rules are defined by the Occupational Health & Safety and Environmental Protection Unit (HSE Unit), CERN’s institutional authority and central Safety organ attached to the Director General. In particular the Radiation Protection group (DGS-RP1) ensures that personnel on the CERN sites and the public are protected from potentially harmful effects of ionising radiation linked to CERN activities. The RP Group fulfils its mandate in collaboration with the CERN departments owning or operating sources of ionising radiation and having the responsibility for Radiation Safety of these sources. The specific responsibilities concerning "Radiation Safety" and "Radiation Protection" are delegated as follows: Radiation Safety is the responsibility of every CERN Department owning radiation sources or using radiation sources put at its disposition. These Departments are in charge of implementing the requi...

  14. Woodworking Safety. A Guide for Teachers of Limited English Proficient Students.

    Science.gov (United States)

    Umatilla Education Service District, OR.

    This packet of materials was developed (1) to address the liability concerns of woodworking instructors by providing safety instruction materials and tests for limited English proficient (LEP) or Spanish-speaking students, and (2) to provide some ideas, strategies, and resources for working effectively with LEP students in the vocational…

  15. Environment, Safety, and Health (ES&H) self-assessment guide

    Energy Technology Data Exchange (ETDEWEB)

    Reese, R.T.; Golden, N.L.; Romero, J.R.; Yesner, S.

    1997-06-01

    This document has been prepared as a guide for conducting self-assessments of ES&H functional programs and organizational (line) implementation of these programs. This guide is intended for use by individuals and/or teams involved in or familiar with ES&H programs and line operations (e.g., the {open_quotes}self{close_quotes}in self-assessment). Essential elements of the self-assessment process are described including: schedule and priorities, scope and approach, assessment criteria (e.g., performance objectives and measures), information gathering and analysis techniques, and documentation of planning efforts and results. The appendices in this guide include: (1) an assessment prioritization process, (2) generic performance objectives for line implementation and for ES&H functional programs, (3) sources for ES&H assessment information, (4) systemic factors (developed for SNL`s root cause analysis program), (5) Lockheed Martin audit questions for management systems, compliance and validation, and specific areas and concerns, (6) DOE facility representatives checklist, and (7) assessment tools and resources developed at SNL and other DOE/Lockheed Martin sites. This document is a product of the efforts associated with the SNL ES&H Oversight Pilot Project conducted from June 1995 to January 1997. This Pilot was part of the overall initiative by DOE to reduce burdensome agency oversight by placing greater reliance on contractor self-assessment.

  16. A RVI/LAI-reference curve to detect N stress and guide N fertigation using combined information from spectral reflectance and leaf area measurements in potato

    DEFF Research Database (Denmark)

    Zhenjiang, Zhou; Plauborg, Finn; Thomsen, Anton Gårde

    2017-01-01

    More user-friendly methods are needed to detect crop N status/stress and guide the timing of in-season N application. In the current study, a reference curve method of detecting N stress was proposed to remedy practical problems of methods that require leaf sampling or maintaining a N sufficient...... strip in the field. The reference curve method was derived from the integrated information of ratio vegetation index (RVI) and leaf area index (LAI), which were obtained from field experimental potato crops. Different N treatments received 42 kg N ha−1 at planting and, subsequently, the rest of N...... function, which was independent of season. The treatments where N fertigation was stopped before reaching 180 kg N ha−1 started to deviate from the 95% confidence interval of the reference curve about 10 days after N-fertigation was stopped. This corresponded to 10–20 kg ha−1 difference in total plant N...

  17. An approach to operational risk modeling and estimation of safety levels for deep water work class remotely operated vehicle—A case study with reference to ROSUB 6000

    Directory of Open Access Journals (Sweden)

    N. Vedachalam

    2016-04-01

    Full Text Available This paper presents a quantitative approach to operational risk modeling and estimation of safety integrity levels, required for the deep water electric work class remotely operated vehicle with reference to ROSUB6000 developed by the National Institute of Ocean Technology, India. ROSUB6000 is used for carrying out bathymetric surveys, gas hydrate surveys, poly-metallic nodule exploration, salvage operations, and meeting emergency response situations. The system is expected to be in operation for a period of 300h per year, and has to be extremely safe and reliable. Methods and models for the quantitative assessment of operational safety and estimation of safety integrity levels for ROV are seldom available in the deep water intervention industry. The safety instrumented functions implemented in the ROV should be able to meet the SIL requirements of specific mission. This study indicates that the required safety factors are implemented into the design of the state-of-the-art ROV ROSUB 6000, considering IEC 61508/61511 recommendations on Health, Safety and Environment and it is found that the system is able to meet the required SIL for seven identified functions. This paper gives the design and safety engineers in the ROV industry, an overview of the numerical operational risk assessment methods and safety-centered ROV engineering.

  18. Efficacy and safety of ultrasound-guided implantation of fiducial markers in the liver for stereotactic body radiation therapy.

    Science.gov (United States)

    Park, So Hyun; Won, Hyung Jin; Kim, So Yeon; Shin, Yong Moon; Kim, Pyo Nyun; Yoon, Sang Min; Park, Jin-Hong; Kim, Jong Hoon

    2017-01-01

    Stereotactic body radiation therapy (SBRT) for the treatment of a malignancy in the liver requires the perilesional implantation of fiducial markers for lesion detection. The purpose of this study is to evaluate the efficacy and safety of ultrasound (US) -guided marker implantation for SBRT. We retrospectively reviewed 299, US-guided, intrahepatic fiducial markers implanted in 101 patients between November 2013 and September 2014. SBRT-planning CT images were analyzed to determine the technical success of the implantation, the mean distance between the tumor margin and the marker, with the ideal location of fiducials defined as the distance between a marker and a tumor less than 3 cm and the distance between markers greater than 2 cm according to the tumor conspicuity seen on gray-scale US and the artifact obscuring tumor margins. We also evaluated procedure-related major and minor complications. Technical success was achieved in 291 (97.3%) fiducial marker implantations. The mean distance between the tumor and the marker was 3.1 cm (S.D., 2.1 cm; range, 0-9.5 cm). Of 101 patients, 72 lesions (71.3%, 2.2 ± 1.0 cm; range, 0-3.0 cm) had fiducial markers located in an ideal location. The ideal location of fiducials was more common in visible lesions than in poorly conspicuous lesions (90.2% vs. 52.0%, P hardening artifacts obscuring the tumor margins. There were no major complications, although 12 patients (11.9%) developed minor complications. US-guided implantation of fiducial markers in the liver is an effective and safe procedure with only rare complications.

  19. Percutaneous Ultrasound-Guided Carpal Tunnel Release: Study Upon Clinical Efficacy and Safety

    Energy Technology Data Exchange (ETDEWEB)

    Petrover, David, E-mail: dpetrover@yahoo.fr; Silvera, Jonathan, E-mail: silvera.jonathan@gmail.com [Imagerie Médicale Paris Centre Bachaumont-clinique Blomet RamsayGDS, Department of Interventional Radiology (France); Baere, Thierry De, E-mail: Debaere@igr.fr [Gustave Roussy Institute (France); Vigan, Marie, E-mail: marie.vigan@gmail.com [Association pour la recherche en chirurgie de l’épaule et du coude, clinique Drouot (France); Hakimé, Antoine, E-mail: thakime@yahoo.com [Imagerie Médicale Paris Centre Bachaumont-clinique Blomet RamsayGDS, Department of Interventional Radiology (France)

    2017-04-15

    ObjectivesTo evaluate the feasibility and 6 months clinical result of sectioning of the transverse carpal ligament (TCL) and median nerve decompression after ultra-minimally invasive, ultrasound-guided percutaneous carpal tunnel release (PCTR) surgery.MethodsConsecutive patients with carpal tunnel syndrome were enrolled in this descriptive, open-label study. The procedure was performed in the interventional radiology room. Magnetic resonance imaging was performed at baseline and 1 month. The Boston Carpal Tunnel Questionnaire was administered at baseline, 1, and 6 months.Results129 patients were enrolled. Significant decreases in mean symptom severity scores (3.3 ± 0.7 at baseline, 1.7 ± 0.4 at Month 1, 1.3 ± 0.3 at Month 6) and mean functional status scores (2.6 ± 1.1 at baseline, 1.6 ± 0.4 at Month 1, 1.3 ± 0.5 at Month 6) were noted. Magnetic resonance imaging showed a complete section of all TCL and nerve decompression in 100% of patients. No complications were identified.ConclusionsUltrasound-guided PCTR was used successfully to section the TCL, decompress the median nerve, and reduce self-reported symptoms.

  20. Incident learning and failure-mode-and-effects-analysis guided safety initiatives in radiation medicine

    Directory of Open Access Journals (Sweden)

    Ajay eKapur

    2013-12-01

    Full Text Available By combining incident learning and process failure-mode-and-effects-analysis in a structure-process-outcome framework we have created a risk profile for our radiation medicine practice and implemented evidence-based risk mitigation initiatives focused on patient safety. Based on reactive reviews of incidents reported in our departmental incident-reporting system and proactive failure-mode-and-effects-analysis, high safety-risk procedures in our paperless radiation medicine process and latent risk factors were identified. Six initiatives aimed at the mitigation of associated severity, likelihood of occurrence and detectability risks were implemented. These were the standardization of care pathways and toxicity grading, pre-treatment-planning peer review, a policy to thwart delay-rushed processes, an electronic whiteboard to enhance coordination and the use of six-sigma metrics to monitor operational efficiencies. The effectiveness of these initiatives over a three year period was assessed using process and outcome specific metrics within the framework of the department structure. There has been a 47% increase in incident reporting, with no increase in adverse events. Care pathways have been used with greater than 97% clinical compliance rate. The implementation of peer review prior to treatment planning and use of the whiteboard have provided opportunities for proactive detection and correction of errors. There has been a twofold drop in the occurrence of high-risk procedural delays. Patient treatment start delays are routinely enforced on cases that would have historically been rushed. Z-scores for high risk procedures have steadily improved from 1.78 to 2.35. The initiatives resulted in sustained reductions of failure-mode risks as measured by a set of evidence-based metrics over a three year period. These augment or incorporate many of the published recommendations for patient safety in radiation medicine by translating them to clinical

  1. A Guide to the Design of Occupational Safety and Health Training for Immigrant, Latino/a Dairy Workers.

    Science.gov (United States)

    Menger, Lauren M; Rosecrance, John; Stallones, Lorann; Roman-Muniz, Ivette Noami

    2016-01-01

    Industrialized dairy production in the U.S. relies on an immigrant, primarily Latino/a, workforce to meet greater production demands. Given the high rates of injuries and illnesses on U.S. dairies, there is pressing need to develop culturally appropriate training to promote safe practices among immigrant, Latino/a dairy workers. To date, there have been few published research articles or guidelines specific to developing effective occupational safety and health (OSH) training for immigrant, Latino/a workers in the dairy industry. Literature relevant to safety training for immigrant workers in agriculture and other high-risk industries (e.g., construction) was examined to identify promising approaches. The aim of this paper is to provide a practical guide for researchers and practitioners involved in the design and implementation of effective OSH training programs for immigrant, Latino/a workers in the dairy industry. The search was restricted to peer-reviewed academic journals and guidelines published between 1980 and 2015 by universities or extension programs, written in English, and related to health and safety training among immigrant, Latino/a workers within agriculture and other high-risk industries. Relevant recommendations regarding effective training transfer were also included from literature in the field of industrial-organizational psychology. A total of 97 articles were identified, of which 65 met the inclusion criteria and made a unique and significant contribution. The review revealed a number of promising strategies for how to effectively tailor health and safety training for immigrant, Latino/a workers in the dairy industry grouped under five main themes: (1) understanding and involving workers; (2) training content and materials; (3) training methods; (4) maximizing worker engagement; and (5) program evaluation. The identification of best practices in the design and implementation of training programs for immigrant, Latino/a workers within

  2. Fit, Healthy, and Ready To Learn: A School Health Policy Guide. Part II: Policies To Promote Sun Safety and Prevent Skin Cancer.

    Science.gov (United States)

    Fraser, Katherine

    This publication is a supplementary chapter to "Fit, Healthy, and Ready to Learn: A School Health Policy Guide; Part I: General School Health Policies, Physical Activity, Healthy Eating, and Tobacco-Use Prevention." It discusses various aspects of a complete school policy and plan to promote sun safety. The first section "Purpose…

  3. Surgical treatment of Cesarean scar ectopic pregnancy: efficacy and safety of ultrasound-guided suction curettage.

    Science.gov (United States)

    Jurkovic, D; Knez, J; Appiah, A; Farahani, L; Mavrelos, D; Ross, J A

    2016-04-01

    To assess the efficacy of ultrasound-guided suction curettage for management of pregnancies implanted into the lower uterine segment Cesarean section scar. This was a retrospective study including women diagnosed with Cesarean section scar pregnancy at two large tertiary referral early pregnancy units between 1997 and 2014. Surgical evacuation was offered to selected women presenting in the first trimester ≤ 14 weeks' gestation. All procedures were performed transcervically under ultrasound guidance using suction curettage. A modified Shirodkar cervical suture was used in women who required additional measures to secure hemostasis. A total of 232 women with Cesarean section scar pregnancy were seen at the referral units; 191/232 (82.3%) women were treated surgically. The median intraoperative blood loss was 100 mL (range, 10-3000 mL); 9/191 (4.7% (95% CI, 1.7-7.7%)) women required blood transfusion and, in one (0.5% (95% CI, 0-1.5%)), life-saving hysterectomy had to be performed because of uncontrollable intraoperative bleeding. Of the women who attended for follow-up, 7/116 (6.0% (95% CI, 1.7-10.3%)) required a repeat surgical procedure because of retained products of conception. Multivariable analysis showed that the gestational sac diameter (odds ratio (OR), 1.10 (95% CI, 1.03-1.17)) and pregnancy vascularity on Doppler examination (OR, 3.41 (95% CI, 1.39-8.33)) were significant predictors of heavy intraoperative blood loss (> 1000 mL). Ultrasound-guided suction curettage is an effective method for the treatment of pregnancies implanted into a lower uterine segment Cesarean section scar and is associated with a low risk of blood transfusion and hysterectomy. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.

  4. FLUOR HANFORD SAFETY MANAGEMENT PROGRAMS

    Energy Technology Data Exchange (ETDEWEB)

    GARVIN, L. J.; JENSEN, M. A.

    2004-04-13

    This document summarizes safety management programs used within the scope of the ''Project Hanford Management Contract''. The document has been developed to meet the format and content requirements of DOE-STD-3009-94, ''Preparation Guide for US. Department of Energy Nonreactor Nuclear Facility Documented Safety Analyses''. This document provides summary descriptions of Fluor Hanford safety management programs, which Fluor Hanford nuclear facilities may reference and incorporate into their safety basis when producing facility- or activity-specific documented safety analyses (DSA). Facility- or activity-specific DSAs will identify any variances to the safety management programs described in this document and any specific attributes of these safety management programs that are important for controlling potentially hazardous conditions. In addition, facility- or activity-specific DSAs may identify unique additions to the safety management programs that are needed to control potentially hazardous conditions.

  5. DOE interpretations Guide to OSH standards. Update to the Guide

    Energy Technology Data Exchange (ETDEWEB)

    1994-03-31

    Reflecting Secretary O`Leary`s focus on occupational safety and health, the Office of Occupational Safety is pleased to provide you with the latest update to the DOE Interpretations Guide to OSH Standards. This Guide was developed in cooperation with the Occupational Safety and Health Administration, which continued its support during this last revision by facilitating access to the interpretations found on the OSHA Computerized Information System (OCIS). This March 31, 1994 update contains 123 formal interpretation letters written OSHA. As a result of the unique requests received by the 1-800 Response Line, this update also contains 38 interpretations developed by DOE. This new occupational safety and health information adds still more important guidance to the four volume reference set that you presently have in your possession.

  6. DOE interpretations Guide to OSH standards. Update to the Guide

    Energy Technology Data Exchange (ETDEWEB)

    1994-03-31

    Reflecting Secretary O`Leary`s focus on occupational safety and health, the Office of Occupational Safety is pleased to provide you with the latest update to the DOE Interpretations Guide to OSH Standards. This Guide was developed in cooperation with the Occupational Safety and Health Administration, which continued its support during this last revision by facilitating access to the interpretations found on the OSHA Computerized Information System (OCIS). This March 31, 1994 update contains 123 formal interpretation letters written by OSHA. As a result of the unique requests received by the 1-800 Response Line, this update also contains 38 interpretations developed by DOE. This new occupational safety and health information adds still more important guidance to the four volume reference set that you presently have in your possession.

  7. DOE interpretations Guide to OSH standards. Update to the Guide

    Energy Technology Data Exchange (ETDEWEB)

    1994-03-31

    Reflecting Secretary O`Leary`s focus on occupational safety and health, the Office of Occupational Safety is pleased to provide you with the latest update to the DOE Interpretations Guide to OSH Standards. This Guide was developed in cooperation with the Occupational Safety and Health Administration, which continued it`s support during this last revision by facilitating access to the interpretations found on the OSHA Computerized Information System (OCIS). This March 31, 1994 update contains 123 formal in letter written by OSHA. As a result of the unique requests received by the 1-800 Response Line, this update also contains 38 interpretations developed by DOE. This new occupational safety and health information adds still more important guidance to the four volume reference set that you presently have in your possession.

  8. Ultrasound-guided percutaneous radiofrequency ablation of liver tumors: How we do it safety and completely

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jin Woong; Shin, Sang Soo; Heo, Suk Hee; Hong, Jun Hyung; Lim, Hyo Soon; Seon, Hyun Ju; Hur, Young Hoe; Park, Chang Hwan; Jeong, Yong Yeon; Kang, Heoung Keun [Chonnam National University Medical School, Gwangju (Korea, Republic of)

    2015-12-15

    Ultrasound-guided percutaneous radiofrequency (RF) ablation has become one of the most promising local cancer therapies for both resectable and nonresectable hepatic tumors. Although RF ablation is a safe and effective technique for the treatment of liver tumors, the outcome of treatment can be closely related to the location and shape of the tumors. There may be difficulties with RF ablation of tumors that are adjacent to large vessels or extrahepatic heat-vulnerable organs and tumors in the caudate lobe, possibly resulting in major complications or treatment failure. Thus, a number of strategies have been developed to overcome these challenges, which include artificial ascites, needle track ablation, fusion imaging guidance, parallel targeting, bypass targeting, etc. Operators need to use the right strategy in the right situation to avoid the possibility of complications and incomplete thermal tissue destruction; with the right strategy, RF ablation can be performed successfully, even for hepatic tumors in high-risk locations. This article offers technical strategies that can be used to effectively perform RF ablation as well as to minimize possible complications related to the procedure with representative cases and schematic illustrations.

  9. Software System User’s Manual, Reference Manual, and Installation Guide for the Test Engineer’s Assistant System.

    Science.gov (United States)

    1989-02-28

    Corporation. Imagen is a trademark of Imagen Corporation. Digi-Pad is a registered trademark of GTCO Corporation. Bit Pad One is a registered trademark of...34 Laser printer - Imagen Imprint-10 and 8/300 and other PostScript-supported laser printers. If the current version of VIMS is not 4.7, then ADAS must...is the output device type; legal values are listed later in this guide (e.g., rastech, Imagen ). outname is the physical name of the output device

  10. A quick guide to safety and compatibility of passive implants and devices in an MR environment

    Directory of Open Access Journals (Sweden)

    D.J. Kotze

    2004-02-01

    Full Text Available An increasing number of patients with metal implants are being referred for magnetic resonance imaging (MRI investigations. Implants and devices may be divided into two groups, namely active and passive. This article will focus on passive devices. A device is MR-safe when it is used in the MR environment, but presents no additional risk to the patient or other individuals, although the quality of diagnostic information may be affected. MR procedures may be contraindicated due to various interactions between the MR environment and medical devices, which include torque, translational force, heating, induced electrical currents, magnetic field interactions, artefacts, and misrepresentation. Therefore, before deciding whether any object is MRsafe/ compatible, the intended use and the possible retaining mechanisms must be considered.

  11. Using Expert Panel Data to Guide Youth Agricultural Safety and Health Training Resources in the US

    Directory of Open Access Journals (Sweden)

    Andrew J. Mann

    2017-01-01

    Full Text Available The US Department of Labor (US DOL oversees the Agricultural Hazardous Occupations Orders (AgHOs, which identifies specific tasks that youth are prohibited from performing for hire on American farms and ranches. An educational exemption from this public policy is currently in place that allows youth, 14–15 years old, to complete a certification program prior to engaging in agricultural work involving tractors and machinery. However, limited guidance is provided in the legislation regarding the format or content of the tractor and machinery certification exemption. Four AgHOs (tractor and machinery studies were identified and included in this meta-analysis publication. The research goals of this analysis were to determine basic trends of learning outcomes, and identify educational content to be delivered as a result of these studies. Within each of the four studies, expert panels were used to identify educational learning outcomes. The analysis revealed that 48.0% (n = 184 of all learning outcome items fell within the Tractor-based (Tractor learning outcome category, 29.8% (n = 114 within General Safety and Health (General, and 22.2% (n = 85 of items in the Machinery-based (Machinery category. Ultimately, sound educational methods and understanding of fundamental student competence are essential components for any training program, including youth who complete AgHOs tractor and machinery certification programs.

  12. Practical management of chemicals and hazardous wastes: An environmental and safety professional`s guide

    Energy Technology Data Exchange (ETDEWEB)

    Kuhre, W.L.

    1995-08-01

    This book was written to help the environmental and safety student learn about the field and to help the working professional manage hazardous material and waste issues. For example, one issue that will impact virtually all of these people mentioned is the upcoming environmental standardization movement. The International Standards Organization (ISO) is in the process of adding comprehensive environmental and hazardous waste management systems to their future certification requirements. Most industries worldwide will be working hard to achieve this new level of environmental management. This book presents many of the systems needed to receive certification. In order to properly manage hazardous waste, it is important to consider the entire life cycle, including when the waste was a useful chemical or hazardous material. Waste minimization is built upon this concept. Understanding the entire life cycle is also important in terms of liability, since many regulations hold generators responsible from cradle to grave. This book takes the life-cycle concept even further, in order to provide additional insight. The discussion starts with the conception of the chemical and traces its evolution into a waste and even past disposal. At this point the story continues into the afterlife, where responsibility still remains.

  13. Safety and efficacy of transseptal puncture guided by real-time fusion of echocardiography and fluoroscopy.

    Science.gov (United States)

    Afzal, S; Veulemans, V; Balzer, J; Rassaf, T; Hellhammer, K; Polzin, A; Kelm, M; Zeus, T

    2017-02-01

    Visual guidance through echocardiography and fluoroscopy is crucial for a successful transseptal puncture (TSP) in a prespecified region of the fossa ovalis. The novel EchoNavigator system Release II (EchoNav II, Philips Healthcare, Andover, Massachusetts, USA) enables the real-time fusion of fluoroscopic and echocardiographic images. We evaluated this new imaging method in respect to safety and efficacy of TSP during MitraClip implantation and left atrial appendage closure. Forty-four patients before (-EchoNav) and 44 patients after (+EchoNav) the introduction of real-time fusion were included in our retrospective, single-centre study. The primary endpoint was the occurrence of adverse events due to TSP. Secondary endpoints were successful puncture at the prespecified region and time until TSP (min). In both groups TSP was performed successfully in the prespecified region and no adverse events occurred during or due to the accomplishment of TSP. Time until TSP was significantly reduced in the +EchoNav group in comparison with the EchoNav group (18.48 ± 5.62 min vs. 23.20 ± 9.61 min, p = 0.006). Real-time fusion of echocardiography and fluoroscopy proved to be as safe and successful as standard best practice for TSP. Moreover, efficacy was improved through significant reduction of time until TSP.

  14. Flapless implant surgery in the edentulous jaw based on three fixed intraoral reference points and image-guided surgical templates: accuracy in human cadavers.

    Science.gov (United States)

    Widmann, Gerlig; Zangerl, Antoniette; Keiler, Martin; Stoffner, Rudolf; Bale, Reto; Puelacher, Wolfgang

    2010-08-01

    In edentulous patients, accurate and stable positioning of a surgical template is impeded by the mobile mucosal tissue. The objective was to evaluate the accuracy of flapless computer-assisted template-guided surgery in an edentulous human cadaver specimen using three fixed oral reference points (FRP) for fixation of the registration mouthpiece and the consecutive surgical template. Oral implants were planned on the computed tomography (CT) of an edentulous human cadaver specimen. Surgical templates have been fabricated using a multipurpose navigation system. Both the registration mouthpiece and consecutive surgical template were supported via three FRP. Study implants were inserted through the guide sleeves and the accuracy was evaluated on a post-surgical CT of the cadaver jaws fused with the pre-surgical planning CT. A Matlab script enabled comparison of the planned surgical path with the study implants. In five maxillary and three mandibular edentulous human cadaver specimens, a total of 51 implants (35 implants in the maxilla and 16 implants in the mandible) have been placed. The mean+/-standard deviation total error (Euclidean distance)/lateral error (normal deviation) were 1.1+/-0.6/0.7+/-0.5 mm at the implant base and 1.2+/-0.7/0.9+/-0.7 mm at the implant tip. The mean angular error was 2.8+/-2.2 degrees. Flapless surgery based on FRP-supported image-guided surgical templates may provide similar accuracy as reported for tooth-supported surgical templates or surgical navigation.

  15. Comparing the Effects of Progressive Muscle Relaxation and Guided Imagery on sleep quality in primigravida women referring to Mashhad health care centers-1393

    Directory of Open Access Journals (Sweden)

    Nahid Golmakani

    2015-04-01

    Full Text Available Background & aim: Decreased sleep quality is a common complaint during pregnancy. Relaxation is one of the non-pharmaceutical treatments for sleep disorders. Different techniques could have different impacts on various biological and mental stressors. Therefore, this study aimed to compare the effects of progressive muscle relaxation and guided imagery on the sleep quality of primigravida women. Methods:This three-group clinical trial was conducted on 100 primigravida women, referring to Mashhad health care centers in 2014. All women, who met the inclusion criteria, were randomly assigned to three groups: progressive muscle relaxation, guided imagery, and control groups. The intervention groups performed the exercises twice a day for a period of four weeks at home after two sessions of relaxation training (held during two weeks. Then, the quality of sleep was measured using Pittsburgh Sleep Quality Index. For data analysis, ANOVA, Kruskal-Wallis, paired t-test, and post-hoc test were performed, using SPSS version 11.5. Results: The total score of sleep quality and its components (except use of sleep medication was significantly lower after the intervention, compared to the pre-intervention period in progressive muscle relaxation and guided imagery groups (P

  16. Pandora - a simulation tool for safety assessments. Technical description and user's guide

    Energy Technology Data Exchange (ETDEWEB)

    Ekstroem, Per-Anders (Facilia AB (Sweden))

    2010-12-15

    This report documents a flexible simulation tool, Pandora, used in several post closure safety assessments in both Sweden and Finland to assess the radiological dose to man due to releases from radioactive waste repositories. Pandora allows the user to build compartment models to represent the migration and fate of radionuclides in the environment. The tool simplifies the implementation and simulation of radioecological biosphere models in which there exist a large set of radionuclides and input variables. Based on the well-known technical computing software MATLAB and especially its interactive graphical environment Simulink, Pandora receives many benefits. MATLAB/Simulink is a highly flexible tool used for simulations of practically any type of dynamic system; it is widely used, continuously maintained, and often upgraded. By basing the tool on this commercial software package, we gain both the graphical interface provided by Simulink, as well as the ability to access the advanced numerical equation solving routines in MATLAB. Since these numerical methods are well established and quality assured in their MATLAB implementation, the solution methods used in Pandora can be considered to have high level of quality assurance. The structure of Pandora provides clarity in the model format, which means the model itself assists its own documentation, since the model can be understood by inspecting its structure. With the introduction of the external tool Pandas (Pandora assessment tool), version handling and an integrated way of performing the entire calculation chain has been added. Instead of being dependent on other commercial statistical software as @Risk for performing probabilistic assessments, they can now be performed within the tool

  17. The safety of ultrasound guided central venous cannulation in patients with liver disease

    Directory of Open Access Journals (Sweden)

    Shweta A Singh

    2015-01-01

    Full Text Available Background: Central venous cannulation (CVC is frequently required during the management of patients with liver disease with deranged conventional coagulation parameters (CCP. Since CVC is known to be associated with vascular complications, it is standard practice to transfuse Fresh-Frozen Plasma or platelets to correct CCP. These CCP may not reflect true coagulopathy in liver disease. Additionally CVC when performed under ultrasound guidance (USG-CVC in itself reduces the incidence of complications. Aim: To assess the safety of USG-CVC and to evaluate the incidence of complications among liver disease patients with coagulopathy. Setting and Design: An audit of all USG-CVCs was performed among adult patients with liver disease in a tertiary care center. Materials and Methods: Data was collected for all the adult patients (18-60 years of either gender suffering from liver disease who had required USG-CVC. Univariate and multivariate regression analysis was done to identify possible risk factors for complications. Results: The mean age of the patients was 42.1 ± 11.6 years. Mean international normalized ratio was 2.17 ± 1.16 whereas median platelet count was 149.5 (range, 12-683 × 10 9 /L. No major vascular or non-vascular complications were recorded in our patients. Overall incidence of minor vascular complications was 18.6%, of which 13% had significant ooze, 10.3% had hematoma formation and 4.7% had both hematoma and ooze. Arterial puncture and multiple attempts were independent risk factors for superficial hematoma formation whereas low platelet count and presence of ascites were independent risk factors for significant oozing. Conclusion: Ultrasound guidance -CVC in liver disease patients with deranged coagulation is a safe and highly successful modality.

  18. Technology, safety and costs of decommissioning a reference small mixed oxide fuel fabrication plant. Volume 2. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Jenkins, C. E.; Murphy, E. S.; Schneider, K. J.

    1979-01-01

    Volume 2 contains appendixes on small MOX fuel fabrication facility description, site description, residual radionuclide inventory estimates, decommissioning, financing, radiation dose methodology, general considerations, packaging and shipping of radioactive materials, cost assessment, and safety (JRD)

  19. The European multicenter trial on the safety and efficacy of guided oblique lumbar interbody fusion (GO-LIF

    Directory of Open Access Journals (Sweden)

    Birkenmaier Christof

    2010-09-01

    Full Text Available Abstract Background Because of the implant-related problems with pedicle screw-based spinal instrumentations, other types of fixation have been tried in spinal arthrodesis. One such technique is the direct trans-pedicular, trans-discal screw fixation, pioneered by Grob for spondylolisthesis. The newly developed GO-LIF procedure expands the scope of the Grob technique in several important ways and adds security by means of robotic-assisted navigation. This is the first clinical trial on the GO-LIF procedure and it will assess safety and efficacy. Methods/Design Multicentric prospective study with n = 40 patients to undergo single level instrumented spinal arthrodesis of the lumbar or the lumbosacral spine, based on a diagnosis of: painful disc degeneration, painful erosive osteochondrosis, segmental instability, recurrent disc herniation, spinal canal stenosis or foraminal stenosis. The primary target criteria with regards to safety are: The number, severity and cause of intra- and perioperative complications. The number of significant penetrations of the cortical layer of the vertebral body by the implant as recognized on postoperative CT. The primary target parameters with regards to feasibility are: Performance of the procedure according to the preoperative plan. The planned follow-up is 12 months and the following scores will be evaluated as secondary target parameters with regards to clinical improvement: VAS back pain, VAS leg pain, Oswestry Disability Index, short form - 12 health questionnaire and the Swiss spinal stenosis questionnaire for patients with spinal claudication. The secondary parameters with regards to construct stability are visible fusion or lack thereof and signs of implant loosening, implant migration or pseudarthrosis on plain and functional radiographs. Discussion This trial will for the first time assess the safety and efficacy of guided oblique lumbar interbody fusion. There is no control group, but the results, the

  20. Counseling and Psychotherapy Transcripts, Client Narratives, and Reference Works. A User’s Guide from Alexander Street Press

    OpenAIRE

    2011-01-01

    Представлено руководство по работе в базe Counseling and Psychotherapy Transcripts, Client Narratives, and Reference Works на английском языке издательства Alexander Street Press.

  1. FIRINPC and FIRACPC graphics post-processor support user`s guide and programmer`s reference

    Energy Technology Data Exchange (ETDEWEB)

    Hensel, E. [New Mexico State Univ., Las Cruces, NM (United States). Dept. of Mechanical Engineering

    1992-03-01

    FIRIN is a computer program used by DOE fire protection engineers to simulate hypothetical fire accidents in compartments at DOE facilities. The FIRIN code is typically used in conjunction with a ventilation system code such as FIRAC, which models the impact of the fire compartment upon the rest of the system. The code described here, FIRINPC is a PC based implementation of the full mainframe code FIRIN. In addition, FIRINPC contains graphics support for monitoring the progress of the simulation during execution and for reviewing the complete results of the simulation upon completion of the run. This document describes how to install, test, and subsequently use the code FIRINPC, and addresses differences in usage between the PC version of the code and its mainframe predecessor. The PC version contains all of the modeling capabilities of the earlier version, with additional graphics support. This user`s guide is a supplement to the original FIRIN report published by the NRC. FIRAC is a computer program used by DOE fire protection engineers to simulate the transient response of complete ventilation system to fire induced transients. FIRAC has the ability to use the FIRIN code as the driving function or source term for the ventilation system response. The current version of FIRAC does not contain interactive graphics capabilities. A third program, called POST, is made available for reviewing the results of a previous FIRIN or FIRAC simulation, without having to recompute the numerical simulation. POST uses the output data files created by FIRINPC and FIRACPC to avoid recomputation.

  2. Infant-Guided, Co-Regulated Feeding in the Neonatal Intensive Care Unit. Part II: Interventions to Promote Neuroprotection and Safety.

    Science.gov (United States)

    Shaker, Catherine S

    2017-04-01

    Feeding skills of preterm neonates in a neonatal intensive care unit are in an emergent phase of development and require careful support to minimize stress. The underpinnings that influence and enhance both neuroprotection and safety were discussed in Part I. An infant-guided, co-regulated approach to feeding can protect the vulnerable neonate's neurologic development, support the parent-infant relationship, and prevent feeding problems that may endure. Contingent interventions are used to maintain subsystem stability and enhance self-regulation, development, and coping skills. This co-regulation between caregiver and neonate forms the foundation for a positive infant-guided feeding experience. Caregivers select evidence-based interventions contingent to the newborn's communication. When these interventions are then titrated from moment to moment, neuroprotection and safety are fostered. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  3. SAFETY

    CERN Multimedia

    C. Schaefer and N. Dupont

    2013-01-01

      “Safety is the highest priority”: this statement from CERN is endorsed by the CMS management. An interpretation of this statement may bring you to the conclusion that you should stop working in order to avoid risks. If the safety is the priority, work is not! This would be a misunderstanding and misinterpretation. One should understand that “working safely” or “operating safely” is the priority at CERN. CERN personnel are exposed to different hazards on many levels on a daily basis. However, risk analyses and assessments are done in order to limit the number and the gravity of accidents. For example, this process takes place each time you cross the road. The hazard is the moving vehicle, the stake is you and the risk might be the risk of collision between both. The same principle has to be applied during our daily work. In particular, keeping in mind the general principles of prevention defined in the late 1980s. These principles wer...

  4. SAFETY

    CERN Document Server

    M. Plagge, C. Schaefer and N. Dupont

    2013-01-01

    Fire Safety – Essential for a particle detector The CMS detector is a marvel of high technology, one of the most precise particle measurement devices we have built until now. Of course it has to be protected from external and internal incidents like the ones that can occur from fires. Due to the fire load, the permanent availability of oxygen and the presence of various ignition sources mostly based on electricity this has to be addressed. Starting from the beam pipe towards the magnet coil, the detector is protected by flooding it with pure gaseous nitrogen during operation. The outer shell of CMS, namely the yoke and the muon chambers are then covered by an emergency inertion system also based on nitrogen. To ensure maximum fire safety, all materials used comply with the CERN regulations IS 23 and IS 41 with only a few exceptions. Every piece of the 30-tonne polyethylene shielding is high-density material, borated, boxed within steel and coated with intumescent (a paint that creates a thick co...

  5. Eliminating the use of intravenous glass bottles using a FOCUS-PDCA model and providing a practical stability reference guide.

    Science.gov (United States)

    Maraiki, Fatma; Farooq, Faiyaz; Ahmed, Mohamed

    2016-08-01

    To identify the intravenous (IV) medications that are prepared in glass bottles at the institution and establish which of these medications can be prepared in flexible IV bags such as polyvinyl chloride (PVC) or non-PVC instead of glass bottles. The cost implication of switching from glass bottles to flexible IV bags was calculated. A study using FOCUS-PDCA model to identify IV medications prepared in glass bottles and establish which of these medications could be prepared in IV bags (PVC or non-PVC). The cost impact of switching from glass bottles to IV plastic bags (including PVC or non-PVC) was calculated. The stability data obtained were used as a reference for updating pharmacy internal IV preparation charts. A total of 17 IV medications were found to be prepared in IV glass bottles. Of these 17 medications, only 8 (47%) were prepared in IV glass bottles due to incompatibility with PVC bags. For 7 (41%) of the medications, of which 6 were monoclonal antibodies (MABs), the reason for preparation in glass bottles was unclear as these medications are compatible with either PVC or non-PVC or both. The potential cost savings associated with switching all of the identified medications to IV plastic bags (either non-PVC or PVC) exceeded $200 000. The elimination of glass bottles within the institution resulted in a significant cost saving. The use of FOCUS-PDCA model can help healthcare institution achieve significant improvements in process and realize significant cost savings. © 2016 Royal Pharmaceutical Society.

  6. Standard guide for digital detector array radiology

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2010-01-01

    1.1 This standard is a user guide, which is intended to serve as a tutorial for selection and use of various digital detector array systems nominally composed of the detector array and an imaging system to perform digital radiography. This guide also serves as an in-detail reference for the following standards: Practices E2597, , and E2737. 1.2 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

  7. Methodology for assessing the safety of Hydrogen Systems: HyRAM 1.1 technical reference manual

    Energy Technology Data Exchange (ETDEWEB)

    Groth, Katrina; Hecht, Ethan; Reynolds, John Thomas; Blaylock, Myra L.; Erin E. Carrier

    2017-03-01

    The HyRAM software toolkit provides a basis for conducting quantitative risk assessment and consequence modeling for hydrogen infrastructure and transportation systems. HyRAM is designed to facilitate the use of state-of-the-art science and engineering models to conduct robust, repeatable assessments of hydrogen safety, hazards, and risk. HyRAM is envisioned as a unifying platform combining validated, analytical models of hydrogen behavior, a stan- dardized, transparent QRA approach, and engineering models and generic data for hydrogen installations. HyRAM is being developed at Sandia National Laboratories for the U. S. De- partment of Energy to increase access to technical data about hydrogen safety and to enable the use of that data to support development and revision of national and international codes and standards. This document provides a description of the methodology and models contained in the HyRAM version 1.1. HyRAM 1.1 includes generic probabilities for hydrogen equipment fail- ures, probabilistic models for the impact of heat flux on humans and structures, and computa- tionally and experimentally validated analytical and first order models of hydrogen release and flame physics. HyRAM 1.1 integrates deterministic and probabilistic models for quantifying accident scenarios, predicting physical effects, and characterizing hydrogen hazards (thermal effects from jet fires, overpressure effects from deflagrations), and assessing impact on people and structures. HyRAM is a prototype software in active development and thus the models and data may change. This report will be updated at appropriate developmental intervals.

  8. Comparing biosimilar SB2 with reference infliximab after 54 weeks of a double-blind trial: clinical, structural and safety results.

    Science.gov (United States)

    Smolen, Josef S; Choe, Jung-Yoon; Prodanovic, Nenad; Niebrzydowski, Jaroslaw; Staykov, Ivan; Dokoupilova, Eva; Baranauskaite, Asta; Yatsyshyn, Roman; Mekic, Mevludin; Porawska, Wieskawa; Ciferska, Hana; Jedrychowicz-Rosiak, Krystyna; Zielinska, Agnieszka; Choi, Jasmine; Rho, Young Hee

    2017-10-01

    SB2 is a biosimilar to the reference infliximab (INF). Similar efficacy, safety and immunogenicity between SB2 and INF up to 30 weeks were previously reported. This report investigates such clinical similarity up to 54 weeks, including structural joint damage. In this phase III, double-blind, parallel-group, multicentre study, patients with moderate to severe RA despite MTX were randomized (1:1) to receive 3 mg/kg of either SB2 or INF at 0, 2, 6 and every 8 weeks thereafter. Dose escalation by 1.5 mg/kg up to a maximum dose of 7.5 mg/kg was allowed after week 30. Efficacy, safety and immunogenicity were measured at each visit up to week 54. Radiographic damage evaluated by modified total Sharp score was measured at baseline and week 54. A total of 584 patients were randomized to receive SB2 (n = 291) or INF (n = 293). The rate of radiographic progression was comparable between SB2 and INF (mean modified total Sharp score difference: SB2, 0.38; INF, 0.37) at 1 year. ACR responses, 28-joint DAS, Clinical Disease Activity Index and Simplified Disease Activity Index were comparable between SB2 and INF up to week 54. The incidence of treatment-emergent adverse events and anti-drug antibodies were comparable between treatment groups. Such comparable trends of efficacy, safety and immunogenicity were consistent from baseline up to 54 weeks. The pattern of dose increment was also comparable between SB2 and INF. SB2 maintained similar efficacy, safety and immunogenicity with INF up to 54 weeks in patients with moderate to severe RA. Radiographic progression was comparable at 1 year. ClinicalTrials.gov (http://clinicaltrials.gov; NCT01936181) and EudraCT (https://www.clinicaltrialsregister.eu; 2012-005733-37).

  9. Electrical safety code manual a plan language guide to national electrical code, OSHA and NFPA 70E

    CERN Document Server

    Keller, Kimberley

    2010-01-01

    Safety in any workplace is extremely important. In the case of the electrical industry, safety is critical and the codes and regulations which determine safe practices are both diverse and complicated. Employers, electricians, electrical system designers, inspectors, engineers and architects must comply with safety standards listed in the National Electrical Code, OSHA and NFPA 70E. Unfortunately, the publications which list these safety requirements are written in very technically advanced terms and the average person has an extremely difficult time understanding exactly what they need to

  10. Guide to foodborne pathogens

    National Research Council Canada - National Science Library

    Labbé, Ronald G; García, Santos

    2013-01-01

    .... An essential guide for anyone in the food industry, research, or regulation who needs to ensure or enforce food safety, the guide delves into the nature of illnesses, the epidemiology of pathogens...

  11. Introduction to computers: Reference guide

    Energy Technology Data Exchange (ETDEWEB)

    Ligon, F.V.

    1995-04-01

    The ``Introduction to Computers`` program establishes formal partnerships with local school districts and community-based organizations, introduces computer literacy to precollege students and their parents, and encourages students to pursue Scientific, Mathematical, Engineering, and Technical careers (SET). Hands-on assignments are given in each class, reinforcing the lesson taught. In addition, the program is designed to broaden the knowledge base of teachers in scientific/technical concepts, and Brookhaven National Laboratory continues to act as a liaison, offering educational outreach to diverse community organizations and groups. This manual contains the teacher`s lesson plans and the student documentation to this introduction to computer course.

  12. Reference Guide Microsoft.NET

    NARCIS (Netherlands)

    Zee M van der; Verspaij GJ; Rosbergen S; IMP; NMD

    2003-01-01

    Developers, administrators and managers can get more understanding of the .NET technology with this report. They can also make better choices how to use this technology. The report describes the results and conclusions of a study of the usability for the RIVM of this new generation .NET development

  13. Anthropology: Guide to Reference Sources.

    Science.gov (United States)

    Mason, Mary G., Ed.

    More than 80 anthropology source materials concentrating on cultural and social anthropology are cited in this annotated bibliography. Materials, located in the McLennan Library at McGill University (Montreal), are listed according to type of material. Library of Congress call numbers are presented; dates of publication range from 1950 to 1985.…

  14. Stereotactic CT-Guided Percutaneous Microwave Ablation of Liver Tumors With the Use of High-Frequency Jet Ventilation: An Accuracy and Procedural Safety Study.

    Science.gov (United States)

    Engstrand, Jennie; Toporek, Grzegorz; Harbut, Piotr; Jonas, Eduard; Nilsson, Henrik; Freedman, Jacob

    2017-01-01

    The purpose of the present study is to evaluate the accuracy and safety of antenna placement performed with the use of a CT-guided stereotactic navigation system for percutaneous ablation of liver tumors and to assess the safety of high-frequency jet ventilation for target motion control. Twenty consecutive patients with malignant liver lesions for which surgical resection was contraindicated or that were not readily visible on ultrasound or not accessible by ultrasound guidance were included in the study. Patients were treated with percutaneous microwave ablation performed using a CT-guided stereotactic navigation system. High-frequency jet ventilation was used to reduce liver motion during all interventions. The accuracy of antenna placement, the number of needle readjustments required, overall safety, and the radiation doses were assessed. Microwave ablation was completed for 20 patients (28 lesions). Performance data could be evaluated for 17 patients with 25 lesions (mean [± SD] lesion diameter, 14.9 ± 5.9 mm; mean lesion location depth, 87.5 ± 27.3 mm). The antennae were placed with a mean lateral error of 4.0 ± 2.5 mm, a depth error of 3.4 ± 3.2 mm, and a total error of 5.8 ± 3.2 mm in relation to the intended target. The median number of antenna readjustments required was zero (range, 0-1 adjustment). No major complications were related to either the procedure or the use of high-frequency jet ventilation. The mean total patient radiation dose was 957.5 ± 556.5 mGy × cm, but medical personnel were not exposed to irradiation. Percutaneous microwave ablation performed with CT-guided stereotactic navigation provides sufficient accuracy and requires almost no repositioning of the needle. Therefore, it is technically feasible and applicable for safe treatments.

  15. Safety and Feasibility of Direct Magnetic Resonance Imaging-guided Transperineal Prostate Biopsy Using a Novel Magnetic Resonance Imaging-safe Robotic Device.

    Science.gov (United States)

    Ball, Mark W; Ross, Ashley E; Ghabili, Kamyar; Kim, Chunwoo; Jun, Changhan; Petrisor, Doru; Pan, Li; Epstein, Jonathan I; Macura, Katarzyna J; Stoianovici, Dan S; Allaf, Mohamad E

    2017-11-01

    To evaluate safety and feasibility in a first-in-human trial of a direct magnetic resonance imaging (MRI)-guided prostate biopsy using a novel robotic device. MrBot is an MRI-safe robotic device constructed entirely with nonconductive, nonmetallic, and nonmagnetic materials and developed by our group. A safety and feasibility clinical trial was designed to assess the safety and feasibility of a direct MRI-guided biopsy with MrBot and to determine its targeting accuracy. Men with elevated prostate-specific antigen levels, prior negative prostate biopsies, and cancer-suspicious regions (CSRs) on MRI were enrolled in the study. Biopsies targeting CSRs, in addition to sextant locations, were performed. Five men underwent biopsy with MrBot. Two men required Foley catheter insertion after the procedure, with no other complications or adverse events. Even though this was not a study designed to detect prostate cancer, biopsies confirmed the presence of a clinically significant cancer in 2 patients. On a total of 30 biopsy sites, the robot achieved an MRI-based targeting accuracy of 2.55 mm and a precision of 1.59 mm normal to the needle, with no trajectory corrections and no unsuccessful attempts to target a site. Robot-assisted MRI-guided prostate biopsy appears safe and feasible. This study confirms that a clinically significant prostate cancer (≥5-mm radius, 0.5 cm 3 ) depicted in MRI may be accurately targeted. Direct confirmation of needle placement in the CSR may present an advantage over fusion-based technology and gives more confidence in a negative biopsy result. Additional study is warranted to evaluate the efficacy of this approach. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Radiation dose reduction in CT-guided periradicular injections in lumbar spine: Feasibility of a new institutional protocol for improved patient safety

    Directory of Open Access Journals (Sweden)

    Artner Juraj

    2012-08-01

    Full Text Available Abstract Background Image guided spinal injections are successfully used in the management of low back pain and sciatica. The main benefit of CT-guided injections is the safe, fast and precise needle placement, but the radiation exposure remains a serious concern. The purpose of the study was to test a new institutional low-dose protocol for CT-guided periradicular injections in lumbar spine to reduce radiation exposure while increasing accuracy and safety for the patients. Methods We performed a retrospective analysis of a prospective database during a 4-month period (Oct-Dec 2011 at a German University hospital using a newly established low-dose-CT-protocol for periradicular injections in patients suffering from lumbar disc herniation and nerve root entrapment. Inclusion criteria were acute or chronic nerve root irritation due to lumbar disc hernia, age over 18, compliance and informed consent. Excluded were patients suffering from severe obesity (BMI > 30, coagulopathy, allergy to injected substances, infection and non-compliant patients. Outcome parameters consisted of the measured dose length product (mGycm2, the amount of scans, age, gender, BMI and the peri-interventional complications. The results were compared to 50 patients, treated in the standard-interventional CT-protocol for spinal injections, performed in June-Oct 2011, who met the above mentioned inclusion criteria. Results A total amount of 100 patients were enrolled in the study. A significant radiation dose reduction (average 85.31% was achieved using the institutional low-dose protocol compared to standard intervention mode in CT-guided periradicular injections in lumbar spine. Using the low-dose protocol did not increase the complications rate in the analyzed cohort. Conclusions Low-dose-CT-protocols for lumbar perineural injections significantly reduce the exposure to radiation of non-obese patients without an increase of complications. This increases long-time patient

  17. Comparative Analysis of Four Facial Foundation Lotions with Reference to Its Antioxidant Richness and Bio-Safety

    Directory of Open Access Journals (Sweden)

    Mukesh Singh

    2017-05-01

    Full Text Available The market these days is a hub of a variety of commercially available cosmetic products, and foundation makeup to be precise, containing various types of important bioactive compounds both from natural and synthetic sources. The current study explores the usage of foundation lotions among undergraduate female students of an engineering college in West Bengal, India, and its antioxidant potential such as free radical scavenging, anti-lipid peroxidation, and reducing power. Red Blood Corpuscles hemolysis assay was also tested for evaluating it safety measures. Results confirmed the presence of antioxidant-related bioactive components and hence the antioxidant property in each brand tested, albeit in varying degrees. Free radical scavenging, anti-lipid peroxidation, and reducing power were also exhibited by all samples tested. Hemolytic activity was not significantly noted among the foundations, though each exhibited different results. Lotion with the least bioactive components exhibited high hemolytic activity. The findings of this study reveal the secret behind the usefulness of foundation lotions on the basis of antioxidant contents and free radical scavenging activity. The results of this study confirmed that it is very unlikely that all the essential qualities of a good cosmetic product will be present all at once.

  18. Complementary and alternative medicine use among cancer patients in Palestine with special reference to safety-related concerns.

    Science.gov (United States)

    Ali-Shtayeh, Mohammed S; Jamous, Rana M; Salameh, Nihaya M Y; Jamous, Rania M; Hamadeh, Amneh M A

    2016-07-01

    The use of CAM including herbal medicine as the most preferred CAM modality, among cancer patients who are taking prescription medications has shown to be highly prevalent worldwide as well as in several Middle Eastern countries, with a high percentage of the patients do not disclose their CAM use to treating physician. The current study aimed to evaluate the patterns of CAM use among two cohorts of cancer patients in Palestine over a three-year period, and to identify socio-demographic factors that are associated with CAM use. Across-sectional survey of patients attending outpatient cancer clinics. The method was based on a semi-structured questionnaire. In order to identify safety-related concerns associated with the products listed, a literature search was conducted using different databases (PubMed, Micromedex, AltMedDex, and the Natural Medicine Comprehensive Database). In 472 cancer patients including 372 of the 2011 cohort; and 100 of the 2014 cohort, the overall prevalence of CAM use was 69.5%. CAM users were more likely to be ≤65 years old, village resident, being in the midst of chemotherapy, to have high interest spiritual quest, and to have no other chronic diseases. A significant number of CAM users reported using herbal preparations (98.3%, and 89.6% in the two study cohorts, respectively). In the current study, a total of 40 plant taxa belonging to 23 botanical families were reported by ≥3 cancer patients in the two cohort groups. The top most commonly used plant in the 2011 cohort group was Arum palaestinum (43.5%), while Ephedra foeminea emerged as the top most commonly utilized plant (from 0.0% in 2011 to 55.2% in the 2014 cohort), mainly due to a recent publicizing and portraying of the plant in the local media as an effective cancer herbal remedy. Safety-related concerns were associated with 33 (82.5%) herbs, including herb-drug interactions with altered pharmacokinetics (8, 20% herbs), direct toxic effects (16, 40% herbs), and increased in

  19. Photic stimulation during electroencephalography: Efficacy and safety in an unselected cohort of patients referred to UK neurophysiology departments.

    Science.gov (United States)

    Whitehead, Kimberley; Sherratt, Michael; Kandler, Ros; Lawrence, Sarah; Pang, Catherine

    2016-01-01

    To determine efficacy and safety of photic stimulation (PS) during electroencephalography (EEG) in a large group of adult and paediatric patients. A prospective multicentre National Service Evaluation was performed organised by the joint audit committee of the two UK professional organisations (Association of Neurophysiological Scientists and British Society for Clinical Neurophysiology). Questionnaires about every EEG performed in the two-month study period were completed contemporaneously by physiologists at the time of the recording-reporting. The occurrence during PS of photoparoxysmal responses (PPRs), seizures and psychogenic non-epileptic attacks was noted from the EEG trace and contemporary clinical observation backed up by the video that was synchronised with the EEG. 5383 patients investigated with EEG and PS, mostly for possible epilepsy, were included in the study. Seventy nine patients (1.5%) had a generalised PPR elicited by PS having had no generalised epileptiform discharges previously in the EEG. Thirty nine patients (0.7%) had seizures provoked by PS including two (0.04%) who had a generalised tonic clonic seizure (GTCS). Forty nine patients (0.9%) had non-epileptic attacks provoked by PS. Thus PS yielded potentially useful information (PPRs, seizures or non-epileptic attacks) in 167/5383 (3.1%) of patients. In a subset of 122/5383 (2.3%), PS provided the only useful information captured within the EEG. PS contributes to the diagnosis of epilepsy and non-epileptic attack disorder in 3.1% of patients. It is a safe technique which produces GTCSs in only 0.04% patients. We conclude that PS is a moderately useful activation technique in diagnostic EEG, where the potential benefits out-weigh the risks; this information may assist the informed consent process. Copyright © 2015 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

  20. Reference computations of public dose and cancer risk from airborne releases of plutonium. Nuclear safety technical report

    Energy Technology Data Exchange (ETDEWEB)

    Peterson, V.L.

    1993-12-23

    This report presents results of computations of doses and the associated health risks of postulated accidental atmospheric releases from the Rocky Flats Plant (RFP) of one gram of weapons-grade plutonium in a form that is respirable. These computations are intended to be reference computations that can be used to evaluate a variety of accident scenarios by scaling the dose and health risk results presented here according to the amount of plutonium postulated to be released, instead of repeating the computations for each scenario. The MACCS2 code has been used as the basis of these computations. The basis and capabilities of MACCS2 are summarized, the parameters used in the evaluations are discussed, and results are presented for the doses and health risks to the public, both the Maximum Offsite Individual (a maximally exposed individual at or beyond the plant boundaries) and the population within 50 miles of RFP. A number of different weather scenarios are evaluated, including constant weather conditions and observed weather for 1990, 1991, and 1992. The isotopic mix of weapons-grade plutonium will change as it ages, the {sup 241}Pu decaying into {sup 241}Am. The {sup 241}Am reaches a peak concentration after about 72 years. The doses to the bone surface, liver, and whole body will increase slightly but the dose to the lungs will decrease slightly. The overall cancer risk will show almost no change over this period. This change in cancer risk is much smaller than the year-to-year variations in cancer risk due to weather. Finally, x/Q values are also presented for other applications, such as for hazardous chemical releases. These include the x/Q values for the MOI, for a collocated worker at 100 meters downwind of an accident site, and the x/Q value integrated over the population out to 50 miles.

  1. Feasibility and safety of ultrasound-guided nerve block for management of limb injuries by emergency care physicians

    Directory of Open Access Journals (Sweden)

    Sanjeev Bhoi

    2012-01-01

    Full Text Available Background: Patients require procedural sedation and analgesia (PSA for the treatment of acute traumatic injuries. PSA has complications. Ultrasound (US guided peripheral nerve block is a safe alternative. Aim: Ultrasound guided nerve blocks for management of traumatic limb emergencies in Emergency Department (ED. Setting and Design: Prospective observational study conducted in ED. Materials and Methods: Patients above five years requiring analgesia for management of limb emergencies were recruited. Emergency Physicians trained in US guided nerve blocks performed the procedure. Statistical analysis: Effectiveness of pain control, using visual analogue scale was assessed at baseline and at 15 and 60 minutes after the procedure. Paired t test was used for comparison. Results: Fifty US guided nerve blocks were sciatic- 4 (8%, femoral-7 (14%, brachial- 29 (58%, median -6 (12%, and radial 2 (4% nerves. No patients required rescue PSA. Initial median VAS score was 9 (Inter Quartile Range [IQR] 7-10 and at 1 hour was 2(IQR 0-4. Median reduction in VAS score was 7.44 (IQR 8-10(75%, 1-2(25% (P=0.0001. Median procedure time was 9 minutes (IQR 3, 12 minutes and median time to reduction of pain was 5 minutes (IQR 1,15 minutes. No immediate or late complications noticed at 3 months. Conclusion: Ultrasound-guided nerve blocks can be safely and effectively performed for upper and lower limb emergencies by emergency physicians with adequate training.

  2. The Efficacy and Safety of Endoscopic Ultrasound-Guided Celiac Plexus Neurolysis for Treatment of Pain in Patients with Pancreatic Cancer

    Directory of Open Access Journals (Sweden)

    Anna Wiechowska-Kozłowska

    2012-01-01

    Full Text Available Introduction. Celiac plexus neurolysis is used in pain management of patients with advanced and unresectable pancreatic cancer. We retrospectively analyzed efficacy and safety of endoscopic ultrasound- (EUS- guided celiac plexus neurolysis in patients treated in our unit. Methods. Twenty nine subjects with unresectable pancreatic cancer and severe pain despite pharmacological treatment underwent EUS-guided celiac plexus neurolysis with 98% ethanol. Patients scored their pain according to a 0–10 point scale and were interviewed 1-2 weeks and 2-3 months after the procedure. Results. Twenty five (86% patients reported improvement in their pain at 1-2 weeks following the procedure. Of these, 7 (24% reported substantial improvement (decrease in pain by more than 50% and 4 (14% complete disappearance of pain. Pain relief was still present in 76% of patients after 2-3 months. Treatment-related side effects included hypotonia in 1 patient, severe pain immediately postprocedure in 2 patients, and short episodes of diarrhea in 3 patients. Conclusion. Endoscopic ultrasound- (EUS- guided celiac plexus neurolysis is a safe and effective treatment of severe pain from advanced pancreatic cancer.

  3. Short-term outcomes and safety of computed tomography-guided percutaneous microwave ablation of solitary adrenal metastasis from lung cancer: A multi-center retrospective study

    Energy Technology Data Exchange (ETDEWEB)

    Men, Min; Ye, Xin; Yang, Xia; Zheng, Aimin; Huang, Guang Hui; Wei, Zhigang [Dept. of Oncology, Shandong Provincial Hospital Affiliated with Shandong University, Jinan (China); Fan, Wei Jun [Imaging and Interventional Center, Sun Yat-sen University Cancer Center, Guangzhou (China); Zhang, Kaixian [Dept. of Oncology, Teng Zhou Central People' s Hospital Affiliated with Jining Medical College, Tengzhou (China); Bi, Jing Wang [Dept. of Oncology, Jinan Military General Hospital of Chinese People' s Liberation Army, Jinan (China)

    2016-11-15

    To retrospectively evaluate the short-term outcomes and safety of computed tomography (CT)-guided percutaneous microwave ablation (MWA) of solitary adrenal metastasis from lung cancer. From May 2010 to April 2014, 31 patients with unilateral adrenal metastasis from lung cancer who were treated with CT-guided percutaneous MWA were enrolled. This study was conducted with approval from local Institutional Review Board. Clinical outcomes and complications of MWA were assessed. Their tumors ranged from 1.5 to 5.4 cm in diameter. After a median follow-up period of 11.1 months, primary efficacy rate was 90.3% (28/31). Local tumor progression was detected in 7 (22.6%) of 31 cases. Their median overall survival time was 12 months. The 1-year overall survival rate was 44.3%. Median local tumor progression-free survival time was 9 months. Local tumor progression-free survival rate was 77.4%. Of 36 MWA sessions, two (5.6%) had major complications (hypertensive crisis). CT-guided percutaneous MWA may be fairly safe and effective for treating solitary adrenal metastasis from lung cancer.

  4. 75 FR 35508 - Draft Regulatory Guide: Issuance, Availability

    Science.gov (United States)

    2010-06-22

    ...,'' requires licensees to develop cyber-security plans and programs to protect critical digital assets, including digital safety systems, from malicious cyber attacks. Regulatory Guide 5.71, ``Cyber Security...: 1. Eliminates all reference to cyber security, malicious activity, or attacks, as those...

  5. Guide to monitoring smoke exposure of wildland firefighters.

    Science.gov (United States)

    Tim E. Reinhardt; Roger D. Ottmar; Michael J. Hallett

    1999-01-01

    Fire managers and safety officers concerned with smoke exposure among fire crews can use electronic carbon monoxide (CO) monitors to track and prevent overexposure to smoke. Commonly referred to as dosimeters, these lightweight instruments measure the concentration of CO in the air the firefighter's breathe. This guide outlines the protocol developed for sampling...

  6. The efficacy and safety of the biosimilar product (Inflectra®) compared to the reference drug (Remicade®) in rescue therapy in adult patients with ulcerative colitis.

    Science.gov (United States)

    Kaniewska, Magdalena; Moniuszko, Andrzej; Rydzewska, Grażyna

    2017-01-01

    The biosimilar product Inflectra® has been approved by the European Medicine Agency (EMA) for the same indications as its reference drug, infliximab, based on studies in patients with rheumatic diseases. Thus far, there have not been enough data regarding its efficacy and safety in ulcerative colitis (UC). To assess the efficacy and safety of the biosimilar product Inflectra® in comparison with its reference biological agent (Remicade®) in rescue therapy in adult patients presenting with severe exacerbation of UC, as well as to evaluate recurrence rate during a 6-month observation after finish of treatment. In a single-centre retrospective study, a cohort of 83 adult patients with severe UC treated at the Department of Gastroenterology with Inflammatory Bowel Diseases Subdivision of the Central Clinical Hospital of MSWiA, Warsaw was investigated. All patients received three induction doses of Remicade® (28 individuals) or Inflectra® (55 individuals) based on the same criteria of the National Health Fund (NFZ) Therapeutic Program (total Mayo score > 6). Activity of the disease was evaluated on the Mayo scale at qualification, after finishing the rescue treatment (after 14 weeks), and after a 6-month observation period. In all patients, sigmoidoscopy was performed at qualification and after induction (after three doses). The studied groups were similar with respect to age and sex distribution, duration of the disease, extent of the disease (left-sided type, pancolitis), additional pharmacotherapy, and smoking. Clinical response following three induction doses was noted in 81% of patients receiving Remicade® compared to 77% receiving the biosimilar product, Inflectra® (NS); while clinical remission was observed in 42% receiving Remicade® and 32% receiving Inflectra® (NS), respectively. Endoscopic remission assessed as 0 on the Mayo scale was achieved in 4 (15%) patients on Remicade® and in 7 (13%) patients on Inflectra® (p = 0.45). Relapse occurred in 68

  7. Light Water Reactor Sustainability Program Technical Basis Guide Describing How to Perform Safety Margin Configuration Risk Management

    Energy Technology Data Exchange (ETDEWEB)

    Curtis Smith; James Knudsen; Bentley Harwood

    2013-08-01

    The INL has carried out a demonstration of the RISMC approach for the purpose of configuration risk management. We have shown how improved accuracy and realism can be achieved by simulating changes in risk – as a function of different configurations – in order to determine safety margins as the plant is modified. We described the various technical issues that play a role in these configuration-based calculations with the intent that future applications can take advantage of the analysis benefits while avoiding some of the technical pitfalls that are found for these types of calculations. Specific recommendations have been provided on a variety of topics aimed at improving the safety margin analysis and strengthening the technical basis behind the analysis process.

  8. Science reference room index to physical, chemical and other property data

    CERN Document Server

    This nice reference guide from Arizona State University's Noble Science and Engineering Library amounts to "an index to selected library and internet resources that contain chemical, physical, thermodynamic, mechanical, toxicological, and safety data with a list of suggested standard reference sources that may be found in most technical libraries, this reference guide goes on to include a vast reservoir of alphabetically listed library books and Internet sites where a user may locate specific information. From Abrasion Resistance to Yield Strength data, this index is quite comprehensive.

  9. VGB guideline - guide for implementation of the Betriebssicherheitsverordnung (Industrial Safety Ordinance); VGB-Richtlinie - Leitfaden zur Umsetzung der Betriebssicherheitsverordnung

    Energy Technology Data Exchange (ETDEWEB)

    Baumann, O. [VGB PowerTech e.V. Essen (Germany); Harms, H.G. [RWE Power AG, KW Grevenbroich (Germany)

    2007-07-01

    The VGB guideline R 104 O provides the user with a modern information system that is accessible via the internet. It contains information on the BetrSichV (Industrial Safety Ordinance) and its interpretation and also provides answers to practical problems relating to the BetrSichV. This makes it easier to implement the BetrSichV and the Technical Rules in power stations. (orig.)

  10. Effectiveness and safety of continuous ultrasound-guided femoral nerve block versus epidural analgesia after total knee arthroplasty.

    Science.gov (United States)

    Fedriani de Matos, J J; Atienza Carrasco, F J; Díaz Crespo, J; Moreno Martín, A; Tatsidis Tatsidis, P; Torres Morera, L M

    2017-02-01

    Total knee arthroplasty is associated with severe postoperative pain. The aim of this study was to compare continuous ultrasound-guided femoral nerve block with continuous epidural analgesia, both with low concentrations of local anaesthetic after total knee arthroplasty. A prospective, randomised, unblinded study of 60 patients undergoing total knee replacement, randomised into two groups. A total of 30 patients received continuous epidural block, while the other 30 received continuous ultrasound-guided femoral nerve block, as well as using 0.125% levobupivacaine infusion in both groups. Differences in pain control, undesirable effects, and complications between the two techniques were assessed, as well as the need for opioid rescue and the level of satisfaction with the treatment received during the first 48hours after surgery. No differences were found in demographic and surgical variables. The quality of analgesia was similar in both groups, although in the first six hours after surgery, patients in the epidural group had less pain both at rest and with movement (P=.007 and P=.011). This difference was not observed at 24hours (P=.084 and P=.942). Pain control at rest in the femoral block group was better at 48hours after surgery than in the epidural group (P=.009). The mean consumption of morphine and level of satisfaction were similar. Epidural analgesia showed the highest rate of side effects (P=.003). Continuous ultrasound-guided femoral nerve block provides analgesia and morphine consumption similar to epidural analgesia, with the same level of satisfaction, but with a lower rate of side effects after total knee arthroplasty. Copyright © 2016 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. Feasibility and safety of transthoracic echocardiography-guided transcatheter closure of atrial septal defects with deficient superior-anterior rims.

    Science.gov (United States)

    Li, Gui-Shuang; Li, Hai-De; Yang, Jie; Zhang, Wen-Quan; Hou, Zong-Shen; Li, Qing-Chen; Zhang, Yun

    2012-01-01

    Although previous studies showed that transthoracic echocardiography (TTE) can be used to guide transcatheter closure of atrial septal defect (ASD), whether TTE can be used to guide transcatheter closure of secundum ASD with a deficient superior-anterior rim is unknown and this critical issue was addressed in the present study. A total of 280 patients with secundum ASD who underwent transcatheter ASD closure were recruited and divided into groups A and B depending on ASD superior-anterior rim>4 mm (n = 118) or ≤4 mm (n = 162). TTE was used to guide Amplatzer-type septal occluder (ASO) positioning and assess residual shunt. Procedure success was defined as no, trivial and small residual shunt immediately after the procedure as assessed by color Doppler flow imaging. Group A and group B did not differ in complication rate (8.55% vs.7.55%), procedure success rate (98.3% vs. 95.0%) or complete closure rate immediately after the procedure (89.7% vs. 89.3%) or at 6-month follow-up (98.3% vs. 96.8%). The mean procedure and fluoroscopy time in group B were much longer than those in group A. In conclusion, the absence of a sufficient superior-anterior rim in patients undergoing percutaneous closure of secundum-type ASDs using fluoroscopic and TTE guidance is associated with slightly greater device malposition and migration as well as increased procedural and fluoroscopic times, but the overall complication rate did not differ with TTE guidance when compared to historical controls that used TEE guidance.

  12. Efficacy and safety of ultrasound-guided continuous hyperthermic intraperitoneal perfusion chemotherapy for the treatment of malignant ascites: a midterm study of 36 patients

    Directory of Open Access Journals (Sweden)

    Wu YB

    2016-01-01

    Full Text Available Yinbing Wu,1,2 Mingxin Pan,1 Shuzhong Cui,2 Mingchen Ba,2 Zulong Chen,2 Qiang Ruan2 1Second Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, 2Treatment Center of Body Cavitary Thermo-Perfusion, Cancer Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, People’s Republic of China Background: This study aimed to evaluate the efficacy and safety of ultrasound-guided continuous hyperthermic intraperitoneal perfusion chemotherapy (CHIPC for the treatment of malignant ascites (MA. Methods: Between July 2011 and June 2013, 36 MA patients were prospectively and consecutively hospitalized for three cycles of elective CHIPC under ultrasound guidance, maintained at a constant flow rate of 400–600 mL/min normal saline containing 5-fluorouracil plus mitomycin or carboplatin and at a constant temperature of 43°C±0.2°C, for 90 minutes. Main outcome measures were ascites resolution, Karnofsky performance status (KPS, and serum tumor biomarkers at 2 weeks after the last cycle of CHIPC. All the patients underwent uneventful CHIPC as scheduled, and vital signs remained stable over CHIPC. Results: At 2 weeks after the last cycle of CHIPC, MA completely and partially resolved in 26 (72.2% patients and eight (22.2% patients, respectively; mean KPS score increased from pretreatment 61±9 to posttreatment 76±9 (P<0.001, and serum carcinoembryonic antigen and carbohydrate antigens 12-5 and 19-9 significantly decreased (all P<0.01. Conclusion: The current study indicated that ultrasound-guided CHIPC is an effective and safe palliative treatment modality for MA with respect to MA resolution, patient’s general well-being, and systemic disease control. The long-term benefit of CHIPC on overall survival remains to be investigated in MA patients. Keywords: continuous hyperthermic intraperitoneal perfusion chemotherapy, malignant ascites, peritoneal carcinomatosis, ultrasound guidance, safety

  13. Intracardiac echo-guided radiofrequency catheter ablation of atrial fibrillation in patients with atrial septal defect or patent foramen ovale repair: a feasibility, safety, and efficacy study.

    Science.gov (United States)

    Lakkireddy, Dhanunjaya; Rangisetty, Umamahesh; Prasad, Subramanya; Verma, Atul; Biria, Mazda; Berenbom, Loren; Pimentel, Rhea; Emert, Martin; Rosamond, Thomas; Fahmy, Tamer; Patel, Dimpi; Di Biase, Luigi; Schweikert, Robert; Burkhardt, David; Natale, Andrea

    2008-11-01

    Intracardiac Echo-Guided Radiofrequency Catheter. Patients with atrial septal defect (ASD) are at higher risk for atrial fibrillation (AF) even after repair. Transseptal access in these patients is perceived to be difficult. We describe the feasibility, safety, and efficacy of pulmonary vein antral isolation (PVAI) in these patients. We prospectively compared post-ASD/patent foramen ovale (PFO) repair patients (group I, n = 45) with age-gender-AF type matched controls (group II, n = 45). All the patients underwent PVAI through a double transseptal puncture with a roving circular mapping catheter technique guided by intracardiac echocardiography (ICE). The short-term (3 months) and long-term (12 month) failure rates were assessed. In group I, 23 (51%) had percutaneous closure devices and 22 (49%) had a surgical closure. There was no significant difference between group I and II in the baseline characteristics. Intracardiac echo-guided double transseptal access was obtained in 98% of patients in group I and in 100% of patients in group II. PVAI was performed in all patients, with right atrial flutter ablation in 7 patients in group I and in 4 patients in group II. Over a mean follow-up of 15 +/- 4 months, group I had higher short-term (18% vs 13%, P = 0.77) and long-term recurrence (24% vs 18%, P = 0.6) than group II. There was no significant difference in the perioperative complications between the two groups. Echocardiography at 3 months showed interatrial communication in 2 patients in group I and 1 patient in group II, which resolved at 12 months. Percutaneous AF ablation using double transseptal access is feasible, safe, and efficacious in patients with ASD and PFO repairs.

  14. Comparison Between CT and MR Images as More Favorable Reference Data Sets for Fusion Imaging-Guided Radiofrequency Ablation or Biopsy of Hepatic Lesions: A Prospective Study with Focus on Patient's Respiration.

    Science.gov (United States)

    Cha, Dong Ik; Lee, Min Woo; Kang, Tae Wook; Oh, Young-Taek; Jeong, Ja-Yeon; Chang, Jung-Woo; Ryu, Jiwon; Lee, Kyong Joon; Kim, Jaeil; Bang, Won-Chul; Shin, Dong Kuk; Choi, Sung Jin; Koh, Dalkwon; Kim, Kyunga

    2017-10-01

    To identify the more accurate reference data sets for fusion imaging-guided radiofrequency ablation or biopsy of hepatic lesions between computed tomography (CT) and magnetic resonance (MR) images. This study was approved by the institutional review board, and written informed consent was received from all patients. Twelve consecutive patients who were referred to assess the feasibility of radiofrequency ablation or biopsy were enrolled. Automatic registration using CT and MR images was performed in each patient. Registration errors during optimal and opposite respiratory phases, time required for image fusion and number of point locks used were compared using the Wilcoxon signed-rank test. The registration errors during optimal respiratory phase were not significantly different between image fusion using CT and MR images as reference data sets (p = 0.969). During opposite respiratory phase, the registration error was smaller with MR images than CT (p = 0.028). The time and the number of points locks needed for complete image fusion were not significantly different between CT and MR images (p = 0.328 and p = 0.317, respectively). MR images would be more suitable as the reference data set for fusion imaging-guided procedures of focal hepatic lesions than CT images.

  15. Safety Intervention Effectiveness

    Energy Technology Data Exchange (ETDEWEB)

    ZIMMERMAN, R.O.

    2001-10-16

    Judging safety intervention effectiveness is often left up to the eye of the beholder. Safety and Health Professionals must increase skills and increase their body of knowledge, based on scientific evidence, that can be applied confidently in the workplace. Evidence must be collected and analyzed to separate the interventions of the month with those that stand the test of time. The book Guide to Evaluating the Effectiveness of Strategies for Preventing Work injuries DHHS (NIOSH) Publication No. 2001-119, April 2001, serves as a primary reference. An example study related to biorhythms, popular in the late 1970s, is used to illustrate the separating of scientific evidence and pseudo-science hype. The cited biorhythm study focuses on the relationship of the accident dates and the three biorhythmic cycles (physical, emotional, and intelligence).

  16. The Guide to Simulation Games for Education and Training. Appendix: A Basic Reference Shelf on Simulation and Gaming by Paul A. Twelker.

    Science.gov (United States)

    Zuckerman, David W.; Horn, Robert E.

    Simulation games are classed in this guide by subject area: business, domestic politics, economics, ecology, education, geography, history, international relations, psychology, skill development, sociology, social studies, and urban affairs. A summary description (of roles, objectives, decisions, and purposes), cost producer, playing data (age…

  17. Clinical efficacy and safety of surface imaging guided radiosurgery (SIG-RS) in the treatment of benign skull base tumors.

    Science.gov (United States)

    Lau, Steven K M; Patel, Kunal; Kim, Teddy; Knipprath, Erik; Kim, Gwe-Ya; Cerviño, Laura I; Lawson, Joshua D; Murphy, Kevin T; Sanghvi, Parag; Carter, Bob S; Chen, Clark C

    2017-04-01

    Frameless, surface imaging guided radiosurgery (SIG-RS) is a novel platform for stereotactic radiosurgery (SRS) wherein patient positioning is monitored in real-time through infra-red camera tracking of facial topography. Here we describe our initial clinical experience with SIG-RS for the treatment of benign neoplasms of the skull base. We identified 48 patients with benign skull base tumors consecutively treated with SIG-RS at a single institution between 2009 and 2011. Patients were diagnosed with meningioma (n = 22), vestibular schwannoma (n = 20), or nonfunctional pituitary adenoma (n = 6). Local control and treatment-related toxicity were retrospectively assessed. Median follow-up was 65 months (range 61-72 months). Prescription doses were 12-13 Gy in a single fraction (n = 18), 8 Gy × 3 fractions (n = 6), and 5 Gy × 5 fractions (n = 24). Actuarial tumor control rate at 5 years was 98%. No grade ≥3 treatment-related toxicity was observed. Grade ≤2 toxicity was associated with symptomatic lesions (p = 0.049) and single fraction treatment (p = 0.005). SIG-RS for benign skull base tumors produces clinical outcomes comparable to conventional frame-based SRS techniques while enhancing patient comfort.

  18. Technology, safety and costs of decommissioning a reference boiling water reactor power station. Volume 1. Main report. Technical report, September 1977-October 1979

    Energy Technology Data Exchange (ETDEWEB)

    Oak, H.D.; Holter, G.M.; Kennedy, W.E. Jr.; Konzek, G.J.

    1980-06-01

    Technology, safety and cost information is given for the conceptual decommissioning of a large (1100MWe) boiling water reactor (BWR) power station. Three approaches to decommissioning, immediate dismantlement, safe storage with deferred dismantlement and entombment, were studied to obtain comparisons between costs, occupational radiation doses, potential dose to the public and other safety impacts. It also shows the sensitivity of decommissioning safety and costs to the power rating of a BWR in the range of 200 to 1100 MWE.

  19. Safety and morbidity of first and repeat transrectal ultrasound guided prostate needle biopsies: results of a prospective European prostate cancer detection study.

    Science.gov (United States)

    Djavan, B; Waldert, M; Zlotta, A; Dobronski, P; Seitz, C; Remzi, M; Borkowski, A; Schulman, C; Marberger, M

    2001-09-01

    We prospectively evaluate the safety, morbidity and complication rates for first and repeat transrectal ultrasound guided prostate needle biopsies. In this prospective European Prostate Cancer Detection Study 1,051 men, with total prostate specific antigen between 4 and 10 ng./ml., underwent transrectal ultrasound guided sextant biopsy plus 2 additional transition zone biopsies. Biopsy samples were also obtained from suspicious areas identified during transrectal ultrasound and digital rectal examination. All 820 patients with biopsy samples negative for prostate cancer underwent re-biopsy after 6 weeks. Immediate and delayed (range 1 to 7 days) morbidity, patient satisfaction and complication rates were recorded. Of the 1,051 subjects the initial biopsy was positive for prostate cancer in 231 and negative, including benign prostatic hyperplasia or benign tissue, in 820. Of these 820 patients prostate cancer was detected in 10% (83) on re-biopsy. Minor or no discomfort was observed in 92% and 89% of patients at first and re-biopsy, respectively (p = 0.29). Immediate morbidity was minor and included rectal bleeding (2.1% versus 2.4%, p = 0.13), mild hematuria (62% versus 57%, p = 0.06), severe hematuria (0.7% versus 0.5%, p = 0.09) and moderate to severe vasovagal episodes (2.8% versus 1.4%, respectively, p = 0.03). Delayed morbidity of first and re-biopsy was comprised of fever (2.9% versus 2.3%, p = 0.08), hematospermia (9.8% versus 10.2%, p = 0.1), recurrent mild hematuria (15.9% versus 16.6%, p = 0.06), persistent dysuria (7.2% versus 6.8%, p = 0.12) and urinary tract infection (10.9% versus 11.3%, respectively, p = 0.07). Major complications were rare and included urosepsis (0.1% versus 0%) and rectal bleeding that required intervention (0% versus 0.1%, respectively). Furthermore, an age dependent pattern of pain apprehension during biopsy was observed with the highest scores in patients younger than 60 years. Transrectal ultrasound guided biopsy is generally

  20. Influence of the safety and diagnostic accuracy of preoperative endoscopic ultrasound-guided fine-needle aspiration for resectable pancreatic cancer on clinical performance

    Science.gov (United States)

    Kudo, Taiki; Kawakami, Hiroshi; Kuwatani, Masaki; Eto, Kazunori; Kawahata, Shuhei; Abe, Yoko; Onodera, Manabu; Ehira, Nobuyuki; Yamato, Hiroaki; Haba, Shin; Kawakubo, Kazumichi; Sakamoto, Naoya

    2014-01-01

    AIM: To evaluate the safety and diagnostic accuracy of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in a cohort of pancreatic cancer patients. METHODS: Of 213 patients with pancreatic cancer evaluated between April 2007 and August 2011, 82 were thought to have resectable pancreatic cancer on the basis of cross-sectional imaging findings. Of these, 54 underwent EUS-FNA before surgery (FNA+ group) and 28 underwent surgery without preoperative EUS-FNA (FNA- group). RESULTS: All 54 lesions were visible on EUS, and all 54 attempts at FNA were technically successful. The diagnostic accuracy according to cytology and histology findings was 98.1% (53/54) and 77.8% (42/54), respectively, and the total accuracy was 98.1% (53/54). One patient developed mild pancreatitis after EUS-FNA but was successfully treated by conservative therapy. No severe complications occurred after EUS-FNA. In the FNA+ and FNA- groups, the median relapse-free survival (RFS) was 742 and 265 d, respectively (P = 0.0099), and the median overall survival (OS) was 1042 and 557 d, respectively (P = 0.0071). RFS and OS were therefore not inferior in the FNA+ group. These data indicate that the use of EUS-FNA did not influence RFS or OS, nor did it increase the risk of peritoneal recurrence. CONCLUSION: In patients with resectable pancreatic cancer, preoperative EUS-FNA is a safe and accurate diagnostic method. PMID:24707146

  1. Exploration of High-dimensional Scalar Function for Nuclear Reactor Safety Analysis and Visualization: A User's Guide to TopoXG*

    Energy Technology Data Exchange (ETDEWEB)

    Dan Maljovec; Bei Wang; Valerio Pascucci; Peer-Timo Bremer; Michael Pernice; Diego Mandelli

    2012-10-01

    Large-scale simulation datasets can be modeled as high-dimensional scalar functions defined over a discrete sample of the domain. The goals of our proposed research are two-fold. First, we would like to provide structural analysis of a function at multiple scales and provide insight into the relationship between the input parameters and the output. Second, we enable exploratory analysis for users, where we help the users to differentiate features from noise through multi-scale analysis on an interactive platform, based on domain knowledge and data characterization. TopoXG is a software package that is designed to address these goals. The unique contribution of TopoXG lies in exploiting the topological and geometric properties of the domain, building statistical models based on its topological segmentations and providing interactive visual interfaces to facilitate such explorations. We provide a user’s guide to TopoXG, by highlighting its analysis and visualization capabilities, and giving several use cases involving datasets from nuclear reactor safety simulations.

  2. Technology, safety and costs of decommissioning a reference boiling water reactor power station. Volume 2. Appendices. Technical report, September 1977-October 1979

    Energy Technology Data Exchange (ETDEWEB)

    Oak, H.D.; Holter, G.M.; Kennedy, W.E. Jr.; Konzek, G.J.

    1980-06-01

    Technology, safety and cost information is given for the conceptual decommissioning of a large (1100MWe) boiling water reactor (BWR) power station. Three approaches to decommissioning, immediate dismantlement, safe storage with deferred dismantlement and entombment, were studied to obtain comparisons between costs, occupational radiation doses, potential dose to the public and other safety impacts. It also shows the sensitivity of decommissioning safety and costs to the power rating of a BWR in the range of 200 to 1100 MWE. This volume contains the appendices.

  3. CERN's new safety policy

    CERN Multimedia

    2014-01-01

    The documents below, published on 29 September 2014 on the HSE website, together replace the document SAPOCO 42 as well as Safety Codes A1, A5, A9, A10, which are no longer in force. As from the publication date of these documents any reference made to the document SAPOCO 42 or to Safety Codes A1, A5, A9 and A10 in contractual documents or CERN rules and regulations shall be deemed to constitute a reference to the corresponding provisions of the documents listed below.   "The CERN Safety Policy" "Safety Regulation SR-SO - Responsibilities and organisational structure in matters of Safety at CERN" "General Safety Instruction GSI-SO-1 - Departmental Safety Officer (DSO)" "General Safety Instruction GSI-SO-2 - Territorial Safety Officer (TSO)" "General Safety Instruction GSI-SO-3 - Safety Linkperson (SLP)" "General Safety Instruction GSI-SO-4 - Large Experiment Group Leader In Matters of Safety (LEXGLI...

  4. Safety and tolerability of intensified, N-terminal pro brain natriuretic peptide-guided compared with standard medical therapy in elderly patients with congestive heart failure: results from TIME-CHF.

    Science.gov (United States)

    Sanders-van Wijk, Sandra; Muzzarelli, Stefano; Neuhaus, Michael; Kiencke, Stephanie; Maeder, Micha; Estlinbaum, Werner; Tobler, Daniel; Mayer, Kurt; Erne, Paul; Pfisterer, Matthias E; Brunner-La Rocca, Hans-Peter

    2013-08-01

    NT-proBNP-guided therapy results in intensification of medical heart failure (HF) therapy and is suggested to improve outcome. However, it is feared that an intensified, NT-proBNP-guided therapy carries a risk of adverse effects. Therefore, the safety and tolerability of NT-proBNP-guided therapy in the Trial of Intensified vs standard Medical therapy in Elderly patients with Congestive Heart Failure (TIME-CHF) was assessed. A total of 495 chronic HF patients, aged ≥60, with an LVEF ≤45%, NYHA class ≥II, randomized to NT-proBNP-guided or symptom-guided therapy and ≥1 month follow-up were included in the present safety analysis. All adverse events (AEs) were recorded during the 18-month trial period. A total of 5212 AEs were noted, 433 of them serious. NT-proBNP-guided therapy led to a higher up-titration of HF medication and was well tolerated, with a dropout rate (12% vs. 11%, P = 1.0) and AE profile [number of AEs/patient-year 4.7 (2.8-9.4) vs. 5.4 (2.7-11.4), P = 0.69; number of severe AEs/patient-year 0.7 (0-2.7) vs. 1.3 (0-3.9), P = 0.21] similar to that of symptom-guided therapy, although most subjects in both treatment groups (96% vs. 95%, P = 0.55) experienced at least one AE. Age and number of co-morbidities were associated with AEs and interacted with the safety profile of NT-proBNP-guided therapy: positive effects were more frequent in younger and less co-morbid patients whereas potential negative effects-although small and related to non-severe AEs only-were only seen in the older and more co-morbid patients. NT-proBNP-guided therapy is safe in elderly and highly co-morbid HF patients. Trial registration ISRCTN43596477.

  5. OSH technical reference manual

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    In an evaluation of the Department of Energy (DOE) Occupational Safety and Health programs for government-owned contractor-operated (GOCO) activities, the Department of Labor`s Occupational Safety and Health Administration (OSHA) recommended a technical information exchange program. The intent was to share written safety and health programs, plans, training manuals, and materials within the entire DOE community. The OSH Technical Reference (OTR) helps support the secretary`s response to the OSHA finding by providing a one-stop resource and referral for technical information that relates to safe operations and practice. It also serves as a technical information exchange tool to reference DOE-wide materials pertinent to specific safety topics and, with some modification, as a training aid. The OTR bridges the gap between general safety documents and very specific requirements documents. It is tailored to the DOE community and incorporates DOE field experience.

  6. A guide to safe field operations

    Science.gov (United States)

    Yobbi, D.K.; Yorke, T.H.; Mycyk, R.T.

    1996-01-01

    Most functions of the U.S. Geological Survey (USGS), Water Resources Division (WRD) require employees to participate in numerous field activities ranging from routine meetings with cooperators, other federal and public officials, and private citizens to potentially hazardous assignments, such as making flood measurements and scuba diving to service underwater instruments. It is paramount that each employee be aware of safety procedures and operational policies of the WRD to ensure that (1) their activities avoid or minimize personal injury to the employee, coworkers, or anyone in the vicinity of the field activity, and (2) their conduct does not infringe on the personal or property rights of any individual or organization. The purpose of the guide is to familiarize employees with the operational and safety procedures expected to be followed by each employee as a representative of the WRD. It is also intended as a training tool for all new employees and a document to be reviewed by each employee before undertaking a field assignment. It includes general procedures that are standard and applicable to all field operations, such as communication, vehicle operation, and adequate preparation for anticipated weather conditions. It also includes a discussion of specific procedures and safety considerations for most of the routine field assignments undertaken by hydrologists and hydrologic technicians of the WRD. The guide is not intended to be a technical handbook outlining step-by-step procedures for performing specific tasks or a comprehensive discussion of every possible activity that may be undertaken by a USGS employee. Employees are referred to the Techniques for Water-Resources Investigations (TWRI) series for specific technical procedures and to the U.S. Geological Survey Safety and Environmental Health Handbook 445-1-H (USGS, August 1989), USGS Occupational Hazards and Safety Procedures Handbook 445-2-H (December 1993), the WRD notebook on Safety Policy and

  7. Python essential reference

    CERN Document Server

    Beazley, David M

    2009-01-01

    Python Essential Reference is the definitive reference guide to the Python programming language — the one authoritative handbook that reliably untangles and explains both the core Python language and the most essential parts of the Python library. Designed for the professional programmer, the book is concise, to the point, and highly accessible. It also includes detailed information on the Python library and many advanced subjects that is not available in either the official Python documentation or any other single reference source. Thoroughly updated to reflect the significant new programming language features and library modules that have been introduced in Python 2.6 and Python 3, the fourth edition of Python Essential Reference is the definitive guide for programmers who need to modernize existing Python code or who are planning an eventual migration to Python 3. Programmers starting a new Python project will find detailed coverage of contemporary Python programming idioms.

  8. PINS Spectrum Identification Guide

    Energy Technology Data Exchange (ETDEWEB)

    A.J. Caffrey

    2012-03-01

    The Portable Isotopic Neutron Spectroscopy—PINS, for short—system identifies the chemicals inside munitions and containers without opening them, a decided safety advantage if the fill chemical is a hazardous substance like a chemical warfare agent or an explosive. The PINS Spectrum Identification Guide is intended as a reference for technical professionals responsible for the interpretation of PINS gamma-ray spectra. The guide is divided into two parts. The three chapters that constitute Part I cover the science and technology of PINS. Neutron activation analysis is the focus of Chapter 1. Chapter 2 explores PINS hardware, software, and related operational issues. Gamma-ray spectral analysis basics are introduced in Chapter 3. The six chapters of Part II cover the identification of PINS spectra in detail. Like the PINS decision tree logic, these chapters are organized by chemical element: phosphorus-based chemicals, chlorine-based chemicals, etc. These descriptions of hazardous, toxic, and/or explosive chemicals conclude with a chapter on the identification of the inert chemicals, e.g. sand, used to fill practice munitions.

  9. In vivo Analysis of the Anti-atrial Fibrillatory, Proarrhythmic and Cardiodepressive Profiles of Dronedarone as a Guide for Safety Pharmacological Evaluation of Antiarrhythmic Drugs.

    Science.gov (United States)

    Motokawa, Yoshiyuki; Nakamura, Yuji; Hagiwara-Nagasawa, Mihoko; Goto, Ai; Chiba, Koki; Lubna, Nur Jaharat; Izumi-Nakaseko, Hiroko; Ando, Kentaro; Naito, Atsuhiko T; Yamazaki, Hiroshi; Sugiyama, Atsushi

    2017-11-14

    Anti-atrial fibrillatory, proarrhythmic and cardiodepressive profiles of dronedarone were analyzed using the halothane-anesthetized beagle dogs (n = 4) to create a standard protocol for clarifying both efficacy and adverse effects of anti-atrial fibrillatory drugs. Intravenous administration of dronedarone hydrochloride in doses of 0.3 and 3 mg/kg over 30 s attained the peak plasma concentrations of 61 and 1248 ng/mL, respectively, reflecting sub- to supra-therapeutic ones. The low dose decreased the left ventricular contraction and mean blood pressure, which were enhanced at the high dose. The high dose also decreased the heart rate and cardiac output, but increased the total peripheral resistance and left ventricular end-diastolic pressure, showing its potent cardiodepressive profile. Moreover, the high dose delayed the atrioventricular nodal and intraventricular conductions in addition to the ventricular repolarization, suggesting its inhibitory action on the Ca2+, Na+ and K+ channels in the in situ heart, respectively. The high dose also prolonged the effective refractory period 1.9 times greater in the atrium than in the ventricle, explaining its clinically demonstrated efficacy against the atrial arrhythmias. Dronedarone significantly prolonged the Tpeak-Tend in a dose-related manner with a tendency to prolong the terminal repolarization period and J-Tpeakc, indicating considerable risk to induce torsade de pointes. No significant change was detected in the P-wave duration by either dose, indicating the lack of effect on the atrial Na+ channel in vivo. The current experimental protocol and the results of dronedarone can be used as a guide for safety pharmacological evaluation of new anti-atrial fibrillatory drugs.

  10. Exploration of Superior Modality: Safety and Efficacy of Hypofractioned Image-Guided Intensity Modulated Radiation Therapy in Patients with Unresectable but Confined Intrahepatic Hepatocellular Carcinoma

    Directory of Open Access Journals (Sweden)

    Tao Jiang

    2017-01-01

    Full Text Available Purpose. To evaluate the efficacy and safety of hypofractioned image-guided intensity modulated radiation therapy (IG-IMRT for unresectable but confined intrahepatic hepatocellular carcinoma in comparison with conventional 3-dimensional conformal radiotherapy (3D-CRT. Methods. Ninety patients with unresectable but confined intrahepatic hepatocellular carcinoma without distant metastasis and tumor thrombosis received external beam radiation therapy. Of these patients, 45 received IG-IMRT and 45 received 3D-CRT. The IG-IMRT design delivered a median total hypofractionated dose of 54 Gy (2.2–5.5 Gy/fx, and 3D-CRT delivered a median total dose of 54 Gy with a conventional fraction (2.0 Gy/fx. The clinical response, overall survival, and side effects were analyzed. Results. The IG-IMRT group showed significantly higher 1-year survival (93.3 versus 77.8% and 2-year survival (73.3 versus 51.1% and longer median survival (44.7 versus 24.0 months than the 3D-CRT group. Multivariate analysis indicated that the patients with intrahepatic tumors smaller than 8 cm, prior TACE before RT, and IG-IMRT would have a survival benefit. There were no significant differences in the rates of side effects between the two groups. Conclusion. Hypofractioned IG-IMRT could improve the therapeutic response and confer a potential survival of patients with unresectable but confined intrahepatic hepatocellular carcinoma compared to 3D-CRT with acceptable toxicity.

  11. COLLABORATIVE GUIDE: A REEF MANAGER'S GUIDE TO ...

    Science.gov (United States)

    Innovative strategies to conserve the world's coral reefs are included in a new guide released today by NOAA, and the Australian Great Barrier Reef Marine Park Authority, with author contributions from a variety of international partners from government agencies, non-governmental organizations, and academic institutions. Referred to as A Reef Manager's Guide to Coral Bleaching, the guide will provide coral reef managers with the latest scientific information on the causes of coral bleaching and new management strategies for responding to this significant threat to coral reef ecosystems. Innovative strategies to conserve the world's coral reefs are included in a new guide released today by NOAA, and the Australian Great Barrier Reef Marine Park Authority, with author contributions from a variety of international partners from government agencies, non-governmental organizations, and academic institutions. Dr. Jordan West, of the National Center for Environmental Assessment, was a major contributor to the guide. Referred to as

  12. Evidence-based safety and efficacy of Ayurvedic herbo-metallic preparations containing gold, iron, and mercury with special reference to pediatrics

    Directory of Open Access Journals (Sweden)

    Rahul K Shingadiya

    2017-01-01

    Full Text Available Background: Safety and efficacy of herbo- metallic or mineral formulations in Ayurvedic therapeutics is subject of great concern in present era. Especially in paediatrics in which, a number of herbo-metallic formulations are found in practice for prevention as well as for the treatment of paediatric disorders. Among various herbo-metallic preparations mentioned in Ayurveda, gold, iron and mercurial formulations are more popular in paediatric practices. Present study has been conducted to highlight an evidence based safety and efficacy of metallic preparations in paediatrics. Material and Method: Subject related published research articles from reputed journals were searched through four online search engines Pubmed, Google scholar and Ayush research portal and DHARA online. The data of the articles were analysed to confirm their safety and efficacy in paediatrics. Results: Total 10 clinical studies showing safety and efficacy of Ayurvedic herbo-metallic preparations in paediatric disorders were compiled, which included 3 formulations of gold, 4 of iron and 3 mercurial formulations. Children suffering from Chronic tonsillitis, Iron deficiency anaemia, Sickle cell anaemia and Bronchial asthma were treated with significant effect and positive changes in haematological parameters. No any adverse or toxic effect of any of these formulations was noticed. Conclusion: Metallic preparations of gold, iron and mercury are found quite safe to the use in pediatric disorders with proper dose and adjuvant. They are also found effective in the diseases which are chronic and diffi cult to treat such as sickle cell anemia, seizure, and acute lymphoblastic leukemia.

  13. Electromagnetic ultrasonic guided waves

    CERN Document Server

    Huang, Songling; Li, Weibin; Wang, Qing

    2016-01-01

    This book introduces the fundamental theory of electromagnetic ultrasonic guided waves, together with its applications. It includes the dispersion characteristics and matching theory of guided waves; the mechanism of production and theoretical model of electromagnetic ultrasonic guided waves; the effect mechanism between guided waves and defects; the simulation method for the entire process of electromagnetic ultrasonic guided wave propagation; electromagnetic ultrasonic thickness measurement; pipeline axial guided wave defect detection; and electromagnetic ultrasonic guided wave detection of gas pipeline cracks. This theory and findings on applications draw on the author’s intensive research over the past eight years. The book can be used for nondestructive testing technology and as an engineering reference work. The specific implementation of the electromagnetic ultrasonic guided wave system presented here will also be of value for other nondestructive test developers.

  14. Safety-related site characteristics - a relative comparison of the Forsmark reference areas; Saekerhetsrelaterade platsegenskaper - en relativ jaemfoerelse av Forsmark med referensomraaden

    Energy Technology Data Exchange (ETDEWEB)

    Winberg, Anders (Conterra AB, Uppsala (Sweden))

    2010-12-15

    SKB has over the years from 2002 to 2008 conducted site investigations in Forsmark and Laxemar, with associated site modeling, design and safety analysis. In mid-2009 Forsmark was selected on the basis of analysis made as site for a future repository for spent nuclear fuel. Based on defined safety-related geoscientific location factors data from Forsmark are compared in relative terms with data from a number of locations in Sweden, previously studied by SKB. The factors compared include: the rock's composition and structures, future climate evolution, rock mechanical conditions, earthquakes, groundwater flow, groundwater composition, delay of solutes, and the ability to characterize and describe the location. Past comparisons of these properties for the selected sites show that none of these sites collectively show any significant benefit over Forsmark site for a repository. This does not preclude that there may be places on the basis of an overall assessment of geoscientific location factors could be equivalent to Forsmark

  15. The state of governmental relations with reference to decentralisation of public safety and security service delivery in the Free State / by Tamsanqa Edgar Tengeni

    OpenAIRE

    Tengeni, Tamsanqa Edgar

    2007-01-01

    The main aim of this study was to investigate whether powers, functions and responsibilities decentralized by the national sphere of government to the provincial and local units of government enable the latter to deliver safety and security services optimally in the Free State. To facilitate research, focus was subdivided into the following four research objectives: To provide a theoretical exposition of what governmental relations and decentralization entail; To assess the structures t...

  16. LINQ Pocket Reference

    CERN Document Server

    Albahari, Joseph

    2008-01-01

    Ready to take advantage of LINQ with C# 3.0? This guide has the detail you need to grasp Microsoft's new querying technology, and concise explanations to help you learn it quickly. And once you begin to apply LINQ, the book serves as an on-the-job reference when you need immediate reminders. All the examples in the LINQ Pocket Reference are preloaded into LINQPad, the highly praised utility that lets you work with LINQ interactively. Created by the authors and free to download, LINQPad will not only help you learn LINQ, it will have you thinking in LINQ. This reference explains: LINQ's ke

  17. CSS Pocket Reference

    CERN Document Server

    Meyer, Eric

    2011-01-01

    When you're working with CSS and need a quick answer, CSS Pocket Reference delivers. This handy, concise book provides all of the essential information you need to implement CSS on the fly. Ideal for intermediate to advanced web designers and developers, the 4th edition is revised and updated for CSS3, the latest version of the Cascading Style Sheet specification. Along with a complete alphabetical reference to CSS3 selectors and properties, you'll also find a short introduction to the key concepts of CSS. Based on Cascading Style Sheets: The Definitive Guide, this reference is an easy-to-us

  18. Chemical Hygiene and Safety Plan

    Energy Technology Data Exchange (ETDEWEB)

    Berkner, K.

    1992-08-01

    The objective of this Chemical Hygiene and Safety Plan (CHSP) is to provide specific guidance to all LBL employees and contractors who use hazardous chemicals. This Plan, when implemented, fulfills the requirements of both the Federal OSHA Laboratory Standard (29 CFR 1910.1450) for laboratory workers, and the Federal OSHA Hazard Communication Standard (29 CFR 1910.1200) for non-laboratory operations (e.g., shops). It sets forth safety procedures and describes how LBL employees are informed about the potential chemical hazards in their work areas so they can avoid harmful exposures and safeguard their health. Generally, communication of this Plan will occur through training and the Plan will serve as a the framework and reference guide for that training.

  19. Analysis of Reference Cigarette Smoke Yield Data From 21 Laboratories for 28 Selected Analytes as a Guide to Selection of New Coresta Recommended Methods

    Directory of Open Access Journals (Sweden)

    Purkis Steve

    2014-07-01

    Full Text Available Since 1999, the CORESTA Special Analytes Sub Group (SPA SG has been working on the development of CORESTA Recommended Methods (CRMs for the analysis of cigarette smoke components. All CRMs have been posted on the CORESTA website and several associated papers published. In this study, 21 laboratories shared data and in-house methodologies for 28 additional smoke components of regulatory interest to prioritise the development of further CRMs. Laboratories provided data, where available, from CORESTA monitor test pieces (CM6 and CM7 and Kentucky Reference Cigarettes (1R5F / 3R4F covering the period 2010-2012 obtained under both the ISO 3308 and Health Canada Intense regimes. Scant data were available on the CORESTA monitor test pieces and the Kentucky 1R5F reference. The greatest amount of data was obtained on the Kentucky 3R4F and this was used in the analyses described in this paper. SPA SG discussions provided invaluable insight into identifying causes and ways of reducing inter-laboratory variability which will be investigated in joint experiments before embarking on final collaborative studies using draft CRMs to obtain mean yields, repeatability and reproducibility values. Phenolic compounds (phenol, 3 cresol isomers, hydroquinone, catechol and resorcinol gave consistent results by liquid chromatography (LC separation and fluorescence detection after extracting collected “tar” on a Cambridge filter pad (CFP. Yields were similar to those obtained by a derivatisation method followed by gas chromatography - mass spectrometry (GC-MS analysis. Similar ratios of phenols were also obtained from each method. Of the 28 studied analytes, the between-laboratory variability was lowest for the phenols. Hydrogen cyanide was derivatised using various reagents and the colour development measured after continuous flow analysis (CFA by ultra-violet absorbance. Although, methodologies gave reasonably consistent results, investigations on the trapping system

  20. Library Automation Style Guide.

    Science.gov (United States)

    Gaylord Bros., Liverpool, NY.

    This library automation style guide lists specific terms and names often used in the library automation industry. The terms and/or acronyms are listed alphabetically and each is followed by a brief definition. The guide refers to the "Chicago Manual of Style" for general rules, and a notes section is included for the convenience of individual…

  1. Models Of Vehicular Collision: Development And Simulation With Emphasis On Safety III: Computer Code Programmer's Guide And User Manual For Medusa

    OpenAIRE

    O'Reilly, O. M.; Papadopoulos, P.; Lo, G.-j.; Varadi, P. C.

    1998-01-01

    This report presents a user's manual and a programmer's guide for the computer program MEDUSA. The program is capable of simulating the impacts of several vehicles. It assumes that the collision are elastic, and is consequently applicable for low relative velocity impacts. A theoretical background of the collision detection algorithm is first given, followed by user's manual and programmer's guide.

  2. Promotion Guide – A guide for career reviews

    CERN Multimedia

    Staff Association

    2017-01-01

    On 8 February, the Standing Concertation Committee (SCC) approved the Promotion Guide, subtitled “A guide for career reviews”. The English version is already published on the HR website. This Promotion Guide is not very different from the Career Path Guide which it replaces following the implementation of the new career structure with benchmark jobs and grades. Structure The guide is composed of three parts: Section I – Introduction revisits the reference documents: the Staff Rules and Regulations (S&R) and the Administrative Circular No. 26 (AC 26). In the Staff Rules and Regulations, the term promotion is defined as a change of grade1 and in Administrative Circular No. 26, the Promotion Guide is referenced under paragraph 452. The objective of the Promotion Guide is laid out in Section I: “The Promotion Guide defines the criteria to be used as a reference for career reviews with a view to a potential promotion”. However, this guide do...

  3. Food Safety for Pregnant and Breastfeeding Women

    Science.gov (United States)

    ... Waste Food Safety Newsroom Dietary Guidelines Communicator’s Guide Food Safety You are here Home / Audience / Adults / Moms/ ... and raw sprouts. Do not eat these foods. Food safety advice when you are pregnant Follow the ...

  4. Radiological design guide

    Energy Technology Data Exchange (ETDEWEB)

    Evans, R.A.

    1994-08-16

    The purpose of this design guide is to provide radiological safety requirements, standards, and information necessary for designing facilities that will operate without unacceptable risk to personnel, the public, or the environment as required by the US Department of Energy (DOE). This design guide, together with WHC-CM-4-29, Nuclear Criticality Safety, WHC-CM-4-46, Nonreactor Facility Safety Analysis, and WHC-CM-7-5, Environmental Compliance, covers the radiation safety design requirements at Westinghouse Hanford Company (WHC). This design guide applies to the design of all new facilities. The WHC organization with line responsibility for design shall determine to what extent this design guide shall apply to the modifications to existing facilities. In making this determination, consideration shall include a cost versus benefit study. Specifically, facilities that store, handle, or process radioactive materials will be covered. This design guide replaces WHC-CM-4-9 and is designated a living document. This design guide is intended for design purposes only. Design criteria are different from operational criteria and often more stringent. Criteria that might be acceptable for operations might not be adequate for design.

  5. Medical Device Safety

    Science.gov (United States)

    ... Communication Date FDA Warns Against Use of Injectable Silicone for Body Contouring and Enhancement: FDA Safety Communication ... 03/18/17 Neurovascular Thrombus Retrieval Catheters and Guide Catheters Used During Neurological Interventional Procedures: Differences in ...

  6. First Aid and Safety

    Science.gov (United States)

    ... Them Safely Preventing Dog Bites Selecting Safe Pets Sexting: What Parents Need to Know Taking Care of ... Vaccines Before Traveling? How to Choose & Use Sunscreen Sexting: What Parents Need to Know Printable Safety Guides ...

  7. DOE standard: Integration of environment, safety, and health into facility disposition activities. Volume 1: Technical standard

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-05-01

    This Department of Energy (DOE) technical standard (referred to as the Standard) provides guidance for integrating and enhancing worker, public, and environmental protection during facility disposition activities. It provides environment, safety, and health (ES and H) guidance to supplement the project management requirements and associated guidelines contained within DOE O 430.1A, Life-Cycle Asset Management (LCAM), and amplified within the corresponding implementation guides. In addition, the Standard is designed to support an Integrated Safety Management System (ISMS), consistent with the guiding principles and core functions contained in DOE P 450.4, Safety Management System Policy, and discussed in DOE G 450.4-1, Integrated Safety Management System Guide. The ISMS guiding principles represent the fundamental policies that guide the safe accomplishment of work and include: (1) line management responsibility for safety; (2) clear roles and responsibilities; (3) competence commensurate with responsibilities; (4) balanced priorities; (5) identification of safety standards and requirements; (6) hazard controls tailored to work being performed; and (7) operations authorization. This Standard specifically addresses the implementation of the above ISMS principles four through seven, as applied to facility disposition activities.

  8. Linux pocket guide

    CERN Document Server

    Barrett, Daniel J

    2012-01-01

    If you use Linux in your day-to-day work, this popular pocket guide is the perfect on-the-job reference. The second edition has expanded from Fedora-only coverage to distro-neutral, with practical information on a wider range of commands requested by readers. Linux Pocket Guide provides an organized learning path for Linux use, rather than Linux programming and system administration. You'll find options for the most useful commands, grouped by functionality. For novices who need to get up to speed on Linux use, and experienced users who want a concise and functional reference, this guide provides quick answers.

  9. The traffic safety of the Carin car information and navigation system II: Distraction by in-car visual route guiding pictogrammes

    OpenAIRE

    Blikman, G.

    1988-01-01

    Report of the Delft University of Technology, Department of Transportation Planning and Highway Engineering in assignment of Philips International B.V. The in-car presentation of route guiding advices may distract a driver from his tasks to keep course and to account for the other traffic and the traffic environment. A distraction by route guiding pictogrammes from the task to keep course can be avoided by selecting pictogrammes that require a shorter interpretation time than the available ti...

  10. Library Guide: Spanish Literature, 2001.

    Science.gov (United States)

    de Sumar, Juanita Jara, Comp.

    Intended for use by those conducting research in Spanish literature, this guide lists selected reference materials in literature from Spain, in Spanish, Galician, and Catalan languages. Annotations in the guide are divided into the following sections: (1) General Encyclopedias (1 annotation); (2) Guides to the Literature (4 annotations); (3)…

  11. Reference citation

    National Research Council Canada - National Science Library

    Brkić, Silvija

    2013-01-01

    .... This paper deals with different styles of reference citation. Special emphasis was placed on the Vancouver Style for reference citation in biomedical journals established by the International Committee of Medical Journal Editors...

  12. Sed and Awk Pocket Reference

    CERN Document Server

    Robbins, Arnold D

    2002-01-01

    The sed & awk Pocket Reference is a handy, quick reference guide to frequently used functions, commands, and regular expressions used for day-to-day text processing needs. This book is a companion to both sed & awk, Second Edition and Effective awk Programming, Third Edition

  13. Physical Education Research Reference Sources.

    Science.gov (United States)

    Kissinger, Pat, Comp.

    This guide on physical education research reference resources was compiled for the use of physical education students and teachers. While it was written to be used by Northern Illinois University library users, much information may be useful to all physical education students who would be doing research using standard basic reference sources…

  14. Safety guidebook relative to the disposal of radioactive wastes in deep geologic formation; Guide de surete relatif au stockage definitif des dechets radioactifs en formation geologique profonde

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    The French nuclear safety authority (ASN) initiated in 2003 a revision process of the objectives to be considered during the research and work steps of the implementation of a radioactive waste storage facility in deep geologic formations. The purpose of this document is to define the safety objectives that have to be retained at each step of this implementation, from the site characterization to the closure of the facility. This update takes into account the works carried out by the ANDRA (French national agency of radioactive wastes) in the framework of the law from December 30, 1991, and the advices of the permanent experts group about these works. It takes also into consideration the international research works in this domain and the choices defined in the program law no 2006-739 from June 28, 2006 relative to the sustainable management of radioactive materials and wastes. The main modifications concern: the notion of reversibility, the definition of the safety functions of disposal components, the safety goals and the design principles assigned to waste packages, the control of nuclear materials and the monitoring objectives of the facility. The documents treats of the following points: 1 - the objectives of public health and environment protection; 2 - the safety principles and the safety-related design bases of the facility; and 3 - the method used for demonstrating the disposal safety. (J.S.)

  15. TRENDS IN FIELD OF REFERENCE MATERIALS IN RUSSIA

    Directory of Open Access Journals (Sweden)

    E. V. Osintseva

    2015-01-01

    Full Text Available Trends in development of reference materials (RMs in Russia, in particular in the regulation and standardization, are described. As of December- 2015, Fifteen statutory and regulatory acts are valid in Russia in that field. The main principles of these acts to be harmonized with international requirements are discussed. Four interstate standards (for CIS country based on ISO Guide 30, ISO Guide 31, ISO Guide 34, ISO Guide 35 are developed and issued in 2016 to harmonize activities in the RMfield. The main trend in the national and interstate standardization in the RM field is the harmonization with international RM documents (OIML, ISO. In 2015 190 new approved pattern certified reference materials (CRMs of composition and properties of substances and materials were developed in Russia. The majority of new patterns of CRMs were developed for metallurgical, oil producing, refining and gas enterprises. Also CRM development for clinical diagnosis, pharmaceutics, ecological monitoring and production safety are still requested.. Development of CRMs based on the principles of private-state partnership is growing slowly.

  16. HTML & XHTML Pocket Reference

    CERN Document Server

    Robbins, Jennifer

    2010-01-01

    After years of using spacer GIFs, layers of nested tables, and other improvised solutions for building your web sites, getting used to the more stringent standards-compliant design can be intimidating. HTML and XHTML Pocket Reference is the perfect little book when you need answers immediately. Jennifer Niederst-Robbins, author Web Design in a Nutshell, has revised and updated the fourth edition of this pocket guide by taking the top 20% of vital reference information from her Nutshell book, augmenting it judiciously, cross-referencing everything, and organizing it according to the most com

  17. Python pocket reference

    CERN Document Server

    Lutz, Mark

    2010-01-01

    This is the book to reach for when you're coding on the fly and need an answer now. It's an easy-to-use reference to the core language, with descriptions of commonly used modules and toolkits, and a guide to recent changes, new features, and upgraded built-ins -- all updated to cover Python 3.X as well as version 2.6. You'll also quickly find exactly what you need with the handy index. Written by Mark Lutz -- widely recognized as the world's leading Python trainer -- Python Pocket Reference, Fourth Edition, is the perfect companion to O'Reilly's classic Python tutorials, also written by Mark

  18. GDB Pocket Reference

    CERN Document Server

    Robbins, Arnold

    2009-01-01

    The GNU debugger is valuable for testing, fixing, and retesting software because it allows you to see exactly what's going on inside of a program as it's executing. This new pocket reference shows you how to specify a target for debugging, perform a careful examination to find the cause of program failure, and make quick changes for further testing. The guide covers several popular programming languages.

  19. Grep pocket reference

    CERN Document Server

    Bambenek, John

    2009-01-01

    grep Pocket Reference is the first guide devoted to grep, the powerful Unix content-location utility. This handy book is ideal for system administrators, security professionals, developers, and others who want to learn more about grep and take new approaches with it -- for everything from mail filtering and system log management to malware analysis. The book includes useful information not contained in the current grep documentation

  20. IDRC Connect Quick Reference Guide for Grantees

    International Development Research Centre (IDRC) Digital Library (Canada)

    Martine Lefebvre

    connect.idrc.ca. Note: Keep your IDRC Con- nect account access email in a safe place in the event you forget your username or need to reset your pass- word. Sign Out of IDRC. Connect. 1. From any page on. IDRC Connect, click on your name in the top right corner of the screen. 2. From the drop- down list, select. Sign Out ...

  1. IDRC Connect Quick Reference Guide for Grantees

    International Development Research Centre (IDRC) Digital Library (Canada)

    Martine Lefebvre

    connect.idrc.ca. Nota: Guarde su correo electró- nico de acceso a la cuenta de. IDRC Connect en un lugar seguro en caso de que olvide su nombre de usuario o necesite restablecer su contraseña. Cerrar sesió n en. IDRC Cónnect. 1. Desde cualquier pági- na de IDRC Connect, haga clic en su nom- bre en la esquina su-.

  2. Reference Guide for Industrial Wastewater Treatment.

    Science.gov (United States)

    1985-09-01

    heaters ). To avoid head injur- ies, allow enough headroom; personnel should wear hard hats. (13) Stand-by gasoline engines should be fueled by a fuel...7) Oil and floating materials are aesthetically undesirable; they are typically high in BOD and may suffocate aquatic life by blanketing gills

  3. LADTAP II: technical reference and user guide

    Energy Technology Data Exchange (ETDEWEB)

    Strenge, D.L.; Peloquin, R.A.; Whelan, G.

    1986-04-01

    This report describes the US Nuclear Regulatory Commission computer program LADTAP II, which performs environmental dose analyses for releases of radioactive effluents from nuclear power plants into surface waters. The analyses estimate radiation dose to individuals, population groups, and biota from ingestion (aquatic foods, water, and terrestrial irrigated foods) and external exposure (shoreline, swimming, and boating) pathways. The calculated doses provide information for National Environmental Policy Act (NEPA) evaluations and for determining compliance with Appendix I of 10 CFR 50 (the ''ALARA'' philosophy). The report also instructs the user in preparing input to the program, describes the mathematical models that are used, and supplies detailed information on program structure and parameters used to modify the program.

  4. Space Science Reference Guide, 2nd Edition

    Science.gov (United States)

    Dotson, Renee (Editor)

    2003-01-01

    This Edition contains the following reports: GRACE: Gravity Recovery and Climate Experiment; Impact Craters in the Solar System; 1997 Apparition of Comet Hale-Bopp Historical Comet Observations; Baby Stars in Orion Solve Solar System Mystery; The Center of the Galaxy; The First Rock in the Solar System; Fun Times with Cosmic Rays; The Gamma-Ray Burst Next Door; The Genesis Mission: An Overview; The Genesis Solar Wind Sample Return Mission; How to Build a Supermassive Black Hole; Journey to the Center of a Neutron Star; Kepler's Laws of Planetary Motion; The Kuiper Belt and Oort Cloud ; Mapping the Baby Universe; More Hidden Black Hole Dangers; A Polarized Universe; Presolar Grains of Star Dust: Astronomy Studied with Microscopes; Ring Around the Black Hole; Searching Antarctic Ice for Meteorites; The Sun; Astrobiology: The Search for Life in the Universe; Europa and Titan: Oceans in the Outer Solar System?; Rules for Identifying Ancient Life; Inspire ; Remote Sensing; What is the Electromagnetic Spectrum? What is Infrared? How was the Infrared Discovered?; Brief History of Gyroscopes ; Genesis Discovery Mission: Science Canister Processing at JSC; Genesis Solar-Wind Sample Return Mission: The Materials ; ICESat: Ice, Cloud, and Land Elevation Satellite ICESat: Ice, Cloud, and Land; Elevation Satellite ICESat: Ice, Cloud, and Land Elevation Satellite ICESat: Ice, Cloud, and Land Elevation Satellite ICESat: Ice, Cloud, and Land Elevation Satellite Measuring Temperature Reading; The Optical Telescope ; Space Instruments General Considerations; Damage by Impact: The Case at Meteor Crater, Arizona; Mercury Unveiled; New Data, New Ideas, and Lively Debate about Mercury; Origin of the Earth and Moon; Space Weather: The Invisible Foe; Uranus, Neptune, and the Mountains of the Moon; Dirty Ice on Mars; For a Cup of Water on Mars; Life on Mars?; The Martian Interior; Meteorites from Mars, Rocks from Canada; Organic Compounds in Martian Meteorites May be Terrestrial Contaminants; Bands on Europa;Big Mountain, Big Landslide on Jupiter's Moon, Io; Cratering of the Moon; Europa's Salty Surface; The Europa Scene in the Voyager-Galileo Era; Explosive Volcanic Eruptions on the Moon; Ice on the Bone Dry Moon; Jupiter's Hot, Mushy Moon; The Moon Beyond 2002 ; Phases of the Moon; The Ph-D Project: Manned Expedition to the Moons of Mars; and Possible Life in a Europan Ocean.

  5. IDRC Connect Quick Reference Guide for Grantees

    International Development Research Centre (IDRC) Digital Library (Canada)

    Martine Lefebvre

    How to obtain an IDRC Connect Account. Project Leaders. Project Leaders will receive an account confirmation email when a project is ap- proved, they are automatically granted access to IDRC Connect. Project Team Members. A Project Leader can request an account be created for project team members by completing ...

  6. Aerodynamic and Aerothermal TPS Instrumentation Reference Guide

    Science.gov (United States)

    Woollard, Bryce A.; Braun, Robert D.; Bose, Deepack

    2016-01-01

    The hypersonic regime of planetary entry combines the most severe environments that an entry vehicle will encounter with the greatest amount of uncertainty as to the events unfolding during that time period. This combination generally leads to conservatism in the design of an entry vehicle, specifically that of the thermal protection system (TPS). Each planetary entry provides a valuable aerodynamic and aerothermal testing opportunity; the utilization of this opportunity is paramount in better understanding how a specific entry vehicle responds to the demands of the hypersonic entry environment. Previous efforts have been made to instrument entry vehicles in order to collect data during the entry period and reconstruct the corresponding vehicle response. The purpose of this paper is to cumulatively document past TPS instrumentation designs for applicable planetary missions, as well as to list pertinent results and any explainable shortcomings.

  7. GASPAR II: Technical reference and user guide

    Energy Technology Data Exchange (ETDEWEB)

    Strenge, D.L.; Bander, T.J.; Soldat, J.K.

    1987-03-01

    This report describes the computer program GASPAR II used by the staff of the US Nuclear Regulatory Commission to perform environmental dose analyses for releases of radioactive effluents from nuclear power plants into the atmosphere. The analyses estimate radiation dose to individuals and population groups from inhalation, ingestion (terrestrial foods), and external-exposure (ground and plume) pathways. The calculated doses provide information for National Environmental Policy Act (NEPA) evaluations and for determining compliance with Appendix I of 10 CFR 50 (the ''ALARA'' philosophy). The report also instructs the user in preparing input to the program, describes the mathematical models that are used, and supplies detailed information on program structure and parameters used to modify the program. 20 refs., 11 figs., 77 tabs.

  8. Meeting the customer's needs for mobility and safety during construction and maintenance operations : model work zone traffic management program and self evaluation guide

    Science.gov (United States)

    1998-09-01

    This model program was developed by combining traffic management concepts reported in research studies and papers with the effective techniques currently being used by States to minimize motorist delays and enhance work zone safety. This model is pre...

  9. Safety of High Speed Guided Ground Transportation Systems - Magnetic and Electric Field Testing of the Massachusetts Bay Transportation Authority (MBTA) Urban Transit System: Volume I - Analysis

    Science.gov (United States)

    1993-06-01

    The safety of magnetlcally levitated (maglev) and high speed rail (HSR) trains proposed for application in the : United States is the responsibility of the Federal Railroad Administratlon (FRA). Plans for near future US applications : include maglev ...

  10. Safety of High Speed Guided Ground Transportation Systems : Magnetic and Electric Field Testing of the Washington Metropolitan Area Transit Authority Metrorail System. v. 1. Analysis.

    Science.gov (United States)

    1993-06-01

    The safety of magnetically levitated (maglev) and high speed rail (HSR) trains proposed for application in the United States is the responsibility of the Federal Railroad Administration (FRA). Plans for near future US applications include maglev tech...

  11. Principles of electrical safety

    CERN Document Server

    Sutherland, Peter E

    2015-01-01

    Principles of Electrical Safety discusses current issues in electrical safety, which are accompanied by series' of practical applications that can be used by practicing professionals, graduate students, and researchers. .  Provides extensive introductions to important topics in electrical safety Comprehensive overview of inductance, resistance, and capacitance as applied to the human body Serves as a preparatory guide for today's practicing engineers

  12. Oxygen safety

    Science.gov (United States)

    COPD - oxygen safety; Chronic obstructive pulmonary disease - oxygen safety; Chronic obstructive airways disease - oxygen safety; Emphysema - oxygen safety; Heart failure - oxygen-safety; Palliative care - oxygen safety; Hospice - oxygen safety

  13. Occupational and health safety guide for the study and recovery of contaminated land; Pilaantuneen maa-alueen tutkimuksen ja kunnostuksen tyoesuojeluopas

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    The guide reviews the accident and health hazards associated with the study and recovery of contaminated land and contains instructions for their assessment and prevention. The subject is approached in terms of risk management. Risk management involves not only the recognition of hazard and stress factors but also the methods of the assessment of the severity and significance of the risks and the risk management methods. The guide re-views the different risk factors in their appropriate subcategories: biological, physical, chemical and accident hazards. Work-related mental and physical stress is also addressed briefly. In the process of the study and recovery of contaminated land, it is important to plan the measures carefully in advance and to prepare for unexpected hazardous situations with appropriate precautions and personal protective equipment. The guide also addresses the responsibilities and duties of the project's operators. Other subjects include communication, orientation and occupational health responsibilities, for instance health inspections, vaccinations, exposure measurements and measures to be taken in case of accident. The guide also describes five typical recovery projects with their proper risk management measures. (orig.)

  14. The traffic safety of the Carin car information and navigation system II : Distraction by in-car visual route guiding pictogrammes

    NARCIS (Netherlands)

    Blikman, G.

    1988-01-01

    Report of the Delft University of Technology, Department of Transportation Planning and Highway Engineering in assignment of Philips International B.V. The in-car presentation of route guiding advices may distract a driver from his tasks to keep course and to account for the other traffic and the

  15. Guide to Eating for Sports

    Medline Plus

    Full Text Available ... Diabetes Online Safety Getting Help for Intense Grief A Guide to Eating for Sports KidsHealth > For Teens > ... perform your best while also losing weight. Eat a Variety of Foods You may have heard about " ...

  16. Guide to Eating for Sports

    Medline Plus

    Full Text Available ... Diseases & Conditions Infections Q&A School & Jobs Drugs & Alcohol Staying Safe Recipes En Español Making a Change – Your Personal Plan Hot Topics School and Diabetes Online Safety Getting Help for Intense Grief A Guide to Eating for Sports KidsHealth > For Teens > A Guide to ...

  17. Indoor Climbing Structure Buying Guide.

    Science.gov (United States)

    Morris, Susan

    1991-01-01

    Discusses purposes and effectiveness of indoor climbing structures and offers general safety guidelines. Provides a guide to products from 14 companies. The guide describes the equipment, age and weight range, guarantees, price range, and shipping. Addresses, telephone, and FAX numbers of each company are listed. (SH)

  18. A phase III randomized study to evaluate the efficacy and safety of CT-P13 compared with reference infliximab in patients with active rheumatoid arthritis: 54-week results from the PLANETRA study.

    Science.gov (United States)

    Yoo, Dae Hyun; Racewicz, Artur; Brzezicki, Jan; Yatsyshyn, Roman; Arteaga, Edgardo Tobias; Baranauskaite, Asta; Abud-Mendoza, Carlos; Navarra, Sandra; Kadinov, Vladimir; Sariego, Irmgadt Goecke; Hong, Seung Suh; Lee, Sung Young; Park, Won

    2016-04-02

    CT-P13 (Remsima®, Inflectra®) is a biosimilar of the infliximab reference product (RP; Remicade®). The aim of this study was to compare the 54-week efficacy, immunogenicity, safety, pharmacokinetics (PK) and pharmacodynamics (PD) of CT-P13 and RP in patients with active rheumatoid arthritis (RA). In this multinational phase III double-blind study, patients with active RA and an inadequate response to methotrexate (MTX) were randomized (1:1) to receive CT-P13 (3 mg/kg) or RP (3 mg/kg) at weeks 0, 2, 6 and then every 8 weeks to week 54 in combination with MTX (12.5-25 mg/week). Efficacy endpoints included American College of Rheumatology (ACR)20, ACR50 and ACR70 response rates, Disease Activity Score in 28 joints (DAS28), Simplified Disease Activity Index (SDAI), Clinical Disease Activity Index (CDAI), European League Against Rheumatism (EULAR) response rates, patient-reported outcomes and joint damage progression. Immunogenicity, safety and PK/PD outcomes were also assessed. Of 606 randomized patients, 455 (CT-P13 233, RP 222) were treated up to week 54. At week 54, ACR20 response rate was highly similar between groups (CT-P13 74.7 %, RP 71.3 %). ACR50 and ACR70 response rates were also comparable between groups (CT-P13 43.6 % and 21.3 %, respectively; RP 43.1 % and 19.9 %, respectively). DAS28, SDAI and CDAI decreased from baseline to week 54 to a similar extent with CT-P13 and RP. Radiographic progression measured by Sharp scores as modified by van der Heijde was also comparable. With both treatments, patient assessments of pain, disease activity and physical ability, as well as mean scores on the Medical Outcomes Study Short Form Health Survey (SF-36), improved markedly at week 14 and remained stable thereafter up to week 54. The proportion of patients positive for antidrug antibodies at week 54 was similar between the two groups: 41.1 % and 36.0 % with CT-P13 and RP, respectively. CT-P13 was well tolerated and had a similar safety profile to RP. PK/PD results

  19. Worth the Risk: Four Approaches to Safety in International Learning, Including Selected and Annotated Resource Guide. CBIE Research Millennium Series No. 1

    Science.gov (United States)

    Myles, Wayne; Mitchell, Lynne

    2000-01-01

    More and more Canadians are departing the country for international study, training and work experiences. Increasingly Canadian organizations and institutions are developing programs that further this mobility. However there is a dearth of resources and a lack of guidelines related to ensuring health and safety while abroad. "Worth the…

  20. A methodology guide for the retrofit of rubbish dump sites; Guide methodologique pour la remise en etat des decharges d`ordures menageres et assimiles

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-10-01

    This guide, developed by the French Agency for Environment and Energy Conservation, is aimed for local communities and gives information on impacts and constraints due to municipal waste disposal and sites, and ways to retrofit a dumping site: nuisances, present and future risks related to pollution, safety and hygiene are presented, together with the various types of wastes, responsibilities and legislations related to these issues; the guide also gives information on diagnosis, audit study and retrofitting methodologies, considering the risks and rehabilitation opportunities. Reference and document models (composition and evolution of liquid and gaseous effluents, inquiry forms, diagnosis study,...) are also presented

  1. Comparison of the pharmacokinetics and safety of three formulations of infliximab (CT-P13, EU-approved reference infliximab and the US-licensed reference infliximab) in healthy subjects: a randomized, double-blind, three-arm, parallel-group, single-dose, Phase I study.

    Science.gov (United States)

    Park, Won; Lee, Sang Joon; Yun, Jihye; Yoo, Dae Hyun

    2015-01-01

    To compare the pharmacokinetics (PK), safety and tolerability of biosimilar infliximab (CT-P13 [Remsima(®), Inflectra(®)]) with two formulations of the reference medicinal product (RMP) (Remicade(®)) from either Europe (EU-RMP) or the USA (US-RMP). This was a double-blind, three-arm, parallel-group study (EudraCT number: 2013-003173-10). Healthy subjects received single doses (5 mg/kg) of CT-P13 (n = 71), EU-RMP (n = 71) or US-RMP (n = 71). The primary objective was to compare the PK profiles for the three formulations. Assessments of comparative safety and tolerability were secondary objectives. Baseline demographics were well balanced across the three groups. Primary end points (Cmax, AUClast and AUCinf) were equivalent between all formulations (CT-P13 vs EU-RMP; CT-P13 vs US-RMP; EU-RMP vs US-RMP). All other PK end points supported the high similarity of the three treatments. Tolerability profiles of the formulations were similar. The PK profile of CT-P13 is highly similar to EU-RMP and US-RMP. All three formulations were equally well tolerated.

  2. Perl/Tk Pocket Reference

    CERN Document Server

    Lidie, Stephen

    1998-01-01

    The Perl/Tk Pocket Reference is a companion volume to Learning Perl/Tk, an O'Reilly Animal Guide. Learning Perl/Tk is a tutorial for Perl/Tk, the extension to Perl for creating graphical user interfaces. With Tk, Perl programs can be window-based rather than command-line based, with buttons, entry fields, listboxes, menus, scrollbars, balloons, tables, dialogs, and more. And Perl/Tk programs run on UNIX and Windows-based computers. This small book is a handy reference guide geared toward the advanced Perl/Tk programmer. Novice Perl/Tk programmers will find that its compact size gives th

  3. Certification Processes for Safety-Critical and Mission-Critical Aerospace Software

    Science.gov (United States)

    Nelson, Stacy

    2003-01-01

    This document is a quick reference guide with an overview of the processes required to certify safety-critical and mission-critical flight software at selected NASA centers and the FAA. Researchers and software developers can use this guide to jumpstart their understanding of how to get new or enhanced software onboard an aircraft or spacecraft. The introduction contains aerospace industry definitions of safety and safety-critical software, as well as, the current rationale for certification of safety-critical software. The Standards for Safety-Critical Aerospace Software section lists and describes current standards including NASA standards and RTCA DO-178B. The Mission-Critical versus Safety-Critical software section explains the difference between two important classes of software: safety-critical software involving the potential for loss of life due to software failure and mission-critical software involving the potential for aborting a mission due to software failure. The DO-178B Safety-critical Certification Requirements section describes special processes and methods required to obtain a safety-critical certification for aerospace software flying on vehicles under auspices of the FAA. The final two sections give an overview of the certification process used at Dryden Flight Research Center and the approval process at the Jet Propulsion Lab (JPL).

  4. Safety system status monitoring

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, J.R.; Morgenstern, M.H.; Rideout, T.H.; Cowley, P.J.

    1984-03-01

    The Pacific Northwest Laboratory has studied the safety aspects of monitoring the preoperational status of safety systems in nuclear power plants. The goals of the study were to assess for the NRC the effectiveness of current monitoring systems and procedures, to develop near-term guidelines for reducing human errors associated with monitoring safety system status, and to recommend a regulatory position on this issue. A review of safety system status monitoring practices indicated that current systems and procedures do not adequately aid control room operators in monitoring safety system status. This is true even of some systems and procedures installed to meet existing regulatory guidelines (Regulatory Guide 1.47). In consequence, this report suggests acceptance criteria for meeting the functional requirements of an adequate system for monitoring safety system status. Also suggested are near-term guidelines that could reduce the likelihood of human errors in specific, high-priority status monitoring tasks. It is recommended that (1) Regulatory Guide 1.47 be revised to address these acceptance criteria, and (2) the revised Regulatory Guide 1.47 be applied to all plants, including those built since the issuance of the original Regulatory Guide.

  5. Patient Safety Culture

    DEFF Research Database (Denmark)

    Kristensen, Solvejg

    Patient safety is highly prioritised in the Danish health care system, never the less, patients are still exposed to risk and harmed every day. Implementation of a patient safety culture has been suggested an effective mean to protect patients against adverse events. Working strategically...... with assessment and development of the patient safety culture is in early days in Denmark. It depends upon valid, reliable and effective methods. The patient safety culture represents a wide range of social phenomena permeating the way of life in a health care. In essence, the safety culture is an aggregation...... of health care professional’s behaviour, habits, norms, values, and basic assumptions related to patient care; it is the way things are done. The patient safety culture guides the motivation, commitment to and know-how of the safety management, and how all members of a work place interact. This thesis...

  6. Environmental Sciences Reference Sources. An Annotated Bibliography.

    Science.gov (United States)

    McMartin, Mary I., Comp.

    This list of Environmental Sciences References Sources is intended to give undergraduate and graduate students a starting point when searching for information in the library. Entries are grouped according to type of reference material and then are listed in alphabetical order. The types of reference material included are guides to dictionaries,…

  7. Reference Materials

    Science.gov (United States)

    Merkus, Henk G.

    Reference materials for measurement of particle size and porosity may be used for calibration or qualification of instruments or for validation of operating procedures or operators. They cover a broad range of materials. On the one hand there are the certified reference materials, for which governmental institutes have certified one or more typical size or porosity values. Then, there is a large group of reference materials from commercial companies. And on the other hand there are typical products in a given line of industry, where size or porosity values come from the analysis laboratory itself or from some round-robin test in a group of industrial laboratories. Their regular application is essential for adequate quality control of particle size and porosity measurement, as required in e.g., ISO 17025 on quality management. In relation to this, some quality requirements for certification are presented.

  8. Comparable long-term efficacy, as assessed by patient-reported outcomes, safety and pharmacokinetics, of CT-P13 and reference infliximab in patients with ankylosing spondylitis: 54-week results from the randomized, parallel-group PLANETAS study.

    Science.gov (United States)

    Park, Won; Yoo, Dae Hyun; Jaworski, Janusz; Brzezicki, Jan; Gnylorybov, Andriy; Kadinov, Vladimir; Sariego, Irmgadt Goecke; Abud-Mendoza, Carlos; Escalante, William Jose Otero; Kang, Seong Wook; Andersone, Daina; Blanco, Francisco; Hong, Seung Suh; Lee, Sun Hee; Braun, Jürgen

    2016-01-20

    CT-P13 (Remsima®, Inflectra®) is a biosimilar of the infliximab reference product (RP; Remicade®) and is approved in Europe and elsewhere, mostly for the same indications as RP. The aim of this study was to compare the 54-week efficacy, immunogenicity, pharmacokinetics (PK) and safety of CT-P13 with RP in patients with ankylosing spondylitis (AS), with a focus on patient-reported outcomes (PROs). This was a multinational, double-blind, parallel-group study in patients with active AS. Participants were randomized (1:1) to receive CT-P13 (5 mg/kg) or RP (5 mg/kg) at weeks 0, 2, 6 and then every 8 weeks up to week 54. To assess responses, standardized assessment tools were used with an intention-to-treat analysis of observed data. Anti-drug antibodies (ADAs), PK parameters, and safety outcomes were also assessed. Of 250 randomized patients (n = 125 per group), 210 (84.0 %) completed 54 weeks of treatment, with similar completion rates between groups. At week 54, Assessment of Spondylo Arthritis international Society (ASAS)20 response, ASAS40 response and ASAS partial remission were comparable between treatment groups. Changes from baseline in PROs such as mean Bath Ankylosing Spondylitis Disease Activity Index (BASDAI; CT-P13 -3.1 versus RP -2.8), Bath Ankylosing Spondylitis Functional Index (BASFI; -2.9 versus -2.7), and Short Form Health Survey (SF-36) scores (9.26 versus 10.13 for physical component summary; 7.30 versus 6.54 for mental component summary) were similar between treatment groups. At 54 weeks, 19.5 % and 23.0 % of patients receiving CT-P13 and RP, respectively, had ADAs. All observed PK parameters of CT-P13 and RP, including maximum and minimum serum concentrations, were similar through 54 weeks. The influence of ADAs on PK was similar in the two treatment groups. Most adverse events were mild or moderate in severity. There was no notable difference between treatment groups in the incidence of adverse events, serious adverse events

  9. TclTk Pocket Reference

    CERN Document Server

    Raines, Paul

    1998-01-01

    The Tcl/Tk combination is increasingly popular because it lets you produce sophisticated graphical interfaces with a few easy commands, develop and change scripts quickly, and conveniently tie together existing utilities or programming libraries. The Tcl/Tk Pocket Reference,a handy reference guide to the basic Tcl language elements, Tcl and Tk commands, and Tk widgets, is a companion volume to Tcl/Tk in a Nutshell.

  10. 10 CFR 851.27 - Reference sources.

    Science.gov (United States)

    2010-01-01

    ... OF ENERGY WORKER SAFETY AND HEALTH PROGRAM Specific Program Requirements § 851.27 Reference sources.... Department of Energy, Office of Health, Safety and Security, Forrestal Building, 1000 Independence Ave., SW...). (2) ANSI Z136.1, “Safe Use of Lasers,” (2000). (3) ANSI Z49.1, “Safety in Welding, Cutting and Allied...

  11. Individualized Study Guide on Apiculture: Instructor's Guide. Curriculum Materials for Agricultural Education.

    Science.gov (United States)

    Housmam, John L.; And Others

    The instructor's guide is coordinated for use with the student guide. The guide includes suggestions for teacher preparation, equipment and supply needs, suggested references, available audiovisual materials, open-ended questions for classroom discussion, educational opportunities for students, and a form for student evaluation of the study guide.…

  12. Xcode 5 developer reference

    CERN Document Server

    Wentk, Richard

    2014-01-01

    Design, code, and build amazing apps with Xcode 5 Thanks to Apple's awesome Xcode development environment, you can create the next big app for Macs, iPhones, iPads, or iPod touches. Xcode 5 contains gigabytes of great stuff to help you develop for both OS X and iOS devices - things like sample code, utilities, companion applications, documentation, and more. And with Xcode 5 Developer Reference, you now have the ultimate step-by-step guide to it all. Immerse yourself in the heady and lucrative world of Apple app development, see how to tame the latest features and functions, and find loads of

  13. Enterprise Reference Library

    Science.gov (United States)

    Bickham, Grandin; Saile, Lynn; Havelka, Jacque; Fitts, Mary

    2011-01-01

    Introduction: Johnson Space Center (JSC) offers two extensive libraries that contain journals, research literature and electronic resources. Searching capabilities are available to those individuals residing onsite or through a librarian s search. Many individuals have rich collections of references, but no mechanisms to share reference libraries across researchers, projects, or directorates exist. Likewise, information regarding which references are provided to which individuals is not available, resulting in duplicate requests, redundant labor costs and associated copying fees. In addition, this tends to limit collaboration between colleagues and promotes the establishment of individual, unshared silos of information The Integrated Medical Model (IMM) team has utilized a centralized reference management tool during the development, test, and operational phases of this project. The Enterprise Reference Library project expands the capabilities developed for IMM to address the above issues and enhance collaboration across JSC. Method: After significant market analysis for a multi-user reference management tool, no available commercial tool was found to meet this need, so a software program was built around a commercial tool, Reference Manager 12 by The Thomson Corporation. A use case approach guided the requirements development phase. The premise of the design is that individuals use their own reference management software and export to SharePoint when their library is incorporated into the Enterprise Reference Library. This results in a searchable user-specific library application. An accompanying share folder will warehouse the electronic full-text articles, which allows the global user community to access full -text articles. Discussion: An enterprise reference library solution can provide a multidisciplinary collection of full text articles. This approach improves efficiency in obtaining and storing reference material while greatly reducing labor, purchasing and

  14. Latex Allergy: A Prevention Guide

    Science.gov (United States)

    ... Health Topics Publications and Products Programs Contact NIOSH Latex Allergy A Prevention Guide Recommend on Facebook Tweet ... years--especially among health care workers. What is latex? In this pamphlet, the term "latex" refers to ...

  15. Venomous adversaries: a reference to snake identification, field safety, and bite-victim first aid for disaster-response personnel deploying into the hurricane-prone regions of North America.

    Science.gov (United States)

    Wozniak, Edward J; Wisser, John; Schwartz, Michael

    2006-01-01

    Each hurricane season, emergency-preparedness deployment teams including but not limited to the Office of Force Readiness and Deployment of the US Public Health Service, Federal Emergency Management Agency, Deployment Medical Assistance Teams, Veterinary Medical Assistance Teams, and the US Army and Air Force National Guard are at risk for deploying into hurricane-stricken areas that harbor indigenous hazards, including those posed by venomous snakes. North America is home to 2 distinct families of venomous snakes: 1) Viperidae, which includes the rattlesnakes, copperheads, and cottonmouths; and 2) Elapidae, in which the only native species are the coral snakes. Although some of these snakes are easily identified, some are not, and many rank among the most feared and misunderstood animals. This article specifically addresses all the native species of venomous snakes that inhabit the hurricane-prone regions of North America and is intended to serve as a reference to snake identification, basic field safety procedures, and the currently recommended first-aid measures for snakebite casualties.

  16. Ultrasound-guided versus conventional femoral venipuncture for catheter ablation of atrial fibrillation: a multicentre randomized efficacy and safety trial (ULTRA-FAST trial).

    Science.gov (United States)

    Yamagata, Kenichiro; Wichterle, Dan; Roubícek, Tomáš; Jarkovský, Patrik; Sato, Yuriko; Kogure, Takamichi; Peichl, Petr; Konecný, Petr; Jansová, Helena; Kucera, Pavel; Aldhoon, Bashar; Cihák, Robert; Sugimura, Yoichi; Kautzner, Josef

    2017-05-30

    Complications of catheter ablation for atrial fibrillation (AF) are frequently related to vascular access. We hypothesized that ultrasound-guided (USG) venipuncture may facilitate the procedure and reduce complication rates. We conducted a multicentre, randomized trial in patients undergoing catheter ablation for AF on uninterrupted anticoagulation therapy. The study enrolled consecutive 320 patients (age: 63 ± 8 years; male: 62%) and were randomized to USG or conventional venipuncture in 1:1 fashion. It was prematurely terminated due to substantially lower-than-expected complication rates, which doubled the population size needed to maintain statistical power. While the complication rates did not differ between two study arms (0.6% vs. 1.9%, P = 0.62), intra-procedural outcome measures were in favour of the USG approach (puncture time, 288 vs. 369 s, P < 0.001; first pass success, 74% vs. 20%, P < 0.001; extra puncture attempts 0.5 vs. 2.1, P < 0.001; inadvertent arterial puncture 0.07 vs. 0.25, P < 0.001; unsuccessful cannulation 0.6% vs. 14%, P < 0.001). Though these measures varied between trainees (49% of procedures) and expert operators, between-arm differences (except for unsuccessful cannulation) were comparably significant in favour of USG approach for both subgroups. Ultrasound-guided puncture of femoral veins was associated with preferable intra-procedural outcomes, though the major complication rates were not reduced. Both trainees and expert operators benefited from the USG strategy. (www.clinicaltrials.gov ID: NCT02834221).

  17. Infant-Guided, Co-Regulated Feeding in the Neonatal Intensive Care Unit. Part I: Theoretical Underpinnings for Neuroprotection and Safety.

    Science.gov (United States)

    Shaker, Catherine S

    2017-04-01

    The rapid progress in medical and technical innovations in the neonatal intensive care unit (NICU) has been accompanied by concern for outcomes of NICU graduates. Although advances in neonatal care have led to significant changes in survival rates of very small and extremely preterm neonates, early feeding difficulties with the transition from tube feeding to oral feeding are prominent and often persist beyond discharge to home. Progress in learning to feed in the NICU and continued growth in feeding skills after the NICU may be closely tied to fostering neuroprotection and safety. The experience of learning to feed in the NICU may predispose preterm neonates to feeding problems that persist. Neonatal feeding as an area of specialized clinical practice has grown considerably in the last decade. This article is the first in a two-part series devoted to neonatal feeding. Part 1 explores factors in NICU feeding experiences that may serve to constrain or promote feeding skill development, not only in the NICU but long after discharge to home. Part II describes approaches to intervention that support neuroprotection and safety. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  18. Reference Sources for Folklore Studies.

    Science.gov (United States)

    Pilling, George, Comp.

    An annotated listing contains 35 basic reference materials on folklore. Following a discussion of the definition of folklore, citations are divided into the following categories: encyclopedias and dictionaries, national and regional encyclopedias and dictionaries, bibliographies, guides, indexes, and periodicals. The Library of Congress…

  19. Library Guides to Business Information.

    Science.gov (United States)

    Harris, Jamie L., Comp.

    This collection of library guides is designed to introduce undergraduate students at Chicago State University to basic business reference sources. Annotated bibliographies cover the subject areas of business management, marketing, and finance. Guides in the collection include: (1) Researching the Company (Chicago and Illinois business and national…

  20. The image-guided surgery toolkit IGSTK: an open source C++ software toolkit.

    Science.gov (United States)

    Enquobahrie, Andinet; Cheng, Patrick; Gary, Kevin; Ibanez, Luis; Gobbi, David; Lindseth, Frank; Yaniv, Ziv; Aylward, Stephen; Jomier, Julien; Cleary, Kevin

    2007-11-01

    This paper presents an overview of the image-guided surgery toolkit (IGSTK). IGSTK is an open source C++ software library that provides the basic components needed to develop image-guided surgery applications. It is intended for fast prototyping and development of image-guided surgery applications. The toolkit was developed through a collaboration between academic and industry partners. Because IGSTK was designed for safety-critical applications, the development team has adopted lightweight software processes that emphasizes safety and robustness while, at the same time, supporting geographically separated developers. A software process that is philosophically similar to agile software methods was adopted emphasizing iterative, incremental, and test-driven development principles. The guiding principle in the architecture design of IGSTK is patient safety. The IGSTK team implemented a component-based architecture and used state machine software design methodologies to improve the reliability and safety of the components. Every IGSTK component has a well-defined set of features that are governed by state machines. The state machine ensures that the component is always in a valid state and that all state transitions are valid and meaningful. Realizing that the continued success and viability of an open source toolkit depends on a strong user community, the IGSTK team is following several key strategies to build an active user community. These include maintaining a users and developers' mailing list, providing documentation (application programming interface reference document and book), presenting demonstration applications, and delivering tutorial sessions at relevant scientific conferences.

  1. TWRS safety program plan

    Energy Technology Data Exchange (ETDEWEB)

    Calderon, L.M., Westinghouse Hanford

    1996-08-01

    Management of Nuclear Safety, Industrial Safety, Industrial Hygiene, and Fire Protection programs, functions, and field support resources for Tank Waste Remediation Systems (TWRS) has, until recently, been centralized in TWRS Safety, under the Emergency, Safety, and Quality organization. Industrial hygiene technician services were also provided to support operational needs related to safety basis compliance. Due to WHC decentralization of safety and reengineering efforts in West Tank Farms, staffing and safety responsibilities have been transferred to the facilities. Under the new structure, safety personnel for TWRS are assigned directly to East Tank Farms, West Tank Farms, and a core Safety Group in TWRS Engineering. The Characterization Project Operations (CPO) safety organization will remain in tact as it currently exists. Personnel assigned to East Tank Farms, West Tank Farms, and CPO will perform facility-specific or project-specific duties and provide field implementation of programs. Those assigned to the core group will focus on activities having a TWRS-wide or programmatic focus. Hanford-wide activities will be the responsibility of the Safety Center of Expertise. In order to ensure an effective and consistent safety program for TWRS under the new organization program functions, goals, organizational structure, roles, responsibilities, and path forward must be clearly established. The purpose of the TWRS Safety Program Plan is to define the overall safety program, responsibilities, relationships, and communication linkages for safety personnel under the new structure. In addition, issues associated with reorganization transition are addressed, including training, project ownership, records management, and dissemination of equipment. For the purpose of this document ``TWRS Safety`` refers to all safety professionals and technicians (Industrial Safety, Industrial Hygiene, Fire Protection, and Nuclear Safety) within the TWRS organization, regardless of their

  2. Subjective safety in traffic.

    NARCIS (Netherlands)

    2012-01-01

    The term ‘subjective safety in traffic’ refers to people feeling unsafe in traffic or, more generally, to anxiety regarding being unsafe in traffic for oneself and/or others. Subjective safety in traffic can lead to road users limiting their mobility and social activities, which is one of the

  3. 76 FR 2726 - Withdrawal of Regulatory Guide 1.154

    Science.gov (United States)

    2011-01-14

    ... Regulatory Guide 1.154, ``Format and Content of Plant-Specific Pressurized Thermal Shock Safety Analysis... Regulatory Guide (RG) 1.154, ``Format and Content of Plant-Specific Pressurized Thermal Shock Safety Analysis... format and content acceptable to the NRC staff for plant-specific pressurized thermal shock (PTS) safety...

  4. Safety and correlation of test results of combined ultrasound-guided fine-needle aspiration and needle core biopsy of the canine spleen.

    Science.gov (United States)

    Watson, Adam T; Penninck, Dominique; Knoll, Joyce S; Keating, John H; Sutherland-Smith, James

    2011-01-01

    The safety and diagnostic value of combined splenic fine-needle aspiration (FNA) and needle core biopsy (NCB) is unknown. Forty-one dogs with splenic lesions were studied prospectively. Safety was assessed in 38 dogs and no complications were encountered. Initially, clinical and anatomic pathologists reviewed each FNA and NCB sample, respectively, without knowledge of the other's results. Diagnoses were categorized as neoplastic, benign, inflammatory, normal, or nondiagnostic. The level of agreement between sampling methods was categorized as complete, partial, disagreement, or not available. Test correlation was performed in 40 dogs. Nondiagnostic results occurred in 5/40 NCB (12.5%) and no FNA samples. Neoplasia was diagnosed in 17/40 dogs (42.5%), benign changes in 20/40 dogs (50%), inflammatory disorders in 0/40 dogs, and normal 2/40 dogs (5%). One of the 40 dogs (2.5%) had a diagnosis that was equivocal for neoplasia on both tests and therefore was not categorized. Of the 35 dogs that had diagnostic samples, cytopathologic and histopathologic diagnoses agreed completely in 18/35 dogs (51.4%), partially in 3/35 dogs (8.6%), and were in disagreement in 14/35 dogs (40.0%). Pathologists collaboratively reviewed diagnoses that were in disagreement or partial agreement and altered their individual diagnoses in 6/17 dogs (35.3%) to be within partial or complete agreement, respectively. Percutaneous FNA and NCB can be performed safely in dogs with sonographic splenic changes. Results suggest that adding NCB to FNA provides complementary information in dogs with suspected splenic neoplasia. This combined protocol may improve detection of splenic neoplasia and provide neoplastic subclassification. © 2010 Veterinary Radiology & Ultrasound.

  5. Putting Safety in the Frame

    Directory of Open Access Journals (Sweden)

    Valerie Jean O’Keeffe

    2015-06-01

    Full Text Available Current patient safety policy focuses nursing on patient care goals, often overriding nurses’ safety. Without understanding how nurses construct work health and safety (WHS, patient and nurse safety cannot be reconciled. Using ethnography, we examine social contexts of safety, studying 72 nurses across five Australian hospitals making decisions during patient encounters. In enacting safe practice, nurses used “frames” built from their contextual experiences to guide their behavior. Frames are produced by nurses, and they structure how nurses make sense of their work. Using thematic analysis, we identify four frames that inform nurses’ decisions about WHS: (a communicating builds knowledge, (b experiencing situations guides decisions, (c adapting procedures streamlines work, and (d team working promotes safe working. Nurses’ frames question current policy and practice by challenging how nurses’ safety is positioned relative to patient safety. Recognizing these frames can assist the design and implementation of effective WHS management.

  6. Efficacy and safety of CT-P13 (biosimilar infliximab) in patients with rheumatoid arthritis: comparison between switching from reference infliximab to CT-P13 and continuing CT-P13 in the PLANETRA extension study.

    Science.gov (United States)

    Yoo, Dae Hyun; Prodanovic, Nenad; Jaworski, Janusz; Miranda, Pedro; Ramiterre, Edgar; Lanzon, Allan; Baranauskaite, Asta; Wiland, Piotr; Abud-Mendoza, Carlos; Oparanov, Boycho; Smiyan, Svitlana; Kim, HoUng; Lee, Sang Joon; Kim, SuYeon; Park, Won

    2017-02-01

    To assess the efficacy and safety of switching from the infliximab reference product (RP; Remicade) to its biosimilar CT-P13 (Remsima, Inflectra) or continuing CT-P13 in patients with rheumatoid arthritis (RA) for an additional six infusions. This open-label extension study recruited patients with RA who had completed the 54-week, randomised, parallel-group study comparing CT-P13 with RP (PLANETRA; NCT01217086). CT-P13 (3 mg/kg) was administered intravenously every 8 weeks from weeks 62 to 102. All patients received concomitant methotrexate. Endpoints included American College of Rheumatology 20% (ACR20) response, ACR50, ACR70, immunogenicity and safety. Data were analysed for patients who received CT-P13 for 102 weeks (maintenance group) and for those who received RP for 54 weeks and then switched to CT-P13 (switch group). Overall, 302 of 455 patients who completed the PLANETRA study enrolled into the extension. Of these, 158 had received CT-P13 (maintenance group) and 144 RP (switch group). Response rates at week 102 for maintenance versus switch groups, respectively, were 71.7% vs 71.8% for ACR20, 48.0% vs 51.4% for ACR50 and 24.3% vs 26.1% for ACR70. The proportion of patients with antidrug antibodies was comparable between groups (week 102: 40.3% vs 44.8%, respectively). Treatment-emergent adverse events occurred in similar proportions of patients in the two groups during the extension study (53.5% and 53.8%, respectively). Comparable efficacy and tolerability were observed in patients who switched from RP to its biosimilar CT-P13 for an additional year and in those who had long-term CT-P13 treatment for 2 years. NCT01571219; Results. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  7. Efficacy and safety of ultrasound-guided radiofrequency ablation of hyperplastic parathyroid gland for secondary hyperparathyroidism associated with chronic kidney disease.

    Science.gov (United States)

    Peng, Chengzhong; Zhang, Zhengxian; Liu, Jibin; Chen, Hongyu; Tu, Xiao; Hu, Rihong; Ni, Jun; Weng, Ning; Pang, Haisu; Xue, Zhengmei

    2017-03-01

    The purpose of this study was to determine if ultrasound-guided radiofrequency ablation (RFA) of hyperplastic parathyroid glands could be used to treat secondary hyperparathyroidism (HPT) in patients with chronic kidney disease. RFA of the hyperplastic parathyroid glands was performed in 34 patients with secondary HPT. Intact parathyroid hormone (iPTH), calcium, and phosphorus were measured. The outcome was based on the ablation extent (ie, 4, 3, and 1-2 glands). The iPTH, calcium, and phosphorus levels decreased in all groups after RFA. One year after ablation, these parameters remained significantly lower in the 4-gland ablation group compared with the 3-gland and 1 to 2-gland groups. The same tendency was observed for the symptom score. The iPTH levels of <272 pg/mL on the day after ablation was the best predictor for maintaining parathyroid hormone (PTH) levels in a reasonable range 1 year after ablation. RFA of hyperplastic parathyroid glands for treating secondary HPT is feasible in selected patients. © 2016 Wiley Periodicals, Inc. Head Neck 39: 564-571, 2017. © 2016 Wiley Periodicals, Inc.

  8. Oracle PL/SQL Language Pocket Reference

    CERN Document Server

    Feuerstein, Steven; Dawes, Chip

    2007-01-01

    The fourth edition of this popular pocket guide provides quick-reference information that will help you use Oracle's PL/SQL language, including the newest Oracle Database 11g features. A companion to Steven Feuerstein and Bill Pribyl's bestselling Oracle PL/SQL Programming, this concise guide boils down the most vital PL/SQL information into an accessible summary

  9. Guide to radioactive waste management literature

    Energy Technology Data Exchange (ETDEWEB)

    Houser, B.L.; Holoway, C.F.; Madewell, D.G.

    1977-10-01

    Increased public concern about radioactive waste management has called attention to this aspect of the nuclear fuel cycle. Socio-economic planning and technical development are being undertaken to assure that such wastes will be managed safely. This Guide to Radioactive Waste Management Literature has been compiled to serve scientists, engineers, administrators, legislators, and private citizens by directing them to sources of information on various aspects of the subject. References were selected from about 6000 documents on waste management in the computerized information centers in Oak Ridge. The documents were selected, examined, indexed, and abstracted between 1966-1976 by several knowledgeable indexers, principally at the Nuclear Safety Information Center. The selected references were further indexed and classified into 12 categories. Each category is discussed in enough detail to give some understandng of present technology in various phases of waste management and some appreciation of the attendant issues and problems. The bibliographic part of this guide exists in computerized form in the Health Physics Information System and is available through the Oak Ridge Information Center Complex for searching from remote terminals.

  10. iTOUGH2-IFC: An Integrated Flow Code in Support of Nagra's Probabilistic Safety Assessment:--User's Guide and Model Description

    Energy Technology Data Exchange (ETDEWEB)

    Finsterle, Stefan A.

    2009-01-02

    This document describes the development and use of the Integrated Flow Code (IFC), a numerical code and related model to be used for the simulation of time-dependent, two-phase flow in the near field and geosphere of a gas-generating nuclear waste repository system located in an initially fully water-saturated claystone (Opalinus Clay) in Switzerland. The development of the code and model was supported by the Swiss National Cooperative for the Disposal of Radioactive Waste (Nagra), Wettingen, Switzerland. Gas generation (mainly H{sub 2}, but also CH{sub 4} and CO{sub 2}) may affect repository performance by (1) compromising the engineered barriers through excessive pressure build-up, (2) displacing potentially contaminated pore water, (3) releasing radioactive gases (e.g., those containing {sup 14}C and {sup 3}H), (4) changing hydrogeologic properties of the engineered barrier system and the host rock, and (5) altering the groundwater flow field and thus radionuclide migration paths. The IFC aims at providing water and gas flow fields as the basis for the subsequent radionuclide transport simulations, which are performed by the radionuclide transport code (RTC). The IFC, RTC and a waste-dissolution and near-field transport model (STMAN) are part of the Integrated Radionuclide Release Code (IRRC), which integrates all safety-relevant features, events, and processes (FEPs). The IRRC is embedded into a Probabilistic Safety Assessment (PSA) computational tool that (1) evaluates alternative conceptual models, scenarios, and disruptive events, and (2) performs Monte-Carlo sampling to account for parametric uncertainties. The preliminary probabilistic safety assessment concept and the role of the IFC are visualized in Figure 1. The IFC was developed based on Nagra's PSA concept. Specifically, as many phenomena as possible are to be directly simulated using a (simplified) process model, which is at the core of the IRRC model. Uncertainty evaluation (scenario

  11. Pocket guide to large trucks and bus statistics, 2014.

    Science.gov (United States)

    2014-10-01

    The Federal Motor Carrier Safety Administration compiled the data in this guide from multiple sources. The guide is divided into six sections and a glossary: (1) Overview: Large Trucks and Buses, (2) Roadside Inspections and Violations, (3) Reviews, ...

  12. Visual Basic 2012 programmer's reference

    CERN Document Server

    Stephens, Rod

    2012-01-01

    The comprehensive guide to Visual Basic 2012 Microsoft Visual Basic (VB) is the most popular programming language in the world, with millions of lines of code used in businesses and applications of all types and sizes. In this edition of the bestselling Wrox guide, Visual Basic expert Rod Stephens offers novice and experienced developers a comprehensive tutorial and reference to Visual Basic 2012. This latest edition introduces major changes to the Visual Studio development platform, including support for developing mobile applications that can take advantage of the Windows 8 operating system

  13. Exploratory analysis of the safety climate and safety behavior relationship.

    Science.gov (United States)

    Cooper, M D; Phillips, R A

    2004-01-01

    Safety climate refers to the degree to which employees believe true priority is given to organizational safety performance, and its measurement is thought to provide an "early warning" of potential safety system failure(s). However, researchers have struggled over the last 25 years to find empirical evidence to demonstrate actual links between safety climate and safety performance. A safety climate measure was distributed to manufacturing employees at the beginning of a behavioral safety initiative and redistributed one year later. Multiple regression analysis demonstrated that perceptions of the importance of safety training were predictive of actual levels of safety behavior. The results also demonstrate that the magnitude of change in perceptual safety climate scores will not necessarily match actual changes (r=0.56, n.s.) in employee's safety behavior. This study obtained empirical links between safety climate scores and actual safety behavior. Confirming and contradicting findings within the extant safety climate literature, the results strongly suggest that the hypothesized climate-behavior-accident path is not as clear cut as commonly assumed. A statistical link between safety climate perceptions and safety behavior will be obtained when sufficient behavioral data is collected. The study further supports the use of safety climate measures as useful diagnostic tools in ascertaining employee's perceptions of the way that safety is being operationalized.

  14. Coal terminal guide 1999

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-08-01

    IBJ`s third edition of its annual guide to the world`s multi-user coal terminals includes comprehensive details of terminals in 44 countries. The guide sets out information for rapid and easy reference comprising contact, full address and communication details as well as berth dimensions and constraints, loading equipment and daily loading rate, annual loading capacity, daily discharge rate, annual discharge capacity, annual throughput capacity, storage facilities, stockyard capacity and equipment, processing facilities and so on. All information has been compiled from specific questionnaires and is presented alphabetically in country order.

  15. Jenkins The Definitive Guide

    CERN Document Server

    Smart, John

    2011-01-01

    Streamline software development with Jenkins, the popular Java-based open source tool that has revolutionized the way teams think about Continuous Integration (CI). This complete guide shows you how to automate your build, integration, release, and deployment processes with Jenkins-and demonstrates how CI can save you time, money, and many headaches. Ideal for developers, software architects, and project managers, Jenkins: The Definitive Guide is both a CI tutorial and a comprehensive Jenkins reference. Through its wealth of best practices and real-world tips, you'll discover how easy it is

  16. Guide to software export

    CERN Document Server

    Philips, Roger A

    2014-01-01

    An ideal reference source for CEOs, marketing and sales managers, sales consultants, and students of international marketing, Guide to Software Export provides a step-by-step approach to initiating or expanding international software sales. It teaches you how to examine critically your candidate product for exportability; how to find distributors, agents, and resellers abroad; how to identify the best distribution structure for export; and much, much more!Not content with providing just the guidelines for setting up, expanding, and managing your international sales channels, Guide to Software

  17. Initial multicentre experience of 68 gallium-PSMA PET/CT guided robot-assisted salvage lymphadenectomy: acceptable safety profile but oncological benefit appears limited.

    Science.gov (United States)

    Siriwardana, Amila; Thompson, James; van Leeuwen, Pim J; Doig, Shaela; Kalsbeek, Anton; Emmett, Louise; Delprado, Warick; Wong, David; Samaratunga, Hemamali; Haynes, Anne-Maree; Coughlin, Geoff; Stricker, Phillip

    2017-11-01

    To evaluate the safety and short-term oncological outcomes of 68 gallium-labelled prostate-specific membrane antigen (68 Ga-PSMA) positron-emission tomography (PET)/computed tomography (CT)-directed robot-assisted salvage node dissection (RASND) for prostate cancer oligometastatic nodal recurrence. Between February 2014 and April 2016, 35 patients across two centres underwent RASND for 68 Ga-PSMA PET/CT-detected oligometastatic nodal recurrence. RASND was performed using targeted pelvic dissection, unilateral extended pelvic template or bilateral extended pelvic template dissection, depending on previous pelvic treatment and extent/location of nodal disease. Complications were reported using the Clavien-Dindo classification system. Definitions of prostate-specific antigen (PSA) treatment response to RASND were defined as 6-week PSA 0.2 ng/mL or PSA > nadir, for those who had undergone primary prostatectomy and primary radiotherapy, respectively. Predictors of treatment response were analysed using univariate binary logistic regression. A total of 58 lesions suspicious for lymph node metastases (LNM) in 35 patients were detected on 68 Ga-PSMA imaging. A total of 32 patients (91%) had histopathologically proven LNM at RASND, with a total of 87 LNM and a median (interquartile range) of 2 (1-3) LNM per patient. In all, eight patients (23%) experienced complications, all Clavien-Dindo grade ≤2. Treatment response was seen in 15 (43%) and 11 patients (31%), using the broad and strict definitions, respectively. BCR-free survival and clinical recurrence-free survival at a median follow-up of 12 months were 23% and 66%, respectively, for the entire cohort. Bilateral template dissection was the only significant univariate predictor of treatment response in our cohort. Although RASND appears safe and feasible, less than half of our cohort had a treatment response, and less than a quarter experienced BCR-free survival at 12-month median follow-up. 68 Ga-PSMA imaging

  18. Advanced Food Science and Nutrition Reference Book.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    Developed with input from personnel in the industries, this reference book complements the curriculum guide for a laboratory course on the significance of nutrition in food science. The reference book is organized into 25 chapters, each beginning with essential elements and objectives. Within the text, italicized, bold-faced vocabulary terms are…

  19. Siting of nuclear facilities. Selections from Nuclear Safety

    Energy Technology Data Exchange (ETDEWEB)

    Buchanan, J.R.

    1976-07-01

    The report presented siting policy and practice for nuclear power plants as developed in the U.S. and abroad. Twenty-two articles from Nuclear Safety on this general topic are reprinted since they provide a valuable reference source. The appendices also include reprints of some relevant regulatory rules and guides on siting. Advantages and disadvantages of novel siting concepts such as underground containment, offshore siting, and nuclear energy parks are addressed. Other topics include site criteria, risk criteria, and nuclear ship criteria.

  20. Guided labworks

    DEFF Research Database (Denmark)

    Jacobsen, Lærke Bang

    For the last 40 years physics education research has shown poor learning outcomes of guided labs. Still this is found to be a very used teaching method in the upper secodary schools. This study explains the teacher's choice of guided labs throught the concept of redesign as obstacle dislodgement...

  1. Dental Radiology I Student Guide [and Instructor Guide].

    Science.gov (United States)

    Fox Valley Technical Coll., Appleton, WI.

    The dental radiology student and instructor guides provide instruction in the following units: (1) x-ray physics; (2) x-ray production; (3) radiation health and safety; (4) radiographic anatomy and pathology; (5) darkroom setup and chemistry; (6) bisecting angle technique; (7) paralleling technique; (8) full mouth survey technique--composition and…

  2. Safety analysis for `Fugen`

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-10-01

    The improvement of safety in nuclear power stations is an important proposition. Therefore also as to the safety evaluation, it is important to comprehensively and systematically execute it by referring to the operational experience and the new knowledge which is important for the safety throughout the period of use as well as before the construction and the start of operation of nuclear power stations. In this report, the results when the safety analysis for ``Fugen`` was carried out by referring to the newest technical knowledge are described. As the result, it was able to be confirmed that the safety of ``Fugen`` has been secured by the inherent safety and the facilities which were designed for securing the safety. The basic way of thinking on the safety analysis including the guidelines to be conformed to is mentioned. As to the abnormal transient change in operation and accidents, their definition, the events to be evaluated and the standards for judgement are reported. The matters which were taken in consideration at the time of the analysis are shown. The computation programs used for the analysis were REACT, HEATUP, LAYMON, FATRAC, SENHOR, LOTRAC, FLOOD and CONPOL. The analyses of the abnormal transient change in operation and accidents are reported on the causes, countermeasures, protective functions and results. (K.I.)

  3. HBR guides

    CERN Document Server

    Duarte, Nancy; Dillon, Karen

    2015-01-01

    Master your most pressing professional challenges with this seven-volume set that collects the smartest best practices from leading experts all in one place. "HBR Guide to Better Business Writing" and "HBR Guide to Persuasive Presentations" help you perfect your communication skills; "HBR Guide to Managing Up and Across" and "HBR Guide to Office Politics" show you how to build the best professional relationships; "HBR Guide to Finance Basics for Managers" is the one book you'll ever need to teach you about the numbers; "HBR Guide to Project Management" addresses tough questions such as how to manage stakeholder expectations and how to manage uncertainty in a complex project; and "HBR Guide to Getting the Right Work Done" goes beyond basic productivity tips to teach you how to prioritize and focus on your work. This specially priced set of the most popular books in the series makes a perfect gift for aspiring leaders looking for trusted advice. Arm yourself with the advice you need to succeed on the job, from ...

  4. Swimming Pools. Managing School Facilities, Guide 2.

    Science.gov (United States)

    Department for Education and Employment, London (England). Architects and Building Branch.

    This guide for schools with swimming pools offers advice concerning appropriate training for pool managers, the importance of water quality and testing, safety in the handling of chemicals, maintenance and cleaning requirements, pool security, and health concerns. The guide covers both indoor and outdoor pools, explains some technical terms,…

  5. Community Living Skills Guide: Beginning Woodworking.

    Science.gov (United States)

    Miller, Steve; Smith, Don

    This is one of twenty course guides in the Community Living Skills Guide for the College for Living series which provides guidelines and workbook activities for the course, Beginning Woodworking, Use of Basic Hand Tools and Shop Safety. The series of courses for developmentally disabled adults is intended to supplement residential programs and to…

  6. Guide relative to the modalities of statements and to the codification of criteria relative to the significant events involving the safety, the radiation protection or the environment applicable to the base nuclear installations and to the transport of radioactive matters; Guide relatif aux modalites de declaration et a la codification des criteres relatifs aux evenements significatifs impliquant la surete, la radioprotection ou l'environnement applicable aux installations nucleaires de base et au transport de matieres radioactives

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    It is necessary to analyze the events detected on an installation in order to be sure that an already occurred event does not be repeated, by taking into account the appropriate remedial measures, to avoid a worsen situation could occur by analyzing the potential consequences of precursory events of more serious ones, to promote the correct practices to improve the safety. The present guide has for vocation to define the arrangements enforceable to nuclear operators about the statements modalities of such events when these ones concern the safety of nuclear facilities, transport of radioactive matters, radiation protection or environmental protection. In any case it can substitute to the specific obligations coming from the work code, public health code and environment code, licensing decrees about releases. (N.C.)

  7. The Rock Climbing Teaching Guide.

    Science.gov (United States)

    Kudlas, John

    The product of 10 years of rock climbing instruction, this guide provides material from which an instructor can teach basic climbing concepts and safety skills as well as conduct a safe, enjoyable rock climbing class in a high school setting. It is designed for an instructor with limited experience in climbing; however, the need for teacher…

  8. TRENDS IN FIELD OF REFERENCE MATERIALS IN RUSSIA

    OpenAIRE

    E. V. Osintseva; S. V. Medvedevskikh

    2015-01-01

    Trends in development of reference materials (RMs) in Russia, in particular in the regulation and standardization, are described. As of December- 2015, Fifteen statutory and regulatory acts are valid in Russia in that field. The main principles of these acts to be harmonized with international requirements are discussed. Four interstate standards (for CIS country) based on ISO Guide 30, ISO Guide 31, ISO Guide 34, ISO Guide 35 are developed and issued in 2016 to harmonize activities in the RM...

  9. Study guide for college algebra

    CERN Document Server

    Snow, James W; Shapiro, Arnold

    1981-01-01

    Study Guide for College Algebra is a supplemental material for the basic text, College Algebra. Its purpose is to make the learning of college algebra and trigonometry easier and enjoyable.The book provides detailed solutions to exercises found in the text. Students are encouraged to use the study guide as a learning tool during the duration of the course, a reviewer prior to an exam, a reference book, and as a quick overview before studying a section of the text. The Study Guide and Solutions Manual consists of four major components: basic concepts that should be learned from each unit, what

  10. Medication Guide

    Science.gov (United States)

    ... Size Small Text Medium Text Large Text Contrast Dark on Light Light on Dark Donate Search Menu Donate What is Glaucoma? Care ... Low Vision Resources Medication Guide Resources on the Web » See All Articles Where the Money Goes Have ...

  11. Drug Safety

    Science.gov (United States)

    ... over-the-counter drug. The FDA evaluates the safety of a drug by looking at Side effects ... clinical trials The FDA also monitors a drug's safety after approval. For you, drug safety means buying ...

  12. Promoting Food Safety and Food Security in Rural Tourism Destination

    National Research Council Canada - National Science Library

    Sikhiram N

    2014-01-01

    ...; Homestay members, food preparation management members, tour guides, community leader groups, in order to assess the acceptance, collaboration and preparation of safety indigenous food menu and food...

  13. Measure Guideline: Guide to Attic Air Sealing

    Energy Technology Data Exchange (ETDEWEB)

    Lstiburek, Joseph [Building Science Corporation, Westford, MA (United States)

    2014-09-01

    The purpose of this measure guideline is to provide information and recommendations for the preparation work necessary prior to adding attic insulation. Even though the purpose of this guide is to save energy, health, safety, and durability should not be compromised by energy efficiency. Accordingly, combustion safety and ventilation for indoor air quality are addressed first. Durability and attic ventilation then follow. Finally, to maximize energy savings, air sealing is completed prior to insulating. The guide is intended for home remodelers, builders, insulation contractors, mechanical contractors, general contractors who have previously done remodeling and homeowners as a guide to the work that needs to be done.

  14. Standard guide for reflected–light photomicrography

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2011-01-01

    1.1 This guide outlines various methods which may be followed in the photography of metals and materials with the reflected-light microscope. Methods are included for preparation of prints and transparencies in black-and-white and in color, using both direct rapid and wet processes. 1.2 Guidelines are suggested to yield photomicrographs of typical subjects and, to the extent possible, of atypical subjects as well. Information is included concerning techniques for the enhanced display of specific material features. Descriptive material is provided where necessary to clarify procedures. References are cited where detailed descriptions may be helpful. 1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory requirements prior to use. Specific precautionary statements are given in X1.7. 1.4 The sections appear ...

  15. Idaho National Engineering Laboratory (INEL) Environmental Restoration (ER) Program Baseline Safety Analysis File (BSAF)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    The Baseline Safety Analysis File (BSAF) is a facility safety reference document for the Idaho National Engineering Laboratory (INEL) environmental restoration activities. The BSAF contains information and guidance for safety analysis documentation required by the U.S. Department of Energy (DOE) for environmental restoration (ER) activities, including: Characterization of potentially contaminated sites. Remedial investigations to identify and remedial actions to clean up existing and potential releases from inactive waste sites Decontamination and dismantlement of surplus facilities. The information is INEL-specific and is in the format required by DOE-EM-STD-3009-94, Preparation Guide for U.S. Department of Energy Nonreactor Nuclear Facility Safety Analysis Reports. An author of safety analysis documentation need only write information concerning that activity and refer to BSAF for further information or copy applicable chapters and sections. The information and guidance provided are suitable for: {sm_bullet} Nuclear facilities (DOE Order 5480-23, Nuclear Safety Analysis Reports) with hazards that meet the Category 3 threshold (DOE-STD-1027-92, Hazard Categorization and Accident Analysis Techniques for Compliance with DOE Order 5480.23, Nuclear Safety Analysis Reports) {sm_bullet} Radiological facilities (DOE-EM-STD-5502-94, Hazard Baseline Documentation) Nonnuclear facilities (DOE-EM-STD-5502-94) that are classified as {open_quotes}low{close_quotes} hazard facilities (DOE Order 5481.1B, Safety Analysis and Review System). Additionally, the BSAF could be used as an information source for Health and Safety Plans and for Safety Analysis Reports (SARs) for nuclear facilities with hazards equal to or greater than the Category 2 thresholds, or for nonnuclear facilities with {open_quotes}moderate{close_quotes} or {open_quotes}high{close_quotes} hazard classifications.

  16. Safety and operational performance evaluation of four types of exit ramps on Florida's freeways (final report).

    Science.gov (United States)

    2010-12-01

    This project mainly focuses on exit ramp performance analysis of safety and operations. In addition, issues of advance guide sign for exit ramp are also mentioned. : Safety analysis evaluates safety performances of different exit ramps used in Florid...

  17. Writer`s guide for technical procedures

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-01

    A primary objective of operations conducted in the US Department of Energy (DOE) complex is safety. Procedures are a critical element of maintaining a safety envelope to ensure safe facility operation. This DOE Writer`s Guide for Technical Procedures addresses the content, format, and style of technical procedures that prescribe production, operation of equipment and facilities, and maintenance activities. The DOE Writer`s Guide for Management Control Procedures and DOE Writer`s Guide for Emergency and Alarm Response Procedures are being developed to assist writers in developing nontechnical procedures. DOE is providing this guide to assist writers across the DOE complex in producing accurate, complete, and usable procedures that promote safe and efficient operations that comply with DOE orders, including DOE Order 5480.19, Conduct of Operations for DOE Facilities, and 5480.6, Safety of Department of Energy-Owned Nuclear Reactors.

  18. Adhesives: Test Method, Group Assignment, and Categorization Guide for High-Loading-Rate Applications Preparation and Testing of Single Lap Joints (Ver. 2.2, Unlimited)

    Science.gov (United States)

    2016-04-01

    a starting point, the operator should refer to the manufacturer’s technical data sheet (TDS) and MSDS for preliminary guidance. Operator safety is...Step 4 Place the bottom lap-joint coupon panel opposite to the bottom shim on top of the release sheet , tabs facing inward, with the prepared tab...Assignment, and Categorization Guide for High-Loading- Rate Applications – Preparation and Testing of Single Lap Joints (Ver. 2.2, Unlimited) by

  19. A Global Survey of Deep Underground Facilities; Examples of Geotechnical and Engineering Capabilities, Achievements, Challenges (Mines, Shafts, Tunnels, Boreholes, Sites and Underground Facilities for Nuclear Waste and Physics R&D): A Guide to Interactive Global Map Layers, Table Database, References and Notes

    Energy Technology Data Exchange (ETDEWEB)

    Tynan, Mark C. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Russell, Glenn P. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Perry, Frank V. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Kelley, Richard E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Champenois, Sean T. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2017-06-13

    These associated tables, references, notes, and report present a synthesis of some notable geotechnical and engineering information used to create four interactive layer maps for selected: 1) deep mines and shafts; 2) existing, considered or planned radioactive waste management deep underground studies or disposal facilities 3) deep large diameter boreholes, and 4) physics underground laboratories and facilities from around the world. These data are intended to facilitate user access to basic information and references regarding “deep underground” facilities, history, activities, and plans. In general, the interactive maps and database provide each facility’s approximate site location, geology, and engineered features (e.g.: access, geometry, depth, diameter, year of operations, groundwater, lithology, host unit name and age, basin; operator, management organization, geographic data, nearby cultural features, other). Although the survey is not comprehensive, it is representative of many of the significant existing and historical underground facilities discussed in the literature addressing radioactive waste management and deep mined geologic disposal safety systems. The global survey is intended to support and to inform: 1) interested parties and decision makers; 2) radioactive waste disposal and siting option evaluations, and 3) safety case development applicable to any mined geologic disposal facility as a demonstration of historical and current engineering and geotechnical capabilities available for use in deep underground facility siting, planning, construction, operations and monitoring.

  20. Reseñas bibliográficas para elaborar Guías de Práctica Clínica = Bibliographical references to make a Clinical Practice Guide

    Directory of Open Access Journals (Sweden)

    Gutierrez Couto, Uxía

    2008-02-01

    Full Text Available RESUMENLa elaboración de Guías de Práctica Clínica (GPC supone la aplicación de una metodología específica, descrita y validada. Esta nota bibliográfica pretende orientar a los terapeutas ocupacionales sobre dónde encontrar información fiable en la red acerca de dicha metodología. La consulta de dichos recursos les facilitará la información básica necesaria para el desarrollo de guías clínicas que les ayuden a homogeneizar su práctica clínica a nivel nacional. SUMMARY Clinical practice guideline’s elaboration involves the application of a specific, described and validated methodology. This bibliographic note seeks to guide occupational therapists about where they can find reliable information in the net concerning this methodology. The enquiry of such resources will provide the basic information which is necessary for the development of clinical guidance to help them homogeneize their clinical practice guideline at a national level.

  1. Global safety

    Directory of Open Access Journals (Sweden)

    Dorien J. DeTombe

    2010-08-01

    Full Text Available Global Safety is a container concept referring to various threats such as HIV/Aids, floods and terrorism; threats with different causes and different effects. These dangers threaten people, the global economy and the slity of states. Policy making for this kind of threats often lack an overview of the real causes and the interventions are based on a too shallow analysis of the problem, mono-disciplinary and focus mostly only on the effects. It would be more appropriate to develop policy related to these issues by utilizing the approaches, methods and tools that have been developed for complex societal problems. Handling these complex societal problems should be done multidisciplinary instead of mono-disciplinary. In order to give politicians the opportunity to handle complex problems multidisciplinary, multidisciplinary research institutes should be created. These multidisciplinary research institutes would provide politicians with better approaches to handle this type of problem. In these institutes the knowledge necessary for the change of these problems can be created through the use of the Compram methodology which has been developed specifically for handling complex societal problems. In a six step approach, experts, actors and policymakers discuss the content of the problem and the possible changes. The framework method uses interviewing, the Group Decision Room, simulation models and scenario's in a cooperative way. The methodology emphasizes the exchange of knowledge and understanding by communication among and between the experts, actors and politicians meanwhile keeping emotion in mind. The Compram methodology will be further explained in relation to global safety in regard to terrorism, economy, health care and agriculture.

  2. Guide documentaire pour en savoir plus sur l'informatique (A Documentary Guide to Further Knowledge of Computer Science).

    Science.gov (United States)

    Achard-Bayle, Guy

    1985-01-01

    Presents a listing of textbooks, computer program guides, articles, opinion papers, histories, reference works, databases, reviews, bibliographies, organizations, and other information sources concerning computer applications. (MSE)

  3. Experiment Design and Analysis Guide - Neutronics & Physics

    Energy Technology Data Exchange (ETDEWEB)

    Misti A Lillo

    2014-06-01

    The purpose of this guide is to provide a consistent, standardized approach to performing neutronics/physics analysis for experiments inserted into the Advanced Test Reactor (ATR). This document provides neutronics/physics analysis guidance to support experiment design and analysis needs for experiments irradiated in the ATR. This guide addresses neutronics/physics analysis in support of experiment design, experiment safety, and experiment program objectives and goals. The intent of this guide is to provide a standardized approach for performing typical neutronics/physics analyses. Deviation from this guide is allowed provided that neutronics/physics analysis details are properly documented in an analysis report.

  4. SQL Pocket Guide

    CERN Document Server

    Gennick, Jonathan

    2010-01-01

    If you're a programmer or database administrator who uses SQL in your day-to-day work, this popular pocket guide is the ideal on-the-job reference. You'll find many examples that address the language's complexity, along with key aspects of SQL used in IBM DB2 Release 9.7, MySQL 5.1, Oracle Database 11g Release 2, PostgreSQL 9.0, and Microsoft SQL Server 2008 Release 2. SQL Pocket Guide describes how these database systems implement SQL syntax for querying, managing transactions, and making changes to data. It also shows how the systems use SQL functions, regular expression syntax, and type c

  5. An Education in Electrical Safety.

    Science.gov (United States)

    McBride, John W.; Chiappetta, Eugene L.

    1992-01-01

    Discusses teaching electrical safety guidelines in the process of teaching the concepts related to electricity. Discusses household current; electrical insulation; and examples of electrical safety in the home related to appliances, the bathroom, the yard and the neighborhood. (10 references) (MDH)

  6. Educational Film Guide for Middle Eastern Studies.

    Science.gov (United States)

    Greenman, Joseph; Joachim, Ann

    This annotated guide lists 16mm. films on the Middle East for use in grades K-12 and with adults. The Middle East refers to a vast area extending from eastern Afghanistan and the northern Caucasus to the western coast of Morocco and the southern periphery of the Sahara. The guide does not list films according to their merits. Rather, it includes…

  7. Pictorial Drawings. Drafting Module 5. Instructor's Guide.

    Science.gov (United States)

    Missouri Univ., Columbia. Instructional Materials Lab.

    This Missouri Vocational Instruction Management System instructor's drafting guide has been keyed to the drafting competency profile developed by state industry and education professionals. This unit contains information on pictorial drawings. The guide contains a cross-reference table of instructional materials. The unit contains the following:…

  8. Construction Techniques. Drafting Module 2. Instructor's Guide.

    Science.gov (United States)

    Missouri Univ., Columbia. Instructional Materials Lab.

    This Missouri Vocational Instruction Management System instructor's drafting guide has been keyed to the drafting competency profile developed by state industry and education professionals. The guide contains a cross-reference table of instructional materials. Four units cover construction techniques: (1) drawing sheet layout; (2) sketching; (3)…

  9. Dengue and Chikungunya Vector Control Pocket Guide

    Science.gov (United States)

    This technical guide consolidates information and procedures for surveillance and control of mosquitoes that transmit dengue and chikungunya viruses. The guide focuses on mosquitoes that transmit dengue but also makes reference to chikungunya and yellow fever because the pathogens that cause these ...

  10. William Faulkner: A Guide to Research.

    Science.gov (United States)

    Van Noate, Judith, Comp.

    This handout is a guide to library resources in the J. Murrey Atkins Library at the University of North Carolina-Charlotte, for the study of 20th-century American author William Faulkner. The guide is intended to help readers find critical and biographical information on Faulkner. It explains important reference sources in the Atkins library…

  11. A Silent Safety Program

    Science.gov (United States)

    Goodin, James Ronald

    2006-01-01

    NASA's Columbia Accident Investigation Board (CAIB) referred 8 times to the NASA "Silent Safety Program." This term, "Silent Safety Program" was not an original observation but first appeared in the Rogers Commission's Investigation of the Challenger Mishap. The CAIB on page 183 of its report in the paragraph titled 'Encouraging Minority Opinion,' stated "The Naval Reactor Program encourages minority opinions and "bad news." Leaders continually emphasize that when no minority opinions are present, the responsibility for a thorough and critical examination falls to management. . . Board interviews revealed that it is difficult for minority and dissenting opinions to percolate up through the agency's hierarchy. . ." The first question and perhaps the only question is - what is a silent safety program? Well, a silent safety program may be the same as the dog that didn't bark in Sherlock Holmes' "Adventure of the Silver Blaze" because system safety should behave as a devil's advocate for the program barking on every occasion to insure a critical review inclusion. This paper evaluates the NASA safety program and provides suggestions to prevent the recurrence of the silent safety program alluded to in the Challenger Mishap Investigation. Specifically targeted in the CAM report, "The checks and balances the safety system was meant to provide were not working." A silent system safety program is not unique to NASA but could emerge in any and every organization. Principles developed by Irving Janis in his book, Groupthink, listed criteria used to evaluate an organization's cultural attributes that allows a silent safety program to evolve. If evidence validates Jams's criteria, then Jams's recommendations for preventing groupthink can also be used to improve a critical evaluation and thus prevent the development of a silent safety program.

  12. World Bank Editorial Style Guide 2016

    OpenAIRE

    World Bank Group

    2016-01-01

    This guide is an essential reference for manuscript editors (substantive and mechanical editors), proofreaders, and production editors. It is a supplement to other editorial references, in particular, The Chicago Manual of Style, 16th edition, and Merriam-Webster's Collegiate Dictionary, 11th edition. It focuses on issues specific to the World Bank for which the Chicago manual provides multiple choices. The professional recommendations made in this guide are designed to ensure that every publ...

  13. Latin American Literature Study Guide.

    Science.gov (United States)

    Harss, Luis

    This is the first of 11 sections of a complete, structured, and detailed study guide proposed for M.A. candidates. This section covers the 16th century and is entitled "Descubrimiento y Conquista" ("Discovery and Conquest"). Suggested readings are accompanied by lists of sources and reference works chosen for usefulness and readability. Dominant…

  14. VMware vSphere 4 Administration Instant Reference

    CERN Document Server

    Lowe, Scott; Johnson, Matthew K

    2009-01-01

    The only quick reference guide to the number one virtualization product!. Get all your solutions about VMware's newest virtualization infrastructure software on the spot with this handy reference guide. Designed for quick access with special headings, thumb tabs, easy-to-read lists, and more, this book is the perfect companion to any comprehensive VMware guide, such as Mastering VMware vSphere 4 .: Covers the market-leading virtualization product, VMware's new vSphere 4; Offers a quick-access reference for your day-to-day administration of vSphere 4; Includes thumb tabs, secondary and tertiary

  15. Standard guide for computed radiography

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2010-01-01

    1.1 This guide provides general tutorial information regarding the fundamental and physical principles of computed radiography (CR), definitions and terminology required to understand the basic CR process. An introduction to some of the limitations that are typically encountered during the establishment of techniques and basic image processing methods are also provided. This guide does not provide specific techniques or acceptance criteria for specific end-user inspection applications. Information presented within this guide may be useful in conjunction with those standards of 1.2. 1.2 CR techniques for general inspection applications may be found in Practice E2033. Technical qualification attributes for CR systems may be found in Practice E2445. Criteria for classification of CR system technical performance levels may be found in Practice E2446. Reference Images Standards E2422, E2660, and E2669 contain digital reference acceptance illustrations. 1.3 The values stated in SI units are to be regarded as the st...

  16. Patient's Guide to Living Confidently with Chronic Heart Failure

    Science.gov (United States)

    ... A Patient’s Guide to Living Confidently With Chronic Heart Failure Samuel F. Sears , Lawrence Woodrow , Katherine Cutitta , Jessica ... References Figures & Tables Info & Metrics eLetters Introduction Chronic heart failure (CHF) refers to the ongoing condition of your ...

  17. JavaScript Pocket Reference

    CERN Document Server

    Flanagan, David

    1998-01-01

    JavaScript is a powerful, object-based scripting language that can be embedded directly in HTML pages. It allows you to create dynamic, interactive Web-based applications that run completely within a Web browser -- JavaScript is the language of choice for developing Dynamic HTML (DHTML) content. JavaScript can be integrated effectively with CGI and Java to produce sophisticated Web applications, although, in many cases, JavaScript eliminates the need for complex CGI scripts and Java applets altogether. The JavaScript Pocket Reference is a companion volume to JavaScript: The Definitive Guide

  18. Nuclear power a reference handbook

    CERN Document Server

    Henderson, Harry R

    2014-01-01

    In the 21st century, nuclear power has been identified as a viable alternative to traditional energy sources to stem global climate change, and condemned as risky to human health and environmentally irresponsible. Do the advantages of nuclear energy outweigh the risks, especially in light of the meltdown at the Fukushima plant in 2011? This guide provides both a comprehensive overview of this critical and controversial technology, presenting reference tools that include important facts and statistics, biographical profiles, a chronology, and a glossary. It covers major controversies and proposed solutions in detail and contains contributions by experts and important stakeholders that provide invaluable perspective on the topic.

  19. Educating future leaders in patient safety

    Science.gov (United States)

    Leotsakos, Agnès; Ardolino, Antonella; Cheung, Ronny; Zheng, Hao; Barraclough, Bruce; Walton, Merrilyn

    2014-01-01

    Education of health care professionals has given little attention to patient safety, resulting in limited understanding of the nature of risk in health care and the importance of strengthening systems. The World Health Organization developed the Patient Safety Curriculum Guide: Multiprofessional Edition to accelerate the incorporation of patient safety teaching into higher educational curricula. The World Health Organization Curriculum Guide uses a health system-focused, team-dependent approach, which impacts all health care professionals and students learning in an integrated way about how to operate within a culture of safety. The guide is pertinent in the context of global educational reforms and growing recognition of the need to introduce patient safety into health care professionals’ curricula. The guide helps to advance patient safety education worldwide in five ways. First, it addresses the variety of opportunities and contexts in which health care educators teach, and provides practical recommendations to learning. Second, it recommends shared learning by students of different professions, thus enhancing student capacity to work together effectively in multidisciplinary teams. Third, it provides guidance on a range of teaching methods and pedagogical activities to ensure that students understand that patient safety is a practical science teaching them to act in evidence-based ways to reduce patient risk. Fourth, it encourages supportive teaching and learning, emphasizing the need to establishing teaching environments in which students feel comfortable to learn and practice patient safety. Finally, it helps educators incorporate patient safety topics across all areas of clinical practice. PMID:25285012

  20. Apache The Definitive Guide

    CERN Document Server

    Laurie, Ben

    2003-01-01

    Apache is far and away the most widely used web server platform in the world. This versatile server runs more than half of the world's existing web sites. Apache is both free and rock-solid, running more than 21 million web sites ranging from huge e-commerce operations to corporate intranets and smaller hobby sites. With this new third edition of Apache: The Definitive Guide, web administrators new to Apache will come up to speed quickly, and experienced administrators will find the logically organized, concise reference sections indispensable, and system programmers interested in customizin

  1. Openlayers 3 beginner's guide

    CERN Document Server

    Gratier, Thomas; Hazzard, Erik

    2015-01-01

    Whether you are a hobbyist or a professional web developer, if you wish to use maps on your website, then this book is for you. A basic understanding of JavaScript will be helpful, but is not necessary. If you've never worked with maps before, this book will introduce you to some common mapping topics and will guide you through the OpenLayers library. Experienced developers can also use this book as a reference to OpenLayers 3 components and to further enhance their knowledge.

  2. Mieux comprendre le transfert de connaissances en SST : propositions pour une typologie des guides de prévention Better Understanding Knowledge Transfer in Occupational Health and Safety: Proposals for a Prevention Guide Typology Comprender mejor la transferencia de conocimientos en salud y seguridad en el trabajo. Proposiciones para una tipología de las guías de prevención

    Directory of Open Access Journals (Sweden)

    Isabelle Faurie

    2013-05-01

    Full Text Available L’article est une contribution originale à la réflexion sur le rôle des relais et des relayeurs en santé, sécurité et conditions de travail (SSCT. À partir de sept indicateurs principaux, une typologie des guides en SSCT a pu être établie. Quatre catégories de guides ont été identifiées : des guides d’action, de médiation, de sensibilisation, d’information. À partir de cette typologie, l’analyse a montré que les guides de prévention peuvent être reconnus soit comme outils de pratiques (fonction opératoire, outils de gestion (fonction managériale, outils de communication (fonction innovation ou outils techniques (fonction de réglementation. La discussion précise l’intérêt de cette catégorisation pour la définition d’outils de prévention plus adaptés.The present study contributes to thinking on prevention guides, which are the main tools for knowledge translation in occupational health and safety. Based on an analysis of guides edited by ARACT Languedoc-Roussillon, the article presents a typology for prevention guides in OHS. Four categories of guides were identified: action, mediation, awareness, and information. The analysis shows that each type of guide fulfils a specific function in dynamic prevention. The interest that this categorization holds for the definition of better adapted prevention tools is discussed.El presente estudio contribuye al análisis de guías de prevención, las cuales constituyen un punto fundamental dentro del proceso de Transferencia de Conocimientos (TC en el campo de la Salud y Seguridad en el Trabajo (SST. A partir de un análisis del contenido de las guías publicadas por la ARACT Languedoc-Roussillon, el artículo presenta una tipología de guías en materia de SST. Cuatro categorías de guías de prevención fueron identificadas: guías de acción, mediación, promoción, información. El análisis muestra que cada tipo de guía cumple una función específica dentro de la

  3. Selected Reference Books of 1971-72

    Science.gov (United States)

    Sheehy, Eugene P.

    1973-01-01

    The purpose of this annotated list is to present a selection of recent scholarly and foreign works of interest to reference workers in university libraries. The citations are listed under the following headings: guide, bibliography, encyclopedias, dictionaries, newspapers, dissertations, biography, genealogy, literature, education, sociology,…

  4. Safety of Hydrogen Systems Installed in Outdoor Enclosures

    Energy Technology Data Exchange (ETDEWEB)

    Barilo, Nick F. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2013-11-01

    The Hydrogen Safety Panel brings a broad cross-section of expertise from the industrial, government, and academic sectors to help advise the U.S. Department of Energy’s (DOE) Fuel Cell Technologies Office through its work in hydrogen safety, codes, and standards. The Panel’s initiatives in reviewing safety plans, conducting safety evaluations, identifying safety-related technical data gaps, and supporting safety knowledge tools and databases cover the gamut from research and development to demonstration and deployment. The Panel’s recent work has focused on the safe deployment of hydrogen and fuel cell systems in support of DOE efforts to accelerate fuel cell commercialization in early market applications: vehicle refueling, material handling equipment, backup power for warehouses and telecommunication sites, and portable power devices. This paper resulted from observations and considerations stemming from the Panel’s work on early market applications. This paper focuses on hydrogen system components that are installed in outdoor enclosures. These enclosures might alternatively be called “cabinets,” but for simplicity, they are all referred to as “enclosures” in this paper. These enclosures can provide a space where a flammable mixture of hydrogen and air might accumulate, creating the potential for a fire or explosion should an ignition occur. If the enclosure is large enough for a person to enter, and ventilation is inadequate, the hydrogen concentration could be high enough to asphyxiate a person who entered the space. Manufacturers, users, and government authorities rely on requirements described in codes to guide safe design and installation of such systems. Except for small enclosures used for hydrogen gas cylinders (gas cabinets), fuel cell power systems, and the enclosures that most people would describe as buildings, there are no hydrogen safety requirements for these enclosures, leaving gaps that must be addressed. This paper proposes that

  5. Auto Safety

    Science.gov (United States)

    ... to Talk to Your Child About the News Gun Safety Too Late for the Flu Vaccine? Eating ... many local health departments, public safety groups, hospitals, law enforcement agencies, and fire departments have technicians or ...

  6. Water Safety

    Science.gov (United States)

    ... School Counselors Kidney Stones Brain and Nervous System Water Safety KidsHealth > For Teens > Water Safety Print A ... tied to alcohol use. previous continue At the Water Park OK, so you do more splashing than ...

  7. Safety Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Swan Lake National Wildlife Refuge Safety Plan discusses policies for the safety of the station employees, volunteers, and public. This plan seeks to identify...

  8. Water Safety

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español Water Safety KidsHealth / For Parents / Water Safety What's in ... remains your best measure of protection. Making Kids Water Wise It's important to teach your kids proper ...

  9. Expert Guide

    DEFF Research Database (Denmark)

    Heiselberg, Per

    This guide summarizes the work of Subtask B of IEA-ECBCS Annex 44 “Integrating Environmentally Responsive Elements in Buildings” and is based on the contributions from the participating countries. The publication is an official Annex report. With a focus on innovative building concepts that dynam......, and for rough evaluation of building performance. It is hoped, that this guide will be helpful in the search for new solutions in the built environment and to the problem of designing and constructing sustainable buildings......., their benefits and limitations, economical feasibility and impact on energy savings, company image, comfort, productivity, building functionality and flexibility and gives guidance on design of these concepts, including integration of responsive building elements and HVAC-systems and build examples...

  10. Safer electronic health records safety assurance factors for EHR resilience

    CERN Document Server

    Sittig, Dean F

    2015-01-01

    This important volume provide a one-stop resource on the SAFER Guides along with the guides themselves and information on their use, development, and evaluation. The Safety Assurance Factors for EHR Resilience (SAFER) guides, developed by the editors of this book, identify recommended practices to optimize the safety and safe use of electronic health records (EHRs). These guides are designed to help organizations self-assess the safety and effectiveness of their EHR implementations, identify specific areas of vulnerability, and change their cultures and practices to mitigate risks.This book pr

  11. Fire safety

    Science.gov (United States)

    Robert H. White; Mark A. Dietenberger

    1999-01-01

    Fire safety is an important concern in all types of construction. The high level of national concern for fire safety is reflected in limitations and design requirements in building codes. These code requirements are discussed in the context of fire safety design and evaluation in the initial section of this chapter. Since basic data on fire behavior of wood products...

  12. Land-use history and contemporary management inform an ecological reference model for longleaf pine woodland understory plant communities

    Science.gov (United States)

    Lars A. Brudvig; John L. Orrock; Ellen I. Damschen; Cathy D. Collins; Philip G. Hahn; W. Brett Mattingly; Joseph W. Veldman; Joan L. Walker

    2014-01-01

    Ecological restoration is frequently guided by reference conditions describing a successfully restored ecosystem; however, the causes and magnitude of ecosystem degradation vary, making simple knowledge of reference conditions insufficient for prioritizing and guiding restoration. Ecological reference models provide further guidance by quantifying reference conditions...

  13. Standard Reference Tables -

    Data.gov (United States)

    Department of Transportation — The Standard Reference Tables (SRT) provide consistent reference data for the various applications that support Flight Standards Service (AFS) business processes and...

  14. NASA System Safety Handbook. Volume 1; System Safety Framework and Concepts for Implementation

    Science.gov (United States)

    Dezfuli, Homayoon; Benjamin, Allan; Everett, Christopher; Smith, Curtis; Stamatelatos, Michael; Youngblood, Robert

    2011-01-01

    System safety assessment is defined in NPR 8715.3C, NASA General Safety Program Requirements as a disciplined, systematic approach to the analysis of risks resulting from hazards that can affect humans, the environment, and mission assets. Achievement of the highest practicable degree of system safety is one of NASA's highest priorities. Traditionally, system safety assessment at NASA and elsewhere has focused on the application of a set of safety analysis tools to identify safety risks and formulate effective controls.1 Familiar tools used for this purpose include various forms of hazard analyses, failure modes and effects analyses, and probabilistic safety assessment (commonly also referred to as probabilistic risk assessment (PRA)). In the past, it has been assumed that to show that a system is safe, it is sufficient to provide assurance that the process for identifying the hazards has been as comprehensive as possible and that each identified hazard has one or more associated controls. The NASA Aerospace Safety Advisory Panel (ASAP) has made several statements in its annual reports supporting a more holistic approach. In 2006, it recommended that "... a comprehensive risk assessment, communication and acceptance process be implemented to ensure that overall launch risk is considered in an integrated and consistent manner." In 2009, it advocated for "... a process for using a risk-informed design approach to produce a design that is optimally and sufficiently safe." As a rationale for the latter advocacy, it stated that "... the ASAP applauds switching to a performance-based approach because it emphasizes early risk identification to guide designs, thus enabling creative design approaches that might be more efficient, safer, or both." For purposes of this preface, it is worth mentioning three areas where the handbook emphasizes a more holistic type of thinking. First, the handbook takes the position that it is important to not just focus on risk on an individual

  15. Patient safety curriculum in medical education.

    Science.gov (United States)

    Lee, Young-Mee

    2009-09-01

    Since release of the Institute of Medicine (IOM) report, To Err Is Human: Building a Safer System, patient safety has emerged as a global concern in the provision of quality health care. In response to growing recognition of the importance of patient safety, some medical schools in other countries have created and/or implemented patient safety curricula. In Korea, however, patient safety medical curriculum has not been actively discussed by medical educators. The purpose of this article is to introduce patient safety concepts and the global efforts on patient safety medical education. Specifically, this article describes; 1) current concepts in patient safety, 2) global trends of patient safety movement and education, 3) contents, instructional and assessment methods of patient safety education for both undergraduate medical education and graduate medical education, suggested in the previous studies, 4) WHO Patient Safety Guide for Medical Curriculum developed by the Medical Education Team within the World Alliance for Patient Safety and 5) known barriers against patient safety education. Patient safety is a major priority for all healthcare providers. In reality, however, teaching and learning about patient safety in medical curriculum offers a challenge to all medical schools, especially, the health care environment is not favorable to physicians such as Korea. More attention and recognition about patient safety by all health personnel and medical educators is needed. In addition, the national conversation about medical errors and patient safety and how best to incorporate it to the existing curriculum should be discussed.

  16. Safety training: places available in September 2014

    CERN Multimedia

    HSE Unit

    2014-01-01

    There are places available in the forthcoming Safety courses. For updates and registrations, please refer to the Safety Training Catalogue (see here).   Please note that there are 7 places left on the “Territorial Safety Officer (TSO) – Initial” course on September 23-25, 2014 (in French).

  17. Nuclear medicine technology study guide

    CERN Document Server

    Patel, Dee

    2011-01-01

    Nuclear Medicine Technology Study Guide presents a comprehensive review of nuclear medicine principles and concepts necessary for technologists to pass board examinations. The practice questions and content follow the guidelines of the Nuclear Medicine Technology Certification Board (NMTCB) and American Registry of Radiological Technologists (ARRT), allowing test takers to maximize their success in passing the examinations. The book is organized by sections of increasing difficulty, with over 600 multiple-choice questions covering all areas of nuclear medicine, including radiation safety; radi

  18. Storytelling: A Guided Reflection Activity.

    Science.gov (United States)

    Wheeler, Pamela L; Butell, Sue S; Epeneter, Beverly Jean; Langford, Cheryl Anne; Taylor, Jana Doughty

    2016-03-01

    Reflective practice is a mode of inquiry in the authors' baccalaureate nursing program. To increase students' ability to "think like a nurse," the Reflective Practice Storytelling Guide was developed to facilitate discussion during weekly clinical seminars in the students' final clinical course. To evaluate the effectiveness of this guided activity, students were asked to provide feedback to specific questions following each seminar when the reflective presence activity was utilized. Common themes emerged from the storytellers and the members of the group. Themes identified in the responses of the storytellers included role development and formation and the value of team support. Learning themes that emerged from the participants included communication, teamwork, clinical judgment, patient-centered care, use of resources, ethical and legal parameters in practice, and patient safety. Utilizing a guided reflection activity resulted in the students experiencing a broader, deeper understanding of reflective professional practice. Copyright 2016, SLACK Incorporated.

  19. Hot Cell Facility (HCF) Safety Analysis Report

    Energy Technology Data Exchange (ETDEWEB)

    MITCHELL,GERRY W.; LONGLEY,SUSAN W.; PHILBIN,JEFFREY S.; MAHN,JEFFREY A.; BERRY,DONALD T.; SCHWERS,NORMAN F.; VANDERBEEK,THOMAS E.; NAEGELI,ROBERT E.

    2000-11-01

    This Safety Analysis Report (SAR) is prepared in compliance with the requirements of DOE Order 5480.23, Nuclear Safety Analysis Reports, and has been written to the format and content guide of DOE-STD-3009-94 Preparation Guide for U. S. Department of Energy Nonreactor Nuclear Safety Analysis Reports. The Hot Cell Facility is a Hazard Category 2 nonreactor nuclear facility, and is operated by Sandia National Laboratories for the Department of Energy. This SAR provides a description of the HCF and its operations, an assessment of the hazards and potential accidents which may occur in the facility. The potential consequences and likelihood of these accidents are analyzed and described. Using the process and criteria described in DOE-STD-3009-94, safety-related structures, systems and components are identified, and the important safety functions of each SSC are described. Additionally, information which describes the safety management programs at SNL are described in ancillary chapters of the SAR.

  20. Fundamentals of Reference

    Science.gov (United States)

    Mulac, Carolyn M.

    2012-01-01

    The all-in-one "Reference reference" you've been waiting for, this invaluable book offers a concise introduction to reference sources and services for a variety of readers, from library staff members who are asked to work in the reference department to managers and others who wish to familiarize themselves with this important area of…

  1. Radiation safety in X-ray facilities

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-09-01

    The guide specifies the radiation safety requirements for structural shielding and other safety arrangements used in X-ray facilities in medical and veterinary X-ray activities and in industry, research and education. The guide is also applicable to premises in which X-ray equipment intended for radiation therapy and operating at a voltage of less than 25 kV is used. The guide applies to new X-ray facilities in which X-ray equipment that has been used elsewhere is transferred. The radiation safety requirements for radiation therapy X-ray devices operating at a voltage exceeding 25 kV, and for the premices in which such devices are used, are set out in Guide ST 2.2.

  2. Safety Training: Basic safety courses

    CERN Document Server

    Laetitia Laddada

    2004-01-01

    Safety Training: Basic safety courses Due to the 50th anniversary events, basic safety courses are cancelled  during  week 43. We remind that in general, courses take place each Tuesday morning in French and Tuesday afternoon in English in Bdg.65-1-003. The duration of the course is 1h30. There are two half day sessions: 9 a.m. and 11 a.m. in French, and 2 p.m. and 4 p.m. in English. Thanks for your  understanding.  SC-DI FORMATION EN SECURITE SAFETY TRAINING Laetitia Laddada 73811 - 79236 safety.training@cern.ch

  3. Standard digital reference images for titanium castings

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2010-01-01

    1.1 The digital reference images provided in the adjunct to this standard illustrate various types and degrees of discontinuities occurring in titanium castings. Use of this standard for the specification or grading of castings requires procurement of the adjunct digital reference images, which illustrate the discontinuity types and severity levels. They are intended to provide the following: 1.1.1 A guide enabling recognition of titanium casting discontinuities and their differentiation both as to type and degree through digital radiographic examination. 1.1.2 Example digital radiographic illustrations of discontinuities and a nomenclature for reference in acceptance standards, specifications and drawings. 1.2 The digital reference images consist of seventeen digital files each illustrating eight grades of increasing severity. The files illustrate seven common discontinuity types representing casting sections up to 1-in. (25.4-mm). 1.3 The reference radiographs were developed for casting sections up to 1...

  4. A multicenter, randomized, controlled, single-blind comparison phase III study to determine the efficacy and safety of gadobutrol 1.0 M versus gadopentetate dimeglumine following single injection in patients referred for contrast-enhanced MRI of the body regions or extremities.

    Science.gov (United States)

    Kuwatsuru, Ryohei; Takahashi, Satoru; Umeoka, Shigeaki; Sugihara, Ryo; Zeng, Mengsu; Huan, Yi; Peng, Weijun; Ma, Lin; Guo, Liang; Teng, Gaojun; Yao, Weiwu; Tozaki, Mitsuhiro; Endo, Masahiro; Kaji, Shuichiro; Ro, Tokugen; Tae Hahn, Seong; Chul Kang, Byung; Nishimura, Hiroshi; Sugawara, Yoshifumi; Katakami, Nobuyuki; Breuer, Josy; Aitoku, Yasuko

    2015-02-01

    To demonstrate the noninferiority of gadobutrol-enhanced magnetic resonance imaging (MRI) compared with gadopentetate dimeglumine-enhanced MRI in Asian patients referred for contrast-enhanced imaging of the body or extremities. A multicenter, parallel-group comparison study of Asian adults referred for contrast-enhanced MRI were randomized (1:1) to either gadobutrol or gadopentetate dimeglumine. Lesions were assessed for three primary visualization variables: degree of contrast enhancement, border delineation, and internal morphology. Secondary efficacy variables included number of lesions detected, match of MRI diagnosis with final clinical diagnosis, and sensitivity and specificity for malignant lesion detection. Safety was monitored for 24 ± 4 hours after contrast agent administration. A total of 363 patients received either gadobutrol (n = 168) or gadopentetate dimeglumine (n = 178). Mean total scores for three primary visualization variables were 9.39 and 9.34 for gadobutrol and gadopentetate dimeglumine, respectively. The proportion of patients with matched MRI and final diagnosis and sensitivity for malignant lesion detection was greater for unenhanced versus combined images (gadobutrol: 72.2% vs. 81.7%; gadopentetate dimeglumine: 76.2% vs. 82.2%, respectively). Both contrast agents were well tolerated. Gadobutrol (0.1 mmol/kg BW) was well tolerated and effective in Asian patients referred for contrast-enhanced MRI of the body or extremities. © 2014 Wiley Periodicals, Inc.

  5. Guide to Operating and Maintaining EnergySmart Schools

    Energy Technology Data Exchange (ETDEWEB)

    None

    2010-01-01

    Through a commitment to high performance, school districts are discovering that smart energy choices can create lasting benefits for students, communities, and the environment. For example, an energy efficient school district with 4,000 students can save as much as $160,000 a year in energy costs. Over 10 years, those savings can reach $1.6 million, translating into the ability to hire more teachers, purchase more textbooks and computers, or invest in additional high performance facilities. Beyond these bottomline benefits, schools can better foster student health, decrease absenteeism, and serve as centers of community life. The U.S. Department of Energy's EnergySmart Schools Program promotes a 30 percent improvement in existing school energy use. It also encourages the building of new schools that exceed code (ASHRAE 90.11999) by 50 percent or more. The program provides resources like this Guide to Operating and Maintaining EnergySmart Schools to assist school decisionmakers in planning, financing, operating, and maintaining energy efficient, high performance schools. It also offers education and training for building industry professionals. Operations and maintenance refer to all scheduled and unscheduled actions for preventing equipment failure or decline with the goal of increasing efficiency, reliability, and safety. A preventative maintenance program is the organized and planned performance of maintenance activities in order to prevent system or production problems or failures from occurring. In contrast, deferred maintenance or reactive maintenance (also called diagnostic or corrective maintenance) is conducted to address an existing problem. This guide is a primary resource for developing and implementing a districtor schoolwide operations and maintenance (O&M) program that focuses on energy efficiency. The EnergySmart Schools Solutions companion CD contains additional supporting information for design, renovation, and retrofit projects. The objective

  6. Safety; Avertissement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    This annual report of the Senior Inspector for the Nuclear Safety, analyses the nuclear safety at EDF for the year 1999 and proposes twelve subjects of consideration to progress. Five technical documents are also provided and discussed concerning the nuclear power plants maintenance and safety (thermal fatigue, vibration fatigue, assisted control and instrumentation of the N4 bearing, 1300 MW reactors containment and time of life of power plants). (A.L.B.)

  7. 2002 reference document; Document de reference 2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This 2002 reference document of the group Areva, provides information on the society. Organized in seven chapters, it presents the persons responsible for the reference document and for auditing the financial statements, information pertaining to the transaction, general information on the company and share capital, information on company operation, changes and future prospects, assets, financial position, financial performance, information on company management and executive board and supervisory board, recent developments and future prospects. (A.L.B.)

  8. Visit safety

    CERN Multimedia

    2012-01-01

    Experiment areas, offices, workshops: it is possible to have co-workers or friends visit these places.     You already know about the official visits service, the VIP office, and professional visits. But do you know about the safety instruction GSI-OHS1, “Visits on the CERN site”? This is a mandatory General Safety Instruction that was created to assist you in ensuring safety for all your visits, whatever their nature—especially those that are non-official. Questions? The HSE Unit will be happy to answer them. Write to safety-general@cern.ch.   The HSE Unit

  9. Deprived children or deprived neighbourhoods? A public health approach to the investigation of links between deprivation and injury risk with specific reference to child road safety in Devon County, UK.

    Science.gov (United States)

    Hewson, Paul

    2004-05-10

    Worldwide, injuries from road traffic collisions are a rapidly growing problem in terms of morbidity and mortality. The UK has amongst the worst records in Europe with regard to child pedestrian safety. A traditional view holds that resources should be directed towards training child pedestrians. In order to reduce socio-economic differentials in child pedestrian casualty rates it is suggested that these should be directed at deprived children. This paper seeks to question whether analysis of extant routinely collected data supports this view. Routine administrative data on road collisions has been used. A deprivation measure has been assigned to the location where a collision was reported, and the home postcode of the casualty. Aggregate data was analysed using a number of epidemiological models, concentrating on the Generalised Linear Mixed Model. This study confirms evidence suggesting a link between increasing deprivation and increasing casualty involvement of child pedestrians. However, suggestions are made that it may be necessary to control for the urban nature of an area where collisions occur. More importantly, the question is raised as to whether the casualty rate is more closely associated with deprivation measures of the ward in which the collision occurred than with the deprivation measures of the home address of the child. Conclusions have to be drawn with great caution. Limitations in the utility of the officially collected data are apparent, but the implication is that the deprivation measures of the area around the collision is a more important determinant of socio-economic differentials in casualty rates than the deprivation measures of the casualties' home location. Whilst this result must be treated with caution, if confirmed by individual level case-controlled studies this would have a strong implication for the most appropriate interventions.

  10. Deprived children or deprived neighbourhoods? A public health approach to the investigation of links between deprivation and injury risk with specific reference to child road safety in Devon County, UK

    Directory of Open Access Journals (Sweden)

    Hewson Paul

    2004-05-01

    Full Text Available Abstract Background Worldwide, injuries from road traffic collisions are a rapidly growing problem in terms of morbidity and mortality. The UK has amongst the worst records in Europe with regard to child pedestrian safety. A traditional view holds that resources should be directed towards training child pedestrians. In order to reduce socio-economic differentials in child pedestrian casualty rates it is suggested that these should be directed at deprived children. This paper seeks to question whether analysis of extant routinely collected data supports this view. Methods Routine administrative data on road collisions has been used. A deprivation measure has been assigned to the location where a collision was reported, and the home postcode of the casualty. Aggregate data was analysed using a number of epidemiological models, concentrating on the Generalised Linear Mixed Model. Results This study confirms evidence suggesting a link between increasing deprivation and increasing casualty involvement of child pedestrians. However, suggestions are made that it may be necessary to control for the urban nature of an area where collisions occur. More importantly, the question is raised as to whether the casualty rate is more closely associated with deprivation measures of the ward in which the collision occurred than with the deprivation measures of the home address of the child. Conclusion Conclusions have to be drawn with great caution. Limitations in the utility of the officially collected data are apparent, but the implication is that the deprivation measures of the area around the collision is a more important determinant of socio-economic differentials in casualty rates than the deprivation measures of the casualties' home location. Whilst this result must be treated with caution, if confirmed by individual level case-controlled studies this would have a strong implication for the most appropriate interventions.

  11. A guide to residential wood heating

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    Wood heating has a long history in Canada. Currently over three million Canadian households use wood-burning appliances for heating, or just to enjoy the ambience of a wood fire. This guide is one of a series of guides on renewable energy systems for residential use, compiled to assist Canadian householders to make informed decisions on renewable energy. This particular guide focuses on such matters as how to maintain the safety and efficiency of a wood heating system; how to purchase and store fuel wood; how to use fire management techniques for cleaner, virtually smokeless fires; and provides tips on what to ask when consulting wood-heating professionals. tabs., figs.

  12. CMS Statistics Reference Booklet

    Data.gov (United States)

    U.S. Department of Health & Human Services — The annual CMS Statistics reference booklet provides a quick reference for summary information about health expenditures and the Medicare and Medicaid health...

  13. Onic reference in discourse

    OpenAIRE

    Shilikhina, K.

    2011-01-01

    the paper discusses the relation between ironic nomination and the real world. Starting with a brief overview of existing theories of reference the paper explores various ways of ironic reference indefinite pronouns and noun phrases for pseudo-indefinite and definite reference respectively. Metalinguistic assessment of ironic reference is used as yet another source of information. Ironic nomination fulfills several functions: referentive, evaluative and regulative. The evaluative function bec...

  14. Arctic Capability Inventory Tool User Guide: Version 2 (International References)

    Science.gov (United States)

    2011-07-01

    Maintaining kitchens /eatingareas;and Maintainingfinancialrecordsandaccountsdirectlyrelatedtooperationsperformedbythe Government...PhysicalGeography: 1.5Canada’sRiskEnvironment Canada’sriskenvironmentincludesthe traditional spectrumofnaturalandhumaninduced...andcompatibilityofenergyregulation,Canadian,U.S.And Mexican regulatorsbeganregularmeetingstoexchangeinformationonregulatorystandards

  15. IceT users' guide and reference.

    Energy Technology Data Exchange (ETDEWEB)

    Moreland, Kenneth D.

    2011-01-01

    The Image Composition Engine for Tiles (IceT) is a high-performance sort-last parallel rendering library. In addition to providing accelerated rendering for a standard display, IceT provides the unique ability to generate images for tiled displays. The overall resolution of the display may be several times larger than any viewport that may be rendered by a single machine. This document is an overview of the user interface to IceT.

  16. Transaction-Based Building Controls Framework, Volume 1: Reference Guide

    Energy Technology Data Exchange (ETDEWEB)

    Somasundaram, Sriram [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Pratt, Robert G. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Akyol, Bora A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Fernandez, Nicholas [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Foster, Nikolas AF [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Katipamula, Srinivas [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Mayhorn, Ebony T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Somani, Abhishek [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Steckley, Andrew C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Taylor, Zachary T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-12-01

    This document proposes a framework concept to achieve the objectives of raising buildings’ efficiency and energy savings potential benefitting building owners and operators. We call it a transaction-based framework, wherein mutually-beneficial and cost-effective market-based transactions can be enabled between multiple players across different domains. Transaction-based building controls are one part of the transactional energy framework. While these controls realize benefits by enabling automatic, market-based intra-building efficiency optimizations, the transactional energy framework provides similar benefits using the same market -based structure, yet on a larger scale and beyond just buildings, to the society at large.

  17. Groundwater Contamination Response Guide. Volume 2. Desk Reference.

    Science.gov (United States)

    1983-06-01

    N. Mikulis J. Bass R. O’Neill A. Brecher A. Preston D. Brown C. Thrun D. Leland 20. (Continued) known or suspected instances of contaminated...R. O’Neill A. Brecher A. Preston D. Brown C. Thrun D. Leland This report provides a review of equipment, methods, and technologies used in groundwater...cause mutual drawdown effects. Zone, Sturated - that part of the water-bearing material in which all voids, large and small, are ideally filled with

  18. U.S. Navy Aeromedical Reference and Waiver Guide

    Science.gov (United States)

    2010-05-05

    histories of signs or symptoms. However, 20-35% of asymptomatic individuals with WPW pattern that are inducible via EPS will develop SVT within 10 years...and 1-6% of those will experience sudden death. It is not possible to predict which EPS-inducible patients will develop SVT with or without...tachycardia ( SVT ) is hemodynamic decompensation in flight leading to lightheadedness, dizziness, presyncope and loss of consciousness. WAIVER: Only

  19. Reference Guide for Building Diagnostics Equipment and Techniques.

    Science.gov (United States)

    1986-07-01

    should he recorded for the purpose of computing the Temperature Index. Table 1-2 Class B Survey Required ,Mi nimon Resolvable Temperature Inside to...monitor andi recor I run L r nt’ on e loctr ic mot ors. This c-an provid’ necessary information to etr 115 .4% /~~ ~ A- .--.. A,- . nine pote:itial cost

  20. Remediation Technologies Screening Matrix and Reference Guide, Second Edition

    Science.gov (United States)

    1994-10-01

    The cells form a sludge, which is settled out in a clarifier, and is either recycled to the aeration basin or disposed of. In attached growth...Technologies for DOE, Richland, WA. DOE, 1989. Vitrification Technologies for Weldon Spring Raffinate Sludges and Contaminated Soils, Phase 2 Report...4-109 4.28 Excavation, Retrieval, and Off-Site Disposal .................................................4-113 4.29

  1. Comparing Tests for Diabetes and Prediabetes: A Quick Reference Guide

    Science.gov (United States)

    ... affects people of African, Mediterranean, and Southeast Asian heritage kidney disease liver disease iron deficiency anemia heavy ... for questions about any medications, contact the U.S. Food and Drug Administration toll-free at 1-888- ...

  2. The Oceanographic Environmental Reference Service Retrieval Program Users Guide.

    Science.gov (United States)

    1981-02-01

    TAXONOMY, SYSTEMATICS, CLASSIFICAlION B60 PHYSIOLOGY B61 BEHAVIOR B62 PATHOLOGY, PARASITOLOGY B63 TOXICOLOGY B64 GEAR RESEARJH B65 EXPLORATORY FISHING ...PLATFORM TYPE: RESEARCH/SURVEY SHIP OCEAN AREA: INDIAN OCEAN LACCADIVE SEA BAY OF BENGAL ANDAMAN SEA MARINE ZONES: OPEN SEA (OCEAN) SCIENTIST IN CHARGE...MAY 79 rHRU 07 JUL 79 SPONSOR: NAVOCEANO CRUISE STArUS: COMPLETED PLATFORM TYPE: RESEARCH/SURVEY SHIP OCEAN AREA: INDIAN OCEAN LACCADIVE SEA MARINE

  3. NATO Reference Mobility Model. Edition I. Users Guide. Volume I

    Science.gov (United States)

    1979-10-01

    flag KIVI , KIV2,...,KIV21 to determine if the results of that subroutine are to be written. The Areal Module is described in section II.D below. The...format KTPP Input and output of the terrain preprocessor KIVI Input and output of subroutine IVl KIV2 Input and output of subroutine IV2 KIV3 Input and...SCEN KSC E N COMMON /SCEN/ KIP P COMMON /SCEN/ #kEH 0 183 R- 2058, VOLU ?E I PAGE A-1l APPENDIX A - LISTING Of PRO#C-RAM NR MM COMPON /SCEN/ KIVI

  4. Toolkit for Conceptual Modeling (TCM): User's Guide and Reference

    NARCIS (Netherlands)

    Dehne, F.; Wieringa, Roelf J.

    The Toolkit for Conceptual Modeling (TCM) is a suite of graphical editors for a number of graphical notation systems that are used in software specification methods. The notations can be used to represent the conceptual structure of the software - hence the name of the suite. This manual describes

  5. NATO Reference Mobility. Edition I. Users Guide. Volume 2

    Science.gov (United States)

    1979-10-01

    evaluation by bidders and source seleccion boards will be based on the NRMM during the initial acquisition process. The degree of required details in...Interactions of the engineering details with features of the.total operational environment. Between these two extremes, is the person responsible

  6. C4 Software Technology Reference Guide - A Prototype.

    Science.gov (United States)

    1997-01-10

    East, 1996. [Monfort 96] Monfort, Lt. Col. Ralph D. "Lessons Learned in the Development and In- gress. Cocoa Beach, FL, April 23-26,1996. [NASA 96a...explicitly free memory, thus eliminating a whole class of memory bugs and the tools designed to check for them [Hamilton 96]. In addition, Java is object...say Java will "become strategic" within a year [Wilder 96]. Early implementations of Java contained bugs relating to security [Sun 96a]. These bugs

  7. DEPOT database: Reference manual and user's guide

    Energy Technology Data Exchange (ETDEWEB)

    Clancey, P.; Logg, C.

    1991-03-01

    DEPOT has been developed to provide tracking for the Stanford Linear Collider (SLC) control system equipment. For each piece of equipment entered into the database, complete location, service, maintenance, modification, certification, and radiation exposure histories can be maintained. To facilitate data entry accuracy, efficiency, and consistency, barcoding technology has been used extensively. DEPOT has been an important tool in improving the reliability of the microsystems controlling SLC. This document describes the components of the DEPOT database, the elements in the database records, and the use of the supporting programs for entering data, searching the database, and producing reports from the information.

  8. Reference guide to WPP version 2.0

    Energy Technology Data Exchange (ETDEWEB)

    Petersson, A; Sjogreen, B

    2010-01-22

    WPP is a computer program for simulating seismic wave propagation on parallel machines. WPP solves the governing equations in second order formulation using a node-based finite difference approach. The basic numerical method is described in [9]. WPP implements substantial capabilities for 3-D seismic modeling, with a free surface condition on the top boundary, non-reflecting far-field boundary conditions on the other boundaries, point force and point moment tensor source terms with many predefined time dependencies, fully 3-D heterogeneous material model specification, output of synthetic seismograms in the SAC [4] format, output of GMT [11] scripts for laying out simulation information on a map, and output of 2-D slices of (derived quantites of) the solution field as well as the material model. Version 2.0 of WPP allows the free surface boundary condition to be imposed on a curved topography. For this purpose a curvilinear mesh is used near the free surface, extending into the computational domain down to a user specified level. The elastic wave equations and the free surface boundary conditions are discretized on the curvilinear mesh using the energy conserving technique described in [2]. A curvilinear mesh generator is built into WPP and the curvilinear mesh is automatically generated from the topography. Below the curvilinear grid, the elastic wave equation is discretized on Cartesian meshes, which leads to a more computationally efficient algorithm. In version 2.0 of WPP, Cartesian local mesh refinement can be used to make the computational mesh finer near the free surface, where more resolution often is needed to resolve short wave lenghts in the solution, for example in sedimentary basins. The mesh refinement is performed in the vertical direction and each Cartesian grid is constructed from user specified refinement levels. In this approach, the grid size in all three spatial directions is doubled across each mesh refinement interface, leading to substantial savings in memory and computational effort. The energy conserving mesh refinement coupling method described in [10] is used to handle the hanging nodes along the refinement interface. The examples subdirectory of the WPP source distribution contains several examples and validation tests. Many Matlab/octave scripts are provided in the tools directory.

  9. IceT users' guide and reference.

    Energy Technology Data Exchange (ETDEWEB)

    Moreland, Kenneth D.

    2009-06-01

    The Image Composition Engine for Tiles (IceT) is a high-performance sort-last parallel rendering library. In addition to providing accelerated rendering for a standard display, IceT provides the unique ability to generate images for tiled displays. The overall resolution of the display may be several times larger than any viewport that may be rendered by a single machine. This document is an overview of the user interface to IceT.

  10. Space Generic Open Avionics Architecture (SGOAA) reference model technical guide

    Science.gov (United States)

    Wray, Richard B.; Stovall, John R.

    1993-01-01

    This report presents a full description of the Space Generic Open Avionics Architecture (SGOAA). The SGOAA consists of a generic system architecture for the entities in spacecraft avionics, a generic processing architecture, and a six class model of interfaces in a hardware/software system. The purpose of the SGOAA is to provide an umbrella set of requirements for applying the generic architecture interface model to the design of specific avionics hardware/software systems. The SGOAA defines a generic set of system interface points to facilitate identification of critical interfaces and establishes the requirements for applying appropriate low level detailed implementation standards to those interface points. The generic core avionics system and processing architecture models provided herein are robustly tailorable to specific system applications and provide a platform upon which the interface model is to be applied.

  11. Reference Collection Development in Academic Libraries: Report of a Survey.

    Science.gov (United States)

    Biggs, Mary; Biggs, Victor

    1987-01-01

    A survey of heads of academic library reference services gathered information on reference collection development. Findings included: (1) selection and weeding frequently are not guided by written policies; (2) empirical studies of use are almost nonexistent; and (3) online availability of sources is an important factor in selection. (20…

  12. Herbal reference standards.

    Science.gov (United States)

    Schwarz, Michael; Klier, Bernhard; Sievers, Hartwig

    2009-06-01

    This review describes the current definitions and regulatory requirements that apply to reference standards that are used to analyse herbal products. It also describes and discusses the current use of reference substances and reference extracts in the European and United States pharmacopoeias.

  13. Safety barriers for motorways : shoulder and bridge safety barriers and impact attenuators surveyed and assessed.

    NARCIS (Netherlands)

    Schoon, C.C. Heijer, T. Pol, W.H.M. van de & Jordaan, D.J.R.

    1986-01-01

    The various types and practical qualities of deformable and non-deformable safety barriers are listed. The main conclusions drawn from tests based on several safety criteria are : various types of deformable barriers (steel guide rails) perform well when hit by cars; various types of deformable

  14. Essential Nursing References.

    Science.gov (United States)

    Nursing and Health Care Perspectives, 2000

    2000-01-01

    This partially annotated bibliography contains these categories: abstract sources, archives, audiovisuals, bibliographies, databases, dictionaries, directories, drugs/toxicology/environmental health, grant resources, histories, indexes, Internet resources, reviews, statistical sources, and writers' manuals and guides. A supplement lists Canadian…

  15. Safety Training: places available in October 2014

    CERN Multimedia

    2014-01-01

    There are places available in the forthcoming Safety courses. For updates and registrations, please refer to the Safety Training Catalogue. Safety Training, HSE Unit safety-training@cern.ch Title of the course EN Title of the course FR Date Hours Language Chemical Safety ATEX Habilitation - Level 2 Habilitation ATEX - Niveau 2 16-Oct-14 to 17-Oct-14 9:00 - 17:30 French Cryogenic Safety Cryogenic Safety - Fundamentals Sécurité Cryogénie - Fondamentaux 23-Oct-14 10:00 - 12:00 English Cryogenic Safety - Helium Transfer Sécurité Cryogénie - Transfert d'hélium 30-Oct-14 9:30 - 12:00 English Electrical Safety Habilitation Electrique - Electrician Low Voltage - Initial Habilitation électrique - Électricien basse tension - Initial 02-Oct-14 to 06-Oct-14 9:00 - 17:30 English 20-Oct-14 to 22-Oct-14 9:00 -...

  16. Graphical symbols -- Safety colours and safety signs -- Part 1: Design principles for safety signs in workplaces and public areas

    CERN Document Server

    International Organization for Standardization. Geneva

    2002-01-01

    This International Standard establishes the safety identification colours and design principles for safety signs to be used in workplaces and in public areas for the purpose of accident prevention, fire protection, health hazard information and emergency evacuation. It also establishes the basic principles to be applied when developing standards containing safety signs. This part of ISO 3864 is applicable to workplaces and all locations and all sectors where safety-related questions may be posed. However, it is not applicable to the signalling used for guiding rail, road, river, maritime and air traffic and, generally speaking, to those sectors subject to a regulation which may differ.

  17. 46 CFR 92.01-2 - Incorporation by reference.

    Science.gov (United States)

    2010-10-01

    ... Convention for the Safety of Life at Sea (SOLAS), Consolidated Text of the International Convention for the... all Amendments in Effect from January 2001) (2001) (“IMO SOLAS 74”), incorporation by reference...

  18. Development of a new methodology for quantifying nuclear safety culture

    Energy Technology Data Exchange (ETDEWEB)

    Han, Kiyoon; Jae, Moosung [Hanyang Univ., Seoul (Korea, Republic of). Dept. of Nuclear Engineering

    2017-01-15

    The present study developed a Safety Culture Impact Assessment Model (SCIAM) which consists of a safety culture assessment methodology and a safety culture impact quantification methodology. The SCIAM uses a safety culture impact index (SCII) to monitor the status of safety culture of NPPs periodically and it uses relative core damage frequency (RCDF) to present the impact of safety culture on the safety of NPPs. As a result of applying the SCIAM to the reference plant (Kori 3), the standard for the healthy safety culture of the reference plant is suggested. SCIAM might contribute to improve the safety of NPPs (Nuclear Power Plants) by monitoring the status of safety culture periodically and presenting the standard of healthy safety culture.

  19. 46 CFR 154.1435 - Medical first aid guide.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Medical first aid guide. 154.1435 Section 154.1435 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY... Equipment § 154.1435 Medical first aid guide. Each vessel must have a copy of the IMO Medical First Aid...

  20. CT guided percutaneous needle biopsy of the chest: initial experience

    African Journals Online (AJOL)

    The objective of this article is to report our first experience of CT guided percutaneous thoracic biopsy and to demonstrate the accuracy and safety of this procedure. This was a retrospective study of 28 CT-Guided Percutaneous Needle Biopsies of the Chest performed on 24 patients between November 2014 and April 2015.

  1. Introduction to Office Duplication Practices. Units of Instruction. Teacher's Guide.

    Science.gov (United States)

    Powell, Theressa

    This teacher's guide is designed for use in providing secondary and postsecondary students in office occupations education programs with an introduction to office duplication practices. Addressed in the individual units of the guide are the following topics: orientation to classroom policies; classroom safety; grooming, hygiene, and nutrition;…

  2. Human Systems Integration (HSI) Practitioner's Guide

    Science.gov (United States)

    Zumbado, Jennifer Rochlis

    2015-01-01

    The NASA/SP-2015-3709, Human Systems Integration (HSI) Practitioner's Guide, also known as the "HSIPG," provides a tool for implementing HSI activities within the NASA systems engineering framework. The HSIPG is written to aid the HSI practitioner engaged in a program or project (P/P), and serves as a knowledge base to allow the practitioner to step into an HSI lead or team member role for NASA missions. Additionally, this HSIPG is written to address the role of HSI in the P/P management and systems engineering communities and aid their understanding of the value added by incorporating good HSI practices into their programs and projects. Through helping to build a community of knowledgeable HSI practitioners, this document also hopes to build advocacy across the Agency for establishing strong, consistent HSI policies and practices. Human Systems Integration (HSI) has been successfully adopted (and adapted) by several federal agencies-most notably the U.S. Department of Defense (DoD) and the Nuclear Regulatory Commission (NRC)-as a methodology for reducing system life cycle costs (LCCs). These cost savings manifest themselves due to reductions in required numbers of personnel, the practice of human-centered design, decreased reliance on specialized skills for operations, shortened training time, efficient logistics and maintenance, and fewer safety-related risks and mishaps due to unintended human/system interactions. The HSI process for NASA establishes how cost savings and mission success can be realized through systems engineering. Every program or project has unique attributes. This HSIPG is not intended to provide one-size-fits-all recommendations for HSI implementation. Rather, HSI processes should be tailored to the size, scope, and goals of individual situations. The instructions and processes identified here are best used as a starting point for implementing human-centered system concepts and designs across programs and projects of varying types, including

  3. A field guide to digital color

    CERN Document Server

    Stone, Maureen

    2013-01-01

    Maureen Stone's field guide to digital color presents a survey of digital color with special emphasis on those fields important for computer graphics. The book provides the foundation for understanding color and its applications, discusses color media and color management and the use of color in computer graphics, including color design and selection. The book provides a guide for anyone who wants to understand and apply digital color. An annotated bibliography provides in-depth references for further study on each topic.

  4. Guide to preparing SAND reports. Revised

    Energy Technology Data Exchange (ETDEWEB)

    Locke, T.K. [ed.

    1996-04-01

    This guide contains basic information needed to produce a SAND report. Its guidelines reflect DOE regulation and Sandia policy. The guide includes basic writing instructions in an annotated sample report; guidance for organization, format, and layout of reports produced by line organizations; and information about conference papers, journal articles, and brochures. The appendixes contain sections on Sandia`s preferred usage, equations, references, copyrights and permissions, and publishing terms.

  5. Nuclear Safety

    Energy Technology Data Exchange (ETDEWEB)

    Silver, E G [ed.

    1989-01-01

    This document is a review journal that covers significant developments in the field of nuclear safety. Its scope includes the analysis and control of hazards associated with nuclear energy, operations involving fissionable materials, and the products of nuclear fission and their effects on the environment. Primary emphasis is on safety in reactor design, construction, and operation; however, the safety aspects of the entire fuel cycle, including fuel fabrication, spent-fuel processing, nuclear waste disposal, handling of radioisotopes, and environmental effects of these operations, are also treated.

  6. Development of new safety devices for mine hoisting systems

    Energy Technology Data Exchange (ETDEWEB)

    Rowe, P.G. [Hardcastle & Richards Proprietary Ltd., Perth, WA (Australia)

    1993-12-31

    The only safety device currently in common use to prevent a cage load of men falling to the shaft bottom after a broken rope or attachment is safety grippers for use on wooden guides, and these are not considered entirely satisfactory. The paper describes a concept for a safety device that, in the event of a broken rope, will attach itself to either rope guides or steel guides in the shaft, and bring the cage to rest at a controlled rate of deceleration. Successful initial testwork has been completed on a simple form of restrainer which applies the controlled deceleration force through a wire rope suspension sling. 1 ref., 3 figs.

  7. Time Projection Compton Spectrometer (TPCS). User`s guide

    Energy Technology Data Exchange (ETDEWEB)

    Landron, C.O. [Sandia National Labs., Albuquerque, NM (United States); Baldwin, G.T. [International Atomic Energy Agency, Vienna (Austria)

    1994-04-01

    The Time Projection Compton Spectrometer (TPCS) is a radiation diagnostic designed to determine the time-integrated energy spectrum between 100 keV -- 2 MeV of flash x-ray sources. This guide is intended as a reference for the routine operator of the TPCS. Contents include a brief overview of the principle of operation, detailed component descriptions, detailed assembly and disassembly procedures, guide to routine operations, and troubleshooting flowcharts. Detailed principle of operation, signal analysis and spectrum unfold algorithms are beyond the scope of this guide; however, the guide makes reference to sources containing this information.

  8. Ultrasound-guided percutaneous core needle biopsy of splenic lesions

    Energy Technology Data Exchange (ETDEWEB)

    Park, SangIk; Shin, Yong Moon; Won, Hyung Jin; Kim, Pyo Nyun; Lee, Moon Gyu [Dept. of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul (Korea, Republic of)

    2017-05-15

    To evaluate the safety and efficacy of ultrasound-guided percutaneous core needle biopsy of splenic lesions. This retrospective study included 30 patients who underwent percutaneous core needle biopsy of their splenic lesions using 18- or 20-gauge needles between January 2001 and July 2016 in a single tertiary care center. The characteristics of the splenic lesions were determined by reviewing the ultrasound and computed tomography examinations. Acquisition rate and diagnostic accuracy were calculated, using pathologic results of the splenectomy specimen, clinical course and/or imaging follow-up as a reference standard. Post-procedure complications were identified from electronic medical records, laboratory findings and computed tomography images. Seventy-three specimens were obtained from the 30 patients and splenectomy was performed in 2 patients. Twenty-nine of the 30 patients had focal splenic lesions, while the remaining patient had homogeneous splenomegaly. Acquisition rate and diagnostic accuracy were 80.0% (24/30) and 76.7% (23/30), respectively. Perisplenic hemorrhage without hemodynamic instability developed in one patient. Ultrasound-guided percutaneous core needle biopsy of splenic lesions is a safe method for achieving a histopathologic diagnosis and can be considered as an alternative to splenectomy in patients with a high risk of splenectomy-related complications.

  9. Image-guided percutaneous biopsy of musculoskeletal lesions in children

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Hyun-Joon [Hospital for Sick Children, University of Toronto, Division of Image Guided Therapy, Department of Diagnostic Imaging, Toronto, ON (Canada); Konkuk University Chungju Hospital, Department of Radiology, Chungju (Korea); Amaral, Joao G.; Armstrong, Derek; Chait, Peter G.; Temple, Michael J.; John, Philip; Connolly, Bairbre L. [Hospital for Sick Children, University of Toronto, Division of Image Guided Therapy, Department of Diagnostic Imaging, Toronto, ON (Canada); Smith, Charles R.; Taylor, Glenn [Hospital for Sick Children, University of Toronto, Division of Pathology, Department of Paediatric Laboratory Medicine, Toronto (Canada)

    2007-04-15

    Percutaneous core needle biopsy (PCNB) of musculoskeletal lesions can provide early and definitive diagnosis and guide decisions on management. The technique is less invasive than open biopsy and has a low complication rate. The purpose of this study was to assess the diagnostic accuracy and safety of image-guided PCNB of musculoskeletal lesions in children. Retrospective review of the medical records of patients referred for PCNB of musculoskeletal lesions was performed. Data collected included tumor type and complication rates. Lesion ''hit'' or ''missed'', and core adequacy and ability to reach a definitive pathological diagnosis were reviewed and used to determine whether the biopsy was overall successful or unsuccessful. A total of 127 biopsies were performed in 111 patients. Of the 127 PCNB procedures, 114 ''hit'' the lesion and 13 ''missed,'' and 120 of the cores provided for analysis were deemed adequate for pathological interpretation and 7 were deemed inadequate. A definitive pathological diagnosis was possible in 97 of the 127 PCNB preocedures and not possible in 30. Overall 76% of the PCNB procedures were successful. The diagnostic success of biopsy in primary malignant tumors was significantly higher (92%) than in primary benign tumors (65%; P = 0.008). Six minor complications resulted from PCNB. This study showed that PCNB is accurate and safe for the diagnosis of musculoskeletal lesions in pediatric patients, and its results are comparable to those in adult studies. (orig.)

  10. Impacts of suppressing guide on information spreading

    CERN Document Server

    Xu, Jinghong; Ma, Baojun; Wu, Ye

    2015-01-01

    It is quite common that guides are introduced to suppress the information spreading in modern society for different purposes. In this paper, an agent-based model is established to quantitatively analyze the impacts of suppressing guides on information spreading. We find that the spreading threshold depends on the attractiveness of the information and the topology of the social network with no suppressing guides at all. Usually, one would expect that the existence of suppressing guides in the spreading procedure may result in less diffusion of information within the overall network. However, we find that sometimes the opposite is true: the manipulating nodes of suppressing guides may lead to more extensive information spreading when there are audiences with the reversal mind. These results can provide valuable theoretical references to public opinion guidance on various information, e.g., rumor or news spreading.

  11. Vaccine Safety

    Science.gov (United States)

    ... Search Form Controls Cancel Submit Search The CDC Vaccine Safety Note: Javascript is disabled or is not ... CDC.gov . Recommend on Facebook Tweet Share Compartir Vaccine Adverse Events Reporting System (VAERS) New website and ...

  12. Food safety

    Science.gov (United States)

    Poor food safety practices can lead to foodborne illness. Symptoms of foodborne illnesses vary. They usually include stomach problems or stomach upset. Foodborne illnesses may be severe and fatal. Young children, older ...

  13. A phase III, randomized, two-armed, double-blind, parallel, active controlled, and non-inferiority clinical trial to compare efficacy and safety of biosimilar adalimumab (CinnoRA®) to the reference product (Humira®) in patients with active rheumatoid arthritis.

    Science.gov (United States)

    Jamshidi, Ahmadreza; Gharibdoost, Farhad; Vojdanian, Mahdi; Soroosh, Soosan G; Soroush, Mohsen; Ahmadzadeh, Arman; Nazarinia, Mohammad Ali; Mousavi, Mohammad; Karimzadeh, Hadi; Shakibi, Mohammad Reza; Rezaieyazdi, Zahra; Sahebari, Maryam; Hajiabbasi, Asghar; Ebrahimi, Ali Asghar; Mahjourian, Najmeh; Rashti, Amin Mohammadinejad

    2017-07-20

    This study aimed to compare efficacy and safety of test-adalimumab (CinnoRA®, CinnaGen, Iran) to the innovator product (Humira®, AbbVie, USA) in adult patients with active rheumatoid arthritis (RA). In this randomized, double-blind, active-controlled, non-inferiority trial, a total of 136 patients with active RA were randomized to receive 40 mg subcutaneous injections of either CinnoRA® or Humira® every other week, while receiving methotrexate (15 mg/week), folic acid (1 mg/day), and prednisolone (7.5 mg/day) over a period of 24 weeks. Physical examinations, vital sign evaluations, and laboratory tests were conducted in patients at baseline and at 12-week and 24-week visits. The primary endpoint in this study was the proportion of patients achieving moderate and good disease activity score in 28 joints-erythrocyte sedimentation rate (DAS28-ESR)-based European League Against Rheumatism (EULAR) response. The secondary endpoints were the proportion of patients achieving American College of Rheumatology (ACR) criteria for 20% (ACR20), 50% (ACR50), and 70% (ACR70) responses along with the disability index of health assessment questionnaire (HAQ), and safety. Patients who were randomized to CinnoRA® or Humira® arms had comparable demographic information, laboratory results, and disease characteristics at baseline. The proportion of patients achieving good and moderate EULAR responses in the CinnoRA® group was non-inferior to the Humira® group at 12 and 24 weeks based on both intention-to-treat (ITT) and per-protocol (PP) populations (all p values >0.05). No significant difference was noted in the proportion of patients attaining ACR20, ACR50, and ACR70 responses in the CinnoRA® and Humira® groups (all p values >0.05). Further, the difference in HAQ scores and safety outcome measures between treatment arms was not statistically significant. CinnoRA® was shown to be non-inferior to Humira® in terms of efficacy at week 24 with a comparable safety profile

  14. Measuring and benchmarking safety culture: application of the safety attitudes questionnaire to an acute medical admissions unit.

    Science.gov (United States)

    Relihan, E; Glynn, S; Daly, D; Silke, B; Ryder, S

    2009-12-01

    To assess the safety culture in an acute medical admissions unit (AMAU) of a teaching hospital in order to benchmark results against international data and guide a unit-based, integrated, risk management strategy. The safety attitudes questionnaire (SAQ), a validated instrument for the measurement of safety culture was applied to an AMAU. All AMAU healthcare staff (n = 92) were surveyed: doctors, nurses, healthcare assistants (HCAs) and allied healthcare professionals (AHPs). Safety attitude scores for the overall unit and individual caregiver types were assessed across six domains of safety culture. When compared against an international benchmark, the AMAU scored significantly higher for four of the six safety domains: p safety climate' and 'stress recognition' and p safety climate' (p safety spectrum: employee and environmental safety, clinical risk management and medication safety.

  15. Robots' Safety

    OpenAIRE

    Pirttilahti, Juho

    2016-01-01

    Human-robot-collaboration is considered one of the answers to the flexible needs of more and more customizing manufacturing. Its purpose is to fit together the best qualities of both human and robots to reduce the cost and time of manufacturing. One of the key questions in this area is safety. The purpose of this thesis was to define the required safety functionality of cartesian, delta and articulated robots based on the current machine needs. Using the future robotic concepts investigat...

  16. Measure Guideline: Guide to Attic Air Sealing

    Energy Technology Data Exchange (ETDEWEB)

    Lstiburek, J.

    2014-09-01

    The Guide to Attic Air Sealing was completed in 2010 and although not in the standard Measure Guideline format, is intended to be a Measure Guideline on Attic Air Sealing. The guide was reviewed during two industry stakeholders meetings held on December 18th, 2009 and January 15th, 2010, and modified based on the comments received. Please do not make comments on the Building America format of this document. The purpose of the Guide to Attic Air Sealing is to provide information and recommendations for the preparation work necessary prior to adding attic insulation. Even though the purpose of this guide is to save energy - health, safety and durability should not be compromised by energy efficiency. Accordingly, combustion safety and ventilation for indoor air quality are addressed first. Durability and attic ventilation then follow. Finally, to maximize energy savings, air sealing is completed prior to insulating. The guide is intended for home remodelers, builders, insulation contractors, mechanical contractors, general contractors who have previously done remodeling and homeowners as a guide to the work that needs to be done.

  17. Safety first!

    CERN Multimedia

    2016-01-01

    Among the many duties I assumed at the beginning of the year was the ultimate responsibility for Safety at CERN: the responsibility for the physical safety of the personnel, the responsibility for the safe operation of the facilities, and the responsibility to ensure that CERN acts in accordance with the highest standards of radiation and environmental protection.   The Safety Policy document drawn up in September 2014 is an excellent basis for the implementation of Safety in all areas of CERN’s work. I am happy to commit during my mandate to help meet its objectives, not least by ensuring the Organization makes available the necessary means to achieve its Safety objectives. One of the main objectives of the HSE (Occupational Health and Safety and Environmental Protection) unit in the coming months is to enhance the measures to minimise CERN’s impact on the environment. I believe CERN should become a role model for an environmentally-aware scientific research laboratory. Risk ...

  18. Reference Dependent Altruism

    OpenAIRE

    Breitmoser, Yves; Tan, Jonathan H.W.

    2014-01-01

    In view of behavioral patterns left unorganized by current social preference theories, we propose a theory of reference dependent altruism (RDA). With RDA, one's degree of altruism increases at reference points. It induces equity and efficiency effects that are conditional on whether or not payoffs meet reference points. We verify the theory first by experimentally analyzing majority bargaining, where observed behavior contradicts existing theories but confirms RDA. Using parameter estimates ...

  19. Compendium of computer codes for the safety analysis of fast breeder reactors

    Energy Technology Data Exchange (ETDEWEB)

    1977-10-01

    The objective of the compendium is to provide the reader with a guide which briefly describes many of the computer codes used for liquid metal fast breeder reactor safety analyses, since it is for this system that most of the codes have been developed. The compendium is designed to address the following frequently asked questions from individuals in licensing and research and development activities: (1) What does the code do. (2) To what safety problems has it been applied. (3) What are the code's limitations. (4) What is being done to remove these limitations. (5) How does the code compare with experimental observations and other code predictions. (6) What reference documents are available.

  20. Android quick APIs reference

    CERN Document Server

    Cinar, Onur

    2015-01-01

    The Android Quick APIs Reference is a condensed code and APIs reference for the new Google Android 5.0 SDK. It presents the essential Android APIs in a well-organized format that can be used as a handy reference. You won't find any technical jargon, bloated samples, drawn out history lessons, or witty stories in this book. What you will find is a software development kit and APIs reference that is concise, to the point and highly accessible. The book is packed with useful information and is a must-have for any mobile or Android app developer or programmer. In the Android Quick APIs Refe

  1. Identifying organizational cultures that promote patient safety.

    Science.gov (United States)

    Singer, Sara J; Falwell, Alyson; Gaba, David M; Meterko, Mark; Rosen, Amy; Hartmann, Christine W; Baker, Laurence

    2009-01-01

    Safety climate refers to shared perceptions of what an organization is like with regard to safety, whereas safety culture refers to employees' fundamental ideology and orientation and explains why safety is pursued in the manner exhibited within a particular organization. Although research has sought to identify opportunities for improving safety outcomes by studying patterns of variation in safety climate, few empirical studies have examined the impact of organizational characteristics such as culture on hospital safety climate. This study explored how aspects of general organizational culture relate to hospital patient safety climate. In a stratified sample of 92 U.S. hospitals, we sampled 100% of senior managers and physicians and 10% of other hospital workers. The Patient Safety Climate in Healthcare Organizations and the Zammuto and Krakower organizational culture surveys measured safety climate and group, entrepreneurial, hierarchical, and production orientation of hospitals' culture, respectively. We administered safety climate surveys to 18,361 personnel and organizational culture surveys to a 5,894 random subsample between March 2004 and May 2005. Secondary data came from the 2004 American Hospital Association Annual Hospital Survey and Dun & Bradstreet. Hierarchical linear regressions assessed relationships between organizational culture and safety climate measures. Aspects of general organizational culture were strongly related to safety climate. A higher level of group culture correlated with a higher level of safety climate, but more hierarchical culture was associated with lower safety climate. Aspects of organizational culture accounted for more than threefold improvement in measures of model fit compared with models with controls alone. A mix of culture types, emphasizing group culture, seemed optimal for safety climate. Safety climate and organizational culture are positively related. Results support strategies that promote group orientation and

  2. RELAP-7 User's Guide

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Hongbin [Idaho National Lab. (INL), Idaho Falls, ID (United States); Zhao, Haihua [Idaho National Lab. (INL), Idaho Falls, ID (United States); Zou, Ling [Idaho National Lab. (INL), Idaho Falls, ID (United States); Andrs, David [Idaho National Lab. (INL), Idaho Falls, ID (United States); Berry, Ray Alden [Idaho National Lab. (INL), Idaho Falls, ID (United States); Martineau, Richard Charles [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-12-01

    The document contains a user's guide on how to run the RELAP-7 code. The RELAP-7 code is the next generation nuclear reactor system safety analysis code being developed at the Idaho National Laboratory. RELAP-7 will become the main reactor systems simulation toolkit for the LWRS (Light Water Reactor Sustainability) program’s RISMC (Risk Informed Safety Margin Characterization) effort and the next generation tool in the RELAP reactor safety/systems analysis application series. RELAP-7 is written with object oriented programming language C++. A number of example problems and their associated input files are presented in this document to guide users to run the RELAP-7 code starting with simple pipe problems to problems with increasing complexity.

  3. Access 2010 Programmer's Reference

    CERN Document Server

    Hennig, Teresa; Griffith, Geoffrey L

    2010-01-01

    A comprehensive guide to programming for Access 2010 and 2007. Millions of people use the Access database applications, and hundreds of thousands of developers work with Access daily. Access 2010 brings better integration with SQL Server and enhanced XML support; this Wrox guide shows developers how to take advantage of these and other improvements. With in-depth coverage of VBA, macros, and other programming methods for building Access applications, this book also provides real-world code examples to demonstrate each topic.: Access is the leading database that is used worldwide; While VBA rem

  4. Nuclear criticality safety: 2-day training course

    Energy Technology Data Exchange (ETDEWEB)

    Schlesser, J.A. [ed.] [comp.

    1997-02-01

    This compilation of notes is presented as a source reference for the criticality safety course. At the completion of this training course, the attendee will: be able to define terms commonly used in nuclear criticality safety; be able to appreciate the fundamentals of nuclear criticality safety; be able to identify factors which affect nuclear criticality safety; be able to identify examples of criticality controls as used as Los Alamos; be able to identify examples of circumstances present during criticality accidents; have participated in conducting two critical experiments; be asked to complete a critique of the nuclear criticality safety training course.

  5. An exercise in safety

    CERN Multimedia

    CERN Bulletin

    2014-01-01

    On 14 October, a large-scale evacuation exercise took place. Ten buildings (1-2-3-4-50-51-52-53-58-304), with a total capacity of almost 1900 people, were successfully evacuated.   The exercise, which for the first time involved all of the central buildings on the Meyrin site, was organised by the PH Department in collaboration with the HSE Unit, the GS Department and the safety officers of all the various departments involved. On the day, around 400 people were evacuated in just a few minutes.  “It took us three months to prepare for the exercise,” explains Niels Dupont, safety officer for the PH Department, who organised the exercise. “Around 100 people: safety officers, firefighters, emergency guides, observers, representatives from the control centre, etc. attended four preparatory meetings and five training sessions. We also purchased equipment such as evacuation chairs, high-visibility vests and signs to mark the evacuation route.” The dec...

  6. SAFETY INSTRUCTION AND SAFETY NOTE

    CERN Multimedia

    TIS Secretariat

    2002-01-01

    Please note that the SAFETY INSTRUCTION N0 49 (IS 49) and the SAFETY NOTE N0 28 (NS 28) entitled respectively 'AVOIDING CHEMICAL POLLUTION OF WATER' and 'CERN EXHIBITIONS - FIRE PRECAUTIONS' are available on the web at the following urls: http://edms.cern.ch/document/335814 and http://edms.cern.ch/document/335861 Paper copies can also be obtained from the TIS Divisional Secretariat, email: TIS.Secretariat@cern.ch

  7. Sports Safety: MedlinePlus Health Topic

    Science.gov (United States)

    ... freestyle... Sports Safety -- see more articles Reference Desk ACSM Fit Society Page (American College of Sports Medicine) ... our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support Get ...

  8. System safety education focused on flight safety

    Science.gov (United States)

    Holt, E.

    1971-01-01

    The measures necessary for achieving higher levels of system safety are analyzed with an eye toward maintaining the combat capability of the Air Force. Several education courses were provided for personnel involved in safety management. Data include: (1) Flight Safety Officer Course, (2) Advanced Safety Program Management, (3) Fundamentals of System Safety, and (4) Quantitative Methods of Safety Analysis.

  9. The Implementation and Maintenance of a Behavioral Safety Process in a Petroleum Refinery

    Science.gov (United States)

    Myers, Wanda V.; McSween, Terry E.; Medina, Rixio E.; Rost, Kristen; Alvero, Alicia M.

    2010-01-01

    A values-centered and team-based behavioral safety process was implemented in a petroleum oil refinery. Employee teams defined the refinery's safety values and related practices, which were used to guide the process design and implementation. The process included (a) a safety assessment; (b) the clarification of safety-related values and related…

  10. The Reference Interview

    Science.gov (United States)

    King, Geraldine B.

    1972-01-01

    Good reference librarians need to be good interviewers. Unfortunately most librarians have not learned to use the technique of open questions to obtain information about the user and what he is looking for. Examples of open and closed questions with typical responses are given. (4 references) (DH)

  11. California's Reference Crisis.

    Science.gov (United States)

    Childers, Thomas A.

    1994-01-01

    Social and economic issues affecting the vitality of public libraries in California are discussed. A 1993 study by the California State Library identified diminishing reference skills and reference collections, reduced funding which impacted staffing, increased demand, technology change, and language/culture issues as contributing factors to…

  12. The Reference Return Ratio

    DEFF Research Database (Denmark)

    Nicolaisen, Jeppe; Faber Frandsen, Tove

    2008-01-01

    The paper introduces a new journal impact measure called The Reference Return Ratio (3R). Unlike the traditional Journal Impact Factor (JIF), which is based on calculations of publications and citations, the new measure is based on calculations of bibliographic investments (references) and returns...

  13. Transportation and packaging resource guide

    Energy Technology Data Exchange (ETDEWEB)

    Arendt, J.W.; Gove, R.M.; Welch, M.J.

    1994-12-01

    The purpose of this resource guide is to provide a convenient reference document of information that may be useful to the U.S. Department of Energy (DOE) and DOE contractor personnel involved in packaging and transportation activities. An attempt has been made to present the terminology of DOE community usage as it currently exists. DOE`s mission is changing with emphasis on environmental cleanup. The terminology or nomenclature that has resulted from this expanded mission is included for the packaging and transportation user for reference purposes. Older terms still in use during the transition have been maintained. The Packaging and Transportation Resource Guide consists of four sections: Sect. 1, Introduction; Sect. 2, Abbreviations and Acronyms; Sect. 3, Definitions; and Sect. 4, References for packaging and transportation of hazardous materials and related activities, and Appendices A and B. Information has been collected from DOE Orders and DOE documents; U.S Department of Transportation (DOT), U.S. Environmental Protection Agency (EPA), and U.S. Nuclear Regulatory Commission (NRC) regulations; and International Atomic Energy Agency (IAEA) standards and other international documents. The definitions included in this guide may not always be a regulatory definition but are the more common DOE usage. In addition, the definitions vary among regulatory agencies. It is, therefore, suggested that if a definition is to be used in a regulatory or a legal compliance issue, the definition should be verified with the appropriate regulation. To assist in locating definitions in the regulations, a listing of all definition sections in the regulations are included in Appendix B. In many instances, the appropriate regulatory reference is indicated in the right-hand margin.

  14. Image guided prostate cancer treatments

    Energy Technology Data Exchange (ETDEWEB)

    Bard, Robert L. [Bard Cancer Center, Biofoundation for Angiogenesis Research and Development, New York, NY (United States); Fuetterer, Jurgen J. [Radboud Univ. Nijmegen, Medical Centre (Netherlands). Dept. of Radiology; Sperling, Dan (ed.) [Sperling Prostate Center, Alpha 3TMRI, New York, NY (United States)

    2014-07-01

    Systematic overview of the application of ultrasound and MRI in the diagnosis and treatment of diseases of the lower urinary tract. Detailed information on image-guided therapies, including focused ultrasound, photodynamic therapy, and microwave and laser ablation. Numerous high-quality illustrations based on high-end equipment. Represents the state of the art in Non Invasive Imaging and Minimally Invasive Ablation Treatment (MIAT). Image-Guided Prostate Cancer Treatments is a comprehensive reference and practical guide on the technology and application of ultrasound and MRI in the male pelvis, with special attention to the prostate. The book is organized into three main sections, the first of which is devoted to general aspects of imaging and image-guided treatments. The second section provides a systematic overview of the application of ultrasound and MRI to the diagnosis and treatment of diseases of the lower urinary tract. Performance of the ultrasound and MRI studies is explained, and the normal and abnormal pathological anatomy is reviewed. Correlation with the ultrasound in the same plane is provided to assist in understanding the MRI sequences. Biopsy and interventional procedures, ultrasound-MRI fusion techniques, and image-guided therapies, including focused ultrasound, photodynamic therapy, microwave and laser ablation, are all fully covered. The third section focuses on securing treatment effectiveness and the use of follow-up imaging to ensure therapeutic success and detect tumor recurrence at an early stage, which is vital given that prompt focal treatment of recurrence is very successful. Here, particular attention is paid to the role of Doppler ultrasound and DCE-MRI technologies. This book, containing a wealth of high-quality illustrations based on high-end equipment, will acquaint beginners with the basics of prostate ultrasound and MRI, while more advanced practitioners will learn new skills, means of avoiding pitfalls, and ways of effectively

  15. Laboratory safety handbook

    Science.gov (United States)

    Skinner, E.L.; Watterson, C.A.; Chemerys, J.C.

    1983-01-01

    Safety, defined as 'freedom from danger, risk, or injury,' is difficult to achieve in a laboratory environment. Inherent dangers, associated with water analysis and research laboratories where hazardous samples, materials, and equipment are used, must be minimized to protect workers, buildings, and equipment. Managers, supervisors, analysts, and laboratory support personnel each have specific responsibilities to reduce hazards by maintaining a safe work environment. General rules of conduct and safety practices that involve personal protection, laboratory practices, chemical handling, compressed gases handling, use of equipment, and overall security must be practiced by everyone at all levels. Routine and extensive inspections of all laboratories must be made regularly by qualified people. Personnel should be trained thoroughly and repetitively. Special hazards that may involve exposure to carcinogens, cryogenics, or radiation must be given special attention, and specific rules and operational procedures must be established to deal with them. Safety data, reference materials, and texts must be kept available if prudent safety is to be practiced and accidents prevented or minimized.

  16. Efficacy and Safety of Strict Voltage-based Substrate Mapping and Radiofrequency Catheter Ablation in Electrical Storms—Review of Substrate-mapping Guided Ablation in Frequent Appropriate Shocks

    OpenAIRE

    Arimoto, Takanori; Tada, Hiroshi; Sekiguchi, Yukio; Koyama, Takashi; Igarashi, Miyako; Yamasaki, Hiro; Machino, Takeshi; Kuroki, Kenji; Kuga, Keisuke; Aonuma, Kazutaka

    2009-01-01

    Background: We investigated the efficacy and safety of strict voltage-based substrate mapping and radiofrequency catheter ablation (SV-substrate-map ablation) in patients with electrical storm. Methods and Results: SV-substrate-map ablation was performed in 15 patients suffering from multiple appropriate shocks (6.0 ± 3.8/day) from implantable cardioverter defibrillators (ICDs). Strict voltage criteria were defined as: non-arrhythmogenic areas, >0.6mV; low voltage areas, >0.1 to ≤0.6 mV; a...

  17. Wildlife in Today's Landscapes. Leader's/Teacher's Guide L-5-20.

    Science.gov (United States)

    Krasny, Marianne E.

    This illustrated teacher's guide provides background and activities for helping youths aged 12 and older to understand basic wildlife biology and ecology. The first of the guide's five chapters is an introduction explaining the purpose and format of the guide, addressing safety and responsibility issues, and defining several terms and concepts…

  18. ALS beamline design requirements: A guide for beamline designers

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-06-01

    This manual is written as a guide for researchers in designing beamlines and endstations acceptable for use at the ALS. It contains guidelines and policies related to personnel safety and equipment and vacuum protection. All equipment and procedures must ultimately satisfy the safety requirements set aside in the Lawrence Berkeley National Laboratory (LBNL) Health and Safety Manual (PUB-3000) which is available from the ALS User Office or on the World WideWeb from the LBNL Homepage (http:// www.lbl.gov).

  19. Social Trust, Safety and the Choice of Tourist Destination

    DEFF Research Database (Denmark)

    Jensen, Susanne; Svendsen, Gert Tinggaard

    2016-01-01

    Does social trust influence safety and tourists’ destination choice? Our claim is that the roots of safety may take two forms: either formal institutions or informal institutions. Formal institutions concern how society can build up control mechanisms through the legal system, police authority...... the safety of tourists (and locals) without signalling a problem with safety. Building social trust may further enhance the feeling of safety and thereby attract even more tourists. Thus, our trust-safety theory may guide the active use of social trust by tourist officials and policy makers....

  20. [Translation and introduction of Guide to Methodological Standards in Pharmacoepidemiology].

    Science.gov (United States)

    Tian, Feng; Liao, Xing; Xie, Yan-Ming

    2013-09-01

    Post-marketing pharmacovigilance of drugs has become one of the most important activities for regulatory authorities. In China, pharmacovigilance is currently receiving the attention of government, pharmaceutical industries and the public. In order to support high quality pharmacoepidemiological studies and to stimulate innovation that benefits patients and the wider public, the European medicines agency (EMA) organized the European network of centres for pharmacoepidemiology and pharmacovigilance (ENCePP) to formulate and publish the Guide on Methodological Standards in Pharmacoepidemiology as a reference document for the methodological standards of pharmacovigilance activities in the European union (EU). It supplies methodological and scientific guidance, and advises on technical aspects of conducting parmacoepidemiological studies and undertaking parmacovigilance. As advice includes: legal and ethical requirements, general aspects of study protocols, research questions, approaches to data collection, study designs and methods, statistical and epidemiological analysis plans, quality control and quality assurance, reporting of adverse events to regulatory authorities, communication of findings, and so on. The translation and introduction of this guidance can provide a useful technical and methodological reference for us to carry out the pharmacovigilance (especially for parenterally administered Chinese medicine safety monitoring).

  1. The IAEA radioactive waste safety standards programme

    Energy Technology Data Exchange (ETDEWEB)

    Tourtellotte, James R.

    1995-12-31

    The IAEA is currently reviewing more than thirty publications in its Safety Series with a view toward consolidating and organizing information pertaining to radioactive waste. the effort is entitled Radioactive Waste Safety Standards programme (RADWASS). RADWASS is a significant undertaking and may have far reaching effects on radioactive waste management both in the international nuclear community and in individual nuclear States. This is because IAEA envisions the development of a consensus on the final document. In this circumstance, the product of RADWASS may ultimately be regarded as an international norm against which future actions of Member States may be measured. This program is organized in five subjects: planning, pre-disposal, disposal, uranium and thorium waste management and decommissioning, which has four levels: safety fundamentals, safety standards, safety guides and safety practices. (author).

  2. Super Safety and Health Day at KSC

    Science.gov (United States)

    2000-01-01

    Employees take a look at this NASCAR auto being displayed during Super Safety and Health Day at KSC. Safety Day is a full day of NASA-sponsored, KSC and 45th Space Wing events involving a number of health and safety related activities: Displays, vendors, technical paper sessions, panel discussions, a keynote speaker, etc. The entire Center and Wing stand down to participate in the planned events. Safety Day is held annually to proactively increase awareness in safety and health among the government and contractor workforce population. The first guiding principle at KSC is '''Safety and Health First.''' KSC's number one goal is to '''Assure sound, safe and efficient practices and processes are in place for privatized/commercialized launch site processing.'''

  3. STL pocket reference

    CERN Document Server

    Lischner, Ray

    2003-01-01

    The STL Pocket Reference describes the functions, classes, and templates in that part of the C++ standard library often referred to as the Standard Template Library (STL). The STL encompasses containers, iterators, algorithms, and function objects, which collectively represent one of the most important and widely used subsets of standard library functionality. The C++ standard library, even the subset known as the STL, is vast. It's next to impossible to work with the STL without some sort of reference at your side to remind you of template parameters, function invocations, return types--ind

  4. R quick syntax reference

    CERN Document Server

    Tollefson, Margot

    2014-01-01

    The R Quick Syntax Reference is a handy reference book detailing the intricacies of the R language. Not only is R a free, open-source tool, R is powerful, flexible, and has state of the art statistical techniques available. With the many details which must be correct when using any language, however, the R Quick Syntax Reference makes using R easier.Starting with the basic structure of R, the book takes you on a journey through the terminology used in R and the syntax required to make R work. You will find looking up the correct form for an expression quick and easy. With a copy of the R Quick

  5. Regular Expression Pocket Reference

    CERN Document Server

    Stubblebine, Tony

    2007-01-01

    This handy little book offers programmers a complete overview of the syntax and semantics of regular expressions that are at the heart of every text-processing application. Ideal as a quick reference, Regular Expression Pocket Reference covers the regular expression APIs for Perl 5.8, Ruby (including some upcoming 1.9 features), Java, PHP, .NET and C#, Python, vi, JavaScript, and the PCRE regular expression libraries. This concise and easy-to-use reference puts a very powerful tool for manipulating text and data right at your fingertips. Composed of a mixture of symbols and text, regular exp

  6. Handbook of reference electrodes

    CERN Document Server

    Inzelt, György; Scholz, Fritz

    2013-01-01

    Reference Electrodes are a crucial part of any electrochemical system, yet an up-to-date and comprehensive handbook is long overdue. Here, an experienced team of electrochemists provides an in-depth source of information and data for the proper choice and construction of reference electrodes. This includes all kinds of applications such as aqueous and non-aqueous solutions, ionic liquids, glass melts, solid electrolyte systems, and membrane electrodes. Advanced technologies such as miniaturized, conducting-polymer-based, screen-printed or disposable reference electrodes are also covered. Essen

  7. Biomedical Engineering Desk Reference

    CERN Document Server

    Ratner, Buddy D; Schoen, Frederick J; Lemons, Jack E; Dyro, Joseph; Martinsen, Orjan G; Kyle, Richard; Preim, Bernhard; Bartz, Dirk; Grimnes, Sverre; Vallero, Daniel; Semmlow, John; Murray, W Bosseau; Perez, Reinaldo; Bankman, Isaac; Dunn, Stanley; Ikada, Yoshito; Moghe, Prabhas V; Constantinides, Alkis

    2009-01-01

    A one-stop Desk Reference, for Biomedical Engineers involved in the ever expanding and very fast moving area; this is a book that will not gather dust on the shelf. It brings together the essential professional reference content from leading international contributors in the biomedical engineering field. Material covers a broad range of topics including: Biomechanics and Biomaterials; Tissue Engineering; and Biosignal Processing* A hard-working desk reference providing all the essential material needed by biomedical and clinical engineers on a day-to-day basis * Fundamentals, key techniques,

  8. US-guided percutaneous transhepatic biliary drainage: comparative study of right-sided and left-sided approach

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Hwan; Cha, Soon Joo [College of Medicine, Inje Univ., Kimhae (Korea, Republic of)

    2002-02-01

    To compare the feasibility and safety of US-guided right and left percutaneous transhepatic biliary drainage (PTBD). Between March 1998 and May 1999, 32 patients underwent 36 US-guided right or left PTBD in referred order, alternatively. The causes of biliary obstruction were bile duct stone (n=2), bile duct carcinoma (n=10), carcinoma of the pancreas (n=9), GB carcinoma (n=7), metastasis to the porta hepatis (n=3), and carcinoma of the ampulla of vater (n=1). Technical success, procedure time, fluoroscopic time, and complications were evaluated. PTBD was successful in 94% of both right and left approach. The average procedure time was 9.7 {+-}3.8 min. in the right approach and 9.6 {+-}3.1 min. in the left approach, respectively (p=0.794). The average fluoroscopic time were 3.9{+-}2.4 min. in the right approach and 3.8{+-}2.2 min. in the left approach (p=0.892). A major complication, bile peritonitis, occurred in one of 16 patient with right-sided approach. Minor complications occurred in six right (2 hemobilia, 3 tube malfunction, 1 cholangitis) and three left (1 hemobilia, 1 fever, 1cholangitis) PTBD. There were no significant difference in the complication rates between right and left PTBD (p=0.729). There were no significant differences in feasibility and safety in US-guided right and left PTBD.

  9. Topaz II preliminary safety assessment

    Science.gov (United States)

    Marshall, Albert C.; Standley, Vaughn; Voss, Susan S.; Haskin, Eric

    1993-01-01

    The Strategic Defense Initiative Organization (SDIO) decided to investigate the possibility of launching a Russian Topaz II space nuclear power system. A preliminary safety assessment was conducted to determine whether or not a space mission could be conducted safely and within budget constraints. As part of this assessment, a safety policy and safety functional requirements were developed to guide both the safety assessment and future Topaz II activities. A review of the Russian flight safety program was conducted and documented. Our preliminary safety assessment included a top level event tree, neutronic analysis of normal and accident configurations, an evaluation of temperature coefficients of reactivity, a reentry and disposal analysis, and analysis of postulated launch abort impact accidents, and an analysis of postulated propellant fire and explosion accidents. Based on the assessment, it appears that it will be possible to safely launch the Topaz II system in the U.S. with some possible system modifications. The principal system modifications will probably include design changes to preclude water flooded criticality and to assure intact reentry.

  10. A Guide Management System Based on RFID and Bluetooth Technology

    Science.gov (United States)

    Li, Han-Sheng; Wang, Jun-Jun

    The most fundamental and important requirement of the tour guide in the tour process is to ensure the safety of tourists. In this paper, a portable guide management system is designed based on RFID technology, the Android software and blue-tooth communication technology. Through this system, the guide can get real-time information if some tourists are l behind, and send text message or dial to those tourists who are l behind immediately. The system reduces the roll-calling time on the tourists, improves the tour guide work efficiency and service quality.

  11. NIF Programs Directorate: Integrated Safety Management System Implementation Plan October 2000

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, L

    2001-09-17

    Lawrence Livermore National Laboratory (LLNL) has developed a work structure that serves to ensure work is performed safely and in compliance with applicable environment, safety, and health (ES&H) requirements. Safety begins and ends with the worker ''on the floor'' conducting the work activity. The primary focus of the NIF Programs Integrated Safety Management System (ISMS) is to provide the worker with a sound work environment, necessary resources to perform the job, and adequate procedures and controls to ensure the work is performed safely. It is to this end that the ES&H roles, responsibilities, and authorities are developed and practiced. NIF Programs recognizes and understands the Department of Energy (DOE)/University of California (UC) Contract requirements for ISMS at LLNL and the opportunities and values of the system. NIF Programs understands and supports the DOE Integrated Safety Management (ISM) objective, guiding principles, core functions, and the institutional requirements contained in the LLNL ISMS Description document. NIF Programs is committed to implementing and utilizing ISMS in all of its programs, operations, facilities, and activities and to continuing to assess its successful implementation and use. NIF Programs ISMS has been developed consistent with the requirements of the ''LLNL Integrated Safety Management System Description'' document and specific ISMS implementation needs of NIF Programs. The purpose of this document is to define for NIF Programs' workers and communicate to both senior LLNL management and DOE how and where NIF Programs satisfies the institutional ISM requirements. This document consists of: (1) A NIF Programs document hierarchy that illustrates the flow of ES&H requirements from the directorate level to the worker. (2) A roles, responsibilities, and authorities section for ES&H management chain positions, (3) An ISM implementation matrix that references specific

  12. Playground Safety.

    Science.gov (United States)

    Sipes, James L.

    2000-01-01

    Discusses the issues of risk, liability, and fun when landscaping playgrounds with safety in mind. The importance of playground surfaces and several preventive measures landscapers can use to reduce the risk of injury are discussed. Concluding comments address playground design features and liability. (GR)

  13. Safety Resources.

    Science.gov (United States)

    Hoot, James L.; Bartkowiak, Elaine T.

    1994-01-01

    Lists 72 organizations and programs that deal with child safety, grouped by the following categories: (1) general; (2) general violence; (3) gun violence; (4) media violence; (5) drugs and alcohol; (6) child abuse and at-risk children; (7) parenting programs; (8) community service programs; (9) leadership programs; (10) peer counseling; (11)…

  14. Patient safety

    African Journals Online (AJOL)

    medical error and patient harm. The patient safety movement is now 13 years old, led by the publication of the US. Institute of Medicine (IOM) Report To Err is Human.1 The basic premise at the time was that annually up to 98 000 Americans were estimated to have died because of medical error (although this calculation.

  15. Spectral transmittance reference standards

    Energy Technology Data Exchange (ETDEWEB)

    Kruglyakova, M.A.; Belyaeva, O.N.; Nikitin, M.V.

    1995-06-01

    This paper presents spectral transmittance reference standards for UV and IR spectrophotometers, developed, studied, and certified by a precision spectrophotometry laboratory (the RSP Complex). 8 refs., 3 figs., 3 tabs.

  16. Toxicity Reference Database

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Toxicity Reference Database (ToxRefDB) contains approximately 30 years and $2 billion worth of animal studies. ToxRefDB allows scientists and the interested...

  17. Genetics Home Reference: aceruloplasminemia

    Science.gov (United States)

    ... an inherited neurodegenerative disease with impairment of iron homeostasis. Ann N Y Acad Sci. 2004 Mar;1012:299-305. Review. Citation on PubMed More from Genetics Home Reference Bulletins Crick, Watson, and Wilkins Awarded ...

  18. Ozone Standard Reference Photometer

    Data.gov (United States)

    Federal Laboratory Consortium — The Standard Reference Photometer (SRP) Program began in the early 1980s as collaboration between NIST and the U.S. Environmental Protection Agency (EPA) to design,...

  19. Dissolution processes. [224 references

    Energy Technology Data Exchange (ETDEWEB)

    Silver, G.L.

    1976-10-22

    This review contains more than 100 observations and 224 references on the dissolution phenomenon. The dissolution processes are grouped into three categories: methods of aqueous attack, fusion methods, and miscellaneous observations on phenomena related to dissolution problems. (DLC)

  20. Introduction to Reference Links

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Unlike most traditional metadata systems, the power of ServCat comes in relating a Reference to others. This module discusses the different types of links (aka...