WorldWideScience

Sample records for standard analog-electronic control

  1. Beginning analog electronics through projects

    CERN Document Server

    Singmin, Andrew

    2001-01-01

    Analog electronics is the simplest way to start a fun, informative, learning program. Beginning Analog Electronics Through Projects, Second Edition was written with the needs of beginning hobbyists and students in mind. This revision of Andrew Singmin's popular Beginning Electronics Through Projects provides practical exercises, building techniques, and ideas for useful electronics projects. Additionally, it features new material on analog and digital electronics, and new projects for troubleshooting test equipment.Published in the tradition of Beginning Electronics Through Projects an

  2. Practical analog electronics for technicians

    CERN Document Server

    Kimber, W A

    2013-01-01

    'Practical Analog Electronics for Technicians' not only provides an accessible introduction to electronics, but also supplies all the problems and practical activities needed to gain hands-on knowledge and experience. This emphasis on practice is surprisingly unusual in electronics texts, and has already gained Will Kimber popularity through the companion volume, 'Practical Digital Electronics for Technicians'. Written to cover the Advanced GNVQ optional unit in electronics, this book is also ideal for BTEC National, A-level electronics and City & Guilds courses. Together with 'Practical Digit

  3. Analog electronics for radiation detection

    CERN Document Server

    2016-01-01

    Analog Electronics for Radiation Detection showcases the latest advances in readout electronics for particle, or radiation, detectors. Featuring chapters written by international experts in their respective fields, this authoritative text: Defines the main design parameters of front-end circuitry developed in microelectronics technologies Explains the basis for the use of complementary metal oxide semiconductor (CMOS) image sensors for the detection of charged particles and other non-consumer applications Delivers an in-depth review of analog-to-digital converters (ADCs), evaluating the pros and cons of ADCs integrated at the pixel, column, and per-chip levels Describes incremental sigma delta ADCs, time-to-digital converter (TDC) architectures, and digital pulse-processing techniques complementary to analog processing Examines the fundamental parameters and front-end types associated with silicon photomultipliers used for single visible-light photon detection Discusses pixel sensors ...

  4. Analog Electronic Filters Theory, Design and Synthesis

    CERN Document Server

    Dimopoulos, Hercules G

    2012-01-01

    Filters are essential subsystems in a huge variety of electronic systems. Filter applications are innumerable; they are used for noise reduction, demodulation, signal detection, multiplexing, sampling, sound and speech processing, transmission line equalization and image processing, to name just a few. In practice, no electronic system can exist without filters. They can be found in everything from power supplies to mobile phones and hard disk drives and from loudspeakers and MP3 players to home cinema systems and broadband Internet connections. This textbook introduces basic concepts and methods and the associated mathematical and computational tools employed in electronic filter theory, synthesis and design.  This book can be used as an integral part of undergraduate courses on analog electronic filters. Includes numerous, solved examples, applied examples and exercises for each chapter. Includes detailed coverage of active and passive filters in an independent but correlated manner. Emphasizes real filter...

  5. Graphene-on-semiconductor substrates for analog electronics

    Science.gov (United States)

    Lagally, Max G.; Cavallo, Francesca; Rojas-Delgado, Richard

    2016-04-26

    Electrically conductive material structures, analog electronic devices incorporating the structures and methods for making the structures are provided. The structures include a layer of graphene on a semiconductor substrate. The graphene layer and the substrate are separated by an interfacial region that promotes transfer of charge carriers from the surface of the substrate to the graphene.

  6. Sequences of gluing bifurcations in an analog electronic circuit

    Energy Technology Data Exchange (ETDEWEB)

    Akhtanov, Sayat N.; Zhanabaev, Zeinulla Zh. [Physico-Technical Department, Al Farabi Kazakh National University, Al Farabi Av. 71, Almaty, 050038 Kazakhstan (Kazakhstan); Zaks, Michael A., E-mail: zaks@math.hu-berlin.de [Institute of Mathematics, Humboldt University, Rudower Chaussee 25, D-12489 Berlin (Germany)

    2013-10-01

    We report on the experimental investigation of gluing bifurcations in the analog electronic circuit which models a dynamical system of the third order: Lorenz equations with an additional quadratic nonlinearity. Variation of one of the resistances in the circuit changes the coefficient at this nonlinearity and replaces the Lorenz route to chaos by a different scenario which leads, through the sequence of homoclinic bifurcations, from periodic oscillations of the voltage to the irregular ones. Every single bifurcation “glues” in the phase space two stable periodic orbits and creates a new one, with the doubled length: a sequence of such bifurcations results in the birth of the chaotic attractor.

  7. Analysis and application of analog electronic circuits to biomedical instrumentation

    CERN Document Server

    Northrop, Robert B

    2012-01-01

    All chapters include an introduction and chapter summary.Sources and Properties of Biomedical SignalsSources of Endogenous Bioelectric SignalsNerve Action PotentialsMuscle Action PotentialsThe ElectrocardiogramOther BiopotentialsElectrical Properties of BioelectrodesExogenous Bioelectric SignalsProperties and Models of Semiconductor Devices Used in Analog Electronic Systemspn Junction DiodesMidfrequency Models for BJT BehaviorMidfrequency Models for Field-Effect TransistorsHigh-Frequency Models for Transistors and Simple Transistor AmplifiersPhotons, Photodiodes, Photoconductors, LEDs, and Las

  8. Fuzzy classifier for fault diagnosis in analog electronic circuits.

    Science.gov (United States)

    Kumar, Ashwani; Singh, A P

    2013-11-01

    Many studies have presented different approaches for the fault diagnosis with fault models having ± 50% variation in the component values in analog electronic circuits. There is still a need of the approaches which provide the fault diagnosis with the variation in the component value below ± 50%. A new single and multiple fault diagnosis technique for soft faults in analog electronic circuit using fuzzy classifier has been proposed in this paper. This technique uses the simulation before test (SBT) approach by analyzing the frequency response of the analog circuit under faulty and fault free conditions. Three signature parameters peak gain, frequency and phase associated with peak gain, of the frequency response of the analog circuit are observed and extracted such that they give unique values for faulty and fault free configuration of the circuit. The single and double fault models with the component variations from ± 10% to ± 50% are considered. The fuzzy classifier along the classification of faults gives the estimated component value under faulty and faultfree conditions. The proposed method is validated using simulated data and the real time data for a benchmark analog circuit. The comparative analysis is also presented for both the validations. Copyright © 2013 ISA. Published by Elsevier Ltd. All rights reserved.

  9. DOE standard: Radiological control

    International Nuclear Information System (INIS)

    1999-07-01

    The Department of Energy (DOE) has developed this Standard to assist line managers in meeting their responsibilities for implementing occupational radiological control programs. DOE has established regulatory requirements for occupational radiation protection in Title 10 of the Code of Federal Regulations, Part 835 (10 CFR 835), ''Occupational Radiation Protection''. Failure to comply with these requirements may lead to appropriate enforcement actions as authorized under the Price Anderson Act Amendments (PAAA). While this Standard does not establish requirements, it does restate, paraphrase, or cite many (but not all) of the requirements of 10 CFR 835 and related documents (e.g., occupational safety and health, hazardous materials transportation, and environmental protection standards). Because of the wide range of activities undertaken by DOE and the varying requirements affecting these activities, DOE does not believe that it would be practical or useful to identify and reproduce the entire range of health and safety requirements in this Standard and therefore has not done so. In all cases, DOE cautions the user to review any underlying regulatory and contractual requirements and the primary guidance documents in their original context to ensure that the site program is adequate to ensure continuing compliance with the applicable requirements. To assist its operating entities in achieving and maintaining compliance with the requirements of 10 CFR 835, DOE has established its primary regulatory guidance in the DOE G 441.1 series of Guides. This Standard supplements the DOE G 441.1 series of Guides and serves as a secondary source of guidance for achieving compliance with 10 CFR 835

  10. DOE standard: Radiological control

    Energy Technology Data Exchange (ETDEWEB)

    1999-07-01

    The Department of Energy (DOE) has developed this Standard to assist line managers in meeting their responsibilities for implementing occupational radiological control programs. DOE has established regulatory requirements for occupational radiation protection in Title 10 of the Code of Federal Regulations, Part 835 (10 CFR 835), ``Occupational Radiation Protection``. Failure to comply with these requirements may lead to appropriate enforcement actions as authorized under the Price Anderson Act Amendments (PAAA). While this Standard does not establish requirements, it does restate, paraphrase, or cite many (but not all) of the requirements of 10 CFR 835 and related documents (e.g., occupational safety and health, hazardous materials transportation, and environmental protection standards). Because of the wide range of activities undertaken by DOE and the varying requirements affecting these activities, DOE does not believe that it would be practical or useful to identify and reproduce the entire range of health and safety requirements in this Standard and therefore has not done so. In all cases, DOE cautions the user to review any underlying regulatory and contractual requirements and the primary guidance documents in their original context to ensure that the site program is adequate to ensure continuing compliance with the applicable requirements. To assist its operating entities in achieving and maintaining compliance with the requirements of 10 CFR 835, DOE has established its primary regulatory guidance in the DOE G 441.1 series of Guides. This Standard supplements the DOE G 441.1 series of Guides and serves as a secondary source of guidance for achieving compliance with 10 CFR 835.

  11. Radiological Control Technician: Standardized technician Qualification Standard

    International Nuclear Information System (INIS)

    1992-10-01

    The Qualification Standard states and defines the knowledge and skill requirements necessary for successful completion of the Radiological Control Technician Training Program. The standard is divided into three phases: Phase I concerns RCT Academic training. There are 13 lessons associated with the core academics program and 19 lessons associated with the site academics program. The staff member should sign the appropriate blocks upon successful completion of the examination for that lesson or group of lessons. In addition, facility specific lesson plans may be added to meet the knowledge requirements in the Job Performance Measures (JPM) of the practical program. Phase II concerns RCT core/site practical (JPMs) training. There are thirteen generic tasks associated with the core practical program. Both the trainer/evaluator and student should sign the appropriate block upon successful completion of the JPM. In addition, facility specific tasks may be added or generic tasks deleted based on the results of the facility job evaluation. Phase III concerns the oral examination board successful completion of the oral examination board is documented by the signature of the chairperson of the board. Upon completion of all of the standardized technician qualification requirements, final qualification is verified by the student and the manager of the Radiological Control Department and acknowledged by signatures on the qualification standard. The completed Qualification Standard shall be maintained as an official training record

  12. Radiation control standards and procedures

    Energy Technology Data Exchange (ETDEWEB)

    1956-12-14

    This manual contains the Radiation Control Standards'' and Radiation Control Procedures'' at Hanford Operations which have been established to provide the necessary control radiation exposures within Irradiation Processing Department. Provision is also made for including, in the form of Bulletins'', other radiological information of general interest to IPD personnel. The purpose of the standards is to establish firm radiological limits within which the Irradiation Processing Department will operate, and to outline our radiation control program in sufficient detail to insure uniform and consistent application throughout all IPD facilities. Radiation Control Procedures are intended to prescribe the best method of accomplishing an objective within the limitations of the Radiation Control Standards. A procedure may be changed at any time provided the suggested changes is generally agreeable to management involved, and is consistent with department policies and the Radiation Control Standards.

  13. Mixing problem based learning and conventional teaching methods in an analog electronics course

    NARCIS (Netherlands)

    Podges, J M; Kommers, P A M; Winnips, K; van Joolingen, W R

    2014-01-01

    This study, undertaken at the Walter Sisulu University of Technology (WSU) in South Africa, describes how problem-based learning (PBL) affects the first year 'analog electronics course', when PBL and the lecturing mode is compared. Problems were designed to match real-life situations. Data between

  14. Mixing Problem Based Learning And Conventional Teaching Methods In An Analog Electronics Course

    NARCIS (Netherlands)

    Podges, J.M.; Kommers, Petrus A.M.; Winnips, K.; van Joolingen, Wouter

    2014-01-01

    This study, undertaken at the Walter Sisulu University of Technology (WSU) in South Africa, describes how problem-based learning (PBL) affects the first year ‘analog electronics course’, when PBL and the lecturing mode is compared. Problems were designed to match real-life situations. Data between

  15. Standardization of detector control systems

    International Nuclear Information System (INIS)

    Fukunaga, Chikara

    2000-01-01

    Current and future detectors for high-energy and/or nuclear physics experiments require highly intelligent detector control systems. In order to reduce resources, the construction of a standardized template for the control systems based on the commercially available superviser control and data acquisition (SCADA) system has been proposed. The possibility of constructing this template is discussed and several key issues for evaluation of SCADA as the basis for such a template are presented. (author)

  16. 77 FR 43196 - Minimum Internal Control Standards and Technical Standards

    Science.gov (United States)

    2012-07-24

    ... NATIONAL INDIAN GAMING COMMISSION 25 CFR Parts 543 and 547 Minimum Internal Control Standards [email protected] . SUPPLEMENTARY INFORMATION: Part 543 addresses minimum internal control standards (MICS) for Class II gaming operations. The regulations require tribes to establish controls and implement...

  17. Investigating student learning in upper-division laboratory courses on analog electronics

    Science.gov (United States)

    Stetzer, Mackenzie

    2017-04-01

    There are many important learning goals associated with upper-division laboratory instruction; however, until recently, relatively little work has focused on assessing the impact of these laboratory-based courses on students. As part of an ongoing, in-depth investigation of student learning in upper-division laboratory courses on analog electronics, we have been examining the extent to which students enrolled in these courses develop a robust and functional understanding of both canonical electronics topics (e.g., diode, transistor, and op-amp circuits) and foundational circuits concepts (e.g., Kirchhoff's laws and voltage division). This focus on conceptual understanding is motivated in part by a large body of research revealing significant student difficulties with simple dc circuits at the introductory level and by expectations that students finish electronics courses with a level of understanding suitable for building circuits for a variety of practical, real-world applications. We have also recently extended the scope of our investigation to include more laboratory-focused learning goals such as the development of (1) troubleshooting proficiency and (2) circuit chunking and design abilities. This talk will highlight findings from written questions and interview tasks that have been designed to probe student understanding in sufficient depth to identify conceptual and reasoning difficulties. Specific examples will be used to illustrate the ways in which this research may inform instruction in upper-division laboratory courses on analog electronics. This material is based upon work supported by the National Science Foundation under Grant Nos. DUE-1323426, DUE-1022449, DUE-0962805, and DUE-0618185.

  18. International Electrotechnical Commission standards and French material control standards

    International Nuclear Information System (INIS)

    Furet, J.; Weill, J.

    1978-01-01

    There are reported the international standards incorporated into the IEC Subcommitee 45 A (Nuclear Reactor Instrumentation) and the national standards elaborated by the Commissariat a l'Energie Atomique, CEA, Group of normalized control equipment, the degree of application of those being reported on the base design, call of bids and exploitation of nuclear power plants. (J.E. de C)

  19. Control system architecture: The standard and non-standard models

    International Nuclear Information System (INIS)

    Thuot, M.E.; Dalesio, L.R.

    1993-01-01

    Control system architecture development has followed the advances in computer technology through mainframes to minicomputers to micros and workstations. This technology advance and increasingly challenging accelerator data acquisition and automation requirements have driven control system architecture development. In summarizing the progress of control system architecture at the last International Conference on Accelerator and Large Experimental Physics Control Systems (ICALEPCS) B. Kuiper asserted that the system architecture issue was resolved and presented a ''standard model''. The ''standard model'' consists of a local area network (Ethernet or FDDI) providing communication between front end microcomputers, connected to the accelerator, and workstations, providing the operator interface and computational support. Although this model represents many present designs, there are exceptions including reflected memory and hierarchical architectures driven by requirements for widely dispersed, large channel count or tightly coupled systems. This paper describes the performance characteristics and features of the ''standard model'' to determine if the requirements of ''non-standard'' architectures can be met. Several possible extensions to the ''standard model'' are suggested including software as well as the hardware architectural feature

  20. Control system architecture: The standard and non-standard models

    International Nuclear Information System (INIS)

    Thuot, M.E.; Dalesio, L.R.

    1993-01-01

    Control system architecture development has followed the advances in computer technology through mainframes to minicomputers to micros and workstations. This technology advance and increasingly challenging accelerator data acquisition and automation requirements have driven control system architecture development. In summarizing the progress of control system architecture at the last International Conference on Accelerator and Large Experimental Physics Control Systems (ICALEPCS) B. Kuiper asserted that the system architecture issue was resolved and presented a open-quotes standard modelclose quotes. The open-quotes standard modelclose quotes consists of a local area network (Ethernet or FDDI) providing communication between front end microcomputers, connected to the accelerator, and workstations, providing the operator interface and computational support. Although this model represents many present designs, there are exceptions including reflected memory and hierarchical architectures driven by requirements for widely dispersed, large channel count or tightly coupled systems. This paper describes the performance characteristics and features of the open-quotes standard modelclose quotes to determine if the requirements of open-quotes non-standardclose quotes architectures can be met. Several possible extensions to the open-quotes standard modelclose quotes are suggested including software as well as the hardware architectural features

  1. Control Systems Cyber Security Standards Support Activities

    Energy Technology Data Exchange (ETDEWEB)

    Robert Evans

    2009-01-01

    The Department of Homeland Security’s Control Systems Security Program (CSSP) is working with industry to secure critical infrastructure sectors from cyber intrusions that could compromise control systems. This document describes CSSP’s current activities with industry organizations in developing cyber security standards for control systems. In addition, it summarizes the standards work being conducted by organizations within the sector and provides a brief listing of sector meetings and conferences that might be of interest for each sector. Control systems cyber security standards are part of a rapidly changing environment. The participation of CSSP in the development effort for these standards has provided consistency in the technical content of the standards while ensuring that information developed by CSSP is included.

  2. Standardization of positive controls in diagnostic immunohistochemistry

    DEFF Research Database (Denmark)

    Torlakovic, Emina E; Nielsen, Søren; Francis, Glenn

    2015-01-01

    advances in methodology. An Ad Hoc Expert Committee was formed to address the standardization of controls, which is a missing link in demonstrating and assuring standardization of the various components of dIHC. This committee has also developed a concept of immunohistochemistry critical assay performance...

  3. Electrical, instrumentation, and control codes and standards

    International Nuclear Information System (INIS)

    Kranning, A.N.

    1978-01-01

    During recent years numerous documents in the form of codes and standards have been developed and published to provide design, fabrication and construction rules and criteria applicable to instrumentation, control and power distribution facilities for nuclear power plants. The contents of this LTR were prepared by NUS Corporation under Subcontract K5108 and provide a consolidated index and listing of the documents selected for their application to procurement of materials and design of modifications and new construction at the LOFT facility. These codes and standards should be applied together with the National Electrical Code, the ID Engineering Standards and LOFT Specifications to all LOFT instrument and electrical design activities

  4. PROWAY - a standard for distributed control systems

    International Nuclear Information System (INIS)

    Gellie, R.W.

    1980-01-01

    The availability of cheap and powerful microcomputer and data communications equipment has led to a major revision of instrumentation and control systems. Intelligent devices can now be used and distributed about the control system in a systematic and economic manner. These sub-units are linked by a communications system to provide a total system capable of meeting the required plant objectives. PROWAY, an international standard process data highway for interconnecting processing units in distributed industrial process control systems, is currently being developed. This paper describes the salient features and current status of the PROWAY effort. (auth)

  5. Controlled Vocabulary Standards for Anthropological Datasets

    Directory of Open Access Journals (Sweden)

    Celia Emmelhainz

    2014-07-01

    Full Text Available This article seeks to outline the use of controlled vocabulary standards for qualitative datasets in cultural anthropology, which are increasingly held in researcher-accessible government repositories and online digital libraries. As a humanistic science that can address almost any aspect of life with meaning to humans, cultural anthropology has proven difficult for librarians and archivists to effectively organize. Yet as anthropology moves onto the web, the challenge of organizing and curating information within the field only grows. In considering the subject classification of digital information in anthropology, I ask how we might best use controlled vocabularies for indexing digital anthropological data. After a brief discussion of likely concerns, I outline thesauri which may potentially be used for vocabulary control in metadata fields for language, location, culture, researcher, and subject. The article concludes with recommendations for those existing thesauri most suitable to provide a controlled vocabulary for describing digital objects in the anthropological world.

  6. Process Control System Cyber Security Standards - An Overview

    Energy Technology Data Exchange (ETDEWEB)

    Robert P. Evans

    2006-05-01

    The use of cyber security standards can greatly assist in the protection of process control systems by providing guidelines and requirements for the implementation of computer-controlled systems. These standards are most effective when the engineers and operators, using the standards, understand what each standard addresses. This paper provides an overview of several standards that deal with the cyber security of process measurements and control systems.

  7. Implementation of Standardized Vehicle Control Commands

    National Research Council Canada - National Science Library

    Crane, C

    2000-01-01

    .... The objective was to develop a standardized message that would be applicable to a wide variety of vehicles such as steered-wheeled and tracked ground vehicles, fixed wing and rotary air vehicles...

  8. Assessment of Safety Standards for Automotive Electronic Control Systems

    Science.gov (United States)

    2016-06-01

    This report summarizes the results of a study that assessed and compared six industry and government safety standards relevant to the safety and reliability of automotive electronic control systems. These standards include ISO 26262 (Road Vehicles - ...

  9. 77 FR 32444 - Minimum Internal Control Standards

    Science.gov (United States)

    2012-06-01

    ... discrepancy between the smart card definition and the patron deposit account standards by eliminating the definitional requirement that smart cards be the only source of account data. Second, it no longer lists... a player. Smart card. A card with embedded integrated circuits that possesses the means to...

  10. 77 FR 58707 - Minimum Internal Control Standards

    Science.gov (United States)

    2012-09-21

    ... industry standard definition of smart card conflicts with this section because it prohibits smart cards... smart card must not be the only source of account data in this section because it must retrieve the data... hours. Shill. An agent financed by the gaming operation and acting as a player. Smart card. A card with...

  11. 42 CFR 493.1256 - Standard: Control procedures.

    Science.gov (United States)

    2010-10-01

    ... results are used, statistical parameters (for example, mean and standard deviation) for each batch and lot... 42 Public Health 5 2010-10-01 2010-10-01 false Standard: Control procedures. 493.1256 Section 493... (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Quality System for Nonwaived Testing Analytic...

  12. 78 FR 11793 - Minimum Internal Control Standards

    Science.gov (United States)

    2013-02-20

    ....2 What are the definitions for this part? * * * * * Currency cassette. A locked compartment that... DEPARTMENT OF THE INTERIOR National Indian Gaming Commission 25 CFR Part 543 RIN 3141-AA27 Minimum... 590. The rule added a new part to the Commission's regulations establishing Minimum Internal Control...

  13. Process Control System Cyber Security Standards - An Overview

    Energy Technology Data Exchange (ETDEWEB)

    Robert P. Evans; V Stanley Scown; Rolf Carlson; Shabbir Shamsuddin; George Shaw; Jeff Dagle; Paul W Oman; Jeannine Schmidt

    2005-10-01

    The use of cyber security standards can greatly assist in the protection of critical infrastructure by providing guidelines and requisite imperatives in the implementation of computer-controlled systems. These standards are most effective when the engineers and operators using the standards understand what each of the standards addresses and does not address. This paper provides a review and comparison of ten documents dealing with control system cyber security. It is not meant to be a complete treatment of all applicable standards; rather, this is an exemplary analysis showing the benefits of comparing and contrasting differing documents.

  14. OSHA Bloodborne Pathogens Standards Exposure Control Plan

    Science.gov (United States)

    Luhrs, Caro Elise; Teitelbaum, Rita

    1993-01-01

    The Hummer Associates Exposure Control Plan is designed to reduce significant occupational exposure to bloodborne pathogens and infectious materials for Hummer Associates health care personnel. Under universal precautions, all patients and all body fluids are considered potentially infectious for bloodborne pathogens. Medical personnel need not be at increased risk if universal precautions are correctly understood and followed. This program covers all employees who could reasonably anticipate contact with blood or other potentially infectious materials during the performance of their job responsibilities. Although HIV and hepatitis B are mentioned most often, this program applies to all bloodborne diseases. The two main components needed to implement this program are universal precautions and engineering/work practice controls. This program covers all employees who may have occupational exposure to blood or other potentially infectious materials. Other aspects of this program are discussed.

  15. Help for the Developers of Control System Cyber Security Standards

    Energy Technology Data Exchange (ETDEWEB)

    Robert P. Evans

    2008-05-01

    A Catalog of Control Systems Security: Recommendations for Standards Developers (Catalog), aimed at assisting organizations to facilitate the development and implementation of control system cyber security standards, has been developed. This catalog contains requirements that can help protect control systems from cyber attacks and can be applied to the Critical Infrastructures and Key Resources of the United States and other nations. The requirements contained in the catalog are a compilation of practices or various industry bodies used to increase the security of control systems from both physical and cyber attacks. They should be viewed as a collection of recommendations to be considered and judiciously employed, as appropriate, when reviewing and developing cyber security standards for control systems. The recommendations in the Catalog are intended to be broad enough to provide any industry using control systems the flexibility needed to develop sound cyber security standards specific to their individual security requirements.

  16. Progress in standardization for ITER Remote Handling control system

    Energy Technology Data Exchange (ETDEWEB)

    Hamilton, David Thomas, E-mail: david.hamilton@iter.org [ITER Organization, Route de Vinon, 13115 St. Paul-lez-Durance (France); Tesini, Alessandro [ITER Organization, Route de Vinon, 13115 St. Paul-lez-Durance (France); Ranz, Roberto [Fusion for Energy, Torres Diagonal Litoral B3, Josep Pla 2, 08019 Barcelona (Spain); Kozaka, Hiroshi [Japan Atomic Energy Agency, Fusion Research and Development Directorate, Naka, Ibaraki-ken 311-0193 (Japan)

    2014-10-15

    Graphical abstract: - Highlights: • Standard parts specified for ITER Remote Handling (RH) control system. • Standard approach for VR modeling of structural deformations in real-time. • RH Core System produced as standard platform for RH controller applications. • Synthetic Viewing investigated and demonstrated. • Structured language defined for RH operation procedures and motion sequences. - Abstract: An integrated control system architecture has been defined for the ITER Remote Handling (RH) equipment systems, and work has been continuing to develop and validate standards for this architecture. Evaluations of standard parts and a standard control room work-cell have contributed to an update of the RH Control System Design Handbook, while R and D activities have been carried out to validate concepts for standard solutions to ITER RH problems: the use of a standard master arm with different slave arms, the achievement of high accuracy tracking of RH operations within virtual reality, and condition monitoring of RH equipment systems. The standardization efforts have been consolidated through the development of a freely distributable software platform to support the adoption of the ITER RH standards. The RH Core System installs on top of the CODAC Core System and provides the basic platform for the development of ITER RH equipment controller applications. The standardization work has continued in the areas of RH viewing, network communication protocols, and a structured language for programming ITER RH operations. Prototyping has been done on high-level control system applications, and R and D has been carried out in the area of synthetic viewing for ITER RH. These developments will be reflected in a new version of the RH Core System to be produced during 2013.

  17. Transmission control unit drive based on the AUTOSAR standard

    Science.gov (United States)

    Guo, Xiucai; Qin, Zhen

    2018-03-01

    It is a trend of automotive electronics industry in the future that automotive electronics embedded system development based on the AUTOSAR standard. AUTOSAR automotive architecture standard has proposed the transmission control unit (TCU) development architecture and designed its interfaces and configurations in detail. This essay has discussed that how to drive the TCU based on AUTOSAR standard architecture. The results show that driving the TCU with the AUTOSAR system improves reliability and shortens development cycles.

  18. 40 CFR 266.105 - Standards to control particulate matter.

    Science.gov (United States)

    2010-07-01

    ...) SOLID WASTES (CONTINUED) STANDARDS FOR THE MANAGEMENT OF SPECIFIC HAZARDOUS WASTES AND SPECIFIC TYPES OF HAZARDOUS WASTE MANAGEMENT FACILITIES Hazardous Waste Burned in Boilers and Industrial Furnaces § 266.105 Standards to control particulate matter. (a) A boiler or industrial furnace burning hazardous waste may not...

  19. Dosimetry control for radiation processing - basic requirements and standards

    International Nuclear Information System (INIS)

    Ivanova, M.; Tsrunchev, Ts.

    2004-01-01

    A brief review of the basic international codes and standards for dosimetry control for radiation processing (high doses dosimetry), setting up a dosimetry control for radiation processing and metrology control of the dosimetry system is made. The present state of dosimetry control for food processing and the Bulgarian long experience in food irradiation (three irradiation facilities are operational at these moment) are presented. The absence of neither national standard for high doses nor accredited laboratory for calibration and audit of radiation processing dosimetry systems is also discussed

  20. EMI/EMC standards for PFBR instrumentation and control systems

    International Nuclear Information System (INIS)

    Krishnakumar, B.; Sundararajan, M.K.; Ilango Sambasivan, S.; Sivaramakrishna, M.

    2005-01-01

    Electromagnetic Interference and Electromagnetic compatibility (EMI/EMC) is one of the major issues to be addressed in the design, development, installation commissioning and maintenance of electronic systems in the Nuclear Power Plant (NPP). That calls for a proper EMI/EMC standard to be adhered to. This paper recommends a standard to be followed for PFBR instrumentation and control (I and C) systems. (author)

  1. [Evaluation standards and application for photography of schistosomiasis control theme].

    Science.gov (United States)

    Chun-Li, Cao; Qing-Biao, Hong; Jing-Ping, Guo; Fang, Liu; Tian-Ping, Wang; Jian-Bin, Liu; Lin, Chen; Hao, Wang; You-Sheng, Liang; Jia-Gang, Guo

    2018-02-26

    To set up and apply the evaluation standards for photography of schistosomiasis control theme, so as to offer the scientific advice for enriching the health information carrier of schistosomiasis control. Through the literature review and expert consultation, the evaluation standard for photography of schistosomiasis control theme was formulated. The themes were divided into 4 projects, such as new construction, natural scenery, working scene, and control achievements. The evaluation criteria of the theme photography were divided into the theme (60%), photographic composition (15%), focus exposure (15%), and color saturation (10%) . A total of 495 pictures (sets) from 59 units with 77 authors were collected from schistosomiasis epidemic areas national wide. After the first-step screening and second-step evaluation, the prizes of 3 themes of control achievements and new construction, working scene, and natural scenery were selected, such as 6 pictures of first prize, 12 pictures of second prize, 18 pictures of third prize, and 20 pictures of honorable prize. The evaluation standards of theme photography should be taken into the consideration of the technical elements of photography and the work specification of schistosomiasis prevention and control. In order to improve the ability of records for propaganda purpose of schistosomiasis control and better play a role of guiding correct propaganda, the training and guidance of photography of professionals should be carried out.

  2. Meeting Residential Ventilation Standards Through Dynamic Control of Ventilation Systems

    Energy Technology Data Exchange (ETDEWEB)

    Sherman, Max H.; Walker, Iain S.

    2011-04-01

    Existing ventilation standards, including American Society of Heating, Refrigerating, and Air-conditioning Engineers (ASHRAE) Standard 62.2, specify continuous operation of a defined mechanical ventilation system to provide minimum ventilation, with time-based intermittent operation as an option. This requirement ignores several factors and concerns including: other equipment such as household exhaust fans that might incidentally provide ventilation, negative impacts of ventilation when outdoor pollutant levels are high, the importance of minimizing energy use particularly during times of peak electricity demand, and how the energy used to condition air as part of ventilation system operation changes with outdoor conditions. Dynamic control of ventilation systems can provide ventilation equivalent to or better than what is required by standards while minimizing energy costs and can also add value by shifting load during peak times and reducing intake of outdoor air contaminants. This article describes the logic that enables dynamic control of whole-house ventilation systems to meet the intent of ventilation standards and demonstrates the dynamic ventilation system control concept through simulations and field tests of the Residential Integrated Ventilation-Energy Controller (RIVEC).

  3. Job Grading Standard for Electric Power Controller WG-5407.

    Science.gov (United States)

    Civil Service Commission, Washington, DC. Bureau of Policies and Standards.

    The standard is used to grade nonsupervisory jobs involved in controlling the generation or distribution of electric power. The jobs are located at power generating plants, power distribution centers, and substations. The work requires ability to anticipate load changes due to work schedules, weather, and other variables, in order to engage or cut…

  4. The System 80+ Standard Plant design control document. Volume 20

    International Nuclear Information System (INIS)

    1997-01-01

    This Design Control Document (DCD) is a repository of information comprising the System 80+trademark Standard Plant Design. The DCD also provides that design-related information to be incorporated by reference in the design certification rule for the System 80+ Standard Plant Design. Applicants for a combined license pursuant to 10 CFR 52 must ensure that the final Design Certification Rule and the associated Statements of Consideration are used when making all licensing decisions relevant to the System 80+ Standard Plant Design. The Design Control Document contains the DCD introduction, The Certified Design Material (CDM) [i.e., ''Tier 1''] and the Approved Design Material (ADM) [i.e., ''Tier 2''] for the System 80+ Standard Plant Design. The CDM includes the following sections: (1) Introductory material; (2) Certified Design Material for System 80+ systems and structures; (3) Certified Design Material for non-system-based aspects of the System 80+ Certified design; (4) Interface requirements; and (5) Site parameters. The ADM, to the extent applicable for the System 80+ Standard Plant Design, includes: (1) the information required for the final safety analysis report under 20 CFR 50.34; (2) other relevant information required by 10 CFR 52.47; and (3) emergency operations guidelines. This volume contains 2 technical specifications bases as part of Appendix 16 A Tech Spec Bases. They are TS B3.8 Electrical Power Technical Systems Bases and TS B3.9 Refueling Operations Bases. All 3 parts of section 17 (QA) and all 10 parts of section 18 (Human Factors) of the ADM Design and Analysis are contained in this volume. Topics covered in section 17 are: design phase QA; operations phase QA; and design phase reliability assurance. Topics covered by section 18 are: design team organization; design goals; design process; functional task analysis; control room configuration; information presentation; control and monitoring; verification and validation; and review documents

  5. The System 80+ Standard Plant design control document. Volume 11

    International Nuclear Information System (INIS)

    1997-01-01

    This Design Control Document (DCD) is a repository of information comprising the System 80+trademark Standard Plant Design. The DCD also provides that design-related information to be incorporated by reference in the design certification rule for the System 80+ Standard Plant Design. Applicants for a combined license pursuant to 10 CFR 52 must ensure that the final Design Certification Rule and the associated Statements of Consideration are used when making all licensing decisions relevant to the System 80+ Standard Plant Design. The Design Control Document contains the DCD introduction, The Certified Design Material (CDM) [i.e., ''Tier 1''] and the Approved Design Material (ADM) [i.e., ''Tier 2''] for the System 80+ Standard Plant Design. The CDM includes the following sections: (1) Introductory material; (2) Certified Design Material for System 80+ systems and structures; (3) Certified Design Material for non-system-based aspects of the System 80+ Certified design; (4) Interface requirements; and (5) Site parameters. The ADM, to the extent applicable for the System 80+ Standard Plant Design, includes: (1) the information required for the final safety analysis report under 20 CFR 50.34; (2) other relevant information required by 10 CFR 52.47; and (3) emergency operations guidelines. This volume covers parts 6 and 7 and appendix 7A for section 7 (Instrumentation and Control) of the ADM Design and Analysis. The topics covered by these are: other systems required for safety; control systems not required by safety; and CMF evaluation of limiting faults. Parts 1--3 of section 8 (Electric Power) of the ADM are also included in this volume. Topics covered by these parts are: introduction; offsite power system; and onsite power system

  6. The System 80+ Standard Plant design control document. Volume 23

    International Nuclear Information System (INIS)

    1997-01-01

    This Design Control Document (DCD) is a repository of information comprising the System 80+trademark Standard Plant Design. The DCD also provides that design-related information to be incorporated by reference in the design certification rule for the System 80+ Standard Plant Design. Applicants for a combined license pursuant to 10 CFR 52 must ensure that the final Design Certification Rule and the associated Statements of Consideration are used when making all licensing decisions relevant to the System 80+ Standard Plant Design. The Design Control Document contains the DCD introduction, The Certified Design Material (CDM) [i.e., ''Tier 1''] and the Approved Design Material (ADM) [i.e., ''Tier 2''] for the System 80+ Standard Plant Design. The CDM includes the following sections: (1) Introductory material; (2) Certified Design Material for System 80+ systems and structures; (3) Certified Design Material for non-system-based aspects of the System 80+ Certified design; (4) Interface requirements; and (5) Site parameters. The ADM, to the extent applicable for the System 80+ Standard Plant Design, includes: (1) the information required for the final safety analysis report under 20 CFR 50.34; (2) other relevant information required by 10 CFR 52.47; and (3) emergency operations guidelines. This volume contains part 16 References and Appendix 19 A Design Alternatives for section 19 (Probabilistic Risk Assessment) of the ADM Design and Analysis. Also covered is section 20 Unresolved Safety Issues of the ADM Design and Analysis. Finally sections 1--6 of the ADM Emergency Operations Guidelines are contained in this volume. Information covered in these sections include: standard post-trip actions; diagnostic actions; reactor trip recovery guideline; LOCA recovery; SG tube rupture recovery

  7. STANDARDS IN CONTROL AND PROTECTION TEHNOLOGY FOR ELECTRIC POWER SYSTEMS

    OpenAIRE

    Daniel COSTIANU; Nicoleta ARGHIRA; Ioana FĂGĂRĂŞAN; Sergiu St. ILIESCU

    2008-01-01

    The features of the standard IEC 16850 with respect to intelligent applications in substations are summarized. It is shown how modeling of functions independently from its allocation to devices allows optimizing existing applications and opening up for future intelligent applications. The data model provides all information in a substation needed not only for control and protection functions but also about the IEDs and the switchgear configuration.

  8. The System 80+ Standard Plant design control document. Volume 15

    International Nuclear Information System (INIS)

    1997-01-01

    This Design Control Document (DCD) is a repository of information comprising the System 80+trademark Standard Plant Design. The DCD also provides that design-related information to be incorporated by reference in the design certification rule for the System 80+ Standard Plant Design. Applicants for a combined license pursuant to 10 CFR 52 must ensure that the final Design Certification Rule and the associated Statements of Consideration are used when making all licensing decisions relevant to the System 80+ Standard Plant Design. The Design Control Document contains the DCD introduction, The Certified Design Material (CDM) [i.e., ''Tier 1''] and the Approved Design Material (ADM) [i.e., ''Tier 2''] for the System 80+ Standard Plant Design. The CDM includes the following sections: (1) Introductory material; (2) Certified Design Material for System 80+ systems and structures; (3) Certified Design Material for non-system-based aspects of the System 80+ Certified design; (4) Interface requirements; and (5) Site parameters. The ADM, to the extent applicable for the System 80+ Standard Plant Design, includes: (1) the information required for the final safety analysis report under 20 CFR 50.34; (2) other relevant information required by 10 CFR 52.47; and (3) emergency operations guidelines. This volume contains all five parts of section 12 (Radiation Protection) of the ADM Design and Analysis. Topics covered are: ALARA exposures; radiation sources; radiation protection; dose assessment; and health physics program. All six parts and appendices A and B for section 13 (Conduct of Operations) of the ADM Design and Analysis are also contained in this volume. Topics covered are: organizational structure; training program; emergency planning; review and audit; plant procedures; industrial security; sabotage protection (App 13A); and vital equipment list (App 13B)

  9. The System 80+ Standard Plant design control document. Volume 24

    International Nuclear Information System (INIS)

    1997-01-01

    This Design Control Document (DCD) is a repository of information comprising the System 80+trademark Standard Plant Design. The DCD also provides that design-related information to be incorporated by reference in the design certification rule for the System 80+ Standard Plant Design. Applicants for a combined license pursuant to 10 CFR 52 must ensure that the final Design Certification Rule and the associated Statements of Consideration are used when making all licensing decisions relevant to the System 80+ Standard Plant Design. The Design Control Document contains the DCD introduction, The Certified Design Material (CDM) [i.e., ''Tier 1''] and the Approved Design Material (ADM) [i.e., ''Tier 2''] for the System 80+ Standard Plant Design. The CDM includes the following sections: (1) Introductory material; (2) Certified Design Material for System 80+ systems and structures; (3) Certified Design Material for non-system-based aspects of the System 80+ Certified design; (4) Interface requirements; and (5) Site parameters. The ADM, to the extent applicable for the System 80+ Standard Plant Design, includes: (1) the information required for the final safety analysis report under 20 CFR 50.34; (2) other relevant information required by 10 CFR 52.47; and (3) emergency operations guidelines. This volume contains sections 7--11 of the ADM Emergency Operations Guidelines. Topics covered are: excess steam demand recovery; loss of all feedwater; loss of offsite power; station blackout recovery; and functional recovery guideline. Appendix A Severe Accident Management Guidelines and Appendix B Lower Mode Operational Guidelines are also included

  10. The System 80+ Standard Plant design control document. Volume 21

    International Nuclear Information System (INIS)

    1997-01-01

    This Design Control Document (DCD) is a repository of information comprising the System 80+trademark Standard Plant Design. The DCD also provides that design-related information to be incorporated by reference in the design certification rule for the System 80+ Standard Plant Design. Applicants for a combined license pursuant to 10 CFR 52 must ensure that the final Design Certification Rule and the associated Statements of Consideration are used when making all licensing decisions relevant to the System 80+ Standard Plant Design. The Design Control Document contains the DCD introduction, The Certified Design Material (CDM) [i.e., ''Tier 1''] and the Approved Design Material (ADM) [i.e., ''Tier 2''] for the System 80+ Standard Plant Design. The CDM includes the following sections: (1) Introductory material; (2) Certified Design Material for System 80+ systems and structures; (3) Certified Design Material for non-system-based aspects of the System 80+ Certified design; (4) Interface requirements; and (5) Site parameters. The ADM, to the extent applicable for the System 80+ Standard Plant Design, includes: (1) the information required for the final safety analysis report under 20 CFR 50.34; (2) other relevant information required by 10 CFR 52.47; and (3) emergency operations guidelines. This volume contains parts 1--10 of section 19 (Probabilistic Risk Assessment) of the ADM Design and Analysis. Topics covered are: methodology; initiating event evaluation; accident sequence determination; data analysis; systems analysis; external events analysis; shutdown risk assessment; accident sequence quantification; and sensitivity analysis. Also included in this volume are Appendix 19.8A Shutdown Risk Assessment and Appendix A to Appendix 19.8A Request for Information

  11. The System 80+ Standard Plant design control document. Volume 16

    International Nuclear Information System (INIS)

    1997-01-01

    This Design Control Document (DCD) is a repository of information comprising the System 80+trademark Standard Plant Design. The DCD also provides that design-related information to be incorporated by reference in the design certification rule for the System 80+ Standard Plant Design. Applicants for a combined license pursuant to 10 CFR 52 must ensure that the final Design Certification Rule and the associated Statements of Consideration are used when making all licensing decisions relevant to the System 80+ Standard Plant Design. The Design Control Document contains the DCD introduction, The Certified Design Material (CDM) [i.e., ''Tier 1''] and the Approved Design Material (ADM) [i.e., ''Tier 2''] for the System 80+ Standard Plant Design. The CDM includes the following sections: (1) Introductory material; (2) Certified Design Material for System 80+ systems and structures; (3) Certified Design Material for non-system-based aspects of the System 80+ Certified design; (4) Interface requirements; and (5) Site parameters. The ADM, to the extent applicable for the System 80+ Standard Plant Design, includes: (1) the information required for the final safety analysis report under 20 CFR 50.34; (2) other relevant information required by 10 CFR 52.47; and (3) emergency operations guidelines. This volume contains all 3 parts of section 14 (Initial Test Program) of the ADM Design and Analysis. Topics covered are: PSAR information; FSAR information; certified design material. Also part 1 of section 15 (Accident Analysis) of the ADM Design and Analysis is included in this volume. The topic of part 1 is increase in heat removal

  12. Analog Electronic Implementation of Unstable Dissipative Systems of Type I with Multi-Scrolls Displaced Along Space

    Science.gov (United States)

    Ontañón-García, L. J.; Lozoya-Ponce, R. E.

    2017-06-01

    Multi-scroll Unstable Dissipative Systems (UDS) in R3 which consist of piecewise linear systems are implemented electronically by means of analog computing. The scrolling behavior of the systems can be designed to oscillate along a specific axis or into space depending on the unstable and stable manifolds. In order for a multi-scroll attractor, this switching system must present at least two unstable hyperbolic focus-saddle equilibria with the same stability index, a negative real eigenvalue and a pair of complex conjugated eigenvalues with positive real part. Then, to displace the scrolls among the axes and space different switching control laws must be designed. By taking into consideration the mathematical expressions of the switching systems, the electronic implementations are carried out by means of operational amplifiers representing the real analog physical solution of the systems, from which the voltage is measured representing the states solution.

  13. Hierarchical Control of Droop-Controlled DC and AC Microgrids - A General Approach Towards Standardization

    DEFF Research Database (Denmark)

    Guerrero, Josep M.; Vásquez, Juan V.; Teodorescu, Remus

    2009-01-01

    from ISA-95 and electrical dispatching standards to endow smartness and flexibility to microgrids. The hierarchical control proposed consist of three levels: i) the primary control is based on the droop method, including an output impedance virtual loop; ii) the secondary control allows restoring...

  14. Synthetic salt cake standards for analytical laboratory quality control

    International Nuclear Information System (INIS)

    Schilling, A.E.; Miller, A.G.

    1980-01-01

    The validation of analytical results in the characterization of Hanford Nuclear Defense Waste requires the preparation of synthetic waste for standard reference materials. Two independent synthetic salt cake standards have been prepared to monitor laboratory quality control for the chemical characterization of high-level salt cake and sludge waste in support of Rockwell Hanford Operations' High-Level Waste Management Program. Each synthetic salt cake standard contains 15 characterized chemical species and was subjected to an extensive verification/characterization program in two phases. Phase I consisted of an initial verification of each analyte in salt cake form in order to determine the current analytical capability for chemical analysis. Phase II consisted of a final characterization of those chemical species in solution form where conflicting verification data were observed. The 95 percent confidence interval on the mean for the following analytes within each standard is provided: sodium, nitrate, nitrite, phosphate, carbonate, sulfate, hydroxide, chromate, chloride, fluoride, aluminum, plutonium-239/240, strontium-90, cesium-137, and water

  15. 78 FR 724 - California State Nonroad Engine Pollution Control Standards; Off-Highway Recreational Vehicles...

    Science.gov (United States)

    2013-01-04

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9766-2] California State Nonroad Engine Pollution Control Standards; Off- Highway Recreational Vehicles and Engines; Request for Authorization; Opportunity for Public...\\ California State Nonroad Engine and Vehicle Pollution Control Standards; Authorization of State Standards...

  16. 25 CFR 542.10 - What are the minimum internal control standards for keno?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false What are the minimum internal control standards for keno... SERVICES MINIMUM INTERNAL CONTROL STANDARDS § 542.10 What are the minimum internal control standards for... procedures that provide at least the level of control described by the standards in this section, as approved...

  17. 25 CFR 542.14 - What are the minimum internal control standards for the cage?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false What are the minimum internal control standards for the... SERVICES MINIMUM INTERNAL CONTROL STANDARDS § 542.14 What are the minimum internal control standards for... and/or procedures that provide at least the level of control described by the standards in this...

  18. 25 CFR 542.12 - What are the minimum internal control standards for table games?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false What are the minimum internal control standards for table... SERVICES MINIMUM INTERNAL CONTROL STANDARDS § 542.12 What are the minimum internal control standards for... and/or procedures that provide at least the level of control described by the standards in this...

  19. 25 CFR 542.15 - What are the minimum internal control standards for credit?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false What are the minimum internal control standards for... SERVICES MINIMUM INTERNAL CONTROL STANDARDS § 542.15 What are the minimum internal control standards for... procedures that provide at least the level of control described by the standards in this section, as approved...

  20. Performance of the standard FAIR equipment controller prototype

    International Nuclear Information System (INIS)

    Rauch, S.; Baer, R.C.; Panschow, W.; Thieme, M.

    2012-01-01

    For the control system of the new FAIR accelerator facility a standard equipment controller, the Scalable Control Unit (SCU), is presently under development. First prototypes have already been tested in real applications. The controller combines an *86 COM Express TM Board and an Altera Arria TM II FPGA. Over a parallel bus interface called the SCU bus, up to 12 slave boards can be controlled. Communication between CPU and FPGA is done by a PCIe link. We discuss the real time behaviour between the Linux OS and the FPGA Hardware. For the test, a Front-End Software Architecture (FESA) class, running under Linux, communicates with the PCIe bridge in the FPGA. Although we are using PCIe only for single 32 bit wide accesses to the FPGA address space, the performance still seems sufficient. The tests showed an average response time to IRQs of 50 μs with a 1.6 GHz Intel Atom CPU. This includes the context change to the FESA user space application and the reply back to the FPGA. Further topics are the bandwidth of the PCIe link for single/burst transfers and the performance of the SCU bus communication. (authors)

  1. Applicability of the FASTBUS standard to distributed control

    International Nuclear Information System (INIS)

    Deiss, S.R.; Downing, R.W.; Gustavson, D.B.; Larsen, R.S.; Logg, C.A.; Paffrath, L.

    1981-03-01

    The new FASTBUS standard has been designed to provide a framework for distributed processing in both experimental data acquisition and accelerator control. The features of FASTBUS which support distributed control are a priority arbitration scheme which allows intercrate as well as intracrate message flow between processors and slave devices; and a high bandwidth to permit efficient sharing of the data paths by high-speed devices. Sophisticated diagnostic aids permit system-wide error checking and/or correction. Software has been developed for large distributed systems. This consists of a system data base description, and initialization algorithms to allocate address space and establish preferred message routes. A diagnostics package is also being developed, based on an independent Ethernet-like serial link. The paper describes available hardware and software, on-going developments, and current applications

  2. Standards for reporting randomized controlled trials in neurosurgery.

    Science.gov (United States)

    Kiehna, Erin N; Starke, Robert M; Pouratian, Nader; Dumont, Aaron S

    2011-02-01

    The Consolidated Standards for Reporting of Trials (CONSORT) criteria were published in 1996 to standardize the reporting and improve the quality of clinical trials. Despite having been endorsed by major medical journals and shown to improve the quality of reported trials, neurosurgical journals have yet to formally adopt these reporting criteria. The purpose of this study is to evaluate the quality and reporting of randomized controlled trials (RCTs) in neurosurgery and the factors that may affect the quality of reported trials. The authors evaluated all neurosurgical RCTs published in 2006 and 2007 in the principal neurosurgical journals (Journal of Neurosurgery; Neurosurgery; Surgical Neurology; Journal of Neurology, Neurosurgery, and Psychiatry; and Acta Neurochirurgica) and in 3 leading general medical journals (Journal of the American Medical Association, Lancet, and the New England Journal of Medicine). Randomized controlled trials that addressed operative decision making or the treatment of neurosurgical patients were included in this analysis. The RCT quality was evaluated using the Jadad score and the CONSORT checklist. In 2006 and 2007, 27 RCTs relevant to intracranial neurosurgery were reported. Of these trials, only 59% had a Jadad score ≥ 3. The 3 major medical journals all endorsed the CONSORT guidelines, while none of the neurosurgical journals have adopted these guidelines. Randomized controlled trials published in the 3 major medical journals had a significantly higher mean CONSORT score (mean 41, range 39-44) compared with those published in neurosurgical journals (mean 26.4, range 17-38; p journals (mean 3.42, range 2-5) than neurosurgical journals (mean 2.45, range 1-5; p = 0.05). Despite the growing volume of RCTs in neurosurgery, the quality of reporting of these trials remains suboptimal, especially in the neurosurgical journals. Improved awareness of the CONSORT guidelines by journal editors, reviewers, and authors of these papers could

  3. Facility-wide synchronization of standard FAIR equipment controllers

    International Nuclear Information System (INIS)

    Rauch, S.; Terpstra, W.; Panschow, W.; Thieme, M.; Prados, C.; Zweig, M.; Kreider, M.; Beck, D.; Bär, R.

    2012-01-01

    The standard equipment controller under development for the new FAIR accelerator facility is the Scalable Control Unit (SCU). It is designed to synchronize and control the actions of up to 12 purpose-built slave cards, connected in a proprietary crate by a parallel backplane. Inter-crate coordination and facility-wide synchronization are a core FAIR requirement and thus precise timing of SCU slave actions is of vital importance. The SCU consists primarily of two components, an x86 COM Express daughter board and a carrier board with an Altera Arria II GX FPGA, interconnected by PCI Express. The x86 receives configuration and set values with which it programs the real-time event-condition-action (ECA) unit in the FPGA. The ECA unit receives event messages via the timing network, which also synchronizes the clocks of all SCUs in the facility using White Rabbit. Matching events trigger actions on the SCU slave cards such as: ramping magnets, triggering kickers, etc. Timing requirements differ depending on the action taken. For softer real-time actions, an interrupt can be generated for complex processing on the x86. Alternatively, the FPGA can directly fire a pulse out a LEMO output or an immediate SCU bus operation. The delay and synchronization achievable in each case differs and this paper examines the timing performance of each to determine which approach is appropriate for the required actions. (author)

  4. Standard hazard analysis, critical control point and hotel management

    Directory of Open Access Journals (Sweden)

    Vujačić Vesna

    2017-01-01

    Full Text Available Tourism is a dynamic category which is continuously evolving in the world. Specificities that have to be respected in the execution in relation to the food industry are connected with the fact that the main differences which exist regarding the food serving procedure in catering, numerous complex recipes and production technologies, staff fluctuation, old equipment. For an effective and permanent implementation, the HACCP concept is very important for building a serious base. In this case, the base is represented by the people handling the food. This paper presents international ISO standards, the concept of HACCP and the importance of its application in the tourism and hospitality industry. The concept of HACCP is a food safety management system through the analysis and control of biological, chemical and physical hazards in the entire process, from raw material production, procurement, handling, to manufacturing, distribution and consumption of the finished product. The aim of this paper is to present the importance of the application of HACCP concept in tourism and hotel management as a recognizable international standard.

  5. International standards and quality control procedures applied to nuclear instruments

    International Nuclear Information System (INIS)

    Urbanski, P.

    2008-01-01

    The survey of international standards related to Nuclear Instrumentation and QC tests was presented. From among the 29'336 active international standards published by such organizations as ISO, IEC, CEN and CENELEC, only 582 are devoted to nuclear instruments. The international classification of standards (ICS) is shown. Also, the list of 582 international standards related to nuclear instruments is attached. (author)

  6. Applying Standard Interfaces to a Process-Control Language

    Science.gov (United States)

    Berthold, Richard T.

    2005-01-01

    A method of applying open-operating-system standard interfaces to the NASA User Interface Language (UIL) has been devised. UIL is a computing language that can be used in monitoring and controlling automated processes: for example, the Timeliner computer program, written in UIL, is a general-purpose software system for monitoring and controlling sequences of automated tasks in a target system. In providing the major elements of connectivity between UIL and the target system, the present method offers advantages over the prior method. Most notably, unlike in the prior method, the software description of the target system can be made independent of the applicable compiler software and need not be linked to the applicable executable compiler image. Also unlike in the prior method, it is not necessary to recompile the source code and relink the source code to a new executable compiler image. Abstraction of the description of the target system to a data file can be defined easily, with intuitive syntax, and knowledge of the source-code language is not needed for the definition.

  7. Standard formatted data units-control authority procedures

    Science.gov (United States)

    1991-01-01

    The purpose of this document is to establish a set of minimum and optional requirements for the implementation of Control Authority (CA) organizations within and among the Agencies participating in the Consultative Committee for Space Data Systems (CCSDS). By satisfying these requirements, the resultant cooperating set of CA organizations will produce a global CA service supporting information transfer with digital data under the Standard Formatted Data Unit (SFDU) concept. This service is primarily accomplished through the registration, permanent archiving, and dissemination of metadata in the form of Metadata Objects (MDO) that assist in the interpretation of data objects received in SFDU form. This Recommendation addresses the responsibilities, services, and interface protocols for a hierarchy of CA organizations. The top level, consisting of the CCSDS Secretariat and its operational agent, is unique and primarily provides a global coordination function. The lower levels are Agency CA organizations that have primary responsibility for the registration, archiving, and dissemination of MDOs. As experience is gained and technology evolves, the CA Procedures will be extended to include enhanced services and their supporting protocols. In particular, it is anticipated that eventually CA organizations will be linked via networks on a global basis, and will provide requestors with online automated access to CA services. While this Recommendation does not preclude such operations, it also does not recommend the specific protocols to be used to ensure global compatibility of these services. These recommendations will be generated as experience is gained.

  8. 77 FR 32645 - Revision of Performance Standards for State Medicaid Fraud Control Units

    Science.gov (United States)

    2012-06-01

    ...] Revision of Performance Standards for State Medicaid Fraud Control Units AGENCY: Office of Inspector... Fraud Control Units (MFCU or Unit). These standards replace and supersede standards published on... Association of Medicaid Fraud Control Units (the Association), which submitted extensive comments on each of...

  9. 78 FR 22263 - Advisory Council on the Standards for Internal Control in the Federal Government; Meeting

    Science.gov (United States)

    2013-04-15

    ... GOVERNMENT ACCOUNTABILITY OFFICE Advisory Council on the Standards for Internal Control in the... Standards for Internal Control in the Federal Government; Notice of Meeting. SUMMARY: The US Government Accountability Office (GAO) is initiating efforts to revise the Standards for Internal Control in the Federal...

  10. 78 FR 68447 - Exposure Draft-Standards for Internal Control in the Federal Government

    Science.gov (United States)

    2013-11-14

    ... GOVERNMENT ACCOUNTABILITY OFFICE Exposure Draft--Standards for Internal Control in the Federal... revisions to the Standards for Internal Control in the Federal Government, known as the ``Green Book,'' to... proposed changes contained in the 2013 Exposure Draft update to the Standards for Internal Control in the...

  11. 78 FR 52532 - Exposure Draft-Standards for Internal Control in the Federal Government

    Science.gov (United States)

    2013-08-23

    ... GOVERNMENT ACCOUNTABILITY OFFICE Exposure Draft--Standards for Internal Control in the Federal... to the Standards for Internal Control in the Federal Government, known as the ``Green Book,'' under... Exposure Draft update to the Standards for Internal Control in the Federal Government reflect major...

  12. 76 FR 53817 - Minimum Internal Control Standards for Class II Gaming

    Science.gov (United States)

    2011-08-30

    ... Internal Control Standards for Class II Gaming AGENCY: National Indian Gaming Commission, Interior. ACTION... superseded specified sections of established Minimum Internal Control Standards and replaced them with a new part titled Minimum Internal Control Standards Class II Gaming, that was published in the Federal...

  13. 40 CFR 1700.14 - Marine Pollution Control Device (MPCD) Performance Standards. [Reserved

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Marine Pollution Control Device (MPCD... UNIFORM NATIONAL DISCHARGE STANDARDS FOR VESSELS OF THE ARMED FORCES Marine Pollution Control Device (MPCD) Performance Standards § 1700.14 Marine Pollution Control Device (MPCD) Performance Standards. [Reserved] ...

  14. Meeting Residential Ventilation Standards Through Dynamic Control of Ventilation Systems

    OpenAIRE

    Sherman, Max H.

    2011-01-01

    Existing ventilation standards, including American Society of Heating, Refrigerating, and Air-conditioning Engineers (ASHRAE) Standard 62.2, specify continuous operation of a defined mechanical ventilation system to provide minimum ventilation, with time-based intermittent operation as an option. This requirement ignores several factors and concerns including: other equipment such as household exhaust fans that might incidentally provide ventilation, negative impacts of ventilation when outd...

  15. 78 FR 40740 - Advisory Council on the Standards for Internal Control in the Federal Government

    Science.gov (United States)

    2013-07-08

    ... GOVERNMENT ACCOUNTABILITY OFFICE Advisory Council on the Standards for Internal Control in the... on the Green Book Advisory Council and the Standards for Internal Control in the Federal Government.... SUMMARY: The US Government Accountability Office (GAO) is preparing to revise the Standards for Internal...

  16. Instrumentation Standard Architectures for Future High Availability Control Systems

    International Nuclear Information System (INIS)

    Larsen, R.S.

    2005-01-01

    Architectures for next-generation modular instrumentation standards should aim to meet a requirement of High Availability, or robustness against system failure. This is particularly important for experiments both large and small mounted on production accelerators and light sources. New standards should be based on architectures that (1) are modular in both hardware and software for ease in repair and upgrade; (2) include inherent redundancy at internal module, module assembly and system levels; (3) include modern high speed serial inter-module communications with robust noise-immune protocols; and (4) include highly intelligent diagnostics and board-management subsystems that can predict impending failure and invoke evasive strategies. The simple design principles lead to fail-soft systems that can be applied to any type of electronics system, from modular instruments to large power supplies to pulsed power modulators to entire accelerator systems. The existing standards in use are briefly reviewed and compared against a new commercial standard which suggests a powerful model for future laboratory standard developments. The past successes of undertaking such projects through inter-laboratory engineering-physics collaborations will be briefly summarized

  17. 76 FR 62074 - Proposed Revision of Performance Standards for State Medicaid Fraud Control Units

    Science.gov (United States)

    2011-10-06

    ...] Proposed Revision of Performance Standards for State Medicaid Fraud Control Units AGENCY: Office of... Control Units (MFCUs or Units). This proposal would replace and supersede standards published on September..., including 42 CFR Sec. 455.21, ``Cooperation with State Medicaid fraud control units,'' and 42 CFR 455.23...

  18. Design and analysis of control charts for standard deviation with estimated parameters

    NARCIS (Netherlands)

    Schoonhoven, M.; Riaz, M.; Does, R.J.M.M.

    2011-01-01

    This paper concerns the design and analysis of the standard deviation control chart with estimated limits. We consider an extensive range of statistics to estimate the in-control standard deviation (Phase I) and design the control chart for real-time process monitoring (Phase II) by determining the

  19. Improvement and standardization of communication means for control room personnel

    International Nuclear Information System (INIS)

    Preuss, W.; Eggerdinger, C.; Sieber, R.

    1983-01-01

    The subjects under investigation were the ''Shift book'', ''Simulation book'', and ''Technical and organisational changes and their records''. It was intended to analyse both the communication processes and the associated written documentation in order to determine areas for potential improvement and possibilities for standardization. Information was obtained by interviewing shift members and their supervisors, by general observation, and by compilation and evaluation of the extensive dokumentation. Assessment criteria were developed on a scientific basis and in the course of the investigation, in particular from ergonomic findings, as well as from standards and regulations and comparison between the plants. General practical suggestions were developed for the improvement of the communication forms and the formal design of the documents and their contents. The transfer of the recommendations to practical use in the plants presupposes the consideration of plant-specific frames of reference. The report includes a compilation and listing of suggestions for improvement in topical subdivisions. (orig.) [de

  20. BACnet the global standard for building automation and control networks

    CERN Document Server

    Newman, Michael

    2013-01-01

    BACnet is a data communication protocol for building automation and control systems, developed within ASHRAE in cooperation with ANSI, CEN, and the ISO. This new book, by the original chairman of the BACnet committee, explains how the BACnet protocol manages all basic building functions in a seamless, integrated way. The book explains how BACnet works with all major control systems-including those provided by Honeywell, Siemens, and Johnson Controls, among many others-to manage everything from heating to ventilation to lighting to fire control and alarm systems. BACnet is used today throughout the world for commercial and institutional buildings with complex mechanical and electrical systems. Contractors, architects, building systems engineers, and facilities managers must all be cognizant of BACnet and its applications. With a real "seat at the table," you'll find it easier to understand the intent and use of each of the data sharing techniques, controller requirements, and opportunities for interoperability...

  1. Maintenance standards, care and control of the radiation protection material

    International Nuclear Information System (INIS)

    Brasesco, L.

    2004-01-01

    The present protocol in Radiology, Tomography, surgical block and intensive care unit in the Britanic Hospital from Uruguay.Between their topics find care procedures in protective clothes, periodic and control methods, material record,and staff assigned

  2. Increasing software testability with standard access and control interfaces

    Science.gov (United States)

    Nikora, Allen P; Some, Raphael R.; Tamir, Yuval

    2003-01-01

    We describe an approach to improving the testability of complex software systems with software constructs modeled after the hardware JTAG bus, used to provide visibility and controlability in testing digital circuits.

  3. Technical Standards for Command and Control Information Systems (CCISs)

    Science.gov (United States)

    1992-01-01

    network. There is a perceived requirement for an ultimate delivery capability, whereby important communications are sustained , even at very low data...Transfer Layer in RTTS developed in France for use in LANs (see Section 15.4.4) [Ref. GAM 1987]. XTP is designed to support 100 Mbps sustained transfer...10746-2U_____ Fmeo for OOP standards WD 10748-3 ___ User %*IQ W 10746-4 Architectura semantics. formalismns W 04- Key: E3 v 015I EM o/CD U ISO G-4

  4. Standard Practice for Preparation of Aerospace Contamination Control Plans

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2009-01-01

    1.1 This practice is intended to assist in the preparation of formal plans for contamination control, especially of aerospace critical surfaces. Requirements may be established at the systems level, either by the customer or the systems integrator, or at the subsystem level. Subsystem requirements may be imposed by the responsible subsystem supplier or they may be flowed down from the systems organization (4.7). The extent of detail and level of cleanliness required can vary with the particular application and type of hardware being built, but all aspects of contamination control must be included in a final plan. Therefore, each of the following elements must be considered for inclusion in a contamination control plan (CCP): 1.1.1 Cleanliness requirements for deliverable hardware addressing particulate, molecular, or biological contaminants or combination thereof. Specify contamination limits and any budget allocations. 1.1.2 Implementation plans to achieve, verify, and maintain the specified cleanliness re...

  5. 75 FR 55269 - Minimum Internal Control Standards for Class II Gaming

    Science.gov (United States)

    2010-09-10

    ...-37 Minimum Internal Control Standards for Class II Gaming AGENCY: National Indian Gaming Commission... to implement tribal internal controls found in Sec. 543.3(c)(3) to October 13, 2011, in order to... superseded specified sections [[Page 55270

  6. 77 FR 20388 - California State Nonroad Engine Pollution Control Standards; Large Spark-Ignition (LSI) Engines...

    Science.gov (United States)

    2012-04-04

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9655-9] California State Nonroad Engine Pollution Control Standards; Large Spark-Ignition (LSI) Engines; New Emission Standards and In-Use Fleet Requirements; Notice... emission standards and certification and test procedures for large spark-ignition nonroad engines and in...

  7. Standard formatted data units-control authority operations

    Science.gov (United States)

    1991-01-01

    The purpose of this document is to illustrate a Control Authority's (CA) possible operation. The document is an interpretation and expansion of the concept found in the CA Procedures Recommendation. The CA is described in terms of the functions it performs for the management and control of data descriptions (metadata). Functions pertaining to the organization of Member Agency Control Authority Offices (MACAOs) (e.g., creating and disbanding) are not discussed. The document also provides an illustrative operational view of a CA through scenarios describing interaction between those roles involved in collecting, controlling, and accessing registered metadata. The roles interacting with the CA are identified by their actions in requesting and responding to requests for metadata, and by the type of information exchanged. The scenarios and examples presented in this document are illustrative only. They represent possible interactions supported by either a manual or automated system. These scenarios identify requirements for an automated system. These requirements are expressed by identifying the information to be exchanged and the services that may be provided by a CA for that exchange.

  8. NASA researchers in gold control room during an F-15 HiDEC flight, John Orme and Gerard Schkolnik

    Science.gov (United States)

    1993-01-01

    NASA researchers Gerard Schkolnik (left) and John Orme monitor equipment in the control room at the Dryden Flight Research Center, Edwards, California, during a flight of an F-15 Highly Integrated Digital Electronic Control (HIDEC) research aircraft. The system was developed on the F-15 to investigate and demonstrate methods of obtaining optimum aircraft performance. The major elements of HIDEC were a Digital Electronic Flight Control System (DEFCS), a Digital Electronic Engine Control (DEEC), an on-board general purpose computer, and an integrated architecture to allow all components to 'talk to each other.' Unlike standard F-15s, which have a mechanical and analog electronic flight control system, the HIDEC F-15 also had a dual-channel, fail-safe digital flight control system programmed in Pascal. It was linked to the Military Standard 1553B and a H009 data bus which tied all the other electronic systems together.

  9. 77 FR 30765 - Federal Motor Vehicle Safety Standards; Electronic Stability Control Systems for Heavy Vehicles

    Science.gov (United States)

    2012-05-23

    ... Traffic Safety Administration 49 CFR Part 571 Federal Motor Vehicle Safety Standards; Electronic Stability Control Systems for Heavy Vehicles; Proposed Rule #0;#0;Federal Register / Vol. 77 , No. 100 / Wednesday... Vehicle Safety Standards; Electronic Stability Control Systems for Heavy Vehicles AGENCY: National Highway...

  10. 47 CFR 1.9010 - De facto control standard for spectrum leasing arrangements.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false De facto control standard for spectrum leasing... PROCEDURE Spectrum Leasing General Policies and Procedures § 1.9010 De facto control standard for spectrum leasing arrangements. (a) Under the rules established for spectrum leasing arrangements in this subpart...

  11. 77 FR 72851 - California State Nonroad Engine Pollution Control Standards; Portable Equipment Registration...

    Science.gov (United States)

    2012-12-06

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9758-1] California State Nonroad Engine Pollution Control... otherwise covered by a within-the-scope confirmation. \\11\\ See California State Nonroad Engine Pollution... Pollution Control Standards; Authorization of Large Off-Road Spark- Ignition Engine Standards, Notice of...

  12. 49 CFR 571.101 - Standard No. 101; Controls and displays.

    Science.gov (United States)

    2010-10-01

    ... in selecting controls. S3. Application. This standard applies to passenger cars, multipurpose... car, multipurpose passenger vehicle, truck and bus that is fitted with a control, a telltale or an... have an “off” position. S5.2.8Each control for an automatic vehicle speed system (cruise control) and...

  13. METROLOGICAL CONTROL OF LIGHTING IN STANDARDS BOOTHS FOR VISUAL APPRAISAL

    OpenAIRE

    MIGUEL DE FREITAS CHRISTINO

    2004-01-01

    Não obstante os sofisticados avanços em tecnologias ópticas, ainda não existem fontes de luz artificial capazes de simular de forma adequada a luz do dia natural. Alcançar um padrão de iluminação como este representará uma redução nos custos de produção, em função de retrabalhos gerados por avaliações visuais pouco confiáveis, e nas divergências comerciais relacionadas a produtos que têm como característica de controle a cor, tais como artigos têxteis, gráficos,...

  14. The application of standardized control and interface circuits to three dc to dc power converters.

    Science.gov (United States)

    Yu, Y.; Biess, J. J.; Schoenfeld, A. D.; Lalli, V. R.

    1973-01-01

    Standardized control and interface circuits were applied to the three most commonly used dc to dc converters: the buck-boost converter, the series-switching buck regulator, and the pulse-modulated parallel inverter. The two-loop ASDTIC regulation control concept was implemented by using a common analog control signal processor and a novel digital control signal processor. This resulted in control circuit standardization and superior static and dynamic performance of the three dc-to-dc converters. Power components stress control, through active peak current limiting and recovery of switching losses, was applied to enhance reliability and converter efficiency.

  15. Offsite dose calculation manual guidance: Standard radiological effluent controls for boiling water reactors

    International Nuclear Information System (INIS)

    Meinke, W.W.; Essig, T.H.

    1991-04-01

    This report contains guidance which may be voluntarily used by licensees who choose to implement the provision of Generic Letter 89-- 01, which allows Radiological Effluent Technical Specifications (RETS) to be removed from the main body of the Technical Specifications and placed in the Offsite Dose Calculation Manual (ODCM). Guidance is provided for Standard Effluent Controls definitions, Controls for effluent monitoring instrumentation, Controls for effluent releases, Controls for radiological environmental monitoring, and the basis for Controls. Guidance on the formulation of RETS has been available in draft form for a number of years; the current effort simply recasts those RETS into Standard Radiological Effluent Controls for application to the ODCM. 11 tabs

  16. Controlling fuel costs: Procurement strategies and regulatory standards

    International Nuclear Information System (INIS)

    Einhorn, H.A.; Levi, B.I.

    1992-01-01

    Since the oil price shocks and inflation of the 1970s, regulatory authorities and utilities have devoted considerable attention to controlling energy costs while maintaining reliable service. Although much of this concern has been directed towards capital cost containment, increasing scrutiny has been applied to a broad range of variable costs, especially to fuel procurement expenditures. With some 40% to 65% of the electric utility industry's annual operation and maintenance expenses paid to secure fuel supplies, even a small difference in fuel costs could have a substantial impact on costs to ratepayers. This increased attention to fuel cost containment can be expected to intensify as implementation of the 1990 amendments to the Clean Air Act affects fuel purchase decisions. To assure that fuel is purchased in a responsible and cost-effective manner, some state jurisdictions have initiated periodic reviews (audits) of the procurement practices that electric utilities follow when purchasing fuel. While a utility must demonstrate how it purchases fuel, there is wide variation in interest and scope of audits among jurisdictions. In this paper, the authors review: (1) the regulatory environment within which fuel procurement and audits occur, and (2) some particularly controversial issues that will receive increasing attention as the practice of conducting fuel procurement audits spreads

  17. Controlling engineering project changes for multi-unit, multi-site standardized nuclear power plants

    International Nuclear Information System (INIS)

    Randall, E.; Boddeker, G.; McGugin, H.; Strother, E.; Waggoner, G.

    1978-01-01

    Multibillioin dollar multiple nuclear power plant projects have numerous potential sources of engineering changes. The majority of these are internally generated changes, client generated changes, and changes from construction, procurement, other engineering organizations, and regulatory organizations. For multiunit, multisite projects, the use of a standardized design is cost effective. Engineering changes can then be controlled for a single standardized design, and the unit or site unique changes can be treated as deviations. Once an effective change procedure is established for change control of the standardized design, the same procedures can be used for control of unit or site unique changes

  18. EXPERIENCE OF IMPLEMENTATION OF THE LABOR PROTECTION CONTROL SYSTEM AT RUP «BMZ» IN ACCORDANCE WITH INTERNATIONAL STANDARDS OHSAS 180001 AND STATE STANDARD STB 18001

    Directory of Open Access Journals (Sweden)

    I. N. Zhuk

    2010-01-01

    Full Text Available Experience of introduction of the control system by labour protection at RUP «BMZ» in accordance with international standard OHSAS 18001 and State standard STB 18001 is described.

  19. Quality control methodology and implementation of X-radiation standards beams, mammography level, following the standard IEC 61267

    International Nuclear Information System (INIS)

    Correa, Eduardo de Lima

    2010-01-01

    In this work it was developed and applied a quality control program of the X radiation system (160 kV, constant potential, target of tungsten) of the Calibration Laboratory of IPEN(LCI) in the energy range relative to mammography beams (from 25 kV to 35 kV). The X radiation standards beams, level mammography, using molybdenum and aluminum as additional filtration, were established after the application of this quality control program following national and international recommendations. The reference ionization chamber has traceability to PTB and was regularly submitted to quality control tests for evaluation and analysis of its performance. The radiation qualities emerging from the X-radiation assembly (RQR-M), based on a phantom made up of an aluminum added filter (RQA-M), narrow beam condition (RQN-M) and broad beam condition (RQB-M), following the recommendations of the international standard IEC 61267 (2005) and the IAEA code of practice, TRS 457 (2007) were established. For the implantation of RQN-M and RQB-M radiation qualities, two mammography phantoms were developed. The half-value layers found are those presented by the German primary laboratory PTB, and varied from 0.35 to 1.21 mm Al. The air kerma rates were obtained for all the 15 implanted qualities. (author)

  20. Green Roofs: Standardization and Quality Control of Processes in Green Construction

    OpenAIRE

    Korol Elena; Shushunova Natalia

    2017-01-01

    The article considers the problems of standardization and quality control of processes in the construction, improvement of integrated safety of buildings and the implementation of innovative green building technologies, the use of national standards as well as international rating systems for green buildings evaluation. This is one of the priority directions in development of the modern construction. The aim of this study is the analysis of the green roof systems and international standards, ...

  1. Administrative goals and safety standards for hazard control on forested recreation sites

    Science.gov (United States)

    Lee A. Paine

    1973-01-01

    For efficient control of tree hazard on recreation sites, a specific administrative goal must be selected. A safety standard designed to achieve the selected goal and a uniform hazard-rating procedure will then promote a consistent level of safety at an acceptable cost. Safety standards can be established with the aid of data for past years, and dollar evaluations are...

  2. 78 FR 719 - California State Motor Vehicle Pollution Control Standards; Urban Buses; Request for Waiver of...

    Science.gov (United States)

    2013-01-04

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9766-3] California State Motor Vehicle Pollution Control Standards; Urban Buses; Request for Waiver of Preemption; Opportunity for Public Hearing and Comment AGENCY... notified EPA that it has adopted amendments to its emission standards for urban bus engines in a series of...

  3. 76 FR 67184 - California State Nonroad Engine Pollution Control Standards; Large Spark-Ignition (LSI) Engines...

    Science.gov (United States)

    2011-10-31

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9484-9] California State Nonroad Engine Pollution Control Standards; Large Spark-Ignition (LSI) Engines; Fleet Requirements for In-Use LSI Forklifts and Other... its emission standards and certification and test procedures for large spark-ignition nonroad engines...

  4. Model Standards and Techniques for Control of Radon in New Residential Buildings

    Science.gov (United States)

    This document is intended to serve as a model for use to develop and adopt building codes, appendices to codes, or standards specifically applicable to unique local or regional radon control requirements.

  5. 49 CFR 571.124 - Standard No. 124; Accelerator control systems.

    Science.gov (United States)

    2010-10-01

    .... S3. Application. This standard applies to passenger cars, multi-purpose passenger vehicles, trucks... electric motors, the words throttle and idle refer to the motor speed controller and motor shutdown...

  6. Management Control in Major Brazilian Multiple Banks: the Impact of Internationalization and Convergence of Accounting Standards on the Control Systems

    Directory of Open Access Journals (Sweden)

    João Carlos Damasceno Reis

    2014-08-01

    Full Text Available This study verifies the impact caused by the processes of globalization and convergence to international accounting standards on the managerial control systems of the largest multiple banks that operate in Brazil. The study was exploratory in nature, with the use of the case study method and the application of questionnaires containing mostly open questions to upper tier executives of four major Brazilian banks. The analysis showed that globalization has resulted in improved control systems and widespread use of information technology. It was also found that the convergence to international accounting standards occurred properly, thanks to the steps taken by the Central Bank that aimed at an agile updating of the Brazilian accounting standards laid down for banks operating in Brazil, in line with international standards. In general, the researched banks did not report a significant impact of convergence to the IFRS on their management control systems; adherence to the international accounting standards has had more significant impacts on information systems, especially regarding the new reporting and transparency standards, rather than on management controls. This result signals that the management control systems of the four banks in the sample are in line with Anthony (1965’s vision, that is, that flexibility to adapt to every change in the external environment might actually increase risks of failure.

  7. Unpacking insanity defence standards: An experimental study of rationality and control tests in criminal law

    Directory of Open Access Journals (Sweden)

    Rebecca K. Helm

    2016-07-01

    Full Text Available The present study investigated the impact of different legal standards on mock juror decisions concerning whether a defendant was guilty or not guilty by reason of insanity. Undergraduate students (N = 477 read a simulated case summary involving a murder case and were asked to make an insanity determination. The cases differed in terms of the condition of the defendant (rationality deficit or control deficit and the legal standard given to the jurors to make the determination (Model Penal Code, McNaughten or McNaughten plus a separate control determination. The effects of these variables on the insanity determination were investigated. Jurors also completed questionnaires measuring individualism and hierarchy attitudes and perceptions of facts in the case. Results indicate that under current insanity standards jurors do not distinguish between defendants with rationality deficits and defendants with control deficits regardless of whether the legal standard requires them to do so. Even defendants who lacked control were found guilty at equal rates under a legal standard excusing rationality deficits only and a legal standard excluding control and rationality deficits. This was improved by adding a control test as a partial defence, to be determined after a rationality determination. Implications for the insanity defence in the Criminal Justice System are discussed.

  8. [Thiamine Hydrochloride Reference Standard (Control 891) of National Institute of Hygienic Sciences].

    Science.gov (United States)

    Okada, S; Hiroshige, R; Tanaka, M; Murai, M; Kimura, T

    1990-01-01

    The raw material of thiamine hydrochloride was examined for preparation of the "Thiamine Hydrochloride Reference Standard". Analytical results were as follows: melting point 242.7 degrees; pH 3.2 (1 g, water, 100 ml); IR spectrum the same as that of JP Reference Standard (Control: 841); one and two impurities detected by TLC and by HPLC analyses, respectively; assay by thiochrome method 100.3% and by HPLC 100.1% against the JP Reference Standard. Based on the results, the present raw material was authorized to be the Reference Standard of the National Institute of Hygienic Sciences.

  9. [The Thiamine Hydrochloride Reference Standard (Control 931) of the National Institute of Health Sciences].

    Science.gov (United States)

    Kitajima, A; Yoshii, K; Komatsu, H; Ishimitsu, S; Okada, S

    1994-01-01

    Raw thiamine hydrochloride material was tested for preparation of the "Thiamine Hydrochloride Reference Standard (Control 931)". Analytical data obtained were as follows: melting point, 242.7 degrees C (decomposition); infrared spectrum, the same as that of the JP Thiamine Hydrochloride Reference Standard; thin-layer chromatography, one impurity was detected; high-performance liquid chromatography (HPLC), a trace amount of one impurity was detected; assay results, 100.4% by UV spectrophotometry and 100.0% by HPLC, respectively. Based on the above findings, the raw material was authorized as the JP Thiamine Hydrochloride Reference Standard (Control 931).

  10. The Assessment Of The Level Of Management Control Standards Completion In Treasury Sector

    Directory of Open Access Journals (Sweden)

    Kulińska Ewa

    2015-06-01

    Full Text Available This paper concerns the rules of the functioning of management control standards used in the Treasury Control Office. Its purpose is to present research results conducted in the years 2013–2014 in Polish Treasury Control Offices. Obtained results are the effect of applying author’s model of the assessment of management control implementation. The research was conducted for management personnel and the rest of offices employees separately. Significant discrepancies between these two groups of respondents were indicated. Based on the results, the areas of deviation from expected level of management control standards were established and the areas where implementation of control mechanisms relying on increasing the supervision of board of directors over managers were indicated, providing permanent and efficient elements of managers supervision over subordinate employees and making purposes and tasks put on the Treasury Control Office for given year more precise and familiarization of employees and carrying out trainings and series of other corrective measures.

  11. 76 FR 49532 - Federal Motor Vehicle Safety Standards; Electronic Stability Control; Technical Report on the...

    Science.gov (United States)

    2011-08-10

    ... probability that a vehicle would be involved in a fatal crash. For passenger cars, the reductions are 5...-0112] Federal Motor Vehicle Safety Standards; Electronic Stability Control; Technical Report on the Effectiveness of Electronic Stability Control Systems for Cars and LTVs AGENCY: National Highway Traffic Safety...

  12. A parallel row-based algorithm for standard cell placement with integrated error control

    Science.gov (United States)

    Sargent, Jeff S.; Banerjee, Prith

    1989-01-01

    A new row-based parallel algorithm for standard-cell placement targeted for execution on a hypercube multiprocessor is presented. Key features of this implementation include a dynamic simulated-annealing schedule, row-partitioning of the VLSI chip image, and two novel approaches to control error in parallel cell-placement algorithms: (1) Heuristic Cell-Coloring; (2) Adaptive Sequence Length Control.

  13. Recovery Act: Water Heater ZigBee Open Standard Wireless Controller

    Energy Technology Data Exchange (ETDEWEB)

    Butler, William P. [Emerson Electric Co., St. Louis, MO (United States); Buescher, Tom [Emerson Electric Co., St. Louis, MO (United States)

    2014-04-30

    The objective of Emerson's Water Heater ZigBee Open Standard Wireless Controller is to support the DOE's AARA priority for Clean, Secure Energy by designing a water heater control that levels out residential and small business peak electricity demand through thermal energy storage in the water heater tank.

  14. 76 FR 7196 - California State Nonroad Engine Pollution Control Standards; Request for Authorization of...

    Science.gov (United States)

    2011-02-09

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9264-4] California State Nonroad Engine Pollution Control Standards; Request for Authorization of Airborne Toxic Control Measure for In-Use Portable Diesel Engines 50... particulate matter in the exhaust from in-use portable diesel-fueled compression- ignition engines 50...

  15. 47 CFR 68.317 - Hearing aid compatibility volume control: technical standards.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Hearing aid compatibility volume control... for Terminal Equipment Approval § 68.317 Hearing aid compatibility volume control: technical standards... hearing. (g) These incorporations by reference of paragraph 4.1.2 (including table 4.4) of American...

  16. Solution standards for quality control of nuclear-material analytical measurements

    International Nuclear Information System (INIS)

    Clark, J.P.

    1981-01-01

    Analytical chemistry measurement control depends upon reliable solution standards. At the Savannah River Plant Control Laboratory over a thousand analytical measurements are made daily for process control, product specification, accountability, and nuclear safety. Large quantities of solution standards are required for a measurement quality control program covering the many different analytical chemistry methods. Savannah River Plant produced uranium, plutonium, neptunium, and americium metals or oxides are dissolved to prepare stock solutions for working or Quality Control Standards (QCS). Because extensive analytical effort is required to characterize or confirm these solutions, they are prepared in large quantities. These stock solutions are diluted and blended with different chemicals and/or each other to synthesize QCS that match the matrices of different process streams. The target uncertainty of a standard's reference value is 10% of the limit of error of the methods used for routine measurements. Standard Reference Materials from NBS are used according to special procedures to calibrate the methods used in measuring the uranium and plutonium standards so traceability can be established. Special precautions are required to minimize the effects of temperature, radiolysis, and evaporation. Standard reference values are periodically corrected to eliminate systematic errors caused by evaporation or decay products. Measurement control is achieved by requiring analysts to analyze a blind QCS each shift a measurement system is used on plant samples. Computer evaluation determines whether or not a measurement is within the +- 3 sigma control limits. Monthly evaluations of the QCS measurements are made to determine current bias correction factors for accountability measurements and detect significant changes in the bias and precision statistics. The evaluations are also used to plan activities for improving the reliability of the analytical chemistry measurements

  17. Quality control and quality standards for the production of bone allografts in China

    International Nuclear Information System (INIS)

    Sun Shiquan; Li Youchen

    1999-01-01

    There is a rapid progress of tissue banking especially Bone Banking in China, In order to strengthen the control on medical devices, Ministry of Public Health (MPH) issued the 'Regulation on Supervision of Critical Medical Devices, MPH Decree No. 54' in 1997. The SPTB was requested to submit new application for the approval of production and providing of tissue allografts. The needed documents are clinical reports, package insert, quality standards of product, Quality System Regulation (QSR) and audit report. Quality System Regulation document adopted the GMP standard for medical devices of FDA, US (21 CFR 620-1997). SPTB will amend the existed Quality Manual to suit the requirement of QSR. Referring to the AATB Standards, SPTB established 'Technical Standards' for Tissue Banking and was approved by the local government, which will be the supplement of the submitted QSR document. Considering the need of market control, MPH requested to submit a 'Quality Standard of Product' and the method of inspection. SPTB has completed such standards for final inspection of bone products, which includes the test for residual water, microbiology, bone species, colour and structure. In addition, the Tissue Bank has completed standards for in process inspection, which includes residual blood, radiation sterilization, initial bioburden, package leakage and biomechanics. In-process inspection is important for the control of non-conforming final products to assure the safety and efficacy of bone grafts. Methods of in process inspection and final inspection are described and discussed in this paper

  18. Comparison of model independent control and tracking with standard control techniques

    Science.gov (United States)

    Schwartz, Ira B.; Triandaf, Ioana A.

    1993-12-01

    This paper highlights some of the new contributions nonlinear dynamics has made in the areas of control and tracking. In particular, emphasis is placed on the model independent approach to control and tracking: The connections between the classical control and the control based on time series embedding methods are made. In experiments of control, our approach does not necessarily imply new equipment is needed in the loop. Rather, it is the control settings which are constructed off-line so that location of the control point and gain are determined without trial and error. Using the model independent approach also allows one to locate and control many other accessible unstable phenomena without having to construct a global nonlinear model. Tracking gives a constructive approach to control inaccessible states, as well as maps out the global regions of phase space.

  19. Management control and status reports documentation standard and Data Item Descriptions (DID). Volume of the information system life-cycle and documentation standards, volume 5

    Science.gov (United States)

    Callender, E. David; Steinbacher, Jody

    1989-01-01

    This is the fifth of five volumes on Information System Life-Cycle and Documentation Standards. This volume provides a well organized, easily used standard for management control and status reports used in monitoring and controlling the management, development, and assurance of informations systems and software, hardware, and operational procedures components, and related processes.

  20. Offsite dose calculation manual guidance: Standard radiological effluent controls for pressurized water reactors

    International Nuclear Information System (INIS)

    Meinke, W.W.; Essig, T.H.

    1991-04-01

    This report contains guidance which may be voluntarily used by licensees who choose to implement the provision of Generic Letter 89-01, which allows Radiological Effect Technical Specifications (RETS) to be removed from the main body of the Technical Specifications and placed in the Offsite Dose Calculation Manual (ODCM). Guidance is provided for Standard Effluent Controls definitions, Controls for effluent monitoring instrumentation, Controls for effluent releases, Controls for radiological environmental monitoring, and the basis for Controls. Guidance on the formulation of RETS has been available in draft from (NUREG-0471 and -0473) for a number of years; the current effort simply recasts those RETS into Standard Radiological Effluent Controls for application to the ODCM. Also included for completeness are: (1) radiological environmental monitoring program guidance previously which had been available as a Branch Technical Position (Rev. 1, November 1979); (2) existing ODCM guidance; and (3) a reproduction of generic Letter 89-01

  1. Intensive Versus Standard Blood Pressure Control in SPRINT-Eligible Participants of ACCORD-BP.

    Science.gov (United States)

    Buckley, Leo F; Dixon, Dave L; Wohlford, George F; Wijesinghe, Dayanjan S; Baker, William L; Van Tassell, Benjamin W

    2017-12-01

    We sought to determine the effect of intensive blood pressure (BP) control on cardiovascular outcomes in participants with type 2 diabetes mellitus (T2DM) and additional risk factors for cardiovascular disease (CVD). This study was a post hoc, multivariate, subgroup analysis of ACCORD-BP (Action to Control Cardiovascular Risk in Diabetes Blood Pressure) participants. Participants were eligible for the analysis if they were in the standard glucose control arm of ACCORD-BP and also had the additional CVD risk factors required for SPRINT (Systolic Blood Pressure Intervention Trial) eligibility. We used a Cox proportional hazards regression model to compare the effect of intensive versus standard BP control on CVD outcomes. The "SPRINT-eligible" ACCORD-BP participants were pooled with SPRINT participants to determine whether the effects of intensive BP control interacted with T2DM. The mean baseline Framingham 10-year CVD risk scores were 14.5% and 14.8%, respectively, in the intensive and standard BP control groups. The mean achieved systolic BP values were 120 and 134 mmHg in the intensive and standard BP control groups ( P control reduced the composite of CVD death, nonfatal myocardial infarction (MI), nonfatal stroke, any revascularization, and heart failure (hazard ratio 0.79; 95% CI 0.65-0.96; P = 0.02). Intensive BP control also reduced CVD death, nonfatal MI, and nonfatal stroke (hazard ratio 0.69; 95% CI 0.51-0.93; P = 0.01). Treatment-related adverse events occurred more frequently in participants receiving intensive BP control (4.1% vs. 2.1%; P = 0.003). The effect of intensive BP control on CVD outcomes did not differ between patients with and without T2DM ( P > 0.62). Intensive BP control reduced CVD outcomes in a cohort of participants with T2DM and additional CVD risk factors. © 2017 by the American Diabetes Association.

  2. A New Control Logic for a Wind-Area on the Balancing Authority Area Control Error Limit Standard for Load Frequency Control

    Directory of Open Access Journals (Sweden)

    Yekui Chang

    2018-01-01

    Full Text Available Nowadays, the Balancing Authority Area Control Error (ACE Limit (BAAL Standard has been adopted to replace the Control Performance Standard 2 (CPS2 in the North American power grid. According to the new standard’s mechanism, a new control logic, named “Triggered Monitoring and Graded Regulation” (TM-GR is proposed. Its purpose is to improve wind power utilization, with good BAAL Standard compliance for load frequency control (LFC. With the TM logic, according to the real-time regulating ability of areas and forecasting results of wind power output, the triggering moments to give orders are found and a defined monitoring interval is set to track the succeeding fluctuation of Area Control Error (ACE. With the GR logic, based on whether or not over-limit frequency and over-limit ACE occur simultaneously, unit output is regulated in different grades. In cooperation with the existing control logic of Control Performance Standard 1 (CPS1, the proposed logic has a higher priority. From the test results, with the proposed control logic, the utilization of wind power output increases and, meanwhile, the area’s control performance meets the Standard BAL-001-2 requirements. The standard deviation of the frequency deviation is less than the target value, and the duration of over-limit ACE and over-limit frequency can both be restricted to be less than 30 min.

  3. Round table discussion: Quality control and standardization of nuclear medicine software

    International Nuclear Information System (INIS)

    Anon.

    1988-01-01

    In summary the round table came to the following important conclusions: Nuclear medicine software systems need better documentation, especially regarding details of algorithms and limitations, and user friendliness could be considerably improved. Quality control of software is an integral part of quality assurance in nuclear medicine and should be performed at all levels of the software. Quality control of applications software should preferably be performed with assistance of generally accepted software phantoms. A basic form of standardization was welcomed and partly regarded as essential by all participants. Some areas such as patient study files could be standardized in the near future, whereas other areas such as the standardization of clinical applications programs or acquisition protocols still present major difficulties. An international cooperation in the field of standardization of software and other topics has already been started on the European level and should be continued and supported. (orig.)

  4. 25 CFR 542.23 - What are the minimum internal control standards for surveillance for Tier A gaming operations?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false What are the minimum internal control standards for..., DEPARTMENT OF THE INTERIOR HUMAN SERVICES MINIMUM INTERNAL CONTROL STANDARDS § 542.23 What are the minimum internal control standards for surveillance for Tier A gaming operations? (a) Tier A gaming operations must...

  5. 25 CFR 542.17 - What are the minimum internal control standards for complimentary services or items?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false What are the minimum internal control standards for... THE INTERIOR HUMAN SERVICES MINIMUM INTERNAL CONTROL STANDARDS § 542.17 What are the minimum internal control standards for complimentary services or items? (a) Each Tribal gaming regulatory authority or...

  6. 25 CFR 542.43 - What are the minimum internal control standards for surveillance for a Tier C gaming operation?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false What are the minimum internal control standards for..., DEPARTMENT OF THE INTERIOR HUMAN SERVICES MINIMUM INTERNAL CONTROL STANDARDS § 542.43 What are the minimum internal control standards for surveillance for a Tier C gaming operation? (a) The surveillance system...

  7. 25 CFR 542.33 - What are the minimum internal control standards for surveillance for Tier B gaming operations?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false What are the minimum internal control standards for..., DEPARTMENT OF THE INTERIOR HUMAN SERVICES MINIMUM INTERNAL CONTROL STANDARDS § 542.33 What are the minimum internal control standards for surveillance for Tier B gaming operations? (a) The surveillance system shall...

  8. [Discussion on research thinking of traditional Chinese medicine standardization system based on whole process quality control].

    Science.gov (United States)

    Dong, Ling; Sun, Yu; Pei, Wen-Xuan; Dai, Jun-Dong; Wang, Zi-Yu; Pan, Meng; Chen, Jiang-Peng; Wang, Yun

    2017-12-01

    The concept of "Quality by design" indicates that good design for the whole life cycle of pharmaceutical production enables the drug to meet the expected quality requirements. Aiming at the existing problems of the traditional Chinese medicine (TCM) industry, the TCM standardization system was put forward in this paper from the national strategic level, under the guidance by the idea of quality control in international manufacturing industry and with considerations of TCM industry's own characteristics and development status. The connotation of this strategy was to establish five interrelated systems: multi-indicators system based on tri-indicators system, quality standard and specification system of TCM herbal materials and decoction pieces, quality traceability system, data monitoring system based on whole-process quality control, and whole-process quality management system of TCM, and achieve the whole process systematic and scientific study in TCM industry through "top-level design-implement in steps-system integration" workflow. This article analyzed the correlation between the quality standards of all links, established standard operating procedures of each link and whole process, and constructed a high standard overall quality management system for TCM industry chains, in order to provide a demonstration for the establishment of TCM whole-process quality control system and provide systematic reference and basis for standardization strategy in TCM industry. Copyright© by the Chinese Pharmaceutical Association.

  9. Injury risk in runners using standard or motion control shoes: a randomised controlled trial with participant and assessor blinding.

    Science.gov (United States)

    Malisoux, Laurent; Chambon, Nicolas; Delattre, Nicolas; Gueguen, Nils; Urhausen, Axel; Theisen, Daniel

    2016-04-01

    This randomised controlled trial investigated if the usage of running shoes with a motion control system modifies injury risk in regular leisure-time runners compared to standard shoes, and if this influence depends on foot morphology. Recreational runners (n=372) were given either the motion control or the standard version of a regular running shoe model and were followed up for 6 months regarding running activity and injury. Foot morphology was analysed using the Foot Posture Index method. Cox regression analyses were used to compare injury risk between the two groups, based on HRs and their 95% CIs, controlling for potential confounders. Stratified analyses were conducted to evaluate the effect of motion control system in runners with supinated, neutral and pronated feet. The overall injury risk was lower among the participants who had received motion control shoes (HR=0.55; 95% CI 0.36 to 0.85) compared to those receiving standard shoes. This positive effect was only observed in the stratum of runners with pronated feet (n=94; HR=0.34; 95% CI 0.13 to 0.84); there was no difference in runners with neutral (n=218; HR=0.78; 95% CI 0.44 to 1.37) or supinated feet (n=60; HR=0.59; 95% CI 0.20 to 1.73). Runners with pronated feet using standard shoes had a higher injury risk compared to those with neutral feet (HR=1.80; 95% CI 1.01 to 3.22). The overall injury risk was lower in participants who had received motion control shoes. Based on secondary analysis, those with pronated feet may benefit most from this shoe type. 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/

  10. Motion control solution for new PLC-based standard development platform for VLT instrument control systems

    Science.gov (United States)

    Popovic, D.; Brast, R.; Di Lieto, N.; Kiekebusch, M.; Knudstrup, J.; Lucuix, C.

    2014-07-01

    More than a decade ago, due to obsolescence issues, ESO initiated the design and implementation of a custom-made CANbus based motion controller (CAN-RMC) to provide, together with a tailor-made software library (motor library), the motion control capabilities for the VME platform needed for the second generation VLT/VLTI instruments. The CAN-RMC controller has been successfully used in a number of VLT instruments but it has high production costs compared to the commercial off-the-shelf (COTS) industrial solutions available on the market today. In the scope of the selection of a new PLC-based platform for the VLT instrument control systems, ESO has evaluated motion control solutions from the company Beckhoff. This paper presents the investigation, implementation and testing of the PLC/TwinCAT/EtherCAT motion controllers for DC and stepper motors and their adaptation and integration into the VLT instrumentation framework. It reports functional and performance test results for the most typical use cases of astronomical instruments like initialization sequences, tracking, switch position detections, backslash compensation, brake handling, etc. In addition, it gives an overview of the main features of TwinCAT NC/PTP, PLCopen MC, EtherCAT motion control terminals and the engineering tools like TwinCAT Scope that are integrated into the development environment and simplify software development, testing and commissioning of motorized instrument functions.

  11. A biodegradable device for the controlled release of Piper nigrum (Piperaceae) standardized extract to control Aedes aegypti (Diptera, Culicidae) larvae.

    Science.gov (United States)

    Custódio, Kauê Muller; Oliveira, Joice Guilherme de; Moterle, Diego; Zepon, Karine Modolon; Prophiro, Josiane Somariva; Kanis, Luiz Alberto

    2016-01-01

    The significant increase in dengue, Zika, and chikungunya and the resistance of the Aedes aegypti mosquito to major insecticides emphasize the importance of studying alternatives to control this vector. The aim of this study was to develop a controlled-release device containing Piper nigrum extract and to study its larvicidal activity against Aedes aegypti. Piper nigrum extract was produced by maceration, standardized in piperine, and incorporated into cotton threads, which were inserted into hydrogel cylinders manufactured by the extrusion of carrageenan and carob. The piperine content of the extract and thread reservoirs was quantified by chromatography. The release profile from the device was assessed in aqueous medium and the larvicidal and residual activities of the standardized extract as well as of the controlled-release device were examined in Aedes aegypti larvae. The standardized extract contained 580mg/g of piperine and an LC50 value of 5.35ppm (24h) and the 3 cm thread reservoirs contained 13.83 ± 1.81mg of piperine. The device showed zero-order release of piperine for 16 days. The P. nigrum extract (25ppm) showed maximum residual larvicidal activity for 10 days, decreasing progressively thereafter. The device had a residual larvicidal activity for up to 37 days. The device provided controlled release of Piper nigrum extract with residual activity for 37 days. The device is easy to manufacture and may represent an effective alternative for the control of Aedes aegypti larvae in small water containers.

  12. Standard Test Method for Gravimetric Determination of Nonvolatile Residue (NVR) in Environmentally Controlled Areas for Spacecraft

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2008-01-01

    1.1 This test method covers the determination of nonvolatile residue (NVR) fallout in environmentally controlled areas used for the assembly, testing, and processing of spacecraft. 1.2 The NVR of interest is that which is deposited on sampling plate surfaces at room temperature: it is left to the user to infer the relationship between the NVR found on the sampling plate surface and that found on any other surfaces. 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 limitations prior to use. 1.4 The values stated in SI units are to be regarded as standard. No other units of measurement are included in this standard.

  13. Proposed standardization of assessment protocols for plant molluscicides for use in self-help control programmes.

    Science.gov (United States)

    Brackenbury, T D

    1998-10-01

    Several candidate plant molluscicides have been identified for possible incorporation into self-help control programmes against schistosomiasis, but their full potential has yet to be realised. This has been, in the most part, due to the absence of standardized assessment and toxicity protocols, and subsequently the inability to register crude plant products in their country of origin or internationally. In an attempt to solve this dilemma, a series of protocols has been designed which will provide a useful standardized guideline for investigations into plant molluscicides, as well as precipitate moves towards the establishment of internationally accepted guidelines for the assessment of various categories of plant biopesticides. Ultimately, being able to register a crude plant extract will permit health organizations such as the World Health Organization to promote the use of such material, especially in self-help control programmes, thereby improving the health standards of rural communities.

  14. 25 CFR 542.19 - What are the minimum internal control standards for accounting?

    Science.gov (United States)

    2010-04-01

    ... accounting? (a) Each gaming operation shall prepare accurate, complete, legible, and permanent records of all.... (c) Each gaming operation shall establish administrative and accounting procedures for the purpose of... 25 Indians 2 2010-04-01 2010-04-01 false What are the minimum internal control standards for...

  15. 77 FR 53199 - California State Motor Vehicle Pollution Control Standards; Advanced Clean Car Program; Request...

    Science.gov (United States)

    2012-08-31

    ... cars, light-duty trucks and medium-duty passenger vehicles (and limited requirements related to heavy... ENVIRONMENTAL PROTECTION AGENCY [AMS-FRL-9724-4] California State Motor Vehicle Pollution Control Standards; Advanced Clean Car Program; Request for Waiver of Preemption; Opportunity for Public Hearing and...

  16. 40 CFR 265.1088 - Standards: Closed-vent systems and control devices.

    Science.gov (United States)

    2010-07-01

    ... 266, subpart H; or (E) A boiler or industrial furnace burning hazardous waste for which the owner or... (CONTINUED) SOLID WASTES (CONTINUED) INTERIM STATUS STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE... waste in the waste management unit to a control device that meets the requirements specified in...

  17. 25 CFR 543.7 - What are the minimum internal control standards for bingo?

    Science.gov (United States)

    2010-04-01

    ... accounts and cashless systems. (1) All smart cards (i.e., cards that possess the means to electronically... control standards for bingo? (a) Bingo Cards—(1) Inventory of bingo paper. (i) The bingo paper inventory... may be the unique card identifier(s) sold or when electronic bingo card faces are sold, the unique...

  18. 40 CFR 60.753 - Operational standards for collection and control systems.

    Science.gov (United States)

    2010-07-01

    ... Performance for Municipal Solid Waste Landfills § 60.753 Operational standards for collection and control... that gas is collected from each area, cell, or group of cells in the MSW landfill in which solid waste... monitoring route and the rationale for any site-specific deviations from the 30 meter intervals. Areas with...

  19. 40 CFR 264.1087 - Standards: Closed-vent systems and control devices.

    Science.gov (United States)

    2010-07-01

    ...: (1) The closed-vent system shall route the gases, vapors, and fumes emitted from the hazardous waste in the waste management unit to a control device that meets the requirements specified in paragraph... (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE...

  20. 75 FR 8056 - California State Nonroad Engine Pollution Control Standards; California New Nonroad Compression...

    Science.gov (United States)

    2010-02-23

    .... Standard and Burden of Proof in Clean Air Act Section 209 Proceedings In Motor and Equip. Mfrs. Assoc. v... circumstances exist in which Congress intended a denial * * *.\\16\\ \\16\\ Motor and Equip. Mfrs. Assoc. v. EPA... challenging California's need for its own mobile source pollution control program or asserting any change from...

  1. 78 FR 44112 - California State Motor Vehicle Pollution Control Standards; Urban Buses; Request for Waiver of...

    Science.gov (United States)

    2013-07-23

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9836-7] California State Motor Vehicle Pollution Control Standards; Urban Buses; Request for Waiver of Preemption; Notice of Decision AGENCY: Environmental... contained in its urban bus regulations as they affect the 2002 and later model years. Urban buses are...

  2. 78 FR 50412 - California State Nonroad Engine Pollution Control Standards; Amendments to Spark Ignition Marine...

    Science.gov (United States)

    2013-08-19

    ... Engine Pollution Control Standards; Amendments to Spark Ignition Marine Engine and Boat Regulations... Marine Engine and Boat Regulations (2008 Marine SI Amendments or 2008 Amendments). CARB requested EPA... outboard and personal watercraft engines and to enforce the first tier of regulations affecting inboard and...

  3. 78 FR 721 - California State Nonroad Engine Pollution Control Standards; Transport Refrigeration Units...

    Science.gov (United States)

    2013-01-04

    ... ENVIRONMENTAL PROTECTION AGENCY California State Nonroad Engine Pollution Control Standards... ``TRUs''), (2) clarify the operational useful life of TRU flexibility engines, and (3) establish new... (January 16, 2009). II. Clean Air Act Nonroad Engine and Vehicle Authorizations Section 209(e)(1) of the...

  4. 76 FR 24872 - California State Nonroad Engine and Vehicle Pollution Control Standards; Authorization of Tier II...

    Science.gov (United States)

    2011-05-03

    ... ENVIRONMENTAL PROTECTION AGENCY [AMS-FRL-9301-6] California State Nonroad Engine and Vehicle Pollution Control Standards; Authorization of Tier II Marine Inboard/Sterndrive Spark Ignition Engine... ignition engines. DATES: Petitions for review must be filed by July 5, 2011. ADDRESSES: The Agency's...

  5. Standards and the design of the Advanced Photon Source control system

    International Nuclear Information System (INIS)

    McDowell, W.P.; Knott, M.J.; Lenkszus, F.R.; Kraimer, M.R.; Daly, R.T.; Arnold, N.D.; Anderson, M.D.; Anderson, J.B.; Zieman, R.C.; Cha, Ben-Chin K.; Vong, F.C.; Nawrocki, G.J.; Gunderson, G.R.; Karonis, N.T.; Winans, J.R.

    1991-01-01

    The Advanced Photon Source (APS), now under construction at Argonne National Laboratory is a 7 GeV positron storage ring dedicated to research facilities using synchrotron radiation. This ring, along with its injection accelerators is to be controlled and monitored with a single, flexible, and expandable control system. In the conceptual stage the control system design group faced the challenges that face all control system designers: to force the machine designers to quantify and codify the system requirements, to protect the investment in hardware and software from rapid obsolescence, and to find methods of quickly incorporating new generations of equipment and replace of obsolete equipment without disrupting the exiting system. To solve these and related problems, the APS control system group made an early resolution to use standards in the design of the system. This paper will cover the present status of the APS control system as well as discuss the design decisions which led us to use industrial standards and collaborations with other laboratories whenever possible to develop a control system. It will explain the APS control system and illustrate how the use of standards has allowed APS to design a control system whose implementation addresses these issues. The system will use high performance graphic workstations using an X-Windows Graphical User Interface at the operator interface level. It connects to VME-based microprocessors at the field level using TCP/IP protocols over high performance networks. This strategy assures the flexibility and expansibility of the control system. A defined interface between the system components will allow the system to evolve with the direct addition of future, improved equipment and new capabilities

  6. Wireless Sensor Network Congestion Control Based on Standard Particle Swarm Optimization and Single Neuron PID.

    Science.gov (United States)

    Yang, Xiaoping; Chen, Xueying; Xia, Riting; Qian, Zhihong

    2018-04-19

    Aiming at the problem of network congestion caused by the large number of data transmissions in wireless routing nodes of wireless sensor network (WSN), this paper puts forward an algorithm based on standard particle swarm⁻neural PID congestion control (PNPID). Firstly, PID control theory was applied to the queue management of wireless sensor nodes. Then, the self-learning and self-organizing ability of neurons was used to achieve online adjustment of weights to adjust the proportion, integral and differential parameters of the PID controller. Finally, the standard particle swarm optimization to neural PID (NPID) algorithm of initial values of proportion, integral and differential parameters and neuron learning rates were used for online optimization. This paper describes experiments and simulations which show that the PNPID algorithm effectively stabilized queue length near the expected value. At the same time, network performance, such as throughput and packet loss rate, was greatly improved, which alleviated network congestion and improved network QoS.

  7. Evaluation of standard reagents for radial-immunodiffusion assays. In vitro control of rabies vaccines

    Directory of Open Access Journals (Sweden)

    MICELI Graciela S.

    2000-01-01

    Full Text Available The RID assay is one of the in vitro methods used for in-process control in the production of rabies vaccines for veterinary use. It has been shown to be very useful for determining antigen concentration in the final bulk product. The work presented in this paper, including the production and standardization of candidate standard reagents for use in the Radial Immunodiffusion Assay (RID was carried out at the Pan American Institute for Food Protection and Zoonoses (INPPAZ/PAHO/WHO. The study was completed with the cooperation of the Faculty of Veterinary Sciences, National University of La Plata (NULP, Argentina, where the validation of the proposed standards and the quality control of samples from 28 different batches of rabies vaccines produced with Pasteur strain rabies virus (PV in BHK cells were performed. The activity of the vaccines was determined by in vivo (NIH and in vitro (RIDassays. The results of the candidate reagents for the reagent standardization tests showed stability, sensitivity and reproducibility. The Relative Potency the 1.2 between the problem vaccines and the reference vaccine was estimated by variance and regression analysis. The results of our validation study show that the INPPAZ (PAHO/WHO is capable of producing and distributing the above-mentioned standard reagents, as well as of providing support for the incorporation of the RID technique (sensitive, rapid and inexpensive to the laboratories that manufacture rabies vaccines in Latin America and the Caribbean.

  8. A non-standard optimal control problem arising in an economics application

    Directory of Open Access Journals (Sweden)

    Alan Zinober

    2013-04-01

    Full Text Available A recent optimal control problem in the area of economics has mathematical properties that do not fall into the standard optimal control problem formulation. In our problem the state value at the final time the state, y(T = z, is free and unknown, and additionally the Lagrangian integrand in the functional is a piecewise constant function of the unknown value y(T. This is not a standard optimal control problem and cannot be solved using Pontryagin's Minimum Principle with the standard boundary conditions at the final time. In the standard problem a free final state y(T yields a necessary boundary condition p(T = 0, where p(t is the costate. Because the integrand is a function of y(T, the new necessary condition is that y(T should be equal to a certain integral that is a continuous function of y(T. We introduce a continuous approximation of the piecewise constant integrand function by using a hyperbolic tangent approach and solve an example using a C++ shooting algorithm with Newton iteration for solving the Two Point Boundary Value Problem (TPBVP. The minimising free value y(T is calculated in an outer loop iteration using the Golden Section or Brent algorithm. Comparative nonlinear programming (NP discrete-time results are also presented.

  9. Standard operating procedure changed pre-hospital critical care anaesthesiologists’ behaviour: a quality control study

    Science.gov (United States)

    2013-01-01

    Introduction The ability of standard operating procedures to improve pre-hospital critical care by changing pre-hospital physician behaviour is uncertain. We report data from a prospective quality control study of the effect on pre-hospital critical care anaesthesiologists’ behaviour of implementing a standard operating procedure for pre-hospital controlled ventilation. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region prospectively registered pre-hospital advanced airway-management data according to the Utstein-style template. We collected pre-intervention data from February 1st 2011 to January 31st 2012, implemented the standard operating procedure on February 1st 2012 and collected post intervention data from February 1st 2012 until October 31st 2012. We included transported patients of all ages in need of controlled ventilation treated with pre-hospital endotracheal intubation or the insertion of a supraglottic airways device. The objective was to evaluate whether the development and implementation of a standard operating procedure for controlled ventilation during transport could change pre-hospital critical care anaesthesiologists’ behaviour and thereby increase the use of automated ventilators in these patients. Results The implementation of a standard operating procedure increased the overall prevalence of automated ventilator use in transported patients in need of controlled ventilation from 0.40 (0.34-0.47) to 0.74 (0.69-0.80) with a prevalence ratio of 1.85 (1.57-2.19) (p = 0.00). The prevalence of automated ventilator use in transported traumatic brain injury patients in need of controlled ventilation increased from 0.44 (0.26-0.62) to 0.85 (0.62-0.97) with a prevalence ratio of 1.94 (1.26-3.0) (p = 0.0039). The prevalence of automated ventilator use in patients transported after return of spontaneous circulation following pre-hospital cardiac arrest increased from 0.39 (0

  10. Cost-Effectiveness of Intensive versus Standard Blood-Pressure Control.

    Science.gov (United States)

    Bress, Adam P; Bellows, Brandon K; King, Jordan B; Hess, Rachel; Beddhu, Srinivasan; Zhang, Zugui; Berlowitz, Dan R; Conroy, Molly B; Fine, Larry; Oparil, Suzanne; Morisky, Donald E; Kazis, Lewis E; Ruiz-Negrón, Natalia; Powell, Jamie; Tamariz, Leonardo; Whittle, Jeff; Wright, Jackson T; Supiano, Mark A; Cheung, Alfred K; Weintraub, William S; Moran, Andrew E

    2017-08-24

    In the Systolic Blood Pressure Intervention Trial (SPRINT), adults at high risk for cardiovascular disease who received intensive systolic blood-pressure control (target, target, costs associated with intensive control versus standard control. We used a microsimulation model to apply SPRINT treatment effects and health care costs from national sources to a hypothetical cohort of SPRINT-eligible adults. The model projected lifetime costs of treatment and monitoring in patients with hypertension, cardiovascular disease events and subsequent treatment costs, treatment-related risks of serious adverse events and subsequent costs, and quality-adjusted life-years (QALYs) for intensive control versus standard control of systolic blood pressure. We determined that the mean number of QALYs would be 0.27 higher among patients who received intensive control than among those who received standard control and would cost approximately $47,000 more per QALY gained if there were a reduction in adherence and treatment effects after 5 years; the cost would be approximately $28,000 more per QALY gained if the treatment effects persisted for the remaining lifetime of the patient. Most simulation results indicated that intensive treatment would be cost-effective (51 to 79% below the willingness-to-pay threshold of $50,000 per QALY and 76 to 93% below the threshold of $100,000 per QALY), regardless of whether treatment effects were reduced after 5 years or persisted for the remaining lifetime. In this simulation study, intensive systolic blood-pressure control prevented cardiovascular disease events and prolonged life and did so at levels below common willingness-to-pay thresholds per QALY, regardless of whether benefits were reduced after 5 years or persisted for the patient's remaining lifetime. (Funded by the National Heart, Lung, and Blood Institute and others; SPRINT ClinicalTrials.gov number, NCT01206062 .).

  11. Control Systems Security Center Comparison Study of Industrial Control System Standards against the Control Systems Protection Framework Cyber-Security Requirements

    Energy Technology Data Exchange (ETDEWEB)

    Robert P. Evans

    2005-09-01

    Cyber security standards, guidelines, and best practices for control systems are critical requirements that have been delineated and formally recognized by industry and government entities. Cyber security standards provide a common language within the industrial control system community, both national and international, to facilitate understanding of security awareness issues but, ultimately, they are intended to strengthen cyber security for control systems. This study and the preliminary findings outlined in this report are an initial attempt by the Control Systems Security Center (CSSC) Standard Awareness Team to better understand how existing and emerging industry standards, guidelines, and best practices address cyber security for industrial control systems. The Standard Awareness Team comprised subject matter experts in control systems and cyber security technologies and standards from several Department of Energy (DOE) National Laboratories, including Argonne National Laboratory, Idaho National Laboratory, Pacific Northwest National Laboratory, and Sandia National Laboratories. This study was conducted in two parts: a standard identification effort and a comparison analysis effort. During the standard identification effort, the Standard Awareness Team conducted a comprehensive open-source survey of existing control systems security standards, regulations, and guidelines in several of the critical infrastructure (CI) sectors, including the telecommunication, water, chemical, energy (electric power, petroleum and oil, natural gas), and transportation--rail sectors and sub-sectors. During the comparison analysis effort, the team compared the requirements contained in selected, identified, industry standards with the cyber security requirements in ''Cyber Security Protection Framework'', Version 0.9 (hereafter referred to as the ''Framework''). For each of the seven sector/sub-sectors listed above, one standard was

  12. NASA/NBS (National Aeronautics and Space Administration/National Bureau of Standards) standard reference model for telerobot control system architecture (NASREM)

    Science.gov (United States)

    Albus, James S.; Mccain, Harry G.; Lumia, Ronald

    1989-01-01

    The document describes the NASA Standard Reference Model (NASREM) Architecture for the Space Station Telerobot Control System. It defines the functional requirements and high level specifications of the control system for the NASA space Station document for the functional specification, and a guideline for the development of the control system architecture, of the 10C Flight Telerobot Servicer. The NASREM telerobot control system architecture defines a set of standard modules and interfaces which facilitates software design, development, validation, and test, and make possible the integration of telerobotics software from a wide variety of sources. Standard interfaces also provide the software hooks necessary to incrementally upgrade future Flight Telerobot Systems as new capabilities develop in computer science, robotics, and autonomous system control.

  13. 25 CFR 542.4 - How do these regulations affect minimum internal control standards established in a Tribal-State...

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false How do these regulations affect minimum internal control... COMMISSION, DEPARTMENT OF THE INTERIOR HUMAN SERVICES MINIMUM INTERNAL CONTROL STANDARDS § 542.4 How do these regulations affect minimum internal control standards established in a Tribal-State compact? (a) If there is a...

  14. A biodegradable device for the controlled release of Piper nigrum (Piperaceae standardized extract to control Aedes aegypti (Diptera, Culicidae larvae

    Directory of Open Access Journals (Sweden)

    Kauê Muller Custódio

    Full Text Available Abstract: INTRODUCTION: The significant increase in dengue, Zika, and chikungunya and the resistance of the Aedes aegypti mosquito to major insecticides emphasize the importance of studying alternatives to control this vector. The aim of this study was to develop a controlled-release device containing Piper nigrum extract and to study its larvicidal activity against Aedes aegypti. METHODS: Piper nigrum extract was produced by maceration, standardized in piperine, and incorporated into cotton threads, which were inserted into hydrogel cylinders manufactured by the extrusion of carrageenan and carob. The piperine content of the extract and thread reservoirs was quantified by chromatography. The release profile from the device was assessed in aqueous medium and the larvicidal and residual activities of the standardized extract as well as of the controlled-release device were examined in Aedes aegypti larvae. RESULTS The standardized extract contained 580mg/g of piperine and an LC50 value of 5.35ppm (24h and the 3 cm thread reservoirs contained 13.83 ± 1.81mg of piperine. The device showed zero-order release of piperine for 16 days. The P. nigrum extract (25ppm showed maximum residual larvicidal activity for 10 days, decreasing progressively thereafter. The device had a residual larvicidal activity for up to 37 days. CONCLUSIONS: The device provided controlled release of Piper nigrum extract with residual activity for 37 days. The device is easy to manufacture and may represent an effective alternative for the control of Aedes aegypti larvae in small water containers.

  15. Outcome of tight versus standard glycemic control in coronary artery bypass patients

    International Nuclear Information System (INIS)

    Subhani, H.

    2012-01-01

    Objectives: To compare the outcome of tight versus standard glycemic control and its impact on post operative morbidity and short term mortality in patients undergoing Coronary Artery Bypass Grafting (CA-BG). Patients and Methods: A prospective surveillance of 124 patients undergoing isolated CABG surgery (on pump) was included in the study, 62 patients in each group were randomly assigned to tight and standard glucose control group. The main exposure was insulin in respect to level of blood glucose and the primary outcome measures were Sternotomy wound infection, Leg wound infection and new Myocardial Infarction. Surgical Site infection was assessed on a daily basis during the patient's stay in the Department of Cardio-thoracic Surgery, Sheikh Zayed Hospital, Lahore or within 30 days of operation prompting the patient to return to the hospital. Chi-square test or test was used to identify the significance of various short term morbidities and mortality. Results: In this study, 12 patients in the standard group and 4 patients in the tightly controlled group developed Sternal wound infection (p value 0.046). Similarly, 9 versus 2 patients in the standard and tight group respectively developed Leg wound infection (p-value 0.035). Test of proportion was applied and it was found that there was significant difference in the pro-portion of infection in the two groups (p value 0.05). However, there were no significant differences in other morbidities and the short term mortality. Conclusion: Study confirmed that tight glucose con-trol post operatively in CABG patient's results in reduced sternal and leg wound infection rates; however, there was no effect on other morbidities and short term mortality. (author)

  16. Application handbook for a Standardized Control Module (SCM) for DC-DC converters, volume 1

    Science.gov (United States)

    Lee, F. C.; Mahmoud, M. F.; Yu, Y.

    1980-01-01

    The standardized control module (SCM) was developed for application in the buck, boost and buck/boost DC-DC converters. The SCM used multiple feedback loops to provide improved input line and output load regulation, stable feedback control system, good dynamic transient response and adaptive compensation of the control loop for changes in open loop gain and output filter time constraints. The necessary modeling and analysis tools to aid the design engineer in the application of the SCM to DC-DC Converters were developed. The SCM functional block diagram and the different analysis techniques were examined. The average time domain analysis technique was chosen as the basic analytical tool. The power stage transfer functions were developed for the buck, boost and buck/boost converters. The analog signal and digital signal processor transfer functions were developed for the three DC-DC Converter types using the constant on time, constant off time and constant frequency control laws.

  17. An optimal PID controller via LQR for standard second order plus time delay systems.

    Science.gov (United States)

    Srivastava, Saurabh; Misra, Anuraag; Thakur, S K; Pandit, V S

    2016-01-01

    An improved tuning methodology of PID controller for standard second order plus time delay systems (SOPTD) is developed using the approach of Linear Quadratic Regulator (LQR) and pole placement technique to obtain the desired performance measures. The pole placement method together with LQR is ingeniously used for SOPTD systems where the time delay part is handled in the controller output equation instead of characteristic equation. The effectiveness of the proposed methodology has been demonstrated via simulation of stable open loop oscillatory, over damped, critical damped and unstable open loop systems. Results show improved closed loop time response over the existing LQR based PI/PID tuning methods with less control effort. The effect of non-dominant pole on the stability and robustness of the controller has also been discussed. Copyright © 2015 ISA. Published by Elsevier Ltd. All rights reserved.

  18. The level of knowledge and implementation of control / management standards in local public administration in Romania

    Directory of Open Access Journals (Sweden)

    Manea Birză, M.

    2012-01-01

    Full Text Available This article deals with some interesting issues regarding internal control and related aspects less analyzed by other authors. Processing data from the historical archaeological discoveries casts a new light on the time of appearance of internal control. Theoretical aspects consist in achieving a chronological presentation of legal regulations published in our country and provide the level of knowledge of internal control in public institutions in Romania. Practical issues are made by placing concrete progress implementing internal control standards in the particular case of local government. Their analysis reveals the need for additional procedural instructions that provide a framework for implementing universally accepted, best practice are only opinions about particular ways of solving problems.

  19. Pathological gamblers are more vulnerable to the illusion of control in a standard associative learning task

    Directory of Open Access Journals (Sweden)

    Cristina eOrgaz

    2013-06-01

    Full Text Available An illusion of control is said to occur when a person believes that he or she controls an outcome that is uncontrollable. Pathological gambling has often been related to an illusion of control, but the assessment of the illusion has generally used introspective methods in domain-specific (i.e., gambling situations. The illusion of control of pathological gamblers, however, could be a more general problem, affecting other aspects of their daily life. Thus, we tested them using a standard associative learning task which is known to produce illusions of control in most people under certain conditions. The results showed that the illusion was significantly stronger in pathological gamblers than in a control undiagnosed sample. This suggests (a that the experimental tasks used in basic associative learning research could be used to detect illusions of control in gamblers in a more indirect way, as compared to introspective and domain-specific questionnaires; and (b, that in addition to gambling-specific problems, pathological gamblers may have a higher-than-normal illusion of control in their daily life.

  20. The infection risk scan (IRIS): standardization and transparency in infection control and antimicrobial use.

    Science.gov (United States)

    Willemsen, Ina; Kluytmans, Jan

    2018-01-01

    Infection control needs user-friendly standardized instruments to measure the compliance to guidelines and to implement targeted improvement actions. This abstract describes a tool to measure the quality of infection control and antimicrobial use, the Infection Risk Scan (IRIS). It has been applied in a hospital, several nursing homes and a rehabilitation clinic in the Netherlands. The IRIS consists of a set of objective reproducible measurements, combining patient- and healthcare related variables, such as: hand hygiene compliance, environmental contamination using ATP measurements, prevalence of resistant microorganisms by active screening, availability of infection control preconditions, personal hygiene of healthcare workers, appropriate use of indwelling medical devices and appropriate use of antimicrobials. Results are visualized in a spider plot using traffic light colors to facilitate the interpretation. The IRIS provided ward specific results within the hospital that were the basis for targeted improvement programs resulting in measurable improvements. Hand hygiene compliance increased from 43% to 66% (more than 1000 observations per IRIS, p  IRIS makes it a useful infection prevention tool providing standardization and transparency. Targeted interventions can be started based on the results of the improvement plot and repeated IRIS can show the effect of interventions. In that way, a quality control cycle with continuous improvement can be achieved.

  1. Leptospirosis in a small animal veterinarian: reminder to follow standardized infection control procedures.

    Science.gov (United States)

    Baer, R; Turnberg, W; Yu, D; Wohrle, R

    2010-06-01

    A small animal veterinarian in Washington State developed leptospirosis after an occupational exposure. Approximately 10 days prior to the onset of illness, he examined a healthy appearing pet rat for fleas, which urinated on his un-gloved hands. Although the veterinarian washed his hands after the examination, his hands had abrasions from gardening. The veterinarian was hospitalized for 12 days and was able to return to work part-time 1 month following discharge. This illness may have been prevented if the veterinarian had been wearing gloves during the examination as recommended by the National Association of State Public Health Veterinarians (NASPHV), Veterinary Infection Control Committee, in its Compendium of Veterinary Standard Precautions for Zoonotic Disease Prevention in Veterinary Personnel (2008). This case alerts us to the need for small animal veterinarians to minimize their infection risk by practising recommended infection control procedures. Veterinarians should establish and follow a written infection control plan based on the standardized infection control approach adopted by the NASPHV to minimize their risk of occupational zoonotic infections.

  2. Tropical Fruit Pulps: Processing, Product Standardization and Main Control Parameters for Quality Assurance

    Directory of Open Access Journals (Sweden)

    Carlos Eduardo de Farias Silva

    2017-05-01

    Full Text Available ABSTRACT Fruit pulp is the most basic food product obtained from fresh fruit processing. Fruit pulps can be cold stored for long periods of time, but they also can be used to fabricate juices, ice creams, sweets, jellies and yogurts. The exploitation of tropical fruits has leveraged the entire Brazilian fruit pulp sector due mainly to the high acceptance of their organoleptic properties and remarkable nutritional facts. However, several works published in the last decades have pointed out unfavorable conditions regarding the consumption of tropical fruit pulps. This negative scenario has been associated with unsatisfactory physico-chemical and microbiological parameters of fruits pulps as outcomes of little knowledge and improper management within the fruit pulp industry. There are protocols for delineating specific identity and quality standards (IQSs and standardized good manufacturing practices (GMP for fruit pulps, which also embrace standard operating procedures (SOPs and hazard analysis and critical control points (HACCP, although this latter is not considered mandatory by the Brazilian legislation. Unfortunately, the lack of skilled labor, along with failures in complying established protocols have impaired quality of fruit pulps. It has been necessary to collect all information available with the aim to identify the most important hazards within fruit pulp processing lines. Standardizing methods and practices within the Brazilian fruit pulp industry would assurance high quality status to tropical fruit pulps and the commercial growth of this vegetal product towards international markets.

  3. Pursuing frequency standards and control: the invention of quartz clock technologies.

    Science.gov (United States)

    Katzir, Shaul

    2016-01-01

    The quartz clock, the first to replace the pendulum as the time standard and later a ubiquitous and highly influential technology, originated in research on means for determining frequency for the needs of telecommunication and the interests of its users. This article shows that a few groups in the US, Britain, Italy and the Netherlands developed technologies that enabled the construction of the new clock in 1927-28. To coordinate complex and large communication networks, the monopolistic American Telephone and Telegraph Company, and national laboratories needed to determine and maintain a common 'standard' frequency measurement unit. Exploiting novel piezoelectric quartz methods and valve electronics techniques, researchers in these organizations constructed a new crystal-based frequency standard. To ensure its accuracy they compared it to an accepted absolute standard - an astronomical clock, constructing thereby the first quartz clock. Other groups, however, had different, though connected, technological aims, which originated from the diverse interests of the industrial, governmental and academic institutes to which they belonged, and for which they needed to measure, control and manipulate with frequencies of electric oscillations. The present article suggests a comparative examination of the research and development paths of these groups on their incentives, the technological and scientific resources they utilized, and the kind of research carried out in the various institutional settings.

  4. Green Roofs: Standardization and Quality Control of Processes in Green Construction

    Directory of Open Access Journals (Sweden)

    Korol Elena

    2017-01-01

    Full Text Available The article considers the problems of standardization and quality control of processes in the construction, improvement of integrated safety of buildings and the implementation of innovative green building technologies, the use of national standards as well as international rating systems for green buildings evaluation. This is one of the priority directions in development of the modern construction. The aim of this study is the analysis of the green roof systems and international standards, which were carried out in the green building industry. The authors have studied traditional and innovative solutions of rational using natural resources and energy, the green roof system with integration of supported solar and wind energy collecting and converting devices and of irrigation system. Some studies provide evidence for the benefits of the modular green roof system in urban green space with microclimate differences. This article presents a new research which advances our knowledge of the economic and environmental services provided by the green roof system. Research reported here also considers the analysis of the Russian and international legislation of the quality control of processes in green construction.

  5. A Comparative Energetic Analysis of Active and Passive Emission Control Systems Adopting Standard Emission Test Cycles

    Directory of Open Access Journals (Sweden)

    Angelo Algieri

    2012-01-01

    Full Text Available The present work aims at analysing and comparing the thermal performances of active and passive aftertreatment systems. A one-dimensional transient model has been developed in order to evaluate the heat exchange between the solid and the exhaust gas and to estimate the energy effectiveness of the apparatus. Furthermore, the effect of the engine operating conditions on the performances of emission control systems has been investigated considering standard emission test cycles. The analysis has demonstrated that the active flow control presents the higher thermal inertia and it appears more suitable to maintain the converter initial temperature level for a longer time after variations in engine load. Conversely, the traditional passive flow control is preferable when rapid “cooling” or “heating” of the solid phase is requested. Moreover, the investigation has highlighted the significant influence of the cycle time and converter length on the energetic performances of the aftertreatment apparatus.

  6. Scientific writing: a randomized controlled trial comparing standard and on-line instruction.

    Science.gov (United States)

    Phadtare, Amruta; Bahmani, Anu; Shah, Anand; Pietrobon, Ricardo

    2009-05-27

    Writing plays a central role in the communication of scientific ideas and is therefore a key aspect in researcher education, ultimately determining the success and long-term sustainability of their careers. Despite the growing popularity of e-learning, we are not aware of any existing study comparing on-line vs. traditional classroom-based methods for teaching scientific writing. Forty eight participants from a medical, nursing and physiotherapy background from US and Brazil were randomly assigned to two groups (n = 24 per group): An on-line writing workshop group (on-line group), in which participants used virtual communication, google docs and standard writing templates, and a standard writing guidance training (standard group) where participants received standard instruction without the aid of virtual communication and writing templates. Two outcomes, manuscript quality was assessed using the scores obtained in Six subgroup analysis scale as the primary outcome measure, and satisfaction scores with Likert scale were evaluated. To control for observer variability, inter-observer reliability was assessed using Fleiss's kappa. A post-hoc analysis comparing rates of communication between mentors and participants was performed. Nonparametric tests were used to assess intervention efficacy. Excellent inter-observer reliability among three reviewers was found, with an Intraclass Correlation Coefficient (ICC) agreement = 0.931882 and ICC consistency = 0.932485. On-line group had better overall manuscript quality (p = 0.0017, SSQSavg score 75.3 +/- 14.21, ranging from 37 to 94) compared to the standard group (47.27 +/- 14.64, ranging from 20 to 72). Participant satisfaction was higher in the on-line group (4.3 +/- 0.73) compared to the standard group (3.09 +/- 1.11) (p = 0.001). The standard group also had fewer communication events compared to the on-line group (0.91 +/- 0.81 vs. 2.05 +/- 1.23; p = 0.0219). Our protocol for on-line scientific writing instruction is

  7. A Randomized Controlled Trial Comparing Telemedical and Standard Outpatient Monitoring of Diabetic Foot Ulcers

    DEFF Research Database (Denmark)

    Rasmussen, Benjamin S B; Froekjaer, Johnny; Bjerregaard, Mads R

    2015-01-01

    OBJECTIVE: The role of telemedical monitoring in diabetic foot ulcer care is still uncertain. Our aim was to compare telemedical and standard outpatient monitoring in the care of patients with diabetic foot ulcers in a randomized controlled trial. RESEARCH DESIGN AND METHODS: Of the 736 screened...... individuals with diabetic foot ulcers, 401 met the eligibility criteria and were randomized between October 2010 and November 2014. The per-protocol telemedical monitoring consisted of two consultations in the patient's own home and one consultation at the outpatient clinic. Standard practice consisted...... monitoring, a higher mortality throws into question the role of telemedicine in monitoring diabetic foot ulcers. Further studies are needed to investigate effects of telemedicine on mortality and other clinical outcomes and to identify patient subgroups that may have a poorer outcome through telemedical...

  8. Standardization of quality control plans for highway bridges in Europe: COST Action TU 1406

    Science.gov (United States)

    Casas, Joan R.; Matos, Jose Campos e.

    2017-09-01

    In Europe, as all over the world, the need to manage roadway bridges in an efficient way led to the development of different management systems. Hence, nowadays, many European countries have their own system. Although they present a similar architectural framework, several differences can be appointed. These differences constitute a divergent mechanism that may conduct to different decisions on maintenance actions. Within the roadway bridge management process, the identification of maintenance needs is more effective when developed in a uniform and repeatable manner. This process can be accomplished by the identification of performance indicators and definition of performance goals and key performance indicators (KPI), improving the planning of maintenance strategies. Therefore, a discussion at a European level, seeking to achieve a standardized approach in this subject, will bring significant benefits. Accordingly, a COST Action is under way in Europe with the aim of standardizing the establishment of quality control plans for roadway bridges.

  9. [Investigation of the hygienic standard in two hospitals including the control of disinfection (author's transl)].

    Science.gov (United States)

    Pfanzelt, R; Schassan, H H

    1978-08-01

    In two operative departments with different architectural presuppositions, the hygienic standard was checked up. Under favourable conditions in clinic B (Hosch-filter, sluice-systems) the relative frequency of demonstrable bacteria amounted to 55%. In clinic A, where these conditions failed, it amounted to 80%. Among the non pathogenic bacteria DNase-negative staphylococci were demonstrated more frequently than others. 13.4% and 18.9% resp. of the bacteria were DNase-positive staphylococci. We used Clostridium perfringens for detecting invasion-paths of germs. The most important ones are leaky windows, air conditioning and insufficient sluice-systems. The success of desinfection was examined. It fluctuates from 67% to 100%. One control amounted to 42%. The results show, that it is impossible to establish sterile rooms for common operative departments. But they show as well that a satisfying hygienic standard cannot be arrived without sluice-systems and appropriate air conditioning.

  10. Performance Analysis of Video PHY Controller Using Unidirection and Bi-directional IO Standard via 7 Series FPGA

    DEFF Research Database (Denmark)

    Das, Bhagwan; Abdullah, M F L; Hussain, Dil muhammed Akbar

    2017-01-01

    The Video PHY controller offers an interface between transmitters/receivers and video ports. These video ports are categorized in HDMI or Displayport. HDMI Video PHY controller are mostly used for their high speed operation for high resolution graphics. However, the execution of high resolution...... graphics consumes more power, this creates a need of designing the low power design for Video PHY controller. In this paper, the performance of Video PHY controller is analyzed by comparing the power consumption of unidirectional and bi-directional IO Standard over 7 series FPGA. It is determined...... that total on-chip power is reduced for unidirectional IO Standard based Video PHY controller compared to bidirectional IO Standard based Video PHY controller. The most significant achievement of this work is that it is concluded that unidirectional IO Standard based Video PHY controller consume least...

  11. A randomized controlled trial of a brief versus standard group parenting program for toddler aggression.

    Science.gov (United States)

    Tully, Lucy A; Hunt, Caroline

    2017-05-01

    Physical aggression (PA) in the toddler years is common and developmentally normal, however, longitudinal research shows that frequent PA is highly stable and associated with long-term negative outcomes. Significant research has demonstrated the efficacy of parenting interventions for reducing externalizing behavior in children yet their typical length may overburden families, leading to low participation rates and high attrition rates. To increase the reach of parenting interventions and impact on the prevalence of externalizing behavior problems, brief interventions are needed. This RCT compared a standard (8 session) group Triple P to a brief (3 session) discussion group and a waitlist control for reducing toddler PA, dysfunctional parenting and related aspects of parent functioning. Sixty-nine self-referred families of toddlers with PA were randomized to the respective conditions. At post-assessment, families in the standard intervention had significantly lower levels of observed child aversive behavior, mother reports of PA and dysfunctional parenting, and higher levels of mother- and partner-rated behavioral self-efficacy than the waitlist control. Families in the standard intervention also had significantly lower levels mother-rated dysfunctional parenting than the brief intervention, and the brief intervention had significantly lower levels of mother-rated dysfunctional parenting than waitlist. There were no significant group differences at post-assessment for measures of parental negative affect or satisfaction with the partner relationship. By 6 month follow-up, families in the brief and standard intervention did not differ significantly on any measure. The implications of the findings to delivery of brief parenting interventions are discussed. Aggr. Behav. 43:291-303, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  12. Application of the dynamic control rod reactivity measurement method to Korea standard nuclear power plants

    International Nuclear Information System (INIS)

    Lee, E. K.; Shin, H. C.; Bae, S. M.; Lee, Y. G.

    2004-01-01

    To measure and validate the worth of control bank or shutdown bank, the dynamic control rod reactivity measurement (DCRM) technique has been developed and applied to six cases of Low Power Physics Tests of PWRs including Korea Standard Nuclear Power plant (KSNP) based on the CE System 80 NSSS. Through the DORT results for each two ex-ore detector response and the three dimensional core transient simulations for rod movements, the key parameters of DCRM method are determined to implement into the Direct Digital Reactivity Computer System (DDRCS). A total of 9 bank worths of two KSNP plants were measured to compare with the worths of the conventional rod worth measurement method. The results show that the average error of DCRM method is nearly the same as the conventional Rod Swap and Boron Dilution Method but lower standard deviation. It takes about twenty minutes from the beginning of rod movement to final estimation of the integral static worth of a control bank. (authors)

  13. The IAEA Standards for the Radioactive Discharge Control: Present Status and Future Development

    International Nuclear Information System (INIS)

    Balonov, M.; Linsley, G.; Robinson, C.; Cabianca, T.

    2004-01-01

    The International Atomic Energy Agency (IAEA) is the organization within the UN family with a statutory mandate to establish standards for the protection of health and environment against ionizing radiation, and to provide for the application of those standards. As part of these functions, the IAEA periodically reviews the status and continued relevance of the standards to the needs of its Member States. Recent work on the development of standards for the radioactive discharge control includes development of practical guidance for setting discharge limits, elaboration on methodology for the radiation protection of non-human species, and preparation of guidance on environmental monitoring for radiation protection purposes. Development of these safety documents is influenced by recent international and regional tendencies, based on social initiatives, to reduce radioactive discharges substantially below levels justified by radiological criteria. The IAEA has developed preliminary guidance on practical aspects of setting discharge limits, which included a review of national regulatory experience in this regard. This review suggested that societal pressures and regulatory practicalities results in discharge controls that were likely to be more restrictive that those that would be implied by formal optimization techniques. Regulatory review of authorizations includes a number of considerations, including predicted doses to members of the critical group, but the suitability of abatement forms a greater part in the decision-making process than allowed for in previous safety guidance. The IAEA has, in recent years, established a programme of work specifically addressing the development of safety standards on assessing the impact of ionizing radiation on non-human species, in co-operation with other relevant international organizations. The main issues arising will be summarised in the paper with the main focus on an exploration of the possible form of future regulatory

  14. On the actual controlling of standards concerning the 'fast breeder reactor'

    International Nuclear Information System (INIS)

    Rengeling, H.W.

    1978-01-01

    If the decision of the OVG Muenster to present the case to the Federal Constitutional Court asking whether Article 7 of the atomic energy law corresponds to the constitution or not, as far as the article allows the licensing of a fast breeder reactor, two problems arise: The legal question in how far the actual controlling of standards is to be preceeded by a statement of facts given by the court of first instance, and the problem behind concerning the responsibility of decision. The Federal Constitutional Court should accept the responsibility of decision to be borne by it. (orig.) [de

  15. Sensory feedback in prosthetics: a standardized test bench for closed-loop control.

    Science.gov (United States)

    Dosen, Strahinja; Markovic, Marko; Hartmann, Cornelia; Farina, Dario

    2015-03-01

    Closing the control loop by providing sensory feedback to the user of a prosthesis is an important challenge, with major impact on the future of prosthetics. Developing and comparing closed-loop systems is a difficult task, since there are many different methods and technologies that can be used to implement each component of the system. Here, we present a test bench developed in Matlab Simulink for configuring and testing the closed-loop human control system in standardized settings. The framework comprises a set of connected generic blocks with normalized inputs and outputs, which can be customized by selecting specific implementations from a library of predefined components. The framework is modular and extensible and it can be used to configure, compare and test different closed-loop system prototypes, thereby guiding the development towards an optimal system configuration. The use of the test bench was demonstrated by investigating two important aspects of closed-loop control: performance of different electrotactile feedback interfaces (spatial versus intensity coding) during a pendulum stabilization task and feedforward methods (joystick versus myocontrol) for force control. The first experiment demonstrated that in the case of trained subjects the intensity coding might be superior to spatial coding. In the second experiment, the control of force was rather poor even with a stable and precise control interface (joystick), demonstrating that inherent characteristics of the prosthesis can be an important limiting factor when considering the overall effectiveness of the closed-loop control. The presented test bench is an important instrument for investigating different aspects of human manual control with sensory feedback.

  16. Business combinations under common control in International Financial Reporting Standards – is authoritative accounting guidance needed?

    Directory of Open Access Journals (Sweden)

    Magdalena Janowicz

    2017-09-01

    Full Text Available Business combinations under common control in International Financial Reporting Standards – is authoritative accounting guidance needed? The purpose of the article is to answer the question if a separate standard (IFRS is needed for business combinations under common control (BCUCC, which are not governed by any IFRS as the moment. In such cases, the approach resulting from IAS 8 should apply to them, which allows the use of national regulations to account for BCUCC. The authoress shortly described the theoretical issues related to the subject and presented the results of empirical research that verified the practical aspects of the problem. The research methodology involves a literature and legal act analysis, content analysis of financial statements, as well as deductive and inductive reasoning. On the basis of the gathered data the authoress concluded that even the existence of necessary regulations in national GAAPs does not guarantee that all the requirements related to the qualitative characteristics of the reported information are met and, as such, the main objectives for which IFRS were developed may not be met. As such, the authoritative guidance proves necessary. Very little research on the subject was published, thus, this paper may provide some additional guidance as to what issues related to BCUCC should receive particular attention.

  17. Development of a standardized pulse-controlled ergometry test for diagnosing and investigating cholinergic urticaria.

    Science.gov (United States)

    Altrichter, Sabine; Salow, Julia; Ardelean, Elena; Church, Martin K; Werner, Andreas; Maurer, Marcus

    2014-08-01

    Cholinergic urticaria (CholU) is a common condition in which active or passive warming leads to development of pinpoint wheals, flares and itch. To develop a standardized protocol for diagnosing CholU and measuring trigger thresholds, independent of patients' fitness levels. Ten CholU patients and matched healthy controls underwent pulse-controlled incremental ergometry for 30 min (stationary bicycle) increasing their pulse rate by 15 beats every 5 min. Non-invasive, heat-flux double-sensor and conventional electronic thermometers measured core and skin surface temperatures from which mean body temperature (MBT) was calculated. The time of onset of sweating (starch-iodine test) and symptoms (whealing) were recorded. All individuals completed the ergometry protocol without difficulty. All CholU patients but no controls developed wheals. The time to whealing correlated inversely with disease severity. In four patients MBT increased <0.5°C and in two whealing occurred at a temperature lower than at the start of exercise. Onset of symptoms correlated with the time of sweating. Pulse-controlled ergometry is sensitive and specific for diagnosing CholU and investigating trigger thresholds and disease mechanisms. Our results refute the hypothesis that a rise in MBT is the critical trigger for CholU while sweating appears to have the central role. Copyright © 2014 Japanese Society for Investigative Dermatology. Published by Elsevier Ireland Ltd. All rights reserved.

  18. Infection control and practice of standard precautions among healthcare workers in northern Nigeria

    Directory of Open Access Journals (Sweden)

    O E Amoran

    2013-01-01

    Full Text Available Background: Healthcare-associated infections (HAIs have been reported to be a serious problem in the healthcare services as they are common causes of illness and mortality among hospitalized patients including healthcare workers (HCWs. Compliance with these standard precautions has been shown to reduce the risk of exposure to blood and body fluids. Aims: This study therefore assesses the level of knowledge and compliance with standard precautions by the various cadre of HCWs and the factors influencing compliance in hospital environment in Nasarawa State, Northern Nigeria. Settings and Design: Nasarawa State has a current human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS prevalence rate of 10.0%, which was higher than most states in Nigeria with a high level of illiteracy and ignorance. Majority of the people reside in the rural areas while a few are found in the towns, informal settlements with no direct access to healthcare facilities are common. Materials and Methods: This study is an analytical, cross-sectional study. Proportional sampling technique was used to obtain a representative sample and a structured self-administered questionnaire was used to collect relevant information from the healthcare providers working in Nasarawa State from January to February 2009. Statistical analysis used: To describe patient characteristics, we calculated proportions and medians. For categorical variables, we compared proportions using chi-square tests. A logistic regression model was produced with infection control as outcome variable to identify associated factors. Results: A total of 421 HCWs were interviewed, Majority (77.9% correctly describe universal precaution and infection control with 19.2, 19.2, and 28.0%, respectively unable to recognize vaccination, postexposure prophylaxis, and surveillance for emerging diseases as standard precaution for infection control. About 70.1% usually wear gloves before handling patients or

  19. Day care PNL using 'Santosh-PGI hemostatic seal' versus standard PNL: A randomized controlled study.

    Science.gov (United States)

    Kumar, Santosh; Singh, Shivanshu; Singh, Prashant; Singh, Shrawan Kumar

    2016-01-01

    To compare the outcomes of tubeless day care PNL using hemostatic seal in the access tract versus standard PNL. It was a prospective randomized controlled study. Cases were randomized to either the day care group with hemostatic seal (DCS) or the control group where patients were admitted and a nephrostomy tube was placed at the conclusion of surgery. A total of 180 cases were screened and out of these, 113 were included in the final analysis. The stone clearance rates were comparable in both the groups. The mean drop in hemoglobin was significantly lower in DCS group than the control group (1.05 ±0.68 vs. 1.30 ±0.58 gm/dl, p = 0.038).Mean postoperative pain score, analgesic requirement (paracetamol) and duration of hospital stay were also significantly lower in the DCS group (3.79 ±1.23 vs. 6.12 ±0.96, 1.48 ±0.50 vs. 4.09 ±1.11 grams and 0.48 ±0.26 vs. 4.74 ±1.53 days respectively; p PNL with composite hemostatic tract seal is considered safe. It resulted in a significant reduction of blood loss and analgesic requirement with significantly reduced hospital stay, nephrostomy tube site morbidity and time required to resume normal activity when compared to the standard PNL. However, patients must be compliant with the given instructions and should have access to a health care facility, as few of them may need re-admission.

  20. Development of a standard test procedure for devices on thermal weed control

    Directory of Open Access Journals (Sweden)

    Verschwele, Arnd

    2016-02-01

    Full Text Available In contrast to the standard evaluation of the efficacy of pesticides and the testing of spraying equipment there are no comparable testing procedure for equipment of thermal weed control. It is the aim of the investigations described here to develop a standard procedure for assessing temperature distribution and biological efficacy. This will be the basis for quality testing which can be directly used by practical users. Also it can help engineers to improve devices if constructive gaps will be identified by these tests. The results from testing a flaming device (Green-Flame 850 E demonstrated such a potential for technical improvement: The temperature decreased from 159 °C to 89 °C by increasing driving speed from 0.35 m/s to 0.81 m/s. The variation of the temperature related to the working width was extremely high: The range was 60 °C at highest speed and 79 °C at lowest speed, respectively. The biological efficacy against the test plant species Sinapis arvensis was also affected by the driving speed and the corresponding temperature. A driving speed not higher than 0.53 m/s resulted in efficacy rates of almost 95%. However, the efficacy was only 66% at the highest tested speed of 0.81 m/s. Thus, the needed effective temperature is between 89 °C und 106 °C. In contrast, Lolium perenne was controlled by only 72% under the tested conditions. Here a dose-response relationship was not observed. The variation of the temperature, as well as the biological efficacy, was extremely heterogeneous and not satisfying in terms of an economic and safe use. Similar results were found for other devices on thermal weed control.

  1. Standardization of pulmonary ventilation technique using volume-controlled ventilators in rats with congenital diaphragmatic hernia

    Directory of Open Access Journals (Sweden)

    Rodrigo Melo Gallindo

    Full Text Available OBJECTIVE: To standardize a technique for ventilating rat fetuses with Congenital Diaphragmatic Hernia (CDH using a volume-controlled ventilator. METHODS: Pregnant rats were divided into the following groups: a control (C; b exposed to nitrofen with CDH (CDH; and c exposed to nitrofen without CDH (N-. Fetuses of the three groups were randomly divided into the subgroups ventilated (V and non-ventilated (N-V. Fetuses were collected on day 21.5 of gestation, weighed and ventilated for 30 minutes using a volume-controlled ventilator. Then the lungs were collected for histological study. We evaluated: body weight (BW, total lung weight (TLW, left lung weight (LLW, ratios TLW / BW and LLW / BW, morphological histology of the airways and causes of failures of ventilation. RESULTS: BW, TLW, LLW, TLW / BW and LLW / BW were higher in C compared with N- (p 0.05. The morphology of the pulmonary airways showed hypoplasia in groups N- and CDH, with no difference between V and N-V (p <0.05. The C and N- groups could be successfully ventilated using a tidal volume of 75 ìl, but the failure of ventilation in the CDH group decreased only when ventilated with 50 ìl. CONCLUSION: Volume ventilation is possible in rats with CDH for a short period and does not alter fetal or lung morphology.

  2. 77 FR 65823 - Control of Air Pollution From Aircraft and Aircraft Engines; Emission Standards and Test Procedures

    Science.gov (United States)

    2012-10-31

    ... Control of Air Pollution From Aircraft and Aircraft Engines; Emission Standards and Test Procedures... titled ``Table 3 to Sec. 87.23--Tier 6 NO X Standards for New Subsonic Turbofan or Turbojet Engines with... for New Subsonic Turbofan or Turbojet Engines With Rated Output Above 26.7 kN and the rated output (in...

  3. Standard versus prosocial online support groups for distressed breast cancer survivors: a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Golant Mitch

    2011-08-01

    Full Text Available Abstract Background The Internet can increase access to psychosocial care for breast cancer survivors through online support groups. This study will test a novel prosocial online group that emphasizes both opportunities for getting and giving help. Based on the helper therapy principle, it is hypothesized that the addition of structured helping opportunities and coaching on how to help others online will increase the psychological benefits of a standard online group. Methods/Design A two-armed randomized controlled trial with pretest and posttest. Non-metastatic breast cancer survivors with elevated psychological distress will be randomized to either a standard facilitated online group or to a prosocial facilitated online group, which combines online exchanges of support with structured helping opportunities (blogging, breast cancer outreach and coaching on how best to give support to others. Validated and reliable measures will be administered to women approximately one month before and after the interventions. Self-esteem, positive affect, and sense of belonging will be tested as potential mediators of the primary outcomes of depressive/anxious symptoms and sense of purpose in life. Discussion This study will test an innovative approach to maximizing the psychological benefits of cancer online support groups. The theory-based prosocial online support group intervention model is sustainable, because it can be implemented by private non-profit or other organizations, such as cancer centers, which mostly offer face-to-face support groups with limited patient reach. Trial Registration ClinicalTrials.gov: NCT01396174

  4. Improvements and standardization of communication means for control room personnel in nuclear power plants

    International Nuclear Information System (INIS)

    Preuss, W.; Eggerdinger, C.; Sieber, R.

    1982-01-01

    This report describes the findings of an investigation into selected communication means for control room personnel in nuclear power stations. The study can be seen as a contribution to the systematic analysis of major problem areas which were identified in the general study 'Human factors in the nuclear power plant'. The subjects under investigation were the 'Shift book', 'Simulation book', and 'Technical and organisational changes and their records'. It was intended to analyse both the communication, processes and the associated written documentation in order to determine areas for potential improvement and possibilities for standardization. Information was obtained by interviewing shift members and their supervisors, by general observation, and by compilation and evaluation of the extensive dokumentation. Assessment criteria were developed on a scientific basis and in the course of the investigation, in particular from ergonomic findings, as well as from standards and regulations and comparison between the plants. General practical suggestions were developed for the improvement of the communication forms and the formal design of the documents and their contents. The transfer of the recommendations to practical use in the plants presupposes the consideration of plant-specific frames of reference. The report includes a compilation and listing of suggestions for improvement in topical subdivisions. (orig.) [de

  5. Comparison of the Standards applied to Instrumentation and Control Systems for Nuclear Power Stations in Korea and Russia

    Energy Technology Data Exchange (ETDEWEB)

    Park, Joo Hyun; Hwang, In Koo; Lee, Dong Young

    2005-04-15

    This report describes a comparison result of technical standards applied to instrumentation and control systems for nuclear power plants between in Korea and in Russia. Russia also has a state-run organization authorized to conduct approval, cancellation, and audit in use of nuclear facility or equipment. The Russian standards for nuclear instrumentation and control equipment are analogous with the Korean ones in the aspect of basic concepts and principles. However, there are some differences in document structure, design requirements, qualification test items, depth of contents between two standard systems. The biggest deviation exists in the standard documents for seismic qualification and electromagnetic interference qualification. Korean seismic qualification standard utilizing US approach, defines testing and qualification methods specifically and clearly. Russian standards however provide only conceptual definitions and requirements in the seismic related aspects. Therefore, it is conceived that any equipment or system qualified seismically in accordance with Korean standards should additionally provide technical evidence that it is satisfactory with Russian standards as well. In electromagnetic interference qualification, because Russian standard requires more testing items than the current Korean standard, the additional qualification tests are necessary to meet the Russian requirements. However, these additional test items are based on IEC(International Electrotechnical Commission), therefore it is not a problem to perform those tests in a Korean testing facility.

  6. Comparison of the Standards applied to Instrumentation and Control Systems for Nuclear Power Stations in Korea and Russia

    International Nuclear Information System (INIS)

    Park, Joo Hyun; Hwang, In Koo; Lee, Dong Young

    2005-04-01

    This report describes a comparison result of technical standards applied to instrumentation and control systems for nuclear power plants between in Korea and in Russia. Russia also has a state-run organization authorized to conduct approval, cancellation, and audit in use of nuclear facility or equipment. The Russian standards for nuclear instrumentation and control equipment are analogous with the Korean ones in the aspect of basic concepts and principles. However, there are some differences in document structure, design requirements, qualification test items, depth of contents between two standard systems. The biggest deviation exists in the standard documents for seismic qualification and electromagnetic interference qualification. Korean seismic qualification standard utilizing US approach, defines testing and qualification methods specifically and clearly. Russian standards however provide only conceptual definitions and requirements in the seismic related aspects. Therefore, it is conceived that any equipment or system qualified seismically in accordance with Korean standards should additionally provide technical evidence that it is satisfactory with Russian standards as well. In electromagnetic interference qualification, because Russian standard requires more testing items than the current Korean standard, the additional qualification tests are necessary to meet the Russian requirements. However, these additional test items are based on IEC(International Electrotechnical Commission), therefore it is not a problem to perform those tests in a Korean testing facility

  7. ASDTIC control and standardized interface circuits applied to buck, parallel and buck-boost dc to dc power converters

    Science.gov (United States)

    Schoenfeld, A. D.; Yu, Y.

    1973-01-01

    Versatile standardized pulse modulation nondissipatively regulated control signal processing circuits were applied to three most commonly used dc to dc power converter configurations: (1) the series switching buck-regulator, (2) the pulse modulated parallel inverter, and (3) the buck-boost converter. The unique control concept and the commonality of control functions for all switching regulators have resulted in improved static and dynamic performance and control circuit standardization. New power-circuit technology was also applied to enhance reliability and to achieve optimum weight and efficiency.

  8. 77 FR 28455 - National Standards for Traffic Control Devices; the Manual on Uniform Traffic Control Devices for...

    Science.gov (United States)

    2012-05-14

    ... definition of Standard statements in the MUTCD and clarify the use of engineering judgment and studies in the... letter recommending a new sentence that would allow programmatic deviations from a STANDARD based on an.... Three transportation consultants asserted that the definition of STANDARD and the 2009 edition of the...

  9. Infection prevention and control standards in assisted living facilities: are residents' needs being met?

    Science.gov (United States)

    Kossover, Rachel A; Chi, Carolyn J; Wise, Matthew E; Tran, Alvin H; Chande, Neha D; Perz, Joseph F

    2014-01-01

    Assisted living facilities (ALFs) provide housing and care to persons unable to live independently, and who often have increasing medical needs. Disease outbreaks illustrate challenges of maintaining adequate resident protections in these facilities. Describe current state laws on assisted living admissions criteria, medical oversight, medication administration, vaccination requirements, and standards for infection control training. We abstracted laws and regulations governing assisted living facilities for the 50 states using a structured abstraction tool. Selected characteristics were compared according to the time period in which the regulation took effect. Selected state health departments were queried regarding outbreaks identified in assisted living facilities. Of the 50 states, 84% specify health-based admissions criteria to assisted living facilities; 60% require licensed health care professionals to oversee medical care; 88% specifically allow subcontracting with outside entities to provide routine medical services onsite; 64% address medication administration by assisted living facility staff; 54% specify requirements for some form of initial infection control training for all staff; 50% require reporting of disease outbreaks to the health department; 18% specify requirements to offer or require vaccines to staff; 30% specify requirements to offer or require vaccines to residents. Twelve states identified approximately 1600 outbreaks from 2010 to 2013, with influenza or norovirus infections predominating. There is wide variation in how assisted living facilities are regulated in the United States. States may wish to consider regulatory changes that ensure safe health care delivery, and minimize risks of infections, outbreaks of disease, and other forms of harm among assisted living residents. Published by Elsevier Inc.

  10. Infection Prevention and Control Standards in Assisted Living Facilities: Are Residents Needs Being Met?

    Science.gov (United States)

    Kossover, Rachel; Chi, Carolyn; Wise, Matthew; Tran, Alvin; Chande, Neha; Perz, Joseph

    2015-01-01

    Background Assisted Living Facilities (ALFs) provide housing and care to persons unable to live independently, and who often have increasing medical needs. Disease outbreaks illustrate challenges of maintaining adequate resident protections in these facilities. Objectives Describe current state laws on assisted living admissions criteria, medical oversight, medication administration, vaccination requirements, and standards for infection control training. Methods We abstracted laws and regulations governing assisted living facilities for the 50 states using a structured abstraction tool. Selected characteristics were compared according to the time period in which the regulation took effect. Selected state health departments were queried regarding outbreaks identified in assisted living facilities. Results Of the 50 states, 84% specify health-based admissions criteria to assisted living facilities. 60% require licensed healthcare professionals to oversee medical care. 88% specifically allow subcontracting with outside entities to provide routine medical services onsite, and 64% address medication administration by assisted living facility staff. 54% specify requirements for some form of initial infection control training for all staff; 50% require reporting of disease outbreaks to the health department. 30% offered or required vaccines to staff; 15% of states offered or required vaccines to residents. Eleven states identified approximately 1500 outbreaks from 2010–2013, with influenza or norovirus infections predominating. Conclusions There is wide variation in how assisted living facilities are regulated in the United States. States may wish to consider regulatory changes that assure safe healthcare delivery, and minimize risks of infections, outbreaks of disease, and other forms of harm among assisted living residents. PMID:24239014

  11. Validation of a motor activity system by a robotically controlled vehicle and using standard reference compounds.

    Science.gov (United States)

    Patterson, John P; Markgraf, Carrie G; Cirino, Maria; Bass, Alan S

    2005-01-01

    A series of experiments were undertaken to evaluate the accuracy, precision, specificity, and sensitivity of an automated, infrared photo beam-based open field motor activity system, the MotorMonitor v. 4.01, Hamilton-Kinder, LLC, for use in a good laboratory practices (GLP) Safety Pharmacology laboratory. This evaluation consisted of two phases: (1) system validation, employing known inputs using the EM-100 Controller Photo Beam Validation System, a robotically controlled vehicle representing a rodent and (2) biologic validation, employing groups of rats treated with the standard pharmacologic agents diazepam or D-amphetamine. The MotorMonitor's parameters that described the open-field activity of a subject were: basic movements, total distance, fine movements, x/y horizontal ambulations, rearing, and total rest time. These measurements were evaluated over a number of zones within each enclosure. System validation with the EM-100 Controller Photo Beam Validation System showed that all the parameters accurately and precisely measured what they were intended to measure, with the exception of fine movements and x/y ambulations. Biologic validation using the central nervous system depressant diazepam at 1, 2, or 5 mg/kg, i.p. produced the expected dose-dependent reduction in rat motor activity. In contrast, the central nervous system stimulant D-amphetamine produced the expected increases in rat motor activity at 0.1 and 1 mg/kg, i.p, demonstrating the specificity and sensitivity of the system. Taken together, these studies of the accuracy, precision, specificity, and sensitivity show the importance of both system and biologic validation in the evaluation of an automated open field motor activity system for use in a GLP compliant laboratory.

  12. How Well Do Randomized Controlled Trials Reflect Standard Care: A Comparison between Scientific Research Data and Standard Care Data in Patients with Intermittent Claudication undergoing Supervised Exercise Therapy.

    Science.gov (United States)

    Dörenkamp, S; Mesters, E P E; Nijhuis-van der Sanden, M W G; Teijink, J A W; de Bie, R A; Hoogeboom, T J

    2016-01-01

    The aim of the present study was to assess the degree and impact of patient selection of patients with intermittent claudication undergoing supervised exercise therapy in Randomized Controlled Trials (RCTs) by describing commonly used exclusion criteria, and by comparing baseline characteristics and treatment response measured as improvement in maximum walking distance of patients included in RCTs and patients treated in standard care. We compared data from RCTs with unselected standard care data. First, we systematically reviewed RCTs that investigated the effect of supervised exercise therapy in patients with intermittent claudication. For each of the RCTs, we extracted and categorized the eligibility criteria and their justifications. To assess whether people in RCTs (n = 1,440) differed from patients treated in daily practice (n = 3,513), in terms of demographics, comorbidity and walking capacity, we assessed between group-differences using t-tests. To assess differences in treatment response, we compared walking distances at three and six months between groups using t-tests. Differences of ≥15% were set as a marker for a clinically relevant difference. All 20 included RCTs excluded large segments of patients with intermittent claudication. One-third of the RCTs eligibility criteria were justified. Despite, the numerous eligibility criteria, we found that baseline characteristics were largely comparable. A statistically significant and (borderline) clinically relevant difference in treatment response after three and six months between trial participants and standard care patients was found. Improvements in maximum walking distance after three and six months were significantly and clinically less in trial participants. The finding that baseline characteristics of patients included in RCTs and patients treated in standard care were comparable, may indicate that RCT eligibility criteria are used implicitly by professionals when referring patients to standard

  13. 77 FR 73459 - California State Motor Vehicle Pollution Control Standards; Notice of Waiver of Clean Air Act...

    Science.gov (United States)

    2012-12-10

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9759-4] California State Motor Vehicle Pollution Control Standards; Notice of Waiver of Clean Air Act Preemption; California's 2010 Model Year Heavy-Duty Vehicle and... for CARB's own motor vehicle pollution control program based on lack of compelling and extraordinary...

  14. 78 FR 32223 - Control of Air Pollution From Motor Vehicles: Tier 3 Motor Vehicle Emission and Fuel Standards

    Science.gov (United States)

    2013-05-29

    ...-OAR-2011-0135; FRL-9818-5] RIN 2060-A0 Control of Air Pollution From Motor Vehicles: Tier 3 Motor... extension of the public comment period for the proposed rule ``Control of Air Pollution from Motor Vehicles: Tier 3 Motor Vehicle Emission and Fuel Standards'' (the proposed rule is hereinafter referred to as...

  15. A Derivation of the Long-Term Degradation of a Pulsed Atomic Frequency Standard from a Control-Loop Model

    Science.gov (United States)

    Greenhall, C. A.

    1996-01-01

    The phase of a frequency standard that uses periodic interrogation and control of a local oscillator (LO) is degraded by a long-term random-walk component induced by downconversion of LO noise into the loop passband. The Dick formula for the noise level of this degradation is derived from an explicit solution of an LO control-loop model.

  16. Is Your Biobank Up to Standards? A Review of the National Canadian Tissue Repository Network Required Operational Practice Standards and the Controlled Documents of a Certified Biobank.

    Science.gov (United States)

    Hartman, Victoria; Castillo-Pelayo, Tania; Babinszky, Sindy; Dee, Simon; Leblanc, Jodi; Matzke, Lise; O'Donoghue, Sheila; Carpenter, Jane; Carter, Candace; Rush, Amanda; Byrne, Jennifer; Barnes, Rebecca; Mes-Messons, Anne-Marie; Watson, Peter

    2018-02-01

    Ongoing quality management is an essential part of biobank operations and the creation of high quality biospecimen resources. Adhering to the standards of a national biobanking network is a way to reduce variability between individual biobank processes, resulting in cross biobank compatibility and more consistent support for health researchers. The Canadian Tissue Repository Network (CTRNet) implemented a set of required operational practices (ROPs) in 2011 and these serve as the standards and basis for the CTRNet biobank certification program. A review of these 13 ROPs covering 314 directives was conducted after 5 years to identify areas for revision and update, leading to changes to 7/314 directives (2.3%). A review of all internal controlled documents (including policies, standard operating procedures and guides, and forms for actions and processes) used by the BC Cancer Agency's Tumor Tissue Repository (BCCA-TTR) to conform to these ROPs was then conducted. Changes were made to 20/106 (19%) of BCCA-TTR documents. We conclude that a substantial fraction of internal controlled documents require updates at regular intervals to accommodate changes in best practices. Reviewing documentation is an essential aspect of keeping up to date with best practices and ensuring the quality of biospecimens and data managed by biobanks.

  17. Revision of NATO standardization agreement (STANAG) 2345 'Evaluation and control of personnel exposure to radio frequency fields'

    International Nuclear Information System (INIS)

    Klauenberg, B.J.; Merritt, J.H.; Gardner, R.

    1996-01-01

    North Atlantic Treaty Organization (NATO) joint operations, which reach across borders of countries that have different standards, could present a logistical nightmare were it not for standardization agreements, called STANAGs. STANAGs are established to provide uniform policies and procedures to insure international cooperation and to maintain the most effective levels of commonalty, compatibility, interchange-ability and inter-operability in military operations. Since signals produced by radar and communications equipment are not contained by national boundaries, a STANAG for Radiofrequency Radiation (RFR) is essential. The STANAG-2345 Control and Evaluation of Personnel Exposure to Radio Frequency Radiation. establishes criteria for the evaluation and control of personnel exposure to radio-frequency radiation within NATO forces. It defines hazard assessment, allows for control measures, indicates actions in case of accidental overexposures and establishes permissible exposure limits. The promulgation of this STANAG in 1979 was the culmination of deliberations among scientists and health professionals within the NATO community that began in May 1973. At the time of adoption it contained guidance based on the then state-of-knowledge. The standard has not been updated since it was issued, despite great advances in the knowledge-base defining health and safety aspects of RFR. Several standards setting groups recently updated their standards, including the American National Standards Institute revised safety guidance for RFR. This has left a large technology gap between the newer standards and STANAG 2345. (author)

  18. A review on the status of quality control and standardization of herbal drugs in India

    Directory of Open Access Journals (Sweden)

    Anju Dhiman

    2016-01-01

    Full Text Available Background: Most of the herbal medicines in the world originate from the developing countries. There are ample opportunities for these countries to expand their global export. The world market for botanical medicines including drug products and raw materials has been estimated to have an annual growth rate between 5% and 15%. Total global botanical drug market is estimated at US$62 billion and is expected to grow to the tune of US$5 trillion by the year 2050. In the USA alone, the usage of botanicals has been increased by 380% between the years 1990 and 1997. Materials and Methods: Ayurveda, the Indian system of medicine, is one of the ancient, yet living traditions that face a typical Western bias. Widespread and growing use of botanicals has created public health challenges globally in terms of quality, safety, and efficacy. Results and Discussion: The development of parameters for standardization and quality control of botanicals is a challenging task. Various regulatory authorities, research organizations, and botanical drug manufacturers have contributed in developing guiding principles and addressing issues related to the quality, safety, and efficacy. Conclusions: The present review describes the regulatory aspects of herbal drugs in India and various other countries.

  19. Probiotics for standard triple Helicobacter pylori eradication: a randomized, double-blind, placebo-controlled trial.

    Science.gov (United States)

    Hauser, Goran; Salkic, Nermin; Vukelic, Karina; JajacKnez, Alenka; Stimac, Davor

    2015-05-01

    The primary objective in the study is determination of efficacy of probiotic preparation as a supportive therapy in eradication of Helicobacter pylori.The study was multicenter, prospective, randomized, placebo controlled, and double-blind. The subjects first filled out a specially designed questionnaire to assess the severity of the 10 symptoms, which can be related to eradication therapy to be monitored during the trial. Each subject then received 28 capsules of probiotic preparation or matching placebo capsules, which they were supposed to take over the following 14 days, twice a day, at least 2 hours prior to or after the antibiotic therapy administration.A total of 804 patients were enrolled in the trial, of which 650 (80.85%) were included in the analysis. The results show a significantly larger share of cured subjects in the probiotic arm versus the placebo arm (87.38% vs 72.55%; P probiotic treatment was found superior to placebo in 7 of 10 mentioned symptoms. Average intensity for symptoms potentially related to antibiotic therapy was significantly higher in the placebo group, 0.76 vs 0.55 (P probiotics to the standard triple therapy for H pylori eradication significantly contributes to treatment efficacy and distinctly decreases the adverse effects of therapy and the symptoms of the underlying disease.

  20. A High Throughput Medium Access Control Implementation Based on IEEE 802.11e Standard

    Science.gov (United States)

    Huang, Min Li; Lee, Jin; Setiawan, Hendra; Ochi, Hiroshi; Park, Sin-Chong

    With the growing demand for high-performance multimedia applications over wireless channels, we need to develop a Medium Access Control (MAC) system that supports high throughput and quality of service enhancements. This paper presents the standard analysis, design architecture and design issues leading to the implementation of an IEEE 802.11e based MAC system that supports MAC throughput of over 100Mbps. In order to meet the MAC layer timing constraints, a hardware/software co-design approach is adopted. The proposed MAC architecture is implemented on the Xilinx Virtex-II Pro Field-Programmable Gate Array (FPGA) (XC2VP70-5FF1704C) prototype, and connected to a host computer through an external Universal Serial Bus (USB) interface. The total FPGA resource utilization is 11, 508 out of 33, 088 (34%) available slices. The measured MAC throughput is 100.7Mbps and 109.2Mbps for voice and video access categories, transmitted at a data rate of 260Mbps based on IEEE 802.11n Physical Layer (PHY), using the contention-based hybrid coordination function channel access mechanism.

  1. A holistic strategy for quality and safety control of traditional Chinese medicines by the "iVarious" standard system.

    Science.gov (United States)

    Chen, Anzhen; Sun, Lei; Yuan, Hang; Wu, Aiying; Lu, Jingguang; Ma, Shuangcheng

    2017-10-01

    An effective quality control system is the key to ensuring the quality, safety and efficacy of traditional Chinese medicines (TCMs). However, the current quality standard research lacks the top-design and systematic design, mostly based on specific technologies or evaluation methods. To resolve the challenges and questions of quality control of TCMs, a brand-new quality standard system, named "iVarious", was proposed. The system comprises eight elements in a modular format. Meaning of every element was specifically illustrated via corresponding research instances. Furthermore, frankincense study was taken as an example for demonstrating standards and research process, based on the "iVarious" system. This system highlighted a holistic strategy for effectiveness, security, integrity and systematization of quality and safety control standards of TCMs. The establishment of "iVarious" integrates multi-disciplinary technologies and progressive methods, basis elements and key points of standard construction. The system provides a novel idea and technological demonstration for regulation establishment of TCMs quality standards.

  2. A holistic strategy for quality and safety control of traditional Chinese medicines by the “iVarious” standard system

    Directory of Open Access Journals (Sweden)

    Anzhen Chen

    2017-10-01

    Full Text Available An effective quality control system is the key to ensuring the quality, safety and efficacy of traditional Chinese medicines (TCMs. However, the current quality standard research lacks the top-design and systematic design, mostly based on specific technologies or evaluation methods. To resolve the challenges and questions of quality control of TCMs, a brand-new quality standard system, named “iVarious”, was proposed. The system comprises eight elements in a modular format. Meaning of every element was specifically illustrated via corresponding research instances. Furthermore, frankincense study was taken as an example for demonstrating standards and research process, based on the “iVarious” system. This system highlighted a holistic strategy for effectiveness, security, integrity and systematization of quality and safety control standards of TCMs. The establishment of “iVarious” integrates multi-disciplinary technologies and progressive methods, basis elements and key points of standard construction. The system provides a novel idea and technological demonstration for regulation establishment of TCMs quality standards.

  3. NEURO-SYSTEM OF AIMING AND STABILIZING WITH A REGULATOR ON THE BASIS OF STANDARD MODEL MODEL REFERENCE CONTROLLER

    Directory of Open Access Journals (Sweden)

    B.I. Kuznetsov

    2015-08-01

    Full Text Available The aim of this work is the synthesis of neural network aiming and stabilization system for the special equipment of moving objects with neuro-controller on the basis of standard model and performance comparison of the neural network system with the neural network predictive control. Build a block diagram of the neural network aiming and stabilization system, based on the subject control principle with PD-regulator in the position loop and with neuro-controller on the basis of standard model in the in the velocity loop. The neuro-controller on the basis of standard model Model Reference Controller is synthesized in the MATLAB Neural Network Toolbox and system simulation is performed. The studies show that the transient state variables of the system are oscillatory. Therefore, the neuro-controller with the prediction NN Predictive Controller should be used for aiming and stabilizing system to provide high dynamic characteristics achieved at the cost of higher complexity and computational cost.

  4. Control of Standard Terms in Consumer Contracts in Vietnamese Law: Lessons Learnt from European Experiences

    NARCIS (Netherlands)

    Do Giang, N.|info:eu-repo/dai/nl/370632516

    2017-01-01

    Nowadays, standard form consumer contracts are so ubiquitous in the modern society that a person virtually cannot participate in ordinary life without them. However, the major disadvantages of standard form contracts are that they lack meaningful consent, and they are unfair to the detriment of the

  5. 75 FR 11880 - California State Nonroad Engine Pollution Control Standards; California Nonroad Compression...

    Science.gov (United States)

    2010-03-12

    ... EPA that it has adopted amendments to its emission standards for fleets that operate nonroad, diesel... context of motor vehicle waivers.\\3\\ In order to be consistent with section 209(a), California's nonroad standards and enforcement procedures must not apply to new motor vehicles or new motor vehicle engines...

  6. Knowledge of blood sugar control standard brings the higher attainment rate of HbA1c.

    Science.gov (United States)

    Li, Chun; Wang, Aimin; Zhang, Ying; Ning, Xiaoqun; Lei, Minxiang

    2013-08-01

    To analyze the important controllable factors which affect the glycemic control of diabetes. A cross-sectional study was carried out to examine the role of relevant characteristics in glycemic control by a sampling investigation of 430 diabetic patients in Hunan, China. A questionnaire was designed for personal interviews to collect data. Univariate regression analysis and multiple linear regression analysis were used to evaluate the effects of various factors on glycated hemoglobin A1c (HbA1c) control. The level of HbA1c in 430 patients was (8.7±2.6)%, and the value in 34% patients among them was ≤ 7.0%. Base on univariate regression analysis some factors were associated with good HbA1c control, including age, diabetic education, self monitoring of blood glucose, knowledge of blood sugar control standard, living environment, and self-owned glucometer. However, the upgraded treatment was associated with poor control. Based on multiple linear regression analysis, the first four factors mentioned above were protective factors for HbA1c while upgraded treatment was risk factor for HbA1c. Knowledge of blood sugar control standard, diabetic education and self monitoring of blood glucose are important controllable factors for better glycemic control of diabetes.

  7. Development of radioactive standards in epoxy matrix for the control of quality of activimeters

    International Nuclear Information System (INIS)

    Fragoso, Maria da Conceicao de Farias; Monteiro, Luciane Carollyne de Oliveira Reis; Oliveira, Marcia Liane de

    2016-01-01

    In the present study, a new approach for development of the standards for positron emitting radionuclides in epoxy matrix is presented. Different formulations were prepared using epoxy resin (bisphenol A diglycidyl ether - DGEBA) and curing agents, to immobilize the radioactive material. The efficiency curve and standard sample methods were applied for activity determination of a long-lived positron emitter ( 22 Na). Satisfactory results were obtained in the 3 rd combination. Thus, these radioactive standards can be used to evaluate the metrological behavior of the systems used for the measurement of the radiopharmaceuticals (activimeters) in the production centers and in nuclear medicine services. (author)

  8. 76 FR 55829 - Federal Motor Vehicle Safety Standards; Electronic Stability Control Systems

    Science.gov (United States)

    2011-09-09

    ... Control Systems AGENCY: National Highway Traffic Safety Administration (NHTSA), Department of.... Benefits of ESC Electronic stability control (ESC) systems use automatic computer- controlled braking of... as a four-wheel drive low- range transfer case, that does not control the ESC system directly but has...

  9. 77 FR 9916 - California State Motor Vehicle and Nonroad Engine Pollution Control Standards; Mobile Cargo...

    Science.gov (United States)

    2012-02-21

    .... Mfrs Assoc. v. EPA, 627 F.2d 1095 (D.C. Cir. 1979) (``MEMA I''). If California amends regulations that... the 2007 on-road engines standards previously waived by EPA. CARB's CHE regulations do not change the...

  10. A versatile multidimensional protein purification system with full internet remote control based on a standard HPLC system.

    Science.gov (United States)

    Riek, Uwe; Ramirez, Sacnicte; Wallimann, Theo; Schlattner, Uwe

    2009-05-01

    The standard Akta Explorer high-performance liquid chromatography (HPLC) system has limitations for the automation of multidimensional protein purification. Here, we describe simple modifications that allow for automated multidimensional purification protocols to extend the possibilities of the Akta three-dimensional purification kit in terms of column number, flexibility of volumes stocked for re-injection of samples, and available choice of buffers. These modifications do not preclude the use of standard one-dimensional purification protocols. Additionally, we demonstrate a technology for encrypted full remote control of the machine over the Internet by cost-effective use of standard asymmetric digital subscriber line (ADSL) that enables direct remote interaction with the machine without preventing local control. A 4-column purification scheme, including equilibration and cleaning in place (CIP) procedures, was implemented on such a system. It significantly increased reproducibility and shortened processing time by 85%, as compared with manual operation, thus allowing for automated protein purification overnight.

  11. Standardizing visual control devices for tsetse flies: East African species Glossina swynnertoni.

    Directory of Open Access Journals (Sweden)

    Furaha Mramba

    Full Text Available BACKGROUND: Here we set out to standardize long-lasting, visually-attractive devices for Glossina swynnertoni, a vector of both human and animal trypanosomiasis in open savannah in Tanzania and Kenya, and in neighbouring conservation areas used by pastoralists. The goal was to determine the most practical device/material that would induce the strongest landing response in G. swynnertoni for use in area-wide population suppression of this fly with insecticide-impregnated devices. METHODS AND FINDINGS: Trials were conducted in wet and dry seasons in the Serengeti and Maasai Mara to measure the performance of traps and targets of different sizes and colours, with and without chemical baits, at different population densities and under different environmental conditions. Adhesive film was used as a simple enumerator at these remote locations to compare trapping efficiencies of devices. Independent of season or presence of chemical baits, targets in phthalogen blue or turquoise blue cloth with adhesive film were the best devices for capturing G. swynnertoni in all situations, catching up to 19 times more flies than pyramidal traps. Baiting with chemicals did not affect the relative performance of devices. Fly landings were two times higher on 1 m(2 blue-black targets as on pyramidal traps when equivalent areas of both were covered with adhesive film. Landings on 1 m(2 blue-black targets were compared to those on smaller phthalogen blue 0.5 m(2 all-blue or blue-black-blue cloth targets, and to landings on all-blue plastic 0.32-0.47 m(2 leg panels painted in phthalogen blue. These smaller targets and leg panels captured equivalent numbers of G. swynnertoni per unit area as bigger targets. CONCLUSIONS: Leg panels and 0.5 m(2 cloth targets show promise as cost effective devices for management of G. swynnertoni as they can be used for both control (insecticide-impregnated cloth and for sampling (rigid plastic with insect glue or adhesive film of

  12. After the Gold Rush: Questioning the "Gold Standard" and Reappraising the Status of Experiment and Randomized Controlled Trials in Education

    Science.gov (United States)

    Thomas, Gary

    2016-01-01

    The past few years have seen a resurgence of faith in experimentation in education inquiry, and particularly in randomized controlled trials (RCTs). Proponents of such research have succeeded in bringing into common parlance the term "gold standard," which suggests that research emerging from any other design frame fails to achieve the…

  13. Modeling freedom from progression for standard-risk medulloblastoma: a mathematical tumor control model with multiple modes of failure

    DEFF Research Database (Denmark)

    Brodin, Nils Patrik; Vogelius, Ivan R.; Bjørk-Eriksson, Thomas

    2013-01-01

    As pediatric medulloblastoma (MB) is a relatively rare disease, it is important to extract the maximum information from trials and cohort studies. Here, a framework was developed for modeling tumor control with multiple modes of failure and time-to-progression for standard-risk MB, using published...

  14. Silk garments plus standard care compared with standard care for treating eczema in children: A randomised, controlled, observer-blind, pragmatic trial (CLOTHES Trial.

    Directory of Open Access Journals (Sweden)

    Kim S Thomas

    2017-04-01

    Full Text Available The role of clothing in the management of eczema (also called atopic dermatitis or atopic eczema is poorly understood. This trial evaluated the effectiveness and cost-effectiveness of silk garments (in addition to standard care for the management of eczema in children with moderate to severe disease.This was a parallel-group, randomised, controlled, observer-blind trial. Children aged 1 to 15 y with moderate to severe eczema were recruited from secondary care and the community at five UK medical centres. Participants were allocated using online randomisation (1:1 to standard care or to standard care plus silk garments, stratified by age and recruiting centre. Silk garments were worn for 6 mo. Primary outcome (eczema severity was assessed at baseline, 2, 4, and 6 mo, by nurses blinded to treatment allocation, using the Eczema Area and Severity Index (EASI, which was log-transformed for analysis (intention-to-treat analysis. A safety outcome was number of skin infections. Three hundred children were randomised (26 November 2013 to 5 May 2015: 42% girls, 79% white, mean age 5 y. Primary analysis included 282/300 (94% children (n = 141 in each group. The garments were worn more often at night than in the day (median of 81% of nights [25th to 75th centile 57% to 96%] and 34% of days [25th to 75th centile 10% to 76%]. Geometric mean EASI scores at baseline, 2, 4, and 6 mo were, respectively, 9.2, 6.4, 5.8, and 5.4 for silk clothing and 8.4, 6.6, 6.0, and 5.4 for standard care. There was no evidence of any difference between the groups in EASI score averaged over all follow-up visits adjusted for baseline EASI score, age, and centre: adjusted ratio of geometric means 0.95, 95% CI 0.85 to 1.07, (p = 0.43. This confidence interval is equivalent to a difference of -1.5 to 0.5 in the original EASI units, which is not clinically important. Skin infections occurred in 36/142 (25% and 39/141 (28% of children in the silk clothing and standard care groups

  15. Silk garments plus standard care compared with standard care for treating eczema in children: A randomised, controlled, observer-blind, pragmatic trial (CLOTHES Trial).

    Science.gov (United States)

    Thomas, Kim S; Bradshaw, Lucy E; Sach, Tracey H; Batchelor, Jonathan M; Lawton, Sandra; Harrison, Eleanor F; Haines, Rachel H; Ahmed, Amina; Williams, Hywel C; Dean, Taraneh; Burrows, Nigel P; Pollock, Ian; Llewellyn, Joanne; Crang, Clare; Grundy, Jane D; Guiness, Juliet; Gribbin, Andrew; Mitchell, Eleanor J; Cowdell, Fiona; Brown, Sara J; Montgomery, Alan A

    2017-04-01

    The role of clothing in the management of eczema (also called atopic dermatitis or atopic eczema) is poorly understood. This trial evaluated the effectiveness and cost-effectiveness of silk garments (in addition to standard care) for the management of eczema in children with moderate to severe disease. This was a parallel-group, randomised, controlled, observer-blind trial. Children aged 1 to 15 y with moderate to severe eczema were recruited from secondary care and the community at five UK medical centres. Participants were allocated using online randomisation (1:1) to standard care or to standard care plus silk garments, stratified by age and recruiting centre. Silk garments were worn for 6 mo. Primary outcome (eczema severity) was assessed at baseline, 2, 4, and 6 mo, by nurses blinded to treatment allocation, using the Eczema Area and Severity Index (EASI), which was log-transformed for analysis (intention-to-treat analysis). A safety outcome was number of skin infections. Three hundred children were randomised (26 November 2013 to 5 May 2015): 42% girls, 79% white, mean age 5 y. Primary analysis included 282/300 (94%) children (n = 141 in each group). The garments were worn more often at night than in the day (median of 81% of nights [25th to 75th centile 57% to 96%] and 34% of days [25th to 75th centile 10% to 76%]). Geometric mean EASI scores at baseline, 2, 4, and 6 mo were, respectively, 9.2, 6.4, 5.8, and 5.4 for silk clothing and 8.4, 6.6, 6.0, and 5.4 for standard care. There was no evidence of any difference between the groups in EASI score averaged over all follow-up visits adjusted for baseline EASI score, age, and centre: adjusted ratio of geometric means 0.95, 95% CI 0.85 to 1.07, (p = 0.43). This confidence interval is equivalent to a difference of -1.5 to 0.5 in the original EASI units, which is not clinically important. Skin infections occurred in 36/142 (25%) and 39/141 (28%) of children in the silk clothing and standard care groups

  16. 77 FR 28460 - National Standards for Traffic Control Devices; the Manual on Uniform Traffic Control Devices for...

    Science.gov (United States)

    2012-05-14

    ... deemed to be of critical safety importance will remain in effect. In addition, this final rule adds a new... district from the Standards and Guidance of Section 2D.43 regarding street sign color, letter size, and... deemed to be of critical safety importance will remain in effect. In addition, this final rule adds a new...

  17. Nanorack Compatible Standardized Data Processing, Communication, and Control Module, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — This Phase I study will design and develop a NanoRacks Control Module (NCM) that provides communications, control functions and data processing in a NanoRacks...

  18. 49 CFR 571.123 - Standard No. 123; Motorcycle controls and displays.

    Science.gov (United States)

    2010-10-01

    ... axis of the ignition control, viewed from in front of the ignition lock opening; (b) The axis of the... handgrip. If a motorcycle with an automatic clutch other than a scooter is equipped with a supplemental rear brake control, the control shall be located on the left handlebar. If a scooter with an automatic...

  19. 76 FR 7194 - California State Nonroad Engine Pollution Control Standards; Request for Authorization of...

    Science.gov (United States)

    2011-02-09

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9264-3] California State Nonroad Engine Pollution Control... within-the-scope confirmation. \\2\\ This includes: California State Nonroad Engine Pollution Control... Greater, 60 FR 48981 (September 21, 1995); California State Nonroad Engine and Vehicle Pollution Control...

  20. Correlation pattern recognition: optimal parameters for quality standards control of chocolate marshmallow candy

    Science.gov (United States)

    Flores, Jorge L.; García-Torales, G.; Ponce Ávila, Cristina

    2006-08-01

    This paper describes an in situ image recognition system designed to inspect the quality standards of the chocolate pops during their production. The essence of the recognition system is the localization of the events (i.e., defects) in the input images that affect the quality standards of pops. To this end, processing modules, based on correlation filter, and segmentation of images are employed with the objective of measuring the quality standards. Therefore, we designed the correlation filter and defined a set of features from the correlation plane. The desired values for these parameters are obtained by exploiting information about objects to be rejected in order to find the optimal discrimination capability of the system. Regarding this set of features, the pop can be correctly classified. The efficacy of the system has been tested thoroughly under laboratory conditions using at least 50 images, containing 3 different types of possible defects.

  1. Experiences from constructing command and control simulations using a tactical data link standard

    CSIR Research Space (South Africa)

    Uys, DC

    2009-09-01

    Full Text Available software could manage real-time execution and didn’t fall behind. Other software systems and simulators from indus- try also implemented TDL standards in order to interface with C2 systems. The TDL implementa- tions for most of these simulators operate... be conducted to determine possible changes that can be made to a TDL stan- dard to address the challenges discussed in this pa- per. This could strengthen the case for using TDL standards for simulation interoperability. Almost in line with this, future...

  2. Preliminary Guidelines and Standard Operating Procedure for Drainage and Erosion Control at McMurdo Station

    Science.gov (United States)

    2014-12-01

    along the impermeable frozen soil layer. Soil freeze–thaw action disrupts soil structures, displaces soils particles, and creates voids both in...appropriate culvert replacement type (e.g., metal or plastic or concrete , etc.) and to try to standardize culverts around the Station. ER D C

  3. Power saving control for the mobile DVB-H receivers based on H.264/SVC standard

    DEFF Research Database (Denmark)

    Belyaev, Evgeny; Grinko, Vitaly; Ukhanova, Ann

    2009-01-01

    This paper discusses the utilization of scalable extension of H.264/AVC standard in digital video broadcasting for handheld devices. In this area the problem of mobile receiver power consumption is critically important. This paper amplifies the well-known idea of the time-slicing and allows...

  4. 49 CFR 571.126 - Standard No. 126; Electronic stability control systems.

    Science.gov (United States)

    2010-10-01

    ... and large cracks, are unsuitable. S6.2.2The road test surface must produce a peak friction coefficient...), Standard Test Method for Determining Longitudinal Peak Braking Coefficient of Paved Surfaces Using a STD... of the vehicle's manufacturers specified by an express written contract, reported to the National...

  5. E-mailed standardized cognitive behavioural treatment of work-related stress : a randomized controlled trial

    NARCIS (Netherlands)

    Ruwaard, Jeroen; Lange, Alfred; Bouwman, Manon; Broeksteeg, Janneke; Schrieken, Bart

    2007-01-01

    The aim of this study was to assess the effects of a 7-week standardized cognitive behavioural treatment of work-related stress conducted via e-mail. A total of 342 people applied for treatment in reaction to a newspaper article. Initial screening reduced the sample to a heterogeneous (sub)clinical

  6. Marketplace analysis demonstrates quality control standards needed for black raspberry dietary supplements

    Science.gov (United States)

    There is currently no standard for the minimum anthocyanin concentration a black raspberry dietary supplement must contain for legal sale in the US. All consumer available black raspberry products (n=19), packaged as dietary supplements or otherwise prepared (freeze-dried whole and pre-ground powder...

  7. 40 CFR 63.172 - Standards: Closed-vent systems and control devices.

    Science.gov (United States)

    2010-07-01

    ...) Equipment such as low leg drains, high point bleeds, analyzer vents, open-ended valves or lines, and pressure relief valves needed for safety purposes are not subject to this paragraph. (k) Any parts of the... 40 Protection of Environment 9 2010-07-01 2010-07-01 false Standards: Closed-vent systems and...

  8. 40 CFR 63.693 - Standards: Closed-vent systems and control devices.

    Science.gov (United States)

    2010-07-01

    ... complying with this paragraph (c)(2), low leg drains, high point bleeds, analyzer vents, open-ended valves or lines, or pressure relief valves needed for safety reasons are not subject to the requirements of... 40 Protection of Environment 10 2010-07-01 2010-07-01 false Standards: Closed-vent systems and...

  9. 78 FR 38970 - California State Nonroad Engine Pollution Control Standards; Within-the-Scope Determination for...

    Science.gov (United States)

    2013-06-28

    ... TRU (``ULETRU'') in-use standard, which achieves an 85 percent PM reduction. This change, according to... Proof In Motor and Equip. Mfrs Assoc. v. EPA, 627 F.2d 1095 (D.C. Cir. 1979) (``MEMA I''), the U.S...

  10. 76 FR 77521 - California State Nonroad Engine Pollution Control Standards; Commercial Harbor Craft Regulations...

    Science.gov (United States)

    2011-12-13

    ... inconsistent certification requirements. C. Burden of Proof In Motor and Equip. Mfrs Assoc. v. EPA, 627 F.2d... schedule, EPA cannot change an aspect of California's regulation. EPA is only authorized to review California's standards to determine compliance with section 209. It is not authorized to change California's...

  11. 25 CFR 542.16 - What are the minimum internal control standards for information technology?

    Science.gov (United States)

    2010-04-01

    ... information technology? 542.16 Section 542.16 Indians NATIONAL INDIAN GAMING COMMISSION, DEPARTMENT OF THE... standards for information technology? Link to an amendment published at 73 FR 60498, Oct. 10, 2008. This... adequately segregated and monitored to prevent error in general information technology procedures to go...

  12. Effects of Intensive Control of Glycemia on Clinical Kidney Outcomes in Type 2 Diabetes Patients Compared with Standard Control: A Meta-Analysis

    Directory of Open Access Journals (Sweden)

    Francisco Herrera-Gómez

    2017-11-01

    Full Text Available Background: Association between poor control of glycemia and the onset of microvascular complications in type 2 diabetes mellitus (T2DM patients is a hard issue. However, it seems that the impact of pharmacological treatment is important only in early stages of diabetic nephropathy. We sought to examine whether intensive glycemic control is associated with improvement of clinical Chronic Kidney Disease (CKD outcomes compared to standard glycemic control.Methods: Meta-analysis of published and unpublished randomized controlled trials (RCT and post-hoc analysis of RCTs comparing anti-diabetic drugs and/or insulin (intensive control vs. dietary measures (standard control for relevant outcomes related to progression of CKD clinically manifest was undertaken. Summary estimates obtained by random effects model and funnel plots for assessing reporting bias are presented.Results: Our analysis was based on four RCTs representing 27,391 adult T2DM patients with CKD from around the world. The pooled OR for the outcomes of doubling of serum creatinine and need of dialysis were, respectively, of 0.98 with 95% confidence interval (95% CI 0.81–1.19, and 0.84 with 95% CI 0.69–1.02. The pooled OR for the outcome of death from kidney failure was 0.62 with 95% CI 0.39–0.98. Clinical differences between studies were not translated in statistical heterogeneity. Reporting bias may be present.Conclusions: Intensive glycemic control has an effect on death from kidney failure compared to standard glycemic control. Better comprehension of glycemic control effects on both T2DM patients with and without CKD is important for individualization of these two treatment modalities.

  13. Feedback Linearization approach for Standard and Fault Tolerant control: Application to a Quadrotor UAV Testbed

    Science.gov (United States)

    Ghandour, J.; Aberkane, S.; Ponsart, J.-C.

    2014-12-01

    In this paper the control problem of a quadrotor vehicle experiencing a rotor failure is investigated. We develop a Feedback linearization approach to design a controller whose task is to make the vehicle performs trajectory following. Then we use the same approach to design a controller whose task is to make the vehicle enter a stable spin around its vertical axis, while retaining zero angular velocities around the other axis when a rotor failure is present. These conditions can be exploited to design a second control loop, which is used to perform trajectory following. The proposed double control loop architecture allows the vehicle to perform both trajectory and roll/pitch control. At last, to test the robustness of the feedback linearization technique, we applied wind to the quadrotor in mid flight.

  14. The CERN Control Centre Setting Standards for the 21st Century

    CERN Document Server

    Manglunki, Django

    2008-01-01

    In 2003, CERN decided to build a unified control centre to replace four of its control rooms: the â€ワMeyrin Control Room” which controlled the PS complex, the â€ワPrevessin Control Room” (PCR) which controlled the SPS and until 2000 LEP, the Technical Control Room (TCR), and the Cryogenics Control Room (QCR). After first contemplating a possible implementation next to the â€ワGlobe of Science and Innovation”, it was decided for budgetary reasons to build the new CERN Control Centre (CCC) on the same location as the PCR. This represented a 50% saving in construction costs as most of the technical infrastructure (computer network, water, electricity, ventilation) was already in place, but added stringent time constraints: civil engineering could not begin before the SPS shutdown in November 2004, yet the room had to be ready for the accelerator operations to resume in March 2006. Although this presented a strict construction schedule, it allowed the project to be completely driven by th...

  15. Efficacy and safety of adding mizoribine to standard treatment in patients with immunoglobulin A nephropathy: A randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Keiji Hirai

    2017-06-01

    Full Text Available Background: Mizoribine (MZR is an immunosuppressive drug used in Japan for treating patients with lupus nephritis and nephrotic syndrome and has been also reportedly effective in patients with immunoglobulin A (IgA nephropathy. However, to date, few randomized control studies of MZR are performed in patients with IgA nephropathy. Therefore, this prospective, open-label, randomized, controlled trial aimed to investigate the efficacy and safety of adding MZR to standard treatment in these patients, and was conducted between April 1, 2009, and March 31, 2016, as a multicenter study. Methods: Patients were randomly assigned (1:1 to receiving standard treatment plus MZR (MZR group or standard treatment (control group. MZR was administered orally at a dose of 150 mg once daily for 12 months. Results: Primary outcomes were the percentage reduction in urinary protein excretion from baseline and the rate of patients with hematuria disappearance 36 months after study initiation. Secondary outcomes were the rate of patients with proteinuria disappearance, clinical remission rate, absolute changes in estimated glomerular filtration rate from baseline, and the change in daily dose of prednisolone. Forty-two patients were randomly assigned to MZR (n = 21 and control groups (n = 21. Nine patients in MZR group and 15 patients in the control group completed the study. No significant differences were observed between the two groups with respect to primary and secondary outcomes. Conclusion: The addition of MZR to standard treatment has no beneficial effect on reducing urinary protein excretion and hematuria when treating patients with IgA nephropathy.

  16. 25 CFR 542.8 - What are the minimum internal control standards for pull tabs?

    Science.gov (United States)

    2010-04-01

    .... (1) Pull tab inventory (including unused tickets) shall be controlled to assure the integrity of the... of the pull tab sales. (3) The issue of pull tabs to the cashier or sales location shall be... of each month, a person or persons independent of pull tab sales and inventory control shall verify...

  17. Control principles of confounders in ecological comparative studies: standardization and regressive modelss

    Directory of Open Access Journals (Sweden)

    Varaksin Anatoly

    2014-03-01

    Full Text Available The methods of the analysis of research data including the concomitant variables (confounders associated with both the response and the current factor are considered. There are two usual ways to take into account such variables: the first, at the stage of planning the experiment and the second, in analyzing the received data. Despite the equal effectiveness of these approaches, there exists strong reason to restrict the usage of regression method to accounting for confounders by ANCOVA. Authors consider the standardization by stratification as a reliable method to account for the effect of confounding factors as opposed to the widely-implemented application of logistic regression and the covariance analysis. The program for the automation of standardization procedure is proposed, it is available at the site of the Institute of Industrial Ecology.

  18. Technical Standards for Command and Control Information Systems (CCISs) and Information Technology

    Science.gov (United States)

    1994-02-01

    Submission to ISO Through ANSI .......................................................................... 323 xxi UNCLASSIFIED UNCLASSIFIED 0 Table 40...TmnspoX 4 • P. XX 4~ XXI 0 S---Om XXM2 < )𔃾 A Z XU11 XX:r 4b-XX41 Chapter 16 347 Standrdize Profiles UNCLASSIFIED 0A WMM -t-X 3n X = UNCLASSIFIED...doninated programa , tactical commnimacations systems designed to comon standards S 012 on Information Systems0 *WG2 on Dam Nocessing mad Muafaeenta -AHWG

  19. 40 CFR 264.1033 - Standards: Closed-vent systems and control devices.

    Science.gov (United States)

    2010-07-01

    ...) where standard temperature for (g mol/scm) is 20 °C; Ci=Concentration of sample component i in ppm on a... if the net heating value of the gas being combusted is 11.2 MJ/scm (300 Btu/scf) or greater if the... MJ/scm (200 Btu/scf) or greater if the flare is nonassisted. The net heating value of the gas being...

  20. Nuclear power plants - Instrumentation and control systems important for safety - Classification (International Electrotechnical Commission Standard Publication 1226:1993)

    International Nuclear Information System (INIS)

    Stefanik, J.

    1996-01-01

    This international standard established a method of classification of the information and command functions for nuclear power plants, and the I and C and equipment that provide those functions, into categories that designate the importance for safety of the functions, and the associated systems and equipment. The resulting classification then determines relevant design criteria. The design criteria are the measures of quality by which the adequacy of each functions, and the associated systems and equipment in relation to its importance to plant safety is ensured. In this standard, the criteria are those of functionality, reliability, performance, environmental durability and quality assurance. This standard is applicable to all the information and command functions, and the instrumentation and control systems and equipment that provide those functions. The functions, systems and equipment under consideration provide automated protection, closed or open loop control, and information to the operating staff. They keep the NPP conditions inside the safe operating envelope and provide automatic actions, or enable manual actions, that mitigate accidents or prevent or minimize radioactive releases to the site or wider environment. The functions, and the associated systems and equipment that fulfill these roles safeguard the health and safety of the NPP operators and the public. This standard complements, and does not replace or supersede, the Safety Guides and Codes of Practice published by the International Atomic Energy Agency

  1. USAGE OF STANDARD PERSONAL COMPUTER PORTS FOR DESIGNING OF THE DOUBLE REDUNDANT FAULT-TOLERANT COMPUTER CONTROL SYSTEMS

    Directory of Open Access Journals (Sweden)

    Rafig SAMEDOV

    2005-01-01

    Full Text Available In this study, for designing of the fault-tolerant control systems by using standard personal computers, the ports have been investigated, different structure versions have been designed and the method for choosing of an optimal structure has been suggested. In this scope, first of all, the ÇİFTYAK system has been defined and its work principle has been determined. Then, data transmission ports of the standard personal computers have been classified and analyzed. After that, the structure versions have been designed and evaluated according to the used data transmission methods, the numbers of ports and the criterions of reliability, performance, truth, control and cost. Finally, the method for choosing of the most optimal structure version has been suggested.

  2. Lee Silverman voice treatment versus standard NHS speech and language therapy versus control in Parkinson's disease (PD COMM pilot): study protocol for a randomized controlled trial.

    Science.gov (United States)

    Sackley, Catherine M; Smith, Christina H; Rick, Caroline; Brady, Marian C; Ives, Natalie; Patel, Ramilla; Roberts, Helen; Dowling, Francis; Jowett, Sue; Wheatley, Keith; Patel, Smitaa; Kelly, Debbie; Sands, Gina; Clarke, Carl

    2014-06-07

    Parkinson's disease is a common movement disorder affecting approximately 127,000 people in the UK, with an estimated two thirds having speech-related problems. Currently there is no preferred approach to speech and language therapy within the NHS and there is little evidence for the effectiveness of standard NHS therapy or Lee Silverman voice treatment. This trial aims to investigate the feasibility and acceptability of randomizing people with Parkinson's disease-related speech or voice problems to Lee Silverman voice treatment or standard speech and language therapy compared to a no-intervention control. The PD COMM pilot is a three arm, assessor-blinded, randomized controlled trial. Randomization will be computer-generated with participants randomized at a ratio of 1:1:1. Participants randomized to intervention arms will be immediately referred to the appropriate speech and language therapist. The target population are patients with a confirmed diagnosis of idiopathic Parkinson's disease who have problems with their speech or voice. The Lee Silverman voice treatment intervention group will receive the standard regime of 16 sessions between 50 and 60 minutes in length over four weeks, with extra home practice. The standard speech and language therapy intervention group will receive a dose determined by patients' individual needs, but not exceeding eight weeks of treatment. The control group will receive standard care with no speech and language therapy input for at least six months post-randomization. Outcomes will be assessed at baseline (pre-randomization) and post- randomization at three, six, and 12 months. The outcome measures include patient-reported voice measures, quality of life, resource use, and assessor-rated speech recordings. The recruitment aim is at least 60 participants over 21 months from 11 sites, equating to at least 20 participants in each arm of the trial. This trial is ongoing and recruitment commenced in May 2012. This study will

  3. Differences in outcomes between the JoyBar control and standard wheelchair joystick control on two maneuverability tasks: a pilot study.

    Science.gov (United States)

    Smith, Emma M; Fuller, Danelle; Mahmood, Hina; Miller, William C

    2017-08-09

    To determine if older adult, novice wheelchair users who drive a power wheelchair with a JoyBar control complete maneuverability tasks in less time and with less error than those who drive a power wheelchair with a standard joystick control. A parallel randomized controlled trial design conducted at a medical rehabilitation and research centre with ambulatory older adults aged 60 and above (n = 27). The intervention was the JoyBar alternative wheelchair control. The primary outcome measure was total time to complete each of the two maneuverability tasks. The secondary outcome measure was total number of errors during each of the maneuverability tasks. An independent, two sampled t-test was conducted and revealed that the JoyBar group took a greater amount of time to complete both maneuverability tasks than the control group (p task between the JoyBar and joystick groups. Maneuverability of a powered wheelchair by novice wheelchair users was not improved through the use of the JoyBar when compared to a standard wheelchair joystick, as measured by rates of error and time to complete maneuverability tasks. Implications for rehabilitation Clients who are new to powered wheelchair use may perform maneuverability tasks faster, with equivalent accuracy, using a standard joystick versus the JoyBar. Clients who use a JoyBar may require adjustments to the programming of their wheelchair to ensure optimal performance. Additional training may be required to achieve proficiency in maneuverability tasks with a JoyBar versus a standard joystick.

  4. Interspinous process device versus standard conventional surgical decompression for lumbar spinal stenosis: Randomized controlled trial

    NARCIS (Netherlands)

    W.A. Moojen (Wouter); M.P. Arts (Mark); W.C.H. Jacobs (Wilco); E.W. van Zwet (Erik); M.E. van den Akker-van Marle (Elske); B.W. Koes (Bart); C.L.A.M. Vleggeert-Lankamp (Carmen); W.C. Peul (Wilco)

    2013-01-01

    markdownabstractAbstract Objective To assess whether interspinous process device implantation is more effective in the short term than conventional surgical decompression for patients with intermittent neurogenic claudication due to lumbar spinal stenosis. Design Randomized controlled

  5. Axial stability of VVER-1000 reactor with control with minimum standard deviation

    International Nuclear Information System (INIS)

    Afanas'ev, A.M.; Torlin, B.Z.

    1980-01-01

    Results are given of investigations on the stability of a reactor which has, in addition to an automatic controller, a height distribution regulator (HDR) based on an auxiliary control rod (CR) or a special shortened absorption rod (SAR). The HDR was controlled by using either a special ionization chamber (IC), generating an imbalance signal which sets the CR in motion, or two ionization chambers whose difference signal causes a displacement of the SAR. Since data from numerous pickups can be used to control the height field of the VVER-1000, it is of interest to analyze how this would affect the stability of the reactor. The analysis was carried out with the improved IRINA programs. 11 refs

  6. Remnant preservation in anterior cruciate ligament reconstruction versus standard techniques: a meta-analysis of randomized controlled trials.

    Science.gov (United States)

    Ma, Tianjun; Zeng, Chun; Pan, Jianying; Zhao, Chang; Fang, Hang; Cai, Daozhang

    2017-01-01

    Preserving the remnant during anterior cruciate ligament (ACL) reconstruction is considered beneficial for graft healing, but it might increase the technical difficulties and complications. This study was to compare outcomes of using the technique of remnant preservation during the ACL reconstruction versus the standard procedure with the debridement of remnant. We searched PubMed and EMBASE and the Cochrane Library for randomized controlled trials comparing the outcomes of ACL reconstruction both with and without remnant preservation. The risk of bias was assessed in accordance with the Cochrane Collaboration's risk of bias tool. Meta-analysis was performed to compare results. Six randomized controlled trials with 346 patients were included. Statistically significant differences in favor of using technique of remnant preservation were observed for Lysholm Score, arthrometer measurements, and tibial tunnel enlargement. There was no significant difference between remnant technique of preservation and the standard procedure with respect to the IKDC (International Knee Documentation Committee) grade, IKDC score, Lachman Test, Pivot-shift Test, range of motion (ROM), and the incidence of the cyclops lesion. This meta-analysis of randomized controlled trials showed that ACL reconstruction with technique of remnant preservation cannot provide superior clinical outcomes compared with the standard procedure.

  7. Flow Control and Measurement in Electric Propulsion Systems: Towards an AIAA Reference Standard

    Science.gov (United States)

    2013-10-01

    The manometer is connected to PID control circuitry which compares the measured pressure to the desired set-point and then varies the valve position...briefly discussed. While most flight systems have employed a type of pressure -fed flow restrictor for flow control, both thermal-based and pressure ...AMU p = pressure , Pa P = power, W R = universal gas constant, 8.314 kJ/kmol K Q = thermal energy, J Q = heat flow rate, W t = time, s T

  8. Standard compared with mnemonic counseling for fecal incontinence: a randomized controlled trial.

    Science.gov (United States)

    Cichowski, Sara B; Dunivan, Gena C; Rogers, Rebecca G; Murrietta, Ambroshia M; Komesu, Yuko M

    2015-05-01

    To estimate whether women who underwent mnemonic counseling had better recall of fecal incontinence therapies at 2 months and if mnemonic counseling resulted in greater satisfaction with physician counseling and improvement in quality of life when compared with a group who underwent standard counseling. Counseling-naive women with fecal incontinence were recruited from an academic urogynecology clinic. Women underwent physical examinations, completed the Quality of the Physician-Patient Interaction, recorded fecal incontinence treatment options they recalled, and completed the Fecal Incontinence Severity Index and Manchester Health Questionnaire immediately after counseling and again at 2 months. Ninety women consented to participate, were randomized, and completed baseline questionnaires. At baseline, women did not differ in age, ethnicity, education, Fecal Incontinence Severity Index, or Manchester Health Questionnaire scores. After counseling, the mnemonic group reported higher satisfaction on Quality of the Physician-Patient Interaction (66.4±6.5 compared with 62.2±10.7, P=.03). Ninety percent (81/90) of women followed up at 2 months. Our primary endpoint, 2-month recall of fecal incontinence treatments, was not different between groups (2.3±1.6 mnemonic counseling compared with 1.8±1.0 standard counseling; P=.08). Secondary endpoints for the mnemonic group reported greater improvement on total Manchester Health Questionnaire (P=.02), emotional (P=.03), sleep (0.045), role limitations (Pmnemonic aid did not improve recall at 2 months but improved patient satisfaction and quality of life at 2 months.

  9. [Non-bismuth quadruple therapy versus standard triple therapy for Helicobacter pylori eradication: a randomized controlled study].

    Science.gov (United States)

    Wang, Shujun; Wang, Weihong; Chu, Yunxiang; Teng, Guigen; Hu, Fulian

    2014-03-04

    To compare the efficacies of non-bismuth quadruple therapy for 7 days versus standard triple therapy for 7 or 10 days in initial treatment of Helicobacter pylori (H.pylori) . A randomized, open-labeled, controlled trial comparing non-bismuth quadruple therapy with standard triple therapy was performed at Peking University First Hospital from August 2010 to July 2012. A total of 246 patients with a diagnosis of H.pylori infection by (13)C-urea breath test and receiving no eradication therapy were randomly divided into non-bismuth quadruple therapy and standard triple therapy for 7 or 10 days. There were 110 males and 136 females with an age range of 18-75 years. Among them, 81 patients received non-bismuth quadruple therapy (esomeprazole 20 mg, amoxicillin 1 000 mg, clarithromycin 500 mg and tinidazole 500 mg given twice daily for 7 days); 82 standard triple therapy (esomeprazole 20 mg, amoxicillin 1 000 mg and clarithromycin 500 mg given twice daily) for 7 days and 83 standard triple therapy for 10 days. The efficacies were examined at Week 4 post-therapy by (13)C-urea breath test. The incidence of adverse drug reactions was recorded. Among them, 242 patients completed the follow-up. The eradication rates for non-bismuth quadruple therapy and standard triple therapy for 7 or 10 days were 91.4% (74/81), 79.3% (65/82) and 79.5% (66/83) as determined by intention-to-treat analysis (ITT). The eradication rates were 92.5% (74/80), 81.3% (65/80) and 80.5% (66/82) respectively as determined by per-protocol analysis (PP).Non-bismuth quadruple therapy was superior to standard triple therapy for 7 days (ITT analysis P = 0.029, PP analysis P = 0.035) and 10 days (ITT analysis P = 0.032, PP analysis P = 0.026). The differences for the eradication rates between standard triple therapy for 7 days and for 10 days were insignificant (ITT analysis P = 0.968, PP analysis P = 0.902): Adverse reaction rates for non-bismuth quadruple therapy (8.8%, 7/80) and standard triple therapy for

  10. Immunohistochemical Labelling for Cyclo-oxygenase-2: Does the Positive Control Guarantee Standardized Results?

    Science.gov (United States)

    Belluco, S; Carnier, P; Castagnaro, M; Chiers, K; Millanta, F; Peña, L; Pires, I; Queiroga, F; Riffard, S; Scase, T; Polton, G

    2016-01-01

    Since the identification of cyclo-oxygenase-2 as a potentially important therapeutic target in veterinary oncology, numerous studies on its expression have been conducted. Unfortunately, results have been heterogeneous and conclusions are difficult to draw. We tested the ability of a defined positive control to guarantee reproducibility of results among different laboratories. Valid positive controls were defined by positivity of the renal macula densa without background labelling. Fifteen colorectal tumours and 15 oral squamous cell carcinomas were labelled immunohistochemically by six European laboratories. Slides were evaluated in blinded fashion for percentage of positive cells and labelling intensity by three pathologists, and results were analyzed statistically for reproducibility and inter-reader variability. Macula densa positivity was an insufficiently sensitive control to guarantee reproducible results for percentage of positive cells and labelling intensity. Inter-reader variability was proven statistically, making the case for image analysis or other automated quantitative evaluation techniques. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Improving Student Confidence in Using Group Work Standards: A Controlled Replication

    Science.gov (United States)

    Macgowan, Mark J.; Wong, Stephen E.

    2017-01-01

    Objective: This is a replication of a study that examined the effects of teaching foundation competencies in group work to social work students and assessed their self-confidence in applying these skills. This study improves on the first by utilizing a controlled design. Method: Twenty-six master of social work students were taught group work…

  12. CTEPP STANDARD OPERATING PROCEDURE FOR CONDUCTING INTERNAL FIELD AUDITS AND QUALITY CONTROL (SOP-2.25)

    Science.gov (United States)

    This SOP describes the method for conducting internal field audits and quality control procedures. Internal field audits will be conducted to ensure the collection of high quality data. Internal field audits will be conducted by Field Auditors (the Field QA Officer and the Field...

  13. 76 FR 5586 - California State Motor Vehicle and Nonroad Engine Pollution Control Standards; Mobile Cargo...

    Science.gov (United States)

    2011-02-01

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9260-5] California State Motor Vehicle and Nonroad Engine... diesel particulate matter and nitrogen oxides. The requirements apply to any motorized vehicle used to... of the highest level verified diesel emission control strategy (VDECS) within one year of purchase...

  14. 49 CFR 571.204 - Standard No. 204; Steering control rearward displacement.

    Science.gov (United States)

    2010-10-01

    ... September 1, 1991. When a passenger car or a truck, bus, or multipurpose passenger vehicle with a gross... manufactured on or after September 1, 1991. When a passenger car or a truck, bus or multipurpose passenger... the steering control into the passenger compartment to reduce the likelihood of chest, neck, or head...

  15. Enforcement of radiation safety standards and experience in the regulatory control of exposures

    International Nuclear Information System (INIS)

    Krishnamurthi, T.N.

    1997-01-01

    Regulatory provisions for radiation protection and their enforcement in India are discussed in this paper. The rules and regulations framed for radiation safety cover all the nuclear fuel cycle activities as well as the application of radiation sources in industrial, medical and research institutions. The enforcement aspects and experience in the control of exposures are presented. (author)

  16. 77 FR 22637 - Federal Motor Vehicle Safety Standards; Accelerator Control Systems

    Science.gov (United States)

    2012-04-16

    ... control (ETC) systems and also to include test procedures for hybrid vehicles and certain other vehicles..., in the case of an electric drive system, attenuate the electric current driving the vehicle... electrical disturbances. The agency has been carefully evaluating the safety of ETC systems through research...

  17. 76 FR 38153 - California State Nonroad Engine Pollution Control Standards; Commercial Harbor Craft Regulations...

    Science.gov (United States)

    2011-06-29

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9427-1] California State Nonroad Engine Pollution Control... engines on commercial harbor craft. CARB has requested that EPA issue a new authorization under section... propulsion and auxiliary engines on new and in-use commercial harbor crafts, with some exceptions.\\6...

  18. Controlled Vestibular Stimulation, Standardization Of A Physiological Method To Release Stress In College Students.

    Science.gov (United States)

    Sailesh, Kumar Sai; Mukkadan, J K

    2015-01-01

    The present study was designed to standardize optimal vestibular stimulation and to investigate its impact on anxiety levels in college students. Vestibular stimulation was achieved by swinging on a swing (Back to front direction) and the participants were advised to adjust frequency, duration and intensity, according to comfort. Frequency, intensity and duration were recorded manually. The anxiety status was assessed by using Spielberger state-trait anxiety inventory (STAI) before and after vestibular stimulation. It has been observed that the anxiety status was significantly decreased after vestibular stimulation. There is a need for future study with larger sample size to substantiate the therapeutic validity of vestibular stimulation as a physiological treatment for stress relief and stress related disorders among college students.

  19. Neuropsychological Outcome of Children Treated for Standard Risk Medulloblastoma in the PNET4 European Randomized Controlled Trial of Hyperfractionated Versus Standard Radiation Therapy and Maintenance Chemotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Câmara-Costa, Hugo, E-mail: hugocamaracosta@gmail.com [National Institute of Health and Medical Research, INSERM U1178, Paris (France); Resch, Anika [University Medical Center Hamburg-Eppendorf, Hamburg (Germany); Kieffer, Virginie [Saint Maurice Hospitals, Saint Maurice (France); Lalande, Clémence [Institut Gustave Roussy, Villejuif (France); Poggi, Geraldina [Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco (Italy); Kennedy, Colin; Bull, Kim [University of Southampton, Faculty of Medicine, Southampton (United Kingdom); Calaminus, Gabriele [Paediatric Oncology, University of Muenster, Muenster (Germany); Grill, Jacques [Institut Gustave Roussy, Villejuif (France); Doz, François [Institut Curie and University Paris Descartes, Sorbonne Paris Cité, Paris (France); Rutkowski, Stefan [University Medical Center Hamburg-Eppendorf, Hamburg (Germany); Massimino, Maura [Fondazione IRCCS, Istituto Nazionale Tumori, Milan (Italy); Kortmann, Rolf-Dieter [Department of Radiation Therapy, University of Leipzig, Leipzig (Germany); Lannering, Birgitta [Paediatric Oncology, University of Gothenburg, Gothenburg (Sweden); Dellatolas, Georges [National Institute of Health and Medical Research, INSERM U1178, Paris (France); Chevignard, Mathilde [Rehabilitation Department for Children With Acquired Neurological Injury, Saint Maurice Hospitals, Saint Maurice, and Sorbonne Universités, UPMC Universités Paris, INSERM CNRS, Paris (France)

    2015-08-01

    Purpose: In the European HIT-SIOP PNET4 randomized controlled trial, children with standard risk medulloblastoma were allocated to hyperfractionated radiation therapy (HFRT arm, including a partially focused boost) or standard radiation therapy (STRT arm), followed, in both arms, by maintenance chemotherapy. Event-free survival was similar in both arms. Previous work showed that the HFRT arm was associated with worse growth and better questionnaire-based executive function, especially in children <8 years of age at diagnosis. Therefore, the aim of this study was to compare performance-based cognitive outcomes between treatment arms. Methods and Materials: Neuropsychological data were collected prospectively in 137 patients. Using the Wechsler Intelligence Scales, Kaufman Assessment Battery for Children, and Raven's Progressive Matrices, we estimated full-scale intelligence quotient (FSIQ) and, when available, verbal IQ (VIQ), performance IQ (PIQ), working memory index (WMI), and processing speed index (PSI). Results: Among the 137 participants (HFRT arm n=71, STRT arm n=66, 63.5% males), mean (±SD) ages at diagnosis and assessment respectively were 9.3 (±3.2) years of age (40.8% < 8 years of age at diagnosis) and 14.6 (±4.3) years of age. Mean (±SD) FSIQ was 88 (±19), and mean intergroup difference was 3.88 (95% confidence interval: −2.66 to 10.42, P=.24). No significant differences were found in children >8 years of age at diagnosis. In children <8 years of age at diagnosis, a marginally significant trend toward higher VIQ was found in those treated in the HFRT arm; a similar trend was found for PSI but not for PIQ, WMI, or FSIQ (mean intergroup differences were: 12.02 for VIQ [95% CI: 2.37-21.67; P=.02]; 3.77 for PIQ [95% CI: −5.19 to 12.74; P>.10]; 5.20 for WMI [95% CI: −2.07 to 12.47; P>.10]; 10.90 for PSI [95% CI: −1.54 to 23.36; P=.08]; and 5.28 for FSIQ [95% CI: −4.23 to 14.79; P>.10]). Conclusions: HFRT was associated with

  20. Neuropsychological Outcome of Children Treated for Standard Risk Medulloblastoma in the PNET4 European Randomized Controlled Trial of Hyperfractionated Versus Standard Radiation Therapy and Maintenance Chemotherapy

    International Nuclear Information System (INIS)

    Câmara-Costa, Hugo; Resch, Anika; Kieffer, Virginie; Lalande, Clémence; Poggi, Geraldina; Kennedy, Colin; Bull, Kim; Calaminus, Gabriele; Grill, Jacques; Doz, François; Rutkowski, Stefan; Massimino, Maura; Kortmann, Rolf-Dieter; Lannering, Birgitta; Dellatolas, Georges; Chevignard, Mathilde

    2015-01-01

    Purpose: In the European HIT-SIOP PNET4 randomized controlled trial, children with standard risk medulloblastoma were allocated to hyperfractionated radiation therapy (HFRT arm, including a partially focused boost) or standard radiation therapy (STRT arm), followed, in both arms, by maintenance chemotherapy. Event-free survival was similar in both arms. Previous work showed that the HFRT arm was associated with worse growth and better questionnaire-based executive function, especially in children <8 years of age at diagnosis. Therefore, the aim of this study was to compare performance-based cognitive outcomes between treatment arms. Methods and Materials: Neuropsychological data were collected prospectively in 137 patients. Using the Wechsler Intelligence Scales, Kaufman Assessment Battery for Children, and Raven's Progressive Matrices, we estimated full-scale intelligence quotient (FSIQ) and, when available, verbal IQ (VIQ), performance IQ (PIQ), working memory index (WMI), and processing speed index (PSI). Results: Among the 137 participants (HFRT arm n=71, STRT arm n=66, 63.5% males), mean (±SD) ages at diagnosis and assessment respectively were 9.3 (±3.2) years of age (40.8% < 8 years of age at diagnosis) and 14.6 (±4.3) years of age. Mean (±SD) FSIQ was 88 (±19), and mean intergroup difference was 3.88 (95% confidence interval: −2.66 to 10.42, P=.24). No significant differences were found in children >8 years of age at diagnosis. In children <8 years of age at diagnosis, a marginally significant trend toward higher VIQ was found in those treated in the HFRT arm; a similar trend was found for PSI but not for PIQ, WMI, or FSIQ (mean intergroup differences were: 12.02 for VIQ [95% CI: 2.37-21.67; P=.02]; 3.77 for PIQ [95% CI: −5.19 to 12.74; P>.10]; 5.20 for WMI [95% CI: −2.07 to 12.47; P>.10]; 10.90 for PSI [95% CI: −1.54 to 23.36; P=.08]; and 5.28 for FSIQ [95% CI: −4.23 to 14.79; P>.10]). Conclusions: HFRT was associated with

  1. [Process control in acute pain management. An analysis of the degree of organization of applied standard protocols].

    Science.gov (United States)

    Erlenwein, J; Emons, M I; Hecke, A; Nestler, N; Przemeck, M; Bauer, M; Meißner, W; Petzke, F

    2014-10-01

    The aim of this study was to analyze the degree of organization of different standard protocols for acute pain management, as well as the derivation and definition of typical but structurally different models. A total of 85 hospitals provided their written standardized protocols for analysis. Protocols for defined target processes from 76 hospitals and another protocol used by more than one hospital were included into the analysis. The suggested courses of action were theoretically simulated to identify and characterize process types in a multistage evaluation process. The analysis included 148 standards. Four differentiated process types were defined ("standardized order", "analgesic ladder", "algorithm", "therapy path"), each with an increasing level of organization. These four types had the following distribution: 27 % (n = 40) "standardized order", 47 % (n = 70) "analgesic ladder", 22 % (n = 33) "algorithm", 4 % (n = 5) "therapy path". Models with a higher degree of organization included more control elements, such as action and intervention triggers or safety and supervisory elements, and were also associated with a formally better access to medication. For models with a lower degree of organization, immediate courses of action were more dependent on individual decisions. Although not quantifiable, this was particularly evident when simulating downstream courses of action. Interfaces between areas of hospital activity and a cross-departmental-boundary validity were only considered in a fraction of the protocols. Concepts from clinics with a certificate in (acute) pain management were more strongly process-oriented. For children, there were proportionately more simple concepts with a lower degree of organization and less controlling elements. This is the first analysis of a large sample of standardized protocols for acute pain management focusing on the degree of organization and the possible influence on courses of action. The analysis

  2. Standard Guide for Irradiation of Dried Spices, Herbs, and Vegetable Seasonings to Control Pathogens and Other Microorganisms

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2004-01-01

    1.1 This guide covers procedures for irradiation of dried spices, herbs, and vegetable seasonings for microbiological control. Generally, these items have moisture content of 4.5 to 12 % and are available in whole, ground, chopped, or other finely divided forms, or as blends. The blends may contain sodium chloride and minor amounts of dry food materials ordinarily used in such blends. 1.2 This guide covers absorbed doses ranging from 3 to 30 kiloGray (kGy). Note 1—U.S. regulations permit a maximum dose of 30 kGy. (See 21CFR 179.26 Irradiation in the Production, Processing and Handling of Food.) 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.

  3. [Improved Blood Pressure Control to Reduce Cardiovascular Disease Morbidity and Mortality: The Standardized Hypertension Treatment and Prevention Project].

    Science.gov (United States)

    Patel, Pragna; Ordunez, Pedro; DiPette, Donald; Escobar, María Cristina; Hassell, Trevor; Wyss, Fernando; Hennis, Anselm; Asma, Samira; Angell, Sonia

    2017-06-08

    Hypertension is the leading remediable risk factor for cardiovascular disease, affecting more than 1 billion people worldwide, and is responsible for more than 10 million preventable deaths globally each year. While hypertension can be successfully diagnosed and treated, only one in seven persons with hypertension have controlled blood pressure. To meet the challenge of improving the control of hypertension, particularly in low- and middle-income countries, the authors developed the Standardized Hypertension Treatment and Prevention Project, which involves a health systems-strengthening approach that advocates for standardized hypertension management using evidence-based interventions. These interventions include the use of standardized treatment protocols, a core set of medications along with improved procurement mechanisms to increase the availability and affordability of these medications, registries for cohort monitoring and evaluation, patient empowerment, team-based care (task shifting), and community engagement. With political will and strong partnerships, this approach provides the groundwork to reduce high blood pressure and cardiovascular disease-related morbidity and mortality.

  4. Improved Blood Pressure Control to Reduce Cardiovascular Disease Morbidity and Mortality: The Standardized Hypertension Treatment and Prevention Project.

    Science.gov (United States)

    Patel, Pragna; Ordunez, Pedro; DiPette, Donald; Escobar, Maria Cristina; Hassell, Trevor; Wyss, Fernando; Hennis, Anselm; Asma, Samira; Angell, Sonia

    2016-12-01

    Hypertension is the leading remediable risk factor for cardiovascular disease, affecting more than 1 billion people worldwide, and is responsible for more than 10 million preventable deaths globally each year. While hypertension can be successfully diagnosed and treated, only one in seven persons with hypertension have controlled blood pressure. To meet the challenge of improving the control of hypertension, particularly in low- and middle-income countries, the authors developed the Standardized Hypertension Treatment and Prevention Project, which involves a health systems-strengthening approach that advocates for standardized hypertension management using evidence-based interventions. These interventions include the use of standardized treatment protocols, a core set of medications along with improved procurement mechanisms to increase the availability and affordability of these medications, registries for cohort monitoring and evaluation, patient empowerment, team-based care (task shifting), and community engagement. With political will and strong partnerships, this approach provides the groundwork to reduce high blood pressure and cardiovascular disease-related morbidity and mortality. ©2016 Wiley Periodicals, Inc.

  5. Efficacy of addition of transcutaneous electrical nerve stimulation to standardized physical therapy in subacute spinal spasticity: a randomized controlled trial.

    Science.gov (United States)

    Oo, Win Min

    2014-11-01

    To study the immediate and short-term efficacy of adding transcutaneous electrical nerve stimulation (TENS) to standardized physical therapy on subacute spasticity within 6 months of spinal cord injury. Randomized controlled trial for 3 weeks. A university hospital. Subjects (N=16) with clinically determined spasticity were randomly assigned to either the experimental group (n=8) or the control group (n=8). Sixty-minute sessions of TENS over the bilateral common peroneal nerves before 30 minutes of physical therapy for the experimental group and 30 minutes of physical therapy alone for the control group. All patients in both groups had access to standardized rehabilitation care. The composite spasticity score, which included 3 subscores (ankle jerk, muscle tone, and ankle clonus scores), was used as the primary end point to assess plantar flexor spasticity. These subscores were designated as secondary end points. Serial evaluations were made at baseline before study entry and immediately after the first and last sessions in both groups. On analysis for immediate effects, there was a significant reduction only in the composite spasticity score (mean difference, 1.75; 99% confidence interval [CI], 0.47-3.03; P=.002) in the experimental group, but no significant reduction was observed in all outcome variables in the control group. A significant difference in the composite spasticity score (1.63; 99% CI, 0.14-3.11; P=.006) was observed between the 2 groups. After 15 sessions of treatment, a significant reduction was determined in the composite spasticity score (2.75; 99% CI, 1.31-4.19; Pspasticity score (2.13; 99% CI, 0.59-3.66; P=.001) and the muscle tone score (1.50; 99% CI, 0.15-2.85; P=.005) after 15 intervention sessions. Addition of TENS to standardized physical therapy had synergistically antispastic action, providing more effective reduction of clinical spasticity. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All

  6. Standard loading controls are not reliable for Western blot quantification across brain development or in pathological conditions.

    Science.gov (United States)

    Goasdoue, Kate; Awabdy, Doreen; Bjorkman, Stella Tracey; Miller, Stephanie

    2016-02-01

    A frequently utilized method of data quantification in Western blot analysis is comparison of the protein of interest with a house keeping gene or control protein. Commonly used proteins include β-actin, glyceraldehyde 3 phosphate dehydrogenase (GAPDH), and α-tubulin. Various reliability issues have been raised when using this technique for data analysis-particularly when investigating protein expression changes during development and in disease states. In this study, we have demonstrated that β-actin, GAPDH, and α-tubulin are not appropriate controls in the study of development and hypoxic-ischemic induced damage in the piglet brain. We have also shown that using an in-house pooled standard, loaded on all blots is a reliable method for controlling interassay variability and data normalization in protein expression analysis. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  7. Are Randomized Controlled Trials the (G)old Standard? From Clinical Intelligence to Prescriptive Analytics

    Science.gov (United States)

    2016-01-01

    Despite the accelerating pace of scientific discovery, the current clinical research enterprise does not sufficiently address pressing clinical questions. Given the constraints on clinical trials, for a majority of clinical questions, the only relevant data available to aid in decision making are based on observation and experience. Our purpose here is 3-fold. First, we describe the classic context of medical research guided by Poppers’ scientific epistemology of “falsificationism.” Second, we discuss challenges and shortcomings of randomized controlled trials and present the potential of observational studies based on big data. Third, we cover several obstacles related to the use of observational (retrospective) data in clinical studies. We conclude that randomized controlled trials are not at risk for extinction, but innovations in statistics, machine learning, and big data analytics may generate a completely new ecosystem for exploration and validation. PMID:27383622

  8. User's design handbook for a Standardized Control Module (SCM) for DC to DC Converters, volume 2

    Science.gov (United States)

    Lee, F. C.

    1980-01-01

    A unified design procedure is presented for selecting the key SCM control parameters for an arbitrarily given power stage configuration and parameter values, such that all regulator performance specifications can be met and optimized concurrently in a single design attempt. All key results and performance indices, for buck, boost, and buck/boost switching regulators which are relevant to SCM design considerations are included to facilitate frequent references.

  9. Effectiveness of the GAEC standard of cross compliance retain terraces on soil erosion control

    Directory of Open Access Journals (Sweden)

    Paolo Bazzoffi

    2011-08-01

    Full Text Available The GAEC standard retain terraces of cross compliance prohibits farmers the elimination of existing terraces, with the aim to ensure the protection of soil from erosion. In the Italian literature there are not field studies to quantify the effects of the elimination or degradation of terraces on soil erosion. Therefore, the modeling approach was chosen and applied in a scenario analysis to evaluate increasing levels of degradation of stone wall terraces. The study was conducted on two sample areas: Lamole (700.8 ha, Tuscany and Costaviola (764.73 ha, Calabria with contrasting landscapes. The Universal Soil Loss Equation model (USLE was applied in the comparative assessment of the soil erosion risk (Mg . ha-1 . yr-1, by simulating five increasing intensity of terrace degradation, respectively: conserved partially damaged, very damaged, partially removed, removed, each of which corresponding to different values of the indexes of verification in case of infringement to GAEC standard provided for by the AGEA rules which have come into force since December 2009 (Agency for Agricultural Payments. To growing intensity of degradation, a progressive loss of efficacy of terraces was attributed by increasing the values of the LS factor (length and slope of USLE in relation with the local modification of the length and steepness of the slope between adjacent terraces. Basically, it was simulated the gradual return to the natural morphology of the slope. The results of the analysis showed a significant increase in erosion in relationship with increasing degradation of terraces. Furthermore, it is possible to conclude that the GAEC standard retain terraces is very effective with regard to the primary objective of reducing erosion. A further statistical analysis was performed to test the protective value of terraces against soil erosion in areas where agriculture was abandoned. The analysis was carried out by comparing the specific risk of erosion (Mg . ha-1

  10. Recipe Development Process Re-Design with ANSI/ISA-88 Batch Control Standard in the Pharmaceutical Industry

    Directory of Open Access Journals (Sweden)

    Margherita De Minicis

    2014-11-01

    which must be appropriately shared among local laboratories and plants. To this extent, the ANSI/ISA-88 batch manufacturing standard, rising in the context of process control and automation, is rapidly becoming widely used in pharmaceutical companies. This paper presents a step-by-step approach to assessing the compliance to the ANSI/ISA-88 standard along with a BPM-oriented methodology applicable to the re-design of any generic recipe development process. Redesigning a recipe development process is a complex activity and can mask several pitfalls and criticalities. Thus, along with the methodology, some general evidence and suggestions are provided based on the experience of a project carried out in a large multinational pharmaceutical company.

  11. [Quality management in emergency departments: Lack of uniform standards for fact-based controlling].

    Science.gov (United States)

    Ries, M; Christ, M

    2015-11-01

    The general high occupancy of emergency departments during the winter months of 2014/2015 outlined deficits in health politics. Whether on the regional, province, or federal level, verifiable and accepted figures to enable in depth analysis and fact-based controlling of emergency care systems are lacking. As the first step, reasons for the current situation are outlined in order to developed concrete recommendations for individual hospitals. This work is based on a selective literature search with focus on quality management, ratio driven management, and process management within emergency departments as well as personal experience with implementation of a key ratio system in a German maximum care hospital. The insufficient integration of emergencies into the DRG systematic, the role as gatekeeper between inpatient and outpatient care sector, the decentralized organization of emergency departments in many hospitals, and the inconsistent representation within the medical societies can be mentioned as reasons for the lack of key ratio systems. In addition to the important role within treatment procedures, emergency departments also have an immense economic importance. Consequently, the management of individual hospitals should promote implementation of key ratio systems to enable controlling of emergency care processes. Thereby the perspectives finance, employees, processes as well as partners and patients should be equally considered. Within the process perspective, milestones could be used to enable detailed controlling of treatment procedures. An implementation of key ratio systems without IT support is not feasible; thus, existing digital data should be used and future data analysis should already be considered during implementation of new IT systems.

  12. Three dimensional versus standard miniplate fixation in the management of mandibular fractures: A meta-analysis of randomized controlled trials.

    Science.gov (United States)

    Silajiding, Kubila; Wusiman, Patiguli; Yusufu, Bilikezi; Moming, Adili

    2017-09-01

    The aim of this meta-analysis is to evaluate the efficacy of the 3-dimensional miniplate system in comparison with the standard miniplate system for the treatment of mandibular fractures (MFs). A systematic review was conducted according to PRISMA guidelines, examining Medline-Ovid, Embase, and PubMed databases. The primary search objective was to identify all papers reporting the results of randomized control trials (RCTs) for the treatment of adults with mandibular fractures, with the aim of comparing the different techniques. The incidence of complications was evaluated; nine studies including 283 patients with different fracture sites were enrolled in the analysis. The results showed no significant differences in overall complications (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.552-1.542; P = 0.81), postoperative infections (OR, 0.99; 95% CI, 0.40-2.48; P = 0.89), wound dehiscence (OR, 0.96; 95% CI, 0.13-7.37; P = 0.96), paresthesia (OR, 0.47; 95% CI, 0.20-1.07; P = 0.11), or malocclusion (OR, 1.8; 95% CI, 0.39-8.32; P = 0.47) between standard miniplates and 3-dimensional miniplates for treating mandibular fractures. Mandibular fractures treated with 3-dimensional miniplates and standard miniplates presented similar short-term complication rates, and the low postoperative maxillomandibular fixation rate of using standard miniplates also indicated that the standard miniplate has a promising application in the treatment of mandibular fractures. Copyright © 2017. Published by Elsevier Taiwan.

  13. The potential of standard and modified feed spacers for biofouling control

    KAUST Repository

    Araújo, Paula A.

    2012-06-01

    The impact of feed spacers on initial feed channel pressure (FCP) drop, FCP increase and biomass accumulation has been studied in membrane fouling simulators using feed spacers applied in commercially available nanofiltration and reverse osmosis spiral wound membrane modules. All spacers had a similar geometry.Our studies showed that biofouling was not prevented by (i) variation of spacer thickness, (ii) feed spacer orientation, (iii) feed spacer coating with silver, copper or gold and (iv) using a biostatic feed spacer. At constant feed flow, a lower FCP and FCP increase were observed for a thicker feed spacer. At constant linear flow velocity, roughly the same FCP development and biomass accumulation were found irrespective of the feed spacer thickness: hydrodynamics and substrate load were more important for development and impact of biofouling than the thickness of currently applied spacers. Use of biostatic and metal coated spacers were not effective for biofouling control. The same small reduction of biofouling rate was observed with copper and silver coated spacers as well as uncoated 45° rotated spacers.The studied modified spacers were not effective for biofouling prevention and control. The impact of biofouling on FCP increase was reduced significantly by a lower linear flow velocity, while spacer orientation and spacer thickness in membrane modules had a smaller but still significant effect. © 2012 Elsevier B.V.

  14. Modeling Freedom From Progression for Standard-Risk Medulloblastoma: A Mathematical Tumor Control Model With Multiple Modes of Failure

    International Nuclear Information System (INIS)

    Brodin, N. Patrik; Vogelius, Ivan R.; Björk-Eriksson, Thomas; Munck af Rosenschöld, Per; Bentzen, Søren M.

    2013-01-01

    Purpose: As pediatric medulloblastoma (MB) is a relatively rare disease, it is important to extract the maximum information from trials and cohort studies. Here, a framework was developed for modeling tumor control with multiple modes of failure and time-to-progression for standard-risk MB, using published pattern of failure data. Methods and Materials: Outcome data for standard-risk MB published after 1990 with pattern of relapse information were used to fit a tumor control dose-response model addressing failures in both the high-dose boost volume and the elective craniospinal volume. Estimates of 5-year event-free survival from 2 large randomized MB trials were used to model the time-to-progression distribution. Uncertainty in freedom from progression (FFP) was estimated by Monte Carlo sampling over the statistical uncertainty in input data. Results: The estimated 5-year FFP (95% confidence intervals [CI]) for craniospinal doses of 15, 18, 24, and 36 Gy while maintaining 54 Gy to the posterior fossa was 77% (95% CI, 70%-81%), 78% (95% CI, 73%-81%), 79% (95% CI, 76%-82%), and 80% (95% CI, 77%-84%) respectively. The uncertainty in FFP was considerably larger for craniospinal doses below 18 Gy, reflecting the lack of data in the lower dose range. Conclusions: Estimates of tumor control and time-to-progression for standard-risk MB provides a data-driven setting for hypothesis generation or power calculations for prospective trials, taking the uncertainties into account. The presented methods can also be applied to incorporate further risk-stratification for example based on molecular biomarkers, when the necessary data become available

  15. Cost-effective instrumentation and control upgrades for commercial nuclear power plants surety principles developed at Sandia National Laboratories

    International Nuclear Information System (INIS)

    Rochau, G.E.; Dalton, L.J.

    1998-01-01

    Many nuclear power plants use instrument and control systems based on analog electronics. The state of the art in process control and instrumentation has advanced to use digital electronics and incorporate advanced technology. This technology includes: distributed microprocessors, fiber optics, intelligent systems (neutral networks), and advanced displays. The technology is used to optimize processes and enhance the man-machine interface while maintaining control and safety of the processes. Nuclear power plant operators have been hesitant to install this technology because of the cost and uncertainty in the regulatory process. This technology can be directly applied in an operating nuclear power plant provided a surety principle-based 'administrator' hardware system is included in parallel with the upgrade. Sandia National Laboratories has developed a rigorous approach to High Consequence System Surety (HCSS). This approach addresses the key issues of safety, security, and control while satisfying requirements for reliability and quality. We believe that HCSS principles can be applied to nuclear power plants in a manner that allows the off-the-shelf use of process control instrumentation while maintaining a high level of safety and enhancing the plant performance. We propose that an HCSS Administrator be constructed as a standardized approach to address regulatory issues. Such an administrator would allow a plant control system to be constructed with commercially available, state-to-the-art equipment and be customized to the needs of the individual plant operator. (author)

  16. Cost-effective instrumentation and control upgrades for commercial nuclear power plants using surety principles developed at Sandia National Laboratories

    International Nuclear Information System (INIS)

    Rochau, G.E.; Dalton, L.J.

    1997-01-01

    Many nuclear power plants use instrument and control systems based on analog electronics. The state of the art in process control and instrumentation has advanced to use digital electronics and incorporate advanced technology. This technology includes distributed microprocessors, fiber optics, intelligent systems (neural networks), and advanced displays. The technology is used to optimize processes and enhance the man-machine interface while maintaining control and safety of the processes. Nuclear power plant operators have been hesitant to install this technology because of the cost and uncertainty in the regulatory process. This technology can be directly applied in an operating nuclear power plant provided a surety principle-based open-quotes administratorclose quotes hardware system is included in parallel with the upgrade Sandia National Laboratories has developed a rigorous approach to High Consequence System Surety (HCSS). This approach addresses the key issues of safety, security, and control while satisfying requirements for reliability and quality. HCSS principles can be applied to nuclear power plants in a manner that allows the off-the-shelf use of process control instrumentation while maintaining a high level of safety and enhancing the plant performance. We propose that an HCSS administrator be constructed as a standardized approach to address regulatory issues. Such an administrator would allow a plant control system to be constructed with commercially available, state-of-the-art equipment and be customized to the needs of the individual plant operator

  17. Standardization and quality control in quantifying non-enzymatic oxidative protein modifications in relation to ageing and disease

    DEFF Research Database (Denmark)

    Nedić, Olgica; Rogowska-Wrzesinska, Adelina; Rattan, Suresh I S

    2015-01-01

    Post-translational modifications (PTM) of proteins determine the activity, stability, specificity, transportability and lifespan of a protein. Some PTM are highly specific and regulated involving various enzymatic pathways, but there are other non-enzymatic PTM (nePTM), which occur stochastically...... being fully active to totally inactive molecules. Determination of the type and the amount (abundance) of nePTM is essential for establishing connection between specific protein structure and specific biological role. This article summarizes analytical demands for reliable quantification of ne......PTM, including requirements for the assay performance, standardization and quality control, and points to the difficulties, uncertainties and un-resolved issues....

  18. Moist wound healing compared with standard care of treatment of primary closed vascular surgical wounds: a prospective randomized controlled study

    DEFF Research Database (Denmark)

    Vogt, Katja C; Uhlyarik, M; Schroeder, Torben V

    2007-01-01

    This study was a randomized-controlled trial comparing the standard type of dry dressing, Mepore, with moist wound healing, using a hydrofiber dressing, Aquacel, in primary closed wounds after vascular surgery. The endpoints were patient comfort, cost-effectiveness, infections, wound complications....... No difference in the infection rate (13% vs. 11%, p=0.73), length of hospital stay, or wound complications was noted between the two groups. We conclude that although the Aquacel dressing needed significantly fewer changes than the conventional dressing, this did not influence the patient comfort. Moreover...

  19. Standard Practice for Design and Construction of Aerospace Cleanrooms and Contamination Controlled Areas

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2002-01-01

    1.1 The purpose of this practice is to provide design and construction guidelines for contamination controlled facilities used in the assembly and integration of aerospace hardware. The guidelines herein are intended to ensure that the facilities, when used properly, will meet the cleanliness requirements of aerospace hardware and processes. The objective is to limit contamination due to the deposition of particulate and molecular contaminants on flight hardware surfaces. 1.2 One cleanliness classification of a facility is the airborne particle concentrations in accordance with ISO 14644-1 and 14644-2. Airborne particle concentrations in accordance with FED-STD-209E are included for reference. This simple classification is inadequate to describe a facility that will support the assembly and integration of spacecraft. The extended duration of hardware exposure during fabrication and testing, the sensitivity of the hardware to hydrocarbons and other molecular contaminants, and the changing requirements during ...

  20. Standard practice for conducting force controlled constant amplitude axial fatigue tests of metallic materials

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2007-01-01

    1.1 This practice covers the procedure for the performance of axial force controlled fatigue tests to obtain the fatigue strength of metallic materials in the fatigue regime where the strains are predominately elastic, both upon initial loading and throughout the test. This practice is limited to the fatigue testing of axial unnotched and notched specimens subjected to a constant amplitude, periodic forcing function in air at room temperature. This practice is not intended for application in axial fatigue tests of components or parts. Note 1-The following documents, although not directly referenced in the text, are considered important enough to be listed in this practice: E 739 Practice for Statistical Analysis of Linear or Linearized Stress-Life (S-N) and Strain-Life (-N) Fatigue Data STP 566 Handbook of Fatigue Testing STP 588 Manual on Statistical Planning and Analysis for Fatigue Experiments STP 731 Tables for Estimating Median Fatigue Limits

  1. Decree 2211: Standards to control the generation and handling of dangerous wastes

    International Nuclear Information System (INIS)

    1992-01-01

    This Decree has for object to establish the conditions under which should be carried out the activities of generation and handling of dangerous waste, in order to prevent damages to health and to the atmosphere. It includes: definitions; a list of sources of waste; a list of constituent of dangerous waste; the characteristics of danger; a lists of maximum permissible concentrations in leachates, handling of dangerous waste, criterion for transport, monitoring form, storage areas, treatment and final disposition, storage, elimination, incineration, recycling, reuse and recovery, installation and operation of security backfilling, book of waste record, control of activities, obligations in charge of those who manage dangerous waste, and trans border movements of dangerous waste [es

  2. Plutonium analysis from controlled-potential coulometry for the certification of the MP3 standard material

    International Nuclear Information System (INIS)

    Ruas, A.; Dalier, V.; Pivato, J.

    2008-01-01

    Coulometry is an assay method in which the quantity of the element analyzed is determined by measuring a quantity of electricity. For contributing to the certification of the new metal plutonium reference material (MP3), controlled-potential coulometry (CPC) has many advantages: it is a high accuracy absolute chemical analysis technique. Many studies are now conducted on plutonium solutions, to improve the operating conditions and the current apparatus, for mass determination with a precision of 0.1%. The different experimental preliminary results are discussed and the apparatus described. The coulometry cell assembly comprises a motor connected to a stirrer designed to prevent splashing, an inlet tube for inert gas, three electrodes, and a thermocouple for measuring the temperature. The measuring system includes a potentiostat, a CPU, a calibrated current generator, a temperature indicator and a voltmeter, all maintained at a constant temperature. Current integration is made by electronic components, introduced in the potentiostat and the CPU. (authors)

  3. Developing Product Quality Control for Standardization of Tsetse Mass Production. Working Material

    International Nuclear Information System (INIS)

    2002-01-01

    The recent Pan-African Tsetse and Trypanosomosis Eradication Campaign (PATTEC) provides a mechanism within which SIT will be one of the major components of an integrated areawide approach to the establishment of tsetse fly-free areas. Currently world-wide tsetse production is 1/40 of the projected requirement in 2006. To achieve this objective it is essential that quality control (QC) measures suitable for the expanded production be in place. Therefore, improved QC methodology has become a top priority. Improvements in QC methodology will help to ensure the attainment of these production goals and improve quality of rearing, minimize production costs and generate trained QC and production staff required to successfully produce flies and monitor their quality and suitability for release. The proposed CRP is designed to address these issues.

  4. Developing standard performance testing procedures for material control and accounting components at a site

    International Nuclear Information System (INIS)

    Scherer, Carolynn P.; Bushlya, Anatoly V.; Efimenko, Vladimir F.; Ilyanstev, Anatoly; Regoushevsky, Victor I.

    2010-01-01

    The condition of a nuclear material control and accountability system (MC and A) and its individual components, as with any system combining technical elements and documentation, may be characterized through an aggregate of values for the various parameters that determine the system's ability to perform. The MC and A system's status may be functioning effectively, marginally or not functioning based on a summary of the values of the individual parameters. This work included a review of the following subsystems, MC and A and Detecting Material Losses, and their respective elements for the material control and accountability system: (a) Elements of the MC and A Subsystem - Information subsystem (Accountancy/Inventory), Measurement subsystem, Nuclear Material Access subsystem, including tamper-indicating device (TID) program, and Automated Information-gathering subsystem; (b) Elements for Detecting Nuclear Material Loses Subsystem - Inventory Differences, Shipper/receiver Differences, Confirmatory Measurements and differences with accounting data, and TID or Seal Violations. In order to detect the absence or loss of nuclear material there must be appropriate interactions among the elements and their respective subsystems from the list above. Additionally this work includes a review of regulatory requirements for the MC and A system component characteristics and criteria that support the evaluation of the performance of the listed components. The listed components had performance testing algorithms and procedures developed that took into consideration the regulatory criteria. The developed MC and A performance-testing procedures were the basis for a Guide for MC and A Performance Testing at the material balance areas (MBAs) of State Scientific Center of the Russian Federation - Institute for Physics and Power Engineering (SSC RF-IPPE).

  5. Standard guide for application of radiation monitors to the control and physical security of special nuclear material

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    1999-01-01

    1.1 This guide briefly describes the state-of-the-art of radiation monitors for detecting special nuclear material (SNM) (see 3.1.11) in order to establish the context in which to write performance standards for the monitors. This guide extracts information from technical documentation to provide information for selecting, calibrating, testing, and operating such radiation monitors when they are used for the control and protection of SNM. This guide offers an unobtrusive means of searching pedestrians, packages, and motor vehicles for concealed SNM as one part of a nuclear material control or security plan for nuclear materials. The radiation monitors can provide an efficient, sensitive, and reliable means of detecting the theft of small quantities of SNM while maintaining a low likelihood of nuisance alarms. 1.2 Dependable operation of SNM radiation monitors rests on selecting appropriate monitors for the task, operating them in a hospitable environment, and conducting an effective program to test, calibrat...

  6. Innovative power management, attitude determination and control tile for CubeSat standard NanoSatellites

    Science.gov (United States)

    Ali, Anwar; Mughal, M. Rizwan; Ali, Haider; Reyneri, Leonardo

    2014-03-01

    Electric power supply (EPS) and attitude determination and control subsystem (ADCS) are the most essential elements of any aerospace mission. Efficient EPS and precise ADCS are the core of any spacecraft mission. So keeping in mind their importance, they have been integrated and developed on a single tile called CubePMT module. Modular power management tiles (PMTs) are already available in the market but they are less efficient, heavier in weight, consume more power and contain less number of subsystems. Commercial of the shelf (COTS) components have been used for CubePMT implementation which are low cost and easily available from the market. CubePMT is developed on the design approach of AraMiS architecture: a project developed at Politecnico di Torino that provides low cost and higher performance space missions with dimensions larger than CubeSats. The feature of AraMiS design approach is its modularity. These modules can be reused for multiple missions which helps in significant reduction of the overall budget, development and testing time. One has just to reassemble the required subsystems to achieve the targeted specific mission.

  7. Perceived quality of physiotherapist-led orthopaedic triage compared with standard practice in primary care: a randomised controlled trial.

    Science.gov (United States)

    Samsson, Karin S; Bernhardsson, Susanne; Larsson, Maria E H

    2016-06-10

    Physiotherapist-led orthopaedic triage, where physiotherapists diagnose and determine management plans, aims to enhance effectiveness and provide the best care. However, scientific evidence for the effectiveness of this model of care remains limited, and there are few studies reporting on patients' perceptions of the care provided. The purpose of this study was to evaluate patients' perceived quality of care in a physiotherapist-led orthopaedic triage in primary care, compared with standard practice. In a randomised controlled trial, patients of working age referred for orthopaedic consultation at a primary healthcare clinic in Sweden received either physiotherapist-led triage (n = 102) or standard practice (orthopaedic surgeon assessment) (n = 101). Neither subjects nor clinicians were blinded. The questionnaire Quality from the Patient's Perspective (QPP) was used to evaluate perceived quality of care focusing on the caregivers' medical-technical competence and identity-orientated approach. Also, to what extent patients' expectations were met, and their intention to follow advice was evaluated. For this study, 163 patients (80 %) were analysed (physiotherapist-led triage (n = 83), standard practice (n = 80)). Participants perceived significantly higher quality of care with the triage than with the standard practice in regards to receiving best possible examination and treatment (medical-technical competence) (p quality of care in a physiotherapist-led orthopaedic triage compared with standard practice. Patients in both groups reported that they perceived good quality of care, with the patients in the physiotherapist-led triage reporting significantly higher perceived quality of care than those in the standard practice group. This model of care seems to meet patients' expectations and result in a greater intention to follow advice and instructions for self-management. Our findings are in line with existing literature that this model of care

  8. A Randomized Controlled Exploratory Evaluation of Standardized Ayurvedic Formulations in Symptomatic Osteoarthritis Knees: A Government of India NMITLI Project

    Directory of Open Access Journals (Sweden)

    Arvind Chopra

    2011-01-01

    Full Text Available The multidisciplinary “New Millennium Indian Technology Leadership Initiative” Arthritis Project was undertaken to validate Ayurvedic medicines. Herbal formulations in popular use were selected by expert consensus and standardized using modern tools. Our clinical strategy evolved from simple exploratory evaluations to better powered statistically designed drug trials. The results of the first drug trial are presented here. Five oral formulations (coded A, B, C, D and E, with a common base of Zingiber officinale and Tinospora cordifolia with a maximum of four plant extracts, were evaluated; with placebo and glucosamine as controls. 245 patients suffering from symptomatic OA knees were randomized into seven arms (35 patients per arm of a double blind, parallel efficacy, multicentric trial of sixteen weeks duration. The groups matched well at baseline. There were no differences for patient withdrawals (17.5% or adverse events (AE of mild nature. Intention-to-treat efficacy analysis, demonstrated no significant differences (P<.05 for pain (weight bearing and WOMAC questionnaire (knee function; placebo response was high. Based on better pain relief, significant (P<.05 least analgesic consumption and improved knee status, “C” formulation was selected for further development. Controlled exploratory drug trials with multiple treatment arms may be used to economically evaluate several candidate standardized formulations.

  9. Tests and standards for express-control of physical fitness and health of middle school age pupils

    Directory of Open Access Journals (Sweden)

    I.R. Bodnar

    2016-08-01

    Full Text Available Introduction: to day, physical fitness testing often causes negative emotions in pupils. It results in sharp loss of pupils’ wish to fulfill physical exercises in free time and worsens their health. Possibility to assess health level is an important motivation factor for pupils’ passing physical tests. Objective testing system will form positive motivation for physical exercises’ practicing and will facilitate increase of pupils’ motor functioning. It will also facilitate optimization of their physical condition, improvement of physical fitness and strengthening of health. Material: we tested physical fitness level and made diagnosis of pupils’ functional state (10-15 years’ age; n=85 with the help of tool methodic. We also used regressive analysis. Results: the system of tests and standards for express-control over physical fitness and health of middle school age pupils has been worked out and substantiated. The system of tests envisages fulfillment of 4 exercises: back pressing ups on bench during 20 seconds; throwing and catching of ball with two hands from wall during 30 seconds; side bending; torso rising from lying position into sitting during 30 seconds. Integral indicator of pupils’ physical fitness and health correlates with functional state of organism’s leading systems. We worked out 5 levels’ scale for express-control over physical fitness and health of middle school age pupils. The system stipulates calculation of integrative indicator with the help of regression equation by results of 4 test exercises and calculation of one index. Conclusions: The system of tests and standards permits the following: to divide pupils into relatively uniform groups even at the beginning of academic year for successful reasonable physical load. The system also permits to determine standard and find what shall be strived for by a pupil in order to achieve optimal physical fitness and somatic state; to motivate relatively weakly

  10. Day care PNL using ‘Santosh-PGI hemostatic seal’ versus standard PNL: A randomized controlled study

    Science.gov (United States)

    Singh, Shivanshu; Singh, Prashant; Singh, Shrawan Kumar

    2016-01-01

    Introduction To compare the outcomes of tubeless day care PNL using hemostatic seal in the access tract versus standard PNL. Material and methods It was a prospective randomized controlled study. Cases were randomized to either the day care group with hemostatic seal (DCS) or the control group where patients were admitted and a nephrostomy tube was placed at the conclusion of surgery. Results A total of 180 cases were screened and out of these, 113 were included in the final analysis. The stone clearance rates were comparable in both the groups. The mean drop in hemoglobin was significantly lower in DCS group than the control group (1.05 ±0.68 vs. 1.30 ±0.58 gm/dl, p = 0.038).Mean postoperative pain score, analgesic requirement (paracetamol) and duration of hospital stay were also significantly lower in the DCS group (3.79 ±1.23 vs. 6.12 ±0.96, 1.48 ±0.50 vs. 4.09 ±1.11 grams and 0.48 ±0.26 vs. 4.74 ±1.53 days respectively; p PNL with composite hemostatic tract seal is considered safe. It resulted in a significant reduction of blood loss and analgesic requirement with significantly reduced hospital stay, nephrostomy tube site morbidity and time required to resume normal activity when compared to the standard PNL. However, patients must be compliant with the given instructions and should have access to a health care facility, as few of them may need re-admission. PMID:27551557

  11. Standardization of D2 lymphadenectomy and surgical quality control (KLASS-02-QC): a prospective, observational, multicenter study [NCT01283893

    International Nuclear Information System (INIS)

    Kim, Hyoung-Il; Hur, Hoon; Kim, Youn Nam; Lee, Hyuk-Joon; Kim, Min-Chan; Han, Sang-Uk; Hyung, Woo Jin

    2014-01-01

    Extended systemic lymphadenectomy (D2) is standard procedure for surgical treatment of advanced gastric cancer (AGC) although less extensive lymphadenectomy (D1) can be applied to early gastric cancer. Complete D2 lymphadenectomy is the mandatory procedure for studies that evaluate surgical treatment results of AGC. However, the actual extent of D2 lymphadenectomy varies among surgeons because of a lacking consensus on the anatomical definition of each lymph node station. This study is aimed to develop a consensus for D2 lymphadenectomy and also to qualify surgeons that can perform both laparoscopic and open D2 gastrectomy. This (KLASS-02-QC) is a prospective, observational, multicenter study to qualify the surgeons that will participate in the KLASS-02-RCT, which is a prospective, randomized, clinical trial comparing laparoscopic and open gastrectomy for AGC. Surgeons and reviewers participating in the study will be required to complete a questionnaire detailing their professional experience and specific gastrectomy surgical background/training, and the gastrectomy metrics of their primary hospitals. All surgeons must submit three laparoscopic and three open D2 gastrectomy videos, respectively. Each video will be allocated to five peer reviewers; thus each surgeon’s operations will be assessed by a total of 30 reviews. Based on blinded assessment of unedited videos by experts’ review, a separate review evaluation committee will decide whether or not the evaluated surgeon will participate in the KLASS-02-RCT. The primary outcome measure is each surgeon’s proficiency, as assessed by the reviewers based on evaluation criteria for completeness of D2 lymphadenectomy. We believe that our study for standardization of D2 lymphadenectomy and surgical quality control (KLASS-02-QC) will guarantee successful implementation of the subsequent KLASS-02-RCT study. After making consensus on D2 lymphadenectomy, we developed evaluation criteria for completeness of D2

  12. Intravenous ferric carboxymaltose versus standard care in the management of postoperative anaemia: a prospective, open-label, randomised controlled trial.

    Science.gov (United States)

    Khalafallah, Alhossain A; Yan, Carl; Al-Badri, Raghad; Robinson, Ella; Kirkby, Brooke E; Ingram, Emily; Gray, Zara; Khelgi, Vinod; Robertson, Iain K; Kirkby, Brian P

    2016-09-01

    Despite increasing efforts in perioperative management, postoperative iron deficiency anaemia persists, and few data are available about the management of this condition. In this study, we aimed to determine whether giving postoperative intravenous iron (in the form of ferric carboxymaltose) improved iron stores, haemoglobin concentrations, and outcomes following surgery. We did a prospective, open-label, randomised, controlled study of patients at two centres (a general hospital and a private health-care centre) in Tasmania, Australia, undergoing elective surgery with functional iron deficiency anaemia (haemoglobin 70-120 g/L and ferritin ≤100 μg/L or iron saturation ≤20%), measured at day 1 postoperatively. Consecutive routine elective surgical patients who were having major orthopaedic surgery, abdominal, and genitourinary surgery, and other surgeries were recruited. Via computer-generated randomisation, patients were randomly assigned (1:1) to either a single dose of intravenous 1000 mg ferric carboxymaltose (intervention group) or standard care, consisting of observation (control group). The primary endpoints were changes in haemoglobin concentrations and iron stores at 4 weeks postoperatively, and the number of transfused units of blood required postoperatively until discharge. Analyses were done on an intention-to-treat basis. This trial is registered with the Australian New Zealand Clinical Trials Registry and the WHO International Clinical Trials Registry platform (number ACTRN12614001261606). Between Dec 17, 2014, and May 7, 2015, we recruited 201 eligible patients, assigning 103 to intravenous ferric carboxymaltose and 98 to standard care only. Baseline mean haemoglobin was 105·5 g/L (SD 13·8) in the standard care group versus 106·2 g/L (11·9) in the ferric carboxymaltose group, improving at 4 weeks to 121·5 g/L (SD 14·5) in the standard group and 130·1 g/L (11·3) in the ferric carboxymaltose group (mean difference of 7·84 g/L, 95% CI 3·79

  13. Final Rule for Control of Air Pollution from Aircraft and Aircraft Engines: Emission Standards and Test Procedures

    Science.gov (United States)

    EPA is amending the existing emission standards for oxides of nitrogen (NOx) for new commercial aircraft engines. These standards are equivalent to the NOx emission standards of the United Nations International Civil Aviation Organization (ICAO).

  14. Direct Final Rule for Control of Air Pollution From Aircraft and Aircraft Engines; Emission Standards and Test Procedures

    Science.gov (United States)

    This rule will adopt the current voluntary NOx and CO emissions standards of the United Nations International Civil Aviation Organization (ICAO), bringing the United States aircraft standards into alignment with the international standards.

  15. DSS-13 - Using an OSI process control standard for monitor and control. [Deep Space Network experimental station applying Open System interconnection

    Science.gov (United States)

    Heuser, W. R.; Chen, Richard L.; Stockett, Michael H.

    1993-01-01

    The flexibility and robustness of a monitor and control (M&C) system are a direct result of the underlying inter-processor communications architecture. A new architecture for M&C at the Deep Space Communications Complexes has been developed based on the manufacturing message specification (MMS) process control standard of the open system interconnection (OSI) suite of protocols. This architecture has been tested both in a laboratory environment and under operational conditions at the Deep Space Network experimental station (DSS-13). The DSS-13 experience in the application of OSI standards to support M&C has been extremely successful. MMS meets the functional needs of the station and provides a level of flexibility and responsiveness previously unknown in that environment. The architecture is robust enough to meet current operational needs and flexible enough to provide a migration path for new subsystems. This paper describes the architecture of the DSS-13 M&C system, discuss how MMS was used and the requirements this imposed on other parts of the system, and provides results from systems and operational testing at DSS-13.

  16. Effectiveness of the GAEC cross-compliance standard Short-term measures for runoff water control on sloping land (temporary ditches and grass strips in controlling soil erosion

    Directory of Open Access Journals (Sweden)

    Paolo Bazzoffi

    2011-08-01

    Full Text Available The agronomic measures made obligatory by the cross-compliance Standard Temporary measures for runoff water control on sloping land included in the Ministry of Agricultural, Food and Forestry Policies (MiPAAF decree on cross compliance until 2008, and by Standard 1.1 Creation of temporary ditches for the prevention of soil erosion in the 2009 decree, certainly appear to be useful for the control of soil erosion and runoff. The efficacy of temporary drainage ditches and of grass strips in controlling runoff and erosion has been demonstrated in trials conducted in field test plots in Italy. When level temporary drainage ditches are correctly built, namely with an inclination of not more than 2.5% in relation to the maximum hillslope gradient, they allow the suspended sediment eroded upstream to settle in the ditches, retaining the material carried away on the slope and, as a result, reducing the quantity of sediment delivered to the hydrographic network. In particular, among all the results, the erosion and runoff data in a trial conducted in Guiglia (Modena showed that in corn plots, temporary drainage ditches reduced soil erosion by 94%, from 14.4 Mg ha-1 year-1 (above the limit established by the NRCS-USDA of 11.2 Mg ha-1 year-1 to 0.8 Mg ha-1 year-1 (within the NRCS limit and also within the more restrictive limit established by the OECD of 6.0 Mg ha-1 year-1. With respect to the grass buffer strips the most significant research was carried out in Volterra. This research demonstrated their efficacy in reducing erosion from 8.15 Mg ha-1 to 1.6 Mg ha-1, which is approximately 5 times less than the erosion observed on bare soil. The effectiveness of temporary drainage ditches was also assessed through the application of the Revised Universal Soil Loss Equation (RUSLE erosion model to 60 areas under the control of the Agency for Agricultural Payments (AGEA in 2009, comparing the risk of erosion in these sample areas by simulating the presence and

  17. Learning and coping strategies versus standard education in cardiac rehabilitation: a cost-utility analysis alongside a randomised controlled trial.

    Science.gov (United States)

    Dehbarez, Nasrin Tayyari; Lynggaard, Vibeke; May, Ole; Søgaard, Rikke

    2015-09-28

    Learning and coping education strategies (LC) was implemented to enhance patient attendance in the cardiac rehabilitation programme. This study assessed the cost-utility of LC compared to standard education (standard) as part of a rehabilitation programme for patients with ischemic heart disease and heart failure. The study was conducted alongside a randomised controlled trial with 825 patients who were allocated to LC or standard rehabilitation and followed for 5 months. The LC approach was identical to the standard approach in terms of physical training and education, but with the addition of individual interviews and weekly team evaluations by professionals. A societal cost perspective including the cost of intervention, health care, informal time and productivity loss was applied. Cost was based on a micro-costing approach for the intervention and national administrative registries for other cost categories. Quality adjusted life years (QALY) were based on SF-6D measurements at baseline, after intervention and follow-up using British preference weights. Multiple imputation was used to handle non-response on the SF-6D. Conventional cost effectiveness methodology was employed to estimate the net benefit of the LC and to illustrate cost effectiveness acceptability curves. The statistical analysis was based on means and bootstrapped standard errors. An additional cost of DKK 6,043 (95% CI -5,697; 17,783) and a QALY gain of 0.005 (95% CI -0.001; 0.012) was estimated for LC. However, better utility scores in both arms were due to higher utility while receiving the intervention than better health after the intervention. The probability that LC would be cost-effective did not exceed 29% for any threshold values of willingness to pay per QALY. The alternative scenario analysis was restricted to a health care perspective and showed that the probability of cost-effectiveness increased to 62% over the threshold values. The LC was unlikely to be cost-effective within 5

  18. Mapping clinical phenotype data elements to standardized metadata repositories and controlled terminologies: the eMERGE Network experience.

    Science.gov (United States)

    Pathak, Jyotishman; Wang, Janey; Kashyap, Sudha; Basford, Melissa; Li, Rongling; Masys, Daniel R; Chute, Christopher G

    2011-01-01

    Systematic study of clinical phenotypes is important for a better understanding of the genetic basis of human diseases and more effective gene-based disease management. A key aspect in facilitating such studies requires standardized representation of the phenotype data using common data elements (CDEs) and controlled biomedical vocabularies. In this study, the authors analyzed how a limited subset of phenotypic data is amenable to common definition and standardized collection, as well as how their adoption in large-scale epidemiological and genome-wide studies can significantly facilitate cross-study analysis. The authors mapped phenotype data dictionaries from five different eMERGE (Electronic Medical Records and Genomics) Network sites studying multiple diseases such as peripheral arterial disease and type 2 diabetes. For mapping, standardized terminological and metadata repository resources, such as the caDSR (Cancer Data Standards Registry and Repository) and SNOMED CT (Systematized Nomenclature of Medicine), were used. The mapping process comprised both lexical (via searching for relevant pre-coordinated concepts and data elements) and semantic (via post-coordination) techniques. Where feasible, new data elements were curated to enhance the coverage during mapping. A web-based application was also developed to uniformly represent and query the mapped data elements from different eMERGE studies. Approximately 60% of the target data elements (95 out of 157) could be mapped using simple lexical analysis techniques on pre-coordinated terms and concepts before any additional curation of terminology and metadata resources was initiated by eMERGE investigators. After curation of 54 new caDSR CDEs and nine new NCI thesaurus concepts and using post-coordination, the authors were able to map the remaining 40% of data elements to caDSR and SNOMED CT. A web-based tool was also implemented to assist in semi-automatic mapping of data elements. This study emphasizes the

  19. A parallel row-based algorithm with error control for standard-cell replacement on a hypercube multiprocessor

    Science.gov (United States)

    Sargent, Jeff Scott

    1988-01-01

    A new row-based parallel algorithm for standard-cell placement targeted for execution on a hypercube multiprocessor is presented. Key features of this implementation include a dynamic simulated-annealing schedule, row-partitioning of the VLSI chip image, and two novel new approaches to controlling error in parallel cell-placement algorithms; Heuristic Cell-Coloring and Adaptive (Parallel Move) Sequence Control. Heuristic Cell-Coloring identifies sets of noninteracting cells that can be moved repeatedly, and in parallel, with no buildup of error in the placement cost. Adaptive Sequence Control allows multiple parallel cell moves to take place between global cell-position updates. This feedback mechanism is based on an error bound derived analytically from the traditional annealing move-acceptance profile. Placement results are presented for real industry circuits and the performance is summarized of an implementation on the Intel iPSC/2 Hypercube. The runtime of this algorithm is 5 to 16 times faster than a previous program developed for the Hypercube, while producing equivalent quality placement. An integrated place and route program for the Intel iPSC/2 Hypercube is currently being developed.

  20. Lee Silverman Voice Treatment versus standard speech and language therapy versus control in Parkinson's disease: a pilot randomised controlled trial (PD COMM pilot).

    Science.gov (United States)

    Sackley, Catherine M; Smith, Christina H; Rick, Caroline E; Brady, Marian C; Ives, Natalie; Patel, Smitaa; Woolley, Rebecca; Dowling, Francis; Patel, Ramilla; Roberts, Helen; Jowett, Sue; Wheatley, Keith; Kelly, Debbie; Sands, Gina; Clarke, Carl E

    2018-01-01

    Speech-related problems are common in Parkinson's disease (PD), but there is little evidence for the effectiveness of standard speech and language therapy (SLT) or Lee Silverman Voice Treatment (LSVT LOUD®). The PD COMM pilot was a three-arm, assessor-blinded, randomised controlled trial (RCT) of LSVT LOUD®, SLT and no intervention (1:1:1 ratio) to assess the feasibility and to inform the design of a full-scale RCT. Non-demented patients with idiopathic PD and speech problems and no SLT for speech problems in the past 2 years were eligible. LSVT LOUD® is a standardised regime (16 sessions over 4 weeks). SLT comprised individualised content per local practice (typically weekly sessions for 6-8 weeks). Outcomes included recruitment and retention, treatment adherence, and data completeness. Outcome data collected at baseline, 3, 6, and 12 months included patient-reported voice and quality of life measures, resource use, and assessor-rated speech recordings. Eighty-nine patients were randomised with 90% in the therapy groups and 100% in the control group completing the trial. The response rate for Voice Handicap Index (VHI) in each arm was ≥ 90% at all time-points. VHI was highly correlated with the other speech-related outcome measures. There was a trend to improvement in VHI with LSVT LOUD® (difference at 3 months compared with control: - 12.5 points; 95% CI - 26.2, 1.2) and SLT (difference at 3 months compared with control: - 9.8 points; 95% CI - 23.2, 3.7) which needs to be confirmed in an adequately powered trial. Randomisation to a three-arm trial of speech therapy including a no intervention control is feasible and acceptable. Compliance with both interventions was good. VHI and other patient-reported outcomes were relevant measures and provided data to inform the sample size for a substantive trial. International Standard Randomised Controlled Trial Number Register: ISRCTN75223808. registered 22 March 2012.

  1. A pilot study to evaluate the application of a generic protein standard panel for quality control of biomarker detection technologies

    Directory of Open Access Journals (Sweden)

    Valdivia Hernan J

    2011-08-01

    Full Text Available Abstract Background Protein biomarker studies are currently hampered by a lack of measurement standards to demonstrate quality, reliability and comparability across multiple assay platforms. This is especially pertinent for immunoassays where multiple formats for detecting target analytes are commonly used. Findings In this pilot study a generic panel of six non-human protein standards (50 - 10^7 pg/mL of varying abundance was prepared as a quality control (QC material. Simulated "normal" and "diseased" panels of proteins were prepared in pooled human plasma and incorporated into immunoassays using the Meso Scale Discovery® (MSD® platform to illustrate reliable detection of the component proteins. The protein panel was also evaluated as a spike-in material for a model immunoassay involving detection of ovarian cancer biomarkers within individual human plasma samples. Our selected platform could discriminate between two panels of the proteins exhibiting small differences in abundance. Across distinct experiments, all component proteins exhibited reproducible signal outputs in pooled human plasma. When individual donor samples were used, half the proteins produced signals independent of matrix effects. These proteins may serve as a generic indicator of platform reliability. Each of the remaining proteins exhibit differential signals across the distinct samples, indicative of sample matrix effects, with the three proteins following the same trend. This subset of proteins may be useful for characterising the degree of matrix effects associated with the sample which may impact on the reliability of quantifying target diagnostic biomarkers. Conclusions We have demonstrated the potential utility of this panel of standards to act as a generic QC tool for evaluating the reproducibility of the platform for protein biomarker detection independent of serum matrix effects.

  2. Achieving Standardization

    DEFF Research Database (Denmark)

    Henningsson, Stefan

    2016-01-01

    competitive, national customs and regional economic organizations are seeking to establish a standardized solution for digital reporting of customs data. However, standardization has proven hard to achieve in the socio-technical e-Customs solution. In this chapter, the authors identify and describe what has......International e-Customs is going through a standardization process. Driven by the need to increase control in the trade process to address security challenges stemming from threats of terrorists, diseases, and counterfeit products, and to lower the administrative burdens on traders to stay...... to be harmonized in order for a global company to perceive e-Customs as standardized. In doing so, they contribute an explanation of the challenges associated with using a standardization mechanism for harmonizing socio-technical information systems....

  3. Achieving Standardization

    DEFF Research Database (Denmark)

    Henningsson, Stefan

    2014-01-01

    competitive, national customs and regional economic organizations are seeking to establish a standardized solution for digital reporting of customs data. However, standardization has proven hard to achieve in the socio-technical e-Customs solution. In this chapter, the authors identify and describe what has......International e-Customs is going through a standardization process. Driven by the need to increase control in the trade process to address security challenges stemming from threats of terrorists, diseases, and counterfeit products, and to lower the administrative burdens on traders to stay...... to be harmonized in order for a global company to perceive e-Customs as standardized. In doing so, they contribute an explanation of the challenges associated with using a standardization mechanism for harmonizing socio-technical information systems....

  4. Development of a standardized low-dose double-blind placebo-controlled challenge vehicle for the EuroPrevall project.

    NARCIS (Netherlands)

    Cochrane, S.A.; Salt, L.J.; Wantling, E.; Rogers, A.; Coutts, J.; Ballmer-Weber, B.K.; Fritsche, P.; Fernandez-Rivas, M.; Reig, I.; Knulst, A.; Le, T.M.; Asero, R.; Beyer, K.; Golding, M.; Crevel, R. van; Mills, E.N.; Mackie, A.R.

    2012-01-01

    BACKGROUND: Double-blind placebo-controlled food challenge (DBPCFC) is the gold standard for diagnosing food allergy. Standardized materials and protocols are essential for comparing DBPCFC results for multicentre studies such as EuroPrevall. This required the development and piloting of a

  5. [Research progress on standardization study of NIR spectroscopy based method for quality control of traditional Chinese medicine].

    Science.gov (United States)

    Li, Wen-Long; Qu, Hai-Bin

    2016-10-01

    In recent years, the near infrared (NIR) spectroscopy has gained wide acceptance within the quantitative analysis of traditional Chinese medicine (TCM). However, the lack of technical standards is the bottleneck problem in this process. To address this issue, standardization study of the NIR spectroscopy based method for the quantitative analysis of TCM is needed, in which the specific characteristics of TCM should be given full considerations. The main research contents include:the scope definition for the application of NIR spectroscopy in the TCM quantitative analysis field, the selection criteria for the sample pretreatment and spectral acquisition conditions, the rules for the model optimization and evaluation, and the regulations for the model update and transfer. In this paper, some foreign studies in the agricultural areas are reviewed for reference. Different chemometrics methods reported in the literature are investigated and compared systematically. This research is important actual significance to the theoretical development of NIR spectroscopy analytical techniques, and will effectively promote the application of the technology in the TCM industry. Furthermore, it is beneficial to improve the technical level of TCM quality control, and can also be used as references to achieve similar purposes for other natural products. Copyright© by the Chinese Pharmaceutical Association.

  6. SCALE: A modular code system for performing standardized computer analyses for licensing evaluation. Control modules -- Volume 1, Revision 4

    Energy Technology Data Exchange (ETDEWEB)

    Landers, N.F.; Petrie, L.M.; Knight, J.R. [Oak Ridge National Lab., TN (United States)] [and others

    1995-04-01

    SCALE--a modular code system for Standardized Computer Analyses Licensing Evaluation--has been developed by Oak Ridge National Laboratory at the request of the US Nuclear Regulatory Commission. The SCALE system utilizes well-established computer codes and methods within standard analysis sequences that (1) allow an input format designed for the occasional user and/or novice, (2) automate the data processing and coupling between modules, and (3) provide accurate and reliable results. System development has been directed at problem-dependent cross-section processing and analysis of criticality safety, shielding, heat transfer, and depletion/decay problems. Since the initial release of SCALE in 1980, the code system has been heavily used for evaluation of nuclear fuel facility and package designs. This revision documents Version 4.2 of the system. This manual is divided into three volumes: Volume 1--for the control module documentation, Volume 2--for the functional module documentation, and Volume 3 for the documentation of the data libraries and subroutine libraries.

  7. Research opportunities related to establishing standards for tobacco products under the Family Smoking Prevention and Tobacco Control Act.

    Science.gov (United States)

    Hecht, Stephen S

    2012-01-01

    This paper was written in response to a request from the U.S. National Cancer Institute. The goal is to discuss some research directions related to establishing tobacco product standards under the Family Smoking Prevention and Tobacco Control Act, which empowers the U.S. Food and Drug Administration to regulate tobacco products. Potential research related to tobacco product ingredients, nicotine, and harmful or potentially harmful constituents of tobacco products is discussed. Ingredients, which are additives, require less attention than nicotine and harmful or potentially harmful constituents. With respect to nicotine, the threshold level in tobacco products below which dependent users will be able to freely stop using the product if they choose to do so is a very important question. Harmful and potentially harmful constituents include various toxicants and carcinogens. An updated list of 72 carcinogens in cigarette smoke is presented. A crucial question is the appropriate levels of toxicants and carcinogens in tobacco products. The use of carcinogen and toxicant biomarkers to determine these levels is discussed. The need to establish regulatory standards for added ingredients, nicotine, and other tobacco and tobacco smoke constituents leads to many interesting and potentially highly significant research questions, which urgently need to be addressed.

  8. Audit of internal quality control practice and processes in the south-east of England and suggested regional standards.

    Science.gov (United States)

    Housley, David; Kearney, Edward; English, Emma; Smith, Natalie; Teal, Teresa; Mazurkiewicz, Janina; Freedman, Danielle B

    2008-03-01

    Internal quality control (IQC) has a long and well-established role in clinical biochemistry laboratories. However, despite the duration of use, and the publication of several articles detailing best practice, the implementation and use of IQC vary significantly between institutions. Consequently, the North Thames Audit and Quality Assurance Group undertook a region-wide audit of current IQC practice in 2006. On aspects of IQC testing, interpretation and laboratory processes, 54 laboratories in the region were audited. Audit data showed significant variability in all aspects of practice, including IQC frequency, use of appropriate material, statistical processing and grades of staff involved. Some of the variation in practice may affect the effectiveness of laboratory IQC, and thus the adequacy of a laboratory to monitor system performance. Consequently, a set of proposed regional standards have been developed and disseminated, prior to re-audit at a future date.

  9. Information Technology Management: Report on Standard Finance System Controls Placed in Operation and Tests of Operating Effectiveness for the Period October 1, 2004 through March 31, 2005

    National Research Council Canada - National Science Library

    2005-01-01

    .... Department of Defense personnel who manage and use the Standard Finance System (STANFINS) will also find this report of interest as it contains information about STANFINS general and application controls...

  10. Subanaesthetic ketamine spares postoperative morphine and controls pain better than standard morphine does alone in orthopaedic-oncological patients.

    Science.gov (United States)

    Kollender, Yehuda; Bickels, Jacob; Stocki, Daniel; Maruoani, Nissim; Chazan, Shoshana; Nirkin, Alexander; Meller, Isaac; Weinbroum, Avi A

    2008-05-01

    Postoperative pain in patients with bone and soft tissue cancer is different from that of other surgical patients due to the severity of the pain generated during surgery and because many of them have already been in pain preoperatively. The search for optimal intravenous pharmacologic management for this population is an ongoing one. We conducted a 10-month prospective, randomised, double blind study to compare the effects of a standard morphine dose to a 35%-lower dose plus a subanaesthetic dose of ketamine for postoperative pain control in patients undergoing bone and soft tissue cancer surgery under standardised general anaesthesia. After extubation, when objectively awake (>or=5/10 on a 0-10 visual analogue scale (VAS)) and complaining of pain (>or=5/10 VAS), patients were connected to an intravenous patient-controlled analgesia (IV-PCA) device that delivered 1.5 mg morphine/bolus (MO group) or 1 mg morphine+5mg ketamine/bolus (MK group), with a 7 min lockout time. Rescue intramuscular diclofenac 75 mg was available Q4/day. Follow-up lasted 96 h. Fifty-seven patients (24 males, aged 18-74 years) completed the study. Pain scores were lower in the MK group compared to the MO patients, although MO patients (n=29) used 32.9+/-24.9 mg/patient morphine during the first 24 postoperative h compared to 14.6+/-11.4 mg/patient (Pphysiotherapy score was 35% higher for the MK patients (P<0.05). No patient had hallucinations. Postoperative nausea and vomiting rates were higher in the MO group. The use of subanaesthetic ketamine plus 2/3 the standard dose of morphine following bone and tissue resections results in 1) lower and more stable pain score, 2) approximately 60% morphine sparing effect, 3) a shorter period of postoperative IV-PCA dependence. Such therapy is also associated with better early physical performance.

  11. Early warning scoring systems versus standard observations charts for wards in South Africa: a cluster randomized controlled trial.

    Science.gov (United States)

    Kyriacos, Una; Jelsma, Jennifer; James, Michael; Jordan, Sue

    2015-03-20

    On South African public hospital wards, observation charts do not incorporate early warning scoring (EWS) systems to inform nurses when to summon assistance. The aim of this trial was to test the impact of a new chart incorporating a modified EWS (MEWS) system and a linked training program on nurses' responses to clinical deterioration (primary outcome). Secondary outcomes were: numbers of patients with vital signs recordings in the first eight postoperative hours; number of times each vital sign was recorded; and nurses' knowledge. A pragmatic, parallel-group, cluster randomized, controlled clinical trial of intervention versus standard care was conducted in three intervention and three control adult surgical wards in an 867-bed public hospital in Cape Town, between March and July 2010; thereafter the MEWS chart was withdrawn. A total of 50 out of 122 nurses in full-time employment participated. From 1,427 case notes, 114 were selected by randomization for assessment. The MEWS chart was implemented in intervention wards. Control wards delivered standard care, without training. Case notes were reviewed two weeks after the trial's completion. Knowledge was assessed in both trial arms by blinded independent marking of written tests before and after training of nurses in intervention wards. Analyses were undertaken with IBM SPSS software on an intention-to-treat basis. Patients in trial arms were similar. Introduction of the MEWS was not associated with statistically significant changes in responses to clinical deterioration (50 of 57 received no assistance versus 55 of 57, odds ratio (OR): 0.26, 95% confidence interval (CI): 0.05 to 1.31), despite improvement in nurses' knowledge in intervention wards. More patients in intervention than control wards had recordings of respiratory rate (27 of 57 versus 2 of 57, OR: 24.75, 95% CI: 5.5 to 111.3) and recordings of all seven parameters (5 of 57 versus 0 of 57 patients, risk estimate: 1.10, 95% CI: 1.01 to 1.2). A MEWS

  12. Differences in Weight Loss Between Persons on Standard Balanced vs Nutrigenetic Diets in a Randomized Controlled Trial.

    Science.gov (United States)

    Frankwich, Karen A; Egnatios, Jeremy; Kenyon, Mandy L; Rutledge, Thomas R; Liao, Patricia S; Gupta, Samir; Herbst, Karen L; Zarrinpar, Amir

    2015-09-01

    Many companies provide genetic tests for obesity-related polymorphisms (nutrigenetics) and make dietary recommendations for weight loss that are based on the results. We performed a randomized controlled trial to determine whether more participants who followed a nutrigenetic-guided diet lost ≥5% of their body weight than participants on a standard balanced diet for 8 and 24 weeks. We performed a prospective study of 51 obese or overweight U.S. veterans on an established weight management program at the Veterans Administration San Diego Healthcare System (the MOVE! program). Participants were randomly assigned to groups placed on a nutrigenetic-guided diet (balanced, low-carbohydrate, low-fat, or Mediterranean; n = 30) or a standard balanced diet (n = 21). Nutrigenetic diets were selected on the basis of results from the Pathway FIT test. There was no significant difference in the percentage of participants on the balanced diet vs the nutrigenetic-guided diet who lost 5% of their body weight at 8 weeks (35.0% ± 20.9% vs 26.9% ± 17.1%, respectively; P = .28) or at 24 weeks. Both groups had difficulty adhering to the diets. However, adherence to the nutrigenetic-guided diet correlated with weight loss (r = 0.74; P = 4.0 × 10(-5)), but not adherence to standard therapy (r = 0.34; P = .23). Participants who had low-risk polymorphisms for obesity lost more weight than all other participants at 8 weeks (5.0% vs 2.9%, respectively; P = .02) and had significantly greater reductions in body mass index (6.4% vs 3.6%, respectively; P = .03) and waist circumference (6.5% vs 2.6%, respectively; P = .02) at 24 weeks. In a prospective study, a nutrigenetic-based diet did not increase weight loss compared with a standard balanced diet. However, genetic features can identify individuals most likely to benefit from a balanced diet weight loss strategy; these findings require further investigation. ClinicalTrials.gov number: NCT01859403. Copyright © 2015 AGA

  13. Differences in Weight Loss Between Persons on Standard Balanced vs Nutrigenetic Diets in a Randomized Controlled Trial

    Science.gov (United States)

    Kenyon, Mandy L.; Rutledge, Thomas R.; Liao, Patricia S.; Gupta, Samir; Herbst, Karen L.; Zarrinpar, Amir

    2015-01-01

    Background & Aims Many companies provide genetic tests for obesity-related polymorphisms (nutrigenetics) and make dietary recommendations for weight loss based on the results. We performed a randomized controlled trial to determine whether more participants who followed a nutrigenetic-guided diet lost ≥5% of their body weight than participants on a standard balanced diet, for 8 and 24 weeks. Methods We performed a prospective study of 51 obese or overweight US veterans on an established weight management program at the Veterans Administration San Diego Healthcare System (the MOVE! Program). Participants were randomly assigned to groups placed on a nutrigenetic-guided diet (balanced, low-carbohydrate, low-fat, or Mediterranean; n=30) or a standard balanced diet (n=21). Nutrigenetic diets were selected based on results from the Pathway FIT test (Pathway Genomics; San Diego, CA). Results There was no significant difference in the percentage of participants on the balanced diet vs the nutrigenetic-guided diet who lost 5% of their body weight at 8 weeks (35.0%±20.9% vs 26.9%±17.1%, respectively; P=.28) or at 24 weeks. Both groups had difficulty adhering to the diets. However, adherence to the nutrigenetic-guided diet correlated with weight loss (r=0.74; P= 4.0 × 10−5), but not adherence to standard therapy (r=0.34; P=.23). Participants who had low-risk polymorphisms for obesity lost more weight than all other participants at 8 weeks (5.0% vs 2.9%, respectively; P=.02), and had significantly greater reductions in body mass index (6.4% vs 3.6% respectively; P=.03) and waist circumference (6.5% vs 2.6% respectively; P=.02) at 24 weeks. Conclusions In a prospective study, a nutrigenetic-based diet did not increase weight loss compared with a standard balanced diet. However, genetic features can identify individuals most likely to benefit from a balanced diet weight loss strategy; these findings require further investigation. ClincialTrials.gov number: NCT01859403

  14. Quantitative monitoring of HCMV DNAlactia in human milk by real time PCR assay: Implementation of internal control contributes to standardization and quality control.

    Science.gov (United States)

    Hartleif, Steffen; Göhring, Katharina; Goelz, Rangmar; Jahn, Gerhard; Hamprecht, Klaus

    2016-11-01

    For cytomegalovirus screening of breastfeeding mothers of preterm infants under risk, we present a rapid, quantitative real-time PCR protocol using the hybridization format of the viral gB target region. For quantification, we used an external gB fragment cloned into a vector system. For standardization, we created an internal control-plasmid by site-directed mutagenesis with an exchange of 9 nucleotides. Spiked with internal control, patient wildtype amplicons could be discriminated from internal controls by hybridization probes using two-channel fluorescence detection. Potential bias of formerly reported false nucleotide sequence data of gB-hybridization probes was excluded. Using this approach, we could demonstrate excellent analytical performance and high reproducibility of HCMV detection during lactation. This assay shows very good correlation with a commercial quantitative HCMV DNA PCR and may help to identify rapidly HCMV shedding mothers of very low birth weight preterm infants to prevent HCMV transmission. On the other hand, negative DNA amplification results allow feeding of milk samples of seropositive mothers to their preterm infants under risk (<30 weeks of gestational age, <1000g birth weight) during the onset and late stage of HCMV shedding during lactation. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. Individualised perioperative open-lung approach versus standard protective ventilation in abdominal surgery (iPROVE): a randomised controlled trial.

    Science.gov (United States)

    Ferrando, Carlos; Soro, Marina; Unzueta, Carmen; Suarez-Sipmann, Fernando; Canet, Jaume; Librero, Julián; Pozo, Natividad; Peiró, Salvador; Llombart, Alicia; León, Irene; India, Inmaculada; Aldecoa, Cesar; Díaz-Cambronero, Oscar; Pestaña, David; Redondo, Francisco J; Garutti, Ignacio; Balust, Jaume; García, Jose I; Ibáñez, Maite; Granell, Manuel; Rodríguez, Aurelio; Gallego, Lucía; de la Matta, Manuel; Gonzalez, Rafael; Brunelli, Andrea; García, Javier; Rovira, Lucas; Barrios, Francisco; Torres, Vicente; Hernández, Samuel; Gracia, Estefanía; Giné, Marta; García, María; García, Nuria; Miguel, Lisset; Sánchez, Sergio; Piñeiro, Patricia; Pujol, Roger; García-Del-Valle, Santiago; Valdivia, José; Hernández, María J; Padrón, Oto; Colás, Ana; Puig, Jaume; Azparren, Gonzalo; Tusman, Gerardo; Villar, Jesús; Belda, Javier

    2018-03-01

    The effects of individualised perioperative lung-protective ventilation (based on the open-lung approach [OLA]) on postoperative complications is unknown. We aimed to investigate the effects of intraoperative and postoperative ventilatory management in patients scheduled for abdominal surgery, compared with standard protective ventilation. We did this prospective, multicentre, randomised controlled trial in 21 teaching hospitals in Spain. We enrolled patients who were aged 18 years or older, were scheduled to have abdominal surgery with an expected time of longer than 2 h, had intermediate-to-high-risk of developing postoperative pulmonary complications, and who had a body-mass index less than 35 kg/m 2 . Patients were randomly assigned (1:1:1:1) online to receive one of four lung-protective ventilation strategies using low tidal volume plus positive end-expiratory pressure (PEEP): open-lung approach (OLA)-iCPAP (individualised intraoperative ventilation [individualised PEEP after a lung recruitment manoeuvre] plus individualised postoperative continuous positive airway pressure [CPAP]), OLA-CPAP (intraoperative individualised ventilation plus postoperative CPAP), STD-CPAP (standard intraoperative ventilation plus postoperative CPAP), or STD-O 2 (standard intraoperative ventilation plus standard postoperative oxygen therapy). Patients were masked to treatment allocation. Investigators were not masked in the operating and postoperative rooms; after 24 h, data were given to a second investigator who was masked to allocations. The primary outcome was a composite of pulmonary and systemic complications during the first 7 postoperative days. We did the primary analysis using the modified intention-to-treat population. This trial is registered with ClinicalTrials.gov, number NCT02158923. Between Jan 2, 2015, and May 18, 2016, we enrolled 1012 eligible patients. Data were available for 967 patients, whom we included in the final analysis. Risk of pulmonary and systemic

  16. Analysis and application of analog electronic circuits to biomedical instrumentation

    CERN Document Server

    Northrop, Robert B

    2003-01-01

    This book introduces the basic mathematical tools used to describe noise and its propagation through linear systems and provides a basic description of the improvement of signal-to-noise ratio by signal averaging and linear filtering. The text also demonstrates how op amps are the keystone of modern analog signal conditioning systems design, and illustrates their use in isolation and instrumentation amplifiers, active filters, and numerous biomedical instrumentation systems and subsystems. It examines the properties of the ideal op amp and applies this model to the analysis of various circuits

  17. Problems and Projects Based Approach For Analog Electronic Circuits' Course

    Directory of Open Access Journals (Sweden)

    Mustapha Rafaf

    2009-04-01

    Full Text Available New educational methods and approaches are recently introduced and implemented at several North American and European universities using Problems and Projects Based Approach (PPBA. The PPBA employs a teaching technique based mostly on competences/skills rather than only on knowledge. This method has been implemented and proven by several pedagogical instructors and authors at several educational institutions. This approach is used at different disciplines such as medicine, biology, engineering and many others. It has the advantage to improve the student's skills and the knowledge retention rate, and reflects the 21st century industrial/company needs and demands. Before implementing this approach to a course, a good resources preparation and planning is needed upfront by the responsible or instructor of the course to achieve the course and students related objectives. This paper presents the preparation, the generated documentation and the implementation of a pilot project utilizing PPBA education for a second year undergraduate electronic course over a complete semester, and for two different class groups (morning and evening groups. The outcome of this project (achieved goals, observed difficulties and lessons learned is presented based on different tools such as students 'in class' communication and feedback, different course evaluation forms and the professor/instructor feedback. Resources, challenges, difficulties and recommendations are also assessed and presented. The impact, the effect and the results (during and at the end of the academic fall session of the PPBA on students and instructor are discussed, validated, managed and communicated to help other instructor in taking appropriate approach decisions with respect to this new educational approach compared to the classical one.

  18. Analysis of high burnup fuel behavior under control rod ejection accident in Korea standard nuclear power plant

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Chan Bok; Lee, Chung Chan; Kim, Oh Hwan; Kim, Jong Jin [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1996-07-01

    Test results of high burnup fuel behavior under RIA(reactivity insertion accident) indicated that fuel might fail at the fuel enthalpy lower than that in the current fuel failure criteria was derived by the conservative assumptions and analysis of fuel failure mechanisms, and applied to the analysis of control rod ejection accident in the 1,000 MWe Korea standard PWR. Except that three dimensional core analysis was performed instead of conventional zero dimensional analysis, all the other conservative assumptions were kept. Analysis results showed that less than on percent of the fuel rods in the core has failed which was much less than the conventional fuel failure fraction, 9.8 %, even though a newly derived fuel failure criteria -Fuel failure occurs at the power level lower than that in the current fuel failure criteria. - was applied, since transient fuel rod power level was significantly decreased by analyzing the transient fuel rod power level was significantly decreased by analyzing the transient core three dimensionally. Therefore, it can be said that results of the radiological consequence analysis for the control rod ejection accident in the FSAR where fuel failure fraction was assumed 9.8 % is still bounding. 18 tabs., 48 figs., 39 refs. (Author).

  19. Does the addition of specific acupuncture to standard swallowing training improve outcomes in patients with dysphagia after stroke? a randomized controlled trial.

    Science.gov (United States)

    Xia, Wenguang; Zheng, Chanjuan; Zhu, Suiqiang; Tang, Zhouping

    2016-03-01

    To assess the effect of adding acupuncture to standard swallowing training for patients with dysphagia after stroke. Single-blind randomized controlled trial. Inpatient and outpatient clinics. A total of 124 patients with dysphagia after stroke were randomly divided into two groups: acupuncture and control. The acupuncture group received standard swallowing training and acupuncture treatment. In comparison, the control group only received standard swallowing training. Participants in both groups received six days of therapy per week for a four-week period. The primary outcome measures included the Standardized Swallowing Assessment and the Dysphagia Outcome Severity Scale. The secondary outcome measures included the Modified Barthel Index and Swallowing-Related Quality of Life, which were assessed before and after the four-week therapy period. A total of 120 dysphagic subjects completed the study (60 in acupuncture group and 60 in control group). Significant differences existed in the Standardized Swallowing Assessment, Dysphagia Outcome Severity Scale, Modified Barthel Index, and Swallowing-Related Quality of Life scores of each group after the treatment (P Dysphagia Outcome Severity Scale (mean difference 2.3; 95% CI 0.7 to 1.2; P Quality of Life scores (mean difference 31.4; 95% CI 3.2 to 11.4; P < 0.01) showed more significant improvement in the acupuncture group than the control group. Acupuncture combined with the standard swallowing training may be beneficial for dysphagic patients after stroke. © The Author(s) 2015.

  20. A Pilot Prospective Randomized Control Trial Comparing Exercises Using Videogame Therapy to Standard Physical Therapy: 6 Months Follow-Up.

    Science.gov (United States)

    Parry, Ingrid; Painting, Lynda; Bagley, Anita; Kawada, Jason; Molitor, Fred; Sen, Soman; Greenhalgh, David G; Palmieri, Tina L

    2015-01-01

    Commercially available, interactive videogames that use body movements for interaction are used clinically in burn rehabilitation and have been shown to facilitate functional range of motion (ROM) but their efficacy with burn patients has not yet been proven. The purpose of this pilot randomized control study was to prospectively compare planar and functional ROM, compliance, pain, enjoyment, and exertion in pediatric burn patients receiving two types of rehabilitation therapy. Seventeen school-aged children with 31 affected limbs who demonstrated limited shoulder ROM from burn injury were randomized to receive exercises using either standard therapy ROM activities (ST) or interactive videogame therapy (VGT). Patients received 3 weeks of the designated therapy intervention twice daily. They were then given a corresponding home program of the same type of therapy to perform regularly for 6 months. Standard goniometry and three-dimensional motion analysis during functional tasks were used to assess ROM. Measures were taken at baseline, 3 weeks, 3 months, and 6 months. Pain was measured before and after each treatment session during the 3-week intervention. There was no difference in compliance, enjoyment, or exertion between the groups. Patients in both the ST and VGT groups showed significant improvement in shoulder flexion (P videogames were equally effective as traditional therapy for overall ROM gains and resulted in quicker recovery of motion with less pain experienced. Such videogames are a useful adjunct to therapy and should be considered as part of a holistic approach to rehabilitation within the hospital and at home after discharge in pediatric patients recovering from burn injury.

  1. Random access procedures and radio access network (RAN) overload control in standard and advanced long-term evolution (LTE and LTE-A) networks

    DEFF Research Database (Denmark)

    Kiilerich Pratas, Nuno; Thomsen, Henning; Popovski, Petar

    2015-01-01

    In this chapter, we describe and discuss the current LTE random access procedure and the Radio Access Network Load Control solution within LTE/LTE-A. We provide an overview of the several considered load control solutions and give a detailed description of the standardized Extended Access Class B...

  2. Relevant Standards

    Indian Academy of Sciences (India)

    .86: Ethernet over LAPS. Standard in China and India. G.7041: Generic Framing Procedure (GFP). Supports Ethernet as well as other data formats (e.g., Fibre Channel); Protocol of ... IEEE 802.3x for flow control of incoming Ethernet data ...

  3. Quality (and/or?) Control: Perils and Promises of Standards-Based School Reform in Urban Contexts

    Science.gov (United States)

    Seidel, Kent; Meyer, Helen

    2006-01-01

    This article looks at the perils and promises of standards-based instruction in urban environments. We begin with an outline of the rise of the current standards movement. Then turn to the con position which contends; states, schools and districts do not always implement standards-based ideals effectively, especially in urban settings where…

  4. A Simplified 4-Site Economical Intradermal Post-Exposure Rabies Vaccine Regimen: A Randomised Controlled Comparison with Standard Methods

    Science.gov (United States)

    Warrell, Mary J.; Riddell, Anna; Yu, Ly-Mee; Phipps, Judith; Diggle, Linda; Bourhy, Hervé; Deeks, Jonathan J.; Fooks, Anthony R.; Audry, Laurent; Brookes, Sharon M.; Meslin, François-Xavier; Moxon, Richard; Pollard, Andrew J.; Warrell, David A.

    2008-01-01

    Background The need for economical rabies post-exposure prophylaxis (PEP) is increasing in developing countries. Implementation of the two currently approved economical intradermal (ID) vaccine regimens is restricted due to confusion over different vaccines, regimens and dosages, lack of confidence in intradermal technique, and pharmaceutical regulations. We therefore compared a simplified 4-site economical PEP regimen with standard methods. Methods Two hundred and fifty-four volunteers were randomly allocated to a single blind controlled trial. Each received purified vero cell rabies vaccine by one of four PEP regimens: the currently accepted 2-site ID; the 8-site regimen using 0.05 ml per ID site; a new 4-site ID regimen (on day 0, approximately 0.1 ml at 4 ID sites, using the whole 0.5 ml ampoule of vaccine; on day 7, 0.1 ml ID at 2 sites and at one site on days 28 and 90); or the standard 5-dose intramuscular regimen. All ID regimens required the same total amount of vaccine, 60% less than the intramuscular method. Neutralising antibody responses were measured five times over a year in 229 people, for whom complete data were available. Findings All ID regimens showed similar immunogenicity. The intramuscular regimen gave the lowest geometric mean antibody titres. Using the rapid fluorescent focus inhibition test, some sera had unexpectedly high antibody levels that were not attributable to previous vaccination. The results were confirmed using the fluorescent antibody virus neutralisation method. Conclusions This 4-site PEP regimen proved as immunogenic as current regimens, and has the advantages of requiring fewer clinic visits, being more practicable, and having a wider margin of safety, especially in inexperienced hands, than the 2-site regimen. It is more convenient than the 8-site method, and can be used economically with vaccines formulated in 1.0 or 0.5 ml ampoules. The 4-site regimen now meets all requirements of immunogenicity for PEP and can be

  5. A simplified 4-site economical intradermal post-exposure rabies vaccine regimen: a randomised controlled comparison with standard methods.

    Directory of Open Access Journals (Sweden)

    Mary J Warrell

    2008-04-01

    Full Text Available The need for economical rabies post-exposure prophylaxis (PEP is increasing in developing countries. Implementation of the two currently approved economical intradermal (ID vaccine regimens is restricted due to confusion over different vaccines, regimens and dosages, lack of confidence in intradermal technique, and pharmaceutical regulations. We therefore compared a simplified 4-site economical PEP regimen with standard methods.Two hundred and fifty-four volunteers were randomly allocated to a single blind controlled trial. Each received purified vero cell rabies vaccine by one of four PEP regimens: the currently accepted 2-site ID; the 8-site regimen using 0.05 ml per ID site; a new 4-site ID regimen (on day 0, approximately 0.1 ml at 4 ID sites, using the whole 0.5 ml ampoule of vaccine; on day 7, 0.1 ml ID at 2 sites and at one site on days 28 and 90; or the standard 5-dose intramuscular regimen. All ID regimens required the same total amount of vaccine, 60% less than the intramuscular method. Neutralising antibody responses were measured five times over a year in 229 people, for whom complete data were available.All ID regimens showed similar immunogenicity. The intramuscular regimen gave the lowest geometric mean antibody titres. Using the rapid fluorescent focus inhibition test, some sera had unexpectedly high antibody levels that were not attributable to previous vaccination. The results were confirmed using the fluorescent antibody virus neutralisation method.This 4-site PEP regimen proved as immunogenic as current regimens, and has the advantages of requiring fewer clinic visits, being more practicable, and having a wider margin of safety, especially in inexperienced hands, than the 2-site regimen. It is more convenient than the 8-site method, and can be used economically with vaccines formulated in 1.0 or 0.5 ml ampoules. The 4-site regimen now meets all requirements of immunogenicity for PEP and can be introduced without further

  6. Tissue temperatures and lesion size during irrigated tip catheter radiofrequency ablation: an in vitro comparison of temperature-controlled irrigated tip ablation, power-controlled irrigated tip ablation, and standard temperature-controlled ablation

    DEFF Research Database (Denmark)

    Petersen, H H; Chen, X; Pietersen, A

    2000-01-01

    The limited success rate of radiofrequency catheter ablation in patients with ventricular tachycardias related to structural heart disease may be increased by enlarging the lesion size. Irrigated tip catheter ablation is a new method for enlarging the size of the lesion. It was introduced...... in the power-controlled mode with high power and high infusion rate, and is associated with an increased risk of crater formation, which is related to high tissue temperatures. The present study explored the tissue temperatures during temperature-controlled irrigated tip ablation, comparing it with standard...... temperature-controlled ablation and power-controlled irrigated tip ablation. In vitro strips of porcine left ventricular myocardium were ablated. Temperature-controlled irrigated tip ablation at target temperatures 60 degrees C, 70 degrees C, and 80 degrees C with infusion of 1 mL saline/min were compared...

  7. Final environmental impact statement for standards for the control of byproduct materials from uranium ore processing (40 CFR 192). Volume 1

    International Nuclear Information System (INIS)

    1983-09-01

    The Environmental Protection Agency is establishing public health and environmental standards (40 CFR 192) for uranium and thorium mill tailings at licensed mill sites under the Uranium Mill Tailings Radiation Control Act of 1978 (PL. 95-604). Mills are currently located in Colorado, New Mexico, South Dakota, Texas, Utah, Washington and Wyoming. These standards are issued to reduce and control the hazards associated with uranium and thorium mill Tailings. Controls are required both during the operational period of mills and for disposal of the tailings piles, to assure environmentally sound, long-term protection of public health and stabilization of the tailings

  8. DYSFUNCTIONS IN THE APPLICATION OF THE MANAGERIAL CONTROL SYSTEMS IN ROMANIAN PUBLIC INSTITUTIONS: THE REPORTING IMPROPRIETIES, THE INFORMATION AND THE COMMUNICATION STANDARDS

    Directory of Open Access Journals (Sweden)

    CRĂCIUN Liviu

    2014-07-01

    Full Text Available The development level of managerial control systems in the Romanian public entities is not a remarkable one, on the contrary, some institutions do not understand the real usefulness of the internal control system and the related set of standards; the compliance is determined only by the regulatory norms. The practice of implementing the internal control proves that the perception of executives and middle managers regarding that system is not a favourable and supporting one. The managers face difficulties caused by the ambiguity of some of the standards, poorly understood, and for which the body of laws does not provide advices. Thus, some institutions report the high compliance of standards, although the reality shows numerous inconsistencies. Other public institutions assess their own level of implementation only partially, but do not identify improvement solutions. Because of the lacking of benchmarking initiatives and knowledge transferring between institutions, the picture of this situation indicates dysfunctions that influence the efficiency of the activities and the achievement of the objectives. In this paper, we will analyze the correlation between the observed shortcomings in the implementation of three of the most important standards, namely the Reporting improprieties, the Information and the Communication. The methodology used is an analytical and exploratory one and critically examines the implementation status of these three standards in more than 40 public institutions in Dolj County, Romania. Also, by analyzing the answers to the questionnaire, our study identifies differences in interpretation and implementation of these standards between certain types of organizations (given the heterogeneity of the investigated sample. The results show a high interdependence between this control standards and our proposals focus on the strengthening of the interpersonal skills and the personal relationships. Our study is directed toward the

  9. Validation of Ammonia Diffusive and Active Samplers in a Controlled Atmosphere Test Facility Using Traceable Primary Standard Gas Mixtures

    Science.gov (United States)

    Martin, N. A.; Ferracci, V.; Cassidy, N.; Hook, J.; Battersby, R. M.; Tang, Y. S.; Stevens, A. C. M.; Jones, M. R.; Braban, C. F.; Gates, L.; Hangartner, M.; Sacco, P.; Pagani, D.; Hoffnagle, J.

    2016-12-01

    Intensive farming, the increased use of fertilizers, and certain industrial processes are believed to be responsible for increases in the amount fraction of ammonia (NH3) found in Europe. NH3 contributes to eutrophication and acidification of land and freshwater, leading to a loss of biodiversity, undesirable changes to the ecosystem, and to secondary particulate matter (PM) formation. Measurements of ambient ammonia over a wide geographical area, are principally carried out with low-cost diffusive samplers or by active sampling with denuders, with each technique delivering time-integrated values over the monitoring period. The goal of this work was to measure the NH3 diffusive sampling rates of five different designs of commercial diffusive samplers (FSM Radiello radial sampler, Gradko diffusion tube, Gradko DIFRAM-400, Passam ammonia sampler, and CEH ALPHA sampler), together with validation tests with a denuder sampler (CEH DELTA denuder). The would deliver validated improvements in the accuracy of ambient measurements of NH3 in the field through the establishment of metrological traceability using new stable ammonia Primary Standard Gas Mixtures (PSMs), developed by gravimetry at NPL. All devices were simultaneously exposed in a controlled atmosphere test facility (CATFAC) containing traceable amount fractions of ammonia applicable to a range of ambient monitoring conditions, with well-defined conditions of temperature, relative humidity and wind speed. Online continuous monitoring of the test atmospheres was carried out with a calibrated cavity ring-down spectrometer modified to account for cross interference by water. Exposed samplers were analysed by individual manufacturers for ammonium using traceable wet chemical techniques. The measured diffusive sampling rates were then applied to field measurements carried out at the Whim Bog experimental station in Scotland, where there is a facility in place for controlled releases of NH3 and also a background site.

  10. SCALE: A modular code system for performing standardized computer analyses for licensing evaluation: Control modules C4, C6

    International Nuclear Information System (INIS)

    1997-03-01

    This Manual represents Revision 5 of the user documentation for the modular code system referred to as SCALE. The history of the SCALE code system dates back to 1969 when the current Computational Physics and Engineering Division at Oak Ridge National Laboratory (ORNL) began providing the transportation package certification staff at the U. S. Atomic Energy Commission with computational support in the use of the new KENO code for performing criticality safety assessments with the statistical Monte Carlo method. From 1969 to 1976 the certification staff relied on the ORNL staff to assist them in the correct use of codes and data for criticality, shielding, and heat transfer analyses of transportation packages. However, the certification staff learned that, with only occasional use of the codes, it was difficult to become proficient in performing the calculations often needed for an independent safety review. Thus, shortly after the move of the certification staff to the U.S. Nuclear Regulatory Commission (NRC), the NRC staff proposed the development of an easy-to-use analysis system that provided the technical capabilities of the individual modules with which they were familiar. With this proposal, the concept of the Standardized Computer Analyses for Licensing Evaluation (SCALE) code system was born. This volume is part of the manual related to the control modules for the newest updated version of this computational package

  11. SCALE: A modular code system for performing standardized computer analyses for licensing evaluation: Control modules C4, C6

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-03-01

    This Manual represents Revision 5 of the user documentation for the modular code system referred to as SCALE. The history of the SCALE code system dates back to 1969 when the current Computational Physics and Engineering Division at Oak Ridge National Laboratory (ORNL) began providing the transportation package certification staff at the U. S. Atomic Energy Commission with computational support in the use of the new KENO code for performing criticality safety assessments with the statistical Monte Carlo method. From 1969 to 1976 the certification staff relied on the ORNL staff to assist them in the correct use of codes and data for criticality, shielding, and heat transfer analyses of transportation packages. However, the certification staff learned that, with only occasional use of the codes, it was difficult to become proficient in performing the calculations often needed for an independent safety review. Thus, shortly after the move of the certification staff to the U.S. Nuclear Regulatory Commission (NRC), the NRC staff proposed the development of an easy-to-use analysis system that provided the technical capabilities of the individual modules with which they were familiar. With this proposal, the concept of the Standardized Computer Analyses for Licensing Evaluation (SCALE) code system was born. This volume is part of the manual related to the control modules for the newest updated version of this computational package.

  12. The impact of an 8 h ozone air quality standard on ROG and NO x controls in Southern California

    Science.gov (United States)

    Chock, David P.; Chang, Tai Y.; Winkler, Sandra L.; Nance, Barbara I.

    The new National Ambient Air Quality Standard for ozone in the US uses 8 h averaging for the concentration. Based on the 1993 ambient data for Southern California, 8 h averaging has a moderate tendency to move the location of the peak ozone concentration east of the location of the peak 1 h ozone concentration. Reducing the area-wide peak 8 h ozone concentration to 80 ppb would require an effective reduction of the area-wide peak 1 h ozone concentration to around 90 ppb. The Urban Airshed Model with improved numerical solvers, meteorological input based on a mesoscale model and an adjusted emissions inventory was used to study the effect of reactive organic gases (ROG) and NO x controls on daily-maximum and peak 8 h ozone concentrations under the 26-28 August 1987 ozone episodic conditions in Southern California. The NO x disbenefit remains prominent for the case of 8 h ozone concentration but is somewhat less prominent, especially when areal ozone exposure is considered, than the case for 1 h ozone concentration. The role of two indicators - O 3/NO y and H 2O 2/HNO 3 - for NO x- and ROG-sensitivity for 1 and 8 h ozone concentrations were also studied. In general, the indicator trends are consistent with model predictions, but the discriminating power of the indicators is rather limited.

  13. The development of the American national standard, ''control of radioactive surface contamination on materials, equipment and facilities to be released for uncontrolled use''

    International Nuclear Information System (INIS)

    Shapiro, J.

    1980-01-01

    The American National Standard, Control of Radioactive Surface Contamination on Materials, Equipment and Facilities to be Released for Uncontrolled Use, was developed under the procedures of ANSI for ANSI Main Committee N13 (Radiation Protection) by a working group of the Health Physics Society Standards Committee. This standard provides criteria for the control of materials, equipment and facilities contaminated with radioactivity proposed to be released for uncontrolled use. Permissible contamination limits are specified as well as methods assessing the levels of contamination. This paper reviews the proceedings of the Subcommittee on Radioactive Surface Contamination, the comments received by reviewers of the standard, the resolution of the committee, and the bases for reaching the final limits, recommendations, and measurement procedures. (H.K.)

  14. Determining the Status Quo of Infection Prevention and Control Standards in the Hospitals of Iran: A Case Study in 23 Hospitals

    OpenAIRE

    Shojaee, Jalil; Moosazadeh, Mahmood

    2014-01-01

    Background: Applying Prevention and Control of Infection (PCI) standards in hospitals reduces probable risks to patients, staff and visitors; it also increases efficiency, and ultimately improves productivity of hospitals. Objective: The current study aimed to determine the status quo of international standards of PCI in hospitals located in the north of Iran. Materials and Methods: This cross-sectional study was conducted in 23 hospitals. Data collection tool was a questionnaire with confirm...

  15. Mentored peer review of standardized manuscripts as a teaching tool for residents: a pilot randomized controlled multi-center study.

    Science.gov (United States)

    Wong, Victoria S S; Strowd, Roy E; Aragón-García, Rebeca; Moon, Yeseon Park; Ford, Blair; Haut, Sheryl R; Kass, Joseph S; London, Zachary N; Mays, MaryAnn; Milligan, Tracey A; Price, Raymond S; Reynolds, Patrick S; Selwa, Linda M; Spencer, David C; Elkind, Mitchell S V

    2017-01-01

    There is increasing need for peer reviewers as the scientific literature grows. Formal education in biostatistics and research methodology during residency training is lacking. In this pilot study, we addressed these issues by evaluating a novel method of teaching residents about biostatistics and research methodology using peer review of standardized manuscripts. We hypothesized that mentored peer review would improve resident knowledge and perception of these concepts more than non-mentored peer review, while improving review quality. A partially blinded, randomized, controlled multi-center study was performed. Seventy-eight neurology residents from nine US neurology programs were randomized to receive mentoring from a local faculty member or not. Within a year, residents reviewed a baseline manuscript and four subsequent manuscripts, all with introduced errors designed to teach fundamental review concepts. In the mentored group, mentors discussed completed reviews with residents. Primary outcome measure was change in knowledge score between pre- and post-tests, measuring epidemiology and biostatistics knowledge. Secondary outcome measures included level of confidence in the use and interpretation of statistical concepts before and after intervention, and RQI score for baseline and final manuscripts. Sixty-four residents (82%) completed initial review with gradual decline in completion on subsequent reviews. Change in primary outcome, the difference between pre- and post-test knowledge scores, did not differ between mentored (-8.5%) and non-mentored (-13.9%) residents ( p  = 0.48). Significant differences in secondary outcomes (using 5-point Likert scale, 5 = strongly agree) included mentored residents reporting enhanced understanding of research methodology (3.69 vs 2.61; p  = 0.001), understanding of manuscripts (3.73 vs 2.87; p  = 0.006), and application of study results to clinical practice (3.65 vs 2.78; p  = 0.005) compared to non

  16. Portable Video Media Versus Standard Verbal Communication in Surgical Information Delivery to Nurses: A Prospective Multicenter, Randomized Controlled Crossover Trial.

    Science.gov (United States)

    Kam, Jonathan; Ainsworth, Hannah; Handmer, Marcus; Louie-Johnsun, Mark; Winter, Matthew

    2016-10-01

    Continuing education of health professionals is important for delivery of quality health care. Surgical nurses are often required to understand surgical procedures. Nurses need to be aware of the expected outcomes and recognize potential complications of such procedures during their daily work. Traditional educational methods, such as conferences and tutorials or informal education at the bedside, have many drawbacks for delivery of this information in a universal, standardized, and timely manner. The rapid uptake of portable media devices makes portable video media (PVM) a potential alternative to current educational methods. To compare PVM to standard verbal communication (SVC) for surgical information delivery and educational training for nurses and evaluate its impact on knowledge acquisition and participant satisfaction. Prospective, multicenter, randomized controlled crossover trial. Two hospitals: Gosford District Hospital and Wyong Hospital. Seventy-two nursing staff (36 at each site). Information delivery via PVM--7-minute video compared to information delivered via SVC. Knowledge acquisition was measured by a 32-point questionnaire, and satisfaction with the method of education delivery was measured using the validated Client Satisfaction Questionnaire (CSQ-8). Knowledge acquisition was higher via PVM compared to SVC 25.9 (95% confidence interval [CI] 25.2-26.6) versus 24.3 (95% CI 23.5-25.1), p = .004. Participant satisfaction was higher with PVM 29.5 (95% CI 28.3-30.7) versus 26.5 (95% CI 25.1-27.9), p = .003. Following information delivery via SVC, participants had a 6% increase in knowledge scores, 24.3 (95% CI 23.5-25.1) versus 25.7 (95% CI 24.9-26.5) p = .001, and a 13% increase in satisfaction scores, 26.5 (95% CI 25.1-27.9) versus 29.9 (95% CI 28.8-31.0) p < .001, when they crossed-over to information delivery via PVM. PVM provides a novel method for providing education to nurses that improves knowledge retention and satisfaction with the

  17. WhatNo Child Left BehindLeaves Behind: The Roles of IQ and Self-Control in Predicting Standardized Achievement Test Scores and Report Card Grades.

    Science.gov (United States)

    Duckworth, Angela L; Quinn, Patrick D; Tsukayama, Eli

    2012-05-01

    The increasing prominence of standardized testing to assess student learning motivated the current investigation. We propose that standardized achievement test scores assess competencies determined more by intelligence than by self-control, whereas report card grades assess competencies determined more by self-control than by intelligence. In particular, we suggest that intelligence helps students learn and solve problems independent of formal instruction, whereas self-control helps students study, complete homework, and behave positively in the classroom. Two longitudinal, prospective studies of middle school students support predictions from this model. In both samples, IQ predicted changes in standardized achievement test scores over time better than did self-control, whereas self-control predicted changes in report card grades over time better than did IQ. As expected, the effect of self-control on changes in report card grades was mediated in Study 2 by teacher ratings of homework completion and classroom conduct. In a third study, ratings of middle school teachers about the content and purpose of standardized achievement tests and report card grades were consistent with the proposed model. Implications for pedagogy and public policy are discussed.

  18. Implementing the PAIN RelieveIt Randomized Controlled Trial in Hospice Care: Mechanisms for Success and Meeting PCORI Methodology Standards.

    Science.gov (United States)

    Ezenwa, Miriam O; Suarez, Marie L; Carrasco, Jesus D; Hipp, Theresa; Gill, Anayza; Miller, Jacob; Shea, Robert; Shuey, David; Zhao, Zhongsheng; Angulo, Veronica; McCurry, Timothy; Martin, Joanna; Yao, Yingwei; Molokie, Robert E; Wang, Zaijie Jim; Wilkie, Diana J

    2017-07-01

    This purpose of this article is to describe how we adhere to the Patient-Centered Outcomes Research Institute's (PCORI) methodology standards relevant to the design and implementation of our PCORI-funded study, the PAIN RelieveIt Trial. We present details of the PAIN RelieveIt Trial organized by the PCORI methodology standards and components that are relevant to our study. The PAIN RelieveIt Trial adheres to four PCORI standards and 21 subsumed components. The four standards include standards for formulating research questions, standards associated with patient centeredness, standards for data integrity and rigorous analyses, and standards for preventing and handling missing data. In the past 24 months, we screened 2,837 cancer patients and their caregivers; 874 dyads were eligible; 223.5 dyads consented and provided baseline data. Only 55 patients were lost to follow-up-a 25% attrition rate. The design and implementation of the PAIN RelieveIt Trial adhered to PCORI's methodology standards for research rigor.

  19. Work Incapacity and Treatment Costs After Severe Accidents: Standard Versus Intensive Case Management in a 6-Year Randomized Controlled Trial.

    Science.gov (United States)

    Scholz, Stefan M; Andermatt, Peter; Tobler, Benno L; Spinnler, Dieter

    2016-09-01

    Purpose Case management is widely accepted as an effective method to support medical rehabilitation and vocational reintegration of accident victims with musculoskeletal injuries. This study investigates whether more intensive case management improves outcomes such as work incapacity and treatment costs for severely injured patients. Methods 8,050 patients were randomly allocated either to standard case management (SCM, administered by claims specialists) or intensive case management (ICM, administered by case managers). These study groups differ mainly by caseload, which was approximately 100 cases in SCM and 35 in ICM. The setting is equivalent to a prospective randomized controlled trial. A 6-year follow-up period was chosen in order to encompass both short-term insurance benefits and permanent disability costs. All data were extracted from administrative insurance databases. Results Average work incapacity over the 6-year follow-up, including contributions from daily allowances and permanent losses from disability, was slightly but insignificantly higher under ICM than under SCM (21.6 vs. 21.3 % of pre-accident work capacity). Remaining work incapacity after 6 years of follow-up showed no difference between ICM and SCM (8.9 vs. 8.8 % of pre-accident work incapacity). Treatment costs were 43,500 Swiss Francs (CHF) in ICM compared to 39,800 in SCM (+9.4 %, p = 0.01). The number of care providers involved in ICM was 10.5 compared to 10.0 in ICM (+5.0 %, p work incapacity as compared to SCM, but did increase healthcare consumption and treatment costs. It is concluded that the intensity of case management alone is not sufficient to improve rehabilitation and vocational reintegration of accident victims.

  20. Recommended Changes to Specifications for Demand Controlled Ventilation in California's Title 24 Building Energy Efficiency Standards

    Energy Technology Data Exchange (ETDEWEB)

    Fisk, William J.; Sullivan, Douglas P.; Faulkner, David

    2010-04-08

    In demand-controlled ventilation (DCV), rates of outdoor air ventilation are automatically modulated as occupant density varies. The objective is to keep ventilation rates at or above design specifications and code requirements and also to save energy by avoiding excessive ventilation rates. DCV is most often used in spaces with highly variable and sometime dense occupancy. In almost all cases, carbon dioxide (CO{sub 2}) sensors installed in buildings provide the signal to the ventilation rate control system. People produce and exhale CO{sub 2} as a consequence of their normal metabolic processes; thus, the concentrations of CO{sub 2} inside occupied buildings are higher than the concentrations of CO{sub 2} in the outdoor air. The magnitude of the indoor-outdoor CO{sub 2} concentration difference decreases as the building's ventilation rate per person increases. The difference between the indoor and outdoor CO{sub 2} concentration is also a proxy for the indoor concentrations of other occupant-generated bioeffluents, such as body odors. Reviews of the research literature on DCV indicate a significant potential for energy savings, particularly in buildings or spaces with a high and variable occupancy. Based on modeling, cooling energy savings from applications of DCV are as high as 20%. With support from the California Energy Commission and the U.S. Department of Energy, the Lawrence Berkeley National Laboratory has performed research on the performance of CO{sub 2} sensing technologies and optical people counters for DCV. In addition, modeling was performed to evaluate the potential energy savings and cost effectiveness of using DCV in general office spaces within the range of California climates. The above-described research has implications for the specifications pertaining to DCV in section 121 of the California Title 24 Standard. Consequently, this document suggests possible changes in these specifications based on the research findings. The suggested

  1. 75 FR 70237 - California State Motor Vehicle Pollution Control Standards; California Heavy-Duty On-Highway Otto...

    Science.gov (United States)

    2010-11-17

    ... standard for particulate matter (PM). These changes amend title 13, California Code of Regulations (CCR... (July 8, 2009); see also Motor and Equip. Mfrs. Assoc. v. EPA, 627 F.2d 1095, 1126 (DC Cir. 1979). If.... Standard and Burden of Proof in Clean Air Act Section 209 Proceedings In Motor and Equip. Mfrs. Assoc. v...

  2. Does the addition of specific acupuncture to standard swallowing training improve outcomes in patients with dysphagia after stroke? a randomized controlled trial

    Science.gov (United States)

    Xia, Wenguang; Zheng, Chanjuan; Zhu, Suiqiang; Tang, Zhouping

    2015-01-01

    Objective: To assess the effect of adding acupuncture to standard swallowing training for patients with dysphagia after stroke. Design: Single-blind randomized controlled trial. Setting: Inpatient and outpatient clinics. Subjects: A total of 124 patients with dysphagia after stroke were randomly divided into two groups: acupuncture and control. Interventions: The acupuncture group received standard swallowing training and acupuncture treatment. In comparison, the control group only received standard swallowing training. Participants in both groups received six days of therapy per week for a four-week period. Main measures: The primary outcome measures included the Standardized Swallowing Assessment and the Dysphagia Outcome Severity Scale. The secondary outcome measures included the Modified Barthel Index and Swallowing-Related Quality of Life, which were assessed before and after the four-week therapy period. Results: A total of 120 dysphagic subjects completed the study (60 in acupuncture group and 60 in control group). Significant differences existed in the Standardized Swallowing Assessment, Dysphagia Outcome Severity Scale, Modified Barthel Index, and Swallowing-Related Quality of Life scores of each group after the treatment (P Dysphagia Outcome Severity Scale (mean difference 2.3; 95% CI 0.7 to 1.2; P < 0.01), Modified Barthel Index (mean difference 17.2; 95% CI 2.6 to 9.3; P < 0.05) and Swallowing-Related Quality of Life scores (mean difference 31.4; 95% CI 3.2 to 11.4; P < 0.01) showed more significant improvement in the acupuncture group than the control group. Conclusions: Acupuncture combined with the standard swallowing training may be beneficial for dysphagic patients after stroke. PMID:25819076

  3. Standard Practice for Handling, Transporting, and Installing Nonvolatile Residue (NVR) Sample Plates Used in Environmentally Controlled Areas for Spacecraft

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2007-01-01

    1.1 This practice covers the handling, transporting, and installing of sample plates used for the gravimetric determination of nonvolatile residue (NVR) within and between facilities. 1.2 The values stated in SI units are to be regarded as the standard. 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 limitations prior to use.

  4. Final Rule for Control of Air Pollution From Aircraft and Aircraft Engines; Emission Standards and Test Procedures

    Science.gov (United States)

    EPA adopted emission standards and related provisions for aircraft gas turbine engines with rated thrusts greater than 26.7 kilonewtons. These engines are used primarily on commercial passenger and freight aircraft.

  5. An International Collaboration To Standardize HIV-2 Viral Load Assays: Results from the 2009 ACHIEV2E Quality Control Study▿

    OpenAIRE

    Damond, F.; Benard, A.; Balotta, Claudia; Böni, Jürg; Cotten, Matthew; Duque, Vitor; Ferns, Bridget; Garson, Jeremy; Gomes, Perpetua; Gonçalves, Fátima; Gottlieb, Geoffrey; Kupfer, Bernd; Ruelle, Jean; Rodes, Berta; Soriano, Vicente

    2011-01-01

    Accurate HIV-2 plasma viral load quantification is crucial for adequate HIV-2 patient management and for the proper conduct of clinical trials and international cohort collaborations. This study compared the homogeneity of HIV-2 RNA quantification when using HIV-2 assays from ACHIEV2E study sites and either in-house PCR calibration standards or common viral load standards supplied to all collaborators. Each of the 12 participating laboratories quantified blinded HIV-2 samples, using its own H...

  6. Framework for Establishment of a Comprehensive and Standardized Administration System for Prevention and Control of Tuberculosis in College Student Community in China.

    Science.gov (United States)

    Zhang, Shaoru; Li, Xiaohong; Zhang, Tianhua; Wang, Xiangni; Liu, Weiping; Ma, Xuexue; Li, Yuelu; Fan, Yahui

    2016-10-01

    College student community is the one with high risk of tuberculosis (TB). A systemic and standardized administration model for prevention and control of TB is significance in controlling TB spread in universities. Currently, the universities in China have not established the comprehensive and standardized administration system for TB prevention and control in college student community. Firstly, the literature research and brainstorming method (n=13) were used to construct the clause and sub-clause pool for the administration of TB prevention and control within college student community in 2014. Secondly, a total of twenty experts in the field of TB prevention and control who are representatives of the east, west, south and north parts of China were selected and invited to participate the Delphi letter-inquiry. After two rounds of letter-inquiry, the opinions of the experts reached a consensus and the framework for the administration system was constructed. A framework for the administration system was constructed, which included 8 first class indexes, 26 second class indexes and 104 third class indexes. The results are highly scientific and reliable, which can be helpful for improving the systemic and standardized levels for the administration of TB prevention and control in universities in China and perhaps in other developing counties with high TB burden as well.

  7. Validation of ammonia diffusive and active samplers in a controlled atmosphere test facility using traceable Primary Standard Gas Mixtures

    Science.gov (United States)

    Martin, Nicholas A.; Ferracci, Valerio; Cassidy, Nathan; Hook, Josh; Battersby, Ross M.; Tang, Yuk S.; Stevens, Amy C. M.; Jones, Matthew R.; Braban, Christine F.; Gates, Linda; Hangartner, Markus; Stoll, Jean-Marc; Sacco, Paolo; Pagani, Diego; Hoffnagle, John A.

    2017-04-01

    Intensive animal farming, the increased use of fertilizers, and certain industrial processes are believed to be responsible for the observed increases in the amount fraction of ammonia (NH3) found in Europe. NH3 contributes to eutrophication and acidification of land and freshwater, potentially leading to a loss of biodiversity and undesirable changes to the ecosystem. It also contributes to the formation of secondary particulate matter (PM) formation, which is associated with poor air quality and adverse health outcomes. Measurements of ambient ammonia are principally carried out with low-cost diffusive samplers or by active sampling with denuders, with each method delivering time-integrated values over the monitoring period. However, such techniques have not yet been extensively validated. The goal of this work was to provide improvements in the metrological traceability through the determination of NH3 diffusive sampling rates. Five different designs of commercial diffusive samplers (FSM Radiello radial sampler, Gradko diffusion tube, Gradko DIFRAM-400, Passam ammonia sampler, and CEH ALPHA sampler) were employed, together with a pumped denuder sampler (CEH DELTA denuder) for comparison. All devices were simultaneously exposed for either 28 days or 14 days (dependent on sampler type) in a controlled atmosphere test facility (CATFAC) containing traceable amount fractions of humidified ammonia using new stable ammonia Primary Standard Gas Mixtures developed by gravimetry at NPL, under a wide range of conditions that are relevant to ambient monitoring. Online continuous monitoring of the ammonia test atmospheres was carried out by extractive sampling, employing a calibrated cavity ring-down spectrometer, which had been modified to account for cross interference by water vapour. Each manufacturer extracted the captured ammonia on the exposed samplers in the form of ammonium (NH4+) using their own accredited traceable wet chemical techniques, and then reported data

  8. Effects of twelve weeks of aerobic or strength training in addition to standard care in Parkinson's disease: a controlled study.

    Science.gov (United States)

    Demonceau, Marie; Maquet, Didier; Jidovtseff, Boris; Donneau, Anne F; Bury, Thierry; Croisier, Jean L; Crielaard, Jean M; Rodriguez de la Cruz, Carlos; Delvaux, Valérie; Garraux, Gaëtan

    2017-04-01

    Physical exercise in addition to standard care (SC) in patients with Parkinson's disease (PD) is now a common practice in many care units. However, exercises can cover a wide range of interventions, and the specific effects of different interventions still deserve to be further investigated. The aim of this study was to compare the effects of 12 weeks of two different types of physical exercises with SC in patients suffering from PD. Pseudo-randomized controlled trial. University laboratory for outcomes, University Hospital Centre for interventions. Fifty-two outpatients suffering from mild to moderate PD at baseline. Participants were allocated to three groups: the strength training (ST) group performed individualized upper and lower limbs strength training, the aerobic training (AE) group performed tailored gradual aerobic cycling, and the third group received SC. The effects of the interventions on body function were assessed by measuring isokinetic concentric peak torque for knee extension and flexion, peak oxygen consumption (VO2peak) and peak work load (PWL) during an incremental maximal cycling test. Changes in mobility were evaluated from spatial-temporal gait features measured by mean of an accelerometer system and the Six-Minute Walk Distance (6MWD) Test. We used questionnaires to estimate health-related quality of life and habitual physical activity. No significant changes in any outcome measures occurred in the SC group. More than 80% of the participants adequately completed the AE and the ST interventions. The ST group significantly improved all peak torque measures (P≤0.01), except knee extension in the least affected side (P=0.13). This group also improved the PWL (P=0.009) and 6mwd (P=0.03). The AE group improved the VO2peak (P=0.02) and PWL (Ptraining specificities, but better fitness hardly translated into better mobility and health-related quality of life. Physiotherapists can efficiently propose physical conditioning to patients with mild to

  9. Control Channel Vulnerability Analysis of the Institute of Electrical and Electronics Engineers 802.16m-2011 and 802.16- 2009 Standards

    Science.gov (United States)

    2012-09-01

    methods of hacking into and manipulating the WiMAX control channel. This thesis research can serve as a starting point to protect, as well as to...evolution in certification and standardization for IEEE 802.16 and WiMAX," in IEEE Communications Surveys & Tutorials , vol. PP, no. 99, pp. 1–29, 2011. [3

  10. Development of radioactive standards in epoxy matrix for the control of quality of activimeters; Desenvolvimento de padroes radioativos em matriz epoxi para controle da qualidade de ativimetros

    Energy Technology Data Exchange (ETDEWEB)

    Fragoso, Maria da Conceicao de Farias; Monteiro, Luciane Carollyne de Oliveira Reis; Oliveira, Marcia Liane de, E-mail: mcfragoso@cnen.gov.br [Centro Regional de Ciencias Nucleares do Nordeste (CRCN-NE), Recife, PE (Brazil)

    2016-07-01

    In the present study, a new approach for development of the standards for positron emitting radionuclides in epoxy matrix is presented. Different formulations were prepared using epoxy resin (bisphenol A diglycidyl ether - DGEBA) and curing agents, to immobilize the radioactive material. The efficiency curve and standard sample methods were applied for activity determination of a long-lived positron emitter ({sup 22}Na). Satisfactory results were obtained in the 3{sup rd} combination. Thus, these radioactive standards can be used to evaluate the metrological behavior of the systems used for the measurement of the radiopharmaceuticals (activimeters) in the production centers and in nuclear medicine services. (author)

  11. Final Rule for Control of Air Pollution From New Motor Vehicles: Tier 2 Motor Vehicle Emissions Standards and Gasoline Sulfur Control Requirements

    Science.gov (United States)

    The U.S. Environmental Protection Agency (EPA) is announcing more protective tailpipe emissions standards for all passenger vehicles, including sport utility vehicles (SUVs), minivans, vans and pick-up trucks.

  12. Proposed Rule for Control of Air Pollution From New Motor Vehicles: Proposed Heavy-Duty Engine and Vehicle Standards and Highway Diesel Fuel Sulfur Control Requirements

    Science.gov (United States)

    Rule summary, CFR citations and additional resources concerning proposed new emission standards that will begin to take effect in 2007 and corresponding diesel fuel requirements that take effect in 2006.

  13. Standard Triple Therapy versus Sequential Therapy in Helicobacter pylori Eradication: A Double-Blind, Randomized, and Controlled Trial

    OpenAIRE

    Eisig, Jaime Natan; Navarro-Rodriguez, Tom?s; Teixeira, Ana Cristina S?; Silva, Fernando Marcuz; Mattar, Rejane; Chinzon, Decio; Haro, Christiane; Diniz, M?rcio Augusto; Moraes-Filho, Joaquim Prado; Fass, Ronnie; Barbuti, Ricardo Correa

    2015-01-01

    Aim. To compare 10-day standard triple therapy versus sequential therapy as first-line treatment in patients infected with H. pylori. Methods. One hundred H. pylori positive patients (diagnosed by rapid urease test and histology), with average age of 47.2, M/F = 28/72, were randomized to receive either standard triple treatment (TT) as follows: lansoprazole 30 mg, clarithromycin 500 mg, and amoxicillin 1 g, b.i.d. for ten days, or sequential treatment (ST) as follows: lansoprazole 30 mg, amox...

  14. 77 FR 72846 - California State Nonroad Engine Pollution Control Standards; In-Use Portable Diesel Engines 50...

    Science.gov (United States)

    2012-12-06

    ... Standards; In- Use Portable Diesel Engines 50 Horsepower and Greater; Notice of Decision AGENCY... portable diesel-fueled compression-ignition engines 50 horsepower and greater. DATES: Petitions for review... equipment and engines, switching to alternative diesel fuels or alternative fuels, or electrifying some or...

  15. 76 FR 45011 - Control of Air Pollution From Aircraft and Aircraft Engines; Proposed Emission Standards and Test...

    Science.gov (United States)

    2011-07-27

    ...) thrust. The rated output for turboprop engines is normally expressed as shaft horsepower (hp) or shaft... proposed requirements would bring the United States into alignment with the international standards and... alignment with ICAO CAEP/4 requirements that were effective in 2004. In ruling on a petition for judicial...

  16. 77 FR 36341 - Control of Air Pollution From Aircraft and Aircraft Engines; Emission Standards and Test Procedures

    Science.gov (United States)

    2012-06-18

    ... normally expressed as shaft horsepower (hp) or shaft kilowatt (kW). \\5\\ This includes turbofan and turbojet... Organization (ICAO). The requirements contained in this final rule bring the United States into alignment with... brought the U.S. standards closer to alignment with ICAO CAEP/4 requirements that were effective in 2004...

  17. 75 FR 7426 - Tier 2 Light-Duty Vehicle and Light-Duty Truck Emission Standards and Gasoline Sulfur Control...

    Science.gov (United States)

    2010-02-19

    ... 2060-AI23; 2060-AQ12 Tier 2 Light-Duty Vehicle and Light-Duty Truck Emission Standards and Gasoline.... The rulemaking also required oil refiners to limit the sulfur content of the gasoline they produce. Sulfur in gasoline has a detrimental impact on catalyst performance and the sulfur requirements have...

  18. 40 CFR 266.107 - Standards to control hydrogen chloride (HCl) and chlorine gas (Cl2) emissions.

    Science.gov (United States)

    2010-07-01

    ... PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS FOR THE MANAGEMENT OF SPECIFIC HAZARDOUS WASTES AND SPECIFIC TYPES OF HAZARDOUS WASTE MANAGEMENT FACILITIES Hazardous Waste Burned in Boilers and... streams, including hazardous waste, fuels, and industrial furnace feed stocks shall not exceed the levels...

  19. Radiological Protection in Odontology: Analysis from the Faculty of Odontology at Rio de Janeiro concerning standards, licenses, controls and installations

    International Nuclear Information System (INIS)

    Padilha Filho, L.G.; Borgues, J.C.; Raymundo Junior, R.; Koch, H.A.

    1998-01-01

    This work shows the need and the importance training odontologists on radiological protection has. This is based on a proposal recently made by Technical Regulations: Trends for Radiological Protection in Medical and Odontological Radiodiagnosis from the Secretariat of Health Security from the Ministry of Health. These establish basic standards for radiation protection in medical and odontological areas

  20. The effect of using high facilitation when implementing the Gold Standards Framework in Care Homes programme: a cluster randomised controlled trial.

    Science.gov (United States)

    Kinley, Julie; Stone, Louisa; Dewey, Michael; Levy, Jean; Stewart, Robert; McCrone, Paul; Sykes, Nigel; Hansford, Penny; Begum, Aysha; Hockley, Jo

    2014-10-01

    The provision of quality end-of-life care is increasingly on the national agenda in many countries. In the United Kingdom, the Gold Standards Framework for Care Homes programme has been promoted as a national framework for improving end-of-life care. While its implementation is recommended, there are no national guidelines for facilitators to follow to undertake this role. It was hypothesised that action learning alongside high facilitation when implementing the Gold Standards Framework for Care Homes programme will result in a reduced proportion of hospital deaths for residents and improvement in the care home staff ability to facilitate good end-of-life care. A cluster randomised controlled trial where 24 nursing homes received high facilitation to enable them to implement the Gold Standards Framework for Care Homes programme. The managers of 12 nursing homes additionally took part in action learning sets. A third group (14 nursing homes) received the 'standard' Gold Standards Framework for Care Homes facilitation available in their locality. In total, 38 nursing homes providing care for frail older people, their deceased residents and their nurse managers. A greater proportion of residents died in those nursing homes receiving high facilitation and action learning but not significantly so. There was a significant association between the level of facilitation and nursing homes completing the Gold Standards Framework for Care Homes programme through to accreditation. Year-on-year change occurred across all outcome measures. There is a danger that without national guidelines, facilitation of the Gold Standards Framework for Care Homes programme will vary and consequently so will its implementation. The nurse manager of a care home must be actively engaged when implementing the Gold Standards Framework for Care Homes programme. © The Author(s) 2014.

  1. American National Standard administrative controls and quality assurance for the operational phase of nuclear power plants, revision of N18.7-1972

    International Nuclear Information System (INIS)

    Anon.

    1976-01-01

    This Standard provides requirements and recommendations for an administrative controls and quality assurance program necessary to provide assurance that operational phase activities at nuclear power plants are carried out without undue risk to the health and safety of the public. The requirements of this Standard apply to all activities affecting the safety-related functions of nuclear power plant structures, systems, and components. It is not intended to apply to test mobile and experimental reactors nor reactors not subject to U. S. Nuclear Regulatory Commission licensing. However, applicable sections of this Standard should be used as they apply to related activities. Activities included are: design changes, purchasing, fabricating, handling, shipping, storing, cleaning, erecting, installing, inspecting, testing, operating, maintaining, repairing, refueling and modifying

  2. Impact of radiation dose and standardized uptake value of (18)FDG PET on nodal control in locally advanced cervical cancer

    DEFF Research Database (Denmark)

    Ramlov, Anne; Kroon, Petra S; Jürgenliemk-Schulz, Ina M

    2015-01-01

    BACKGROUND: Despite local control now exceeding 90% with image-guided adaptive brachytherapy (IGABT), regional and distant metastases continue to curb survival in locally advanced cervical cancer. As regional lymph nodes often represent first site of metastatic spread, improved nodal control could...

  3. Impact of radiation dose and standardized uptake value of (18)FDG PET on nodal control in locally advanced cervical cancer

    DEFF Research Database (Denmark)

    Ramlov, Anne; Kroon, Petra S; Jürgenliemk-Schulz, Ina M

    2015-01-01

    BACKGROUND: Despite local control now exceeding 90% with image-guided adaptive brachytherapy (IGABT), regional and distant metastases continue to curb survival in locally advanced cervical cancer. As regional lymph nodes often represent first site of metastatic spread, improved nodal control coul...

  4. 76 FR 8780 - Standard on the Control of Hazardous Energy (Lockout/Tagout); Extension of the Office of...

    Science.gov (United States)

    2011-02-15

    ... identify operations and processes in the workplace that require energy control procedures. Periodic... with the knowledge and skills necessary for the safe application, use, and removal of energy controls... hazardous energy sources, the type and magnitude of the energy available in the workplace, and the methods...

  5. Development of a standardized susceptibility test for Campylobacter with quality control ranges for ciprofloxacin, doxycycline, erythromycin, gentamicin, and meropenem

    DEFF Research Database (Denmark)

    McDermott, P. F.; Bodeis, S. M.; Aarestrup, Frank Møller

    2004-01-01

    -control (QC) strain. Minimal inhibitory concentration (MIC) QC ranges were determined for two incubation time/temperature combinations: 36degreesC for 48 hr and 42degreesC for 24 hr. Quality-control ranges were determined for ciprofloxacin, doxycycline, erythromycin, gentamicin, and meropenem. For all...

  6. 76 FR 38155 - California State Nonroad Engine Pollution Control Standards; Ocean-Going Vessels At-Berth in...

    Science.gov (United States)

    2011-06-29

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9426-9] California State Nonroad Engine Pollution Control... toxic control measures for auxiliary diesel engines operated on ocean-going vessels at-berth in... of nitrogen and particulate matter from auxiliary diesel engines on container vessels, passenger...

  7. ToxML, a data exchange standard with content controlled vocabulary used to build better (Q)SAR models.

    Science.gov (United States)

    Ali, M; Patel, M; Wilkinson, D; Judson, P; Cross, K; Bower, D

    2013-01-01

    Development of accurate quantitative structure-activity relationship (QSAR) models requires the availability of high quality validated data. International regulations such as REACH in Europe will now accept (Q)SAR-based evaluations for risk assessment. The number of toxicity datasets available for those wishing to share knowledge, or to use for data mining and modelling, is continually expanding. The challenge is the current use of a multitude of different data formats. The issues of comparing or combining disparate data apply both to public and proprietary sources. The ToxML project addresses the need for a common data exchange standard that allows the representation and communication of these data in a well-structured electronic format. It is an open standard based on Extensible Markup Language (XML). Supporting information for overall toxicity endpoint data can be included within ToxML files. This makes it possible to assess the quality and detail of the data used in a model. The data file model allows the aggregation of experimental data to the compound level in the detail needed to support (Q)SAR work. The standard is published on a website together with tools to view, edit and download it.

  8. Determining the status quo of infection prevention and control standards in the hospitals of iran: a case study in 23 hospitals.

    Science.gov (United States)

    Shojaee, Jalil; Moosazadeh, Mahmood

    2014-02-01

    Applying Prevention and Control of Infection (PCI) standards in hospitals reduces probable risks to patients, staff and visitors; it also increases efficiency, and ultimately improves productivity of hospitals. The current study aimed to determine the status quo of international standards of PCI in hospitals located in the north of Iran. This cross-sectional study was conducted in 23 hospitals. Data collection tool was a questionnaire with confirmed validity and reliability. . In this regard, 260 managers, section supervisors and infection control nurses participated in the study according to census basis. SPSS software version 16 was employed to analyze the data through descriptive and analytical statistics. Among the studied hospitals, 18 hospitals were public. Hospitals enjoyed 77.2% of leadership and programming, 80.8% of focus of programs, 67.4% of isolating methods, 88.2% of hand health and protection techniques, 78.8% of improving patient's safety and quality, 90.3% of training personnel, and 78.7% of the average status quo of PCI standards. This study revealed that PCI standards were significantly observed in the studied hospitals and that there were necessary conditions for full deployment of nosocomial infection surveillance.

  9. BioWes-from design of experiment, through protocol to repository, control, standardization and back-tracking.

    Science.gov (United States)

    Cisar, Petr; Soloviov, Dmytro; Barta, Antonin; Urban, Jan; Stys, Dalibor

    2016-07-15

    One of the main challenges in modern science is the amount of data produced by the experimental work; it is difficult to store, organize and share the scientific data and to extract the wealth of knowledge. Experimental method descriptions in scientific publications are often incomplete, which complicates experimental reproducibility. The proposed system was created in order to address these issues. It provides a solution for management of the experimental data and metadata to support the reproducibility. The system is implemented as a repository for experiment descriptions and experimental data. It has three main entry points: desktop application for protocol design and data processing, web interface dedicated for protocol and data management, and web-based interface for mobile devices suitable for the field experiments. The functionality of desktop client can be extended using the custom plug-ins for data extraction and data processing. The system provides several methods to support experimental reproducibility: standardized terminology support, data and metadata at a single location, standardized protocol design or protocol evolution. The system was tested in the framework of international infrastructure project AQUAEXCEL with five pilot installations at different institutes. The general testing in Tissue culture certified laboratory, Institute of complex systems and IFREMER verified the usability under different research infrastructures. The specific testing focused on the data processing modules and plug-ins demonstrated the modularity of the system for the specific conditions. The BioWes system represents experimental data as black box and therefore can handle any data type so as to provide broad usability for a variety of experiments and provide the data management infrastructure to improve the reproducibility and data sharing. The proposed system provides the tools for standard data management operations and extends the support by the standardization

  10. Consolidated standards of reporting trials (CONSORT) and the completeness of reporting of randomised controlled trials (RCTs) published in medical journals.

    Science.gov (United States)

    Turner, Lucy; Shamseer, Larissa; Altman, Douglas G; Weeks, Laura; Peters, Jodi; Kober, Thilo; Dias, Sofia; Schulz, Kenneth F; Plint, Amy C; Moher, David

    2012-11-14

    An overwhelming body of evidence stating that the completeness of reporting of randomised controlled trials (RCTs) is not optimal has accrued over time. In the mid-1990s, in response to these concerns, an international group of clinical trialists, statisticians, epidemiologists, and biomedical journal editors developed the CONsolidated Standards Of Reporting Trials (CONSORT) Statement. The CONSORT Statement, most recently updated in March 2010, is an evidence-based minimum set of recommendations including a checklist and flow diagram for reporting RCTs and is intended to facilitate the complete and transparent reporting of trials and aid their critical appraisal and interpretation. In 2006, a systematic review of eight studies evaluating the "effectiveness of CONSORT in improving reporting quality in journals" was published. To update the earlier systematic review assessing whether journal endorsement of the 1996 and 2001 CONSORT checklists influences the completeness of reporting of RCTs published in medical journals. We conducted electronic searches, known item searching, and reference list scans to identify reports of evaluations assessing the completeness of reporting of RCTs. The electronic search strategy was developed in MEDLINE and tailored to EMBASE. We searched the Cochrane Methodology Register and the Cochrane Database of Systematic Reviews using the Wiley interface. We searched the Science Citation Index, Social Science Citation Index, and Arts and Humanities Citation Index through the ISI Web of Knowledge interface. We conducted all searches to identify reports published between January 2005 and March 2010, inclusive. In addition to studies identified in the original systematic review on this topic, comparative studies evaluating the completeness of reporting of RCTs in any of the following comparison groups were eligible for inclusion in this review: 1) Completeness of reporting of RCTs published in journals that have and have not endorsed the

  11. BATING A REFERENCE INSTALLATION BASED ON CONTROLLED-POTENTIAL COULOMETRY METOD IN THE FRAME OF IMPROVING THE STATE PRIMARY STANDARD GET 176 AND ITS MEASUREMENT CAPABILITIES

    Directory of Open Access Journals (Sweden)

    V. M. Zyskin

    2016-01-01

    Full Text Available The results of developing of reference installation, based on a controlled-potential coulometry, in the frame of improving the State primary standard of the units of mass (molar fraction and mass (molar concentration of a component in the liquid and solid substances and materials GET 176 are presented. The physical principles of controlled-potential coulometry, content and metrological characteristics of the developed installation are considered. Measurement results of copper, iron and lead contents in the certified reference materials of metals' solutions and CRM of brass produced by BAM, Germany, obtained using reference installation are given.

  12. Synthesis of O-serogroup specific positive controls and real-time PCR standards for nine clinically relevant non-O157 STECs.

    Science.gov (United States)

    Conrad, Cheyenne C; Gilroyed, Brandon H; McAllister, Tim A; Reuter, Tim

    2012-10-01

    Non-O157 Shiga toxin producing Escherichia coli (STEC) are gaining recognition as human pathogens, but no standardized method exists to identify them. Sequence analysis revealed that STEC can be classified on the base of variable O antigen regions into different O serotypes. Polymerase chain reaction is a powerful technique for thorough screening and complex diagnosis for these pathogens, but requires a positive control to verify qualitative and/or quantitative DNA-fragment amplification. Due to the pathogenic nature of STEC, controls are not readily available and cell culturing of STEC reference strains requires biosafety conditions of level 2 or higher. In order to bypass this limitation, controls of stacked O-type specific DNA-fragments coding for primer recognition sites were designed to screen for nine STEC serotypes frequently associated with human infection. The synthetic controls were amplified by PCR, cloned into a plasmid vector and transferred into bacteria host cells. Plasmids amplified by bacterial expression were purified, serially diluted and tested as standards for real-time PCR using SYBR Green and TaqMan assays. Utility of synthetic DNA controls was demonstrated in conventional and real-time PCR assays and validated with DNA from natural STEC strains. Copyright © 2012 Elsevier B.V. All rights reserved.

  13. Fiscal 1997 report on the results of the international standardization R and D. Robot control system; 1997 nendo seika hokokusho kokusai hyojun soseigata kenkyu kaihatsu. Robot seigyo system

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-01

    R and D of the robot control system was conducted in the following items: 1) integrated open control system, 2) remote control robot manipulation language, 3) human factor robot use built-in LAN system, 4) built-in actuator driver. In 1), there were some problems to be pointed out around the system, but the effectiveness was confirmed as system architecture of each verification item. In 2), development/design were made of RCML(R-Cube Manipulation Language) as a remote robot manipulation language, telecommunication protocol, and the experimental system, and the international standardization was targeted. In 3), the R and D was conducted of the realtime telecommunication protocol which clears the standards for the distributed control required for construction of human factor robot and the advanced realtime micro-controller, ULSI, which is the one that the protocol was made IC. In 4), an intelligent connector for built-in actuator was developed which enables saving of wiring in robot system and plug-in connection. 13 refs., 186 figs., 53 tabs.

  14. Standards weight unit adoption to the commerce, control and utilization of charcoal in steel industries; A adocao da unidade de peso para comercializacao, controle e utilizacao do carvao vegetal em usinas siderurgicas

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, J. Fernando Brandao; Porto, Fernando Martins; Santos, Mauricio Santiago dos [Cimetal Siderurgia S.A. (Brazil)

    1987-12-31

    It is made a critical analysis of the traditional charcoal controlling system on volumetric basis. The adoption of weight as the standard unit for charcoal iron making industry is suggested. Data on the Cimetal experience on charcoal burdening are presented. (author) 3 refs., 3 figs., 5 tabs.

  15. Effectiveness of the GAEC standard of cross compliance Prohibition of performing unauthorized land levelling on soil erosion control

    Directory of Open Access Journals (Sweden)

    Paolo Bazzoffi

    2011-08-01

    Full Text Available The GAEC standard land levelling under authorization of cross compliance prohibits farmers from levelling land through bulldozing without a specific permission issued by the proper territorial authority. The aim of the standard is to ensure the protection of soil from accelerated erosion that almost always occurs when land is levelled without conservative criteria. Land levelling prior to planting or replanting specialized crops, especially orchards, is indicated by agronomists as essential to the full mechanization of cultivation and harvesting operations and the success of economic investment. Land levelling leads to a deep modification of the hill slopes, so it may produce serious damage to the environment if carried out in the absence of a carefully planned design. In other words, a design that takes the aspects of soil conservation into account, especially for steep hill slopes where the insite and offsite environmental impacts of soil erosion may be more pronounced. With regard to the areas involved, land levelling plays a key role on a national scale, one only needs to think of the vineyards planted on the country’s hill slopes, which in 1970 covered an area of 793,000 hectares. Moreover, despite the continued reduction in areas planted with vines, from 1990 to 2002 the area devoted to DOC and DOCG wines increased by about 29% and the average size of vineyards has also increased. This is a clear sign of the current trend, with the transition from the family model to the industrial model of orchard management, with extensive use of machinery and thus the use of bulldozers for levelling. The authorization topic, on which the standard of compliance is based, is analysed in detail. In summary we can say that, according to law, the permit required by the GAEC standard is currently mandatory only for those areas subject to the Hydrogeological constraint (Royal decree 30 December 1923 No. 3267 and for parks or other areas for which the

  16. Design and Analysis of an Attitude Determination and Control Subsystem (ADCS) for AFIT’s 6U Standard Bus

    Science.gov (United States)

    2014-03-27

    momentum vector (N-m-s) I 3 x 3 moment of inertia tensor (kg-m2) xiii Symbol Definition B 3 x 1 magnetic field vector (mG) N number of turns I current (A...ability to de-tumble spacecraft* 4. Test sun-pointing control mode 5. Demonstrate nadir -pointing control mode 6. Test inertial and body vector alignment 4...Figure 2.3, the z-axis (yaw) points in the direction of nadir , the y-axis (pitch) points in the direction of the negative orbit normal, and the x

  17. Control of Cracking and Durability of Reinforced Concrete Structures. 4th ConCrack Workshop. Engineering and Standard issues

    OpenAIRE

    KAMENAROVA BORISLAVA NIKOLOVA; TAUCER Fabio; MAZARS Jacky

    2014-01-01

    This report contains technical and scientific information presented at the 4th workshop “Control of Cracking and Durability of Reinforced Concrete Structures”, held on 20 21 March 2014 at the Joint Research Centre, Ispra, Italy. Co-sponsored by the Joint Research Centre, this event was the fourth of a series of “Control of Cracking” workshops (ConCrack) organised by the French research programme CEOS.fr. This programme was the framework set up by French professionals to make a decisive step i...

  18. Internet-based guided self-help for several anxiety disorders: a randomized controlled trial comparing a tailored with a standardized disorder-specific approach.

    Science.gov (United States)

    Berger, Thomas; Boettcher, Johanna; Caspar, Franz

    2014-06-01

    Internet-delivered self-help with minimal therapist guidance has shown promising results for a number of diagnoses. Most of the evidence comes from studies evaluating standardized disorder-specific treatments. A recent development in the field includes transdiagnostic and tailored Internet-based treatments that address comorbid symptoms and a broader range of patients. This study evaluated an Internet-based tailored guided self-help treatment, which targeted symptoms of social anxiety disorder, panic disorder with or without agoraphobia, and generalized anxiety disorder. The tailored treatment was compared both with standardized disorder-specific Internet-based treatment and with a wait-list control group. Both active treatment conditions were based on cognitive-behavioral therapy and lasted for 8 weeks. A total of 132 individuals meeting diagnostic criteria for at least one of the anxiety disorders were randomly assigned to 1 of the 3 conditions. Both treatment groups showed significant symptom reductions as compared with the wait-list control group on primary disorder-unspecific measures of anxiety, depression, and general symptomatology and on secondary anxiety disorder-specific measures. Based on the intention-to-treat sample, mean between-group effect sizes were d = 0.80 for the tailored treatment and d = 0.82 for the standardized treatment, versus wait-list controls. Treatment gains were maintained at 6-month follow-up. No differences were found between the 2 active treatment conditions on any of the measures, including a telephone-administered diagnostic interview conducted at posttreatment. The findings suggest that both Internet-based tailored guided self-help treatments and Internet-based standardized treatments are promising treatment options for several anxiety disorders. (c) 2014 APA, all rights reserved.

  19. Reduced-dose chest CT with 3D automatic exposure control vs. standard chest CT: Quantitative assessment of emphysematous changes in smokers’ lung parenchyma

    International Nuclear Information System (INIS)

    Koyama, Hisanobu; Ohno, Yoshiharu; Yamazaki, Youichi; Matsumoto, Keiko; Onishi, Yumiko; Takenaka, Daisuke; Yoshikawa, Takeshi; Nishio, Mizuho; Matsumoto, Sumiaki; Murase, Kenya; Nishimura, Yoshihiro

    2012-01-01

    Objectives: To determine the capability of reduced-dose chest CT with three-dimensional (3D) automatic exposure control (AEC) on quantitative assessment of emphysematous change in smoker’ lung parenchyma, compared to standard chest CT. Methods: Twenty consecutive smoker patients (mean age 62.8 years) underwent CT examinations using a standard protocol (150 mAs) and a protocol with 3D-AEC. In this study, the targeted standard deviations number was set to 160. For quantitative assessment of emphysematous change in lung parenchyma in each subject using the standard protocol, a percentage of voxels less than −950 HU in the lung (%LAA −950 ) was calculated. The 3D-AEC protocol's %LAA was computed from of voxel percentages under selected threshold CT value. The differences of radiation doses between these two protocols were evaluated, and %LAAs −950 was compared with the 3D-AEC protocol %LAAs. Results: Mean dose length products were 780.2 ± 145.5 mGy cm (standard protocol), and 192.0 ± 95.9 (3D-AEC protocol). There was significant difference between them (paired Student's t test, p −950 and 3D-AEC protocol %LAAs. In adopting the feasible threshold CT values of the 3D-AEC protocol, the 3D-AEC protocol %LAAs were significantly correlated with %LAAs −950 (r = 0.98, p < 0.001) and limits of agreement from Bland–Altman analysis was 0.52 ± 4.3%. Conclusions: Changing threshold CT values demonstrated that reduced-dose chest CT with 3D-AEC can substitute for the standard protocol in assessments of emphysematous change in smoker’ lung parenchyma.

  20. "Every Child Counts": Testing Policy Effectiveness Using a Randomised Controlled Trial, Designed, Conducted and Reported to CONSORT Standards

    Science.gov (United States)

    Torgerson, Carole; Wiggins, Andy; Torgerson, David; Ainsworth, Hannah; Hewitt, Catherine

    2013-01-01

    We report a randomised controlled trial evaluation of an intensive one-to-one numeracy programme--"Numbers Count"--which formed part of the previous government's numeracy policy intervention--"Every Child Counts." We rigorously designed and conducted the trial to CONSORT guidelines. We used a pragmatic waiting list design to…

  1. AAL Platform with a “De Facto” Standard Communication Interface (TICO: Training in Home Control in Special Education

    Directory of Open Access Journals (Sweden)

    Miguel A. Guillomía San Bartolomé

    2017-10-01

    Full Text Available Framed within a long-term cooperation between university and special education teachers, training in alternative communication skills and home control was realized using the “TICO” interface, a communication panel editor extensively used in special education schools. From a technological view we follow AAL technology trends by integrating a successful interface in a heterogeneous services AAL platform, focusing on a functional view. Educationally, a very flexible interface in line with communication training allows dynamic adjustment of complexity, enhanced by an accessible mindset and virtual elements significance already in use, offers specific interaction feedback, adapts to the evolving needs and capacities and improves the personal autonomy and self-confidence of children at school and home. TICO-home-control was installed during the last school year in the library of a special education school to study adaptations and training strategies to enhance the autonomy opportunities of its pupils. The methodology involved a case study and structured and semi-structured observations. Five children, considered unable to use commercial home control systems were trained obtaining good results in enabling them to use an open home control system. Moreover this AAL platform has proved efficient in training children in previous cognitive steps like virtual representation and cause-effect interaction.

  2. 77 FR 50502 - California State Nonroad Engine Pollution Control Standards; In-Use Heavy-Duty Vehicles (As...

    Science.gov (United States)

    2012-08-21

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL 9716-9] California State Nonroad Engine Pollution Control... from In-Use Heavy-Duty Diesel-Fueled Vehicles'' (commonly referred to as the ``Truck and Bus Regulation... and Bus Regulation principally applies to non-new on-road motor vehicles, which is not the subject of...

  3. 78 FR 31536 - California State Nonroad Engine Pollution Control Standards; In-Use Heavy Duty Vehicles (as...

    Science.gov (United States)

    2013-05-24

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9816-8] California State Nonroad Engine Pollution Control...'' (Truck and Bus Regulation). The yard truck and auxiliary engine regulation that EPA is authorizing represents only a subset of provisions within the broader Truck and Bus Regulation. The California Truck and...

  4. AAL Platform with a “De Facto” Standard Communication Interface (TICO): Training in Home Control in Special Education

    Science.gov (United States)

    Guillomía San Bartolomé, Miguel A.; Artigas Maestre, José Ignacio; Sánchez Agustín, Ana

    2017-01-01

    Framed within a long-term cooperation between university and special education teachers, training in alternative communication skills and home control was realized using the “TICO” interface, a communication panel editor extensively used in special education schools. From a technological view we follow AAL technology trends by integrating a successful interface in a heterogeneous services AAL platform, focusing on a functional view. Educationally, a very flexible interface in line with communication training allows dynamic adjustment of complexity, enhanced by an accessible mindset and virtual elements significance already in use, offers specific interaction feedback, adapts to the evolving needs and capacities and improves the personal autonomy and self-confidence of children at school and home. TICO-home-control was installed during the last school year in the library of a special education school to study adaptations and training strategies to enhance the autonomy opportunities of its pupils. The methodology involved a case study and structured and semi-structured observations. Five children, considered unable to use commercial home control systems were trained obtaining good results in enabling them to use an open home control system. Moreover this AAL platform has proved efficient in training children in previous cognitive steps like virtual representation and cause-effect interaction. PMID:29023383

  5. AAL Platform with a "De Facto" Standard Communication Interface (TICO): Training in Home Control in Special Education.

    Science.gov (United States)

    Guillomía San Bartolomé, Miguel A; Falcó Boudet, Jorge L; Artigas Maestre, José Ignacio; Sánchez Agustín, Ana

    2017-10-12

    Framed within a long-term cooperation between university and special education teachers, training in alternative communication skills and home control was realized using the "TICO" interface, a communication panel editor extensively used in special education schools. From a technological view we follow AAL technology trends by integrating a successful interface in a heterogeneous services AAL platform, focusing on a functional view. Educationally, a very flexible interface in line with communication training allows dynamic adjustment of complexity, enhanced by an accessible mindset and virtual elements significance already in use, offers specific interaction feedback, adapts to the evolving needs and capacities and improves the personal autonomy and self-confidence of children at school and home. TICO-home-control was installed during the last school year in the library of a special education school to study adaptations and training strategies to enhance the autonomy opportunities of its pupils. The methodology involved a case study and structured and semi-structured observations. Five children, considered unable to use commercial home control systems were trained obtaining good results in enabling them to use an open home control system. Moreover this AAL platform has proved efficient in training children in previous cognitive steps like virtual representation and cause-effect interaction.

  6. People-centered tuberculosis care versus standard directly observed therapy: study protocol for a cluster randomized controlled trial.

    Science.gov (United States)

    Khachadourian, Vahe; Truzyan, Nune; Harutyunyan, Arusyak; Thompson, Michael E; Harutyunyan, Tsovinar; Petrosyan, Varduhi

    2015-06-22

    Tuberculosis is a major public health concern resulting in high rates of morbidity and mortality worldwide, particularly in low- and middle-income countries. Tuberculosis requires a long and intensive course of treatment. Thus, various approaches, including patient empowerment, education and counselling sessions, and involvement of family members and community workers, have been suggested for improving treatment adherence and outcome. The current randomized controlled trial aims to evaluate the effectiveness over usual care of an innovative multicomponent people-centered tuberculosis-care strategy in Armenia. Innovative Approach to Tuberculosis care in Armenia is an open-label, stratified cluster randomized controlled trial with two parallel arms. Tuberculosis outpatient centers are the clusters assigned to intervention and control arms. Drug-sensitive tuberculosis patients in the continuation phase of treatment in the intervention arm and their family members participate in a short educational and counselling session to raise their knowledge, decrease tuberculosis-related stigma, and enhance treatment adherence. Patients receive the required medications for one week during the weekly visits to the tuberculosis outpatient centers. Additionally, patients receive daily Short Message Service (SMS) reminders to take their medications and daily phone calls to assure adherence and monitoring of treatment potential side effects. Control-arm patients follow the World Health Organization--recommended directly observed treatment strategy, including daily visits to tuberculosis outpatient centers for drug-intake. The primary outcome is physician-reported treatment outcome. Patients' knowledge, depression, quality of life, within-family tuberculosis-related stigma, family social support, and self-reported adherence to tuberculosis treatment are secondary outcomes. Improved adherence and tuberculosis treatment outcomes can strengthen tuberculosis control and thereby forestall

  7. [Gold standards for scientific proof of efficacy and effectiveness as prerequisites for the dissemination of intervention programs in the field of early intervention. Randomized controlled trials].

    Science.gov (United States)

    Lengning, A

    2010-10-01

    The necessity of early intervention is recognized both nationally and internationally. This however goes hand in hand with the legitimate request for proving the efficacy and effectiveness of prevention and intervention programs. There are many international studies on this. Some of these exhibit a number of problems, which often restricts the validity of the studies' results. A scientific evaluation of programs in Germany, on the other hand, is often missing entirely or the studies and evaluations are currently in progress. The article at hand using the example of the randomized controlled trial (RCT) gives an overview of which gold standards of evaluation are desirable or should be scientifically demanded to prove efficacy and effectiveness of prevention/intervention in the field of early intervention. Standards for efficacy refer to 1) specification of the program's efficacy, 2) program documentation, 3) evaluating the quality of how the program was carried out, 4) recording and evaluating expected changes, as well as 5) conclusions concerning the causality of results and generalizations. Standards for efficiency refer to 1) description of the intervention, 2) evaluation in real-life contexts and 3) cost-benefit analysis. Based on a presentation of these standards, recommendations are made for the dissemination of prevention and intervention programs.

  8. Methodological insights for industrial quality control management: The impact of various estimators of the standard deviation on the process capability index

    Directory of Open Access Journals (Sweden)

    Encarnación Álvarez

    2015-07-01

    Full Text Available Statistical quality control (SQC is used by companies and industries for many reasons. For example, the process capability of machines is an important aspect of SQC, which consists in evaluating the ability of a production process to perform with the required specifications. In other words, the process capability measures the ability of a process of producing acceptable products according to the established specifications. The most common indicator used to measure the process capability is the process capability index, which depends on the process standard deviation. In practice, the standard deviation is unknown, and the process capability index is thus estimated by using an estimator of the process standard deviation. In this paper, we describe the most common estimators of the process standard deviation, and define the corresponding estimators of the process capability index. A bound for the bias ratio of the various estimators is obtained. Monte Carlo simulation studies are carried out to analyze the empirical performance of the various estimators of the process capability index. Empirical results indicate that biases can be obtained, specially in the presence of small samples. We also observe that the estimators of the process capability index based on sample ranges are less accurate than the alternative estimators.

  9. SOCIAL CONTROL IN THE STATE SYSTEM OF INCENTIVES FOR ENVIRONMENTAL SERVICES IN ACRE: REPORT ABOUT THE EXPERIENCE OF IMPLEMENTATION AND OPERATION OF THE LOCAL STANDARDS COMMITTEE

    Directory of Open Access Journals (Sweden)

    Ayri Saraiva Rando

    2015-05-01

    Full Text Available The social control, the participation and the transparency are important aspects in the policies of incentives and payment for environmental services. The State Commission for Validation and Monitoring - CEVA is the college responsible for ensuring transparency and exert the social control of the State System of Incentives for Environmental Services in Acre - SISA. This article discusses the difficulty in ensuring the transparency in relation to the provided steps in the implementation of social and environmental standards for REDD +, therefore, it is intended to monitor the level of transparency of this commission from the comparison of the provided publications in the guidance document of the International Initiative for the implementation of the mentioned standards with the made publications. The methods used are literature review and documentary survey. Against expected results, the article in question provides a complementary effort to the project of institutionalization of social and environmental standards for REDD + in SISA, with respect to the publication and transparency in the implementation process of the safeguards in this state.

  10. Assessment of a Standardized Pre-Operative Telephone Checklist Designed to Avoid Late Cancellation of Ambulatory Surgery: The AMBUPROG Multicenter Randomized Controlled Trial.

    Directory of Open Access Journals (Sweden)

    Sonia Gaucher

    Full Text Available To assess the impact of a standardized pre-operative telephone checklist on the rate of late cancellations of ambulatory surgery (AMBUPROG trial.Multicenter, two-arm, parallel-group, open-label randomized controlled trial.11 university hospital ambulatory surgery units in Paris, France.Patients scheduled for ambulatory surgery and able to be reached by telephone.A 7-item checklist designed to prevent late cancellation, available in five languages and two versions (for children and adults, was administered between 7 and 3 days before the planned date of surgery, by an automated phone system or a research assistant. The control group received standard management alone.Rate of cancellation on the day of surgery or the day before.The study population comprised 3900 patients enrolled between November 2012 and September 2013: 1950 patients were randomized to the checklist arm and 1950 patients to the control arm. The checklist was administered to 68.8% of patients in the intervention arm, 1002 by the automated phone system and 340 by a research assistant. The rate of late cancellation did not differ significantly between the checklist and control arms (109 (5.6% vs. 113 (5.8%, adjusted odds ratio [95% confidence interval] = 0.91 [0.65-1.29], (p = 0.57. Checklist administration revealed that 355 patients (28.0% had not undergone tests ordered by the surgeon or anesthetist, and that 254 patients (20.0% still had questions concerning the fasting state.A standardized pre-operative telephone checklist did not avoid late cancellations of ambulatory surgery but enabled us to identify several frequent causes.ClinicalTrials.gov NCT01732159.

  11. Final Technical Report Quantification and Standardization of Pattern Properties for the Control of the Lost Foam Casting Process

    Energy Technology Data Exchange (ETDEWEB)

    Ronald Michaels

    2005-09-30

    This project takes a fresh look at the ''white side'' of the lost foam casting process. We have developed the gel front hypothesis for foam pyrolysis behavior and the magnetic metal pump method for controlling lost foam casting metal fill event. The subject of this report is work done in the improvement of the Lost Foam Casting Process. The original objective of this project was to improve the control of metal fill by understanding the influence of foam pattern and coating properties on the metal fill event. Relevant pattern properties could then be controlled, providing control of the metal fill event. One of the original premises of this project was that the process of metal fill was relatively well understood. Considerable previous work had been done to develop fluid mechanical and heat transfer models of the process. If we could just incorporate measured pattern properties into these models we would be able predict accurately the metal fill event. As we began to study the pyrolysis behavior of EPS during the metal fill event, we discovered that the chemical nature of this event had been completely overlooked in previous research. Styrene is the most prevalent breakdown product of EPS pyrolysis and it is a solvent for polystyrene. Much of the styrene generated by foam pyrolysis diffuses into intact foam, producing a molten gel of mechanically entangled polystyrene molecules. Much of the work of our project has centered on validation of this concept and producing a qualitative model of the behavior of EPS foam undergoing pyrolysis in a confined environment. A conclusion of this report is that styrene dissolution in EPS is a key phenomenon in the pyrolysis process and deserves considerable further study. While it is possible to continue to model the metal fill event parametrically using empirical data, we recommend that work be undertaken by qualified researchers to directly characterize and quantify this phenomenon for the benefit of modelers

  12. Low-drift nozzles vs. standard nozzles for pesticide application in the biological efficacy trials of pesticides in apple pest and disease control.

    Science.gov (United States)

    Doruchowski, Grzegorz; Świechowski, Waldemar; Masny, Sylwester; Maciesiak, Alicja; Tartanus, Małgorzata; Bryk, Hanna; Hołownicki, Ryszard

    2017-01-01

    The coarse spray air-induction nozzles have documented pesticide drift reducing potential and hence pose lower risk of environmental pollution than the standard fine spray hollow cone nozzles. However, it is questioned that use of the low-drift nozzles might not provide as effective crop protection as the standard nozzles. The objective of work was to assess the pest and disease control efficacy as affected by spray volume rate and nozzle type. The experiment was carried out in apple orchard, cv Jonagold/M26. The evaluated treatments were combinations of three spray volume rates: 250, 500 and 750lha -1 , and two types of nozzles: hollow cone nozzles generating very fine spray, and flat fan air induction nozzles producing coarse droplets. The biological performance of treatments was determined based on severity of diseases: apple scab (Venturia inaequalis), powdery mildew (Podosphaera leucotricha) and bull's eye rot (Pezicula spp.), as well as population or damage caused by pests: green apple aphid (Aphis pomi), rosy apple aphid (Dysaphis plantaginea Pass.), woolly apple aphid (Eriosoma lanigerum), apple rust mite (Aculus schlechtendali) and apple blossom weevil (Anthonomus pomorum L.). In general apple scab was equally controlled by all treatments. Only in the years of high infection pressure efficacy of powdery mildew control was better for fine spray nozzles and high volume rates. Green and rosy apple aphids were better controlled with higher volume rates, though significance of the advantage over the lower rates was occasional. No effect of spray quality on efficacy of aphid and mite control was found for any spray volume rate. Better control of apple blossom weevil and woolly apple aphid was achieved with the high spray volume rate providing heavy coverage to the point of run-off. The air induction nozzles having drift reducing potential are biologically efficacious alternative to conventional hollow cone nozzles. Copyright © 2016 Elsevier B.V. All rights

  13. Development and evaluation of Standard Operating Procedures (SOPs) for quality control tests and radiological protection activities in a Nuclear Medicine Service

    International Nuclear Information System (INIS)

    Krempser, Alexandre R.; Soares, Alexandre B.; Corbo, Rossana

    2011-01-01

    The quality management in Nuclear Medicine Services is a requirement of national and international standards. The Brazilian regulatory agency in health surveillance, the Agencia Nacional de Vigilancia Sanitaria (ANVISA), in its Resolucao de Diretoria Colegiada (Collegiate Directory Resolution) no. 38, requires the elaboration of documents describing the technical and clinical routine activities. This study aimed to elaborate, implement and evaluate Standard Operating Procedures (SOPs) for quality control tests and radiological protection activities in the Nuclear Medicine Service of a university hospital. Eighteen SOPs were developed, involving tasks related to dose calibrator, gamma camera, Geiger-Muller detectors and radiological protection activities. The performance of its application was evaluated for a period of six months. It was observed a reduction in 75% of reported operational errors and 42% of the number of reported incidents with contamination by radioactive material. The SOPs were adequate and successful in its application. New procedures involving clinical activities will also be developed and evaluated. (author)

  14. Standardization of the Experimental Methodology for Quality Assurance and Quality Control (QA-QC of the CLIC Structural Materials

    Directory of Open Access Journals (Sweden)

    N. Gazis

    2015-04-01

    Full Text Available The main linear accelerators (linacs of the Compact LInear Collider (CLIC are constituted of sequential two-beam modules (of approximate length of two meters. The CLIC linacs need to be firmly stabilized on their supports with a micron-level requirement, essential for maintaining the final target luminosity close to the required XXX value. Real scale two-beam prototype modules have been designed, manufactured and commissioned to study their behaviour under different operation modes and experimental conditions. The CLIC machine will work for continuous runs under conditions of high radiation background. The structural materials of the systems of the accelerator have to sustain the significant fatigue and activation due to the radiation, generated mainly by the losses of the particle beam. Extensive testing has taken place with a combination of mechanical experiments and irradiation sessions on samples of structural materials, focusing on the micro-precise CLIC module supporting system. The followed experimentally strategy was standardized in a series of sequential steps.

  15. Remote control improves quality of life in elderly pacemaker patients versus standard ambulatory-based follow-up.

    Science.gov (United States)

    Comoretto, Rosanna Irene; Facchin, Domenico; Ghidina, Marco; Proclemer, Alessandro; Gregori, Dario

    2017-08-01

    Health-related quality of life (HRQoL) improves shortly after pacemaker (PM) implantation. No studies have investigated the HRQoL trend for elderly patients with a remote device monitoring follow-up system. Using EuroQol-5D Questionnaire and the PM-specific Assessment of Quality of Life and Related Events Questionnaire, HRQoL was measured at baseline and then repeatedly during the 6 months following PM implantation in a cohort of 42 consecutive patients. Twenty-five patients were followed-up with standard outpatient visits, while 17 used a remote monitoring system. Aquarel scores were significantly higher in patients with remote device monitoring system regarding chest discomfort and arrhythmia subscales the first month after PM implant and remained stable until 6 months. Remote monitoring affected the rate of HRQoL improvement in the first 3 months after pacemaker implantation more than ambulatory follow-up. Remote device monitoring has a significant impact on HRQoL in pacemaker patients, increasing its levels up to 6 months after implant. © 2017 John Wiley & Sons, Ltd.

  16. Standard Practice for Irradiation of Fresh and Frozen Red Meat and Poultry to Control Pathogens and Other Microorganisms

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2008-01-01

    1.1 This practice outlines procedures for the irradiation of fresh or frozen meat and poultry. Note 1—The Codex Alimentarius Commission defines meat as “the edible part of any mammal” and poultry as “any domesticated bird, including chicken, turkeys, ducks, geese, guinea-fowls, or pigeons” (CAC/MISC 5). Note 2—Current U.S. regulations limit the definition of livestock species to cattle, sheep, swine, goat, horse, mule, or other equine and poultry species to chicken, turkey, duck, goose, and guinea (2, 3). 1.2 This practice covers absorbed doses used for inactivation of parasites and reduction of bacterial load in fresh and frozen red meat and poultry. Such doses are typically less than 10 kGy. 1.3 This practice addresses irradiation of pre-packaged product for retail sale or for use as an ingredient in other products. It also addresses the in-line irradiation of unpackaged product. 1.4 This standard does not purport to address all of the safety concerns, if any, associated with its use. It i...

  17. Uniform deposition of uranium hexafluoride (UF6): Standardized mass deposits and controlled isotopic ratios using a thermal fluorination method.

    Science.gov (United States)

    McNamara, Bruce K; O'Hara, Matthew J; Casella, Andrew M; Carter, Jennifer C; Addleman, R Shane; MacFarlan, Paul J

    2016-07-01

    We report a convenient method for the generation of volatile uranium hexafluoride (UF6) from solid uranium oxides and other U compounds, followed by uniform deposition of low levels of UF6 onto sampling coupons. Under laminar flow conditions, UF6 is shown to interact with surfaces within a fixed reactor geometry to a highly predictable degree. We demonstrate the preparation of U deposits that range between approximately 0.01 and 500ngcm(-2). The data suggest the method can be extended to creating depositions at the sub-picogramcm(-2) level. The isotopic composition of the deposits can be customized by selection of the U source materials and we demonstrate a layering technique whereby two U solids, each with a different isotopic composition, are employed to form successive layers of UF6 on a surface. The result is an ultra-thin deposit that bears an isotopic signature that is a composite of the two U sources. The reported deposition method has direct application to the development of unique analytical standards for nuclear safeguards and forensics. Further, the method allows access to very low atomic or molecular coverages of surfaces. Copyright © 2016 Elsevier B.V. All rights reserved.

  18. Uniform deposition of uranium hexafluoride (UF6): Standardized mass deposits and controlled isotopic ratios using a thermal fluorination method

    Energy Technology Data Exchange (ETDEWEB)

    McNamara, Bruce K.; O’Hara, Matthew J.; Casella, Andrew M.; Carter, Jennifer C.; Addleman, R. Shane; MacFarlan, Paul J.

    2016-07-01

    Abstract: We report a convenient method for the generation of volatile uranium hexafluoride (UF6) from solid uranium oxides and other uranium compounds, followed by uniform deposition of low levels of UF6 onto sampling coupons. Under laminar flow conditions, UF6 is shown to interact with surfaces within the chamber to a highly predictable degree. We demonstrate the preparation of uranium deposits that range between ~0.01 and 470±34 ng∙cm-2. The data suggest the method can be extended to creating depositions at the sub-picogram∙cm-2 level. Additionally, the isotopic composition of the deposits can be customized by selection of the uranium source materials. We demonstrate a layering technique whereby two uranium solids, each with a different isotopic composition, are employed to form successive layers of UF6 on a surface. The result is an ultra-thin deposit of UF6 that bears an isotopic signature that is a composite of the two uranium sources. The reported deposition method has direct application to the development of unique analytical standards for nuclear safeguards and forensics.

  19. On the Consideration of Adoption and Implementation of The Next Generation Science Standards in a Local-Control Context: Supporting the Epistemology of Science through Education Policy

    Science.gov (United States)

    Lazzaro, Christopher C.

    On the Consideration of Adoption and Implementation of The Next Generation Science Standards in a Local-Control Context: Supporting the Epistemology of Science through Education Policy. Christopher C Lazzaro. The primary purpose of this research is to understand how and why members at each of the three levels of the education system within a local-control state made the decisions they did in supporting or hindering the adoption and implementation of the Next Generation Science Standards. This research concentrates on three levels of the education system in a local-control state; 1) the state level, 2) the district level, and 3) the school/teacher level, while investigating the following questions: 1. To what extent, and in what ways, do members in each of the three levels of the state education system advocate for adoption and implementation of the Next Generation Science Standards? 2. Are the members in each of the three levels motivated or compelled to consider adoption and implementation of the Next Generation Science Standards, why or why not? 3. To what extent, and in what ways, do the members in each of the three levels take into account science epistemology in their overall consideration of adoption/implementation of the NGSS? The data drew from a series of interviews from a prior study, "Challenges of Implementing the Next Generation Science Standards in Local-Control States in the U.S." (Sevian, Foster, & Scheff, 2012). After these data were coded and analyzed around the three research questions, this phenomenographic research study identified four key findings: Key Finding 1 - As the District Coordinators are uniquely situated within the state education system to be able to see both the on-the-ground practical implications and the high-level policy pressures of adopting and implementing the NGSS, they reflect the deepest level of awareness of how to best advocate for adoption and implementation of the NGSS. Key Finding 2 - Motivation to adopt and

  20. The Effects of a Standardized Herbal Remedy Made from a Subtype of Rosa canina in Patients with Osteoarthritis: A Double-Blind, Randomized, Placebo-Controlled Clinical Trial.

    Science.gov (United States)

    Warholm, Odd; Skaar, Sigrun; Hedman, Ewa; Mølmen, Hanna Maria; Eik, Liv

    2003-01-01

    A standardized rose-hip powder produced from the seeds and husks of fruit from a subtype of Rosa canina has been reported to inhibit leukocyte functions that cause cell injury in osteoarthritis. The aim of this study was to assess the impact of standardized rose-hip powder on mobility of the hip and knee joints, activities of daily living, quality of life, and pain in patients with osteoarthritis. Patients with a diagnosis of osteoarthritis of either the hip or knee, verified on radiography, participated in this randomized, placebo-controlled, double-blind study. Half of the patients were given five 0.5-g capsules of standardized rose-hip powder twice daily for 4 months, and the other half received identical placebo capsules twice daily for the same period. Mobility of the hip or knee was measured in both groups after the initial screening and again after 4 months of therapy. One hundred patients (65 women, 35 men; mean [SD] age, 65.2 [11.1] years) were divided into 2 treatment groups of 50 patients each. Hip joint mobility improved significantly in the treatment group compared with the placebo group (P = 0.033). Similarly, pain decreased significantly in the treatment group compared with the placebo group (P = 0.035). Two patients (4%) from each group withdrew during the early stages of the trial for reasons not related to treatment. In this study population, standardized rose-hip powder reduced symptoms of osteoarthritis, as 64.6% of patients reported at least some reduction of pain while receiving treatment. Standardized rose-hip powder may improve hip flexion and reduce pain in patients with osteoarthritis.

  1. A novel strategy with standardized reference extract qualification and single compound quantitative evaluation for quality control of Panax notoginseng used as a functional food.

    Science.gov (United States)

    Li, S P; Qiao, C F; Chen, Y W; Zhao, J; Cui, X M; Zhang, Q W; Liu, X M; Hu, D J

    2013-10-25

    Root of Panax notoginseng (Burk.) F.H. Chen (Sanqi in Chinese) is one of traditional Chinese medicines (TCMs) based functional food. Saponins are the major bioactive components. The shortage of reference compounds or chemical standards is one of the main bottlenecks for quality control of TCMs. A novel strategy, i.e. standardized reference extract based qualification and single calibrated components directly quantitative estimation of multiple analytes, was proposed to easily and effectively control the quality of natural functional foods such as Sanqi. The feasibility and credibility of this methodology were also assessed with a developed fast HPLC method. Five saponins, including ginsenoside Rg1, Re, Rb1, Rd and notoginsenoside R1 were rapidly separated using a conventional HPLC in 20 min. The quantification method was also compared with individual calibration curve method. The strategy is feasible and credible, which is easily and effectively adapted for improving the quality control of natural functional foods such as Sanqi. Copyright © 2013 Elsevier B.V. All rights reserved.

  2. The National Shipbuilding Research Program. Proceedings of the IREAPS Technical Symposium. Paper No. 12: Standards for Production Planning and Control in Shipyard Shops. Volume 1

    National Research Council Canada - National Science Library

    Graves, Robert J; McGinnis, Leon F; Robinson, Rodney A

    1982-01-01

    .... Two methods are described for developing planning or scheduling standards. The first builds upon an existing base of detailed fabrication labor standards, which may be engineered standards or measured standards...

  3. A high frequency active voltage doubler in standard CMOS using offset-controlled comparators for inductive power transmission.

    Science.gov (United States)

    Lee, Hyung-Min; Ghovanloo, Maysam

    2013-06-01

    In this paper, we present a fully integrated active voltage doubler in CMOS technology using offset-controlled high speed comparators for extending the range of inductive power transmission to implantable microelectronic devices (IMD) and radio-frequency identification (RFID) tags. This active voltage doubler provides considerably higher power conversion efficiency (PCE) and lower dropout voltage compared to its passive counterpart and requires lower input voltage than active rectifiers, leading to reliable and efficient operation with weakly coupled inductive links. The offset-controlled functions in the comparators compensate for turn-on and turn-off delays to not only maximize the forward charging current to the load but also minimize the back current, optimizing PCE in the high frequency (HF) band. We fabricated the active voltage doubler in a 0.5-μm 3M2P std . CMOS process, occupying 0.144 mm(2) of chip area. With 1.46 V peak AC input at 13.56 MHz, the active voltage doubler provides 2.4 V DC output across a 1 kΩ load, achieving the highest PCE = 79% ever reported at this frequency. In addition, the built-in start-up circuit ensures a reliable operation at lower voltages.

  4. Program standard of quality control for a system of Positron Emission Tomography-computed tomography (PET-CT) used in the Foundation Valle de Lili

    International Nuclear Information System (INIS)

    Nunez, Nathalia I.; Benavides, Sivor O.; Lopera, Wilson

    2013-01-01

    A standard protocol of quality control in the Fundacion Valle del Lili for the implementation of a multimodal scanner developed emission tomography BIOGRAPH mCT X-3R of SIEMENS ® covering routine testing, frequency, acceptance ranges necessary corrective and preventive measures to detect and correct any faults and proceed if the upper detection precision and accuracy ranges accepted deviations actions. In order to minimize errors in the planning and management of patient dose, thereby improving the quality of the diagnostic image with the dose of radiation is reasonably low as possible, consistent with the clinical use of the equipment used and the information requested diagnostic study

  5. Control and supervision integrated systems in power plants and substations: a standard and economical proposal at best portability and expansibility; Sistemas integrados de supervisao e controle em usinas e subestacoes: uma proposta economica e padronizada com maxima portabilidade e expansibilidade

    Energy Technology Data Exchange (ETDEWEB)

    Souza, Adilio Ricardo Moreira de; Silva, Carlos Alberto Alves de Oliveira e; Freitas, Cesar Augusto Boavista de; Justo, Fernando Passos; Cotrim, Sergio Portela Romano; Neder, Ronaldo Nahar [FURNAS Centrais Eletricas S.A., Rio de Janeiro, RJ (Brazil)

    1995-12-31

    The aim of this work is to show that, based on the technical capability of the Brazilian electric sector companies on the process control using digital technology, it is possible to converge to a standard and economical solution at best portability and expansibility for the control and supervision integrated system of power plants and substations. Among the decisions to be taken by those companies, the authors emphasize the one which refers to the acquisition or development of such systems as well as the intended digitalization level. For the authors, it is advantageous that such development is limited to the specific applicatives necessary to the systems operation and will be as advantageous as the quantity of standard software and hardware that may become to be used with no prejudice to performance 3 refs.

  6. ['Gold standard', not 'golden standard'

    NARCIS (Netherlands)

    Claassen, J.A.H.R.

    2005-01-01

    In medical literature, both 'gold standard' and 'golden standard' are employed to describe a reference test used for comparison with a novel method. The term 'gold standard' in its current sense in medical research was coined by Rudd in 1979, in reference to the monetary gold standard. In the same

  7. Comparison of standard fusion with a "topping off" system in lumbar spine surgery: a protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Kaulhausen Thomas

    2011-10-01

    Full Text Available Abstract Background Fusion of lumbar spine segments is a well-established therapy for many pathologies. The procedure changes the biomechanics of the spine. Initial clinical benefits may be outweighed by ensuing damage to the adjacent segments. Various surgical devices and techniques have been developed to prevent this deterioration. "Topping off" systems combine rigid fusion with a flexible pedicle screw system to prevent adjacent segment disease (ASD. To date, there is no convincing evidence that these devices provide any patient benefits. Methods/Design The study is designed as a randomized, therapy-controlled trial in a clinical care setting at a university hospital. Patients presenting to the outpatient clinic with degenerative disc disease or spondylolisthesis will be assessed against study inclusion and exclusion criteria. After randomization, the control group will undergo conventional fusion. The intervention group will undergo fusion with a supplemental flexible pedicle screw system to protect the adjacent segment ("topping off". Follow-up examination will take place immediately after treatment during hospital stay, after 6 weeks, and then after 6, 12, 24 and 36 months. Subsequently, ongoing assessments will be performed annually. Outcome measurements will include quality of life and pain assessments using questionnaires (SF-36™, ODI, COMI. In addition, clinical and radiologic ASD, work-related disability, and duration of work disability will be assessed. Inpatient and 6-month mortality, surgery-related data (e.g., intraoperative complications, blood loss, length of incision, surgical duration, postoperative complications, adverse events, and serious adverse events will be documented and monitored throughout the study. Cost-effectiveness analysis will also be provided. Discussion New hybrid systems might improve the outcome of lumbar spine fusion. To date, there is no convincing published data on effectiveness or safety of these

  8. Detection of active noise control on the standard motorcycle exhaust Supra X 125 D using PVC pipe technique form Y

    Science.gov (United States)

    Isranuri, I.; Alfisyahrin; Nasution, A. R.

    2018-02-01

    This detection aims to obtain noise reduction on the supra X 125D motorcycle exhaust by using the Active Noise Control Method. The technique is done using a Y-shaped PVC pipe to be bolted on the exhaust, which then branch Y PVC is placed loudspeaker with impermeable conditions. The function of this loudspeaker is as a secondary noise to counter the primary noise of the sound of exhaust motorcycle Supra X 125D. The sound generator in this study is the ISD 4004 module, which serves to generate noise to counter the source noise. How this ISD 4004 module works is by recording source noise then recording the source noise and then reversed the phase 180° by phase reversing circuit. So that, the noise generated by the sound generator will hit the source noise and encounter or such as addition of two different phase of sound will result in noise reduction when detected at the end of the Y-shaped PVC pipe. Inverted phase reversed using feed-back resistor 1 kΩ and 2 kΩ input resistors, 16V capacitor 2500μf and as amplifier using ICL 7660 and TL 702 CP. Test results on the highest 1000 rpm rotation engine speed on the Z axis of 2 dB, and at the highest 2000 rpm rotation engine speed also occurs on the Z axis of 1.5 dB.

  9. Does transcutaneous electrical nerve stimulation (TENS) alleviate the pain experienced during bone marrow sampling in addition to standard techniques? A randomised, double-blinded, controlled trial.

    Science.gov (United States)

    Tucker, David L; Rockett, Mark; Hasan, Mehedi; Poplar, Sarah; Rule, Simon A

    2015-06-01

    Bone marrow aspiration and trephine (BMAT) biopsies remain important tests in haematology. However, the procedures can be moderately to severely painful despite standard methods of pain relief. To test the efficacy of transcutaneous electrical nerve stimulation (TENS) in alleviating the pain from BMAT in addition to standard analgesia using a numerical pain rating scale (NRS). 70 patients requiring BMAT were randomised (1:1) in a double-blind, placebo-controlled trial. -35 patients received TENS impulses at a strong but comfortable amplitude (intervention group) and 35 patients received TENS impulses just above the sensory threshold (control group) (median pulse amplitude 20 and 7 mA, respectively). Patients and operators were blinded to group allocation. Pain assessments were made using a numerical pain scale completed after the procedure. No significant difference in NRS pain recalled after the procedure was detected (median pain score 5.7 (95% CI 4.8 to 6.6) in control vs 5.6 (95% CI 4.8 to 6.4) in the intervention group). However, 100% of patients who had previous experience of BMAT and >94% of participants overall felt they benefited from using TENS and would recommend it to others for this procedure. There were no side effects from the TENS device, and it was well tolerated. TENS is a safe, non-invasive adjunct to analgesia for reducing pain during bone marrow biopsy and provides a subjective benefit to most users; however, no objective difference in pain scores was detected when using TENS in this randomised controlled study. NCT02005354. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  10. A natural pharma standard supplement formulation to control treatment-related toxicity and oxidative stress in genitourinary cancer: a preliminary study.

    Science.gov (United States)

    Ledda, A; Belcaro, G; Dugall, M; Luzzi, R; Hosoi, M; Feragalli, B; Cotellese, R; Cosentino, V; Cosentino, M; Eggenhoffner, R; Pellizzato, M; Fratter, A; Giacomelli, L

    2017-09-01

    Oncological treatments are associated with toxicities that may decrease compliance to treatment in most genitourinary cancer patients. Supplementation with pharmaceutical-standardized supplement may be a supplementary method to control the side effects after chemo- and radiotherapy and the increased oxidative stress associated to treatments. This registry study evaluated a natural combination of supplements containing curcumin, cordyceps, and astaxanthin (Oncotris™) used as supplementary management in genitourinary cancer patients who had undergone oncological therapy. Patients with genitourinary cancers (prostate or bladder malignancies) who had undergone and completed cancer treatments (radiotherapy, chemotherapy or intravesical immunotherapy with increased oxidative stress and residual symptoms) were recruited in this registry, supplement study. Registry subjects (n = 61) freely decided to follow either a standard management (SM) (control group = 35) or SM plus oral daily supplementation (supplement group = 26). Evaluation of severity of treatment-related residual side effects, blood count test, prostate-specific antigen (PSA) test and plasma free radicals (oxidative stress) were performed at inclusion and at the end of the observational period (6 weeks). Two patients dropped out during the registry. Therefore, the analysis included 59 participants: 26 individuals in the supplementation group and 33 in the control group. In the supplement group, the intensity of signs and symptoms (treatment-related) and residual side effects significantly decreased at 6 weeks: minimal changes were observed in controls. Supplementation with Oncotris™ was associated with a significant improvement in blood cell count and with a decreased level of plasmatic PSA and oxidative stress. Naturally-derived supplements, specifically Oncotris™ (patent pending), could support the body to overcome the treatment-related toxicities - and the relative oxidative stress in cancer patients.

  11. Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series.

    Science.gov (United States)

    Morgan, Lauren; New, Steve; Robertson, Eleanor; Collins, Gary; Rivero-Arias, Oliver; Catchpole, Ken; Pickering, Sharon P; Hadi, Mohammed; Griffin, Damian; McCulloch, Peter

    2015-02-01

    Standard operating procedures (SOPs) should improve safety in the operating theatre, but controlled studies evaluating the effect of staff-led implementation are needed. In a controlled interrupted time series, we evaluated three team process measures (compliance with WHO surgical safety checklist, non-technical skills and technical performance) and three clinical outcome measures (length of hospital stay, complications and readmissions) before and after a 3-month staff-led development of SOPs. Process measures were evaluated by direct observation, using Oxford Non-Technical Skills II for non-technical skills and the 'glitch count' for technical performance. All staff in two orthopaedic operating theatres were trained in the principles of SOPs and then assisted to develop standardised procedures. Staff in a control operating theatre underwent the same observations but received no training. The change in difference between active and control groups was compared before and after the intervention using repeated measures analysis of variance. We observed 50 operations before and 55 after the intervention and analysed clinical data on 1022 and 861 operations, respectively. The staff chose to structure their efforts around revising the 'whiteboard' which documented and prompted tasks, rather than directly addressing specific task problems. Although staff preferred and sustained the new system, we found no significant differences in process or outcome measures before/after intervention in the active versus the control group. There was a secular trend towards worse outcomes in the postintervention period, seen in both active and control theatres. SOPs when developed and introduced by frontline staff do not necessarily improve operative processes or outcomes. The inherent tension in improvement work between giving staff ownership of improvement and maintaining control of direction needs to be managed, to ensure staff are engaged but invest energy in appropriate change

  12. Effectiveness of individualized physiotherapy on pain and functioning compared to a standard exercise protocol in patients presenting with clinical signs of subacromial impingement syndrome. A randomized controlled trial

    Directory of Open Access Journals (Sweden)

    de Bie Rob A

    2010-06-01

    Full Text Available Abstract Background Shoulder impingement syndrome is a common musculoskeletal complaint leading to significant reduction of health and disability. Physiotherapy is often the first choice of treatment although its effectiveness is still under debate. Systematic reviews in this field highlight the need for more high quality trials to investigate the effectiveness of physiotherapy interventions in patients with subacromial impingement syndrome. Methods/Design This randomized controlled trial will investigate the effectiveness of individualized physiotherapy in patients presenting with clinical signs and symptoms of subacromial impingement, involving 90 participants aged 18-75. Participants are recruited from outpatient physiotherapy clinics, general practitioners, and orthopaedic surgeons in Germany. Eligible participants will be randomly allocated to either individualized physiotherapy or to a standard exercise protocol using central randomization. The control group will perform the standard exercise protocol aiming to restore muscular deficits in strength, mobility, and coordination of the rotator cuff and the shoulder girdle muscles to unload the subacromial space during active movements. Participants of the intervention group will perform the standard exercise protocol as a home program, and will additionally be treated with individualized physiotherapy based on clinical examination results, and guided by a decision tree. After the intervention phase both groups will continue their home program for another 7 weeks. Outcome will be measured at 5 weeks and at 3 and 12 months after inclusion using the shoulder pain and disability index and patients' global impression of change, the generic patient-specific scale, the average weekly pain score, and patient satisfaction with treatment. Additionally, the fear avoidance beliefs questionnaire, the pain catastrophizing scale, and patients' expectancies of treatment effect are assessed. Participants

  13. Extended and standard duration weight-loss programme referrals for adults in primary care (WRAP): a randomised controlled trial.

    Science.gov (United States)

    Ahern, Amy L; Wheeler, Graham M; Aveyard, Paul; Boyland, Emma J; Halford, Jason C G; Mander, Adrian P; Woolston, Jennifer; Thomson, Ann M; Tsiountsioura, Melina; Cole, Darren; Mead, Bethan R; Irvine, Lisa; Turner, David; Suhrcke, Marc; Pimpin, Laura; Retat, Lise; Jaccard, Abbygail; Webber, Laura; Cohn, Simon R; Jebb, Susan A

    2017-06-03

    Evidence exist that primary care referral to an open-group behavioural programme is an effective strategy for management of obesity, but little evidence on optimal intervention duration is available. We aimed to establish whether 52-week referral to an open-group weight-management programme would achieve greater weight loss and improvements in a range of health outcomes and be more cost-effective than the current practice of 12-week referrals. In this non-blinded, parallel-group, randomised controlled trial, we recruited participants who were aged 18 years or older and had body-mass index (BMI) of 28 kg/m 2 or higher from 23 primary care practices in England. Participants were randomly assigned (2:5:5) to brief advice and self-help materials, a weight-management programme (Weight Watchers) for 12 weeks, or the same weight-management programme for 52 weeks. We followed-up participants over 2 years. The primary outcome was weight at 1 year of follow-up, analysed with mixed-effects models according to intention-to-treat principles and adjusted for centre and baseline weight. In a hierarchical closed-testing procedure, we compared combined behavioural programme arms with brief intervention, then compared the 12-week programme and 52-week programme. We did a within-trial cost-effectiveness analysis using person-level data and modelled outcomes over a 25-year time horizon using microsimulation. This study is registered with Current Controlled Trials, number ISRCTN82857232. Between Oct 18, 2012, and Feb 10, 2014, we enrolled 1269 participants. 1267 eligible participants were randomly assigned to the brief intervention (n=211), the 12-week programme (n=528), and the 52-week programme (n=528). Two participants in the 12-week programme had been found to be ineligible shortly after randomisation and were excluded from the analysis. 823 (65%) of 1267 participants completed an assessment at 1 year and 856 (68%) participants at 2 years. All eligible participants were included in

  14. Periarticular Injection of Liposomal Bupivacaine Offers No Benefit Over Standard Bupivacaine in Total Knee Arthroplasty: A Prospective, Randomized, Controlled Trial.

    Science.gov (United States)

    Alijanipour, Pouya; Tan, Timothy L; Matthews, Christopher N; Viola, Jessica R; Purtill, James J; Rothman, Richard H; Parvizi, Javad; Austin, Matthew S

    2017-02-01

    Periarticular injection of liposomal bupivacaine has been adopted as part of multimodal pain management after total knee arthroplasty (TKA). In this prospective, randomized clinical trial, we enrolled 162 patients undergoing primary TKA in a single institution between January 2014 and May 2015. Eighty-seven patients were randomized to liposomal bupivacaine (experimental group), and 75 patients were randomized to free bupivacaine (control group). All patients received spinal anesthesia and otherwise identical surgical approaches, pain management, and rehabilitation protocols. Outcomes evaluated include the patient-reported visual analog pain scores, narcotic consumption, and narcotic-related side effects (Brief Pain Inventory) within 96 hours after surgery as well as functional outcomes using the Knee Society Score and the Short-Form 12 measured preoperatively and at 4-6 weeks after surgery. There were no statistically significant differences between the groups in terms of postoperative daily pain scores, narcotic consumption (by-day and overall), or narcotic-related side effects. There were no statistically significant differences between the groups in terms of surgical (P = .76) and medical complications or length of hospital stay (P = .35). There were no statistically significant differences in satisfaction between the groups (P = .56) or between the groups in postoperative Knee Society Score (P = .53) and the Short-Form 12 at 4-6 weeks (P = .82, P = .66). As part of multimodal pain management protocol, periarticular injection of liposomal bupivacaine compared with bupivacaine HCl did not result in any clinically or statistically significant improvement of the measured outcomes following TKA. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. Enforced standards of competence, full disclosure, and public control for the U.S. Nuclear Power Industry

    International Nuclear Information System (INIS)

    Wood, L.D.

    1976-01-01

    Some of the past faults of the nuclear power industry to properly inform the public concerning the risks and benefits of nuclear power or to seek the advice and consent of the public or their elected representatives concerning the matters of nuclear policy are pointed out. Some related problems concerning how to ensure that information which the public needs for evaluation of nuclear energy is disclosed publicly and how the will of this informed public should influence the construction of nuclear power plants are discussed. The facts of the case, In the Matter of Virginia Electric and Power Company (''North Anna Decision'') which was significant for its innovation in nuclear regulatory law, are set forth; and the holdings of law from the Atomic Safety and Licensing Board's (ASLB) of the U.S. Nuclear Regulatory Commission's (NRC) decision in the case are reviewed. A brief discussion of the benefits and risks which the nuclear power industry presents for Americans and their environment is included. Certain dangerous tendencies of the nuclear industry as a whole are examined. The specific issue of disclosure of information by the nuclear industry to the NRC is examined in order to make clear the imperative necessity for full disclosure. Problems related to disclosure to the public by the nuclear power industry and by NRC are examined. The article takes the stand, after a discussion of the public hearings which the NRC conducts concerning nuclear power plant construction and operating licenses, that these public hearings do not now adequately serve to inform and consult the public, and that NRC hearing requirements should be modified by Congress. On the premise that full disclosure is important, consideration is given to how both existing and recommended disclosure requirements can be enforced. Finally, governmental mechanisms by which the American people can gain significant control over the siting and construction of nuclear power plants are discussed

  16. A Randomized Controlled Trial to Compare e-Feedback Versus "Standard" Face-to-Face Verbal Feedback to Improve the Acquisition of Procedural Skill.

    Science.gov (United States)

    Al-Jundi, Wissam; Elsharif, Mohamed; Anderson, Melanie; Chan, Phillip; Beard, Jonathan; Nawaz, Shah

    Constructive feedback plays an important role in learning during surgical training. Standard feedback is usually given verbally following direct observation of the procedure by a trained assessor. However, such feedback requires the physical presence of expert faculty members who are usually busy and time-constrained by clinical commitments. We aim to evaluate electronic feedback (e-feedback) after video observation of surgical suturing in comparison with standard face-to-face verbal feedback. A prospective, blinded, randomized controlled trial comparing e-feedback with standard verbal feedback was carried out in February 2015 using a validated pro formas for assessment. The study participants were 38 undergraduate medical students from the University of Sheffield, UK. They were recorded on video performing the procedural skill, completed a self-evaluation form, and received e-feedback on the same day (group 1); observed directly by an assessor, invited to provide verbal self-reflection, and then received standard verbal feedback (group 2). In both groups, the feedback was provided after performing the procedure. The participants returned 2 days later and performed the same skill again. Poststudy questionnaire was used to assess the acceptability of each feedback among the participants. Overall, 19 students in group 1 and 18 students in group 2 completed the study. Although there was a significant improvement in the overall mean score on the second performance of the task for all participants (first performance mean 11.59, second performance mean 15.95; p ≤ 0.0001), there was no difference in the overall mean improvement score between group 1 and group 2 (4.74 and 3.94, respectively; p = 0.49). The mean overall scores for the e-feedback group at baseline recorded by 2 independent investigators showed good agreement (mean overall scores of 12.84 and 11.89; Cronbach α = 0.86). Poststudy questionnaire demonstrated that both e-feedback and standard verbal feedback

  17. Quality of reports on randomized controlled trials published in Iranian journals: application of the new version of consolidated standards of reporting trials (CONSORT).

    Science.gov (United States)

    Nojomi, Marzieh; Ramezani, Mojdeh; Ghafari-Anvar, Amineh

    2013-01-01

    The Consolidated Standards for Reporting of Trials (CONSORT) statement is a device to standardize reporting and improve the quality of controlled trials. The aim of this study is to determine the quality of controlled clinical trial reports by national peer-reviewed journals in Iran. In a cross-sectional study, we evaluated clinical trial reports by national peer-reviewed Iranian journals between 2008 and 2010 by CONSORT2010. The sample was selected from Iran Medex. The proportion of adherence to each item of the CONSORT checklist was assessed for each clinical trial. The reliability of evaluation by reviewers was calculated by Pearson correlation coefficient, and was determined to be 0.73 - 0.89, with a significance level of P CONSORT statement was 43.8%. The mean CONSORT score significantly differed across each year of publication. None of the articles mentioned the location where the full trial protocol could be accessed.  The quality of reporting RCTs published in national peer-reviewed journals needs significant improvement as the majority did not adhere to CONSORT guidelines. It is necessary for the editors of Iranian journals to consider CONSORT criteria for evaluation of all future RCTs.

  18. Tool coupling for the design and operation of building energy and control systems based on the Functional Mock-up Interface standard

    Energy Technology Data Exchange (ETDEWEB)

    Nouidui, Thierry Stephane; Wetter, Michael

    2014-03-01

    This paper describes software tools developed at the Lawrence Berkeley National Laboratory (LBNL) that can be coupled through the Functional Mock-up Interface standard in support of the design and operation of building energy and control systems. These tools have been developed to address the gaps and limitations encountered in legacy simulation tools. These tools were originally designed for the analysis of individual domains of buildings, and have been difficult to integrate with other tools for runtime data exchange. The coupling has been realized by use of the Functional Mock-up Interface for co-simulation, which standardizes an application programming interface for simulator interoperability that has been adopted in a variety of industrial domains. As a variety of coupling scenarios are possible, this paper provides users with guidance on what coupling may be best suited for their application. Furthermore, the paper illustrates how tools can be integrated into a building management system to support the operation of buildings. These tools may be a design model that is used for real-time performance monitoring, a fault detection and diagnostics algorithm, or a control sequence, each of which may be exported as a Functional Mock-up Unit and made available in a building management system as an input/output block. We anticipate that this capability can contribute to bridging the observed performance gap between design and operational energy use of buildings.

  19. Effectiveness and tolerability of a standardized extract from Hibiscus sabdariffa in patients with mild to moderate hypertension: a controlled and randomized clinical trial.

    Science.gov (United States)

    Herrera-Arellano, A; Flores-Romero, S; Chávez-Soto, M A; Tortoriello, J

    2004-07-01

    In order to compare the antihypertensive effectiveness and tolerability of a standardized extract from Hibiscus sabdariffa with captopril, a controlled and randomized clinical trial was done. Patients from 30 to 80 years old with diagnosed hypertension and without antihypertensive treatment for at least 1 month before were included. The experimental procedure consisted of the administration of an infusion prepared with 10 g of dry calyx from H. sabdariffa on 0.51 water (9.6 mg anthocyanins content), daily before breakfast, or captopril 25 mg twice a day, for 4 weeks. The outcome variables were tolerability, therapeutic effectiveness (diastolic reduction > or = 10 mm Hg) and, in the experimental group, urinary electrolytes modification. Ninety subjects were included, 15 withdrew from the study due to non-medical reasons; so, the analysis included 39 and 36 patients from the experimental and control group, respectively. The results showed that H. sabdariffa was able to decrease the systolic blood pressure (BP) from 139.05 to 123.73mm Hg (ANOVA p 0.25). The rates of therapeutic effectiveness were 0.7895 and 0.8438 with H. sabdariffa and captopril, respectively (chi2, p > 0.560), whilst the tolerability was 100% for both treatments. A natriuretic effect was observed with the experimental treatment. The obtained data confirm that the H. sabdariffa extract, standardized on 9.6mg of total anthocyanins, and captopril 50 mg/day, did not show significant differences relative to hypotensive effect, antihypertensive effectiveness, and tolerability.

  20. The challenge of regional accents for aviation English language proficiency standards: a study of difficulties in understanding in air traffic control-pilot communications.

    Science.gov (United States)

    Tiewtrakul, T; Fletcher, S R

    2010-02-01

    Although English has been the international aviation language since 1951, formal language proficiency testing for key aviation personnel has only recently been implemented by the International Civil Aviation Organization (ICAO). It aims to ensure minimum acceptable levels of English pronunciation and comprehension universally, but does not attend to particular regional dialect difficulties. However, evidence suggests that voice transmissions between air traffic controllers and pilots are a particular problem in international airspace and that pilots may not understand messages due to the influence of different accents when using English. This study explores the potential impact of 'non-native English' in pilot-air traffic control transmissions using a 'conversation analysis' technique to examine approach phase recordings from Bangkok International Airport. Results support that communication errors, defined by incidents of pilots not understanding, occur significantly more often when speakers are both non-native English, messages are more complex and when numerical information is involved. These results and their possible implications are discussed with reference to the development of ICAO's new language proficiency standards. Statement of Relevance: This study builds on previous work and literature, providing further evidence to show that the risks caused by language and linguistics in aviation must be explored more deeply. Findings are particularly contemporary and relevant today, indicating that recently implemented international standards would benefit from further exploratory research and development.

  1. Long-term outcomes and recurrence patterns of standard versus extended pancreatectomy for pancreatic head cancer: a multicenter prospective randomized controlled study.

    Science.gov (United States)

    Jang, Jin-Young; Kang, Jae Seung; Han, Youngmin; Heo, Jin Seok; Choi, Seong Ho; Choi, Dong Wook; Park, Sang Jae; Han, Sung-Sik; Yoon, Dong Sup; Park, Joon Seong; Yu, Hee Chul; Kang, Koo Jeong; Kim, Sang Geol; Lee, Hongeun; Kwon, Wooil; Yoon, Yoo-Seok; Han, Ho-Seong; Kim, Sun-Whe

    2017-07-01

    Our previous randomized controlled trial revealed no difference in 2-year overall survival (OS) between extended and standard resection for pancreatic adenocarcinoma. The present study evaluated the 5-year OS and recurrence patterns according to the extent of pancreatectomy. Between 2006 and 2009, 169 consecutive patients were prospectively enrolled and randomized to standard (n = 83) or extended resection (n = 86) groups to compare 5-year OS rate, long-term recurrence patterns and factors associated with long-term survival. The surgical R0 rate was similar between the standard and extended groups (85.5 vs. 90.7%, P = 0.300). Five-year OS (18.4 vs. 14.4%, P = 0.388), 5-year disease-free survival (14.8 vs. 14.0%, P = 0.531), and overall recurrence rates (74.7 vs. 69.9%, P = 0.497) were not significantly different between the two groups, although the incidence of peritoneal seeding was higher in the extended group (25 vs. 8.1%, P = 0.014). Extended pancreatectomy does not have better short-term and long-term survival outcomes, and shows similar R0 rates and overall recurrence rates compared with standard pancreatectomy. Extended pancreatectomy does not have to be performed routinely for all cases of resectable pancreatic adenocarcinoma, especially considering its associated increased morbidity shown in our previous study. © 2017 Japanese Society of Hepato-Biliary-Pancreatic Surgery.

  2. Quality of Survival and Growth in Children and Young Adults in the PNET4 European Controlled Trial of Hyperfractionated Versus Conventional Radiation Therapy for Standard-Risk Medulloblastoma

    International Nuclear Information System (INIS)

    Kennedy, Colin; Bull, Kim; Chevignard, Mathilde; Culliford, David; Dörr, Helmuth G.; Doz, François; Kortmann, Rolf-Dieter; Lannering, Birgitta; Massimino, Maura; Navajas Gutiérrez, Aurora; Rutkowski, Stefan; Spoudeas, Helen A.; Calaminus, Gabriele

    2014-01-01

    Purpose: To compare quality of survival in “standard-risk” medulloblastoma after hyperfractionated radiation therapy of the central nervous system with that after standard radiation therapy, combined with a chemotherapy regimen common to both treatment arms, in the PNET4 randomised controlled trial. Methods and Materials: Participants in the PNET4 trial and their parents/caregivers in 7 participating anonymized countries completed standardized questionnaires in their own language on executive function, health status, behavior, health-related quality of life, and medical, educational, employment, and social information. Pre- and postoperative neurologic status and serial heights and weights were also recorded. Results: Data were provided by 151 of 244 eligible survivors (62%) at a median age at assessment of 15.2 years and median interval from diagnosis of 5.8 years. Compared with standard radiation therapy, hyperfractionated radiation therapy was associated with lower (ie, better) z-scores for executive function in all participants (mean intergroup difference 0.48 SDs, 95% confidence interval 0.16-0.81, P=.004), but health status, behavioral difficulties, and health-related quality of life z-scores were similar in the 2 treatment arms. Data on hearing impairment were equivocal. Hyperfractionated radiation therapy was also associated with greater decrement in height z-scores (mean intergroup difference 0.43 SDs, 95% confidence interval 0.10-0.76, P=.011). Conclusions: Hyperfractionated radiation therapy was associated with better executive function and worse growth but without accompanying change in health status, behavior, or quality of life

  3. Quality of survival and growth in children and young adults in the PNET4 European controlled trial of hyperfractionated versus conventional radiation therapy for standard-risk medulloblastoma.

    Science.gov (United States)

    Kennedy, Colin; Bull, Kim; Chevignard, Mathilde; Culliford, David; Dörr, Helmuth G; Doz, François; Kortmann, Rolf-Dieter; Lannering, Birgitta; Massimino, Maura; Navajas Gutiérrez, Aurora; Rutkowski, Stefan; Spoudeas, Helen A; Calaminus, Gabriele

    2014-02-01

    To compare quality of survival in "standard-risk" medulloblastoma after hyperfractionated radiation therapy of the central nervous system with that after standard radiation therapy, combined with a chemotherapy regimen common to both treatment arms, in the PNET4 randomised controlled trial. Participants in the PNET4 trial and their parents/caregivers in 7 participating anonymized countries completed standardized questionnaires in their own language on executive function, health status, behavior, health-related quality of life, and medical, educational, employment, and social information. Pre- and postoperative neurologic status and serial heights and weights were also recorded. Data were provided by 151 of 244 eligible survivors (62%) at a median age at assessment of 15.2 years and median interval from diagnosis of 5.8 years. Compared with standard radiation therapy, hyperfractionated radiation therapy was associated with lower (ie, better) z-scores for executive function in all participants (mean intergroup difference 0.48 SDs, 95% confidence interval 0.16-0.81, P=.004), but health status, behavioral difficulties, and health-related quality of life z-scores were similar in the 2 treatment arms. Data on hearing impairment were equivocal. Hyperfractionated radiation therapy was also associated with greater decrement in height z-scores (mean intergroup difference 0.43 SDs, 95% confidence interval 0.10-0.76, P=.011). Hyperfractionated radiation therapy was associated with better executive function and worse growth but without accompanying change in health status, behavior, or quality of life. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Quality of Survival and Growth in Children and Young Adults in the PNET4 European Controlled Trial of Hyperfractionated Versus Conventional Radiation Therapy for Standard-Risk Medulloblastoma

    Energy Technology Data Exchange (ETDEWEB)

    Kennedy, Colin, E-mail: crk1@soton.ac.uk [University of Southampton Faculty of Medicine and University Hospital Southampton National Health Service Foundation Trust, Southampton (United Kingdom); Bull, Kim [University of Southampton Faculty of Medicine and University Hospital Southampton National Health Service Foundation Trust, Southampton (United Kingdom); Chevignard, Mathilde [Hôpitaux de Saint Maurice, Saint Maurice (France); Neurophysiology, University of Pierre et Marie-Curie Paris 6, Paris (France); Culliford, David [University of Southampton Faculty of Medicine and University Hospital Southampton National Health Service Foundation Trust, Southampton (United Kingdom); Dörr, Helmuth G. [Kinder- und Jugendklinik der Universität Erlangen, Erlangen (Germany); Doz, François [Institut Curie and University Paris Descartes, Sorbonne Paris Cité (France); Kortmann, Rolf-Dieter [Department of Radiation Therapy, University of Leipzig, Leipzig (Germany); Lannering, Birgitta [Department of Pediatrics, The Sahlgren Academy, University of Gothenburg, Gothenburg (Sweden); Massimino, Maura [Fondazione Istituto di Ricovero e Cura a Carattere Scientifico IRCCS Istituto Nazionale dei Tumori, Milan (Italy); Navajas Gutiérrez, Aurora [Hospital Universitario Cruces, Baracaldo-Vizcaya (Spain); Rutkowski, Stefan [University Medical Center Hamburg-Eppendorf, Hamburg (Germany); Spoudeas, Helen A. [Center for Pediatric Endocrinology, University College London, London (United Kingdom); Calaminus, Gabriele [Pediatric Oncology, University of Muenster, Muenster (Germany)

    2014-02-01

    Purpose: To compare quality of survival in “standard-risk” medulloblastoma after hyperfractionated radiation therapy of the central nervous system with that after standard radiation therapy, combined with a chemotherapy regimen common to both treatment arms, in the PNET4 randomised controlled trial. Methods and Materials: Participants in the PNET4 trial and their parents/caregivers in 7 participating anonymized countries completed standardized questionnaires in their own language on executive function, health status, behavior, health-related quality of life, and medical, educational, employment, and social information. Pre- and postoperative neurologic status and serial heights and weights were also recorded. Results: Data were provided by 151 of 244 eligible survivors (62%) at a median age at assessment of 15.2 years and median interval from diagnosis of 5.8 years. Compared with standard radiation therapy, hyperfractionated radiation therapy was associated with lower (ie, better) z-scores for executive function in all participants (mean intergroup difference 0.48 SDs, 95% confidence interval 0.16-0.81, P=.004), but health status, behavioral difficulties, and health-related quality of life z-scores were similar in the 2 treatment arms. Data on hearing impairment were equivocal. Hyperfractionated radiation therapy was also associated with greater decrement in height z-scores (mean intergroup difference 0.43 SDs, 95% confidence interval 0.10-0.76, P=.011). Conclusions: Hyperfractionated radiation therapy was associated with better executive function and worse growth but without accompanying change in health status, behavior, or quality of life.

  5. Effects of standard training in the use of closed-circuit televisions in visually impaired adults: design of a training protocol and a randomized controlled trial

    Science.gov (United States)

    2010-01-01

    Background Reading problems are frequently reported by visually impaired persons. A closed-circuit television (CCTV) can be helpful to maintain reading ability, however, it is difficult to learn how to use this device. In the Netherlands, an evidence-based rehabilitation program in the use of CCTVs was lacking. Therefore, a standard training protocol needed to be developed and tested in a randomized controlled trial (RCT) to provide an evidence-based training program in the use of this device. Methods/Design To develop a standard training program, information was collected by studying literature, observing training in the use of CCTVs, discussing the content of the training program with professionals and organizing focus and discussion groups. The effectiveness of the program was evaluated in an RCT, to obtain an evidence-based training program. Dutch patients (n = 122) were randomized into a treatment group: normal instructions from the supplier combined with training in the use of CCTVs, or into a control group: instructions from the supplier only. The effect of the training program was evaluated in terms of: change in reading ability (reading speed and reading comprehension), patients' skills to operate the CCTV, perceived (vision-related) quality of life and tasks performed in daily living. Discussion The development of the CCTV training protocol and the design of the RCT in the present study may serve as an example to obtain an evidence-based training program. The training program was adjusted to the needs and learning abilities of individual patients, however, for scientific reasons it might have been preferable to standardize the protocol further, in order to gain more comparable results. Trial registration http://www.trialregister.nl, identifier: NTR1031 PMID:20219120

  6. Standardized patient simulation versus didactic teaching alone for improving residents' communication skills when discussing goals of care and resuscitation: A randomized controlled trial.

    Science.gov (United States)

    Downar, James; McNaughton, Nancy; Abdelhalim, Tarek; Wong, Natalie; Lapointe-Shaw, Lauren; Seccareccia, Dori; Miller, Kim; Dev, Shelly; Ridley, Julia; Lee, Christie; Richardson, Lisa; McDonald-Blumer, Heather; Knickle, Kerry

    2017-02-01

    Communication skills are important when discussing goals of care and resuscitation. Few studies have evaluated the effectiveness of standardized patients for teaching medical trainees to communicate about goals of care. To determine whether standardized patient simulation offers benefit over didactic sessions alone for improving skill and comfort discussing goals of care. Single-blind, randomized, controlled trial of didactic teaching plus standardized patient simulation versus didactic teaching alone. First-year internal medicine residents. Changes in communication comfort and skill between baseline and 2 months post-training assessed using the Consultation and Relational Empathy measure. We enrolled 94 residents over a 2-year period. Both groups reported a significant improvement in comfort when discussing goals of care with patients. There was no difference in Consultation and Relational Empathy scores following the workshop ( p = 0.79). The intervention group showed a significant increase in Consultation and Relational Empathy scores post-workshop compared with pre-workshop (35.0 vs 31.7, respectively; p = 0.048), whereas there was no improvement in Consultation and Relational Empathy scores in the control group (35.6 vs 36.0; p = 0.4). However, when the results were adjusted for baseline differences in Consultation and Relational Empathy scores in a multivariable regression analysis, group assignment was not associated with an improvement in Consultation and Relational Empathy score. Improvement in comfort scores and perception of benefit were not associated with improvements in Consultation and Relational Empathy scores. Simulation training may improve communication skill and comfort more than didactic training alone, but there were important confounders in this study and further studies are needed to determine whether simulation is better than didactic training for this purpose.

  7. MathWorks Simulink and C++ integration with the new VLT PLC-based standard development platform for instrument control systems

    Science.gov (United States)

    Kiekebusch, Mario J.; Di Lieto, Nicola; Sandrock, Stefan; Popovic, Dan; Chiozzi, Gianluca

    2014-07-01

    ESO is in the process of implementing a new development platform, based on PLCs, for upcoming VLT control systems (new instruments and refurbishing of existing systems to manage obsolescence issues). In this context, we have evaluated the integration and reuse of existing C++ libraries and Simulink models into the real-time environment of BECKHOFF Embedded PCs using the capabilities of the latest version of TwinCAT software and MathWorks Embedded Coder. While doing so the aim was to minimize the impact of the new platform by adopting fully tested solutions implemented in C++. This allows us to reuse the in house expertise, as well as extending the normal capabilities of the traditional PLC programming environments. We present the progress of this work and its application in two concrete cases: 1) field rotation compensation for instrument tracking devices like derotators, 2) the ESO standard axis controller (ESTAC), a generic model-based controller implemented in Simulink and used for the control of telescope main axes.

  8. Accounting standards

    NARCIS (Netherlands)

    Stellinga, B.; Mügge, D.

    2014-01-01

    The European and global regulation of accounting standards have witnessed remarkable changes over the past twenty years. In the early 1990s, EU accounting practices were fragmented along national lines and US accounting standards were the de facto global standards. Since 2005, all EU listed

  9. Assessment of adherence to the statistical components of consolidated standards of reporting trials statement for quality of reports on randomized controlled trials from five pharmacology journals

    Directory of Open Access Journals (Sweden)

    Sachin Satpute

    2016-01-01

    Full Text Available Background: The Consolidated Standards of Reporting Trials (CONSORT statement is a device to standardize reporting and improve the quality of controlled trials. However, little attention is paid to the statistical components in the CONSORT checklist. The present study evaluates the randomized controlled trials [RCTs] published in five high impact pharmacology journals with respect to its statistical methods. Methods: Randomized Controlled Trials [RCTs] published in the years 2013 & 2014 in five pharmacology journals with high impact factor, The Journal of Clinical Pharmacology (JCP, British Journal of Clinical Pharmacology (BJCP, European Journal of Clinical Pharmacology (EJCP, Journal of Pharmacology & Pharmacotherapeutics (JPP and Indian Journal of Pharmacology (IJP were assessed for adherence to the statistical components of CONSORT statement. Results: Of the 174 RCTs analysed, 103 described the method of sample size calculation. Of the five journals, maximum reports in JCP (34/50 and minimum in IJP (13/31 adhered to the CONSORT checklist [item 7a-sample size calculation]. Most reports mentioned the statistical methods used for analysis of data. (171/174 as per the checklist [item 12=statistical methods used]. Analysis of variance (ANOVA was the most commonly used test (88/174. The software used for statistical analysis was mentioned in 111 RCTs and SPSS was used more frequently (58/111. The exact p value was stated in 108 reports. Certain errors in statistical analysis were also noted (40/174. Conclusion: These findings show inconsistencies and non- adherence to the statistical components of the CONSORT statement especially with respect to sample size calculation. Special attention must be paid to the statistical accuracy of the reports.

  10. An open-label prospective clinical study to assess the efficacy of increasing levocetirizine dose up to four times in chronic spontaneous urticaria not controlled with standard dose.

    Science.gov (United States)

    Sharma, Vinod Kumar; Gupta, Vishal; Pathak, Mona; Ramam, M

    2017-09-01

    The EAACI/GA 2 LEN/EDF/WAO recommendation of increasing antihistamines' dose up to four times in urticaria not adequately controlled with the standard dose is largely based on expert opinion. The objective of this study is to test the current urticaria guidelines of up-dosing antihistamines as second-line treatment. This was an open-label study conducted prospectively on 113 patients with chronic spontaneous urticaria. All patients were treated with sequentially increasing doses of levocetrizine (5 mg, 10 mg, 15 mg and 20 mg/day) every week till the patients became completely asymptomatic or dose of 20 mg/day reached. Urticaria Activity Score (UAS)-7, urticaria-related quality-of-life (CU-Q2oL) and patients' global assessment were used to assess treatment response. Twenty-one (18.58%) patients became asymptomatic with levocetirizine 5 mg/day, while 50 required higher doses of levocetirizine for complete control: 29/92 (31.52%), 6/63 (9.52%) and 15/57 (26.31%) with 10 mg, 15 mg and 20 mg/day, respectively. The percentage of patients experiencing >75% improvement increased with increasing doses of levocetirizine: 26.54%, 53.98%, 60.17% and 69.91% with 5 mg, 10 mg, 15 mg and 20 mg/day, respectively. Sequential up-dosing of levocetirizine produced a progressive improvement in both urticaria control (UAS-7) and quality-of-life (CU-Q2oL) without significantly increasing somnolence. Our results support the current recommendations of increasing antihistamines up to four times the standard dose in patients who fail the first-line treatment.

  11. Effectiveness of individualized physiotherapy on pain and functioning compared to a standard exercise protocol in patients presenting with clinical signs of subacromial impingement syndrome. A randomized controlled trial.

    Science.gov (United States)

    Kromer, Thilo O; de Bie, Rob A; Bastiaenen, Caroline H G

    2010-06-09

    Shoulder impingement syndrome is a common musculoskeletal complaint leading to significant reduction of health and disability. Physiotherapy is often the first choice of treatment although its effectiveness is still under debate. Systematic reviews in this field highlight the need for more high quality trials to investigate the effectiveness of physiotherapy interventions in patients with subacromial impingement syndrome. This randomized controlled trial will investigate the effectiveness of individualized physiotherapy in patients presenting with clinical signs and symptoms of subacromial impingement, involving 90 participants aged 18-75. Participants are recruited from outpatient physiotherapy clinics, general practitioners, and orthopaedic surgeons in Germany. Eligible participants will be randomly allocated to either individualized physiotherapy or to a standard exercise protocol using central randomization. The control group will perform the standard exercise protocol aiming to restore muscular deficits in strength, mobility, and coordination of the rotator cuff and the shoulder girdle muscles to unload the subacromial space during active movements. Participants of the intervention group will perform the standard exercise protocol as a home program, and will additionally be treated with individualized physiotherapy based on clinical examination results, and guided by a decision tree. After the intervention phase both groups will continue their home program for another 7 weeks. Outcome will be measured at 5 weeks and at 3 and 12 months after inclusion using the shoulder pain and disability index and patients' global impression of change, the generic patient-specific scale, the average weekly pain score, and patient satisfaction with treatment. Additionally, the fear avoidance beliefs questionnaire, the pain catastrophizing scale, and patients' expectancies of treatment effect are assessed. Participants' adherence to the protocol, use of additional treatments

  12. Efficacy of standardized extract of Hibiscus sabdariffa L. (Malvaceae) in improving iron status of adults in malaria endemic area: A randomized controlled trial.

    Science.gov (United States)

    Peter, Emanuel L; Rumisha, Susan F; Mashoto, Kijakazi O; Minzi, Omary Ms; Mfinanga, Sayoki

    2017-09-14

    Indigenous community of Mkuranga district have been using aqueous extract of H. sabdariffa L. for treating anemia. However, there have been neither safety nor efficacy studies to validate this medicinal product in anemia. The purpose of this study was to establish efficacy and safety of standardized aqueous extract of H. sabdariffa L. in anemic adults. This was a randomized controlled clinical trial in which 130 adults' men and women aged 18-50 years were involved after meeting the inclusion criteria. Initially, standardized aqueous extract of H. sabdariffa L. was prepared using optimized extraction parameters. Stratified randomization was used to randomize participants into four fixed dose groups. The first group received oral dose of 1000ml while the 2nd group was randomized to receive 1500ml orally. The last two groups were given a dose of 2000ml of extract and 200mg ferrous sulphate tablet respectively. Primary endpoint was the actual change of iron status indicators at the end of 30 days follow up period as compared to those recorded at baseline. Adverse effects were assessed at every 10th day scheduled visit. In all arms, HB and hematopoietic parameters were measured using HemoCue hemoglobinometer® (HemoCue, Ängelholm, Sweden) and hematology analyzer® respectively at the trial site. Follow up was done for 30 days. A total of 82 participants were included for analysis. A standardized aqueous extract of H. sabdariffa L. did not improve iron status in anemic adults in malaria endemic region (P>0.005). However, there was evidence to support the safety of the extract for human consumptions as herbal supplement. Iron and organic acids contents of H. sabdariffa L. extract showed the potential of improving hematopoietic parameters. Studies with bigger sample size are therefore needed to establish the efficacy of the extract when concurrently used with malaria chemoprophylaxis in malaria endemic areas. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  13. Do quantitative metrics derived from standard fluoroscopy phantoms used for quality control assess vendor-specific advancements in interventional fluoroscopy systems?

    Science.gov (United States)

    Forsberg, Mark A.; Eschelman, David J.; Talreja, Prakruti; Dave, Jaydev K.

    2017-03-01

    Approximately 9 million fluoroscopically-guided interventional procedures are performed annually in the USA. Recent technological advancements for interventional fluoroscopy systems have focused towards vendor-specific real-time image and signal processing. Hence, the purpose of this study was to evaluate if quantitative metrics derived from standard image quality phantoms, routinely used for quality control, are able to distinguish vendor-specific processing features for interventional fluoroscopy systems. Six standard image quality phantoms were used to measure contrast-to-noise ratio (CNR), full-width-at-half-maximum (for determining edge blurring) and modulation transfer function, to analyze contrast detail characteristics, and to assess digital subtraction angiography (DSA) performance of six flat-panel detector based interventional fluoroscopy systems from Philips (with and without ClarityIQ) and Siemens. Phantom data were acquired at different dose modes and field-of-view settings. Fluoroscopy loops and digital subtraction acquisitions were saved (duration 3 seconds; repeated 3 times). Images were analyzed off-line using ImageJ. CNR measurements showed no differences between systems, whereas the contrast-detail analysis and edge blurring characterization showed relatively low performance of Philips Clarity systems compared to Siemens and Philips non-Clarity systems. Conversely, the modulation transfer function showed that the limiting spatial resolution was higher for the Philips systems relative to the Siemens suite. However, with the DSA phantom the performance of Siemens and Philips Clarity-systems was similar. In conclusion, depending on the image quality phantom used for comparing different systems, the results may differ and therefore, quantitative metrics derived from standard fluoroscopy phantoms lack the discriminatory ability to assess vendor-specific advancements in interventional fluoroscopy systems.

  14. Effectiveness of Standardized Physical Therapy Exercises for Patients With Difficulty Returning to Usual Activities After Decompression Surgery for Subacromial Impingement Syndrome: Randomized Controlled Trial.

    Science.gov (United States)

    Christiansen, David Høyrup; Frost, Poul; Falla, Deborah; Haahr, Jens Peder; Frich, Lars Henrik; Andrea, Linda Christie; Svendsen, Susanne Wulff

    2016-06-01

    Little is known about the effectiveness of exercise programs after decompression surgery for subacromial impingement syndrome. For patients with difficulty returning to usual activities, special efforts may be needed to improve shoulder function. The purpose of this study was to evaluate the effectiveness at 3 and 12 months of a standardized physical therapy exercise intervention compared with usual care in patients with difficulty returning to usual activities after subacromial decompression surgery. A multicenter randomized controlled trial was conducted. The study was conducted in 6 public departments of orthopedic surgery, 2 departments of occupational medicine, and 2 physical therapy training centers in Central Denmark Region. One hundred twenty-six patients reporting difficulty returning to usual activities at the postoperative clinical follow-up 8 to 12 weeks after subacromial decompression surgery participated. A standardized exercise program consisting of physical therapist-supervised individual training sessions and home training was used. The primary outcome measure was the Oxford Shoulder Score. Secondary outcome measures were the Constant Score and the Fear-Avoidance Beliefs Questionnaire. At 3 and 12 months, follow-up data were obtained for 92% and 83% of the patients, respectively. Intention-to-treat analyses suggested a between-group difference on the Oxford Shoulder Score favoring the exercise group at 3 months, with an adjusted mean difference of 2.0 (95% confidence interval=-0.5, 4.6), and at 12 months, with an adjusted mean difference of 5.8 (95% confidence interval=2.8, 8.9). Significantly larger improvements for the exercise group were observed for most secondary and supplementary outcome measures. The nature of the exercise intervention did not allow blinding of patients and care providers. The standardized physical therapy exercise intervention resulted in statistically significant and clinically relevant improvement in shoulder pain and

  15. Feasibility study and uncertainties in the validation of an existing safety-related control circuit with the ISO 13849-1:2006 design standard

    International Nuclear Information System (INIS)

    Jocelyn, Sabrina; Baudoin, James; Chinniah, Yuvin; Charpentier, Philippe

    2014-01-01

    In industry, machine users and people who modify or integrate equipment often have to evaluate the safety level of a safety-related control circuit that they have not necessarily designed. The modifications or integrations may involve work to make an existing machine that does not comply with normative or regulatory specifications safe. However, how can a circuit performing a safety function be validated a posteriori? Is the validation exercise feasible? What are the difficulties and limitations of such a procedure? The aim of this article is to answer these questions by presenting a validation study of a safety function of an existing machine. A plastic injection molding machine is used for this study, as well as standard ISO 13849-1:2006. Validation consists of performing an a posteriori (post-design) estimation of the performance level of the safety function. The procedure is studied for two contexts of use of the machine: in industry, and in laboratory. The calculations required by the ISO standard were done using Excel, followed by SIStema software. It is shown that, based on the context of use, the estimated performance level was different for the same safety-related circuit. The variability in the results is explained by the assumptions made by the person undertaking the validation without the involvement of the machine designer. - Highlights: • Validation of the performance level of a safety function is undertaken. • An injection molding machine and ISO 13849-1:2006 standard are used for the procedure. • The procedure is undertaken for two contexts of use of the machine. • In this study, the performance level depends on the context of use. • The assumptions made throughout the study partially explain this difference

  16. Bill Lang's contributions to acoustics at International Business Machines Corporation (IBM), signal processing, international standards, and professionalism in noise control engineering

    Science.gov (United States)

    Maling, George C.

    2005-09-01

    Bill Lang joined IBM in the late 1950s with a mandate from Thomas Watson Jr. himself to establish an acoustics program at IBM. Bill created the facilities in Poughkeepsie, developed the local program, and was the leader in having other IBM locations with development and manufacturing responsibilities construct facilities and hire staff under the Interdivisional Liaison Program. He also directed IBMs acoustics technology program. In the mid-1960s, he led an IEEE standards group in Audio and Electroacoustics, and, with the help of James Cooley, Peter Welch, and others, introduced the fast Fourier transform to the acoustics community. He was the convenor of ISO TC 43 SC1 WG6 that began writing the 3740 series of standards in the 1970s. It was his suggestion to promote professionalism in noise control engineering, and, through meetings with Leo Beranek and others, led the founding of INCE/USA in 1971. He was also a leader of the team that founded International INCE in 1974, and he served as president from 1988 until 1999.

  17. Acceptable standard format and content for the fundamental nuclear material control (FNMC) plan required for low-enriched uranium facilities. Revision 2

    International Nuclear Information System (INIS)

    Joy, D.R.

    1995-12-01

    This report documents a standard format suggested by the NRC for use in preparing fundamental nuclear material control (FNMC) plans as required by the Low Enriched Uranium Reform Amendments (10CFR 74.31). This report also describes the necessary contents of a comprehensive plan and provides example acceptance criteria which are intended to communicate acceptable means of achieving the performance capabilities of the Reform Amendments. By using the suggested format, the licensee or applicant will minimize administrative problems associated with the submittal, review and approval of the FNMC plan. Preparation of the plan in accordance with this format Will assist the NRC in evaluating the plan and in standardizing the review and licensing process. However, conformance with this guidance is not required by the NRC. A license applicant who employs a format that provides a equal level of completeness and detail may use their own format. This document is also intended for providing guidance to licensees when making revisions to their FNMC plan

  18. Meropenem vs standard of care for treatment of late onset sepsis in children of less than 90 days of age: study protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    de Cabre Vincent

    2011-09-01

    Full Text Available Abstract Background Late onset neonatal sepsis (LOS with the mortality of 17 to 27% is still a serious disease. Meropenem is an antibiotic with wide antibacterial coverage. The advantage of it over standard of care could be its wider antibacterial coverage and thus the use of mono-instead of combination therapy. Methods NeoMero-1, an open label, randomised, comparator controlled, superiority trial aims to compare the efficacy of meropenem with a predefined standard of care (ampicillin + gentamicin or cefotaxime + gentamicin in the treatment of LOS in neonates and infants aged less than 90 days admitted to a neonatal intensive care unit. A total of 550 subjects will be recruited following a 1:1 randomisation scheme. The trial includes patients with culture confirmed (at least one positive culture from normally sterile site except coagulase negative staphylococci in addition to one clinical or laboratory criterion or clinical sepsis (at least two laboratory and two clinical criteria suggestive of LOS in subjects with postmenstrual age The study will start recruitment in September 2011; the total duration is of 24 months. Trial registration EudraCT 2011-001515-31

  19. Final Rule for Control of Air Pollution From New Motor Vehicles and New Motor Vehicle Engines; Non-Conformance Penalties for 2004 and later Model Year Emission Standards for Heavy-Duty Diesel Engines and Heavy-Duty Diesel Vehicles

    Science.gov (United States)

    Final Rule for Control of Air Pollution From New Motor Vehicles and New Motor Vehicle Engines; Non-Conformance Penalties for 2004 and later Model Year Emission Standards for Heavy-Duty Diesel Engines and Heavy-Duty Diesel Vehicles

  20. Communications standards

    CERN Document Server

    Stokes, A V

    1986-01-01

    Communications Standards deals with the standardization of computer communication networks. This book examines the types of local area networks (LANs) that have been developed and looks at some of the relevant protocols in more detail. The work of Project 802 is briefly discussed, along with a protocol which has developed from one of the LAN standards and is now a de facto standard in one particular area, namely the Manufacturing Automation Protocol (MAP). Factors that affect the usage of networks, such as network management and security, are also considered. This book is divided into three se

  1. Stereotactic radiotherapy reduces treatment cost while improving overall survival and local control over standard fractionated radiation therapy for medically inoperable non-small-cell lung cancer.

    Science.gov (United States)

    Lanni, Thomas B; Grills, Inga S; Kestin, Larry L; Robertson, John M

    2011-10-01

    Radiation therapy (RT) is the standard alternative curative treatment option for medically inoperable early stage non-small-cell lung cancer (NSCLC). Recently, stereotactic body radiotherapy (SBRT) has shown substantial promise to improve local control rates as compared with conventional fractionated RT [external beam RT (EBRT)]. We compare treatment outcomes and costs between SBRT and EBRT in this patient population. A total of 86 patients with Stage I (Tl-2 N0) NSCLC were treated with either EBRT (n=41) or SBRT (n=45) between January 2002 and April 2008. EBRT patients were treated to a median dose of 70 Gy with 3-dimensional conformal RT (n=39) or intensity-modulated radiation therapy (n=2). SBRT was delivered in 4 or 5 fractions to 48 (Tl, n=44) or 60 (T2, n=1) Gy. The actual cost was calculated using 2010 Medicare hospital-based Ambulatory Payment Classification and hospital-based physician fee screen reimbursement rates for both the technical and professional components. On the basis of a median number of fractions for this patient population, SBRT was significantly less expensive ($13,639 EBRT vs. $10,616 SBRT, P < 0.01). Survival analysis demonstrated superior 36-month overall survival using SBRT, 71% versus 42% for EBRT (P < 0.05). SBRT also reduced local failure by nearly 3 times compared with EBRT (12% vs. 34%, P=0.10). In this study of Stage I NSCLC patients, SBRT was found to be less expensive than standard fractionated EBRT, with the cost savings highly dependent on the number of SBRT fractions and EBRT technique (3-dimensional conformal RT vs. intensity-modulated radiation therapy). SBRT was also associated with superior local control and overall survival.

  2. Clinical Outcomes Among Children With Standard-Risk Medulloblastoma Treated With Proton and Photon Radiation Therapy: A Comparison of Disease Control and Overall Survival.

    Science.gov (United States)

    Eaton, Bree R; Esiashvili, Natia; Kim, Sungjin; Weyman, Elizabeth A; Thornton, Lauren T; Mazewski, Claire; MacDonald, Tobey; Ebb, David; MacDonald, Shannon M; Tarbell, Nancy J; Yock, Torunn I

    2016-01-01

    The purpose of this study was to compare long-term disease control and overall survival between children treated with proton and photon radiation therapy (RT) for standard-risk medulloblastoma. This multi-institution cohort study includes 88 children treated with chemotherapy and proton (n=45) or photon (n=43) RT between 2000 and 2009. Overall survival (OS), recurrence-free survival (RFS), and patterns of failure were compared between the 2 cohorts. Median (range) age was 6 years old at diagnosis (3-21 years) for proton patients versus 8 years (3-19 years) for photon patients (P=.011). Cohorts were similar with respect to sex, histology, extent of surgical resection, craniospinal irradiation (CSI) RT dose, total RT dose, whether the RT boost was delivered to the posterior fossa (PF) or tumor bed (TB), time from surgery to RT start, or total duration of RT. RT consisted of a median (range) CSI dose of 23.4 Gy (18-27 Gy) and a boost of 30.6 Gy (27-37.8 Gy). Median follow-up time is 6.2 years (95% confidence interval [CI]: 5.1-6.6 years) for proton patients versus 7.0 years (95% CI: 5.8-8.9 years) for photon patients. There was no significant difference in RFS or OS between patients treated with proton versus photon RT; 6-year RFS was 78.8% versus 76.5% (P=.948) and 6-year OS was 82.0% versus 87.6%, respectively (P=.285). On multivariate analysis, there was a trend for longer RFS with females (P=.058) and higher CSI dose (P=.096) and for longer OS with females (P=.093). Patterns of failure were similar between the 2 cohorts (P=.908). Disease control with proton and photon radiation therapy appears equivalent for standard risk medulloblastoma. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Effectiveness and tolerability of a standardized extract from Ageratina pichinchensis in patients with diabetic foot ulcer: a randomized, controlled pilot study.

    Science.gov (United States)

    Romero-Cerecero, Ofelia; Zamilpa, Alejandro; Tortoriello, Jaime

    2015-03-01

    Previous works have shown that extracts obtained from Ageratina pichinchensis are capable of reducing the time needed for wounds to heal. By means of a randomized, double-blind pilot study, the objective of this work was to evaluate the effectiveness and tolerability of a phytopharmaceutical developed with a standardized extract (5 %, cream formulation) of A. pichinchensis, topically administered in patients with diabetic foot ulcer. Micronized silver sulfadiazine (1 %) was employed as a control treatment. Treatments were randomly assigned to each patient, and clinical evolution was evaluated weekly until complete healing of the wound. All patients who concluded the study achieved complete healing of their ulcers. After six weeks of treatment, patients in the experimental group exhibited a wound-healing process of 77.5 %, while that of patients in the control group was 69.8 %. A statistically significant difference was not found between groups. The average time needed for complete wound healing was 65.47 ± 47.08 days for patients treated with the A. pichinchensis extract and 77.46 ± 50.8 days for patients in the control group (p = 0.509). There was no case in either of the groups in which adverse side effects were identified. Thus, it was concluded that the A. pichinchensis extract showed the ability to improve the healing process in patients with diabetic foot ulcer; however, no statistically significant differences were observed when compared with results obtained in patients administered the control treatment (micronized silver sulfadiazine). Some limitations of this study must be addressed, such as small sample size. This work comprises a pilot study that could be useful in a future clinical trial with a greater number of patients. Georg Thieme Verlag KG Stuttgart · New York.

  4. A Peer-Reviewed Instructional Video is as Effective as a Standard Recorded Didactic Lecture in Medical Trainees Performing Chest Tube Insertion: A Randomized Control Trial.

    Science.gov (United States)

    Saun, Tomas J; Odorizzi, Scott; Yeung, Celine; Johnson, Marjorie; Bandiera, Glen; Dev, Shelly P

    Online medical education resources are becoming an increasingly used modality and many studies have demonstrated their efficacy in procedural instruction. This study sought to determine whether a standardized online procedural video is as effective as a standard recorded didactic teaching session for chest tube insertion. A randomized control trial was conducted. Participants were taught how to insert a chest tube with either a recorded didactic teaching session, or a New England Journal of Medicine (NEJM) video. Participants filled out a questionnaire before and after performing the procedure on a cadaver, which was filmed and assessed by 2 blinded evaluators using a standardized tool. Western University, London, Ontario. Level of clinical care: institutional. A total of 30 fourth-year medical students from 2 graduating classes at the Schulich School of Medicine & Dentistry were screened for eligibility. Two students did not complete the study and were excluded. There were 13 students in the NEJM group, and 15 students in the didactic group. The NEJM group׳s average score was 45.2% (±9.56) on the prequestionnaire, 67.7% (±12.9) for the procedure, and 60.1% (±7.65) on the postquestionnaire. The didactic group׳s average score was 42.8% (±10.9) on the prequestionnaire, 73.7% (±9.90) for the procedure, and 46.5% (±7.46) on the postquestionnaire. There was no difference between the groups on the prequestionnaire (Δ + 2.4%; 95% CI: -5.16 to 9.99), or the procedure (Δ -6.0%; 95% CI: -14.6 to 2.65). The NEJM group had better scores on the postquestionnaire (Δ + 11.15%; 95% CI: 3.74-18.6). The NEJM video was as effective as video-recorded didactic training for teaching the knowledge and technical skills essential for chest tube insertion. Participants expressed high satisfaction with this modality. It may prove to be a helpful adjunct to standard instruction on the topic. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc

  5. Effects of a standard provision versus an autonomy supportive exercise referral programme on physical activity, quality of life and well-being indicators: a cluster randomised controlled trial

    Science.gov (United States)

    2014-01-01

    Background The National Institute for Health and Clinical Excellence in the UK has recommended that the effectiveness of ongoing exercise referral schemes to promote physical activity should be examined in research trials. Recent empirical evidence in health care and physical activity promotion contexts provides a foundation for testing the feasibility and impact of a Self Determination Theory-based (SDT) exercise referral consultation. Methods An exploratory cluster randomised controlled trial comparing standard provision exercise referral with an exercise referral intervention grounded in Self Determination Theory. Individuals (N = 347) referred to an exercise referral scheme were recruited into the trial from 13 centres. Outcomes and processes of change measured at baseline, 3 and 6-months: Minutes of self-reported moderate or vigorous physical activity (PA) per week (primary outcome), health status, positive and negative indicators of emotional well-being, anxiety, depression, quality of life (QOL), vitality, and perceptions of autonomy support from the advisor, need satisfaction (3 and 6 months only), intentions to be active, and motivational regulations for exercise. Blood pressure and weight were assessed at baseline and 6 months. Results Perceptions of the autonomy support provided by the health and fitness advisor (HFA) did not differ by arm. Between group changes over the 6-months revealed significant differences for reported anxiety only. Within arm contrasts revealed significant improvements in anxiety and most of the Dartmouth CO-OP domains in the SDT arm at 6 months, which were not seen in the standard exercise referral group. A process model depicting hypothesized relationships between advisor autonomy support, need satisfaction and more autonomous motivation, enhanced well being and PA engagement at follow up was supported. Conclusions Significant gains in physical activity and improvements in quality of life and well-being outcomes emerged

  6. Standard versus atrial fibrillation-specific management strategy (SAFETY) to reduce recurrent admission and prolong survival: pragmatic, multicentre, randomised controlled trial.

    Science.gov (United States)

    Stewart, Simon; Ball, Jocasta; Horowitz, John D; Marwick, Thomas H; Mahadevan, Gnanadevan; Wong, Chiew; Abhayaratna, Walter P; Chan, Yih K; Esterman, Adrian; Thompson, David R; Scuffham, Paul A; Carrington, Melinda J

    2015-02-28

    Patients are increasingly being admitted with chronic atrial fibrillation, and disease-specific management might reduce recurrent admissions and prolong survival. However, evidence is scant to support the application of this therapeutic approach. We aimed to assess SAFETY--a management strategy that is specific to atrial fibrillation. We did a pragmatic, multicentre, randomised controlled trial in patients admitted with chronic, non-valvular atrial fibrillation (but not heart failure). Patients were recruited from three tertiary referral hospitals in Australia. 335 participants were randomly assigned by computer-generated schedule (stratified for rhythm or rate control) to either standard management (n=167) or the SAFETY intervention (n=168). Standard management consisted of routine primary care and hospital outpatient follow-up. The SAFETY intervention comprised a home visit and Holter monitoring 7-14 days after discharge by a cardiac nurse with prolonged follow-up and multidisciplinary support as needed. Clinical reviews were undertaken at 12 and 24 months (minimum follow-up). Coprimary outcomes were death or unplanned readmission (both all-cause), measured as event-free survival and the proportion of actual versus maximum days alive and out of hospital. Analyses were done on an intention-to-treat basis. The trial is registered with the Australian New Zealand Clinical Trials Registry (ANZCTRN 12610000221055). During median follow-up of 905 days (IQR 773-1050), 49 people died and 987 unplanned admissions were recorded (totalling 5530 days in hospital). 127 (76%) patients assigned to the SAFETY intervention died or had an unplanned readmission (median event-free survival 183 days [IQR 116-409]) and 137 (82%) people allocated standard management achieved a coprimary outcome (199 days [116-249]; hazard ratio 0·97, 95% CI 0·76-1·23; p=0·851). Patients assigned to the SAFETY intervention had 99·5% maximum event-free days (95% CI 99·3-99·7), equating to a median

  7. Training Standardization

    International Nuclear Information System (INIS)

    Agnihotri, Newal

    2003-01-01

    The article describes the benefits of and required process and recommendations for implementing the standardization of training in the nuclear power industry in the United States and abroad. Current Information and Communication Technologies (ICT) enable training standardization in the nuclear power industry. The delivery of training through the Internet, Intranet and video over IP will facilitate this standardization and bring multiple benefits to the nuclear power industry worldwide. As the amount of available qualified and experienced professionals decreases because of retirements and fewer nuclear engineering institutions, standardized training will help increase the number of available professionals in the industry. Technology will make it possible to use the experience of retired professionals who may be interested in working part-time from a remote location. Well-planned standardized training will prevent a fragmented approach among utilities, and it will save the industry considerable resources in the long run. It will also ensure cost-effective and safe nuclear power plant operation

  8. Pleural irrigation trial (PIT): a randomised controlled trial of pleural irrigation with normal saline versus standard care in patients with pleural infection.

    Science.gov (United States)

    Hooper, Clare E; Edey, Anthony J; Wallis, Anthony; Clive, Amelia O; Morley, Anna; White, Paul; Medford, Andrew R L; Harvey, John E; Darby, Mike; Zahan-Evans, Natalie; Maskell, Nick A

    2015-08-01

    Pleural infection is increasing in incidence. Despite optimal medical management, up to 30% of patients will die or require surgery. Case reports suggest that irrigation of the pleural space with saline may be beneficial.A randomised controlled pilot study in which saline pleural irrigation (three times per day for 3 days) plus best-practice management was compared with best-practice management alone was performed in patients with pleural infection requiring chest-tube drainage. The primary outcome was percentage change in computed tomography pleural fluid volume from day 0 to day 3. Secondary outcomes included surgical referral rate, hospital stay and adverse events.35 patients were randomised. Patients receiving saline irrigation had a significantly greater reduction in pleural collection volume on computed tomography compared to those receiving standard care (median (interquartile range) 32.3% (19.6-43.7%) reduction versus 15.3% (-5.5-28%) reduction) (ppleural fluid drainage and reduces referrals for surgery in pleural infection. A large multicentre randomised controlled trial is now warranted to evaluate its effects further. Copyright ©ERS 2015.

  9. Individualized versus standardized risk assessment in patients at high risk for adverse drug reactions (IDrug) - study protocol for a pragmatic randomized controlled trial.

    Science.gov (United States)

    Stingl, Julia Carolin; Kaumanns, Katharina Luise; Claus, Katrin; Lehmann, Marie-Louise; Kastenmüller, Kathrin; Bleckwenn, Markus; Hartmann, Gunther; Steffens, Michael; Wirtz, Dorothee; Leuchs, Ann-Kristin; Benda, Norbert; Meier, Florian; Schöffski, Oliver; Holdenrieder, Stefan; Coch, Christoph; Weckbecker, Klaus

    2016-04-26

    Elderly patients are particularly vulnerable to adverse drug reactions, especially if they are affected by additional risk factors such as multimorbidity, polypharmacy, impaired renal function and intake of drugs with high risk potential. Apart from these clinical parameters, drug safety and efficacy can be influenced by pharmacogenetic factors. Evidence-based recommendations concerning drug-gene-combinations have been issued by international consortia and in drug labels. However, clinical benefit of providing information on individual patient factors in a comprehensive risk assessment aiming to reduce the occurrence and severity of adverse drug reactions is not evident. Purpose of this randomized controlled trial is to compare the effect of a concise individual risk information leaflet with standard information on risk factors for side effects. The trial was designed as a prospective, two-arm, randomized, controlled, multicenter, pragmatic study. 960 elderly, multimorbid outpatients in general medicine are included if they take at least one high risk and one other long-term drug (polymedication). As high risk "index drugs" oral anticoagulants and antiplatelets were chosen because of their specific, objectively assessable side effects. Following randomization, test group patients receive an individualized risk assessment leaflet evaluating their personal data concerning bleeding- and thromboembolic-risk-scores, potential drug-drug-interactions, age, renal function and pharmacogenetic factors. Control group patients obtain a standardized leaflet only containing general information on these criteria. Follow-up period is 9 months for each patient. Primary endpoint is the occurrence of a thromboembolic/bleeding event or death. Secondary endpoints are other adverse drug reactions, hospital admissions, specialist referrals and medication changes due to adverse drug reactions, the patients' adherence to medication regimen as well as health related quality of life

  10. Automated FiO2-SpO2 control system in neonates requiring respiratory support: a comparison of a standard to a narrow SpO2 control range.

    Science.gov (United States)

    Wilinska, Maria; Bachman, Thomas; Swietlinski, Janusz; Kostro, Maria; Twardoch-Drozd, Marta

    2014-05-28

    Managing the oxygen saturation of preterm infants to a target range has been the standard of care for a decade. Changes in target ranges have been shown to significantly impact mortality and morbidity. Selecting and implementing the optimal target range are complicated not only by issues of training, but also the realities of staffing levels and demands. The potential for automatic control is becoming a reality. Results from the evaluation of different systems have been promising and our own experience encouraging. This study was conducted in two tertiary level newborn nurseries, routinely using an automated FiO2-SpO2 control system (Avea-CLiO2, Yorba Linda CA, USA). The aim of this study was to compare the performance of the system as used routinely (set control range of 87-93% SpO2), to a narrower higher range (90-93%). We employed a 12-hour cross-over design with the order of control ranges randomly assigned for each of up to three days. The primary prospectively identified end points were time in the 87-93% SpO2 target range, time at SpO2 extremes and the distribution of the SpO2 exposure. Twenty-one infants completed the study. The infants were born with a median EGA of 27 weeks and studied at a median age of 17 days and weight of 1.08 kg. Their median FiO2 was 0.32; 8 were intubated, and the rest noninvasively supported (7 positive pressure ventilation and 6 CPAP). The control in both arms was excellent, and required less than 2 manual FiO2 adjustments per day. There were no differences in the three primary endpoints. The narrower/higher set control range resulted in tighter control (IQR 3.0 vs. 4.3 p < 0.001), and less time with the SpO2 between 80-86 (6.2% vs. 8.4%, p = 0.006). We found that a shift in the median of the set control range of an automated FiO2-SpO2 control system had a proportional effect on the median and distribution of SpO2 exposure. We found that a dramatic narrowing of the set control range had a disproportionally smaller impact. Our

  11. Patient perspectives with abbreviated versus standard pre-test HIV counseling in the prenatal setting: a randomized-controlled, non-inferiority trial.

    Science.gov (United States)

    Cohan, Deborah; Gomez, Elvira; Greenberg, Mara; Washington, Sierra; Charlebois, Edwin D

    2009-01-01

    In the US, an unacceptably high percentage of pregnant women do not undergo prenatal HIV testing. Previous studies have found increased uptake of prenatal HIV testing with abbreviated pre-test counseling, however little is known about patient decision making, testing satisfaction and knowledge in this setting. A randomized-controlled, non-inferiority trial was conducted from October 2006 through February 2008 at San Francisco General Hospital (SFGH), the public teaching hospital of the City and County of San Francisco. A total of 278 English- and Spanish-speaking pregnant women were randomized to receive either abbreviated or standard nurse-performed HIV test counseling at the initial prenatal visit. Patient decision making experience was compared between abbreviated versus standard HIV counseling strategies among a sample of low-income, urban, ethnically diverse prenatal patients. The primary outcome was the decisional conflict score (DCS) using O'Connor low-literacy scale and secondary outcomes included satisfaction with test decision, basic HIV knowledge and HIV testing uptake. We conducted an intention-to-treat analysis of 278 women--134 (48.2%) in the abbreviated arm (AA) and 144 (51.8%) in the standard arm (SA). There was no significant difference in the proportion of women with low decisional conflict (71.6% in AA vs. 76.4% in SA, p = .37), and the observed mean difference between the groups of 3.88 (95% CI: -0.65, 8.41) did not exceed the non-inferiority margin. HIV testing uptake was very high (97. 8%) and did not differ significantly between the 2 groups (99.3% in AA vs. 96.5% in SA, p = .12). Likewise, there was no difference in satisfaction with testing decision (97.8% in AA vs. 99.3% in SA, p = .36). However, women in AA had significantly lower mean HIV knowledge scores (78.4%) compared to women in SA (83.7%, pprocess, while associated with slightly lower knowledge, does not compromise patient decision making or satisfaction regarding HIV testing

  12. Automated non-stepwise preparation of bioanalytical calibration standards and quality controls using an ultra-low volume digitizing liquid dispenser.

    Science.gov (United States)

    Liao, Debra; Chen, Susan; Paton, Martin; Qian, Mark G

    2014-06-15

    Stepwise preparation of calibration standards and quality controls (QCs) is one of the most routine and laborious steps in bioanalysis. An alternative non-contact dispenser using low picoliter digitized dispensing technology is evaluated for its application in non-stepwise preparation of calibration curve and QCs in bioanalysis. Fluorescein was initially used to assess the accuracy and precision of dispense volumes with fluorescent measurement. Various concentrations of MX-1, an in-house proprietary small molecule compound, in neat solution and in dog plasma were prepared manually with calibrated pipettors and digitally by the digital dispenser. The plasma samples were extracted by protein precipitation. The resultant extracted samples and neat solutions of MX-1 were analyzed by liquid chromatography/tandem mass spectrometry (LC/MS/MS) using an electrospray ionization (ESI) source in positive ion mode with selected reaction monitoring (SRM) of the mass transitions. In the three-day precision and accuracy assessment of dispensing volumes between 13 pL to 411.2 nL, the intra-day precision and accuracy ranged from 1.4% to 10.3% and -12.7% to 12.8%, respectively. The inter-day precision and accuracy ranged from 3.5% to 7.8% and -6.6% to 10.4%, respectively. For real analysis of in vivo study samples, all 49 samples analyzed showed a less than 5% difference between calibrations with digital and manual curve preparations. The resultant pharmacokinetic (PK) parameters were physiologically comparable as well. Using the digitized picoliter dispensing technology, high-speed automated precise and accurate dispense of a wide range of volumes can be achieved and tests for bioanalytical standards and QC preparations passed the stringent criteria set forth for regulated bioanalysis using LC/MS/MS-based technology. The digital dispenser has been found to be a useful tool in drug discovery for automatically preparing standards and QCs in seconds with low consumption of stock

  13. Low-intensity blue-enriched white light (750 lux and standard bright light (10 000 lux are equally effective in treating SAD. A randomized controlled study

    Directory of Open Access Journals (Sweden)

    Bos Elske H

    2011-01-01

    Full Text Available Abstract Background Photoreceptor cells containing melanopsin play a role in the phase-shifting effects of short-wavelength light. In a previous study, we compared the standard light treatment (SLT of SAD with treatment using short-wavelength blue-enriched white light (BLT. Both treatments used the same illuminance (10 000 lux and were equally highly effective. It is still possible, however, that neither the newly-discovered photoreceptor cells, nor the biological clock play a major role in the therapeutic effects of light on SAD. Alternatively, these effects may at least be partly mediated by these receptor cells, which may have become saturated as a result of the high illuminances used in the therapy. This randomized controlled study compares the effects of low-intensity BLT to those of high-intensity SLT. Method In a 22-day design, 22 patients suffering from a major depression with a seasonal pattern (SAD were given light treatment (10 000 lux for two weeks on workdays. Subjects were randomly assigned to either of the two conditions, with gender and age evenly distributed over the groups. Light treatment either consisted of 30 minutes SLT (5000°K with the EnergyLight® (Philips, Consumer Lifestyle with a vertical illuminance of 10 000 lux at eye position or BLT (17 000°K with a vertical illuminance of 750 lux using a prototype of the EnergyLight® which emitted a higher proportion of short-wavelengths. All participants completed questionnaires concerning mood, activation and sleep quality on a daily basis. Mood and energy levels were also assessed on a weekly basis by means of the SIGH-SAD and other assessment tools. Results On day 22, SIGH-SAD ratings were significantly lower than on day 1 (SLT 65.2% and BLT 76.4%. On the basis of all assessments no statistically significant differences were found between the two conditions. Conclusion With sample size being small, conclusions can only be preliminary. Both treatment conditions were found

  14. Low-intensity blue-enriched white light (750 lux) and standard bright light (10,000 lux) are equally effective in treating SAD. A randomized controlled study.

    Science.gov (United States)

    Meesters, Ybe; Dekker, Vera; Schlangen, Luc J M; Bos, Elske H; Ruiter, Martine J

    2011-01-28

    Photoreceptor cells containing melanopsin play a role in the phase-shifting effects of short-wavelength light. In a previous study, we compared the standard light treatment (SLT) of SAD with treatment using short-wavelength blue-enriched white light (BLT). Both treatments used the same illuminance (10,000 lux) and were equally highly effective. It is still possible, however, that neither the newly-discovered photoreceptor cells, nor the biological clock play a major role in the therapeutic effects of light on SAD. Alternatively, these effects may at least be partly mediated by these receptor cells, which may have become saturated as a result of the high illuminances used in the therapy. This randomized controlled study compares the effects of low-intensity BLT to those of high-intensity SLT. In a 22-day design, 22 patients suffering from a major depression with a seasonal pattern (SAD) were given light treatment (10,000 lux) for two weeks on workdays. Subjects were randomly assigned to either of the two conditions, with gender and age evenly distributed over the groups. Light treatment either consisted of 30 minutes SLT (5000 °K) with the EnergyLight® (Philips, Consumer Lifestyle) with a vertical illuminance of 10,000 lux at eye position or BLT (17,000 °K) with a vertical illuminance of 750 lux using a prototype of the EnergyLight® which emitted a higher proportion of short-wavelengths. All participants completed questionnaires concerning mood, activation and sleep quality on a daily basis. Mood and energy levels were also assessed on a weekly basis by means of the SIGH-SAD and other assessment tools. On day 22, SIGH-SAD ratings were significantly lower than on day 1 (SLT 65.2% and BLT 76.4%). On the basis of all assessments no statistically significant differences were found between the two conditions. With sample size being small, conclusions can only be preliminary. Both treatment conditions were found to be highly effective. The therapeutic effects of low

  15. Clinical Outcomes Among Children With Standard-Risk Medulloblastoma Treated With Proton and Photon Radiation Therapy: A Comparison of Disease Control and Overall Survival

    International Nuclear Information System (INIS)

    Eaton, Bree R.; Esiashvili, Natia; Kim, Sungjin; Weyman, Elizabeth A.; Thornton, Lauren T.; Mazewski, Claire; MacDonald, Tobey; Ebb, David; MacDonald, Shannon M.; Tarbell, Nancy J.; Yock, Torunn I.

    2016-01-01

    Purpose: The purpose of this study was to compare long-term disease control and overall survival between children treated with proton and photon radiation therapy (RT) for standard-risk medulloblastoma. Methods and Materials: This multi-institution cohort study includes 88 children treated with chemotherapy and proton (n=45) or photon (n=43) RT between 2000 and 2009. Overall survival (OS), recurrence-free survival (RFS), and patterns of failure were compared between the 2 cohorts. Results: Median (range) age was 6 years old at diagnosis (3-21 years) for proton patients versus 8 years (3-19 years) for photon patients (P=.011). Cohorts were similar with respect to sex, histology, extent of surgical resection, craniospinal irradiation (CSI) RT dose, total RT dose, whether the RT boost was delivered to the posterior fossa (PF) or tumor bed (TB), time from surgery to RT start, or total duration of RT. RT consisted of a median (range) CSI dose of 23.4 Gy (18-27 Gy) and a boost of 30.6 Gy (27-37.8 Gy). Median follow-up time is 6.2 years (95% confidence interval [CI]: 5.1-6.6 years) for proton patients versus 7.0 years (95% CI: 5.8-8.9 years) for photon patients. There was no significant difference in RFS or OS between patients treated with proton versus photon RT; 6-year RFS was 78.8% versus 76.5% (P=.948) and 6-year OS was 82.0% versus 87.6%, respectively (P=.285). On multivariate analysis, there was a trend for longer RFS with females (P=.058) and higher CSI dose (P=.096) and for longer OS with females (P=.093). Patterns of failure were similar between the 2 cohorts (P=.908). Conclusions: Disease control with proton and photon radiation therapy appears equivalent for standard risk medulloblastoma.

  16. IN.PACT Amphirion paclitaxel eluting balloon versus standard percutaneous transluminal angioplasty for infrapopliteal revascularization of critical limb ischemia: rationale and protocol for an ongoing randomized controlled trial.

    Science.gov (United States)

    Zeller, Thomas; Baumgartner, Iris; Scheinert, Dierk; Brodmann, Marianne; Bosiers, Marc; Micari, Antonio; Peeters, Patrick; Vermassen, Frank; Landini, Mario

    2014-02-19

    The effectiveness and durability of endovascular revascularization therapies for chronic critical limb ischemia (CLI) are challenged by the extensive burden of infrapopliteal arterial disease and lesion-related characteristics (e.g., severe calcification, chronic total occlusions), which frequently result in poor clinical outcomes. While infrapopliteal vessel patency directly affects pain relief and wound healing, sustained patency and extravascular care both contribute to the ultimate "patient-centric" outcomes of functional limb preservation, mobility and quality of life (QoL). IN.PACT DEEP is a 2:1 randomized controlled trial designed to assess the efficacy and safety of infrapopliteal arterial revascularization between the IN.PACT Amphirion™ paclitaxel drug-eluting balloon (IA-DEB) and standard balloon angioplasty (PTA) in patients with Rutherford Class 4-5-6 CLI. This multicenter trial has enrolled 358 patients at 13 European centers with independent angiographic core lab adjudication of the primary efficacy endpoint of target lesion late luminal loss (LLL) and clinically driven target lesion revascularization (TLR) in major amputation-free surviving patients through 12-months. An independent wound core lab will evaluate all ischemic wounds to assess the extent of healing and time to healing at 1, 6, and 12 months. A QoL questionnaire including a pain scale will assess changes from baseline scores through 12 months. A Clinical Events Committee and Data Safety Monitoring Board will adjudicate the composite primary safety endpoints of all-cause death, major amputation, and clinically driven TLR at 6 months and other trial endpoints and supervise patient safety throughout the study. All patients will be followed for 5 years. A literature review is presented of the current status of endovascular treatment of CLI with drug-eluting balloon and standard PTA. The rationale and design of the IN.PACT DEEP Trial are discussed. IN.PACT DEEP is a milestone, prospective

  17. Performing mathematics activities with non-standard units of measurement using robots controlled via speech-generating devices: three case studies.

    Science.gov (United States)

    Adams, Kim D; Cook, Albert M

    2017-07-01

    Purpose To examine how using a Lego robot controlled via a speech-generating device (SGD) can contribute to how students with physical and communication impairments perform hands-on and communicative mathematics measurement activities. This study was a follow-up to a previous study. Method Three students with cerebral palsy used the robot to measure objects using non-standard units, such as straws, and then compared and ordered the objects using the resulting measurement. Their performance was assessed, and the manipulation and communication events were observed. Teachers and education assistants were interviewed regarding robot use. Results Similar benefits to the previous study were found in this study. Gaps in student procedural knowledge were identified such as knowing to place measurement units tip-to-tip, and students' reporting revealed gaps in conceptual understanding. However, performance improved with repeated practice. Stakeholders identified that some robot tasks took too long or were too difficult to perform. Conclusions Having access to both their SGD and a robot gave the students multiple ways to show their understanding of the measurement concepts. Though they could participate actively in the new mathematics activities, robot use is most appropriate in short tasks requiring reasonable operational skill. Implications for Rehabilitation Lego robots controlled via speech-generating devices (SGDs) can help students to engage in the mathematics pedagogy of performing hands-on activities while communicating about concepts. Students can "show what they know" using the Lego robots, and report and reflect on concepts using the SGD. Level 1 and Level 2 mathematics measurement activities have been adapted to be accomplished by the Lego robot. Other activities can likely be accomplished with similar robot adaptations (e.g., gripper, pen). It is not recommended to use the robot to measure items that are long, or perform measurements that require high

  18. Standardized methods to verify absorbed dose in irradiated food for insect control. Proceedings of a final research co-ordination meeting

    International Nuclear Information System (INIS)

    2001-03-01

    Irradiation to control insect infestation of food is increasingly accepted and applied, especially as a phytosanitary treatment of food as an alternative to fumigation. However, unlike other processes for insect control, irradiation does not always result in immediate insect death. Thus, it is conceivable that fresh and dried fruits and tree nuts, which have been correctly irradiated to meet insect disinfestation/quarantine requirements, may still contain live insects at the time of importation. There is, however, a movement by plant quarantine authorities away from inspecting to ensure the absence of live insects in imported consignments towards examining through administrative procedures that a treatment required by law has been given. Nevertheless, there is a need to provide plant quarantine inspectors with a reliable objective method to verify that a minimum absorbed dose of radiation was given to supplement administrative procedures. Such an objective method is expected to bolster the confidence of the inspectors in clearing the consignment without delay and to facilitate trade in irradiated commodities. The Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture initiated a co-ordinated research project (CRP) in 1994 to generate data on the verification of absorbed dose of irradiation in fresh, dried fruits and tree nuts for insect disinfestation/quarantine purposes. A standardized label dose indicator available commercially was used to verify the minimum/maximum absorbed dose of the irradiated commodities for these purposes as required by regulations in certain countries. It appears that such a label dose indicator with certain modifications could be made available to assist national authorities and the food industry to verify the absorbed dose of irradiation to facilitate trade in such irradiated commodities. This TECDOC reports on the accomplishments of this co-ordinated research project and includes the papers presented by the participants

  19. Effect of oral cranberry extract (standardized proanthocyanidin-A) in patients with recurrent UTI by pathogenic E. coli: a randomized placebo-controlled clinical research study.

    Science.gov (United States)

    Singh, Iqbal; Gautam, Lokesh Kumar; Kaur, Iqbal R

    2016-09-01

    To evaluate the effect of cranberry extract (PAC-A ~ proanthocyanidin-A) on the in vitro bacterial properties of uropathogenic (E. coli) and its efficacy/tolerability in patients with subclinical or uncomplicated recurrent UTI (r-UTI). After obtaining clearance from the ethics committee and administering a written informed consent, 72 patients with r-UTI were enrolled as per protocol (November 2011 to March 2013) in this prospective study, to randomly receive (PAC-A: group I, 36) or (placebo: group II, 36), for 12 weeks. Any change/reduction in the incidence of r-UTI at 12 weeks was construed to be the primary endpoint of this study. After 12 weeks, bacterial adhesion scoring decreased (0.28)/(2.14) in group I/II (p cranberry could be demonstrated, and no adverse events were noted. The overall efficacy and tolerability of standardized cranberry extract containing (PAC-A) as a food supplement were superior to placebo in terms of reduced bacterial adhesion; bacterial MRHA negativity; urine pH reduction; and in preventing r-UTI (dysuria, bacteriuria and pyuria). Larger randomized controlled trials are needed to elucidate the precise role, exact dose and optimal duration of PAC-A therapy in patients at risk of r-UTI.

  20. Frequency standards

    CERN Document Server

    Riehle, Fritz

    2006-01-01

    Of all measurement units, frequency is the one that may be determined with the highest degree of accuracy. It equally allows precise measurements of other physical and technical quantities, whenever they can be measured in terms of frequency.This volume covers the central methods and techniques relevant for frequency standards developed in physics, electronics, quantum electronics, and statistics. After a review of the basic principles, the book looks at the realisation of commonly used components. It then continues with the description and characterisation of important frequency standards

  1. Extra Physiotherapy in Critical Care (EPICC) Trial Protocol: a randomised controlled trial of intensive versus standard physical rehabilitation therapy in the critically ill.

    Science.gov (United States)

    Thomas, Kirsty; Wright, Stephen E; Watson, Gillian; Baker, Catherine; Stafford, Victoria; Wade, Clare; Chadwick, Thomas J; Mansfield, Leigh; Wilkinson, Jennifer; Shen, Jing; Deverill, Mark; Bonner, Stephen; Hugill, Keith; Howard, Philip; Henderson, Andrea; Roy, Alistair; Furneval, Julie; Baudouin, Simon V

    2015-05-25

    Patients discharged from Critical Care suffer from excessive longer term morbidity and mortality. Physical and mental health measures of quality of life show a marked and immediate fall after admission to Critical Care with some recovery over time. However, physical function is still significantly reduced at 6 months. The National Institute for Health and Care Excellence clinical guideline on rehabilitation after critical illness, identified the need for high-quality randomised controlled trials to determine the most effective rehabilitation strategy for critically ill patients at risk of critical illness-associated physical morbidity. In response to this, we will conduct a randomised controlled trial, comparing physiotherapy aimed at early and intensive patient mobilisation with routine care. We hypothesise that this intervention will improve physical outcomes and the mental health and functional well-being of survivors of critical illness. 308 adult patients who have received more than 48 h of non-invasive or invasive ventilation in Critical Care will be recruited to a patient-randomised, parallel group, controlled trial, comparing two intensities of physiotherapy. Participants will be randomised to receive either standard or intensive physiotherapy for the duration of their Critical Care admission. Outcomes will be recorded on Critical Care discharge, at 3 and 6 months following initial recruitment to the study. The primary outcome measure is physical health at 6 months, as measured by the SF-36 Physical Component Summary. Secondary outcomes include assessment of mental health, activities of daily living, delirium and ventilator-free days. We will also include a health economic analysis. The trial has ethical approval from Newcastle and North Tyneside 2 Research Ethics Committee (11/NE/0206). There is a Trial Oversight Committee including an independent chair. The results of the study will be submitted for publication in peer-reviewed journals and

  2. A multicentre randomiSed controlled TRial of IntraVEnous immunoglobulin compared with standard therapy for the treatment of transverse myelitis in adults and children (STRIVE).

    Science.gov (United States)

    Absoud, Michael; Brex, Peter; Ciccarelli, Olga; Diribe, Onyinye; Giovannoni, Gavin; Hellier, Jennifer; Howe, Rosemary; Holland, Rachel; Kelly, Joanna; McCrone, Paul; Murphy, Caroline; Palace, Jackie; Pickles, Andrew; Pike, Michael; Robertson, Neil; Jacob, Anu; Lim, Ming

    2017-05-01

    Transverse myelitis (TM) is an immune-mediated disorder of the spinal cord that affects adults and children and that causes motor, sensory and autonomic dysfunction. There is a prolonged recovery phase, which may continue for many years. Neuromyelitis optica (NMO) is an uncommon relapsing inflammatory central nervous system condition in which TM can be the first presenting symptom. As TM and NMO affect many patients in the prime of their working life, the disorder can impose a significant demand on health resources. There are currently no robust controlled trials in children or adults to inform the optimal treatment of TM. However, treatment with intravenous immunoglobulin (IVIG) is being effectively used in the management of a range of neurological conditions. Although other interventions such as plasma exchange (PLEX) in addition to intravenous (IV) methylprednisolone therapy can be beneficial in TM, PLEX is costly and technically challenging to deliver in the acute setting. IVIG is more readily accessible and less costly. To evaluate whether additional and early treatment with IVIG is of extra benefit in TM compared with standard therapy with IV steroids. A multicentre, single-blind, parallel-group randomised controlled trial of IVIG compared with standard therapy for the treatment of TM in adults and children. Patients aged ≥ 1 year diagnosed with either acute first-onset TM or first presentation of NMO. Target recruitment was 170 participants (85 participants per arm). Participants were randomised 1 : 1 to treatment with IV methylprednisolone only or treatment with IV methylprednisolone plus 2 g/kg of IVIG in divided doses within 5 days of the first commencement of steroid therapy. Primary outcome measure - American Spinal Injury Association (ASIA) Impairment Scale at 6 months post randomisation, with a good outcome defined by a two-grade change. Secondary and tertiary outcome measures - ASIA motor and sensory scales, Expanded Disability Status Scale

  3. Supplementation of standard antibiotic therapy with oral probiotics for bacterial vaginosis and aerobic vaginitis: a randomised, double-blind, placebo-controlled trial.

    Science.gov (United States)

    Heczko, Piotr B; Tomusiak, Anna; Adamski, Paweł; Jakimiuk, Artur J; Stefański, Grzegorz; Mikołajczyk-Cichońska, Aleksandra; Suda-Szczurek, Magdalena; Strus, Magdalena

    2015-12-03

    This multicentre, randomised, double-blind, placebo-controlled trial was performed to determine whether the use of oral probiotic preparation (prOVag®) containing three Lactobacillus strains together with standard metronidazole treatment and also targeted antibiotic treatment (following the failure of metronidazole therapy) could reduce the recurrence rates of bacterial vaginosis (BV) and aerobic vaginitis (AV). Patients at private gynaecological clinics in Poland with histories of recurrent BV/AV and current symptoms were randomly allocated to receive metronidazole and probiotic or placebo, and assessed monthly on visits II and III-V. The total number of study visits was 5-6 (I, II, II bis - if applicable, III, IV, V). One probiotic or placebo capsule was administered with metronidazole/targeted antibiotic twice daily for 10 days; during follow up, patients took one capsule daily for 10 days perimenstrually. Clinical examination and vaginal swabbing were performed at each visit. Primary outcomes were clinical or microbiological BV/AV recurrence and probiotic safety. Secondary outcomes were vaginal pH, Nugent score, and Lactobacillus counts in the vaginal microbiota. Safety analysis was performed in 578 (probiotic, n = 285; placebo, n = 293) 18-50-year-old women who were randomised. BV/AV was confirmed microbiologically in 241 (probiotic, n = 118; placebo, n = 123) participants, who continued the trial. Data from 154 (probiotic, n = 73; placebo, n = 81) participants who completed the study were analysed to determine the efficacy of prOVag. Additional analyses included 37 (probiotic, n = 22; placebo, n = 15) participants who received targeted antibiotics and probiotics or placebo. prOVag lengthened the time to clinical relapse of BV/AV symptoms up to 51 % (p Probiotic use also reduced and maintained low vaginal pH and Nugent score, and increased vaginal Lactobacillus counts following standard treatment. This study demonstrated that

  4. Adaptation of running pattern to the drop of standard cushioned shoes: A randomised controlled trial with a 6-month follow-up.

    Science.gov (United States)

    Malisoux, Laurent; Gette, Paul; Chambon, Nicolas; Urhausen, Axel; Theisen, Daniel

    2017-08-01

    While several cross-sectional studies have investigated the acute effects of shoe drop on running biomechanics, the long-term consequences are currently unknown. This study aimed to investigate if the drop of standard cushioned shoes induces specific adaptations in running technique over a six-month period in leisure-time runners. Double-blinded randomised controlled trial. The participants (n=59) received a pair of shoes with a heel-to-toe drop of 10mm (D10), 6mm (D6) or 0mm (D0) and were followed-up regarding running training over 6 months or 500km, whichever came first. Spatio-temporal variables and kinematics (foot/ground, ankle and knee joint angles) were investigated while running at preferred speed on a treadmill before and after the follow-up. The participants ran 332±178km in the study shoes between pre- and post-tests. There was no shoe version by time interaction for any of the spatio-temporal variables nor for lower limb angles at initial ground contact. A small but significant shoe drop effect was found for knee abduction at mid-stance (p=0.032), as it decreased for the D0 version (-0.3±3.1 vs. -1.3±2.6°) while it increased for the D6 (0.3±2.7 vs. 1.3±3.1°) and D10 version (-0.2±3.2 vs. 0.5±3.1°). However, none of the pairwise comparisons was significant in the post-hoc analysis. Apart from knee abduction at mid-stance, no specific adaptation in spatio-temporal variables and kinematics was found between the three shoe versions during this 6-month follow-up. Thus, shoe drop of standard cushioned shoes does not seem to influence running biomechanics in the long term. Copyright © 2017 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  5. Knowledge and information sources on standard precautions and infection control of health sciences students at King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia, Riyadh.

    Science.gov (United States)

    Khubrani, Abdullah; Albesher, Meshal; Alkahtani, Abdulah; Alamri, Faisal; Alshamrani, Majid; Masuadi, Emad

    2017-11-11

    Only one study has been conducted in Saudi Arabia to assess medical students' knowledge of standard precautions (SPs) and infection control (IC). In this study, we examined knowledge of SPs and IC among clinical students attending the King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. In this cross-sectional study, we targeted clinical students from the following five colleges: Medicine (fifth and sixth years); Dentistry (second semester of the third, fourth, fifth, and sixth years); Applied Medical Sciences (third and fourth years); Nursing (third and fourth years); and Pharmacy (third, fourth, and fifth years). The data collection instrument was an adopted 41-item questionnaire that measured knowledge of SPs and IC in five domains. A score of ≥24 (60%) indicated sufficient knowledge. The participants comprised 129 students (67 men). The proportions of participants from each college were: Medicine, 58.1% (n=75); Dentistry, 14% (n=18); Applied Medical Sciences, 13.2% (n=17); Nursing, 10.9% (n=14); and Pharmacy, 3.9% (n=5). Most students (73.6%) demonstrated sufficient knowledge (men, 67.2% and women, 80.6%). The highest scores were obtained for the domains "general concept of SPs", "hand hygiene", and "personal protective equipment", whereas the lowest scores were obtained for "disposal of and injuries from sharp objects" and "health-care providers' care". The main information source was formal curricular teaching. In Saudi Arabia, students' knowledge of SPs and IC is satisfactory, with no significant differences between the sexes or between colleges. Thus, formal curricular teaching is an effective way to increase students' knowledge of SPs and IC. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  6. Effects of three approaches to standardized oral hygiene to reduce bacterial colonization and ventilator associated pneumonia in mechanically ventilated patients: a randomised control trial.

    Science.gov (United States)

    Berry, A M; Davidson, P M; Masters, J; Rolls, K; Ollerton, R

    2011-06-01

    Ventilator associated pneumonia remains an important concern in the intensive care unit (ICU). An increasing body of evidence shows that mortality and morbidity can be reduced by implementing a range of preventive strategies, including optimizing oral hygiene. The aim of this feasibility study was to test two oral hygiene strategies on the effects of microbial colonization of dental plaque with respiratory pathogens (primary outcome) and incidence of ventilator associated pneumonia (secondary outcome). A single blind randomised comparative study was conducted in a 20-bed adult intensive care unit in a university hospital. Patients with an expected duration of mechanical ventilation more than 48 h were eligible. Patients were randomised to one of three study regimens (Group A control, second hourly oral rinse with sterile water, Group B sodium bicarbonate mouth wash second hourly, and Group C twice daily irrigations with chlorhexidine 0.2% aqueous oral rinse and second hourly irrigations with sterile water). All study options included cleaning with a toothbrush and non foaming toothpaste. Data from a total of 109 patients were analyzed. Group A 43, Group B 33 and Group C 33 (mean age: 58 ± 17 years, simplified acute physiology score II: 44 ± 14 points). On admission no significant differences were found between groups for all clinical data. While Group B showed a greater trend to reduction in bacterial colonization no significant differences could be demonstrated at Day 4 of admission (p=0.302). The incidence of ventilator associated pneumonia was evenly spread between Groups B and C (5%) while Group A was only 1%. While a number of studies have advocated the use of various mouth rinses in reducing colonization of dental plaque a standardized oral hygiene protocol which includes the use of mechanical cleaning with a toothbrush may be a factor in the reduction of colonization of dental plaque with respiratory pathogens. This feasibility study provides data to

  7. Comparative standardization study for determination of reserpine in Rauwolfia serpentina homoeopathic mother tinctures manufactured by different pharmaceutical industries using HPTLC as a check for quality control

    Directory of Open Access Journals (Sweden)

    Binit Kumar Dwivedi

    2017-01-01

    Full Text Available Background: Rauwolfia serpentina (L. Benth. ex Kurz (Apocynaceae (Indian snakeroot, popularly known as Sarpagandha (Sanskrit, is used for the treatment of insanity, fever, snake bites, anxiety and in neuropsychiatric conditions. The antihypertensive actions of Reserpine are a result of its ability to deplete catecholamines (amongst other monoamine neurotransmitters from peripheral sympathetic nerve endings which are normally involved in controlling heart rate, force of cardiac contraction and peripheral vascular resistance. Objective: Comparative study of Reserpine content in R. serpentina homoeopathic mother tinctures manufactured by different pharmaceutical industries and in-house mother tinctures applying high-performance thin-layer chromatography investigative techniques to facilitate the use of correct species. Materials and Methods: The authentic samples of roots of R. serpentina were supplied by Centre of Medicinal Plants Research in Homoeopathy, Emerald, Tamil Nadu, India. Authentic plant material was used to prepare the mother tincture (as per Homoeopathic Pharmacopoeia of India. Reserpine (C33H40N2O9,M.P. 360°C, purity >99% w/w by high-performance liquid chromatography [HPLC] was purchased from Sigma-Aldrich as a standard reference. The solvents for the study, namely, ethanol, HPLC water, toluene, ethyl acetate, diethylamine and chloroform were of analytical grade purity (MERCK Ltd.,, used throughout. Results: Five samples of mother tinctures were used for the study, in-house mother tinctures (labelled: D and E of R. serpentina shows a higher amount of Reserpine content than the marketed samples (labelled: A, B and C. Conclusion: It may be concluded that mother tinctures prepared by authentic plants showed the excess amount of Reserpine rather than that of mother tinctures procured from the market.

  8. Efficacy of Web-Based Weight Loss Maintenance Programs: A Randomized Controlled Trial Comparing Standard Features Versus the Addition of Enhanced Personalized Feedback over 12 Months.

    Science.gov (United States)

    Collins, Clare E; Morgan, Philip J; Hutchesson, Melinda J; Oldmeadow, Christopher; Barker, Daniel; Callister, Robin

    2017-11-08

    Few randomized controlled trials (RCT) have evaluated the efficacy of web-based programs targeting maintenance of lost weight. The aims of this study were to evaluate two versions of a commercially available web-based weight loss maintenance (WLM) program and examine whether the provision of enhanced feedback was associated with better WLM. The study was an assessor-blinded RCT of change in body mass index (BMI) over 12 months WLM. Participants were 227 adults (44% male, 42.3 ± 10.1 years, BMI 30.4 ± 4.1 kg/m²) randomized to either a basic (Basic WLM) or enhanced program with additional support (Enhanced WLM). Analysis was intention-to-treat with imputation using last observation carried forward. There was no significant weight rebound from the start of weight loss maintenance to 12 months for either group (mean: basic 1.3%, enhanced 1.5%) and limited change in secondary outcomes for either program. There were no significant between-group differences in the primary outcome of change in BMI (basic -0.5 (1.9) kg/m², enhanced -0.5 (1.6) kg/m², p = 0.93). In conclusion, a web-based WLM program was effective in preventing weight regain over one year following weight loss. However, the addition of personalized e-feedback provided limited additional benefits compared to a standard program. Given the potential reach of web-based approaches, further research examining which web-based program components optimize weight outcomes long-term is required.

  9. Efficacy of Web-Based Weight Loss Maintenance Programs: A Randomized Controlled Trial Comparing Standard Features Versus the Addition of Enhanced Personalized Feedback over 12 Months

    Directory of Open Access Journals (Sweden)

    Clare E. Collins

    2017-11-01

    Full Text Available Few randomized controlled trials (RCT have evaluated the efficacy of web-based programs targeting maintenance of lost weight. The aims of this study were to evaluate two versions of a commercially available web-based weight loss maintenance (WLM program and examine whether the provision of enhanced feedback was associated with better WLM. The study was an assessor-blinded RCT of change in body mass index (BMI over 12 months WLM. Participants were 227 adults (44% male, 42.3 ± 10.1 years, BMI 30.4 ± 4.1 kg/m2 randomized to either a basic (Basic WLM or enhanced program with additional support (Enhanced WLM. Analysis was intention-to-treat with imputation using last observation carried forward. There was no significant weight rebound from the start of weight loss maintenance to 12 months for either group (mean: basic 1.3%, enhanced 1.5% and limited change in secondary outcomes for either program. There were no significant between-group differences in the primary outcome of change in BMI (basic −0.5 (1.9 kg/m2, enhanced −0.5 (1.6 kg/m2, p = 0.93. In conclusion, a web-based WLM program was effective in preventing weight regain over one year following weight loss. However, the addition of personalized e-feedback provided limited additional benefits compared to a standard program. Given the potential reach of web-based approaches, further research examining which web-based program components optimize weight outcomes long-term is required.

  10. Automated saturated standard cell intercomparison

    Energy Technology Data Exchange (ETDEWEB)

    Bell, B.E.; Deitesfeld, C.A. (ed.)

    1987-10-05

    A cost effective, highly efficient, and automatic method of intercomparing standard cells has been sought after and implemented, utilizing computer control and a commercially available scanner. This system reduces intercomparison time from 4 hours to 30 minutes using the standard National Bureau of Standard (NBS) 4 x 4 design. 7 figs., 1 tab.

  11. Tight intra-operative blood pressure control versus standard care for patients undergoing hip fracture repair - Hip Fracture Intervention Study for Prevention of Hypotension (HIP-HOP) trial: study protocol for a randomised controlled trial.

    Science.gov (United States)

    Moppett, Iain Keith; White, Stuart; Griffiths, Richard; Buggy, Donal

    2017-07-25

    Hypotension during anaesthesia for hip fracture surgery is common. Recent data suggest that there is an association between the lowest intra-operative blood pressure and mortality, even when adjusted for co-morbidities. This is consistent with data derived from the wider surgical population, where magnitude and duration of hypotension are associated with mortality and peri-operative complications. However, there are no trial to data to support more aggressive blood pressure control. We are conducting a three-centre, randomised, double-blinded pilot study in three hospitals in the United Kingdom. The sample size will be 75 patients (25 from each centre). Randomisation will be done using computer-generated concealed tables. Both participants and investigators will be blinded to group allocation. Participants will be aged >70 years, cognitively intact (Abbreviated Mental Test Score 7 or greater), able to give informed consent and admitted directly through the emergency department with a fractured neck of the femur requiring operative repair. Patients randomised to tight blood pressure control or avoidance of intra-operative hypotension will receive active treatment as required to maintain both of the following: systolic arterial blood pressure >80% of baseline pre-operative value and mean arterial pressure >75 mmHg throughout. All participants will receive standard hospital care, including spinal or general anaesthesia, at the discretion of the clinical team. The primary outcome is a composite of the presence or absence of defined cardiovascular, renal and delirium morbidity within 7 days of surgery (myocardial injury, stroke, acute kidney injury, delirium). Secondary endpoints will include the defined individual morbidities, mortality, early mobility and discharge to usual residence. This is a small-scale pilot study investigating the feasibility of a trial of tight intra-operative blood pressure control in a frail elderly patient group with known high morbidity

  12. Controlling

    OpenAIRE

    Hriňáková, Daniela

    2014-01-01

    The topic of my diploma thesis is controlling. The first part is theoretical where I describe the history, meaning and functions of controlling. After that I also specify the methods of strategical, operational and cost controlling. The practical part applied method of controlling to the selected company. The aim of this study is to determine the benefits of controlling for the company. At the operational level it describes the process of controlling in the firm and there are given suggestion...

  13. The development of the American National Standard 'control of radioactive surface contamination on materials equipment and facilities to be released for uncontrolled use'

    International Nuclear Information System (INIS)

    Shapiro, J.

    1980-01-01

    A new standard submitted by the Health Physics Society Standards Committee to the American National Standards Institute concerning radioactive surface contamination of materials and equipment is discussed. The chronological events in the development of this standard are given. The standard provides criteria for the release for uncontrolled use of materials, equipment and facilities contaminated or potentially contaminated with radioactivity. Permissible contamination limits are specified for: 1) long lived alpha emitters except natural uranium and thorium, 2) more hazardous beta-gamma emitters, 3) less hazardous beta-gamma emitters and 4) natural uranium and thorium. A contamination reference level of 1000 dpm/100 cm 2 for 90 Sr was set as the basis for assigning limits to radionuclides presenting an ingestion hazard and other radionuclides were grouped based on the values of their maximum permissible concentration (MPC) in water relative to 90 Sr. The contamination limit for 239 Pu was chosen as the basis for assigning limits based on MPC in air to radionuclides presenting an inhalation hazard; a value of 100 dpm/100 cm 2 was adopted in the standard. An upper limit of 5000 dpm/100 cm 2 for surface contamination was selected for the standard. (UK)

  14. An international collaboration to standardize HIV-2 viral load assays: results from the 2009 ACHI(E)V(2E) quality control study.

    Science.gov (United States)

    Damond, F; Benard, A; Balotta, Claudia; Böni, Jürg; Cotten, Matthew; Duque, Vitor; Ferns, Bridget; Garson, Jeremy; Gomes, Perpetua; Gonçalves, Fátima; Gottlieb, Geoffrey; Kupfer, Bernd; Ruelle, Jean; Rodes, Berta; Soriano, Vicente; Wainberg, Mark; Taieb, Audrey; Matheron, Sophie; Chene, Genevieve; Brun-Vezinet, Francoise

    2011-10-01

    Accurate HIV-2 plasma viral load quantification is crucial for adequate HIV-2 patient management and for the proper conduct of clinical trials and international cohort collaborations. This study compared the homogeneity of HIV-2 RNA quantification when using HIV-2 assays from ACHI(E)V(2E) study sites and either in-house PCR calibration standards or common viral load standards supplied to all collaborators. Each of the 12 participating laboratories quantified blinded HIV-2 samples, using its own HIV-2 viral load assay and standard as well as centrally validated and distributed common HIV-2 group A and B standards (http://www.hiv.lanl.gov/content/sequence/HelpDocs/subtypes-more.html). Aliquots of HIV-2 group A and B strains, each at 2 theoretical concentrations (2.7 and 3.7 log(10) copies/ml), were tested. Intralaboratory, interlaboratory, and overall variances of quantification results obtained with both standards were compared using F tests. For HIV-2 group A quantifications, overall and interlaboratory and/or intralaboratory variances were significantly lower when using the common standard than when using in-house standards at the concentration levels of 2.7 log(10) copies/ml and 3.7 log(10) copies/ml, respectively. For HIV-2 group B, a high heterogeneity was observed and the variances did not differ according to the type of standard used. In this international collaboration, the use of a common standard improved the homogeneity of HIV-2 group A RNA quantification only. The diversity of HIV-2 group B, particularly in PCR primer-binding regions, may explain the heterogeneity in quantification of this strain. Development of a validated HIV-2 viral load assay that accurately quantifies distinct circulating strains is needed.

  15. Efficacy of standard versus enhanced features in a Web-based commercial weight-loss program for obese adults, part 2: randomized controlled trial.

    Science.gov (United States)

    Collins, Clare E; Morgan, Philip J; Hutchesson, Melinda J; Callister, Robin

    2013-07-22

    Commercial Web-based weight-loss programs are becoming more popular and increasingly refined through the addition of enhanced features, yet few randomized controlled trials (RCTs) have independently and rigorously evaluated the efficacy of these commercial programs or additional features. To determine whether overweight and obese adults randomized to an online weight-loss program with additional support features (enhanced) experienced a greater reduction in body mass index (BMI) and increased usage of program features after 12 and 24 weeks compared to those randomized to a standard online version (basic). An assessor-blinded RCT comparing 301 adults (male: n=125, 41.5%; mean age: 41.9 years, SD 10.2; mean BMI: 32.2 kg/m(2), SD 3.9) who were recruited and enrolled offline, and randomly allocated to basic or enhanced versions of a commercially available Web-based weight-loss program for 24 weeks. Retention at 24 weeks was greater in the enhanced group versus the basic group (basic 68.5%, enhanced 81.0%; P=.01). In the intention-to-treat analysis of covariance with imputation using last observation carried forward, after 24 weeks both intervention groups had reductions in key outcomes with no difference between groups: BMI (basic mean -1.1 kg/m(2), SD 1.5; enhanced mean -1.3 kg/m(2), SD 2.0; P=.29), weight (basic mean -3.3 kg, SD 4.7; enhanced mean -4.0 kg, SD 6.2; P=.27), waist circumference (basic mean -3.1 cm, SD 4.6; enhanced mean -4.0 cm, SD 6.2; P=.15), and waist-to-height ratio (basic mean -0.02, SD 0.03; enhanced mean -0.02, SD 0.04, P=.21). The enhanced group logged in more often at both 12 and 24 weeks, respectively (enhanced 12-week mean 34.1, SD 28.1 and 24-week mean 43.1, SD 34.0 vs basic 12-week mean 24.6, SD 25.5 and 24-week mean 31.8, SD 33.9; P=.002). The addition of personalized e-feedback in the enhanced program provided limited additional benefits compared to a standard commercial Web-based weight-loss program. However, it does support greater

  16. Standardization in synthetic biology.

    Science.gov (United States)

    Müller, Kristian M; Arndt, Katja M

    2012-01-01

    Synthetic Biology is founded on the idea that complex biological systems are built most effectively when the task is divided in abstracted layers and all required components are readily available and well-described. This requires interdisciplinary collaboration at several levels and a common understanding of the functioning of each component. Standardization of the physical composition and the description of each part is required as well as a controlled vocabulary to aid design and ensure interoperability. Here, we describe standardization initiatives from several disciplines, which can contribute to Synthetic Biology. We provide examples of the concerted standardization efforts of the BioBricks Foundation comprising the request for comments (RFC) and the Registry of Standardized Biological parts as well as the international Genetically Engineered Machine (iGEM) competition.

  17. Low Impact Development Standards

    Energy Technology Data Exchange (ETDEWEB)

    Loftin, Samuel R. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-10-02

    The goal of the LID Standards is to provide guidance on the planning, design, construction and maintenance of green infrastructure (GI) features at Los Alamos National Laboratory. The success of LID at LANL is dependent on maintaining a consistent approach to achieve effective application, operation, and maintenance of these storm water control features.

  18. Comparison of secure messaging application (WhatsApp) and standard telephone usage for consultations on Length of Stay in the ED. A prospective randomized controlled study.

    Science.gov (United States)

    Gulacti, Umut; Lok, Ugur

    2017-07-19

    Consultation, the process of an Emergency Physician seeking an opinion from other specialties, occurs frequently in the Emergency Department (ED). The aim of this study was to determine the effect of secure messaging application (WhatsApp) usage for medical consultations on Emergency Department Length of Stay (ED LOS) and consult time. We conducted a prospective, randomized controlled trial in the ED using allocation concealment over three months. Consultations requested in the ED were allocated into two groups: consultations requested via the secure messaging application and consultations requested by telephone as verbal. A total of 439 consultations requested in the ED were assessed for eligibility and 345 were included in the final analysis: 173 consultations were conducted using secure messaging application and 172 consultations were conducted using standard telephone communications. The median ED LOS was 240 minutes (IQR:230-270, 95% CI:240 to 255.2) for patients in the secure messaging application group and 277 minutes (IQR:270-287.8, 95% CI:277 to 279) for patients in the telephone group. The median total ED LOS was significantly lower among consults conducted using Secure messaging application relative to consults conducted by telephone (median dif: -30, 95%CI:-37to-25, p<0.0001). The median consult time was 158 minutes (IQR:133 to 177.25, 95% CI:150 to 169) for patients in the Secure messaging application group and 170 minutes (IQR:165 to 188.5, 95% CI:170-171) for patients in the Telephone group (median dif: -12, 95%CI:-19 to-7,p<0.0001). Consultations completed without ED arrival was 61.8% in the secure messaging group and 33.1% in the Telephone group (dif: 28.7, 95% CI:48.3 to 66, p<0.001). Use of secure messaging application for consultations in the ED reduces the total ED LOS and consultation time. Consultation with secure messaging application eliminated more than half of in-person ED consultation visits.

  19. Movement cognition and narration of the emotions treatment versus standard speech therapy in the treatment of children with borderline intellectual functioning: a randomized controlled trial.

    Science.gov (United States)

    Blasi, V; Baglio, G; Baglio, F; Canevini, M P; Zanette, M

    2017-04-20

    Borderline intellectual functioning (BIF) is defined as a "health meta-condition… characterized by various cognitive dysfunctions associated with an intellectual quotient (IQ) between 71 and 85 which determines a deficit in the individual's functioning both in the restriction of activities and in the limitation of social participation". It can be caused by many factors, including a disadvantaged background and prematurity. BIF affects 7-12% of primary school children that show academic difficulties due to poor executive functioning. In many children with BIF, language, movement and social abilities are also affected, making it difficult to take part in daily activities. Dropping out of school and psychological afflictions such as anxiety and depression are common in children with BIF. This study investigates whether an intensive rehabilitation program that involves all of the areas affected in children with BIF (Movement, Cognition and Narration of emotions, MCNT) is more effective than Standard Speech Therapy (SST). This is a multicenter interventional single blind randomized controlled study. Children aged between 6 to 11 years who attend a mainstream primary school and have multiple learning difficulties, behavioral problems and an IQ ranging between 85 to 70 have been enrolled. Participants are randomly allocated to one of three groups. The first group receives individual treatment with SST for 45 min, twice a week for 9 months. The second group receives the experimental treatment MCNT for 3 h per day, 5 days/ week for 9 months and children work in small groups. The third group consists of children on a waiting list for the SST for nine months. BIF is a very frequent condition with no ad hoc treatment. Over the long term, there is a high risk to develop psychiatric disorders in adulthood. Due to its high social impact, we consider it very important to intervene during childhood so as to intercept the remarkable plasticity of the developing brain. "Study

  20. The use of portable video media vs standard verbal communication in the urological consent process: a multicentre, randomised controlled, crossover trial.

    Science.gov (United States)

    Winter, Matthew; Kam, Jonathan; Nalavenkata, Sunny; Hardy, Ellen; Handmer, Marcus; Ainsworth, Hannah; Lee, Wai Gin; Louie-Johnsun, Mark

    2016-11-01

    To determine if portable video media (PVM) improves patient's knowledge and satisfaction acquired during the consent process for cystoscopy and insertion of a ureteric stent compared to standard verbal communication (SVC), as informed consent is a crucial component of patient care and PVM is an emerging technology that may help improve the consent process. In this multi-centre randomised controlled crossover trial, patients requiring cystoscopy and stent insertion were recruited from two major teaching hospitals in Australia over a 15-month period (July 2014-December 2015). Patient information delivery was via PVM and SVC. The PVM consisted of an audio-visual presentation with cartoon animation presented on an iPad. Patient satisfaction was assessed using the validated Client Satisfaction Questionnaire 8 (CSQ-8; maximum score 32) and knowledge was tested using a true/false questionnaire (maximum score 28). Questionnaires were completed after first intervention and after crossover. Scores were analysed using the independent samples t-test and Wilcoxon signed-rank test for the crossover analysis. In all, 88 patients were recruited. A significant 3.1 point (15.5%) increase in understanding was demonstrable favouring the use of PVM (P < 0.001). There was no difference in patient satisfaction between the groups as judged by the CSQ-8. A significant 3.6 point (17.8%) increase in knowledge score was seen when the SVC group were crossed over to the PVM arm. A total of 80.7% of patients preferred PVM and 19.3% preferred SVC. Limitations include the lack of a validated questionnaire to test knowledge acquired from the interventions. This study demonstrates patients' preference towards PVM in the urological consent process of cystoscopy and ureteric stent insertion. PVM improves patient's understanding compared with SVC and is a more effective means of content delivery to patients in terms of overall preference and knowledge gained during the consent process. © 2016 The

  1. Comparative effectiveness of a complex Ayurvedic treatment and conventional standard care in osteoarthritis of the knee--study protocol for a randomized controlled trial.

    Science.gov (United States)

    Witt, Claudia M; Michalsen, Andreas; Roll, Stephanie; Morandi, Antonio; Gupta, Shivnarain; Rosenberg, Mark; Kronpass, Ludwig; Stapelfeldt, Elmar; Hissar, Syed; Müller, Matthias; Kessler, Christian

    2013-05-23

    Traditional Indian Ayurvedic medicine uses complex treatment approaches, including manual therapies, lifestyle and nutritional advice, dietary supplements, medication, yoga, and purification techniques. Ayurvedic strategies are often used to treat osteoarthritis (OA) of the knee; however, no systematic data are available on their effectiveness in comparison with standard care. The aim of this study is to evaluate the effectiveness of complex Ayurvedic treatment in comparison with conventional methods of treating OA symptoms in patients with knee osteoarthritis. In a prospective, multicenter, randomized controlled trial, 150 patients between 40 and 70 years, diagnosed with osteoarthritis of the knee, following American College of Rheumatology criteria and an average pain intensity of ≥40 mm on a 100 mm visual analog scale in the affected knee at baseline will be randomized into two groups. In the Ayurveda group, treatment will include tailored combinations of manual treatments, massages, dietary and lifestyle advice, consideration of selected foods, nutritional supplements, yoga posture advice, and knee massage. Patients in the conventional group will receive self-care advice, pain medication, weight-loss advice (if overweight), and physiotherapy following current international guidelines. Both groups will receive 15 treatment sessions over 12 weeks. Outcomes will be evaluated after 6 and 12 weeks and 6 and 12 months. The primary endpoint is a change in the score on the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) after 12 weeks. Secondary outcome measurements will use WOMAC subscales, a pain disability index, a visual analog scale for pain and sleep quality, a pain experience scale, a quality-of-life index, a profile of mood states, and Likert scales for patient satisfaction, patient diaries, and safety. Using an adapted PRECIS scale, the trial was identified as lying mainly in the middle of the efficacy-effectiveness continuum. This trial

  2. Comparative effectiveness of a complex Ayurvedic treatment and conventional standard care in osteoarthritis of the knee – study protocol for a randomized controlled trial

    Science.gov (United States)

    2013-01-01

    Background Traditional Indian Ayurvedic medicine uses complex treatment approaches, including manual therapies, lifestyle and nutritional advice, dietary supplements, medication, yoga, and purification techniques. Ayurvedic strategies are often used to treat osteoarthritis (OA) of the knee; however, no systematic data are available on their effectiveness in comparison with standard care. The aim of this study is to evaluate the effectiveness of complex Ayurvedic treatment in comparison with conventional methods of treating OA symptoms in patients with knee osteoarthritis. Methods and design In a prospective, multicenter, randomized controlled trial, 150 patients between 40 and 70 years, diagnosed with osteoarthritis of the knee, following American College of Rheumatology criteria and an average pain intensity of ≥40 mm on a 100 mm visual analog scale in the affected knee at baseline will be randomized into two groups. In the Ayurveda group, treatment will include tailored combinations of manual treatments, massages, dietary and lifestyle advice, consideration of selected foods, nutritional supplements, yoga posture advice, and knee massage. Patients in the conventional group will receive self-care advice, pain medication, weight-loss advice (if overweight), and physiotherapy following current international guidelines. Both groups will receive 15 treatment sessions over 12 weeks. Outcomes will be evaluated after 6 and 12 weeks and 6 and 12 months. The primary endpoint is a change in the score on the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) after 12 weeks. Secondary outcome measurements will use WOMAC subscales, a pain disability index, a visual analog scale for pain and sleep quality, a pain experience scale, a quality-of-life index, a profile of mood states, and Likert scales for patient satisfaction, patient diaries, and safety. Using an adapted PRECIS scale, the trial was identified as lying mainly in the middle of the efficacy

  3. Thromboelastometry versus standard coagulation tests versus restrictive protocol to guide blood transfusion prior to central venous catheterization in cirrhosis: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Rocha, Leonardo Lima; Pessoa, Camila Menezes Souza; Neto, Ary Serpa; do Prado, Rogerio Ruscitto; Silva, Eliezer; de Almeida, Marcio Dias; Correa, Thiago Domingos

    2017-02-27

    Liver failure patients have traditionally been empirically transfused prior to invasive procedures. Blood transfusion is associated with immunologic and nonimmunologic reactions, increased risk of adverse outcomes and high costs. Scientific evidence supporting empirical transfusion is lacking, and the best approach for blood transfusion prior to invasive procedures in cirrhotic patients has not been established so far. The aim of this study is to compare three transfusion strategies (routine coagulation test-guided - ordinary or restrictive, or thromboelastometry-guided) prior to central venous catheterization in critically ill patients with cirrhosis. Design and setting: a double-blinded, parallel-group, single-center, randomized controlled clinical trial in a tertiary private hospital in São Paulo, Brazil. adults (aged 18 years or older) admitted to the intensive care unit with cirrhosis and an indication for central venous line insertion. Patients will be randomly assigned to three groups for blood transfusion strategy prior to central venous catheterization: standard coagulation tests-based, thromboelastometry-based, or restrictive. The primary efficacy endpoint will be the proportion of patients transfused with any blood product prior to central venous catheterization. The primary safety endpoint will be the incidence of major bleeding. Secondary endpoints will be the proportion of transfusion of fresh frozen plasma, platelets and cryoprecipitate; infused volume of blood products; hemoglobin and hematocrit before and after the procedure; intensive care unit and hospital length of stay; 28-day and hospital mortality; incidence of minor bleeding; transfusion-related adverse reactions; and cost analysis. This study will evaluate three strategies to guide blood transfusion prior to central venous line placement in severely ill patients with cirrhosis. We hypothesized that thromboelastometry-based and/or restrictive protocols are safe and would significantly

  4. A randomised controlled study of standard versus accelerated deflation of the Terumo radial band haemostasis device after transradial diagnostic cardiac catheterisation.

    Science.gov (United States)

    Deuling, J Han; Vermeulen, Robert P; van den Heuvel, Ad Fm; Schurer, Remco Aj; van der Harst, Pim

    2017-04-01

    Radial access is the preferential access route in patients undergoing diagnostic coronary angiography. We hypothesised that we could reduce hospital stay and improve patient comfort by accelerated deflation of the radial compression device (Terumo radial band). The aim of this study was to compare accelerated pressure reduction with a standard Terumo radial band protocol with regard to local bleeding complications and reported pain scores after cardiac catheterisation. We performed a single centre prospective randomised trial to compare accelerated care to standard care for patients undergoing diagnostic catheterisation through radial access. Patients in the accelerated care group started deflation after 1 hour, with a 2 ml/10-minute interval. Patients in the standard care group started after 2 hours with additional steps of deflation at 3 and 4 hours. Of the 173 analysed patients 86 received accelerated care and 87 patients standard care. A total of 19 patients had pulsatile bleeding, which occurred similarly in the two groups (standard care 11 vs. accelerated care 8, P=0.47). The time to Terumo radial band removal was on average 129 minutes shorter for accelerated care patients compared to standard care ( P<0.01). At 1 hour after Terumo radial band placement, accelerated care patients more often reported pain scores of 0 than standard care patients (89% vs. 74%, P=0.02). There was no increase in local bleedings in the accelerated pressure reduction of the Terumo radial band after diagnostic cardiac catheterisation, increasing patient comfort and reducing hospital stay. These findings will further facilitate the widespread implementation of radial access.

  5. Standard Obstacles

    Science.gov (United States)

    1980-06-25

    OFFICE NAME AND ADDRESS ( DSE AF..~ N 11 US ARMY TEST AND EVALUATION COMAND 25SE-D ?’N ABERDEEN PROVING GROUND, MARYLAND 21005 14. MONITORING AGENCY...given to the engine, transmission, brakes, and running gear. 4. TEST CONTROLS. Prepare data sheets and checklists to assure that all steps in testing

  6. Cost-Effectiveness Evaluation of Heparin Coated Versus Standard Graft for Bypass Surgery in Peripheral Artery Disease Alongside a Randomised Controlled Trial

    DEFF Research Database (Denmark)

    Villemoes, Marie K; Lindholt, Jes S; Houlind, Kim C

    2018-01-01

    OBJECTIVE/BACKGROUND: Heparin coating has recently been shown to reduce the risk of graft failure in arterial revascularisation, at least transiently. The aim of this study was to assess the cost-effectiveness of heparin coated versus standard polytetrafluoroethylene grafts for bypass surgery......), it increased to 89% for this subgroup. CONCLUSION: Until further evidence, heparin coated grafts appear overall, to be cost-effective over standard grafts, but important heterogeneity between claudication and critical ischaemia should be noted. While the optimal choice for claudication remains uncertain......, heparin coated grafts should be used for critical ischaemia....

  7. ISO radiation sterilization standards

    International Nuclear Information System (INIS)

    Lambert, Byron J.; Hansen, Joyce M.

    1998-01-01

    This presentation provides an overview of the current status of the ISO radiation sterilization standards. The ISO standards are voluntary standards which detail both the validation and routine control of the sterilization process. ISO 11137 was approved in 1994 and published in 1995. When reviewing the standard you will note that less than 20% of the standard is devoted to requirements and the remainder is guidance on how to comply with the requirements. Future standards developments in radiation sterilization are being focused on providing additional guidance. The guidance that is currently provided in informative annexes of ISO 11137 includes: device/packaging materials, dose setting methods, and dosimeters and dose measurement, currently, there are four Technical Reports being developed to provide additional guidance: 1. AAMI Draft TIR, 'Radiation Sterilization Material Qualification' 2. ISO TR 13409-1996, 'Sterilization of health care products - Radiation sterilization - Substantiation of 25 kGy as a sterilization dose for small or infrequent production batches' 3. ISO Draft TR, 'Sterilization of health care products - Radiation sterilization Selection of a sterilization dose for a single production batch' 4. ISO Draft TR, 'Sterilization of health care products - Radiation sterilization-Product Families, Plans for Sampling and Frequency of Dose Audits'

  8. Matched case-control study of quality of life and xerostomia after intensity-modulated radiotherapy or standard radiotherapy for head-and-neck cancer: Initial report

    International Nuclear Information System (INIS)

    Jabbari, Siavash; Kim, Hyungjin M.; Feng, Mary; Lin, Alexander; Tsien, Christina; Elshaikh, Mohamed; Terrel, Jeffrey E.; Murdoch-Kinch, Carol; Eisbruch, Avraham

    2005-01-01

    Purpose: To compare quality of life (QOL) and xerostomia between head-and-neck cancer patients who received standard radiotherapy (RT) and patients matched by factors known to affect QOL who received intensity-modulated RT (IMRT). Methods and Materials: This was a prospective, longitudinal study of patients with head-and-neck cancer requiring bilateral neck irradiation who received IMRT at the University of Michigan and patients who received standard RT at affiliated clinics. Each patient received a validated head-and-neck cancer-related QOL questionnaire (HNQOL) consisting of four multi-item domains-Eating, Communication, Pain, and Emotion-and a validated patient-reported xerostomia questionnaire (XQ). In both questionnaires, the answers were scored 0-100, with higher scores denoting worse QOL or xerostomia. The questionnaires were given before therapy and at 1, 3, 6, 12, 18, and 24 months after the completion of therapy. Each standard RT patient was matched with several IMRT patients according to tumor site, stage, RT status (postoperative or definitive), and age. A linear mixed-effects model was fit to compare outcomes between the two treatment groups and to model trends over time. To account for matching, the differences in scores between the matched sets of patients were fit as a random intercept. Also, matching was taken into account in the model by using the standard error of the within-paired-groups differences. Results: Between 1997 and 2002, 10 patients who had received standard RT and answered the XQ and HNQOL through at least 1 year were included in the study. Each of these patients was matched with a subgroup of 2-5 patients (median, 3) who had received IMRT, had similar patient and tumor characteristics, and answered the same questionnaires. A total of 30 patients were included in the IMRT group. During the initial months after therapy, the XQ and HNQOL summary scores worsened significantly in both groups compared with the pretherapy scores. Starting

  9. La norma argentina de construcción de tesauros IRAM 32057: necesidad de actualización. 1. El vocabulario controlado The Argentine Standard for Thesaurus Construction IRAM 32057: a Need for Updating. 1. The Controlled Vocabulary

    Directory of Open Access Journals (Sweden)

    Ana M. Martínez

    2009-12-01

    Full Text Available Se comparó la norma argentina de construcción de tesauros monolingües (IRAM 32057:1983 con las últimas ediciones de la norma internacional (ISO 2788:1986, las normas nacionales de España (UNE 50106:1990, Estados Unidos (Z39.19:2005 y Gran Bretaña (BSI 8723-2:2005b, así como diversos manuales reconocidos. Se analizaron tanto el alcance y los aspectos formales de la norma, como los conceptos referidos a la normativa sobre el vocabulario controlado. El alcance de la norma argentina se limita a la construcción de tesauros monolingües, mientras que las nuevas normas estadounidense y británica cubren también diferentes sistemas de organización del conocimiento. En relación con los aspectos formales, la norma argentina carece de tabla de contenido, índice analítico, glosario, bibliografía y algunas secciones y anexos, contando además con muy pocos ejemplos. En cuanto a los aspectos conceptuales, algunas definiciones son incorrectas o desactualizadas, lo mismo que algunas de las recomendaciones para el control del vocabulario. Se concluye que la norma argentina debería revisarse y actualizarse de conformidad con las normas publicadas recientemente y la norma ISO 25964 aún en preparación.The Argentine standard for the construction of monolingual thesaurus (IRAM 32057:1983 was compared with the last editions of the international standard (ISO 2788:1986, and the national standards of Spain (UNE 50106:1990, United States (Z39.19:2005, and Great Britain (BSI 8723-2:2005b, and very well known manuals. The scope and formal issues were analyzed, as well as the conceptual issues for controlled vocabulary. The scope of the Argentine standard is limited to the construction of monolingual thesauri, while the new North-American and British standards also cover different knowledge organization systems. In relation to the formal issues, the Argentine standard has not table of content, analytical index, glossary, bibliography and some sections and

  10. Non-specific effects of standard measles vaccine at 4.5 and 9 months of age on childhood mortality: randomised controlled trial.

    Science.gov (United States)

    Aaby, Peter; Martins, Cesário L; Garly, May-Lill; Balé, Carlito; Andersen, Andreas; Rodrigues, Amabelia; Ravn, Henrik; Lisse, Ida M; Benn, Christine S; Whittle, Hilton C

    2010-11-30

    To examine in a randomised trial whether a 25% difference in mortality exists between 4.5 months and 3 years of age for children given two standard doses of Edmonston-Zagreb measles vaccines at 4.5 and 9 months of age compared with those given one dose of measles vaccine at 9 months of age (current policy). Randomised controlled trial. The Bandim Health Project, Guinea-Bissau, which maintains a health and demographic surveillance system in an urban area. 6648 children aged 4.5 months of age who had received three doses of diphtheria-tetanus-pertussis vaccine at least four weeks before enrolment. A large proportion of the children (80%) had previously taken part in randomised trials of neonatal vitamin A supplementation. Children were randomised to receive Edmonston-Zagreb measles vaccine at 4.5 and 9 months of age (group A), no vaccine at 4.5 months and Edmonston-Zagreb measles vaccine at 9 months of age (group B), or no vaccine at 4.5 months and Schwarz measles vaccine at 9 months of age (group C). Main outcome measure Mortality rate ratio between 4.5 and 36 months of age for group A compared with groups B and C. Secondary outcomes tested the hypothesis that the beneficial effect was stronger in the 4.5 to 9 months age group, in girls, and in the dry season, but the study was not powered to test whether effects differed significantly between subgroups. In the intention to treat analysis of mortality between 4.5 and 36 months of age the mortality rate ratio of children who received two doses of Edmonston-Zagreb vaccine at 4.5 and 9 months of age compared with those who received a single dose of Edmonston-Zagreb vaccine or Schwarz vaccine at 9 months of age was 0.78 (95% confidence interval 0.59 to 1.05). In the analyses of secondary outcomes, the intention to treat mortality rate ratio was 0.67 (0.38 to 1.19) between 4.5 and 9 months and 0.83 (0.83 to 1.16) between 9 and 36 months of age. The effect on mortality between 4.5 and 36 months of age was significant for

  11. Does the Responsive Classroom Approach Affect the Use of Standards-Based Mathematics Teaching Practices?: Results from a Randomized Controlled Trial

    Science.gov (United States)

    Ottmar, Erin R.; Rimm-Kaufman, Sara E.; Berry, Robert Q.; Larsen, Ross A.

    2013-01-01

    This study highlights the connections between two facets of teachers' skills--those supporting teachers' mathematical instructional interactions and those underlying social interactions within the classroom. The impact of the Responsive Classroom (RC) approach and use of RC practices on the use of standards-based mathematics teaching practices was…

  12. Non-specific effects of standard measles vaccine at 4.5 and 9 months of age on childhood mortality: randomised controlled trial

    DEFF Research Database (Denmark)

    Aaby, Peter; Martins, Cecilia; Garly, M.L.

    2010-01-01

    Objective To examine in a randomised trial whether a 25% difference in mortality exists between 4.5 months and 3 years of age for children given two standard doses of Edmonston-Zagreb measles vaccines at 4.5 and 9 months of age compared with those given one dose of measles vaccine at 9 months of ...

  13. Low-intensity blue-enriched white light (750 lux) and standard bright light (10 000 lux) are equally effective in treating SAD. A randomized controlled study

    NARCIS (Netherlands)

    Meesters, Ybe; Dekker, Vera; Schlangen, Luc J. M.; Bos, Elske H.; Ruiter, Martine J.

    2011-01-01

    Background: Photoreceptor cells containing melanopsin play a role in the phase-shifting effects of short-wavelength light. In a previous study, we compared the standard light treatment (SLT) of SAD with treatment using short-wavelength blue-enriched white light (BLT). Both treatments used the same

  14. Standard test method for determining plutonium by controlled-potential coulometry in H2SO4 at a platinum working electrode

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    1990-01-01

    1.1 This test method covers the determination of milligram quantities of plutonium in unirradiated uranium-plutonium mixed oxide having a U/Pu ratio range of 0.1 to 10. This test method is also applicable to plutonium metal, plutonium oxide, uranium-plutonium mixed carbide, various plutonium compounds including fluoride and chloride salts, and plutonium solutions. 1.2 The recommended amount of plutonium for each aliquant in the coulometric analysis is 5 to 10 mg. Precision worsens for lower amounts of plutonium, and elapsed time of electrolysis becomes impractical for higher amounts of plutonium. 1.3 The values stated in SI units are to be regarded as standard. No other units are to be regarded as standard. 1.4 This standard does not purport to address all of the safety concens, 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. Specific precaution...

  15. A Randomized Controlled Trial of 7-Day Intensive and Standard Weekly Cognitive Therapy for PTSD and Emotion-Focused Supportive Therapy

    Science.gov (United States)

    Ehlers, Anke; Hackmann, Ann; Grey, Nick; Wild, Jennifer; Liness, Sheena; Albert, Idit; Deale, Alicia; Stott, Richard; Clark, David M.

    2014-01-01

    Objective Psychological treatments for posttraumatic stress disorder (PTSD) are usually delivered once or twice weekly over several months. It is unclear whether they can be successfully delivered over a shorter period of time. This clinical trial had two goals, (1) to investigate the acceptability and efficacy of a 7-day intensive version of cognitive therapy for PTSD, and (2) to investigate whether cognitive therapy has specific treatment effects by comparing intensive and standard weekly cognitive therapy with an equally credible alternative treatment. Method Patients with chronic PTSD (N=121) were randomly allocated to 7-day intensive or standard 3-month weekly cognitive therapy for PTSD, 3-month weekly emotion-focused supportive therapy, or a 14-week waitlist condition. Primary outcomes were PTSD symptoms and diagnosis as assessed by independent assessors and self-report. Secondary outcomes were disability, anxiety, depression, and quality of life. Measures were taken at initial assessment, 6 weeks and 14 weeks (post-treatment/wait). For groups receiving treatment, measures were also taken at 3 weeks, and follow-ups at 27 and 40 weeks after randomization. All analyses were intent-to-treat. Results At post-treatment/wait assessment, 73%, 77%, 43%, 7% of the intensive cognitive therapy, standard cognitive therapy, supportive therapy, and waitlist groups, respectively, had recovered from PTSD. All treatments were well tolerated and were superior to waitlist on all outcome measures, with the exception of no difference between supportive therapy and waitlist on quality of life. For primary outcomes, disability and general anxiety, intensive and standard cognitive therapy were superior to supportive therapy. Intensive cognitive therapy achieved faster symptom reduction and comparable overall outcomes to standard cognitive therapy. Conclusions Cognitive therapy for PTSD delivered intensively over little more than a week is as effective as cognitive therapy delivered

  16. Comparing the effectiveness of automated online counseling to standard web-based education on improving acne knowledge: a randomized controlled trial.

    Science.gov (United States)

    Tuong, William; Wang, Audrey S; Armstrong, April W

    2015-02-01

    Evidence regarding what comprises effective education for acne vulgaris patients is lacking. Internet-based education may improve patient knowledge of this condition. Our objective was to compare the effectiveness of standard web-based education and an automated counseling website in improving acne knowledge. In a randomized trial, participants visited either a standard website or an automated counseling website to learn about acne. Multiple-choice questions were administered at baseline and after 12 weeks to assess change in acne knowledge. A total of 97 high school students were enrolled, and 95 completed the study. The standard website group had a significant increase in knowledge from baseline (3.61 ± 1.22) to 12-week follow-up (5.46 ± 1.31, p counseling website group had a significant increase in knowledge between both time points (3.53 ± 1.50 vs. 6.49 ± 1.06, p counseling group (2.96 ± 1.85) than in the standard website group (1.85 ± 1.46, d = 0.67, p = 0.002). The number of website visits was positively correlated with improvement in knowledge in both groups. Finally, the automated counseling website group rated their educational material more useful (p = 0.004) and more enjoyable to view (p = 0.003) than did the standard website group. This study is limited to adolescents with mild-to-moderate acne vulgaris. Internet-based patient education appears to be an effective method of improving acne knowledge among adolescents.

  17. Control of grid user payment. Antitrust legal standards of control for the examination of grid user payments of the german operators of electricity distribution networks in the system of the negotiated grid access; Netznutzungsentgeltkontrolle. Kartellrechtliche Kontrollmassstaebe fuer die Ueberpruefung von Netznutzungsentgelten der deutschen Elektrizitaetsverteilungsnetzbetreiber im System des verhandelten Netzzungangs

    Energy Technology Data Exchange (ETDEWEB)

    Stappert, H.

    2007-07-01

    For years their exists a controversy concerning to the permissible height of payments for the use of distribution networks in the electricity supply in the system of the negotiated grid access. Under this aspect, the author of the contribution under consideration reports on antitrust legal standards of control for the examination of grid user payments of the German operators of electricity distribution networks. The main aspects are: test standard; relation to energy law; market demarcation; position of the norm receiver; control methods; spatial comparison of interior prices; control of costs.

  18. [Standardization of hospital feeding].

    Science.gov (United States)

    Caracuel García, Ángel Manuel

    2015-05-07

    technical cards for meals containing the following data: SAS Code, Province, Hospital, name plate, ingredients (g), edible ingredients (g) kcal, Proteins, HC, Fat and Fiber. - HOSPIFOOD® standard certification for food providers in hospitals, school cafeterias and other institutions of social restoration. Patients expect food that is offered during the stay in the hospital, meet basic standards of quality and safety, and therefore it is necessary to design and develop control systems from the award and / or acquisition of food (raw materials and finished) products which subsequently become part of the menu that is offered as part of their treatment. To avoid the effect of fraudulent practice in public health, it’s needed to ensure the quality and safety of the food from the origin and establish the standards for acquisition and subsequent use of it.

  19. Accelerated rehabilitation compared with a standard protocol after distal radial fractures treated with volar open reduction and internal fixation: a prospective, randomized, controlled study.

    Science.gov (United States)

    Brehmer, Jess L; Husband, Jeffrey B

    2014-10-01

    There are relatively few studies in the literature that specifically evaluate accelerated rehabilitation protocols for distal radial fractures treated with open reduction and internal fixation (ORIF). The purpose of this study was to compare the early postoperative outcomes (at zero to twelve weeks postoperatively) of patients enrolled in an accelerated rehabilitation protocol with those of patients enrolled in a standard rehabilitation protocol following ORIF for a distal radial fracture. We hypothesized that patients with accelerated rehabilitation after volar ORIF for a distal radial fracture would have an earlier return to function compared with patients who followed a standard protocol. From November 2007 to November 2010, eighty-one patients with an unstable distal radial fracture were prospectively randomized to follow either an accelerated or a standard rehabilitation protocol after undergoing ORIF with a volar plate for a distal radial fracture. Both groups began with gentle active range of motion at three to five days postoperatively. At two weeks, the accelerated group initiated wrist/forearm passive range of motion and strengthening exercises, whereas the standard group initiated passive range of motion and strengthening at six weeks postoperatively. Patients were assessed at three to five days, two weeks, three weeks, four weeks, six weeks, eight weeks, twelve weeks, and six months postoperatively. Outcomes included Disabilities of the Arm, Shoulder and Hand (DASH) scores (primary outcome) and measurements of wrist flexion/extension, supination, pronation, grip strength, and palmar pinch. The patients in the accelerated group had better mobility, strength, and DASH scores at the early postoperative time points (zero to eight weeks postoperatively) compared with the patients in the standard rehabilitation group. The difference between the groups was both clinically relevant and statistically significant. Patients who follow an accelerated rehabilitation

  20. A Multicenter Randomized Controlled Trial of Malignant Gastric Outlet Obstruction: Tailored Partially Covered Stents (Placed Fluoroscopically versus Standard Uncovered Stents (Placed Endoscopically

    Directory of Open Access Journals (Sweden)

    Ding Shi

    2014-01-01

    Full Text Available The aim of our study is to compare the efficacy and safety of “outlet-shape” tailored stents with standard stents for the management of distal gastric cancer causing gastric outlet obstructions (GOOs with varying gastric cavity shapes and sizes. To determine the shape and size of the GOOs, stomach opacifications were performed using contrast media before stenting. Two basic shapes of the residual cavity of the proximal GOO were observed: cup shaped or approximately cup shaped and funnel shaped or approximately funnel shaped. Other shapes were not found. In the GOO tailored group, the size and shape of the proximal ends of the tailored stent were suited for the residual cavity of the proximal GOO. The tailored stents included large cup-shaped stents and large funnel-shaped stents. GOO tailored covered stents led to less restenosis and reintervention rates compared to standard uncovered stents but with the same survival.